Grace Christian Childcare

Staff member #1 made child #1 cry due to the staff members harsh tone of voice.

Staff member #1 stated that they placed their hand on child #1 chin to redirect the child to listen.

It was observed in the infant classroom a Magic Eraser placed in a cabinet under the sink was not in its original container or in a container that specifies the content. (This was corrected at the time of inspection)

It was observed in the young toddler classroom, a build-up of dirt, food and debris on the stepstool used by young toddlers for handwashing.

An emergency drill was not conducted at least once annually. Emergency drill was documented to have lapsed 8/30/2024 and 11/19/2025.

Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/11/2023. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

It was observed on the outdoor playground that the black coating on the steps of the imbedded climber was broken exposing rust and creating pinch points and rough edges causing potential injury to children.

It was observed on the young toddler outside playground, a significant number of small rocks less than 1 inch in diameter were inside the fenced area on the turf, inside a playhouse and inside a shopping cart push toy accessible to children who are still placing objects in their mouths.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 4/1/25 - 5/2/25.

Staff person #1 did not complete the required pre-service training within 90 days of their date of hire (see LIS code sheet): (f)(10) Pediatric First Aid and CPR.

The file for staff person #1 included a Child Abuse Clearance which was not updated within 60 months of the previous clearance. The current Chile Abuse Clearance is dated 1/30/25 and the previous was dated 11/22/19. The file for staff person #2 included a State Police Clearance and Child Abuse clearance which was not updated within 60 months of the previous clearance. The current State Police Clearance is dated 7/8/24 and the previous was dated 6/6/19. The current Child Abuse clearance is dated 7/16/24 and the previous was dated 7/5/19. The file for staff person #3 included a NSOR Certificate which was not updated within 60 months of the previous clearance. The current NSOR Certificate is dated 1/24/25 and the previous was dated 11/21/19.

The file for staff person #4 included a pediatric first aid and pediatric CPR which was not updated within 24 months of the previous clearance. The current pediatric first aid and pediatric CPR is dated 11/17/21.

Staff person #1, #2 and #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file for staff person #1 being dated 4/2/18. This is evidenced by the previously documented mandated reporter training on file for staff person #2 being dated 10/12/18. This is evidenced by the previously documented mandated reporter training on file for staff person #3 being dated 1/30/19.

Medication log for child #1 did not include dates of administration by parents.

Facility's emergency plan does not include continuity of operations planning.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have occurred 4/10/22, 5/26/22 & 7/13/22, 8/14/22 & 9/14/22, 10/15/22 and 11/6/22,12/22/22, 1/24/23.

The child abuse clearance for Facility Person #1 (DOH see LIS code sheet) did not contain a reason listed as "employment". The child abuse clearance listed adoption as the request reason which is not acceptable for DHS employment.

Child #1 did not have written consent for the fever temperature at which Tylenol medication should be administered for a seizure condition. Child #2 did not have written and signed consent for the administration of Albuterol medication.

The file for Facility Person #1 and Facility Person #2 (DOH see LIS code sheet) did not include a tuberculosis screening by the Mantoux method at initial employment.

It was observed that the facility did not conduct and document emergency drills annually.