Grace Early Learning Center

Staff persons #1 and #2 were responsible for 15 children in the 3rd floor preschool room. When the staff were asked to identify which specific children they were each responsible for, staff #1 identified 10 of the children and staff person #2 identified 4 of the children. 1 child was not accounted for.

Elmers Rubber Cement was observed in an area accessible to children in the 2nd floor preschool room. The container stated, "may be harmful if swallowed." (CORRECTED ON SITE)

A toxic plant, Lesser Celandine, was observed within reach of the toddler outdoor child care space.

There is evidence of a water leak on the 3rd floor of the building. A stained ceiling tiles was observed in the hallway and another in the preschool room. In another area of the hallway, a ceiling tile was pushed out of the way and a bucket was sitting up in the roof where the tile would be. Sharp adult scissors were observed within reach of children in the 3rd floor preschool room. (CORRECTED ON SITE)

A trash can lid in the upstairs preschool room was visibly soiled.

A staff person was observed giving a child snack in the infant/young toddler room. The staff person did not wash their own hands and did not wash the child's hands prior to serving the snack.

A portion of the emergency contact forms in the 3rd floor preschool room, the toddler room, and the 2nd floor preschool room were past due to be updated. The most recent parent signatures were more than 6 months old.

Staff person #2 was observed working in a classroom with children. At the time of inspection, the facility did not have a record/file (and therefore clearances) available at the center. Once the staff person's record was provided (with clearances), the record included a disclosure statement that was completed 6 days after the staff person's start date. The disclosure statement on file for staff person #3 was incomplete, as it was not signed by a witness.

The facility staff were unable to provide certification staff with a file for staff person #2.

Staff person #1 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training was completed 113 days after the date of hire.

The immunization record on file for child 1 (infant) was not in accordance with the schedule recommended by the ACIP. The child's record did not include documentation of the vaccines recommended at 6 months of age. The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77

The diapering trash can in the toddler room was not functioning as "hands free".

The updated health assessment on file for staff person 3 was not obtained timely. The health assessments were dated 1/3/22 and subsequently more than 24 months later on 2/19/24.

Fire safety training updates were not obtained timely during the previous year for staff persons 1-6. Staff 1 - Trainings dated 9/26/22 and subsequently more than 12 months later on 2/1/24. Staff 2 - Trainings dated 9/26/22 and subsequently more than 12 months later on 10/10/23. Staff 3 - Trainings dated 9/30/22 and subsequently more than 12 months later on 10/10/23. Staff 4 - Trainings dated 9/27/22 and subsequently more than 12 months later on 10/13/23. Staff 5 - Trainings dated 11/8/22 and subsequently more than 12 months later on 12/12/23. Staff 6 - Trainings dated 9/20/22 and subsequently more than 12 months later on 12/6/23.

The facility self-reported the following incident: Staff person 1 was observed aggressively taking a toy from child 1 (older toddler), and then picked up child 2 (older toddler) by the arm and aggressively move the child before putting the child down. When the child was put down, the child stumbled backwards and fell.

An infant was observed sleeping in a crib that had less than 2 feet of space around all four sides of the crib. (CORRECTED ON SITE)

According to the log on file at the time of inspection, more than 30 days lapsed between the following tests of the fire detection system: 5/11/23 and subsequently 6/29/23.

Staff persons 1 and 2 have resided outside of the state in the past 5 years. Their staff records did not include the applicable "out of state" clearances. The records also did not include documentation of submitting the requests for the clearances as a part of their provisional hire paperwork.

A toxic ground cover ("Lesser Celandine") was observed along the edge of the fence to the toddler playground. The plant was within reach of toddlers that used the space. The is repeated non-compliance (also observed April 2021, and April of 2022).

Mulch was observed in an area accessible to toddlers (within reach of the toddler playground).

At the time of inspection, the record for staff person 3 indicated that the individual had a positive TB skin test. The record did not include the results of the required chest x-ray.

At the time of inspection, the facility did not have documentation that they had completed an emergency drill during the previous 12 months.

At the time of inspection, the facility did not have documentation on file that the fire detection system was being tested at least every 30 days.

The PA State police clearance on file for staff person 1 was incomplete ("record for control").

The following toxic items were observed within reach of children at the facility: Hand sanitizer was observed in an area accessible to the children in the third floor preschool classroom. (CORRECTED ON SITE) A toxic ground cover ("Lesser Celandine") was observed along the edge of the fence to the toddler playground. The plant was within reach of toddlers that used the space.

Ceiling tiles in rooms 1 and 2 showed signs of a water leak (water stains).

The facility self-reported the following incident: Staff person 1 smacked/swatted child 1 on the forehead when he was climbing up classroom furniture to see what the staff person was doing.