Diamond Street Early Childhood Center

It was observed, in Room 121 (Orioles) that two children could not be seen during naptime due to obstructions (corrected during inspection).

It was observed that a bottle of bleach was accessible to children in the cabinet under that diaper changing table (corrected during inspection).

It was observed that the first-aid kit in the Nursery room did not contain scissors (corrected during inspection).

The time between health assessments for Child #4 exceeded the permitted timeframe of every 6 months, for infants. (6/27/24, 2/4/25). See Code Sheet

Staff person #1 did not wash own hands after diapering a child (corrected during inspection).

The written feeding schedules for Infant/child #1, #2, and #3 were not current (7/23/24, 10/9/24, and 11/26/24 respectively).

Staff person #2's file did not contain the required verification of child care experience. Staff person #4's file did not contain acceptable verification of education.

Staff person #1 and #4's Disclosure Statements on file were not dated. (Staff #1's was corrected during inspection). Staff person #4's Disclosure Statement on file was not witnessed or dated. Staff person #1's record contained a rap sheet that was not sent to DHS for review (corrected during inspection). Staff person #4's file did not contain an FBI clearance. Staff person #5's file did not contain the required out-of-state clearances within the first 45 days (provisional hire).

Staff person #5's file did not contain the necessary minimum of 2500 hours of child care experience required to be utilized as an Assistant Group Supervisor yet was being used as an Assistant Group Supervisor.

Staff person #2's file did not contain verification of education and child care experience.

It was observed in Room 13 (Orioles) that the room was too dark during naptime, creating a supervision issue (corrected during inspection). It was observed in the Nursery (Bluebirds 1-2 yrs) that it was too dark during naptime, creating a supervision issue.

It was observed in the Nursery (Bluebirds) classroom that a bleach/water spray bottle was accessible to the children in the cabinet under the diaper changing area (corrected during inspection).

It was observed, in the indoor Gross Motor space, that the closet on the left (back of room) is accessible to children and contained many tables stored which could topple over. It also contained loose wires. The closet on the right (back of room) contained many stored chairs which could topple over. It was observed in the Nursery (Bluebirds) that classroom chairs were stacked too high, making it a potential toppling hazard (corrected during inspection). It was observed, in Room 14 and Room 133 (owls) (Hummingbirds) that the stairs to the sink had a large amount of debris/dirt on the surfaces of each step. Also in Room 133, the classroom sink, the trashcan in the classroom and the cabinet under the sink were dirty (cabinet had many white splatter spots). In Rooms 13 and 127, the cabinets under the sink had many white splatters on them. It was observed in the School-Age classroom (Room 127) that there were several dead insects inside the ceiling light cover and a classroom drawer contained two screwdrivers which were accessible to children (screwdrivers removed during inspection). It was observed in the girls' and boys' downstairs bathrooms, that the steps to the sink had dirt on…

It was observed in Room 18 and Room 14 that there was peeling paint. In Room 18, there were four approximately 1/2" spots under the left window. In Room 14, there were 2, approximately 1" spots of peeling paint under the weather chart. In the Nursery, there were 2 areas of peeling paint to the left of the closet. (All corrected during inspection).

It was observed in the downstairs children's bathrooms (girls and boys) that there were no handwashing signs posted at each toilet. The downstairs boys' bathroom was missing a handwashing sign at one of the two sinks. There was no handwashing sign in the staff bathroom, outside of Directors' office. (all corrected during inspection).

It was observed, in the Robins classroom (2 yrs) that the children had access to items smaller than 1" diameter (pom poms, googly eyes).

It was observed, in the Infant room, that there was not 2 feet of space on 3 sides of a crib while in use (corrected during inspection).

It was observed, in Room 127, that the medication log for one child was not fully completed by the parent: Dates of Administration were left blank.

The time between health assessments on record for staff person #2 exceeded the permitted 24 months' timeframe between health assessments (3/29/21, 5/8/23)

The parents of child #1 did not update their child's emergency contact information once in a 6-month period (7/28/23, 2/15/24).

Staff person #1's record did not contain acceptable verification of education.

The Certificate of Occupancy was not on record at the facility.

The Directors and staff admitted that the facility utilizes two locations in the building (hall and gross motor room) where children are confined in an enclosed space (blocking the opening with mats or chairs) due to various behavioral issues.

Children are being taken out of the classroom due to behavioral concerns and are brought to locations in the building where other children in care can see them.

Staff person #1 was unaware of the whereabouts of child #1 (in primary care group) for approximately 5 minutes.

Staff person #1 did not maintain the required 1:6 staff/child ratio during swimming (young school-age). Staff person #1 gave the supervision responsibility of 4 children he was supervising to another staff person, causing the other staff person to have a 1:10 staff/child ratio (corrected during inspection).

Child #1 and #2's emergency contact information did not include signed parental consent for swimming (corrected during swimming check).

Staff person #2 began working with children before receiving the NSOR clearance and FBI clearance (11/16/22 both clearances) SEE CODE SHEET

It was observed, in Rm 13 (Pre-K Counts), that 2 spray bottles with a H20/Bleach mixture were accessible to children in the cabinet above the sink (safety latch not latched). On the counter next to the sink, Force disinfectant wipes and two tubes of cream (keep out of reach of children) were accessible to the children. (all corrected during inspection).

It was observed, in Rm 18, Infant rm and in Rm 13 that the water temperature at the classroom sink and bathroom sink exceeded the maximum temperature permitted of 110 degrees F (118.6, 117, 117.5, and 114.8 degrees F, respectively.

It was observed, in the Nursery classroom, that the first-aid kit did not contain gloves (corrected during inspection).

It was observed, in Rm 14 (Swans) that the outlet unit was not secured to the wall (hanging forward,) on the wall to the right upon entering the room.

It was observed, in the Infant classroom, that one of the cribs was not labeled for the use of a specific child (corrected during inspection).

Child #7's record did not contain proof of the required number of the following immunizations based upon the child's age (SEE CODE SHEET): Hepatitis B received 1/2, Rotavirus 1/3, HIB 1/3, Pneumoccocal 1/3, Polio 1/2.

In Rm 18, there was medication for child #1 without instructions from the individual who prescribed the medicine.or a prescription label.

The medication log for child #1, in Rm 18, did not include the amount of medication to administer and the end date on the time to administer section.

It was observed, in the Nursery room, that one of the children's hands were not washed after being diapered.

It was observed, in the Nursery classroom, that a hands-free covered can was located close to the diaper changing area, however, a staff person used her/his hand to open the trashcan to discard a dirty diaper.

In the Infant classroom, one child was missing a written statement, from the parent giving the formula and feeding schedule for the child (corrected during inspection).

In the facility's vehicle used for transportation of children, one of the booster seats (Cosco brand) had a 2022 expiration date.

The facility did not have on record, proof of purchase of the fire detection system.

Staff person #4 completed the required one -hour Health and Safety update training on 2/8/23, after the deadline of 12/30.22.

Staff person #1's timeframe between the completion of pediatric first-aid and CPR, on record, exceeded the permitted 24 months (10/18/18, 2/27/22).

Child #4's agreement was not signed by the operator (corrected during inspection).

Child #10's record did not contain a current child service report.

The files of child #2 through #11 contained the original agreements (corrected during inspection).

Child #8's emergency contact information did not include the telephone number of the child's physician or source of medical care (corrected during inspeciton).

Child #7's emergency contact information did not include the parent's work telephone number (corrected during inspection).

Child #11's emergency contact information did not include the health insurance policy number.

Child #10's emergency contact information did not include addresses for all release people listed on form.

Staff person #3's file does not contain acceptable verification of education to be utilized as a group supervisor. Staff person #5's file does not contain acceptable verification of education (no proof of completion of classroom portion of CTC courses and no proof of current enrollment in CTC program).

The fire detection system has not been tested at least every 30 days, as required. The system was being tested every 60 days, during fire drills.

Staff persons #1 and #2 did not properly supervise child #1 causing this child to be left alone in the bathroom for 30-45 minutes. These staff persons were not following the facility's system in place for knowing the whereabouts of the children.

Staff person #1 forcefully grabbed child #1 by the wrists when the child did not respond to directions given.

Staff Persons #2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 16, 18, 19, 21, 22 and 23 did not have documentation of the required, annual emergency plan training or fire safety training conducted within the past year. Staff Person #20 did not have documentation of the required, annual emergency plan training conducted within the past year.

There were 3 stained ceiling tiles observed in the Bluebirds Classroom.

One of the refrigerators in the Warbler (Infants) Room did not have a thermometer in it to demonstrate that food was being stored safely at 45 degrees F.

An Epi-Pen for Child #1 was observed in a locked bag in the Bluebirds (1's) Room that did not have signed parental written consent for administration of the medication.

Staff Person #14 did not have documentation of a written report of an initial health assessment conducted within 12 months prior to providing initial service in the child care facility. (see LIS Codes) Staff Person #7 did not have documentation of an updated health assessment conducted 24 months after the last one, which was dated 7/13/20.

Staff Person #4 has not completed the 10 hour Health and Safety Training within 90 days of their date of hire (see LIS code sheet). Staff Person #12 has not completed the required Pediatric First Aid/CPR from a PQAS approved trainer and PQAS approved curriculum (Training on 1/23/21 was "Basic Life Support"). Staff Person #7 has not completed the required Pediatric First Aid/CPR from a PQAS approved trainer and PQAS approved curriculum. Staff Person #17 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer shown on the card, has not provided documentation that they are PQAS-certified in that training topic.

Staff Person #7 did not have documentation of 12 hours of child care training in the past year (She had 9 hours). Staff Person #11 did not have documentation of 12 hours of child care training in the past year (She had 9 hours). Staff Person #4 had none of the required, documented 12 hours of child care training in the past year.

Record for facility person #4 does not contain PA state police clearance or child abuse clearance.

Health report for child #5 is does not include record of ACIP recommended immunization for Hepatitis A.

Emergency contact info for child #1 is missing parent's work address and phone number, and release person's address. Emergency contact info for child #2 is missing parent's work name, address, and phone number. Emergency contact info for child #3 is missing parent's work name, address, and number, and release person's address and phone number. Emergency contact info for child #4 is missing parent's work name, address, and number.

Records for staff persons #2 and #4 do not include verification of child care experience prior to service at the facility. Record for staff person #3 does not include education.

Record for staff person #1 only includes one written, nonfamily reference attesting to the person's suitability to serve as a facility person.