Gods Precious Ones Daycare INC

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap and a 1st and 2nd Hep A immunization.

The agreement for child #1 did not include the child's arrival and departure times. *Corrected at the time of the inspection.

The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care. *Corrected at the time of the inspection.

The emergency contact information for child #1 did not include the work address of the enrolling parent. The emergency contact information for child #2 did not include the home or work address of the enrolling parent. *Corrected at the time of the inspection.

Observed electrical outlets in the hallway next to the main entrance which lacked protective receptacle and were accessible to children age of 5 years of age and younger. *Corrected at the time of the inspection.

Observed a variety of cleaning materials including Pine Sol, Fabuloso Multipurpose Cleaner and bleach cleaner on the floor in the staff bathroom located in the hallway next to the main entrance. The bathroom door was unlocked and open. *Corrected at the time of the inspection.

The letter provided to the parent of each enrolled child explaining the emergency plan procedures did not explain the procedures described in subsection (a)(5) relating to accommodations for infants, toddler, children with disabilities and children with chronic medical conditions or subsection (a)(6) relating to emergency drills being conducted annually.

Observed peeling paint and plaster on the back wall of the toddler classroom. *Corrected at the time of the inspection.

Observed the sink area located in the infant/young toddler classroom had a waste receptacle with a broken lid which did not stay attached to the trash can. *Corrected at the time of the inspection.

Observed in the toddler classroom: 2 toys shopping carts with were missing the front axels and wheels, 1 toy shopping cart with 3 wheels missing from the wheel rims, a plastic storage tote which was cracked near the top of the tote, and a loose knob on a play kitchen refrigerator. *Corrected at the time of the inspection.

Observed staff person #3 carrying a soiled diaper out of the toddler classroom, through the lobby, and out the front door to discard the diaper into the dumpster. The soiled diaper was not discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. The soiled diaper was not in a tied bag and was placed into an unlined outdoor trash container in lieu of proper disposal at the time the diaper was changed.

At the time of the inspection, it was discovered that staff person #1 has been transporting children to and/or from school using a facility owned vehicle for a period of 3 weeks with an expired driver's license (see LIS code sheet). *Corrected at the time of the inspection.

On 02/22/2024, at approximately 12:15 pm, observed staff person #2 return to the facility with child #1 and #2 in a Mazda MPV minivan owned by the facility while transporting them from school to the facility. The children, both under the age of 7 years old (see LIS code sheet), were not transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems). The children were both buckled using the vehicles seat belts without being restrained in an age-appropriate booster seat. The booster seats were in the back of the vehicle, but not utilized by the children while being transported.

Observed the manufacturers' instructions for booster seats were not kept in the vehicle at all times.

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. The tests completed on the following dates exceeded 30 days: 12/01/2023 - 01/23/2024.

The facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

A child service report, with information to the family about the child's growth and development, for child #2, #3 and #4 was not completed at least once every 6 months. The child service report for child #3 was completed on 02/01/2024 with no previous child service reports on file since the date of initial enrollment (see LIS code sheet). The child service report for child #2 and #4 was completed on 01/31/2024 which was not completed within 6 months of initial enrollment (see LIS code sheet). Child service reports are completed annually in lieu of every 6 months.

The agreement for child #5 did not specify the date of the child's admission.

The emergency contact information for child #2 did not include the complete address of the child's physician or source of medical care. The emergency contact information for child #5 did not include the health insurance coverage and policy number for the child.

The emergency contact information for child #3 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #2 did not include the work address and telephone number of the enrolling parent, the complete home address of the enrolling parent or the complete address of the individual's designated by the parent to whom the child may be released. The emergency contact information for child #5 did not include the complete work address of the enrolling parent or the address of the individual's designated by the parent to whom the child may be released.

The emergency contact information for child #2, #3, #4 and #5 was not reviewed by a parent at least once in a 6-month period. The review of the emergency contact and financial agreement for child #2 was completed on 10/07/2023 & 01/10/2023, which exceeded 6 months. A current review was completed on 01/09/2024. The most recent review of the emergency contact and financial agreement for child #3 was completed on 01/04/2024 with the previous review completed on 01/03/2023. The most recent review (for child #4) of the emergency contact information was completed on 01/04/2024 with the previous review completed on 01/10/2023 and a review of the financial agreement was conducted on 01/09/2024 with the previous review completed on 06/01/2023. The most recent review of the emergency contact and financial agreement for child #5 was completed on 01/09/2024 with the previous review completed on 01/06/2023. A review of the emergency contact information and financial agreement is completed annually in lieu of every 6 months.

Staff person #1 & #2 were observed to be caring for children together in the preschool room unsupervised. Staff person #3 was observed transporting children unsupervised. Staff person #1, #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first-aid/CPR training through an approved curriculum with an PQAS certified trainer. This is evidenced by the previously documented pediatric first-aid/CPR training for staff person #1, #2 and #3 being an Adult-Child-Infant CPR/AED & First Aid/BBP through the International Occupational Health & Safety Association.

Observed hand sanitizer and sanitizing wipes "labeled Keep out of Reach of Children" which were accessible on a table in the Preschool room. Observed hand sanitizer "labeled Keep out of Reach of Children" which were accessible on a table in the toddler room. *Corrected at the time of the inspection.

The waste receptacle located in the staff bathroom did not have a lid.

The file for child #4 (see LIS code sheet) did not include an updated health report at least every 6 months for an infant or young toddler. The most recent health report on file was completed on 08/19/2022.

The file for child #3 (see LIS code sheet), included a record of the child's immunization status which lacked a 4th dose of DTap, a 3rd dose of Hib, a 3rd & 4th dose of PCV13, a 3rd dose Polio immunization, a 2nd dose of HepA and an influenza immunization. The file for child #1 and #5 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

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. A test of the fire detection system exceeding 30 days was documented on the following months: 05/01/2022 - 06/01/2022; 07/01/2022 - 08/01/2022 - 09/01/2022 - 10/04/2022; 12/02/2022 - 01/04/2023.

The file for child #2 did not include an initial health report or subsequent health reports (see LIS code sheet). The file for child #2 contained an immunization record dated 01/10/2020 and an updated immunization record dated 05/03/2022.

Staff person #1, #2, #3, #4, #5, #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR through an approved curriculum with an PQAS certified trainer. This is evidenced by the previously documented pediatric first aid & CPR training for staff person #1, #2, #3, #4, #5 and #6 being an Adult-Child-Infant CPR/AED & First Aid/BBP through the International Occupational Health & Safety

The agreement for child #1 did not specify the child's arrival and departure times.

The emergency contact information for child #4 did not include the complete address of the child's physician or source of medical care.

The emergency contact information for child #2 and #3 did not include the work addresses and telephone numbers of the enrolling parent. The emergency contact information for child #4 did not include the complete work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #2 did not include signed parental consent for emergency medical care for the child prior to admission (see LIS code sheet).

The emergency contact information for child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff prior to admission (see LIS code sheet).

The file for staff person #2, with a date of initial hire 05/29/2018, included an incomplete PA State Police Clearance; the PSP Clearance was requested on 05/29/2018 and was listed as "Request under Review" and did not include a copy of the final results. The file for staff person #2 included an NSOR clearance which was not completed by 07/01/2020 as required by the CPSL, the NSOR on file was dated 04/27/2021.

Observed the lighting in the infant, toddler and preschool classrooms were turned off during naptime, which did not allow enough natural light into the classrooms for staff to see all of the children while napping.

Observed an exit door at the front of the building which was blocked by a large plastic sign, an L-shaped box-moving handcart (dolly) and a rolled up carpet. The bottom on the door had a latch at the bottom which was locked and there was a sign on the door stating "Please do not use this door." *Items were removed from the door at the time of the inspection.

Observed a portable space heater in use in the director's office.

The file for child #2, a preschool child, did not include an updated health report at least once every 12 months; the most recent health report on file was dated 07/13/2020.

The file for child #2, a 4-year-old, included a record of the child's immunization status which lacked an influenza immunization.

The file for staff person #1 included a health assessment which was not completed within 24 months. The file included a current staff health assessment dated 01/03/2022 and the previous was dated 08/30/2019.

A written statement giving the formula and feeding schedule for child #5 was not obtained from the parent.

A pick-up/drop-off policy giving written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.

On 02/22/2022 at 11:45 am, the vehicle used to transport 2 children from school to the facility had a registration card which expired on 01/31/2022. *The registration card was updated at the time of the inspection prior to transporting a child from the facility to school later in the same day.

The first aid kit located in the van used to transport children did not include water, soap, scissors, tweezers or tape. *Corrected at the time of the inspection.

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

Documentation of an annual emergency drill was not on file at the facility.

The operator did not have documentation of proof of purchase of the fire detection system in the facility. The operator did not ensure at test of the fire detection system was completed at least once every 30 days. Testing of the fire detection system exceeded 30 days from 09/20/2021 - 10/23/2021 and 11/04/2021 - 12/26/2021.

The file for child #5, with an initial enrollment date of 11/08/2021, did not contain an initial health report within 60 days of attendance; a health report has not been received from the parent for the child.

The agreement form for child #1 and #4 did not specify the amount of the fee to be charged per week.

The agreement form for child #1 did not specify the date on which the fee is to be paid.

The agreement form for child #4 did not specify the child's arrival and departure times.

Observed emergency contact information was not present in the toddler classroom for all of the children receiving care in the space.

The file for child #3, initial enrollment date 06/03/2019, did not contain initial and subsequent health reports; a health report was not in the child's file.

The operator does not provide the parent of each child enrolled with information on how to access the regulations in Chapter 3270 electronically with instructions for contacting the central child care office.

Observed staff person #1 working alone in the infant room with 1 infant and 4 young toddlers during naptime. The staff:child ratio with an infant in the group is 1:4.

Facility person #4 was supervising 5 children in the infant room while staff person #1 left the room for an undetermined amount of time.

Upon arrival at 12:30 pm, observed staff person #1 standing behind the desk in the preschool room talking to staff person #2 & #3. During the supervision and ratio check in the preschool room staff person #1 left the room. At 12:40 pm observed staff person #1 caring for the children in the infant room. Staff person #1 left the group for an undetermined time period; according to staff person #1, facility person #4 was watching the children while staff person #1 took a bathroom break.

Observed a 4 month old infant sleeping in a bouncy seat for an undetermined amount of time. A crib or Pack N Play was not available in the room for the infant to sleep.

Observed facility person #4 painting the wall during naptime in the infant room while a 4 month old infant (who was awake) and 4 young toddlers were napping in the room. An open can of paint was on the floor in the room which was accessible to the children receiving care in the space. The room had no windows and was not ventilated while the paint was being used.

During naptime, a Pack N Play or crib was not available for the infant in care. The 3 Pack N Plays in the infant room were being used by 3 young toddlers napping in the room.

Facility person #4 did not have an individual record while completing repairs and painting rooms in the facility. Facility person #4 was left alone with 5 children in the infant room while staff person #1 left the room for an undetermined amount of time.