Elizabethtown Child Care Center

Child #1 had a health assessment that did not include the child's health history on file.

Continued non- compliance- Fire detection system was last tested 6/25/25. Fire detection systems must be tested at least once every 30 days.

Staff person #1 did not have record of out of state clearances (Arizona child abuse, and Texas State Police) on file before their first day caring for children. Staff person #5 did not have a signed disclosure statement before their first day caring for children. Staff person #7 did not have record of clearances on file before their first day caring for children. Staff person #9 had a DOE FBI clearance on file, rather than the regulatory DHS FBI clearance. Staff person #15 did not have an FBI clearance on file within the first 45 day provisional hire period.

Staff person #16 was with children unsupervised by a qualified staff person.

Staff person #5 had emergency plan training on 4/29/25, which is outside of the regulatory 90- day pre-service training period. Staff persons #7 and #12 did not have record of emergency plan training on file, which is outside of the regulatory 90- day pre-service training period.

Staff person #2 had emergency plan training on 9/20/22 and 8/27/24. Staff person #8 had emergency plan training on 9/20/22 and 8/27/24. Staff person #10 had emergency plan training on 1/2/23 and 6/24/25. Staff person #13 had emergency plan training on 4/23/24 and 6/24/25.

It was observed that there was an outlet not covered in the Hives classroom. This was corrected on site.

It was observed that in the bathroom with two sinks that the trashcan for diapers was overfilled and the trashcan was not lined.

It was observed that hand washing signs were not present in the bathroom that the school- aged children use.

Child #4 had a health assessment dated 11/17/24 on file and did not have an updated one 6 months later.

It was observed that the Cubs classroom that there was not a medication log nor action plan for a child with an epi-pen.

Staff persons #3's and #15's health assessment did not specifically state that they were free from communicable disease and suited to provide child care.

It was observed that lunch had a protein, fruit, vegetable, and dairy, but no grains.

It was observed in the infant classroom that individual bottles were not labeled with the child's name.

Fire detection systems must be tested at least every 30 days per regulation. The fire detection system was tested 7/12/24 and 8/12/24; 12/6/24 and 1/23/25; 2/3/25 and 3/24/25; 5/1/25 and 6/2/25. These time periods are longer than 30 days.

Staff person #8's pediatric first- aid and cpr on file expired on 6/1/25. Staff person #10 had pediatric first aid and cpr dated 4/12/23 and 5/13/25.

Staff person #8 had fire safety training on 5/23/23 and 8/27/24 Staff person #10's fire safety training on file was dated 4/30/24.

Staff person #4 had mandated reporter training on 12/11/19 and 6/18/25. Staff person #6 had mandated reporter training on 12/27/19 and 2/8/25. CPSL requirements must be completed at least every 60 months.

Staff person #2 had staff evaluations on file from 10/26/23 and 11/27/24. Staff person #14 had staff evaluations on file 10/28/21 and 11/1/23.

Child #4 did not have a zip code for their release person on their emergency contact form. Child #1 did not have an address for their release person on their emergency contact form. Child #2 did not have an address or phone number for their release person on their emergency contact form.

The emergency contact and the financial agreement forms were not updated every 6 months for child #3. The financial agreement form was not updated every 6 months for child #5 and child #6.

Staff person #3 had only one nonfamily reference on file.

Documentation of the fire alarm tested showed that the fire alarm was tested on February 3, 2025 and not tested in March.

Documentation of the disclosure statement on file for staff member 3 and staff member 4 did not include the date that the disclosure statement was signed. This was corrected during the inspection. Documentation on file for staff member 3 did not include the results of the state police clearance. Documentation of the child abuse clearance on file for staff member 2 and the results of the state police clearance or the FBI clearance were obtained after the staff members first day working with children.

Documentation on file for staff member 2 included a doctor visit summary and did not include a health assessment.

Staff person #1 --- has completed Pediatric first aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Documentation on file for staff member 2 included a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field but did not include documentation of 1 year experience working with children.

Documentation on file for staff member 3, did not include documentation of education or 2 years experience working with children.

Documentation on file for staff member 2, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

It was observed at the time of inspection that staff #1, hired on 6-25-24, was working as a provisional hire and their child abuse registry clearance was not in their file. (Corrected at inspection)

It was observed at the time of the inspection the second floor windows were not constructed, modified or adapted to limit the opening to six or fewer inches.

It was observed at the time of inspection the area behind the toddler play area had overgrown grass and discarded toys. The toddler play area had a toy lawnmower with cracked plastic.

It was observed at the time of inspection that a pacifier with a string of beads and a clip was in the crib with a sleeping infant.

It was observed at the time of inspection that the paint on the fencing and railing in the toddler play area was peeling.