Follow Me Child Care Center

Observed prescription medications in the "go-bag" which were not locked or in an area that is out of reach of children. The "go-bags" were on the picnic tables under the pavilion in the pool area while the group was swimming.

The emergency contact information for child #1 and #2 did not include signed parental consent for swimming. Child #1 and #2 were observed in the pool at the time of the inspection. *Corrected at the time of the inspection.

During naptime, observed 1 staff person caring for a group of 12 older toddlers. 11 older toddlers were resting quietly or sleeping on their cots and 1 older toddler was awake and sitting on the other side of the room sliding around on the floor. When a child is awake and no longer resting on their mat, naptime ratios no longer apply.

Observed staff person #4 was sitting at a table next to the door in the porcupine classroom while 4 younger school age children were playing on the opposite side of the classroom behind a shelf. Staff person #4 was unable to see, direct and assess the children from their position on the other side of the room. Observed staff person #5 was unable to see all of the children during naptime in the Dolphins classroom. Staff person #5 was sitting at a table in the middle of the room, due to placement of the cots behind/next to shelves, 2 napping preschool age children were unable to been seen from where staff person #5 was sitting.

Observed the child safety latch on the cabinet containing cleaning products in the Pandas classroom was broken and unable to be locked. The lower cabinet door was accessible to older toddlers and preschool age children in care. *Corrected at the time of the inspection.

Observed the trash can in the Kangaroo classroom used for the disposal of used tissues did not have a lid. *Corrected at the time of the inspection.

Observed the child safety latch on the cabinet containing the first aid kit in the Pandas classroom was broken and unable to be locked. The lower cabinet door was accessible to older toddlers and preschool age children in care. *Corrected at the time of the inspection.

An annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was documented on 11/2024 with the previous drill documented on 05/15/2023.

The pediatric first aid and CPR for staff person #1, #2, #3 was not renewed on or before the expiration of the previous certification. The current training on file was dated 04/13/2024 with the previous training dated 03/24/2022 with an expiration date of 03/2024.

Observed emergency contact information was not present in the Bunnies classroom for child #1 while receiving care. *Corrected at the time of the inspection.

Observed staff person #1 in the Panda classroom assisting a child in the bathroom. From their position in the bathroom, staff person #1 was able to supervise 3 children napping nearby but was unable to supervise the remaining 6 children napping in the classroom. 1 child was behind a shelf, and 5 children were on the other side of the room which were blocked from view by the wall in the center of the room. There were 4 older toddlers and 6 preschool age children with 1 staff person in the classroom during naptime.

**During naptime in the Penguins classroom, there was a group of 9 older toddlers with 2 staff. When identifying their primary care groups, staff person #2 initially identified 4 children and staff person #3 identified 4 children. Staff person #2 then realized they missed one of the children in their group and identified 5 children in their group. During naptime in the Racoons classroom, there was a group of 4 older toddlers and 4 preschool children with 2 staff. When identifying their primary care groups, staff person #4 identified 4 children and staff person #5 knew they had 4 children in their group but did not know the names of the 4 children.

During naptime in the Penguins classroom, there was a group of 9 older toddlers with 2 staff. When identifying their primary care groups, staff person #2 initially identified 4 children and staff person #3 identified 4 children. Staff person #2 then realized they missed one of the children in their group and identified 5 children in their group. During naptime in the Racoons classroom, there was a group of 4 older toddlers and 4 preschool children with 2 staff. When identifying their primary care groups, staff person #4 identified 4 children and staff person #5 knew they had 4 children in their group but did not know the names of the 4 children.

The file for staff person #3 did not include complete provisional hire documents prior to their first day working with children (see LIS code sheet). The file included documentation of the FBI fingerprinting receipt dated 08/31/2024 which was after the first day caring for children. The file included a request for the NSOR sent on 08/22/2024, a signed disclosure statement dated 08/20/2024, the results of the PA criminal history clearance dated 08/22/2024, Child Abuse Clearance dated 08/22/2024 and an FBI Clearance dated 09/03/2024.

Observed staff person #1 walk out of the Monkey's classroom into the hallway leaving staff person #2 alone in the classroom with 7 young toddlers. The ratio requirements for young toddlers are 1:5.

Observed staff person #4, #5, #6 and volunteer #7 outside with a group of 6 young school-age children while waiting for the school bus to drop off children from school. During this time, staff person #4 and #5 were sitting at the picnic table supervising 4 children. When asked to identify their group, staff person #4 stated that she had 1 child and the remaining 3 children at the picnic tables were in staff person #6's group. Staff person #4 identified 2 other children in her group that were with staff person #6 at the basketball court. Staff person #6 and volunteer #7 were at the basketball court with 2 children. When asked to identify their group, staff person #6 stated that he was not responsible for any of the children and that all 6 children were assigned to staff person #4 and they were helping out. While at the basketball court talking to staff person #6, 1 of the children was observed running across the parking lot driveway to the basketball court from the picnic tables without a staff person accompanying them across the driveway. Observed staff person #8 and #9 were supervising a group of 16 preschool age children in the Dolphins classroom. When asked to identify their…

**Observed staff person #4, #5, #6 and volunteer #7 outside with a group of 6 young school-age children while waiting for the school bus to drop off children from school. During this time, staff person #4 and #5 were sitting at the picnic table supervising 4 children. When asked to identify their group, staff person #4 stated that she had 1 child and the remaining 3 children at the picnic tables were in staff person #6's group. Staff person #4 identified 2 other children in her group that were with staff person #6 at the basketball court. Staff person #6 and volunteer #7 were at the basketball court with 2 children. When asked to identify their group, staff person #6 stated that he was not responsible for any of the children and that all 6 children were assigned to staff person #4 and they were helping out. While at the basketball court talking to staff person #6, 1 of the children was observed running across the parking lot driveway to the basketball court from the picnic tables without a staff person accompanying them across the driveway. Observed staff person #8 and #9 were supervising a group of 16 preschool age children in the Dolphins classroom. When asked to identify their…

On 07/18/2024, there was a mixed age group of 40 young and older school age children at the pool. When staff were asked to identify their assigned group 37 children were named, 3 children were not assigned to a specific group for supervision. Staff person #1 identified 6 children in their group, staff person #2 identified 6 children in their group, staff person #3 identified 5 children in their group, staff person #4 identified 6 children in their group, staff person #5 identified 5 children in their group, staff person #6 identified 4 children in their group and staff person #7 identified 5 children in their group.

While eating a snack at the pavilion inside the pool area, staff person #2 was observed with a group of 7 young and older school-age children, exceeding the staff-child ratios of 1:6. While walking from the concession stand to the pavilion inside the pool area, staff person #1 was observed with a group of 7 young & older school age children, exceeding the staff-child ratio of 1:6. While eating a snack at the pavilion inside the pool area, staff person #4 and #7 were observed with a group of 15 young and older school-age children exceeding the staff-child ratio of 1:6.

Observed the locking mechanism in a counter drawer was not latching in room #203 (Penguins), the drawer contained essential oils, cords, and adult scissors. Observed the locking mechanism in a counter drawer was not latching in room #209 (Dolphins), the drawer contained a stapler, staples, and a screwdriver. *Corrected at the time of the inspection. Observed a broken slat on the left side of the fencing (second panel from front corner) on the Preschool playground. Observed on the school-age (back playground) the gate on the right-hand side was damaged, the fence rail was bent and there were several locations where the fence was disconnected at the top.

Observed the flaps on the lidded waste receptacle located in room #203 (Penguins) did not close after each use. Observed the waste receptacle located in the bathroom in room #223 (Hedgehogs) did not have a lid.

Observed on the school-age (back playground) a rope swing and rope ladder hung on trees which were not mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. Observed the swing and rope ladder were hung above a tree stump, creating a hazard.

Observed the locking mechanism in a counter drawer was not latching in room #203 (Penguins), the drawer contained batteries and other small objects under 1 inch which were accessible to children who are still placing objects in their mouths.

The refrigerator located in Room #110 (Porcupines) lacked a thermometer. The refrigerator located in Room #215 (Pandas) & #216 (Owls 1) had a temperature of 48° F.

The health report for child #3 was not updated within 6 months of the previous health report for an infant or young toddler (see LIS code sheet). The current health report on file was dated 11/07/2023 with the previous report dated 02/23/2023.

The health report for child #4 was not updated within 12 months of the previous health report for an older toddler or preschool child (see LIS code sheet). The most recent health report on file is a Well Child Summary report dated 10/28/2022 with the previous report dated 04/27/2021 and no current health report on file.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 2nd dose of Rotavirus, a 2nd dose of DTap, a 2nd dose of HiB, a 2nd dose of PCV13, and a 2nd Polio immunization.

Observed the latch on cabinet door of the diaper changing station located in room #206 (Chinchillas) was not locked, the cabinet contained a variety of diaper creams labeled keep out of reach of children. Observed the lock on the bathroom cabinet under the sink in the bathroom in room #203 (Penguins) was not locked, the cabinet contained a variety of diaper creams and Vaseline labeled keep out of reach of children.

The trash can in the bathroom used to dispose of soiled diapers in room #204 (Racoons) did not have a plastic-liner.

A written plan of daily activities was not posted in Room #215 (Pandas).

The Child Service Report for child #3 with information to the family about the child's growth and development was not completed within 6 months of initial enrollment (see LIS code sheet). The Child Service Report completed for child #3 was completed on 11/26/2023.

The emergency contact information for child #1 and #2 did not include the complete address of the child's physician or source of medical care.

The emergency contact information for child #2 and #4 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #5 did not include the work telephone number of the enrolling parent.

The emergency contact information for child #2 did not include the health insurance policy number.

The emergency contact information for child #1 did not include the address of the individual designated by the parent to whom the child may be released.

The emergency contact information for child #4 and #7 was not updated within a 6-monht period. The emergency contact information and financial agreement for child #6 was not updated within a 6-monht period. The emergency contact form for child #4 was updated on 07/07/2023 with the previous update completed on 11/17/2022. The emergency contact form for child #7 was updated on 05/28/2023 with no subsequent update documented. The emergency contact form and financial agreement for child #6 was updated on 06/16/2022 with the previous update completed on 11/16/2022.

The file for staff person #2, who has resided outside of PA in the previous 5 years did not include out-of-state clearances at the time of initial hire (see LIS code sheet). The file for staff person #10, did not include DHS FBI clearances within 45 days of hire (see LIS code sheet), the file included a PDE FBI clearance result dated 09/30/2021 in lieu of a DHS FBI clearance. Staff person #10 was observed working alone in the Bunnies (infant) classroom on 12/19/2022, The file for staff person #12, who has resided outside of PA in the previous 5 years did not include out-of-state clearances at the time of initial hire (see LIS code sheet)

Observed standard size crib sheets on the mattresses in the compact cribs located in the Ducklings (infant) classroom, which were too large for the mattress creating access material.

On 01/13/2023, observed the safety latches on lower storage cabinets in the counters located in the Panda (preschool) and Polar Bear (preschool) classrooms were broken, allowing access to cleaning products inside the cabinet.

On 01/13/2023, observed the safety latches on lower storage cabinets in the counters located in the Panda (preschool) and Polar Bear (preschool) classrooms were broken, allowing access to first-aid kit inside the cabinet.

On 12/20/2022, observed the toilet located in the basement restroom which had bolts at the base which were not covered.

On 12/20/2022, observed the bathroom in the basement hallway and the bathroom in the hallway near the Owls classroom were not equipped with a lidded waste receptacle.

On 01/13/2023, observed 2 plastic shelves approximately 5 feet in height in the hallway outside room 205 which are used to store car seats during the day, creating a tip hazard. One of the shelves partially blocked access to the fire extinguisher located in a case on the wall. Observed a red padded chair in the Penguins (older toddlers) classroom with a tear at the top exposing the suffing inside.

The refrigerators located in the Beavers and Ducklings classrooms did not have a thermometer.

On 01/13/2023, the well child report on file for child #6 was not signed by the physician, physician's assistant or a CRNP that completed the report.

On 01/13/2023, the Well Child Report on file for child #5 dated 12/08/2022 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. On 01/13/2023, the Outpatient Summary on file for child #6 dated 05/15/2022 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

On 01/13/2023, the file for child #6 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza and a second Hep A immunization. On 01/13/2023, the file for child #7 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

The written statements from the parents giving the formula and feeding schedules for the infants in the Ducklings classroom were unable to be located.

The emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days. Tests exceeding 30 days were documented on 03/04/2022 - 04/09/2022 - 05/31/2022, 06/08/2022 - 07/19/2022, 08/04/2022 - 09/30/2022. and 10/07/2022 - 11/16/2022.

On 12/19/2022, observed staff person #1 working in the Hedgehogs classroom as an AGS. Staff person #1 is not 18 years of age or older to qualify as a staff person (see LIS code sheet).

The pediatric first aid & CPR for staff person #7, #8 and #12 was not renewed on or before the expiration of the most current certification. The current training for staff person #7 was completed on 06/13/2022 with the previous completed on 05/19/2019. The current training for staff person #8 was completed on 03/24/2022 with the previous completed on 02/04/2020. The current training for staff person #12 was completed on 03/24/2022 with the previous completed on 05/19/2019.

The pediatric first aid & CPR on file for staff person #3, #5, #6, #9 and #11 was not completed within 90 days of hire (see LIS code sheet); the current training on file was completed on 03/24/2022 with no documentation of prior training on file.

The director did not ensure a written evaluation was completed at least once every 12 months for staff person #3 and #4. The file for staff person #3 did not have an evaluation completed within 12 months of hire (see LIS code sheet). The most recent evaluation for staff person #4 was completed on 12/01/2022 with the previous evaluation completed on 10/19/2021.

On 01/13/2023, the emergency contact information for child #3 did not include the address of the child's physician or source of medical care. *Corrected at the time of the inspection. On 01/13/2023, the emergency contact information for child #4 did not include the complete address of the child's physician or source of medical care. *Corrected at the time of the inspection.

On 01/13/2023, the emergency contact information for child #1 did not include the complete home and work addresses of the enrolling parent.

On 01/13/2023, the emergency contact information for child #2 did not include the address of the individuals designated by the parent to whom the child may be released. *Corrected at the time of the inspection.

On 08/11/2022, the file for facility person #1, a volunteer, did not include a signed volunteer disclosure statement, a copy of a request for an FBI clearance or a request for the NSOR clearance prior to volunteering at the facility. A copy of the FBI clearance and NSOR clearance were not received within 45 days of the initial start date volunteering with children.

On 08/05/2022, observed facility person #1, a volunteer, walking a group of 4-5 boys from the clubhouse to the pavilion. The children were not supervised by a staff person. All of the staff were at the pavilion where they were unable to see, hear, direct and assess the children while walking up the sidewalk.

On 05/11/2022, the file for facility person #1, a volunteer, lacked a health assessment prior to providing initial service in a child care setting.

On 08/11/2022, the file for facility person #1, a volunteer, did not include tuberculosis screening by the Mantoux method prior to volunteering at the facility.

On 08/05/2022, observed facility person #1, a volunteer, walking a group of 4-5 boys from the clubhouse to the pavilion. The volunteer and the children were not being supervised by a staff person who is qualified at minimum as an assistant group supervisor. All of the staff were at the pavilion unable to supervise the volunteer.

On 1/19/22 it was observed that Emergency Plan Training for staff persons 1, 2, 3, 4, 5, and 6 was not documented at the time of hire. Staff person 1 (hire date 3/1/21) did not have Emergency Plan Training until 11/22/21. Staff person 2 (hire date 9/16/21) did not have Emergency Plan Training until 11/22/21. Staff person 3 (hire date 12/17/21) did not have Emergency Plan Training documented on file. Staff person 4 (hire date 12/17/21) did not have Emergency Plan Training documented on file. Staff person 5 (hire date 10/1/21) did not have Emergency Plan Training until 11/22/21. Staff person 6 (hire date 10/29/21) did not have Emergency Plan Training until 11/22/21.

On 1/19/21, it was observed that the floor in the small hallway area, outside the bathroom was missing in the Panda Classroom.

On 1/19/22, peeling paint was observed in the facility: 3 spots of peeling paint were observed under the bulletin board in the Raccoon classroom. 1 spot of peeling pant was observed under the dry erase board and purple curtain in the Penguin classroom. Peeling paint was observed along the windowsill in the Polar Bear Classroom. 1 spot of peeling pant/damaged plaster was observed under the window in the Dolphin classroom. 1 spot of peeling paint was observed in the infant/toddler gross motor play area on the wall on the right from the door.

On 1/19/22, it was observed that child 11 and 12 did not have signed consent on file for minor first aid or emergency medical care. Consent had been indicated with a check mark and the word "yes". Consent must be signed by a parent or guardian.

On 1/19/22, it was observed that staff person 7 only had one reference letter on file. CORRECTED ON SITE.