Elizabeth Seton Center

The file for staff person #2 was observed to include a PA child abuse clearances which was obtained for volunteer purposes and is invalid for employment (See IS CODE SHEET).

Peeling paint was observed in the Giraffe Room under the bulletin board in the Circle Time area.

There was a bottle of Infant Tylenol in the Seal room that was labeled with only a last name, when there are multiple children in the facility with the same last name, therefore is not labeled for use of a specific child.

The Penguin room contained Benadryl labeled for use by Child #1 which had expired 5.2025. The Turtle room contained Tylenol labeled for use by Child #2 which had expired 5.2025.

The Elephant room contained an Albuterol inhaler labeled for use by Child #3 that did not include written parental permission to administer.

There was a medication log for Infant Tylenol in the Seal room that included the names of two siblings on the same medication log, Child #4 and #5; they did not have separate medication logs.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

The file for Staff person #2 includes only 1 written nonfamily reference.

The file for Staff person #1 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid; the previous Criminal History clearance is dated 5.8.19, more than 60 months ago. The file for Staff person #1 includes an FBI clearance dated 5.21.19, more than 60 months ago and also included an FBI clearance obtained through the PA Department of Education, dated 7.31.24, which is not valid for employment in a childcare facility.

During an unannounced monitoring visit at a swimming activity, it was observed that the LE had children and staff from 2 separate locations at the pool, with only one lifeguard present, supervising swimming activity for 2 locations simultaneously.

The file for Staff person #1 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

According to staff statements, children apply sunscreen at the facility prior to going to the pool, but some children take sunscreen to the pool and keep it in their possession, making it accessible to children in care.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Child #1, #2, #3 does not include written parental permission for the facility to obtain emergency medical care.

The file for Child #1, #2, #3 does not include written parental permission for the facility to administer minor first aid procedures.

The file for staff person #1 does not contain a valid DHS FBI clearance or an NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR on file is dated 3.5.25. The file for staff person #2 does not contain a valid DHS FBI clearance or an NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for Staff person #4 includes FBI clearances dated 9.24.19 and 12.26.24, and NSOR clearances dated 12.17.24 and 3.6.25, more than 60 months apart; and a child abuse clearance dated 9.26.19 more than 60 months ago. The file for staff person #5 does not contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET). The file for staff person #6 does not contain an NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR on file is dated 10.29.24. The file for Staff person #8 includes NSOR clearances dated 11.6.19 and 11.20.24, more than 60 months apart. The file for Staff person #9 includes NSOR clearances dated 11.6.19 and 11.21.24, more than 60 months apart. The file for Staff person #13 includes NSOR clearances dated 11.6.19 and 11.22.24, more than 60 months apart.

An infant was observed sleeping in their crib in the Seal room while there was a stuffed toy attached to the pacifier in the crib with the child.

The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

The most recent health assessments on file for Child #1, who is an infant, is dated 6.26.24, more than 6 months ago.

The two most recent health assessments on file for Child #8, who is a preschool age child, are dated 6.13.23 and 3.4.25, more than 12 months apart.

An Albuterol inhaler in the Penguin room had expired on 1.31.2024 and was therefore not in accordance with the manufacturer's original label.

A diaper change was observed in the Seal and Turtle classrooms and the staff person was observed placing the soiled diaper on the changing table after removing it from the child, rather than immediately disposing of the diaper into a plastic-lined hands-free can.

The 2 most recent health assessments on file for Staff person #11 were dated 10.17.22 and 12.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #12 were dated 1.30.23 and 2.13.25, more than 24 months apart.

A four-month-old infant was observed in the Seal room being fed a bottle without being held by the staff person.

The two most recent annual fire detection system inspection reports are dated 11.15.22 and 6.10.24, more than 1 year apart and is required annually as the provider is unable to test the alarm every 30 days.

The facility does not have verification of an annual traffic safety letter notifying local traffic authorities of the facility location and vehicular and pedestrian routes around the facility.

The file for Staff person #9, includes verification of 4.5 of the required 12 hours of annual training between 7.2023-7.2024; an additional 8 hours of training from 2.5.25 and 2.18.25 are borrowed to meet the requirement.

The file for Staff person #3 includes verification of First Aid/CPR training dated 10.13.24, after the expiration date of the previous training, 8.31.24.

Staff person #4 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification, which expired 2.28.25

The two most recent fire safety trainings on file for Staff person #4 are dated 3.16.23 and 3.1.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #7 are dated 11.7.23 and 2.18.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #11 are dated 2.20.24 and 3.1.25, more than 12 months apart.

Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR. Staff person #10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Get Started with Center-Based Care; Building Blocks for Quality and Pediatric First Aid/CPR; Get Started in Center-based Care was completed on 3.11.25 and Pediatric First Aid/CPR was completed 2.18.25. Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Get Started with Center-Based Care; Building Blocks for Quality and Pediatric First Aid/CPR; Get Started in Center-based Care was completed on 2.10.25 and Pediatric First Aid/CPR was completed 2.18.25. Staff person #13 did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet): Pediatric First Aid/CPR; Pediatric First Aid/CPR was completed 10.31.24.

Staff person/facility person #4 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 2.6.20. Staff person #7 completed their current mandated reporter training on 2.18.25, more than 60 months after the previous training dated 1.23.20. Staff person #13 completed their current mandated reporter training on 3.8.25, more than 60 months after the previous training dated 1.28.20.

The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

There was no written daily activity schedule in the Seal room.

Child #6, who has an admission date of 5.1.23, has a child service report dated 12.18.24, more than 6 months after admission. Child #7, who has an admission date of 2.27.23, has a child service report dated 12.18.24, more than 6 months after admission. Child #8, who has an admission date of 8.1.23, has a child service report dated 11.21.24, more than 6 months after admission. Child #9 who has an admission date of 4.17.23, has a child service report dated 11.21.24, more than 6 months after admission.

The agreement on file for Child #10 does not include the child's arrival and departure times.

The emergency contact form on file for Child #7 does not include the telephone number for the child's pediatrician/source for medical care.

The emergency contact form on file for Child #5 does not include the address and telephone number for the enrolling parent's employment.

The file for Child #9, #10 does not include written parental permission for the facility to obtain emergency medical care.

The emergency contact form on file for Child #4 does not include the policy number for the child's health care benefits.

The emergency contact form on file for Child #2, #3, #8 does not include a complete address for all listed release persons. The emergency contact form on file for Child #4, #9 does not include a complete address and telephone number for all listed release persons.

While the Giraffe class was outside on the playground there was a child observed whose emergency contact form was not present.

The most recent 6-month review signature for the agreement on file for Child #1 is dated more than 6 months after the previous 6-month review signature. The most recent 6-month review signature for the emergency contact form and agreement on file for Child #2 #6, #7, #8, #9, and #10 is dated more than 6 months after the previous 6-month review signature.

The file for Child #9, #10 does not include written parental permission for the facility to administer minor first aid procedures.

Staff person #1 and Staff person #2 were observed to be in the same classroom caring for children with no staff in the classroom who had completed all preservice training supervising. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR; Get Started with Center-based Care: Building Blocks for Quality; and Mandated Reporter training. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

The files for staff #6 contain clearances that were obtained late. Staff #6: NSOR due 9/2023 and obtained 3/2024. Staff #7 NSOR due 3/4/23 and obtained 3/8/23; criminal clearance due 1/2024 and obtained 2/2024.

Staff #10 and #12 updated their emergency plan training late. The training was due 1/2024 and obtained 2/2024.

The TB test on file for staff #8 exceeded 12 months at the time of hire. It is not acceptable.

The files for the following staff obtain first aid and cpr late. Staff #2 and #3 completed training 8/2021 and 11/2023 (it was due 8/2023). Staff persons #5 and #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first aid and cpr. Both staff were due to complete the training 8/2023 and completed it 11/2023.

Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

The files for staff #2 and #11 contain health and safety trainings that were obtained late. The health and safety update for staff #2 was due 12/2022 and obtained 2/2024. The health and safety training for staff #11 was due 7/2023 and completed 8/2023.

The file for staff #4 contains mandated reporter training that was renewed late. It was due 1/2024 and obtained 2/2024.

The files for children #1, #2, #3 lacked a DHS approved assessment. The assessment tool that was used was not approved by DHS.

The file for staff #1 contains 12 hours of annual child care training, however, 8 of the 12 hours were obtained outside of the annual window. The training was obtained 2/2024 and was to be completed between 12/2022 and 12/2023.

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

Staff #6 was not properly provisionally hired. The criminal clearance was not on file prior to the provisional hire.

The file for staff #5 contains a child abuse clearance that was renewed late. The clearance was due 11/8/22 and obtained 5/2/23.

The file for staff #2 contains a disclosure statement that was signed 4/2023 but was due 2/2023.

The files for staff #2 and #6 lack NSOR clearances. Staff 2's clearance was due 3/21/23 and staff #6's was due 2/6/23 due to an incorrect provisional hire procedure.

The file for staff #3 contains an NSOR clearance that was obtained late. It was due 3/21/23 and obtained 4/24/23.

Observed a sharp corner where the rubber coating has worn off of that area on the climber in the outside play space.

The health assessment for staff #1 lacks a statement attesting to the staff's suitability to provide child care.

The file for staff #1 lacks a tuberculosis screening by the Mantoux method.

The file for staff #5 contains mandated reporter training that was renewed late. The training was due 12/22/22 and obtained 4/28/23.

The operator did not have proof of the installation date of the fire detection system.