Footprints in the Sand Daycare

The file for Staff #3 contained two NSOR clearances that were more than 60 months apart. The files for Staff #7 and 8 were lacking the actual state police clearance certificate required to make the clearance complete. The file for Staff #6 contains a mandated reporter training that was obtained more than 90 days after their start date.

The top refrigerator in the infant room was lacking a thermometer.

Child #1 had children's Ibuprofen at the facility but there was no written consent from a parent for the administration of the medication.

There was a medication log with Child #2, 3 and 4 names on it that had no medication name on the log.

The file for Staff #4 contained two health assessments that were obtained more than 24 months apart. The file for Staff #5 was lacking a Health Assessment prior to start date. The file for Staff #9 contained a Health Assessment that was obtained after the staff's start date.

The file for Staff #2 contained a pediatric first aid and CPR certification that was obtained after the previous one expired.

The file for Staff #1, 2, 3 and 4 all contained two fire safety trainings that were more than 12 months apart.

The file for Staff #6 and 8 contained documentation of completion of the Health and Safety professional development more than 90 days after the staff's date of hire.

The files for Child # 5, 6, 7, 9, 11, and 12 all contained two child service reports that were more than 6 months apart. The file for Child #8 who has been enrolled for more than 6 months was lacking a child service report.

The file for Child #5, 6, 7, 10, 11, and 12 all contained two updates that were more than 6 months apart.

The files for Staff #6, 7 and 8 all contained Pediatric First Aid/CPR training that was obtained more than 90 days after their date of hire.

The file of staff #2 contained documentation of an FBI clearance which did not have a disposition to the charges listed.

At approximately 9:45 am, 14 children were present in the older toddler classroom. When certification representatives were walking into the older toddler classroom as staff #3 stated they were a taking a child to the restroom. Staff #4 was asked which children were in their primary supervisory group and 5 children all 3 years of age were identified. When staff #1 was asked, 2 children were identified, and she stated her other 2 children went to the bathroom with staff #3. Staff #1 was asked who was responsible for the other children in the classroom and staff #1 stated the children were in the primary group of staff #3, who took the 2 children to the restroom. At this time, 6 children in the classroom were not identified and accounted for by a staff person. Staff #3 returned to the classroom with one child. Staff #1 assumed 2 children from their primary group were taken to the restroom by staff #3. These unidentified children were still in the classroom and not identified as part of staff #1's primary supervisory group. When all staff were present, staff #4 identified 5 children all 3 years of age, staff #1 identified 4 children ages 2 and 3 years of age and staff #3 identified 5…

The young toddler classroom contained a green and blue vinyl pillow which the vinyl was peeling in multiple areas of the pillow. The older toddler classroom contained a purple bin which was cracked and broken. The preschool classroom contained a plastic play donut which was cracked. A shelf in the school-age classroom contained sleep mats, 3 of which were pulling at the seams exposing the foam inside. The outdoor play space on the right contained 2 sandboxes each having a cracked lid.

The file of child #4 contained a health assessment dated 5/17/2023 but did not contain documentation of an updated health assessment within 6 months as the child was a young toddler.

A medication log in the infant room for child #6 did not contain the name of the medication which was administered.

Documentation of the initial tuberculosis screening of staff #1 was dated 8/7/2022, which was more than 12 months prior to them starting at the facility (see coded LIS sheet).

Documentation of the latest 2 annual inspections of the fire detection system were dated 6/1/2022 to 6/2/2022 and 11/14/2023 to 11/15/2023 exceeding 12 months.

The financial agreement of child #2 did not contain the arrival and departure times of the child.

The emergency contact form of child #3 did not contain the home and work addresses and telephone numbers of the enrolling parent.

The file of facility person #4 contained clearances which were updated more than 60 months from the date of the previous clearance: PA state police (3/6/2018 & 3/15/2023), child abuse (3/13/2018 & 3/21/2023), and FBI (3/14/2018 & 3/16/2023).

Documentation of the two latest emergency plan trainings exceeded one year for facility person #3 (1/31/2022 & 3/29/2023), #5 (3/15/2022 & 3/22/2023), #6 (4/1/2021 & 3/22/2023), #8 (3/16/2022 & 3/27/2023), and #9 (3/15/2022 & 3/23/2023).

The infant classroom contained a spray bottle of bleach and water which was not labeled with its contents.

The older toddler classroom contained glue sticks, markers, and small glitter containers all of which are less than an inch in diameter or have removeable parts less than an inch in diameter accessible to children in an unlocked cabinet. The preschool age classroom contained an empty Dollar Tree plastic bag which stated "keep out of the reach of children."

The immunization record of child #1, #3, #5, and #6 did not contain documentation of a current influenza vaccination in the 2022 calendar year or an acceptable exemption from the parent or child's physician.

Documentation of the immunization record for child #7 was dated 9/26/2022 which, as a preschool-age child when enrolled (see coded LIS sheet) was more than 60 days from starting in care.

The preschool classroom contained medication which was not labeled for the child whom it was intended,

Prescription medication in the preschool classroom was not labeled with the health professional's instructions.

The health assessments of the following facility persons exceeded 24 months from the prior health assessment: facility person #3 (3/24/2021 & 4/5/2023), #4 (6/15/2020 & 7/29/2022), #5 (6/5/2020 & 3/30/2023), #6 (6/27/2020 & 4/14/2023), #7 (7/3/2020 & 10/11/2022), and #8 (11/20/2020 & 4/7/2023).

Based on conversation with the operator, an emergency drill was conducted within the past 12 months but was not documented at the time of the inspection.

The file of child #7, now identified as a school-age child, did not contain documentation of an initial health assessment within 60 days of starting at the facility or updated physical since enrolled (see coded LIS sheet).

The additional one-hour training for those who took the Better Kid Care health and safety training before 10/4/2022 was taken after the required date of 12/30/2022 by facility person #1 (1/3/2023), #2 (1/3/2023) and #3 (1/27/2023).

Documentation of fire safety training exceeded 1 year for facility person #5 (3/24/2022 & 3/28/2023), #6 (3/22/2022 & 3/30/2023), #8 (3/17/2022 & 3/27/2023), and #9 (3/28/2022 & 4/3/2023).

The file of child # 6 did not contain a current Department approved child service report to provide the families information about the child's growth and development. Documentation of the last child service report was dated 7/29/2022 which was more than 6 months ago.

The financial agreements of child #1, #2, #3, #4, #5, #6, #7 and #8 did not contain the arrival and departure times of the child.

The emergency contact form of child #5 did not contain the work telephone number of the enrolling parent and the form of child #8 did not contain the home address of the enrolling parent.

The emergency contact form of child #4 and #7 did not include 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.

Documentation of review and/or updates of the emergency contact forms and financial agreements for child #1, #2, #4, #5, #6, #7, and #8 exceeded 6 months.

The file of facility person #3 contained documentation of 6 training hours during their annual training year lacking 6 hours. The 6 additional hours were taken after their annual training year in 4/2023.

Based on conversation with the operator, a piece of particle board like material attached to the wall above the ceiling tiles to control air flow, detached and fell through the ceiling tile.

Documentation of 9/10 required health and safety topics for facility person #1 (See CODED LIS SHEET) was not at the facility within 180 days from 12/19/2020.

The file of facility person #5 (see IS CODE SHEET) contained a "volunteer" PA state police clearance and a "volunteer" child abuse clearance.

Documentation of emergency plan training for facility person #5 was dated more than 12 months (3/2021 and 4/8/2022).

The green/blue surge protector on the floor by the swings in the infant classroom was missing a protective receptacle cover in one of the electrical outlets.

The 2 diaper changing tables in the young toddler classroom and 1 changing table in the infant classroom did not contain a handwashing sign.

The preschool classroom contained a play grill set in which the plastic faucet was broken exposing the children to rough edges.

The bottom left door on the microwave cart in the older toddler classroom was broken off the bottom hinge.

The immunization record of child #2 did not contain a current dose of the influenza vaccination or a signed and dated exemption from the parent.

An Epi-Pen in the older toddler classroom expired 10/2021 and the young toddler classroom contained infant fever reducer and pain reliever with an expiration date of 7/2020.

The older toddler classroom contained a medication log which was not signed by the parent.

The health assessment of facility person #2 was dated 6/16/2020, which is more than 12 months prior to their start date (see IS CODE SHEET) at the facility. The health assessments of facility person #5 exceeded 24 months (10/18/2019 and 4/7/2022).

The initial health assessment of facility person #1 did not contain a date or signature by a physician, physician's assistant or CRNP with their professional title.

The facility did not have the proof of purchase of their fire detection system.

Documentation of annual fire safety exceeded 1 year (8/17/2020 and 3/4/2022) for facility person #4.

The file of facility person #1 contained mandated reporter training (dated 11/22/2021) which exceeded 90 days from their date of hire (see IS CODE SHEET).

Documentation of the annual evaluation of facility person #5 was dated (1/15/2022) more than 12 months from their start date at the facility (see IS CODE SHEET).

The emergency contact form of child #1 and 2 did not contain the work address of the enrolling parent.

Documentation of pediatric first aid and pediatric CPR exceeded 90 days from their date of hire (see IS CODE SHEET) for facility person #1 (3/21/2022) and 3 (3/21/2022).

The file of facility person #5 contained 6 annual training hours between the training year of 12/19/2020 and 12/19/2021. An additional 6 hours were completed in 1/2022, after 12/19/2021.