Great Expectations Child Care & LRNG CTR

2ND CITATION PREVIOUSLY CITED ON 6/17/26: On 6-17-26, it was observed that 3 staff persons were working unsupervised without all of the required pre-service trainings. The provider submitted an acceptable plan of correction that stated, " the provider understands that staff may not independently supervise children until all required pre-service training has been completed and documented. Staff will not independently supervise children until all required pre-service training has been completed and documented.". At approximately 4:15 pm on 8/12/26, Staff Person #1 was observed to be caring for children unsupervised. Staff Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR).

Staff Person #1 and Staff Person #2 were observed to be caring for children unsupervised. Staff Person #1 and Staff Person #2 have not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR). Staff Person #3 was observed to be caring for children unsupervised. Staff Person #3 has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid and CPR, PA Required Health and Safety for Centers-Group Child Care Part 1and Part 2, and Mandated Reporter Training).

During naptime in the Preschool Room at approximately 1:45 PM, Staff #1 was observed caring for 18 Preschool Aged children without any natural or artificial lighting. The lack of lighting did not allow Staff #1 to see and properly assess the children for appropriate supervision.

During naptime, the Preschool Room was observed to have children in care and did not contain any natural light and wasn't using the lamp located in the space.

It was observed in the front bathroom that there was not a handwashing sign located by the toilets.

The file for Staff Person #1 only contained one of the two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

It was observed that there was an unlocked cabinet below the sink in the lunchroom area that contained Clorox and cleaning products that were accessible to the children.

The support rail on the outside playground fence gate has detached from the main post of the gate creating a possible pinch point on the fence.

There was a bin of foam blocks observed in the Pre-K Counts 2 space that contained blocks with bite marks on them.

Staff person #1 was observed changing a diaper of a YT and did not wash the child's hands after the diaper change was complete.

Child #1's emergency contact form was not in the childcare space in the Preschool classroom where the child was receiving care.

Staff person #1 was observed changing a diaper of a YT and did not wash their hands after completing the diapering changing procedure.

At approximately 10:45am, Staff #1 and Staff #2 were observed to be supervising a group of 20 children in the preschool room. Staff #1 was able to name and identify 10 children in their group, Staff #2 identified 9 children in their group. One child was left out. Given a second attempt Staff #1 named and identified 10 children in their group and Staff #2 again named 9 children in their group. The same child was again left out. With the help of the Certification Representative the child that was left out was able to be identified and was assigned to Staff #2.

There were more than 30 days between two of the fire detection system tests. The dates on the testing log were 3/16/23-4/27/23, with a current inspection of 5/5/23.

A review of the file for staff person #4 (see LIS code sheet) revealed that staff person #4 has resided out of state in the previous five years and lacks application for or clearances from the states where staff person #4 has previously resided.

The hot water at the sink used by children in the Pre-K Counts room measured at 123° F. The hot water at the sinks used by the children in the toddler/preschool room measured at 113° F and 117° F respectively. The hot water at the sink used by the toddler room measured at 111° F.

The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center are not posted by the telephone in the toddler/preschool room and the toddler rooms.

Observed four exposed bolts on the fencing in the outdoor gross motor space: one in the corner behind the bench, one in the near corner by the telephone pole, two on the fence immediately outside the exit door.

The two most recent health reports on file for child #2 are dated in an interval which exceeds 6 months.

The most recent health report on file for child #1, a school-age child, is dated 10/9/17, which is prior to child #1 beginning Kindergarten.

During the following intervals, the documented testing of the fire detection system occurred in an interval which exceeds 30 days: 1/3/22-2/21/22, 2/21/22-3/31/22, 5/12/22-6/23/22, 7/1/22-8/15/22, 8/15/22-9/15/22, and 11/3/22-12/28/22.

The files for staff persons #1, #2, #5, #6, and #8, contain verification of Health and Safety training completed prior to 9/30/16, making them invalid as of 4/29/22 due to a change in regulation.

The file for staff person #3 (see LIS code sheet) lacks verification of a PQAS approved pediatric first aid and pediatric CPR training completed within 90 days of hire.