Greensburg Early Care and Education Center

There was a cracked clear bin in room 18. There was a broken bin in room 21. There was a cracked bin room 16. there was a cracked clear bin in room 11.

The operator was not maintaining a medication log for an Albuterol Sulfate Inhalation Aerosol medication for child #1 and child #2.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 7/10/25-8/11/25 and 8/11/25-9/1225.

Based on review of documentation in child's record, staff served child yogurt after being informed by parent that child was allergic to dairy.

Based on review of documentation in child's record, staff served child yogurt after being informed by parent that child was allergic to dairy.

The file for staff #1 lacked a current State Police clearance. The previous State Police clearance was dated 9/16/19.

There was a hole on the 1st window screen to the left in room 11. There was a hole on the 1st and 2nd window screen in room 12. There was a hole on the 2nd window screen in room 16.

There was a yellow cracked bin in room 11. There was a clear cracked bin in room 14. There was a clear cracked bin in room 17.

There was a Cera Ve Eczema Relief Creamy oil that lacked the name of the child for whom the medication is intended.

The health report for staff # 2 lacked that date when the TB test was read.

The file for staff #3, identified as an assistant group supervisor, lacked documentation of 2 years of experience with children. The file contained a high school diploma and verification of 1.6 years of experience with children.

Rooms #11, and 12 lacked an emergency transportation plan.

A picture of a child in care was posted on the Facility Facebook page without the parent's consent.

It was self-reported by the operator that on 11/1/23, staff #1 pulled child #1 up off the ground by the child's arm, when the child refused to transition back to the classroom.

The PA child abuse clearances on file for Staff Person #5 exceeded 60 months between updates. The PA child abuse clearances on file were dated 1.16.18 and 10.18.23

* At approximately 1:53 pm in Classroom 12 an Older Toddler was observed sleeping on rest equipment behind a shelfing unit. Staff Person's #3 and #9 were unable to see the child from their positions in the classroom. At approximately 2:00 pm in Classroom 21 Staff Person #8 identified being responsible for a preschool child who was observed to be sleeping on rest equipment behind a shelving unit. Staff Person #8 was unable to see the child from their position in the classroom.

** At approximately 1:53 pm in Classroom 12 an Older Toddler was observed sleeping on rest equipment behind a shelfing unit. Staff Person's #3 and #9 were unable to see the child from their positions in the classroom. At approximately 2:00 pm in Classroom 21 Staff Person #8 identified being responsible for a preschool child who was observed to be sleeping on rest equipment behind a shelving unit. Staff Person #8 was unable to see the child from their position in the classroom.

The file for Staff Person #7 lacked emergency plan training within 90 days of starting at the facility. The training was completed 99 days after starting at the facility.

A bottle of hand sanitizer labeled Keep Out of Reach of Children was observed on a low shelf accessible to children in Classroom 17.

A handwashing sign was missing from the changing table in Classroom 12 and the potty chairs in Classrooms 18 and 19.

One cracked bin with a sharp edge was observed in Classroom 17.

A potty chair that had been filled with kitty litter was observed in Classroom 18. Young and Older Toddlers were present in the classroom. The kitty litter pieces had a diameter of less than 1 inch.

The rest equipment in Classrooms #12 and #19 were observed to be labeled with numbers however a chart was not in place to identify which number belonged to which child.

The file for Child #1 lacked verification that the child had received an annual influenza vaccination. A written exemption was not on file at the time of the inspection. Verification of a scheduled appointment was obtained on 10.27.23,

The health report on file for Child #3 lacked information related to if the child is able to participate in child care, free from communicable diseases, and that they had age-appropriate screenings were conducted since the time of the previous health report.

In Classroom 18 toothbrushes were observed to have toothbrush covers that did not allow the bristles to be exposed to circulating air.

The garbage can in Classroom 12 at the changing table was observed to have soiled diapers however the lid was not opening using the hands-free foot pedal.

The health assessments on file for Staff Person #4 exceeded 24 months between examinations on 6.28.21 and 8.29.23.

The emergency contact form for Child #2 lacked the policy number for the child's health insurance.

The file for Staff Person #3 lacked verification of education to qualify them for the position they were reported to perform. The file for Staff Person #6 lacked verification of acceptable education credits and experience to qualify them for the position they were reported to be performing.

The file for Staff Person #2 and #6 lacked one of their two written, nonfamily references. The file for Staff Person #3 lacked two written, nonfamily references.

The file for Staff Person #1 lacked 1.5 of their 12 hours of annual child care training.

The facility self-reported noncompliance stating that on 4.12.23 Staff Person #1 was observed on outside video surveillance to lift Child #1 up by the hand from the child's seated position on the ground. Child #1 was observed to drop to the ground again at which time Staff Person #1 is observed to drag the child across the ground by their hand for approximately 2 seconds before releasing the child's hand.

The facility self-reported noncompliance reporting that at approximately 12:15pm on January 18, 2023 Staff Person's #1 and #2 were transitioning a group of Preschool children from the restroom to Classroom #11. During this transition Child #1 was left alone in the restroom. Staff Person #3 was present in the Classroom upon their return and began to call the children for lunch. Staff Person #3 observed that Child #1 was not present and Staff Person #2 reported not knowing where she was. Staff Person #3 left the classroom to check the restroom and found Child #1 in a restroom stall. During the time that Child #1 was in the restroom a Staff Person was not present to meet the required Staff:Child ratio. Staff Person #2 was also reported to leave the Classroom to retrieve something from the FRS Room which resulted in Staff Person #1 being present with 11 preschool age children. The Staff:Child ratio for Preschool children is 1:10.

The facility self-reported noncompliance reporting that at approximately 12:15pm on January 18, 2023 Staff Person's #1 and #2 were transitioning a group of Preschool children from the restroom to Classroom #11. During this transition Child #1 was left alone in the restroom. Staff Person #3 was present in the Classroom upon their return and began to call the children for lunch. Staff Person #3 observed that Child #1 was not present and Staff Person #2 reported not knowing where she was. Staff Person #3 left the classroom to check the restroom and found Child #1 in a restroom stall. During the time that Child #1 was in the restroom a Staff Person was not present to supervise the Child.

The facility self-reported noncompliance reporting that at approximately 12:15pm on January 18, 2023 Staff Person's #1 and #2 were transitioning a group of Preschool children from the restroom to Classroom #11. During this transition Child #1 was left alone in the restroom. Staff Person #3 was present in the Classroom upon their return and began to call the children for lunch. Staff Person #3 observed that Child #1 was not present and Staff Person #2 reported not knowing where she was. Staff Person #3 left the classroom to check the restroom and found Child #1 in a restroom stall. During the time that Child #1 was in the restroom a Staff Person was not physically present with the child and Staff did not know their whereabouts. Staff Person #2 was also reported to leave the Classroom to retrieve something from the FRS Room which resulted in Staff Person #2 not being present with the preschool children in her assigned supervisory group.

Staff Person #1 tied the laces of Child #1's Hey Dude brand shoes to prevent them from slipping off the child's feet. The elastic laces of the Hey Dudes were not manufactured to be tied and in doing so it resulted in injury to include swelling and bruising to Child #1's feet.

The file for Facility Person #2 lacked a request for their State Police Clearance prior to starting in a child care position. The completed clearance on file was dated 1 day after starting. The file for Facility Person #3 lacked a request for their NSOR certificate prior to starting in a child care position. The completed clearance on file was dated 21 days after starting. The file for Facility Person #5 lacked a request for the Child Abuse Clearance prior to starting in a child care position. The clearance on file was dated 105 days after starting.

The first aid kits in Classroom's #11 and #19 were observed to be missing soap.

The current health report on file for Child #1 lacked a review of the child's health history and a statement that the child had received age-appropriate screenings recommended by the American Academy of Pediatrics.

The immunization record on file for Child #2 and #4 lacked verification that they had received an annual influenza vaccination as recommended by the ACIP. The last documented influenza vaccinations occurred in 2020 for both children. Written exemptions were not on file at the time of the inspection.

In Classroom #17 an Epipen, that was identified by Staff to be intended for a child in care, lacked written instructions from the physician who prescribed the medication and written consent for administration from the parent.

In Classroom #17 an unlabeled Epipen that was reported to be intended for a child in care was observed.

The updates to the Mandated Reporter Trainings on file for Facility Person #1 exceeded 60 months between trainings occurring on 5.4.17 and 5.7.22.

The agreement form for Child #1 lacked the release persons designated by the parent to whom the child may be released.

The emergency contact form for Children #3 and #5 lacked the complete addresses for the release persons listed.

Copies of the children's records were observed in unlocked cabinets in Classroom's 11, 12, 17 and 21.

The file for Staff Person #4 lacked the completion of pediatric first aid and CPR training within 90 days of starting at the facility. The training was completed 97 days after starting.