Evangel Heights Childcare Center

Fire drills were conducted on 3/14/2025 and 6/20/2025, which was more than 60 days apart; and the most recent fire drill was conducted on 6/20/2025, which was more than 60 days ago.

The fire detection system was tested on 3/14/2025 and 6/20/2025, which was more than 30 days apart.

The files of the following staff contained clearances and/or verification certificates which were renewed after the expiration date of the previous clearance/certificate: staff #1's PA criminal history clearance (9/9/2019 & 12/31/2024), staff #5's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #7's PA criminal history clearance (11/18/2018 & 11/30/2023) and child abuse clearance (12/3/2018 & 12/8/2023), staff #12's child abuse clearance (6/10/2019 & 7/6/2024), staff #14's child abuse clearance (7/18/2019 & 7/26/2024), FBI clearance (7/16/2019 & 7/25/2024) and NSOR verification certificate (11/6/2019 & 11/27/2024), staff #21's NSOR verification certificate (11/6/2019 & 4/8/2025), staff #23's NSOR verification certificate (1/16/2020 & 1/30/2025), staff #24's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #26's child abuse clearance (11/28/2019 & 12/6/2024), staff #28's NSOR verification certificate (2/3/2020 & 3/19/2025) The PA criminal history clearance of staff #5 was incomplete, lacking a dissemination date. The file of staff #15 contained a PA criminal history clearance (1/6/2019), child abuse clearance (8/20/2019), FBI clearance (8/29/2019) and NSOR…

A drawer in the small kitchen contained 2 sharp knives in an unlocked drawer. Due to the door of the kitchen being open, they were accessible to children in the facility. Outside in toddler play space, a child was seen playing in standing water in sink of the play kitchen.

Documentation of a review and/or update to the facility emergency plan was dated 3/5/2025, but the facility lacked documentation of the previous review making it unable to determine if the current review and/or update was within 12 months of the prior.

The files of the following staff contained documentation of emergency plan dated 1/2/2024 and updated on 4/25/2025, more than 12 months from the prior: staff #1 through staff #10, staff #12 through staff #26 and staff #30. The file of staff #11 contained documentation of emergency plan training dated 1/2/2024 but did not have verification of updated training within 12 months.

Hand sanitizer was on a refrigerator and disinfecting wipes, labeled "keep out of the reach of children," were in an unlocked drawer in the School-Age classroom (room 404) accessible to children. Hand sanitizer, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in the Little Explorers classroom (room 402b). The open door to the small kitchen contained Lysol, disinfecting spray and additional cleaning products labeled "keep out of the reach of children" in the unlocked cupboard below the sink accessible to children. Desitin diaper cream, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in room 402c.

In the storage cupboard of the 3 Day All Day classroom (room 201), shaving cream labeled "keep out of the reach of children," was said to be used for art.

The door to the small kitchen was left open making the stove accessible to children.

A handwashing sign was not posted at the changing table in the Adventurers classroom (room 402c).

A plastic basket, which contained play instruments, in the All-Day Preschool classroom (room 303) was cracked. A plastic bin on a shelf in the Little Explorers classroom (room 402b) was cracked in the corner.

A shelf, which contained multiple bins of toys, was not stable and would sway to the right or left when touched in the 3 Day All Day classroom (room 201).

The refrigerator in the School-Age classroom (room 202) did not contain a thermometer.

The health assessments of the following children, identified as young toddlers at the time of the assessments (see LIS code sheet), were dated more than 6 months apart: child #3 (5/8/2023 and 4/15/2025), child #4 (3/15/2024 and 1/15/2025) and child #9 (3/19/2024 and 11/19/2024)

In the Tiny Tots classroom (room 402g), The medication called "Genexa" was not labeled with the name of the child for whom it was intended.

The Little Critters classroom (room 402a) contained medication (labeled for specific children) which have expired: Tylenol (expiration 8/2024), Tylenol (expiration 3/2025), Tylenol (expiration 4/2025), Parent's Choice Pain Reliever (expiration 12/2024) and Motrin (expiration 11/2024). The Friends First B classroom (room 402e) contained expired Tylenol (expiration10/2024).

The 4-Year-Old Preschool classroom (room 305) contained a bottle of Tylenol labeled with the name of a child but did not contain written consent from the parent.

The files of the following staff contained health assessments which were updated more than 24 months from the prior: staff #2 (6/1/2022 & 3/9/2025), staff #7 (8/7/2022 & 11/26/2024), staff #11 (4/4/2022 & 12/26/2024), staff #12 (9/30/2022 & 3/9/2025), staff #15 (10/29/2021 & 11/8/2023), staff #21 (12/16/2022 & 3/21/2025) and staff #23 (3/31/2022 & 4/4/2024). The file of staff #27 was dated 3/12/2025, which was after their start date at the facility (see LIS code sheet).

Based on documentation, testing the fire detection system exceeded 30 days by one day with testing be conducted on 2/7/2025 and again on 3/10/2025.

The health assessment of child #6 was dated 11/21/2024, more than 60 days from their start date at the facility (see LIS code sheet).

Pediatric first aid and pediatric CPR of staff #6 was renewed on 4/29/2025, which was after the 2/2025 expiration of the prior training.

Documentation of fire safety training of the following staff exceeded 12 months: staff #2 (1/17/2024 & 3/3/2025), staff #8 (1/26/2024 & 3/31/2025), staff #10 (1/31/2024 & 4/30/2025), staff #11 (1/4/2024 & 2/21/2025), staff #13 (1/19/2024 & 3/31/2025) and staff #16 (2/1/2024 & 3/1/2025)

The file of staff #10 contained consecutive annual evaluations dated 12/20/2023 & 3/17/2025, staff #15's were dated 12/11/2023 & 3/21/2025 and staff #21 dated 12/1/2023 & 3/14/2025, all exceeding 12 months. The file of staff #16, employed for more than 12 months (see LIS code sheet), did not contain an annual evaluation.

A daily schedule was not posted in the School-Age classroom (room 404).

The file of child #1, #3, #4, #5 and #9, all enrolled for more than 12 months, contained current Child Service Reports which provide information to the family about the child's growth and development but did not contain the prior reports which were to be completed 6 months prior. Based on a conversation with staff #32, it is believed they were not completed due to changing assessment tools.

The emergency contact form of child #6 did not contain the work addresses and work telephone numbers of the enrolling parents.

The emergency contact form of child #2 and #6 did not contain an address of a release person.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in a conspicuous location in room 402a.

Documentation of the review and/or update of the emergency contact forms, and financial agreements exceeded 6 months for child #1, #3, #4, #5, #7, #8 and #9.

The file of staff #31 contained a reference which, based on the content of the reference, was written by their aunt

In the infant room, an infant was observed to be sleeping in a crib which was placed against the wall and against another crib not allowing for 2 feet on three sides.

Based on documentation and a conversation with staff #4, though the last documented fire drill was conducted on 4/24/2024, they did conduct fire drills, however, they forgot to document them on the fire drill log.

Documentation of testing the fire detection system exceeded 30 days when tested on 6/12/2024 and 7/17/2024. Documentation of the most recent test of the system was dated 9/24/2024, which was more than 30 days prior to the date of the inspection.

The file of staff #1 contained training on the health and safety training topics listed in subsections (f)1-9 dated 4/23/2024, more than 90 days from their start date at the facility (see LIS code sheet). The file of staff #2, employed since 2018 (see LIS code sheet), contained training on the health and safety training topics listed in subsections (f)1-9 dated 10/23/2018 but did not include the 1-hour update (due by 12/30/2022), but completed the revised training which was dated 12/5/2023.

The file of staff #3 contained mandated reporter training dated 11/3/2019, more than 60 months prior to the date of the inspection.

The disclosure statements for Staff #2 and Staff #11 are dated after the date they began caring for children. (see LIS code sheet). Staff #2's disclosure is dated 4/5/22 and Staff #11's disclosure is dated 6/29/23. The following clearances for Staff #11 were all dated after the date of hire/date of caring for children (see LIS code sheet): State Police 1/24/24, Child Abuse 7/5/23, DHS FBI 7/27/23, and NSOR 12/13/23. The State Police clearance for Staff #7 is dated more than 45 days from date of hire. (see LIS code sheet): State Police Clearance 3/27/23

A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.

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

An outlet next to the diaper changing table in room 402a was accessible to children and lacked a protective receptacle cover. An outlet on the right side of door 11 was accessible to children and lacked a protective receptacle cover.

A drawer under the diapering table in room 402a was unlocked and contained toxics (diaper cream) accessible to children. Swiffer mop (with cleaning solution) was leaning against wall by the bathroom and accessible to children in room 402c. A Glade Plug-In air freshener was observed in the preschool-area girls' restroom and accessible to children. Hand sanitizer was observed on stand in a hallway accessible to children. In room 207, a bottle labeled "Pure Bright Bleach" was observed on a shelf (with black top) accessible to children.

Doll clothes accessible to children in room 203 were wet and staff confirmed that they had been sprayed with disinfecting spray.

A kitchen with a stove was accessible to children from the gym because the door was unlocked.

The first-aid kit in room 402(b) did not contain disposable, nonporous gloves. The first-aid kit in the backpack in room 201 did not contain tweezers.

A metal downspout in the courtyard play space was partly detached with sharp edges exposed. Wall in the hallway outside of room 305 and men's room was observed to have a brown substance dripping from ceiling tiles. In room 203, a rug (alphabet themed) was observed to be curling at the bottom right corner, creating a tripping hazard. In room 202, a white air register under the window had detached from wall, leaving peeling paint exposed and accessible to children. In the preschool hallway by the girls' restroom, a baseboard was peeling away from the wall. In room 207, the baseboard is peeling away under the dry-erase board. In room 303, the toilet paper holder had detached from bathroom wall leaving exposed, cracking plaster. There were 9 ceiling tiles in the classroom that were stained with water damage. In the bathroom attached to room 301, bolts on toilet were exposed.

There were no visual strips present on glass exit doors by school-age room 207.

A handwashing sign was not posted at the classroom sink in room 402b. A handwashing sign was not posted at the training urinal in the bathroom attached to room 402c.

In the kitchen food preparation/sink area there was a garbage can with no lid.

The hallway leading from the classrooms to the courtyard play space was obstructed with umbrellas and toys.

A padded mat on the far wall of the gym was observed to have peeling vinyl on the surface. An orange bin in room 201 was cracked with sharp edges. A blue bin containing lacing toys and a gray bin containing toy food in room 301 were observed to be cracked, creating sharp edges.

Foam blocks with teeth marks were observed in rooms 201and 402b where children are putting things in their mouths. Foam shapes with teeth marks were observed in room (203) where children are putting things in their mouths.

In room 402(d), rest equipment was observed for four children and six children were in care. Staff stated that cribs are shared and children do not nap at the same time. Individual rest equipment must be provided for each child.

In room 203, there was no thermometer present in the refrigerator.

The file for Child #2 contained health reports in an interval greater than 12 months. Health Reports were dated 5/23/22-7/21/23(SEE LIS CODE SHEET)

The initial and only health report in child #1's file was not signed and dated by a medical professional.

In room 202, children woke up from nap and went directly to snack without proper handwashing.

The initial health assessments for Staff #1, Staff #8, and Staff #11were dated after the dates of hire/dates of caring for children. (See LIS code sheet) Health assessment for staff #1 dated 11/13/23, Staff #8 dated 11/10/23, Staff #11 dated 7/27/23. The current health assessment for Staff #4 and Staff #5 is dated more than 24 months from the previous health assessment. Staff #4's previous assessment is dated 1/20/22, current assessment is dated 2/28/24. Staff #5's previous assessment is dated 10/19/21 and current assessment is dated 12/11/23.

The Mantoux tuberculosis screening dates for Staff #1, Staff #5, Staff #8, and Staff #11 are after the date of hire/date of caring for children. (See LIS code sheet) Staff #1 test dated 11/12/23, Staff #5 Test dated 10/19/21, Staff #8 test dated 11/10/23, Staff #11 test dated 7/27/23. The Mantoux tuberculosis test for Staff #2 is greater than one year prior to date of hire.(See LIS code sheet) TB Test is dated 12/31/18.

The fire drill log on file included fire drills conducted 3/21/23-6/6/23, 8/2/23-10/25/23, and 10/25/23-1/4/24, more than 60 days apart.

The facility's fire alarm test log documented testing of the fire alarm system between 4/8/23-5/10/23 and 11/23/23-1/24/23. These tests conducted were more than 30 days apart.

The facility did not have written policies to address the following: Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.

Staff #6 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. Previous date 6/9/21, current pediatric first aid and pediatric CPR date 12/15/23 which was after the previous one expired.

The file for Staff #2 contained a staff evaluation that was greater than one year from date of hire. (see LIS code sheet) The file for Staff #6 did not contain a written evaluation for more than 12 months of employment. The current evaluation is dated 2/5/24 no other evaluations in file.

In child files #1-10 The facility had retained the original agreement and was giving the parents a copy of the agreement.

There were no emergency contact forms for one child receiving care in room 402d, and one child receiving care in room 201.

The most recent 6 month review signature for the emergency contact form on file for Child #6, #9, and #10 is dated more than 6 months after the previous 6 month review signature. Child #6 dates 8/29/23-4/2/24, Child #9 dates 8/14/23-3/22/24, and Child #10 dates 1/10/23-3/21/24. The file for Child #6, #9, and #10, included parental review signatures that were dated more than 6 months apart for the 6 month review signature for the agreement. Dates for child #6 8/29/23-4/2/24, Dates for child #9 8/14/23-3/22/24, Dates for Child #10 8/31/23-3/21/24.

The child files were observed to be in assistant director's office in a file cabinet that did not lock.

Staff person #3 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 #3 completed it on 10/11/23. Staff person # 9, #10 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training Staff #9 completed on 1/26/24, Staff #10 completed on 3/26/24.

The immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.

The immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.

The file of facility person #5 contained a child abuse clearance dated 10/18/2016 and updated 1/20/2023, exceeding 60 months. The receipt of submission for the NSOR verification certificate for facility person #13 was dated 2/10/2023, which was after their start date with children (see coded LIS sheet). The file of facility person #14 contained a completed PDE FBI clearance and did not contain the required FBI clearance.

The emergency plan did not include a contingency plan or contingency fund which can help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency strikes the area.

Classroom 402a contained a cabinet with a broken lock allowing dish soap, lotion, and hand sanitizer, all labeled "keep out of the reach of children," accessible to children.

The facility had 5 restrooms which were not equipped with a lidded waste receptacle.

A climber with a slide in the preschool play space was in poor repair as areas of the platform were cracking.

A small green ball, less than an inch in diameter, was in a bin by an adult chair, accessible to children who are still placing objects in their mouths in classroom 402a. Plastic bags were accessible in an unlocked cabinet under the sink in classroom 402a. In classroom 402d, ABC and 123 foam letters were accessible to children still placing objects in their mouths.

The file of child #2, identified as a young toddler, contained a health assessment dated 6/15/2022 but did not contain an updated health assessment within 6 months and child #10, also identified as a young toddler, contained health assessments dated 1/12/2022 and 1/5/2023, exceeding 6 months.

The file of child #3, identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 8/4/2021 but did not contain documentation of an updated health assessment within 12 months. The file of child #8, now identified as a preschool age child, contained a most recent health assessment dated 12/6/2021, lacking a current health assessment.

The files of child #6, #8, and #9 contained documentation of the child's immunization records which were not in accordance with the recommendations of the ACIP nor were acceptable exemptions present in the file.

The files of the following facility persons contained health assessments which exceeded 24 months: #1 (2/18/2020 and 4/25/2022), #3 (9/9/2020 and 12/16/2022), #4 (3/13/2019 and 2/7/2023), #5 (2/26/2020 and 3/31/2022), #6 (2/4/2020 and 3/31/2022). The initial health assessment of facility person #10 was dated 4/19/2021, which is more than 12 months prior to their start date at the facility (see coded LIS sheet). The health assessments of facility persons #7 and #14 were incomplete lacking explanations regarding communicable disease.

The file of facility person #10 contained documentation of a tuberculosis screening dated 9/11/2016 which was more than 12 months prior to their start date at the facility (see coded LIS sheet).

The initial health assessment of child #6 was dated 1/18/2023, more than 60 days from their start date at the facility (see coded LIS sheet).

Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics.

The file of facility person #12 contained documentation of mandated reporter dated 3/19/2023, which was more than 90 days from their date of hire at the facility (see coded LIS sheet).

The written evaluations by the director for facility persons #1 and #3 exceeded 12 months. The written evaluations for facility persons #2 and #5, both employed for over 2 years, contained one evaluation each dated early 2023 with no prior evaluations (see coded LIS sheet).

The financial agreement of child #1 did not contain the child's date of admission.

The emergency contact forms of child #1, #2, #3, #5, #6, #7, #8, #9 and #10 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #4 did not contain the addresses of the persons designated by the parent to whom the child may be released.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym.

Documentation of the dated reviews and/or updates to the financial agreements and emergency contacts of child #4 and #6 exceeded 6 months.

Documentation of education was on file for faciltiy person #8 (diploma) and #10 (CDA), both identified as assistant group supervisors, but did not contain documented experience with children to qualify them for their positions.

The file of faciltiy person #11 contained 1 of 2 written nonfamily references.

Documentation of pediatric first aid and pediatric CPR for facility person #9 was dated 8/18/2021 but was not completed by an approved (PQAS) instructor. Facility person #9 took the acceptable training on 4/13/2023, but it was more than 90 days from their date of hire (see coded LIS sheet).

The certificate of compliance with an expiration date of 7/18/2022 was posted at the facility.

The file for staff person #10 had documentation of applying for the National Sex Offender Registry Certificate, had no certificate on file within the 45 days provisional hire period (SEE LIS Code Sheet for Hire Date). The file for staff person #13 lacked a State Police clearance.

The file for staff person #1 lacked a disclosure statement signed at initial hire. The file for staff person #13 and #17 lacked a signed disclosure statement.

Emergency plan was last reviewed/updated on 1/20/21, which is more than a year ago.

The file for staff person #3 and #8 completed emergency plan training on 1/3/22, which is not at initial hire (SEE LIS code sheet for Hire Date). The file for staff person #5, #9, #11, and #12 lacked emergency plan training (SEE LIS code sheet for Hire Date).

It was observed that the first-aid kit was accessible to the children in room 203.

The first-aid kit in room 305 lacked soap.

It was observed in room 402d that the door was blocked with a highchair on one side and a cart on the other. In room 304 it was observed that a doorway was blocked with a large black Lego bin.

It was observed outside in the playspace, that the pink playhouse was cracked by the window and the picnic table was cracked along the bench causing them to have pinch points. The wooden playhouse was splintering by the window.

The immunization record for child #1 lacked an influenza vaccination in accordance with the ACIP.

It was observed in room 402e Tylenol had expired on 11/21, in room 402g Tylenol had expired on 12/21, and in room 203 Mupirocin expired on 2/22.

The file for staff person #1 contained an initial health assessment dated for 9/19/19, which is more than 12 months prior to initial service (SEE LIS Code Sheet for Hire Date).

Facility lacked written notification of safe routes posted by the operator at a conspicuous location in the child care facility.

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

Director stated that an emergency drill had not been completed to date.

Facility had annual testing of the inter-connected smoke alarms on 3/19/21 and 4/8/22, which is not annually.

The health assessment for child #3 was dated for 3/26/22, which is more than 60 days following the first day of attendance at the facility. (SEE LIS CODE SHEET FOR START DATE)

Facility lacked liability insurance on file at the facility.

The file for staff person #15 completed pediatric first-aid and CPR training on 2/6/20 and 3/31/22, which was after the previous training had expired.

The file for staff person #7 completed fire safety training on 8/16/20 and 3/31/22, which is not annually.

The file for staff person #9, #13, and #15 lacked the preservice health and safety training topics 1-9 within 90 days of hire (SEE LIS CODE Sheet for Hire Date). The file for staff person #14 contained health and safety training topics 1-9 completed on 8/15/16, which is before the accepted date. The file for staff person #16 contained health and safety training topics 1-9 completed on 9/4/16, which is before the accepted date.

The file for staff person #13 lacked mandated reporter training within 90 days of hire(SEE LIS Code Sheet for Hire Date).

The file for staff person #1 lacked a staff evaluation (SEE LIS Code Sheet for Hire Date). The file for staff person #4 had an evaluation completed on 12/1/20 and 12/15/21, which is not every 12 months. The file for staff person #6 had an evaluation completed on 6/20/19 and 6/10/21, which is not every 12 months. The file for staff person #15 had an evaluation completed on 4/4/22, which was not completed within 12 months of hire (SEE LIS Code Sheet for Hire Date).

The gym lacked a daily activities plan posted.

The emergency contact form for child #2 lacked the physician's address.

The emergency contact form for child #2, child #3, and child #4 lacked the enrolling parent's work address and work phone number.

The emergency contact form for child #4 lacked the release person's address.

The gym lacked an emergency transportation plan posted.

The file for staff person #13 and #17 lacked two written references.

The file for staff person #2, #9, and #13 completed pediatric first aid and CPR on 3/16/22, which was more than 90 days after hire (SEE LIS Code Sheet for Hire Date).

Based on conversation with facility person #1, fire drills have been conducted but not documented. The last documented fire drill occurred on 1/20/2021.