Early Foundations INC

The updates to the fire safety trainings on file for Staff Person's #1, #2, #3, #4 and #5 exceeded 12 months between trainings in May 2024 and September 2025.

The emergency contact form for Child #1 lacked the policy number for the child's health information.

The emergency plan trainings on file for Staff Person #1 exceeded 12 months between 5.18.23 and 8.13.24.

A plant identified as Honeysuckle was observed to be hanging along the far right side of the outdoor play space fencing. Honeysuckle is considered a toxic plant.

The current health assessment on file for Child #1 lacked information related to the physician's assessment that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Lunch boxes containing potentially hazardous foods brought from home, to include Lunchables with meat and cheese, left over fish sticks, chicken nuggets, shredded chicken and spaghetti, were observed on a small bookshelf in the Upstairs School Age/Preschool classroom. The items observed are required to be refrigerated.

The facility exceeded 12 months between annual emergency drills on 2.10.23 and 5.31.24.

The current certificate of compliance was not posted in a conspicuous location in the facility. The posted certificate of compliance expired on 1.30.24.

The file for Staff Person #1 lacked a PA State Police and a PA Child Abuse Clearance for employment purposes. The clearances on file were completed for Volunteer purposes and not acceptable for employment in a Child Care Facility. The file for Staff Person #4 was observed to contain an FBI Clearance for DOE purposes at their time of initial start at the facility. DOE FBI Clearances are not acceptable for employment in a Child Care Facility. An FBI Clearance for DHS purposes was not on file until 154 days after starting at the facility. The disclosure statement on file at the time of hire was also an older version and did not meet the requirements of the CPSL. A current disclosure statement signed by Staff Person #4 was on file, however it lacked a witness signature and a date. Staff person #4 has not completed an acceptable mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file was intended for Department of Education (Act 126) and not Department of Human Services (Act 31).

In the Downstairs Classroom 3 a pair of adult scissors and a staple remover tool were observed in an unlocked desk drawer.

In the downstairs Preschool Room one electrical outlet was observed to be missing a protective receptacle cover.

In the upstairs School Age/Preschool Room a toy box was observed without a safety hinge that would allow the lid to close slowly. Without the safety hinge the lid could potentially slam down and cause injury to a child.

The updates to the health assessments on file for Staff Person #5 exceeded 24 months between examinations on 5.17.2021 and 8.22.2023.

Verification that the facility had submitted the recent emergency plan to the County Emergency Management Agency was not on file at the time of the inspection.

The file for Staff Person #3 lacked completion of the required 1-hour health and safety training update by 12.30.2022. The updated health and safety training was completed on 1.3.2023.

The file for Staff Person #4 lacked a written evaluation and they have exceeded 12 months as a Staff Person at the facility.

The agreement for Child #1 lacked the arrival and departure times.

The emergency contact form for Child #2 lacked the telephone number of the physician.

The file for Staff Person #2 lacked 1 of their 12 hours of child care training in their respective hire year.

The files for Facility Person's #1, #2, #3, #4, #5 and #6 lacked a current disclosure statement.

The first aid kit in the downstairs Preschool classroom was missing tweezers.

In Classroom #1 one cracked lid with a potential pinch point was observed.

In the first floor school age/preschool classroom 11 lunchboxes were observed to contain items that required refrigeration. The items included yogurt, lunchables, cheese and lunch meats and leftovers brought from home.

A copy of the current insurance policy was not on file at the time of the inspection.

The agreement form for Child #8 lacked the designated release persons to whom the child may be released.

The agreement forms for Children #1, #5 and #7 lacked the admission date.

The files for Children #1, #2, #4 and #5 were observed to contain the original agreements.

The emergency contact form for Child #6 lacked the telephone number for the child's physician.

The emergency contact form for Child #3 lacked the complete addresses and the telephone numbers for the release persons listed. The emergency contact form for Child #8 lacked the address for one of the release persons listed.

The emergency contact form for Child #1 lacked a date to verify that the information had been reviewed in the last 6 months.

The emergency contact form for Child #8 lacked signed parental consent for administration of minor first aid by facility staff.

The emergency contact form for Child #5, a Kindergarten child, lacked signed parental consent for transportation. The child is transported from Kindergarten to the child care by the facility.

At approximately 3:15 p.m., observed staff persons #1, #2 and #3 supervising a group of 28 children. The group was comprised of 20 school-age children and 8 preschool-aged children. Staff person #1 identified 12 younger school age children, staff person #2 identified 4 younger school aged children and 3 preschool-aged children and staff person #3 identified 4 younger school-aged children and 5 preschool-aged children. The children in care in the room were observed exiting the room to use the bathroom or to retrieve items or put items in their backpacks. When the children exited the room, a staff person was not present in the unlicensed space with them, thereby leaving the children unsupervised and creating a 0:1 staff:child ratio.

The operator failed to notify parents of enrolled children when positive Covid cases and Covid exposures were reported to the director.

The operator and director failed to report known cases of Covid, which is known to be a communicable disease, to the Department of Health.

Staff person #4 was removed from a child care taking position on 11/16/21 because staff person #4 was hired provisionally incorrectly. On 11/17/21, staff person #4 was observed assisting with school age transportation alone with children.

The file for staff person #2 lacks a valid state police clearance. Staff person #2 has been working in a child care taking position beginning 08/26/21. The disclosure statement on file for staff person #3 is undated. The file for staff person #4 lacks a current state police, a current child abuse, a current FBI clearance, and a current NSOR. Staff person #4 began employment on 11/11/21. The file for staff person #5 lacks a signed and dated disclosure statement. Staff person #5 began employment on 11/15/21. The file for staff person #6 lacks a signed and dated disclosure statement, proof of application for or a current state police, child abuse, and FBI clearance and an NSOR. Staff person #6 began employment in a child care taking position 11/04/21. The file for staff person #7 lacks an application for an NSOR. Staff person #7 has been employed in a child care taking position beginning 09/22/21.The file for staff person #8 contains an FBI clearance obtained for Department of Education purposes, making it invalid and lacks an NSOR and a signed and dated disclosure statement. Staff person #8 has been employed in a child care taking position since 08/26/21. The file for staff person…

Based on conversations with staff, staff person # transports up to 16 children, creating a 1:16 staff:child ratio.

At approximately 10 a.m., staff person #1 exited the upstairs classroom to answer the facility door, creating a 0:8 staff:child ratio in the classroom.

The file for staff person #1, #2, #3, #4. #5, #6, #7, #8, #9, #10, and #12 lacks verification of emergency plan training conducted at the time of initial hire. The file for staff persons #10 and #11 lacks verification of current emergency plan training.

Observed an unlabeled spray bottle of disinfecting cleanser on an accessible shelf in the school-age room and another unlabeled, accessible spray bottle of disinfecting cleanser in the third classroom on the left on the lower level.

Observed inaccessible unlabeled bottles of purple cleaner above the kitchen sink on the lower level and in the hallway closet on the first floor.

Observed an accessible first-aid kit in the 3rd classroom on the left on the lower level.

The file for child #5, child #6, and child #7 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Observed an Epi-Pen and an albuterol inhaler in the downstairs medication box which were not in their original packaging and lack written instructions for administration from the individual who prescribed the medicine.

Observed a tube of Diazepam which did not identify the name of the child for whom the medication is intended.

Observed an Epi-Pen in the downstairs medication box which expired 06/2021. Observed an albuterol inhaler which expired 08/2020 in the downstairs medication box.

Observed a bottle of Children's Motrin and an Epi-pen in the downstairs medication box which lack written consent for administration.

The file for staff persons #4, #6, #8, #9 lack an initial health assessment which includes the results of tuberculosis screening.

The two most recent health assessments on file for staff person #11 are dated in an interval greater than 24 months. The file for staff person #4, staff person #6, staff person #8, staff person #9, and staff person #12 lacks a health assessment.

Based on an inspection of the school bus used to transport children and a conversation with the director, a first aid kit is not present on the bus, nor do staff take a first aid kit with them during transportation.

Observed 16 children receiving care in the lower middle classroom with a capacity of 5 children.

At the time of the inspection, the director was unable to produce a fire drill log.

The facility's emergency plan was not updated as required by 12/19/20 with accommodations for shelter of children during an emergency including lock-down and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

A review of the file for staff person #1 revealed that staff person #1 lacks a qualifying degree to fulfill the educational requirement for the position of director.

The file for staff person #2 lacks a transcript or proof of college major to qualify for an assistant group supervisor, the role assigned to and being performed by staff person #2. Staff person #7 lacks valid verification of education to qualify for an assistant group supervisor, the role assigned and being performed by staff person #7.

The file for child #1 and child #7 contains an agreement which lacks the name(s) of the parent-designated release person(s).

The file for child #4 and child #7 contains emergency contact information which lacks the address of the child's physician. The file for child #6 lacks the name, address and phone number of the child's physician.

The file for child #1, child #3, and child #4 contains emergency contact information which lacks the enrolling parent's work address and work phone number. The file for child #5 and child #7 contains emergency contact information which lacks the enrolling parent's work address.

The file for child #3 and child #6 contains emergency contact information which lacks the child's health insurance coverage and policy number.

The file for child #2 and child #4 contains emergency contact information which lacks the address of the parent-designated release person. The file for child #3 and child #5 contains emergency contact information which lacks the address and phone number of the parent-designated release person(s).

Observed children receiving child care in the 2nd classroom on the left on the lower level without their emergency contact information being present. Observed children receiving care in the preschool room on the lower level without their emergency contact information being present.

Based on an inspection of the bus used to transport children and a conversation with the director, emergency contact information specific to the children being transported is not present during transportation.

At the time of the inspection, staff person #6 lacks an individual record.

The file for staff person #1 and staff person #4 lacks one written, non-family reference. The file for staff person #3, #6, #7, #8, and #9 lack two written, non-family references.

Staff person #8 and #9 have been employed in a child care-taking position more than 90 days and have not completed pediatric first and pediatric CPR training.