Grandmas House LLC · New Kensington

The facility's Shaken Baby policy lacked information on the prevention and identification of child maltreatment.

The emergency contact form for Child #2 lacked the address of the child's physician or source of medical care.

The emergency contact form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released.

The file for Staff person #6 includes Child Abuse Clearances dated 8.2.16 and 8.4.21 more than 60 months apart. The file for Staff #7 includes State Police Clearances dated 9.26.18 and 12.13.23 and FBI Clearances dated 10.26.18 and 12.28.23, all more than 60 months apart. The file for Staff #8 includes FBI Clearances dated 12.14.18 and 12.20.23 more than 60 months apart. The file for Staff #9 includes Child Abuse Clearances dated 10.9.18 and 12.27.23; State Police Clearances dated 10.9.18 and 12.26.23; and FBI Clearances dated 4.12.19 and 5.9.24 all more than 60 months apart.

The parent letter for the emergency plan lacked information explaining the emergency procedures for lockdown situations, contacting parents to inform them when an emergency has begun and ended with instructions on how to safely reunite with their children, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, and annual emergency drills.

A group of school age children was observed playing in an unlicensed space that was part of a driveway/parking area near a roadway with no natural barriers, fencing, or visible boundaries.

There was a cabinet in the PreK Counts room containing cleaning agent that was not securely locked and easily opened when pulled on. In the right restroom on the lower level, there was an unlocked locker containing cleaner.

There was a pathos plant and spotted begonia in the yellow toddler room, and a sanseviera plant in the school age room that are considered toxic to humans.

Used tissues were discarded in an open receptacle in the PreK Counts and Infant rooms.

In the yellow toddler room, the chain limiting the opening to 6 inches or fewer was broken in the window on the right of the far wall.

There was standing/pooling water throughout the toddler and preschool outdoor play areas, including in riding toys (cars), random containers, and on a toy table. There are over 20 exposed bolts along the fencing facing into the preschool play area.

Tlhe lower level restroom lacked a lidded waste receptacle.

There was a toy bin impeding an exit in the yellow toddler room.

There was rust on the seats of two ride on toys as well as rust on the bicycle storage rack. There was a playground ball with a torn cover as well.

There were several foam blocks in the PreK Counts room with teeth marks or pieces out of them.

The temperature in the refrigerators in the Infant and the Early Learners Lower Level rooms were above 45 degrees.

The file for Child #5, a young toddler, contained health reports dated 12.7.23 and 7.3.24 which is greater than 6 months apart.

The file for Child #9, a preschooler, contained health reports dated 3.15.23 and 4.8.24 which is greater than 12 months apart.

There was no prescription with written instructions for the inhaler and medication for Child #1.

The updated health assessments for Staff #3, Staff #4, and Staff #7 were conducted more than 24 months from previous assessments.

Announcement C-22-06 states that the one hour Health and Safety Update must be completed by 12.30.22. The file for Staff person #4 contained an Updated Health and Safety training dated 7.13.23.

Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #5 will have until September 4, 2024 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility. The file for Staff person #5 contained Health and Safety training dated 8.5.16 prior to the 9.30.16 date requiring the 10 hour training to be completed as outlined in Announcement C-22-02 effective 4.28.22.

The file for Staff person #1 includes mandated reporter trainings dated 8.16.18 and 10.16.23 more than 60 months apart. The file for Staff person #2 includes mandated reporter trainings dated 10.25.18 and 11.2.23 more than 60 months apart.

The agreement form in the file for Child #10 lacked persons designated by parent to whom the child may be released.

The agreement forms in the files for Child #6 and Child #10 lacked the date of admission.

The files for Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, Child #9, Child #10 and Child #11 contain the original agreement forms.

The emergency contact form in the file for Child #11 lacked the work address and phone number for the enrolling parent.

The emergency contact form in the file for Child #11 lacked the health insurance coverage.

The emergency contact form in the file for Child #11 lacked the address of the individual designated by the parent to whom the child may be released.

The emergency consent form in the file for Child #6 lacked parental consent for emergency medical care.

The emergency contact form on file for Child #6 lacked parental consent for administration of minor first aid.

The file for Staff person #2 contained documentation for 10 of the required 12 training hours completed between December 2022 and December 2023. The file for Staff person #6 contained documentation for 4 of the required 12 training hours completed between December 2022 and December 2023.

The file for staff # 2 contained a current State Police clearance dated 6/5/23, that was not renewed within 60 months of the prior State Police clearance dated 4/19/18. The file for staff # 2 contained a current Child Abuse clearance dated 4/30/23, that was not renewed within 60 months of the prior Child Abuse clearance dated 4/27/18. The file for staff #2 contained a current FBI clearance dated 6/15/23, that was not renewed within 60 months of the prior FBI clearance dated 4/20/18.

The operator did not post the emergency plan in the facility at a conspicuous location.

There was a hand sanitizer in the teacher's area in the Early Learners' room labeled " keep out of reach of children". accessible to children.

There was a bottle of Cascade Rinse Aid on top of the kitchen counter by a bag of bread.

Based on the staff statement and inspection observation both garbage cans in Penny's preschool room contained garbage that has not been removed from the facility since June.

metal red door, the red door's right bottom corner was rusted and corroded in Penny's preschool room. The wooden handle on the wall in Penny's preschool room is cracked.

The girl's and boy's bathrooms on the first and second floors lacked washing hand signs at each toilet.

There was a cracked bin in the PRE-K counts room. There was a green triangle chair with a ripped handle exposing foam in the Early Learners upstairs classroom. There was a cracked bin in the toddler red room.

The refrigerator in Penny's preschool room contained sticky yellow spots and dust. The white refrigerator in the kitchen lacked a thermometer. The gray refrigerator in the kitchen contained a damaged thermometer.

The file for child # 2 a preschooler contained a current health report dated 9/2/22. The report was obtained after 12 months, the prior report was dated 8/15/21.

Per staff statement, the medication was intended for child #3. There was a Top Care Infants pain & fever medication that was not label with the name of the child whom the medication was intended for in the red toddler room.

There were two gallons of spoiled milk in the Penny's preschool room refrigerator. The expiration dates on the milk were June 12 and June 30. Both gallons of milk were past 14 days of their expiration date.

The operator did not post the evacuation routes in the facility at a conspicuous location.

The file for Staff #1, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 6/8/23. The update was required to be completed by 12/30/22, per Announcement C-22-06.

The file for child # 1 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 5/23/23 the previous review was dated 12/13/22.

The child files were stored in an unlocked cabinet in the office.

The staff files were stored in an unlocked cabinet in the office.

The file for staff # 2 lacked 8 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

The file for staff # 1 lacked the NSOR clearance.

The emergency plan lacked the method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

There was an uncovered electrical outlets in the upstairs Early Learners room accessible to children 5 years of age or younger.

There was a damaged ceiling tile in the upstairs girls bathroom above the toilet stool on the left corner. There was a vent on the floor by the window in the upstairs Early Learner's room that was bent creating a tripping hazard and sharp edges, and another that was pulling up creating a tripping hazard. there were 2 fence wires that were pulled out exposing a sharp point one was on the left side and the other on the right side of the fence close to the play house.

There was peeling paint on the blue wall under the window in the Toddler Red room.

The toilet in the downstairs girls bathroom was soiled with urine. The toilet in the upstairs boys bathroom was soiled with urine. The red wall on the upstairs boys bathroom was rusted on the outside of the wall on the right side stool facing the sink and on the bottom of the wall in the left side toilet stool was rusted. The fixture on the back of the toilet in the Boys upstairs bathroom appeared to be corroded.

There was a yellow plastic bin cracked in the K bound room. There was a bolt sticking out on the wooden shelf by the door in the K bound room. There were 2 cracked helmet in the plastic bin at the playground. There was a plastic stepping stool in the downstairs girls bathroom that was cracked. There were 2 cracked helmet in the plastic bin at the playground.

The file for staff #2 has a current pediatric first-aid and pediatric CPR certification dated 4/20/22-4/20/24. .The certification was not renewed prior to the expiration of the previous certification dated 1/30/20-1/30/22.