Each One Teach One Childcare and Learning

On 9-25-25 at approximately 9:45 a.m., child #1, was observed alone with an early intervention therapist in room #4, and therefore, no staff was present in the room to see, hear, direct, and assess the child.

The file for Staff #1 contained National Sex Offender Registry certificate that was not completed within 60 months of the previous training.

On 9-25-25 at approximately 9:45 a.m., child #1, a preschooler, was observed alone with an early intervention therapist in room #4 without a staff person present, resulting in a 0 to 1, staff to child ratio.

On 9-25-25 at approximately 9:45 a.m., child #1, a preschooler, was observed alone with an early intervention therapist in room #4, and therefore, no staff was present in the room with the child.

The first aid kit located in the Room 8 lacked tape.

A 6-foot-tall gray locker unit was observed in Room 7 to be separated from the wall and created a toppling hazard for the children in care.

A crib, in use by an infant, lacked 2 feet of space on three sides in Room 5.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre- service training required prior to caring for children unsupervised: (Health and Safety Basics).

Although the file for Staff #1 contained a current State Police Clearance and FBI Clearance at the time of Renewal Inspection, it was observed that Staff #1 did not obtain a State Police Clearance and FBi Clearance within 60 months of the previous clearance. The file for Staff #7 contained a Volunteer Child Abuse Clearance.

Staff #5 and #7, whose available documentation verify that they are qualified to be an Aide, were observed caring for children unsupervised in Room 1.

In Room 6 there were sharp teacher scissors that were in a low unlocked drawer and accessible to the children in care.

In Room 3 there was an electrical outlet that lacked a protective receptacle cover. This outlet was accessible to children 5 years of age and younger that were observed in care.

The first aid kit located in Room 6 lacked tape.

In Rooms 1 and 6 there was peeling, flaky paint on the ceiling.

In Room 3 there was a handle missing on the play kitchen which left sharp nails exposed creating a cutting hazard. In the Indoor gross Motor Space, the door to the playhouse was removed leaving a hole that had ripped and created a tripping hazard to the children in care.

In Room 3 there were Qtips in an unlocked bottom drawer that were accessible to children who are still placing objects in their mouths. In Room 1 Lima Beans were observed in the water table and were accessible to children who are still putting items in their mouths. In Room 6 five tea lights that did not have the battery cover on making the button batteries exposed were observed in an unlocked drawer accessible to the children in care. in Room 5 there were a bag of toys labeled, "Small Part: Not for Children Under 3," infants who are still placing objects in their mouths were receiving care in this space.

The files for Child #3 and #5, preschool aged children, lacked an updated health report within the last 12 months. Although the file for Child #4 contained a current health report at the time of the Renewal Inspection, it was observed that the health reports for Child #4 were updated in an interval greater than 12 months

The files for Child #3 and #5, enrolled for more than 60 days, contained health reports which did not include a review of the child's immunized status.

Observed medication at the facility for Child #7 lacked written parental consent for administration of the medication.

The last two Health Assessments in the file for Staff #2 were dated more than 24 months apart. The file for Staff #4 contained a Health Assessment that was conducted more than 12 months prior to providing initial service in a childcare setting. The file for Staff #3 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare.

The file for Staff #4 contained tuberculosis screening by the Mantoux method that was conducted more than 12 months prior to providing initial service in a childcare setting. The file for Staff #3 lacked documentation of TB screening by the Mantoux method.

The files for Child #1 and #7, infants, lacked written formula and feeding schedules obtained from the parent

The letter submitted with Renewal Paperwork included notification to the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility for a different location and not the one being inspected.

The last two fire safety trainings in the file for Staff #6 were dated more than 12 months apart.

The file for Staff #5, performing the duties of Assistant Group Supervisor, included proof of high school diploma, but did not include 2500 hours of experience.

The Agreement for Child #2, #5, and #6 lacked the amount of the fee to be charged.

The Agreement for Child #2 lacked the persons designated by a parent to whom the child may be released.

The Emergency Contact Form for Child #3 lacked the name of the child's physician.

The Emergency Contact Form for Child #1 and #5 lacked the enrolling parents work address. The Emergency Contact Form for Child #3 lacked the enrolling parents work address and telephone number.

The Emergency Contact Form in the file for Child #3 and #4 lacked written consent signed by a parent for emergency medical care.

The Emergency Contact Form for Child #5 lacked the health insurance coverage for the child.

The Emergency Contact Form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released.

The files for Child #2, #4, #5, and #6 contained an Emergency Contact Forms that had not been updated within the last 6 months.

The files for Child #2, #4, #5, and #6 contained Agreement Forms that had not been updated within the last 6 months.

The Emergency Contact form for Child #3 and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Staff person #1 and #2 have 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 12/2024 for Staff #1 and 9/2024 for Staff #2. Documentation of updated Pediatric first aid and CPR training is not on file.

At approximately 2:30 PM, Cert Rep observed Staff #1 leave the front classroom space to answer the door and then go into the back break room. Therefore, Staff #1 left Staff #2 alone with 8 young toddlers. The ratio during the time Staff #1 left Staff #2 alone with young toddlers was 1:8.

At approximately 2:30 PM, five staff were observed present with children in four separate classrooms and were in napping ratio according to the age group of children in their space. Cert rep observed that there were no other staff present at the facility. Upon leaving the facility, Cert rep observed a staff person on duty reentering the facility and therefore did not remain in the childcare portion of the facility premises during naptime. classrooms and were the fire alarm in the facility was activated. During the evacuation four staff who were on duty but were not providing childcare during naptime were observed reentering the facility premises after leaving the facility premise to purchase lunch. Due to the four staff leaving the premise, it was observed that Staff #2 was left out of ratio during the fire evacuation with 8 children including 2 older toddlers and 6 young toddlers.

At approximately 2:30 PM, Cert Rep observed Staff #1 leave the front classroom space to answer the door and then go into the back break room. Therefore, Staff #1 left Staff #2 alone with 8 young toddlers. Staff#1 was not physically present with the children in their assigned group during that time.

2ND CITATION: In the back hallway in front of the restrooms the flooring had become separated and cracked creating a tripping hazard to the children in care. Previously cited 10/8/24

2ND CITATION: In the back room which leads to the back exit of the facility there were three strollers and a large heavy cardboard box that were obstructing the exit. Previously cited 10/8/24.

During complaint investigation staff disclosed that they have seen children put in a stroller as a way to contain the child and restrict the child's movement. Staff also disclosed that the highchairs that are located in a table are used as a form of discipline when the children are running around or when they have bit another child.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (8/2024).

The file for Staff #2 lacked a PA State Police Clearance. The file for Staff #3 lacked a disclosure statement.

In both the front young toddler space and the middle toddler space there were electrical outlets along the baseboard that lacked protective receptacle covers. The outlets were accessible to children 5 years of age and younger.

In both the front young toddler space and the middle toddler space there was a cleaning material that was not in a container that specifies the content. Staff identified the bottles as having a cleaning material in them.

In the back hallway in front of the restrooms the flooring had become separated and cracked creating a tripping hazard to the children in care.

The front toddler room had a portable sink in the space but there was not water available. Staff stated the sink had not been filled and diapers were observed being changed in this space. The middle toddler space lacked a source of running water for handwashing in the diapering area.

In the back room which leads to the back exit of the facility there were three strollers and a large heavy cardboard box that were obstructing the exit.

The file for Staff #1 contained a health assessment that was completed over a year prior to hire and therefore was not valid. The file for Staff #2 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare.

The file for Staff #1 contained tuberculin screening that was completed over a year prior to hire and therefore was not valid. The file for Staff #2 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Based on Smoke Detection Log Testing documentation, smoke detectors are not being tested at least every 30 days; 5/1/24-6/5/25 (35 Days), 7/3/24-8/7/24 (35 Days).

The files for Staff #4 and #6 contained pediatric first aid/cpr that had expired on 8/2024.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

The file for Staff #3, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

The facility did not have current certificate of compliance posted in a conspicuous location used by parents.

The files for Staff #1 and #3 contained disclosure statements that lacked a witness. Although the file for Staff #2 contained a State Police Clearance at the time of Renewal Inspection, it was observed that Staff #2's State Police Clearance Request was obtained after their date of hire and therefore, was incorrectly provisionally hired.

The last documented review of the emergency plan occurred on 1-30-23.

In the Main Room there were two cords that were dangling from a low shelf that posed a strangulation hazard for the children in care. In the Main Room there was a blue partition toward the back right of the space that was coming apart from the metal stand and posed a toppling hazard to the children in care.

In the back right of the facility is a storage room that leads to an outside fire escape that was blocked by multiple strollers and other play equipment and was therefore obstructed.

Observed googly eyes in a low drawer in a space used by children who are still placing items in their mouths.

Observed 6 young toddlers in highchairs that were not buckled into the seat while eating a meal.

The file for Child #1, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination as required based on the child's age as per the ACIP recommended schedule.

The Health Report for Child #3 lacked a statement indicating the child is able to participate in childcare and appears to be free from contagious or communicable disease.

The file for Staff #3 contained Health Assessments that were updated in an interval greater than 24 months.

The Emergency Plan parent letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Based on statements made by the operator, the local traffic authorities have not been notified this year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

The files for Child #1, #3, and #5 included agreements which did not specify the amount of the fee to be charged per day or per week

The files for Child #2 and #5 contained child service forms that provide information to the family about the child's growth and development in the context of the services being provided that had not been updated in the previous 6 months. The files for Child #3, #4, and #6 lacked a child service forms that provide information to the family about the child's growth and development in the context of the services being provided.

The file for Child #6 contained emergency contact information which did not include the name of the child or the birth date of the child.

The Emergency Contact Form for Child #6 lacked the name, address and telephone number of the child's physician.

The Emergency Contact Form for Child #2 lacked the health insurance coverage and policy number for the child. The Emergency Contact Form for Child #5 lacked the health insurance coverage for the child.

The Emergency Contact Forms for Child #2, #5, and #6 lacked the address of the individual designated by the parent to whom the child may be released.

The file for Child #6 contained an emergency contact form that had not been updated within the last 6 months.

The file for Child #6 contained an agreement form that had not been updated within the last 6 months.

The file for Child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Child file #1 enrolled more than 60 days, lacked documentation of: DTaP 4, HIB 4 and Hep B 3 as required based on the child's age as per the ACIP recommended schedule. Child file #2, enrolled more than 60 days, lacked documentation of: all vaccines as required based on the child's age as per the ACIP recommended schedule.

The file for staff person #1 contains a Get started with Center-Based Care: Building Blocks for Quality Revised certificate dated 9/20/23 which is more than 90 days after hire date (see LIS code sheet).

2nd citation: At 10:43, During a facetime to verify a running water correction in the toddler's 1 and 2 rooms. was observed the portable sink was filled up with baby wipes packs. Based on staff statement they facility is not currently using the portable sinks in ether the toddler's room. The teachers are taking the toddlers to the wash their hands in the bathroom out of the classroom. Previously cited on 6/8/23.

There was a basket on the lower shelf that contained loose batteries and the shelf above with a packet of batteries that was open and accessible to children in the toddler 3 room. There was a Motrin medication in a backpack hanging low in the toddler one room.

There was a sanitizer and a Lysol bottle on top of a food storage shelf by a can of soup and baby cereal in the kitchen.

There were 3 spots with exposed splinters on the gross motor room wall. There was a hole on the back wall in the Toddler 1 room around the outlet.

There was peeling plaster on the wall in the back bathroom.

There was no running water in the toddler one and toddler two rooms, at the diapering areas. There was a potable sink with an empty pump in both rooms.

There was a cracked clear bin handle and 2 foam blocks with teeth marks in the preschool room. There. There was a foam football with a chipped corner exposing the foam in the gross motor room. There was a highchair with missing straps in the toddler one room.

The file for child # 1 is missing a dose of the influenza vaccine. The file for child # 2 lacked an immunization record.

The operator was not maintaining a medication log for a nonprescription medication, Motrin #3.

There was a sippy cup with milk returned from the table that was served during breakfast in the toddler one room.

There was a bottle of milk in a backpack in the toddler one room. There was a sippy cup with milk in it seems to be untouched in the toddler one room.

The file for child # 2 an older toddler lacked initial health report. the child has been in care longer than 60 days.