Earthen Vessels Outreach

On the wall next to the speaker in the Main Classroom there was a three-by-three hole cut into the dry wall leaving exposed wood causing a cutting hazard to the children in care.

The waste receptacle located in the boy's restroom lacked a lid. One of the waste receptable located in the girl's restroom lacked a lid. The waste receptable located in the facility lacked a lid and contained items with bodily secretions.

The file for Child #1, a Preschooler, contained health reports updated in an interval greater than 12 months.

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

The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the local municipality that the emergency plan was shared

The file for Child #2 and #3 contained Health Reports and Immunization Records at the time of inspection, it was observed they did not have a Health Report and Immunization Record within 60 days of enrollment.

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 Basics).

The Small Classroom lacked a written plan of daily activities and routines.

The Agreements in the file for Child #1 and #3 lacked the persons designated by a parent to whom the child may be released.

The Emergency Contact Form for Child #5 lacked the name of the child's physician.

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

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 Emergency Contact Form for Child #5 lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

The file for Child #2 and Child #4 contained Emergency Contact Forms that were not updated within 6 months of the previous update.

The file for Child #2 contained a financial agreement form that was not updated within 6 months of the previous update. Although the files for Child #3, #4, and #5 contained an updated Financial Agreement Form, it was observed that the form was not reviewed at date of enrollment or within the first 6 months.

The file for Staff #2 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

The file for Staff #4, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

Staff Person #3 (11 hours) lacked a minimum of 12 hours of childcare training.

The file for staff # 3 contained a current State Police Clearance dated. 6/22/22, that was obtained after initial employment on 6/13/22. There's no proof of application prior start date on file.

The facility was observed to lack documentation that the parent of each enrolled child was provided a letter explaining the emergency procedures.

There was a backpack on top of a shelf in the main room that contained hand sanitizer labeled " keep out of reach of children". accessible to children. There was a pink backpack with Children's VapoRub and a ChapStick on top of a shelf in the main room labeled " keep out of reach of children" accessible to children. There was a hand sanitizer bottle, a dish and hand soap by the Splenda and the coffee on the kitchen counter.

There was a hole on the wall in the main room. There was a missing ceiling tyle in the gross motor room.

There was a sink in the boy's bathroom that lacked washing hands signs posted.

There was a white board with an exposed bolt, in the main room. There was a blue cracked bin in the main room. There were 3 tables with broken rubber borders in the main room. There was a blue cabinet with a chipped edge exposing splinters. There was cracked fireman hat, cracked toolbox and a cracked green toy in the gross motor room. There was a cracked paper towel holder in the boy's bathroom.

The white refrigerator in the kitchen lacked a thermometer.

The file for staff # 1 contained a current health report dated 1/18/24 that was obtained after initial employment. Staff start date was 1/17/24.

There was a pink lunch box out of the refrigerator that contained cheese and lunch meat.

Vehicle # 2 contained a registration form with an expiration date of 2/29/24.

The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 12/31/23 to 1/31/24.

The facility emergency plan lacked information regarding the Continuity of Operations plan requirements. The facility lacked the Child Maltreatment statement in the Shaken Baby Policy.

The file for staff # 2 contains a current staff evaluation dated 6/19/23 that was conducted more than 12 months from the previous staff evaluation dated 12/25/21.

The main room lacked a written plan of daily activities and routines.

The files for child # 2 and 4 lacked the amount of the fee to be charged per day or per week on the agreement form.

The files for child #1,2 and 4 lacked the date on which the fee is to be paid on the agreement form.

The files for child # 3 and 4 lacked the arrival and departure times on the agreement form.

The files for child # 3 and 4 lacked the persons designated by a parent to whom the child may be released on the agreement form.

The file for child # 1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The file for child # 2 lacked the health insurance policy number on the emergency contact form.

The file for staff # 2 lacked 7 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

The file for staff #1 lacked a State Police, FBI and NSOR clearance on or before initial start date in a child care position. SEE LIS CODE SHEET. There are now clearances on file and dated - State Police - 10/27/22, FBI - 7/21/22 and NSOR 7/14/22. The file for staff #3, who was a provisional hire, did not contain an application for an FBI on or before initial start date in a child care position. SEE LIS CODE SHEET. The FBI and NSOR clearances are now on file and dated FBI - 7/11/22 and NSOR - 7/8/22. The file for staff #5, who was a provisional hire, did not contain an NSOR within 45 days of hire and staff #5 was not suspended until the NSOR was on file. There is no NSOR on file. SEE LIS CODE SHEET.

The emergency plan on file lacks a continuity of operations plan for the aftermath of a disaster. The files for staff #2 and 4 lacked the one hour Health and Safety training by 12/30/22. The one hour update is now on file and dated as such; Staff #2 - 3/7/23 and Staff #4 - 3/7/23.

The entrance near the back door of the facility lacked 2 protective receptacle covers in the electrical outlets.

The first aid kit in the gross motor room was hanging on the wall and not high enough to be inaccessible to the children.

In the main child care room, observed peeling green paint along the entrance area to the back doorway and along the bottom left of that back entrance's door frame. In the gross motor room, observed that both doors to the room had peeling paint on them.

There was more than 24 months between the previous and most current and updated health assessment on file for staff #2. The file for staff #3, 5 and 6 lacked an initial health assessment within 12 months prior to providing service in a child care setting. There are now current health assessments on file for staff #2, 6, 3 and 5.

The files for staff #3 and 5 lacked an initial TB test completed within 12 months prior to providing service in a child care setting. There are now current TB tests on file. The file for staff #6 lacks a TB test completed within 12 months prior to providing initial service in a child care setting.

Two of the four vehicles used for transportation lack manufacturers' instructions for use of safety restraints. The vehicles which lack the instructions are the black and the gold Honda Odysseys.

There were more than 60 days between fire drills conducted on 4/20/22 and 10/3/22.

The hypothetical location of the fire was the same for consecutive drills completed in Oct., Nov., and Dec. of 2022 and Jan., Feb., and March of 2023.

There were more than 30 dates between testing of the fire detection system. Dates are as follows; 4/30/22 and then 10/3/22. The last test of the fire detection system on file was not completed within the past 30 days and is dated 10/3/22.

The facility file lacks documentation that local traffic authorities were notified within the past 12 months of the location of the facility and the program's use of pedestrian and vehicular routes round the child care facility.

There was more than 12 months between the previous fire safety and the most current fire safety training on file for staff #2 and 4. Dates are as follows; Staff #2 - 11/14/19 and 2/10/23 and staff #4 - 9/2/21 and 2/3/23,

Staff persons #1, 3 and 6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 - 10 hour revised Health and Safety training. There is now Health and Safety training on file and dated 3/15/23. Staff #3 - Pediatric CPR and First Aid and 10 hour revised Health and Safety training. There is now Pediatric CPR/FA on file and dated 2/10/23 and Health and Safety Training on file and dated 3/10/12. Staff #6 - Pediatric CPR and First Aid and 10 hour revised Health and Safety training. There is now Pediatric CPR and FA on file and dated 2/27/23 and Health and Safety training on file and dated 3/10/23.

The file for staff #2, who holds the title of group supervisor, lacks the qualifications for a group supervisor.

The files for staff #2 and 4 lack an evaluation from the director within the past 12 months. The last staff evaluation on file is dated 12/29/21.

The file for child # 2 lacks the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child #1 lacks the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The file for child # 2 lacks a written consent signed by a parent for emergency medical care on the emergency contact form.

The file for child # 4 lacks information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency on the emergency contact form. The file for child #1 lacks a policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

The file for child # 2 lacks written consent signed by a parent for minor first aid on the emergency contact form.

The facility lacks documentation that the parent of each enrolled child was provided information on how to access the regulations in this chapter electronically.

The file for staff #2 lacks 4 hours of child care training from 12/19/21- 12/19/22.

The updated FBI, child abuse and PA state police clearances of facility person #3 exceeded 60 months from the previous clearance.

Documentation of emergency plan training for facility person #2 was dated 11/20/2020 and updated 12/17/2021 exceeding 12 months.

The initial health assessments of child #1, 4 and 5 were not dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The updated health assessment of facility person #2 exceeded 24 months (dated 2/26/2020 and 3/4/2022).

The facility did not have a receipt for the interconnected fire detection system at the facility.

The financial agreement of child #1, 2, 3, 4 and 5, did not specify the date on which the fee is to be paid.

The financial agreement of child #1, 2, 3, 4 and 5, did not specify the child's departure times.

The financial agreement of child #1, 2, 3, 4 and 5, did not specify the child's admission date.

The emergency contact information of child #2 did not contain the telephone number, child #4 did not contain the physician's address and child #5 did not contain the address or telephone number of the child's physician.

The emergency contact information of child #4 and 5 did not contain the work address of the enrolling parent.

The emergency contact information of child #1, 2 and 4 did not contain the health insurance policy number. The emergency contact information of child #5 did not contain the name of the health insurance coverage.

Documentation of pediatric first aid and CPR for facility person #1 was dated 11/4/2021, which was more than 90 days from their start date of 6/14/2021.

The posted certificate of compliance expired 6/20/2021 and the current certificate was not posted.