Danas Family Childcare LLC

On 5/10/23, Staff #1, who qualifies as an Aide, was alone with children.

During the renewal inspection on 5/10/23, there was no continuity of operations plan as required by federal requirement 45 CFR 98.41(a)(1)(vii).

On 5/10/23 during the renewal inspection, there was a large wood board and a broken wooden sandbox along the fence in the corner of the large outdoor play space.

On 5/10/23 during the renewal inspection, there was no handwashing sign at the sink in Room 3.

On 5/10/23 during the renewal inspection, there was no thermometer observed in the refrigerator in room #3.

As of the renewal inspection on 5/10/23, the most recent influenza vaccine on file for child #1 was dated 11/16/21, and for child #2 it was 10/27/21. There were no exemption letters on file. Child #1 and #2 must be removed from care until documentation of the vaccine or an exemption letter is on file at the facility.

On 5/10/23 during the renewal inspection, three lunchboxes were observed sitting on the floor in front of the refrigerator in Room 3 at least 30 minutes prior to lunch. The lunchboxes contained yogurt, rice and meat. The children were out for a walk with the teacher at the time of the observation.

As of the renewal inspection on 5/10/23, the most recent emergency drill was done on 3/14/22.

As of the renewal inspection on 5/10/23, there was no documentation that the emergency plan had been sent to the county and local municipality.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: approved Health and Safety training within the appropriate time frame. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter.

During an unannounced inspection on 3/14/23, Staff #2 did not have documentation on file that the NSOR had been submitted. Staff #2 stepped into the preschool classroom to cover a bathroom break for Staff #1.

On 3/14/23 during an unannounced inspection, Staff #1 was in a classroom alone with children and did not have documentation of TB screening on file.

During an unannounced inspection on 3/14/23, Staff #1 was alone in a classroom with children and only had 2303 hours of experience with children documented in the file. This does not qualify her for an assistant group supervisor position, which is the minimum position to be alone with children.

During the renewal inspection on 1/26/23, staff #3 was observed roughly pulling the sleeping bag out from under a child during nap time and then saying in a harsh tone, "now close your eyes!"

During the renewal inspection on 1/26/23, the first aid kit in the preschool room (last room on right) was missing gloves and soap. The first aid kit in the first room on the left was missing gloves.

As of the renewal inspection on 1/26/23, there were broken slats on the blinds in the preschool room (last room on the right). In the bathroom where toddlers are being changed on a board that covers the bathtub, there are protruding spindles from where the faucet handles were removed, creating an impalement hazard.

During the renewal inspection on 1/26/23, it was observed that staff #2 had a health assessment on 8/6/2020 and then 1/16/2023, greater than 24 months.

During the renewal inspection on 1/26/23, it was observed that the physician answered "yes" to question #2 on the health assessment of staff #1 indicating that there was a communicable disease with no further explanation.

As of the renewal inspection on 1/26/23, the emergency plan did not include accommodations for children with chronic medical conditions, which the facility has enrolled.

As of the renewal inspection on 1/26/23, the fire drill log shows a drill done on 4/6/22 and the next one on 6/23/22, greater than 60 days.

As of the renewal inspection on 1/26/23, the fire alarm testing log shows tests completed on 4/7/22 then 7/27/22; 7/8/22 then 8/23/22 then 9/27/22, all greater than 30 days.

As of the renewal inspection on 1/26/23, the emergency plan did not include accommodations for children during lock down.

As of the renewal inspection on 1/26/23, there was no indication that the operator had notified local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

As of the renewal inspection on 1/26/23, child #1, #2, #3, and #4 did not have a Department approved form to provide information to the family about the child's growth and development in the context of the services being provided.

As of the renewal inspection on 1/26/23, the emergency contact information for child #1 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

As of the renewal inspection on 1/26/23, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in any room except the first room through the lunchroom.

As of the renewal inspection on 1/26/23, there was no documentation that the operator had provided the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

As of the renewal inspection on 1/26/23, Staff #1 did not have documentation of the required 12 hours of child care training (see code sheet for hire date).

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and Pediatric CPR.

On 8/8/22 during an unannounced inspection, Staff #1, qualified as an Aide, was with children not supervised by a staff person qualified at minimum as an Assistant Group Supervisor.

On 8/8/22, Staff #2 admitted that Staff #3 had been taking a group of four to five preschool/school age children on excursions throughout the summer by herself. Staff #3 was the driver of the vehicle on these excursions.

On 8/8/22 during an unannounced inspection, there were 7 young toddlers and then, at a later time, 8 preschool children in the foyer that measures for 6. There were 12 preschool children in the third room on the right that measures for 7. There were 5 young toddlers in the room adjacent to the infant room that has a capacity of 3. There were 7 infants and young toddlers in the lunch room that measures for 4.

On 5/31/22 during an unannounced inspection, the legs of the swing set were observed lifting off the ground while a child was using the swing. Further investigation showed that the swing set had footers intended to be used to anchor it to the ground. There was nothing anchoring this set to the ground. The provider submitted plans of correction that stated "The provider installed anchors to secure the swingset. The anchors are permanently installed to secure the swingset". The date of correction given was 6/4/22. On 8/8/22 the swingset was observed to be anchored to the ground, however, there is no safety surface under the swingset.

On 8/8/22 during an unannounced inspection, the file of staff #1 did not include verification of age.

On 5/24/22, Child #8, an older toddler, and Child #9, a young toddler, left the playground unsupervised, as confirmed by staff #1, #2, #3, #4, #5, and #6. Child #8 was found standing by the road to the rear of the facility, approximately 100ft from where they left the play yard. Child #9 was found near the next door neighbor's shed, approximately 80ft from where they eloped from the play yard. Staff #1 and Staff #2 were responsible for the two children at this time. However, Staff #1 had left the play yard to go inside the facility to clean up the classroom.

On 5/12/22 during an unannounced inspection, Staff #2 (see code sheet for date of hire) did not have FBI clearance and NSOR and was working with children.

On 5/9/22 and again on 5/12/22 during unannounced inspections, staff reported that they did not have responsibility for specific children and that they were all responsible for all the children in the class.

On 5/12/22 during an unannounced inspection, Staff #8 was heard saying to a preschool child "You're just having a pity party and you need to stop". During the same inspection, as they were preparing to go for a walk Staff #8 was heard saying "I guess you'll just have to stay here and the good children will go for a walk".

On 5/9/22 during an unannounced inspection, Staff #7 in the young toddler room was observed changing two diapers. Staff did not wash her hands after the first and before the second diaper change. The hands of the first child changed were not washed.

During the renewal inspection, Inspector observed 2 changing pads in the facility. One changing pad is located in the infant room and it is covered with a cloth cover and underneath the cloth cover, the changing pad is torn and ripped. In the bathroom located in the hallway used by the 1 yr old class, the changing pad is cloth as well. Neither changing pad can be proper sanitized after each use. An acceptable plan of correction with a correction date of 3/11/22 was submitted that stated "The changing pads were disposed of and replaced with new vinyl changing pads. Provider will ensure that only vinyl changing pads are used and when they get ripped they will be disposed and replaced with new vinyl changing pads." On 5/9/22 during a walk through, there were new changing pads, however, Staff #7 was observed cleaning the pad after diapering with only a baby wipe that does not include a sanitizing agent.

On 5/31/22 during an unannounced inspection, the legs of the swing set were observed lifting off the ground while a child was using the swing. Further investigation showed that the swing set had footers intended to be used to anchor it to the ground. There was nothing anchoring this set to the ground.

On 5/12/22 during an unannounced inspection, expired medication was observed stored in the kitchen area. There was Tylenol for child #1 and #2 that expired on 1/22; Tylenol for child #3 that expired on 4/22; Tylenol for child #4 that expired on 3/22; Acetaminophen for child #5 that expired on 11/21; and Saline Spray for child #6 that expired on 10/21.

On 5/12/22 during the complaint investigation, Staff #6 stated that there was no paperwork for Child #7 who had previously been in care for several weeks. Staff #6 stated that she sent the paperwork home to be completed and it was never returned.

On 5/24/22 parents of child #8 and child #9 were not provided an incident report for the incident that occurred on this day.

Staff #1 (DOH-see code sheet) has mandated reporter trainings dated 12/28/16 and 3/15/22, which is a span of more than 60 months. Staff 5 (DOH-see code sheet) has mandated reporter training dated 6/28/20 which is more than 90 days from date of hire. Staff persons #2, #3, #5 and #6 (DOH-see code sheet) were hired provisionally and do not have proof of requests for NSOR on file. Staff person #2, #3,#5, #6, currently have NSOR clearances on file. Staff #5 (DOH-see code sheet) was hired provisionally and does not have proof of FBI request at time of hire. Staff #5 currently has FBI clearance on file.

In the room located when first entering the facility, inspector observed toxics (Clorox wipes, and hand sanitizer) located on top of the play kitchen set. When walking through the kitchen area, inspector observed toxics (Vitaloxide disinfectant) on the floor below the fire alarm panel. In the 2 yr old room, inspector observed toxics (Banana Boat Simply Protect Baby 50 sunscreen) in child 3's bin. All toxics were accessible to children and are labeled "Keep out of reach of children".

When checking the temperature of the water using a state issued thermometer, the water temp in the bathroom located closest to the 2 year old room registered at 114° F.

In the preschool room, inspector observed the glass sliding doors do not have a visual strip or other visual identification placed on glass. Inspector observed the fire alarm specialist trip on the rug located at the front door of the facility. Inspector observed the edges o n the right side of the carpet (closest to the kitchen area) lifting causing a tripping hazard.

In the large outdoor play area in the far right corner when entering the play area, inspector observed 2 exposed bolts.

In the 2 yr old room, inspector observed plastic bags in bins that are accessible to children who are still placing objects in their mouths. In the preschool room on day of renewal inspection, inspector observed 2 older toddlers in the room who were playing with match box cars. The wheels on the match box cars come off and are less than 1 inch in diameter.

In the 1 year old room, inspector observed a half moon shaped table with approx. 8 seats used as a multi-child highchair table. Three of the seats are missing the t straps.

Inspector observed 2 changing pads in the facility. One changing pad is located in the infant room and it is covered with a cloth cover and underneath the cloth cover, the changing pad is torn and ripped. In the bathroom located in the hallway used by the 1 yr old class, the changing pad is cloth as well. Neither changing pad can be proper sanitized after each use.

Staff 4 did not update the health assessment within 24 months from pervious health assessment. Staff 4 has a health assessment on file dated 7.13.19 and 9.1.21. Staff 5 did not have a health assessment conducted within 12 months prior to providing initial service in a child care setting or obtain a health assessment and tb screening at initial employment. Staff 5 has a health assessment and tb screening on file dated 7.8.20 and 7.6.20.

Facility's emergency plan does not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider does not have documentation on file that an annual emergency drill was conducted.

Provider does not have documentation showing fire alarms system is being tested every 30 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Staff 5 does not have proof of 2500 hours of child care experience on file to qualify as an assistant group supervisor.

Emergency contact information for child 1 and child 2 does not include the work addresses and telephone numbers of the enrolling parent.

Emergency contact information for child 2 does not include the written consent signed by a parent for emergency medical care.

Emergency contact information for child 1 does not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Emergency contact information and the financial agreement for child 2 has not been updated in a 6-month period. Last update for child 2 on file is dated 4.18.21

Child 2's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff.

On 12.13.21, a verification inspection was conducted. Staff 1 and staff 2 were in the older toddler room. Staff 1 and staff 2 took the older toddlers to the bathroom leaving one older toddler in the classroom by themselves for approx. 3-4 minutes. Inspector observed the preschool teacher walk the child to the two staff who were at the bathroom. The bathroom is not located inside the classroom or near the classroom. When inspector spoke with staff 1 about older toddler being left in the room alone unsupervised, staff 1 reported that child did not follow them to the bathroom.

On 12.13.21 a verification inspection was conducted. Inspector observed staff 2 speaking very harshly to child in the older toddler room. Inspector observed child 1 crying and hearing staff 2 say to child "You need to stop crying", "your crying for absolutely nothing". Staff 2's tone was loud and extremely stern. Inspector heard staff 1 say to staff 2, "she is crying because I asked her not to spit on the floor" inspector heard staff 2 say "I don't care, she shouldn't have spit on the floor" "and she needs to stop crying". Inspector observed staff 2 guide child out of the bathroom.

On 9.30.21, a renewal inspection was conducted. At time of renewal inspection, in the young toddler room, inspector observed the door that has an exit sign was blocked by the staff's rocking chair. In the older toddler room, inspector observed the door that has an exit sign that is blocked with a stand up large calendar. On 12.13.21, a verification inspection was conducted. In the older toddler room, inspector observed the door that has a exit sign blocked by a stand up large calendar. The entire door is blocked by standing calendar.