Fifth Avenue Family Child Care

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/CPR; First Aid/CPR training dated 1/29/24 was on file but it was not an approved curriculum nor conducted by a PQAS instructor.

The child file for Child #1 contained a current emergency contact information form that lacked the addresses for two of the individuals listed as a designated release person.

The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 3/12/24 and 8/28/23 and the financial agreement form were reviewed and signed on 8/16/24 and 8/28/23. The child file for Child #2 contained a current financial agreement that weas not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement form were reviewed and signed on 8/19/24 and 12/23/23.

The child file for Child #3 contained a current emergency contact form that lacked signed parental consent for emergency medical care for the child.

The child file for Child #3 contained a current emergency contact form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The facility was discovered to be operating with an occupancy permit that restricts services to school-age only children.

According to statements from other staff persons Facility Person #1 frequently raises their voice at the children, yelling at them or speaking to them in a harsh tone of voice.

According to the statements of other staff persons, Facility Person #1 calls children in care "bad," and makes degrading comments regarding their clothing, race, and disability to the children and in the presence of other children. Staff state Facility Person #1 told a child who was disruptive at naptime that they were "going to come to the child's home and wake up their baby brother."

Fire drills were recorded as having occurred on 1/2/24 and then next on 3/12/24.

The fire drills recorded on the fire drill log for 1/2/24 and then next on 3/12/24 specified the same hypothetical location of the fire.

The criminal history clearance on file for Facility Person #3 was completed more than 45 days after their start date. There was no proof of application for a criminal history clearance on file for Facility Person #3.

The facility's emergency plan does not address the continuity of operations in the event of an emergency.

The most recent emergency plan training documented and on file for Facility Person #4 was showing completed more than 12 months after the previous documented emergency plan training.

There was no letter to provide to the parents explaining the emergency plan.

The program's breakfast menu was not posted or shared with parents at least week in advance.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

There was no documentation of an emergency drill conducted in the previous 12 months.

The facility is unable to test their smoke detectors due to a valid reason. The current professional fire alarm inspection documented and on file at the child care facility was completed more than 12 months after the previous inspection documented and on file.

There was no documentation the emergency plan had been sent to the local municipality and to the county emergency management agency.

The most recent firesafety training completed and documented on file for Facility Person #4 was completed more than 12 months after the previous firesafety training documented on file.

The health and safety training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date.

There most recent evaluation on file for Facility Person #4 was dated "2022-2023." The date the evaluation was completed was not documented.

There was no documentation of child care experience on file for Facility Person #2, classified as the facility's director, required for the staff classification.

The agreements on file for children #1-#5 were the originals.

The emergency contact forms on file for children #2 and #3 did not include the addresses of all release persons listed.

The medical emergency transportation plan was not posted in the main child care space.

Mandated reporter training completed and on file for Facility Person #1 indicates the training was completed on 6/22/15 and 8/10/21, more than 60 months apart. The FBI Clearance on file for Facility Person #2 was invalid as it was completed through the Department of Education. There was no state police clearance on file for Facility Person #4. The FBI clearance on file for Facility Person #4 was invalid as it was completed through the Department of Education.

The emergency plan did not include a plan for continuity of operations in the event of an emergency.

There was no letter available to provide to the parent of each enrolled child explaining the emergency procedures.

There was a small area of damaged plaster on the wall behind the trash can in the restroom.

The immunization record on file for child #1 did not indicate the child had sufficient doses of the following immunizations as recommended by the ACIP for the child's age: pneumococcal, polio, varicella, and hepatitis A.

There was no health assessment on file for Facility Person #4.

There were no written feeding schedules at the facility from the parents of two of the infants in care.

There were no fire drills recorded as occurring between 12/9/21 and 8/24/22. (Program operates during the school year only.)

The fire drills recorded as conducted in the last year did not occur during various program activity times.

The firesafety professional inspections of the facility's fire alarm system documented and on file at the facility were dated as occurring on 6/17/21 and again on 9/22/22, more than 12 months apart. Inspections are required annually under Act 62 as the operator is unable to test the facility's fire alarm system at least every 30 days and demonstrate operability at the annual renewal inspection.

There was no written policy regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Facility Persons #2 and #4 were classified as assistant group supervisors without documentation of the education and/or experience on file required under 3270.36(b)for the classification.

There were two staff evualtions on file for Facility Person #3. One was dated 12/15/21. The other was not dated. It was not documented that the second evaluation was completed within 12 months of the first evaluation.

There were no emergency contact forms located in the main child care space for three of the infants in care in that space.

The file of facility person #1 (start date 8/30/2021) did not contain documentation of submission or a completed PA state police clearance, FBI clearance or NSOR verification certificate.

Wet Jet floor cleaner, labeled "keep out of the reach of children," was accessible to children on a low shelf of an unlocked cabinet. Behind an unlocked door by the bathroom, Best Press Starch and hand sanitizer was accessible to children.

Tall plastic kitchen trash bags were accessible to children still placing objects in their mouths on a low shelf in an unlocked cabinet.

The immunization record of child #3 did not contain vaccines in accordance with the schedule recommended by the ACIP or acceptable exemption.

An annual emergency drill was not documented and on file at the facility.

The emergency contact for of child #1 did not contain the work telephone number and child #2 did not contain the work address of the enrolling parents.

The file of facility person #1 did not contain verification of education.

The file of facility person #1, who had been employed for more than 90 days, does not have documentation of pediatric first aid and CPR.