Dyno Kidz Childcare INC

During a renewal inspection on 12/11/24 Cert rep observed the facility's emergency plan did not address continuity of operations. An acceptable plan of correction was received on 12/11/24 with a correction date of 12/20/24. During an unannounced verification visit on 2/13/25 the operator reported that continuity of operations had not yet been added to the emergency plan.

During a renewal inspection on 12/11/24, cert rep noted the facility had two consecutive fire drills (dated 11/1/24, and 12/2/24) with the hypothetical location of the fire being the same location (front of the building). An acceptable plan of correction was received on 12/11/24 with a correction date of 12/11/24. During an unannounced verification visit on 2/13/25 Cert rep noted fire drills on 12/27/24 and 1/27/24 had the same hypothetical location of the fire(the storage area).

During a renewal inspection on 12/11/24 cert rep noted 5 incidents of more than 30 days between fire detection testing: 3/1/24-4/1/24, 5/1/24-6/3/24, 7/1/24-8/1/24, 8/1/24-9/2/24, and 11/1/24-12/2/24. An acceptable plan of correction was received on 12/11/24 with a correction date of 12/11/24. During an unannounced verification visit on 2/13/25 Cert rep noted that more than 30 days were between smoke detection testings 12/27/24-1/27/24.

During a renewal inspection on 12/11/24 staff reported the facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not being taken with staff when the facility transported children to and from school. An acceptable plan of correction was received on 12/11/24 with a correction date of 12/11/24. During an unannounced verification visit on 2/13/25 the operator reported the emergency medical transportation plan was not added to the transportation binders or the vehicle.

During a renewal inspection on 12/11/24 Cert rep observed the facility's emergency plan did not address continunity of operations.

During a renewal inspection on 12/11/24 cert rep observed a plastic bag on the changing table in the infant room. The plastic bag would have been accessible to children while being changed. This changing table is used for infant children who may still be placing objects in their mouths.

During a renewal inspection on 12/11/24 it was noted Child 1 was missing the following immunizations in accordance with the recommendations of ACIP: dose 3 of Hib vaccine, and dose Pneumococcal vaccine. Child 1 did not have a vaccine exemption letter on file.

During a renewal inspection on 12/11/24 Staff 1's updated health assessment (dated 11/25/24) was obtained more than 24 months after her initial health assessment (dated 9/8/22). Staff 2 and 3 had initial health assessments with tuberculosis's tests (dated 2/19/23 and 2/14/23 respectfully) that were from more than 1 year before their date of hire(see code sheet for dates of hire).

During a renewal inspection on 12/11/24 Cert rep observed the facility did not have safety restraints (car seats) for children 7 years old and under who are transported. Staff reported that safety restraints were not being used for children 7 years old and younger. Young School aged Children ages 5 to 7 are transported by the facility to and from school. Infants, Toddlers and Preschool children are not transported at this time.

During a renewal inspection on 12/11/24, cert rep noted the facility had two consecutive fire drills (dated 11/1/24, and 12/2/24) with the hypothetical location of the fire being the same location (front of the building).

During a renewal inspection on 12/11/24 cert rep noted 5 incidents of more than 30 days between fire detection testing: 3/1/24-4/1/24, 5/1/24-6/3/24, 7/1/24-8/1/24, 8/1/24-9/2/24, and 11/1/24-12/2/24.

During a renewal inspection on 12/11/24 Staff 1 did not have any staff evaluations on file.

During a renewal inspection on 12/11/24 staff reported Child Service Reports were being completed once a year. Child service reports reviewed are current at this time

During a renewal inspection on 12/11/24 staff reported the facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not being taken with staff when the facility transported children to and from school.

During a renewal inspection on 12/11/24 staff reported a copy of the accident injury and illnesses report was not being kept in the child's file. Staff reported the parents receive the original and a copy is kept in the facility's accident file

File for staff person #2, contained two child abuse clearances dated 9/13/18 and 11/9/23 and two FBI clearances dated 9/5/18 and 11/13/23. These dates verify that the updated clearances were not obtained on or before the older clearances reached their 60 month expiration date.

Health report on file for child #1 did not contain documentation of the immunized status of all the vaccines recommended by the ACIP. The file did not contain information regarding the influenza vaccine.

Files for staff person #1-4, all had documentation of CPR and first-aid training taken on 7/29/21 and again on 9/22/23. This updated training was not completed prior to the expiration of the previously completed training on file. This updated training was due in July, but wasn't completed until September.

It was observed that the facility did not provide to the families in writing the facility's supervision policy.

It was observed and stated that the facility does not have an emergency transportation plan that accompanies the staff when they transport children away from facility property.

Repeated noncompliance observed on 1/27/23, although the facility did post their emergency plan, they did not provide to each enrolled family a letter explaining the facility's emergency procedures. The previously accepted plan of correction from inspection dated 12/21/22 for this violation was not implemented.

Repeated noncompliance observed on 1/27/23, the facility did not conduct or document at least one annual emergency drill. The previously accepted plan of correction from inspection dated 12/21/22 for this violation was not implemented.

Repeated noncompliance observed on 1/27/23, the facility did not have verification of submitting the facility's emergency plan or subsequent updates to their local municipality and to the county emergency management agency. The previously accepted plan of correction from inspection dated 12/21/22 for this violation was not implemented.

Repeated noncompliance was observed on 1/27/23, although the facility's pick up and drop off routes were posted, they did not notify the 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. The previously accepted plan of correction from inspection dated 12/21/22 for this violation was not implemented.

Repeated noncompliance observed on 1/27/23, the facility did not have a written shaken baby, head trauma, and maltreatment of children policy. The previously accepted plan of correction from inspection dated 12/21/22 for this violation was not implemented.

It was observed and stated that the facility did not have their emergency plan posted, and did not provide to each enrolled family a letter explaining the facility's emergency procedures.

It was observed and stated that the facility did not conduct or document at least one annual emergency drill.

It was observed that the facility did not have verification to show proof of submitting the facility's emergency plan or subsequent updates to their local municipality and to the county emergency management agency.

It was observed and stated that the facility did not post the facility's pick up and drop off routes and did not notify the 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.

It was observed and stated that the facility did not have a written shaken baby, head trauma, and maltreatment of children policy.

It was observed that the documentation on file for fire safety training attended by all staff persons was not conducted in-person and was not completed using a fire protection professional.

It was observed that files for staff person #4 and #5 did not contain at least one written evaluation completed by the director within the last 12 months.

It was observed that child service reports were not completed for children #1-4, and child #1-4 have been in attendance for more than 6 months at the facility.

It was observed that the facility did not provide to parents instructions on how to contact the appropriate regional child care office.

It was observed that 2 staff were present with: 3 infants, 4 young toddlers, 5 older toddlers, and 4 preschoolers. Ratios could not be maintained for either staff with the ages of the children present at the time of inspection.

It was observed that the outside walkway, located off the back kitchen space used to access the outdoor play space and used as an evacuation route, was blocked by approximately 17 large filled black garbage bags. When questioned, the director confirmed that the garbage had not been removed weekly.

File for staff person #4, hired 2/8/21, did not contain a complete PA State Police clearance.

It was observed that when staff were asked to identify the children in their primary care groups, staff stated they do not have specific groups of children to which they are assigned.

It was observed that facility did not have written documentation of initial emergency plan training completed for staff person #1 and #4.

It was observed at approximately 10:30am on the day of inspection, 18 children were present in the side room which was measured and licensed to allow for only 9 children; out of the 18 children present in that space, 4 were infants and 3 were young toddlers. Therefore, the side room's capacity was exceeded in a space where infant and young toddler children were receiving care.

It was observed that an outlet was left uncovered in the main room where children less than 5 years of age were receiving care.

It was observed in the main room that hand sanitizer was accessible to children on a table near the bathroom.

It was observed in the side room where the infant and toddler changing table was located, infant diapers were observed being changed but no source of running water was present in that space for handwashing purposes.

It was observed that the outdoor climber had bolts that were no longer connected to the equipment, which allowed for the railing of the climber to be loose and not in good repair.

It was observed that infant's were being diapered at the time of inspection, but staff did not wash their hands between diapering children and staff person did not ensure that the children's hands were washed after diapering.

File for staff person #3, hired 2/8/21, contained a TB test result dated 2/19/19; this was completed more than 12 months prior to initial hire at the facility.

It was observed that the facility's written infant feeding log showed that a bottle of baby formula was prepared and served to child #6 at 10:40am. This bottle was observed being stored at room temperature, and the same bottle of formula prepared at 10:40am was observed to be reserved to child #6 at 12:17pm.

It was observed that a bottle was not labeled.

It was observed that the facility's emergency plan did not include a lock-down procedure and did not provide for accommodations for infants and toddlers; infant and toddlers were observed in care the day of inspection.

It was observed that the facility did not have on file a copy of their comprehensive general liability insurance.

Agreement for child #1 did not specify the child's admission date.

Emergency contact form for child #1 and #3 did not contain the enrolling parent's work address.

Emergency contact form for child #5 did not contain the designated release person's address.

It was observed that the emergency transportation plan was not posted in the side room where children were receiving care.

Record for child #2 did not contain an initial or subsequent agreement and did not contain the child's admission date.

Emergency contact forms for child #3, #4, and #5 did not contain signed parental consent for emergency medical care or minor first aid.

It was observed that the facility did not provide to the parent's of each enrolled child information on how to access the regulations in Chapter 3270 electronically or instructions for contacting the appropriate regional child care office.