Greencastle Child Care and Learning CTR

Staff in the young toddler room routinely yell at the children as a means of redirection. Staff at the facility refer to children in demeaning language such as calling children "brats".

Based on the smoke detection system testing log, the smoke detectors were not tested every 30 days based on the following dates: 4-3-25 to 5-7-25 = 34 days; 7-18-25 to 8-20-25 = 33 days.

During a complaint investigation, several staff members disclosed that they have observed other staff members continuing to yell at toddler aged children using a loud and harsh tone.

During the course of a complaint investigation, it was revealed that Staff use loud boisterous shouts to redirect behavior. There was also evidence that they are lifting, carrying, and placing children in time out to correct undesirable behavior and/or to deter specific unwanted behaviors.

During a complaint investigation, it was revealed that staff will yell at the same select few young and old toddlers, who happen to be the same young and old toddlers that are having challenges learning self and impulse control. Staff use statements that are advanced beyond their developmental abilities and impede dignity. Examples provided were "Get over it", "Get in Line", "Life isn't fair".

During a complaint investigation, it was revealed that staff uses loud boisterous shouting to correct undesirable behaviors and/or to prevent unwanted behaviors. Examples provided were "get over it", "get in line" and "life isn't fair".

The file for staff person #2 was observed to lack evidence that staff person #2 received training regarding the emergency plan at the time of initial employment.

The file for staff person #2 was observed to lack evidence that staff person #2 received training regarding the emergency plan at the time of initial employment.

The facility was observed to be providing the parent of each enrolled child a letter explaining the emergency procedures however this letter lacks information regarding the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility was observed to lack a protective receptacle cover in an electrical outlet accessible to children in the 2-year-old room at the corner of the blue wall.

An over-the-counter medication labeled "keep out of the reach of children" was observed stored in a staff's purse in the Pre-K room that was within the reach of children.

The facility was observed to have a first-aid kit in the Honeybee room that lacked tweezers and scissors.

A white board in the school-aged room was observed sitting on the floor and leaning against the wall instead of being secured to the wall allowing it to fall over. The purple wall in the preschool room was observed to have multiple chips in the paint.

The facility was observed to have sleep mats with tears at the corners on mats #11, #16 and #8 in the 2-year-old room, and mats numbered #2, #4, #5 and #6 with tears at the seams/corners in the pre-school room. A toy Walmart shopping cart with a broken corner was observed in the Pre-school room.

The file for child #11 was observed to lack an updated health report at least every 6 months for an infant or young toddler. This was evidenced by the only 2 Health forms present in the file were dated 05/04/2023 and 07/19/2024.

The facility was observed to have medications in the school-age room for children #1 and #2 that lacked a label on the medication's container identifying the name of the medication and the name of the child for whom the medication is intended.

The facility was observed to have a medication log for the administration of a medication to child #2 that lacked a dated signature on the form. The facility was observed to have medication Zyrtec for child #4, and Rite Aid Acetaminophen for child #5 but lacked written consent for administration provided by a parent.

The facility was observed to have a medication long for the administration of a medication for child #2, but the form lacked special notes, if any related to problems of administration.

The file for staff person #3 was observed to lack documentation staff person #3 renewed their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. this was evidence by a certificate dated 01/04/2023 present in the file.

The file for child #5 was observed to contain an agreement that did not specify the services which are to be considered as extra

The files for children #7 and #8 were observed to contain emergency contact forms that did not include the work addresses and telephone numbers of the enrolling parents.

The file for child #7 was observed to contain an emergency contact form did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable

The files for children #4, #6 and #10 were observed to contain emergency contact forms that did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released

The file for staff person #1 was observed to lack documentation of 12 hours of annual professional development. This was evidenced by documentation of 7 hours present in the file.

The files for staff persons #1 and #2 were observed to lack documentation staff persons #1 and #2 had successfully completed pre-service training. Specifically, staff person #1 lacked documentation of competence in Pediatric First Aid and CPR and documentation of successful completion of the Get Started with Center Based Care-Revised 2022 Health and Safety training. The file for staff person #2 lacked documentation of successful completion of the Get Started with Center Based Care-Revised 2022 Health and Safety training.

Based on information obtained during an unannounced visit, staff reported being over ratio with the following group of children: 1 - young toddler, 1 - older toddler, 1 - preschool age child and 5 school-age children.

The file of staff #2 lacked a complete Child Abuse clearance, proof of fingerprinting for the DHS FBI clearance, and a dated Disclosure statement. The file of staff #3 had a Child Abuse clearance report dated 7-1-24 which was after initial employment (see LIS code sheet). The file of staff #4 lacked a dated Disclosure Statement.

Staff #1 was unable to name all 10 preschool aged children in the group located in the outdoor play space.

Observed staff #1 standing directly outside the preschool door that was propped open smoking and could be seen by another group of preschool children in the outdoor play space.

The file of facility person #4, a volunteer observed with a group of children lacked a health assessment.

Based on the fire drill log, fire drills were held more than 60 days apart on the following dates: 5-31-24 to 7-31-124 = 61 days.

Based on the smoke detection testing document testing of the smoke detection system occurred more than 30 days apart on the following dates: 5-7-24 to 6-5-24 = 31 days.

The file of staff #2, an AGS lacked proof of education to support the position.

The files of staff #2 and #3 and facility person #4, a volunteer, all lacked 2 letters of recommendation.

Observed staff file #2, a provisional hire, contained a CPSL required NSOR verification letter, which was dated more than 45 days after their first day working in a childcare position. The file did not contain documentation of staff #2 being removed from a childcare position when the verification letter was not in the file within the 45-day time limit.

Observed staff #3, an aide who was the only staff person responsible for supervising a group of napping preschool children, was not being supervised by a staff person qualified at minimum as an assistant group supervisor.

Observed the documented emergency drill log revealed the most recent emergency drill was completed more than 16 months ago (2/14/23).

Observed staff file #1 contained only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #3 was observed to contain documentation that staff person #3 resided in the state of Maryland in the past 60 months, but lacked a Maryland State Police Clearance, as required.

The facility was observed to have an emergency plan that did not include a statement regarding the Continuity of Operations.

The facility was observed to have a first-aid kit that lacked soap in the Honeybee's room.

The facility was observed to have a feeding table that contained chairs that were missing their safety straps.

The files for children #1 a school-aged child and #2 a preschool aged child were observed to contain health reports that were older than 12 months. Child #1 had a health exam dated 01/18/2023 present in the file, and child #2 had a health exam dated 11/17/2022 present in the file.

The files for children #3, #6, & #8 were observed to contain immunization records that are not in accordance with the ACIP. Specifically, the immunization record for child #3, a preschool aged child only indicated 3 of the required 4 Pneumococcal immunizations. The immunization record for child #6, an infant was not on schedule with any immunizations as the immunization record was from 10/12/23. The immunization records for child #8, an older toddler aged child indicated only having received 3 pneumococcal immunizations.

The facility was observed to have a medication Mupirocin 2% ointment for child #6 but lacked written consent from the enrolling parent for administration of the medication.

The file for Staff person #1 was observed to lack an adult health assessment that includes tuberculosis screening by the Mantoux method at initial employment.

The facility was observed to lack written notification of safe routes (pick up and drop off procedures) posted in a conspicuous location in the child care facility.

The facility was observed to have an emergency plan that provided accommodations for children with disabilities, and children with chronic medical conditions, but lacked to provides accommodations for infants, toddlers.

The facility was observed to have an emergency plan that failed to provide or stipulate the accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

The file for Staff person #2 was observed to lack documentation of competency in Pediatric first-aid and cardiopulmonary resuscitation (CPR).

The file for child #7 was observed to lack an agreement that was signed by the parent.

The files for children #5 and #6 were observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

The files for Children #6 & #7 were observed to contain emergency contact forms that failed to include the name, address and telephone number of the child's physician or source of medical care.

The file for children #4 and #6 were observed to contain emergency contact forms that did not include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #7 was observed to contain an emergency contact form that failed to include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #6 was observed to contain and emergency contact form that failed to include health insurance coverage and policy number.

The file for children #1, #2 and #4 were observed to contain emergency contact forms that did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for Child #2 was observed to contain a financial agreement dated 06/20/23, evidence the parent had not reviewed and updated the financial agreement at least once in a 6-month period.

The facility's Honeybee room was observed to be without hospital, police, fire, ambulance and poison control telephone numbers posted in the childcare space.

A small plastic slide in the outdoor play area was observed to be cracked exposing rough edges and Pinch and crush points.

The file for Child #9 was observed to contain a health report that was not signed by a physician, physician's assistant or a CRNP.

The file for child #5 was observed to contain a health report that failed to include a review of the child's health history.

The file for child #5 was observed to contain a health report that failed to indicate if the child is or is not currently taking medication.

The files for children #5, #7, #8, and #9 were observed to lack documentation of the child's immunized status according to recommendations of the ACIP, and/or a request for exemption by a written, signed and dated statement from the child's parent or guardian.

The file for Child #9 was observed to lack updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines in accordance with the schedule recommended by the ACIP.

Albuterol medication that was not in the original package was observed to be in the Honeybee classroom.

A medication prescribed to child #10 was observed to lack a medication log with a signature by the parent giving permission to administer the medication documented on the medication log.

The file for Staff person #6, was observed to lack evidence of completing the Pennsylvania Health and safety Update 2022 by December 30, 2022. This was evidenced by the file for Staff person #6 being observed to contain a Pennsylvania Health and Safety Update 2022 certificate of completion dated 01/18/2023.

The files for Staff persons #4, and #8 were observed to have Mandated reporter training certificates obtained more than 60 months apart. This was evidenced by a mandated reporter certification of completions for Staff person #4 dated 09/02/2016 and 02/03/022, and for Staff person #8 dated 02/05/2018 and 02/07/2023 being present in their files.

The file for child #2 was observed to contain an agreement that was not signed by the enrolling parent.

The file for child #8 was observed to contain and agreement that failed to specify the amount of the fee to be charged per day or per week.

The file for child #9 was observed to lack a form (CSR) providing information to the family about the child's growth and development in the context of the services being provided

The file for child #8 was observed to contain an agreement that lacked the child's arrival and departure times.

The file for child #8 was observed to contain an agreement that lacked to specify the person designated by a parent to whom the child may be released.

The files for children #1, #4, and #8 were observed to contain and agreement that failed to specify the date of the child's admission.

The files for children #2, and #9 were observed to contain an agreement that failed to specify the service which are to be considered as extra.

The file for child #9 was observed to contain an emergency contact form that lacked the telephone number of the child's physician or source of medical care.

The files for children #2, #3, #6, and #9, were observed to contain an emergency contact form that lacked the work address and work phone number of the enrolling parent.

The files for children #3 and #9 were observed to contain an emergency contact form that lacked to specify whether or not the child has special needs as specified by the child's parent or physician.

The files for children #1 and #9 were observed to contain emergency contacts that failed to include health insurance coverage and policy numbers.

The file for child #8 was observed to contain an emergency contact that failed to include the name address and telephone number of the individual designated by the parent to who the child may be released.

The file for child #1 was observed to have a financial agreement that was not dated at the 6 month update.

The files for Staff persons #1, #2, #3, #4, #5, #7 were observed to lack evidence that a PQAS pediatric first aid/CPR course had been successfully completed in a timely manner when regulations changed, as evidenced by Pediatric first aid/CPR cards dated 06/29/2021 in the files.

Staff person #2, #4, #5, #6, #8, #10, #11, and #12 were observed to be caring for children unsupervised. Staff person #2, #4, #5, #6, #8, #10, #11, and #12 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid training and pediatric cardiopulmonary resuscitation (CPR).

Child #1, Child #2, and Child #3 were observed to be sleeping in their crib, while laying on a Boppy nursing pillow. Child #2 was also observed to have a stuffed toy in the crib with them.

The Facility had knowledge of a communicable disease (Covid19) on October 5, 2022, and did not report the information to OCDEL

Staff person #1, #2, #3, #4, #5, #6, #7, #8, #9. #10, #11, and #12 has not completed the following required per-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid training and pediatric cardiopulmonary resuscitation (CPR).

It was disclosed during interviews with staff that staff #1, and staff #2 at times put their legs, arms and torso across the children so that they are not able to get up from the sleep mats during nap time.

It was observed that the plastic swimming pool covering the sandbox was cracked leaving 4 inches of stagnant and dirty water in the sandbox causing unsanitary conditions. Staff verified the sandbox was to heavy to lift and dump.

In the outdoor play space it was observed that peeling and damaged paint was observed on the poles at the bottom of the large fenced area as well as on the large mounted equipment.

It was observed that hand washing signs were not posted above the toilets in the Pre K rooms.

It was observed in the outdoor play space a pink flyer bike that was cracked along the side edge, 3 cracked hula hoops and sharp metal umbrella stands exposing children in care to rough edges and sharp corners.

The loose fill in the outdoor play area under the large mounted equipment measured approximately at 8 inches and does not meet surface covering recommendations of the United States Consumer Product Safety Commission.

It was observed that plastic bags located in a bin on the floor in the preschool room were accessible to children in care causing a suffocation hazard

In the Older Toddler room an unsteady cupboard approximately 6 feet tall by 3 feet wide was not attached to the wall.

A Tylenol bottle was observed in the Older Toddler room lacking the name of the child for whom the medication is intended.

Expired diaper cream was observed in the younger toddler room.

In the School Age Room a cordless drill was observed in the cupboard by the sink exposing children to serious bodily injury that could result from improper or unsafe use of the cordless driver drill.

The file for staff person #1, was observed not to have on file documentation of Pediatric First Aid and Pediatric CPR on or before the expiration of the most recent certification on file dated 6/6/2019.

The file for staff person # 2, hired before 12/20/2020 (See LIS Code Sheet) was observed not to have on file documentation of Pediatric First Aid and Pediatric CPR by 6/17/2021.

At approximately 1:00 PM CR observed 1 child lying on rest equipment between a table and a kitchen play set in the Owls Classroom and another child on rest equipment behind a book shelf. This prevented from being effectively able to see, hear, direct, and assess the child sleeping.