First Care Daycare and Learning Center · East McKeesport

The file for Staff #1 lacked the Child Abuse clearance. (SEE LIS CODE SHEET) The NSOR for Staff #2 was dated after their hire date, resulting in an incorrect provisional hire. (See LIS Code Sheet)

The facility's fire alarm test report documented testing of the fire alarm system between 03.07.2025 - 04.08.2025 (32 days) and 04.09.2025 - 05.20.2025 (41 Days). The test conducted was more than 30 days apart.

In an unlocked, child-height counter drawer, in Room #1, push pins, a pair of adult scissors and screws which pose a cutting and/or puncture hazard were accessible to children.

In Room #3, the Play Kitchen has a broken door with exposed wood where the door connects to the kitchen base which poses a cutting and/or splintering hazard. In the smaller room #4, a 4 x 3 shelf in the back left corner was a chipped shelf which posed a cutting and/or splintering hazard. In Room #3, a bin with plastic animals was cracked posing a cutting hazard. In Room #4, the bigger room, on the right wall, under the TV is an "L" shaped hook which is loose with exposed edges and screw posed a puncture and/or cutting hazard.

In Room #5, next to the sink on the floor, was a child rocking chair seat with exposed nails which poses a cutting and/or puncture hazard.

The Initial Health Assessment for Staff # 2 was dated after their hire date.

The facility's fire alarm test report documented testing of the fire alarm system between 08/01/2024 - 09/12/2024 (41 Days) and 09/13/2024 - 10/24/2024 (41 Days). The tests conducted were more than 30 days apart.

The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 were dated more than 24-months apart. (SEE LIS CODE SHEET)

The file for Staff #2 lacked documentation of education making it unable to be determined if the individual qualified as a staff person.

The Fee Agreement for Child File #1 lacked the Fee Amount.

The Fee Agreement Form for Child File #1 lacked the Date Fee to be Paid.

The file for Staff Person #1 lacked the required Child Abuse, Sex Offender and FBI Clearance for a state they have resided in within the last 5 years.

Cleaning products including bleach water, disinfecting spray, and a bottle of hand sanitizer were observed in unlocked drawers in Classroom 1.

The first aid kit in Classroom #2 was missing scissors, tape and soap.

Small crayon pieces and a small plastic connecting toy were observed in a drawer accessible to the young and older toddlers receiving care in Classroom 6.

At approximately 8:30am, an older toddler was observed to be sleeping on an unlabeled cot in Classroom 1.

The updates to the health assessments for Child #2, a preschool age child, exceeded 12 months between examinations on 7.25.22 and 12.5.23. The updates to the health assessments for Child #4, a preschool age child, exceeded 12 months between examinations on 10.6.21 and 1.25.23.

The file for Staff Person #2 lacked an initial health assessment that had been completed within 12 months prior to starting at the facility.

The health assessment on file for Staff Person #1 lacked information related to an examination for communicable diseases and the results of that examination.

The facility lacked documentation that they had completed an annual emergency drill within the last 12 months.

The facility has exceeded 60 days since their last documented fire drill. The last documented fire drill occurred on 10.19.23.

The facility exceeded 30 between fire/smoke alarm testing on 9.5.23 and 10.19.23. The last documented test occurred on 11.17.23.

Operator reported that they have not submitted annual notification to the local traffic safety authorities regarding their use of pedestrian and vehicular routes around the child care facility.

A copy of the current liability insurance policy was not on file at the time of the inspection.

The files for Children #2, #3 and #4 lacked assessments of the children's growth and development that had been completed within the last 6 months.

The file for Child #1 was observed to contain an original agreement.

The emergency contact form for Child #1 lacked the name, address and telephone number of the persons to whom the child may be releases. The emergency contact forms for Children #2 and #4 lacked an address for one of the release persons listed.

The emergency contact form for Child#3 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid procedures by facility staff.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: 31(f)(1-9). The 6-hour health and safety training on file was not completed in the acceptable time frame of 9.30.16 and 6.30.18.

Loose crib sheets were observed on two cribs in Classroom #5 where infants and young toddlers were receiving care.

The signed disclosure statement on file for Staff Person #1 was not the current disclosure statement. The signed disclosure did not include all of the information required by the CPSL.

The emergency plan on file lacked Continuity of Operations as required by Federal Regulation.

Two electrical outlets located at the sink in the Women's restroom were observed to be missing protective receptacle covers.

A hand washing sign was missing from one of the sinks in the Women's restroom.

A safety strap was missing from one of the high chair table seats in Classroom #5.

The files for Children #1 and #2, both young toddlers, lacked an updated health assessment that had been completed in the last 6 months. The last health assessment on file for Child #1 was dated 5.23.22. The last health assessment on file for Child #2 was dated 4.27.22.

The file for Child #1 lacked verification of up to date DTAP, HIB and Pneumococcal vaccinations. The file for Child #2 lacked verification of up to date DTAP and Pneumococcal vaccinations. The file for Child #3 lacked verification that they were up to date on their DTAP vaccination. The file for Child #4 lacked verification that they were up to date on their influenza vaccination. Written exemptions were not on file for the missing vaccinations.

The file for Child #1 lacked verification of up to date DTAP, HIB and Pneumococcal vaccinations. The file for Child #2 lacked verification of up to date DTAP and Pneumococcal vaccinations. The file for Child #3 lacked verification that they were up to date on their DTAP vaccination. The file for Child #4 lacked verification that they were up to date on their influenza vaccination. Written exemptions were not on file for the missing vaccinations.

The breakfast that was served to Children receiving care in Classroom #1 included milk and Cheerios. The breakfast did not include the fruit as listed on the menu and that was served to the children in the other classrooms. This resulted in only two of the three required food groups being met for Classroom #1.

The facility exceeded 30 days between fire alarm testing that occurred on 1.5.23 and 2.15.23.

The file for Staff Person #2 lacked a written staff evaluation that had been completed within the last 12 months. The last evaluation was dated 12.22.21,

The written plan of daily activities was not posted in Classroom #5.

The emergency contact form for Child #1 lacked the telephone number of the child's physician.

The emergency contact form for Child #4 lacked the address for one of the release persons listed.

The file for Staff Person #1 lacked verification of education prior to starting at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9). The 6-hour health and safety training on file was not completed in the acceptable time frame of 9.30.16 and 6.30.18.

The emergency plan on file lacked continuity of operations in the event of a disaster at the facility.

A pair of adult scissors were observed in an unlocked desk drawer in Classroom #1.

In the outdoor playspace the gate leading from the playspace to the sidewalk was observed to have a gap under the gate that could allow for a child to exit the facility onto the sidewalk and busy street in front of the facility.

A bottle of hand sanitizer, labeled keep out of reach of children, was observed in an unlocked desk drawer in Classroom #1.

Handwashing signs were missing from 4 toilets and 2 sinks in the facility.

One cracked bin with a potential pinch point was observed in Classroom #1.

A thermometer was missing from the refrigerator in the facility.

Verification that the facility had submitted the emergency plan to the local municipality and the county emergency management agency was not on file at the time of the inspection.