Galinis Childrens Center

In the green added on room, it was observed that there were cracked magnetic blocks.

It was observed that no documentation of emergency contact information was available in the outdoor play space.

The metal heating radiator located on the floor in the preschool room was observed not to have a cover exposing children in care to rough edges, sharp corners and pinch points.

In the facility restroom, spray air freshener and cleaning supplies were accessible to the children in the unlocked closet.

Shaving cream used for arts and crafts labeled "keep out of reach of children" was observed in the bathroom closet

The outdoor bag was observed not to contain a bottle of water.

The health assessment on file for Child #3 was observed not to have a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

It was observed on the day of inspection that a staff member did not wash their hands or the infants' hands after diapering.

The facility fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 10/1/24 to 12/17/24.

The emergency contact form on file for Child #2 was observed not to list 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.

The Emergency Contact form on file for Child #1 was observed to not contain the address of the individual designated by the parent to whom the child may be released.

It was observed that the Emergency Contact information in the outdoor bag has not been updated for children receiving care in the space.

The facility's Older Toddler room upstairs was observed to have a broken metal cover over the heating pipes exposing the hot pipes. The heater cover is located on the back wall on the same side as the stairway.

The facility was observed to have a first-aid kit in the Infant room that lacked tape.

The facility's Main room was observed to have a blue vinyl chair with two visible tears.

The facility's Infant room was observed to have a refrigerator that lacked a thermometer.

The files for children #4 & #5 failed to contain documentation that the parent provided updated health reports at least every 12 months for an older toddler or preschool child. This was evidenced by Child #4's file containing only one health report dated 1/4/24 and the file for child #5 contained health reports dated 09/4/2019 and 4/25/23.

The file for child #4 failed to contain documentation that the parent provided immunization record in accordance with the recommendations of the ACIP within 60 days following the first day of attendance at the facility. As evidenced by one immunization record dated 01/04/2024 present in the file.

The facility was observed to have a Fire detection system testing log that indicated testing on 6/1/23 and again on 07/6/23 a period of more than 30 days.

The file for child #4 was observed to lack an initial health report no later than 60 days following the first day of attendance at the facility as evidenced by the lack of a health report present in the file. A child's record shall contain initial and subsequent health reports.

The facility was observed to lack documentation of written notification at least annually to local traffic safety authority of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. This is evidenced by the last written notification on file is dated 2021.

The facility's Dining Room was observed to lack a written plan of daily activities and routines, including a time for free play.

The file for child #2 was observed to lack an agreement form.

The file for child #2 was observed to contain an agreement that lacked signatures of the operator and the parent. The file for child #4 was observed to contain an agreement that lacked a signature of the parent

The files for Children #1, #2, #3, #4, & #5 were observed to lack the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided (Child Service Report).

The file for child #3 was observed to contain an agreement that failed to specify the date of the child's admission.

The file for Child #1 was observed to contain an emergency contact form that did not include the child's name.

The files for children #2 & #4 were observed to contain and emergency contact form that did not include the name, address and telephone number of the child's physician or source of medical care.

The files for children #1, #2 and #4 were observed to contain emergency contact forms that failed to include the home and work addresses and telephone numbers of the enrolling parent.

The files for children #1, #2, #4 & #5 were observed to contain emergency contact forms that failed to 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.

The files for Children #1, #2, & #4 were observed to contain emergency contact forms that failed to include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The files for children #1, #2, #3, & #4 were observed to contain emergency contact forms that failed to include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The files for Staff #1, #2 and #3 were observed to lack verification of child care experience, education and training prior to service at the facility.

2nd Citation previously cited on 09/18/2023. On 02/29/2024 Staff #1 and Staff #2 were observed caring for 13 napping pre-school aged children in the big room of the facility. Staff #2 named and identified 6 children as being in their group but did not utilize the hands-free method during the identification process. Staff person #1 also named and identified a group of 6 children, staff person #1 utilized the hand's free method. Neither staff person identified the 13th sleeping child as in their supervised group, leaving the child unassigned. This child's hands-free identification card was laying on the table. Staff Person #3 was observed caring for 4 sleeping older toddlers in the room at the top of the stairs. Staff person #3 was able to identify all 4 toddlers, but only had 3 hands free identification cards in her possession.

**At approximately 9:50 a.m., CR observed in the larger room upstairs, staff #1 sitting in a glider chair, eating a bag of chips and staff #2 leaning against the far wall while child #1 a young toddler sat in a pack and play in the smaller room with the door closed. Child #1 was alone in the smaller room. Therefore, the child in the smaller room was not being properly supervised. From approximately 10:10 to 10:15, 6 of the 11 pre-school aged children located in the pre-school room downstairs were sitting at 2 tables on the far side of a partition wall which was pulled across the width of the room approximately halfway in the depth of the room while staff #3 was located in the front half of the room. Therefore, staff #3 could not properly supervise the children behind the partition.

*At approximately 9:50 a.m., CR observed in the larger room upstairs, staff #1 sitting in a glider chair, eating a bag of chips and staff #2 leaning against the far wall while child #1 a young toddler sat in a pack and play in the smaller room with the door closed. Child #1 was alone in the smaller room. Therefore, the child in the smaller room was not being properly supervised. From approximately 10:10 to 10:15, 6 of the 11 pre-school aged children located in the pre-school room downstairs were sitting at 2 tables on the far side of a partition wall which was pulled across the width of the room approximately halfway in the depth of the room while staff #3 was located in the front half of the room. Therefore, staff #3 could not properly supervise the children behind the partition.

*During an unannounced visit on 9-18-23, at approximately 9:50 a.m., observed staff #1 and staff #2 out of ratio in the upstairs childcare spaces due to the fact the following groups of children were present: staff #1 with 2 young toddlers and 3 old toddlers; Staff #2 with 4 young toddlers and 2 older toddlers in the larger room.

*At approximately 9:50 a.m., CR observed in the larger room upstairs, staff #1 sitting in a glider chair, eating a bag of chips and staff #2 leaning against the far wall while child #1 a young toddler sat in a pack and play in the smaller room with the door closed. Child #1 was alone in the smaller room. Therefore, the child in the smaller room was not being properly supervised. From approximately 10:10 to 10:15, 6 of the 11 pre-school aged children located in the pre-school room downstairs were sitting at 2 tables on the far side of a partition wall which was pulled across the width of the room approximately halfway in the depth of the room while staff #3 was located in the front half of the room. Therefore, staff #3 could not properly supervise the children behind the partition.

**At approximately 9:50 a.m., CR observed in the larger room upstairs, staff #1 sitting in a glider chair, eating a bag of chips and staff #2 leaning against the far wall while child #1 a young toddler sat in a pack and play in the smaller room with the door closed. Child #1 was alone in the smaller room. Therefore, the child in the smaller room was not being properly supervised. From approximately 10:10 to 10:15, 6 of the 11 pre-school aged children located in the pre-school room downstairs were sitting at 2 tables on the far side of a partition wall which was pulled across the width of the room approximately halfway in the depth of the room while staff #3 was located in the front half of the room. Therefore, staff #3 could not properly supervise the children behind the partition.

*At approximately 9:50 a.m., CR was in the larger room upstairs. CR observed 10 children in the larger room and 1 child in the smaller room. CR asked staff #1 and staff #2 to identify the children for whom they are responsible. Staff #1 named 5 toddlers: 1 young toddler and 4 older toddlers. Staff #2 named 6 toddlers: 4 young toddlers, 3 of them were in the larger room, but child #1 was alone in the smaller room and 2 older toddlers, both in the larger room. Both staff named child #2 and neither staff named child #3.

**At approximately 9:50 a.m., CR was in the larger room upstairs. CR observed 10 children in the larger room and 1 child in the smaller room. CR asked staff #1 and staff #2 to identify the children for whom they are responsible. Staff #1 named 5 toddlers: 1 young toddler and 4 older toddlers. Staff #2 named 6 toddlers: 4 young toddlers, 3 of them were in the larger room, but child #1 was alone in the smaller room and 2 older toddlers, both in the larger room. Both staff named child #2 and neither staff named child #3.

***At approximately 9:50 a.m., CR was in the larger room upstairs. CR observed 10 children in the larger room and 1 child in the smaller room. CR asked staff #1 and staff #2 to identify the children for whom they are responsible. Staff #1 named 5 toddlers: 1 young toddler and 4 older toddlers. Staff #2 named 6 toddlers: 4 young toddlers, 3 of them were in the larger room, but child #1 was alone in the smaller room and 2 older toddlers, both in the larger room. Both staff named child #2 and neither staff named child #3.

Based on conversation with staff, young and old toddlers are left in soaked or soiled diapers for more than 2 hours.

*During an unannounced visit, cert rep observed 10 toddlers: 5 young toddlers and 5 older toddlers in the larger room located upstairs which has a capacity of 6; observed 5 toddlers: 2 young toddlers and 3 older toddlers in the smaller room located upstairs which has a capacity of 3. Based on conversation with staff, after 3:00 p.m., there are between 22 and 24 pre-school and young/old school aged children in the pre-school room which has a capacity of 14.

**During an unannounced visit, cert rep observed 10 toddlers: 5 young toddlers and 5 older toddlers in the larger room located upstairs which has a capacity of 6; observed 5 toddlers: 2 young toddlers and 3 older toddlers in the smaller room located upstairs which has a capacity of 3. Based on conversation with staff, after 3:00 p.m., there are between 22 and 24 pre-school and young/old school aged children in the pre-school room which has a capacity of 14.

On 5/16/2023 Staff person #2 was observed to be caring for 6 infants without another staff person present in the infant room.

On 5/16/23, Staff person #1 was observed in the dining room with two infants providing them with a snack. Staff person #1 identified 4 infants as being in their care; stating that 2 of those infants were present in the dining room with them and 2 of the infants were in a separate room. Therefore, Staff person #1 was not physically present in the same room with all of the children assigned to them. On 5/16/23 Staff persons #1, #7 & #8 were observed supervising 16 older toddlers in the older toddler room. Collectively, Staff persons #1, #7 & #8 only identified 15 children leaving one older toddler not identified as being supervised by a staff person.

The facility was observed to have an emergency plan that lacked a statement regarding continuity of operations. The file for staff person #5 was observed to lack verification of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022.

A former clothesline pole that was cut to ground level was observed to be rusty and protruding from the ground in the grassy area, above the swings in the outdoor play yard.

Disinfectant wipes labeled keep out of reach of children, were observed to be stored in an unlocked cabinet under the sink in the upstairs bathroom in the older toddler room.

The open (no lid) trash receptacle in the young toddler room was observed to contain soiled diapers.

The facility's young toddler room was observed to lack a first-aid kit.

The chain link fence in the facility's outdoor play yard was observed to have bolt ends with sharp edges exposed.

The file for child #1 was observed to contain a health assessment that failed to include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The immunization record on file for children #1 was observed to not be up to date with the recommended ACIP schedule.

The file for child #1 was observed to lack a health report that included a statement that the child is able to participate in child care.

The file for child #1 was observed to lack a health report that includes a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

On 5/16/2023 staff person #2 was observed diapering child #6, and failed to wash the child's hand after the diapering was complete. On 5/31/2023 staff person #1 was observed diapering child #5, and failed to wash the child's hands once the diapering was completed.

The files for staff persons #3 and #5 were observed to lack a health assessment conducted within 24 months of the previous assessment. This is evidenced by health assessments present in the file for staff person #3 dated 07/08/2020 and 02/28/2023 a span of 31 months, and health assessments present in the file for staff person #5 dated 06/29/2020 and 05/08/2023 a span of 35 months.

Four bottles that lacked a label identifying which child the bottle belonged to were observed to be present in the facility's infant room.

On 5-16-23 and on 5-31-23, the facility's infant room and older toddler rooms were observed to be exceeding the established capacity. On 5-16-23, staff person #2 and staff person #6 were observed providing childcare to 8 infants. On 5-31-23, staff person #1 And staff person #6 Were observed providing care to 7 infants in the infant room which has an established capacity of 6. On 5-16-23, staff person #1, staff person #7, and staff person #8 were observed providing care to 16 older toddlers in the older toddler room. On 5-31-23, Staff person #4 and staff person #7 were observed providing care to 8 older toddlers in the older toddler room which has an established capacity of 6.

On 5/16/2023 The facility was observed to be providing childcare services to 38 children at one time, and the facility's maximum capacity is 36.

The facility's Young Toddler room was observed to lack a written plan of daily activities and routines posted.

The files for children #1, #2, #3, #4 were observed to lack the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided.

The file for Child #4 was observed to contain an emergency contact form that lacked work addresses and telephone numbers of the enrolling parent.

The file for child #4 was observed to contain an emergency contact form that lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

The facility's Young toddler room was observed to lack emergency contact information present during the time staff persons were providing child care in the young toddler room.

The facility's young toddler room was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

Based on interviews with staff, it was disclosed that the facility is regularly out of ratio during lunch time and during staff breaks. On multiple occasions during the week of 10/31/2022 the facility was out of ratio due to one staff person being on vacation. Additionally, on 11/9/2022, multiple preschool aged children being cared for in the back-room addition, were observed leaving the classroom to use the restroom without the presence of a staff person. During interviews with staff, it was confirmed that this regularly occurs in this classroom.

On 11/9/2022, multiple preschool aged children being cared for in the back-room addition, were observed leaving the classroom to use the restroom without the presence of a staff person. During interviews with staff, it was confirmed that this regularly occurs in this classroom.

The file for staff person #1 was observed not to contain documentation of a health assessment being completed within 12 months of initial employment (See LIS Code Sheet). This is evidenced by the most recent health assessment on file being dated 05/13/2020.

The file of staff #1 lacked FBI clearances every 60 months due to the fact the FBI clearances on file were dated 7-15-21 and 8-24-15.

Observed in the preschool room flooring damaged and peel up causing a tripping hazard.

Observed in the large room upstairs, a green bin cracked on the side and top. Observed in the small room upstairs, 2 square and 1 triangle shaped broken Magnitiles.

Observed in the infant/young toddler room, a Cosco brand safari print pack and play labeled for child #6 with medium size holes on 2 side of the equipment; and a Cosco brand safari print pack and play label as #2 with a small hole on 1 side; and a Graco brand dots print pack and play labeled for child #1 with a small hole on the side. Observed in the small room upstairs, a Cosco brand pack and play with a large hole on the 1 side.

Observed in the infant/young toddler room Desitin diaper cream labeled for child #5 with an expiration date of 4/22.

Observed Ibuprofen for child #7 but no medication log or written parental consent to administer.

At the time of the inspection, there was no infant feeding schedule for child #1.

The emergency plan lacked accommodations for infants and toddlers.

There was no documentation of completing an emergency drill by 12-19-21. Furthermore, the director informed the cert rep no emergency plan drill has ever been conducted.

There was no documentation to show the smoke detection system has been tested every 30 days.

The file of child #1 lacked an emergency contact form with the telephone number of the child's physician or source of medical care. The file of child #2 lacked an emergency contact form with the address of the child's physician or source of medical care.

The file of child #2 lacked an emergency contact form with the work address of the enrolling parent.

The file of child #3 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of child #1 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released. The file of child #4 lacked an emergency contact form with the full, complete address of the individual designated by the parent to whom the child may be released.