Guiding Hands Learning Center LLC II

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1-observed working for children on 5/9/25 and NSOR-more than 60 months old) (#2- observed working for children on 5/9/25 and FBI more than 60 months old) (#3- hired 5/5/25 -observed caring for children on 5/9/25 and NSOR not completed prior to working with children-corrected on 5/22/25)

Surfaces in the facility were in need of cleaning and presented a visible hazard: The carpet in the infant/toddler room was in need of cleaning and the vents in the first-floor bathroom used by children were full of dust and in need of cleaning. In addition, the water meter apparatus in the bathroom used by children was exposed and presented a hazard.

Children in the preschool classroom were observed napping on rest equipment that was not labeled for the use of a specific child and used only by the specified child.

There was no written record of an emergency drill completed annually as specified in these regulations.

Emergency contact information in several child's/children's record was not being updated every 6 months. (#2, #3 and #4)

One child's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1)

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

On 8/30/24, at approximately 11:30am, staff person #1 was observed caring for a mixed age group of 10 older toddler/preschool age children in the preschool classroom. Staff person #2 left the building for a break before returning. Staff person #1 verified the ages of the children.

There was no written documentation indicating that the facility has an emergency plan in accordance with 55 PA CODE 3270 regulations. The plan reviewed had the name of another location on the cover.

Several staff person's records did not include written verification of annual emergency plan training. (#1, #2, #3 and #4) Provide and submit written verification of the completed emergency plan training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually. Director will use tracking system to ensure and document that emergency training is completed at the time of initial employment and annually.

Carpets in the facility were stained and in need of cleaning, replacement or removal.

Handwashing signs posted in the bathroom did not specify that an able child shall wash his hands after toileting and before eating.

One staff person was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.(#5)

A staff person was observed changing a child's diaper and used hand sanitizer after diapering the child rather than washing her hands with soap and water. (#5)

A staff person was observed changing a child's diaper and placed the soiled diaper into a plastic tie bag rather than immediately disposing the soiled diaper into a hands-free plastic-lined container. (#5)

A staff person was observed changing a child's diaper and did not sanitize the diaper changing surface after changing the child's diaper. (#5)

The facility provides meals and did not have a menu posted at least 1 week advance or provide a menu to each family.

An infant bottle observed in the infant room/main child care space was not labeled with the child's name.

The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility

The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises. A copy of the insurance policy on file at the facility expired on 6/9/24.

The written plan of daily activities was not posted in each child care space (infant classroom).

Children were observed being cared for in the preschool and infant classrooms and their emergency contact information was not present in the classrooms.

The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the young toddler and infant classrooms.