Daniels Learning Center

Based on video footage, Staff #1 grabbed Child #1's left arm by the elbow after Child #1 took a baby doll from another child. Based on video footage, Staff #1 took the baby doll from Child #1 and dropped it on the floor as Child #1 lifted their legs as Staff #1 turned Child #1 to face the opposite direction. Based on video footage, when Child #1 lifted their legs, Staff #1 held onto Child #1's arm and also grabbed Child #1 under the armpit to get Child #1 to stand. Based on video footage, Child #1 grabbed his/her left arm as Staff #1 lead Child #1 towards a chair to sit. Based on interviews, Child #1 was placed in the chair for time out.

Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training

The file of Staff Person #1 lacked documentation of completing pediatric first aid/CPR from a PQUAS approved trainer and a PQUAS approved curriculum within 90 days of their date of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and CPR on 6/25/25.

Staff Person #1 lacked documentation of completing mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #1 had documentation of completing mandated reporter training on 6/19/25.

2nd citation. Previously cited on 6/17/25. Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #1 completed Part 1 of the health and safety training.

The file for child #1, child #2 and child #3 were observed not to contain an updated health assessment.

The file for staff #1 was observed not to have Pediatric first-aid /CPR training and Health and Safety training within the first 90 days of hire. This is evidenced by the DOH 6/17/254 and the trainings completed on 6/23/25 and 6/25/25.The file for Staff #4 was observed not to have Health and Safety training in the 90-day period. This is evidenced by the starting date of 1/6/25 and the health and safety training being done 6/19/25. The file for Staff #7 was observed not to have Health and Safety training in the 90-day period. The health and safety training has not been completed. The file for Staff #3 was observed not to have Pediatric first-aid/CPR training done in the first 90 days. This is evidenced by the starting date of 5/20/2024 and the training done on 6/25/25

The Emergency contact form on file for Child #2 was observed not to have the release person's address of the individual designated by the parent to whom the child may be released.

The file for Child #3 was observed not to have an initial health assessment. This is observed as start date 2/3/2025.

The file for staff #1, staff #2, staff #3, staff 4, staff #5, staff #6, and staff #7 were observed not to have a minimum of 12 clock hours of childcare training.

It was observed that staff did not wash children's hands after diapering.

A staff person shall ensure that a their hands are washed before meals and snacks, after toileting and after being diapered.

Staff persons #2, #3, and #4 were 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: Pediatric first aid and CPR and health and safety training. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR and health and safety training. Staff person #4 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR, health and safety training, and mandated reporter training.

Based on interviews and documentation, when children played in the parking lot/dead-end street, no fencing or natural barriers were present to restrict children from the storm drain grates or main road.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility had documentation of the last fire drill being conducted on 6/3/24.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested last on 6/3/24.

Staff person #7 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring August of 2024. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff #6 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #6 had documentation of pediatric first aid and CPR completed on 11/1/24 with a previous one completed on 10/21/22 with an expiration date of October 2024.

Staff persons #1, #4, #and #5 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR and health and safety training. Staff person #7 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Staff persons #1 and #4 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/11/18.

On the date of inspection, 10/2/24 it was observed that in the infant room, an infant sleeping in a bouncy seat and an infant sleeping in a swing.

The FBI clearance on file for Staff #9 was a PDE file and not the correct DHS clearance for compliance with CPSL and with Chapter 3490.

The facility's emergency plan did not have documentation to address continuity of operations.

An outlet cover on the portable stair chair accessible to children going up and down the stairs to access the restroom, was observed to be missing.

A bottle of Windex marked "keep out of reach of children" was observed on the floor between the sink and the toilet door.

The waste receptacle located in the school-age room did not have a lid. The waste contained used tissues that contained human secretions.

The first-aid kit in the school-age child care space was observed not to contain gloves.

It was observed that posted hand washing signs were not above every toilet in the girl's restroom and the small bathroom at the top of the stairs.

In the outdoor play area, it was observed that small rocks/shells were accessible to children who are still placing objects in their mouths.

The file for Child #1 was observed not to have documentation of an updated health report.

The file for Staff Person #5 and staff person #7 were observed not to have documentation of a health assessment being done every 24 months. This is evidenced by staff Person #2 Health assessment being dated 10/19/21 and 6/26/24. Staff Person #7 was dated 9/3/20 and 7/1/24.

The file for Staff #2 and Staff #9 were observed not to have documentation of a tuberculosis screening by the Mantoux method at initial employment.

The health assessment on file for Staff #4 did not include an exam for communicable diseases and assess the person's suitability to provide childcare.

It was observed that there is not documentation of a health form on file for Child #2 or Child #3.

The files for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, and Staff #8 did not have documentation of fire safety training conducted annually.

Staff persons #2, #3, and #4 have not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): documentation of Health and Safety Training.

The Agreement on file for Child #3 was observed not to contain a signature of the operator nor the parent.

The fee agreement on file for Child #2 and Child #3 did not specify the fee amount or the date on which the fee is to be paid.

The Agreement form on file for Child #1, Child #2 and Child #3 were observed not to contain the services to be provided nor documentation of a Child Service Report.

The agreement on file for Child #3 was observed not to have documentation of arrival and departure times.

The agreements on file for Child #1 and Child #3 did not specify the persons designated by a parent to whom the child may be released.

The agreement on file for Child #3 did not specify the date of the child's admission.

The agreements on file for Child #1, Child #2 and Child #3 were observed not to specify the services which are to be considered as extra.

The file for Child #3 was observed not to have a complete Emergency Contact Form or an Agreement completed, therefore the parent did not receive the original documents.

The Emergency contact form on file for Child #3 did not contain who shall be contacted in an emergency.

The Emergency contact form on file for Child #3 did not include the name, address and telephone number of the child's physician or source of medical care.

The Emergency contact form on file for Child #3 did not include the work address of the enrolling parent.

The file for Child #3 was observed not to have written consent signed by a parent for emergency medical care.

The Emergency contact form on file for Child #2 and Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The Emergency contact form on file for Child# 3 and Child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The Emergency contact form on file for Child #2 did not include the policy number for a child under a family policy or medical assistance benefits, if applicable.

The Emergency contact form on file for Child #4 did not contain the address of the individual designated by the parent to whom the child may be released. The Emergency contact form on file for Child #3 did not list the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency Contact forms for Children #4, #5 and #6 were not present in the child care space during the inspection.

The file for Child #3 was observed not to have documentation of Emergency Contact information or Fee Agreement at least once in a 6-month period.

The file for Child #3 was observed not to have written consent signed by a parent for administration of medications or special dietary needs.

The file for Child #3 was observed not to have written consent signed by a parent for administration of minor first-aid procedures by facility staff.

The file for Child #3 was observed not to have written consent signed by a parent for transportation or walking excursions.

An outdated certificate of compliance was observed hanging on the bulletin board in the upstairs location used by school age children. This is evidenced by the date being 10/2/23.

The files. for Staff Person #1, #2, #3, #4, #6, #7 and #8 were observed not to have documentation of 12 clock hours of child care training.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter training and Health and Safety training in topics #1-9.

The file for staff person #4, hire date (see IS code sheet), contains a disclosure statement that was signed after the start date in the child care facility and is lacking a child abuse clearance and has exceeded 45 days since hire. Staff person #4 was observed working unsupervised caring for children in the school age room. The file for staff person #8, hire date (see IS code sheet), is lacking a completed NSOR and has exceeded 45 days since start date.

The facility Emergency Plan is lacking a plan for Continuity of Operations following an emergency.

Observed in the upstairs school age room a window lacking a restriction from opening greater than 6 inches.

The first-aid kit in the infant room is lacking tweezers.

Observed in the downstairs corner in the area where older toddlers are cared for, a strip of wood on the wall containing protruding nails accessible to children in care.

The diaper changing areas in the older toddler room and young toddler room are lacking handwashing signs.

The dress-up clothing rack in the downstairs preschool area was cracked at the top edges where a piece of trim had broken off. The edges were sharp and splintering causing a hazard to the children.

The file for child #3, older toddler, is lacking a health report completed during the previous 12-month period.

The files for children #1 and #3 are lacking verification of a flu shot received during the previous year as required by the ACIP immunization schedule. Children #1 and #3 must be removed from care until documentation of a current flu shot or an exemption letter is received.

The file for staff person #7 is lacking a health report completed during the previous 24 month period. The file for staff person #9 contains a current health report that was completed greater than 24 months after the previous health report. Staff #9 health assessment is now current.

In the preschool area and in the school age room observed lunch boxes containing foods that require refrigeration including a hot dog, yogurt and turkey/cheese lunchables to be sitting out on the shelf and table.

The files for children #1 and #2 are lacking initial health reports that were obtained within 60 days of start date in the facility. The files do contain current health reports.

The facility is lacking a policy regarding Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

The files for staff persons #2,3,5,6,7 and 9, start dates (see IS code sheet), contain Pennsylvania Health & Safety Update 2022 completed after the required date of 12/30/2022. The training is now current.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/Pediatric CPR and Health and Safety training topics #1-9. The trainings are now completed.

The files for child #1 and child #3 are lacking a child service report completed during the previous 6-month period.

The files for children #1 and #2 contain the original agreement.,

The files for children #1,2,3 and 4 contain current emergency contact and financial agreements that were reviewed and updated greater than 6 months following the previous reviews. The files are now current.

The file for staff person #8 contains only one of the required 2 written, nonfamily references.

The files for staff persons #7 and #9 each contain only 10 of the required 12 annual training hours completed during the previous 12 month period.

Staff persons # 2,3,4,6,7 and 10 were observed to be caring for children unsupervised. Staff persons #2,3,4,6,7 and 10 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training topics 1-9.

The file for staff person #6, hire date (see IS code sheet), contains a disclosure statement that was not signed and is therefore not valid.

Observed at approximately 10:30am staff person #2 in the school age room supervising 11 school age children and 1 preschool child. Staff person #2 stated that staff person #4 had left the room and would be right back. Staff person #2 was alone with 12 children including a preschool child for approximately 5 minutes until staff person #4 returned.

The facility emergency plan does not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility emergency plan does not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Staff persons #5,6,8 and 9 did not receive emergency plan training within 90 days of initial hire. They do have current emergency plan training.

The operator has not provided parents with a letter explaining the emergency procedures.

Observed on the countertop in the upstairs girls and boys bathrooms Lysol disinfectant spray and Clorox wipes accessible to children using the bathroom. Observed in the downstairs preschool child care space a container of Clorox wipes on the portable sink and a container of hand sanitizer on a low shelf, both accessible to children in care. The Lysol, Clorox and hand sanitizer all said keep out of reach of children.

Observed 9 preschool children receiving care on the playground and a first-aid kit was not present.

Observed the first-aid kit in the infant room was lacking tape.

Observed on the playground 6 exposed and protruding bolts on the newly installed gate.

The files for child #3 and #5, both preschool aged, are lacking current health assessments completed during the previous 12 month period.

The files for child #2, #3 and #5, all preschool aged, are lacking verification of a flu shot received during the year 2021.

Observed in the infant room that the same sink used for handwashing after diaper changes is used for filling and mixing infant formula bottles.

The files for staff persons #1, #2 and #4 are lacking health assessments completed during the previous 24 month period.

The file for staff person #10 is lacking documentation of a TB test.

The file for staff person #5 contains a current health assessment that contains a physician statement that the individual has a communicable disease but does not include information of its effect on providing child care.

The facility emergency plan does not include accommodations for infants and toddlers.

The provider does not have a log identifying an emergency drill conducted during the year 12/19/2020 to 12/19/2021.

The facility is lacking a test log identifying that the fire detection system is tested at least every 30 days.

The facility emergency plan does not include lockdown procedures.

The operator does not have documentation that the current emergency plan has been sent to the local municipality and county emergency management agency.

Staff persons #2,3,4,6,7 and 9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first 9 topics of the health and safety trainings.

Staff person #8 has been employed more than 90 days and does not have mandated reporter training. Staff persons #3, #6, #7 and #9 have current mandated reporter training completed greater than 90 days after hire. Their trainings are now current.

There was no written plan of daily activities posted in the school age room or the preschool and toddler room.

The financial agreement for child #1 was not signed by the operator.

The financial agreement for child #1 was lacking arrival and departure times.

The files for child #1 and #4 contain emergency contact information that is lacking the address for the designated release persons.

Observed that emergency contact information was not available for 9 preschool aged children receiving care on the outdoor play space.

The files for children #2,3,4 and 5 contain current emergency contact information that was updated more than 6 months after the previous update. The files for children #2,3,4 and 5 contain financial agreements that have not been updated during the previous 6 month period.

Staff persons #2,6,7 and 9 have current pediatric first and pediatric CPR training completed greater than 90 days after hire. The files are now current.

The operator has not provided parents with information on how to access the regulations electronically.