Hadassah Children Center

During the inspection, staff #1 stated that there were 8 school age children in the room and identified four children in their care group. Staff #2 identified four children in their care group. Upon inspection of the rest of the room, a ninth child was seen in the bathroom who had not been identified or referred to by either staff.

There was Acetaminophen for child #1 that expired on 6/2025. There was Ventolin that expired on 3/2025 and Albuterol that expired on 10/2021 for child #2.

The facility recorded smoke alarm tests in the main building on 5/30/25, 6/30/25, and 7/31/25, all showing gaps of greater than 30 days. The facility's last recorded smoke alarm test in the school age building was 7/7/25, which is greater than 30 days prior to inspection.

There was only 1 written, non-family reference on file for staff #2.

Parents were observed dropping children off by pulling up to the side of the school age building, letting kids out of the car to ring the facility doorbell to be let into the building. This is in conflict with the stated policy for parents to park and bring the children into the facility.

During an unannounced inspection on 5/6/25, the most recent alarm test in the back building was 3/25/25, a period of greater than 30 days.

There was no thermometer in the refrigerator used to store food for children in room #2.

There was a gap of greater than 24 months in the health assessments for staff #1. One was dated 9/23/22 and the next one was dated 1/21/25.

The health assessment for staff #2 stated that there was communicable disease with no further explanation from the physician.

Bottles for child #2 and #3 were not labeled with the child's name.

The health assessment for child #1 was dated 10/8/24, which was greater than 60 days after the first day of attendance (see code sheet for start date).

The operator had not notified the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility in the past year. The most recent notification to the local traffic safety authorities was 2/14/24.

The emergency contact information for child #2 did not contain the addresses for the individuals designated by the parent to whom the child may be released.

A copy of incident reports was not being retained in the child's file.

File for staff person #1, see code sheet for hire date, contained two FBI clearances one dated 5/8/17, and an updated clearance dated 1/24/23. These dates that were observed on file show that the updated FBI clearance was completed more than 60 months from the previous clearance on file. Although this was corrected immediately at the time of inspection file for staff person #2, see code sheet for hire date, did not contain a complete PA state police clearance as required. The clearance showed that the record results were pending.

It was observed and stated that the facility did not have a continuity of operations plan created as a component of the facility's emergency plan as outlined in 45 CFR § 98.41, which is a federal government requirement.

It was observed that towels were hung on the handrail next to the toilet areas in the front building accessible to children. When staff were asked why the towels were present, it was stated they are used to clean the toilet areas and are stored/hung there after each use.

It was observed in the back building that the single bathroom sink used by staff and children had a measured water temperature of 130 degrees Fahrenheit.

It was observed in the outdoor play space that the wooden half wall against the back building had an area of sharp splintering wood about 1 inch wide which posed a visible hazard to any child that would rub up against that area of the wall.

It was observed that multiple cots used in the back building, labeled for use by the preschool aged children, were ripped and not in good repair.

File for child #2, see code sheet for birth date, contained two health reports one dated 9/15/22 and an updated form dated 12/12/23. These dates observed show that the updated health report on file was dated more than 12 months from the previous health report on file; based on the age of child #2 this was needed every 12 months. File for child #3, see code sheet for birth date, contained two health reports one dated 12/5/22 and an updated form dated 10/3/23. These dates observed show that the updated health report on file was dated more than 6 months from the previous health report on file; based on the age of child #3 this was needed every 6 months. File for child #4, see code sheet for birth date, contained two health reports one dated 12/5/22 and an updated form dated 12/14/23. These dates observed show that the updated health report on file was dated more than 6 months from the previous health report on file; based on the age of child #4 this was needed every 6 months.

It was observed in the bathroom used by room 7 that a towel was hanging on the handrail in that bathroom. When staff was questioned on the use of that towel, staff in that room stated that this single towel is shared and used to dry the hands of all the children present in that classroom space after they wash their hands.

File for child #5, see code sheet for date of birth and enrollment date, contained a health report dated 2/21/24. The date observed on this health report is dated more than 60 days from the date the child was enrolled, and the health report on file did not contain documentation of a review of the child's immunized status according to recommendations of the ACIP.

It was stated by director at the time of inspection that staff person #1 and #3 were qualified to work in the position of a group supervisor at the facility. However, neither staff person #1 nor staff person #3 had the minimum educational requirements on file that would be needed in order to qualify either of them to be a group supervisor.

It was observed and stated that the daily attendance of children is more than 45 but less than 90 and the only group supervisor qualified staff person is the director.

It was observed and stated that the facility did not provide to all enrolled families a written pick-up arrangement policy.

Agreement for child #3 did not contain the correct admission date for the child.

Emergency contact form for child #5 did not contain the parent's work address or work phone number.

Emergency contact form for child #1 did not contain the address of each release person.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/15/18.

File for staff person #2 contained a FBI clearance dated 1/24/23; this clearance was not updated within a 60 month period as required. This is evidenced by the previously documented FBI clearance on file being dated 5/8/17. File for staff person #3 did not contain a signed disclosure statement.

It was observed that the outlets in the upstairs bathroom were left uncovered and accessible to children under 5 years of age.

It was observed that a spray bottle of cleaner stored above the changing table in the front building did not contain a label specifying its contents.

It was observed in the front building, lower level, that the emergency numbers were not posted by the telephone in that space and none of the posted emergency numbers throughout the facility contained the number for the local ambulance.

It was observed in the outdoor play space that the building's siding was cracked and broken allowing for sharp sections to be accessible to children.

It was observed that the thermometer in the refrigerator located in the front building, lower level, was measuring at 50 degrees Fahrenheit.

File for child #6, see code sheet for date of birth, did not contain an updated health report completed within the last 6 months.

File for child #3, see code sheet for enrollment date, did not contain a written review of all the age-appropriate immunizations recommended by the ACIP. File for child #3 did not contain information regarding the influenza vaccine.

It was observed and stated that the cleaning solution used in the rear building was only soap and water which did not have the capability to sanitize surfaces, and there were no pad coverings observed in or around the changing table at the time of inspection.

It was observed that the facility's emergency plan did not include written procedures explaining accommodations made for infants and toddlers and infants and toddlers were observed in care the day of inspection.

During the renewal inspection on 3/8/23, it was observed that the front building, lower level, fire alarm testing log showed the last documented test completed on 1/31/23; therefore documentation of an alarm test completed within the last 30 days was not found on file. It was observed that the facility has two sets of fire alarms in each building - both interconnected but one set is hardwired and one set is not. The alarms that were being tested and logged every 30 days in the rear building and the lower level of the front building were the older, hard wired, interconnected alarms. The alarms being tested every 30 days did not have the proof of purchase maintained on file.

It was observed and stated that the facility did not forward their most recently updated emergency plan to the local municipality.

It was observed and stated that the facility did not send an annual traffic letter to the local traffic authorities.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics completed after 9/30/16.

Staff person #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/15/18.

It was observed that the facility's updated handbook, which is used to provide the facility's policies to all currently enrolled families, did not contain a supervision policy.

Emergency contact form for child #4 did not contain the enrolling parent's work address or work telephone number.

Emergency contact form for child #8 did not contain the health insurance policy number.

It was observed that although emergency contact forms and agreements for child #1-#8 contained dated parental signatures showing recent reviews of those forms, these dates of the most recent reviews were all more than 6 months from the previous dated parental signatures on file.

Files for staff person #1, #2, #3 did not contain documentation of emergency plan training at initial employment.

It was observed on the first floor of the front building that the emergency plan was not posted in a conspicuous location.

It was observed in the main room of the back building that disinfectant spray, air freshener spray, and hand sanitizer was stored on a shelf that allowed it to be accessible to the children receiving care in that space.

It was observed that two windows on the back building contained ripped screens.

It was observed on the back building in the outdoor play space that the siding was not in good repair and contained sharp jagged edges and pinch points due to cracked and broken areas creating a visible hazard.

It was observed in the front building in rooms 2 and 4 that paint was chipped and peeling under the windows in these child care spaces.

It was observed in the front building in room 1 that the thermometer in the facility's refrigerator was measuring the temperature inside that refrigerator to be between 46-50 degrees Fahrenheit.

Files for child #4, #5, #6 did not contain written parental consent for transportation, and staff stated during inspection that these children have been transported in facility owned vehicle.

It was observed in vehicle #1 that scissors were missing from the first aid kit.

It was observed that the fire drill log completed for the back building showed a fire drill was conducted on 11/3/21, and another was not conducted again until 2/24/22, which is more than the 60 day requirement.

File for child #1, enrolled 9/24/21, contained a single health assessment dated 2/2/22. File for child #2, enrolled 10/2/21, contained a single health assessment dated 3/1/22. These files did not contain initial health assessments.

Agreement for child #2 did not contain the persons designated by a parent to whom the child may be released.

Emergency contact form for child #3 did not contain the enrolling parent's work address or telephone number.

It was observed that the emergency contact form and agreement for child #1 was not reviewed or updated within the last 6 months. The last signed review completed by the parent for both forms was dated 7/21/21.

It was observed in Room 5 that a 220 volt outlet was left uncovered in the childcare space.

It was observed in child care spaces located on the second floor, that approximately 11 windows were observed not having been modified or adapted to limit the openings of those windows to 6 inches or fewer.

It was observed in Room 5 that a washer and dryer were accessible to children creating a visible hazard.

It was observed that the two bathrooms and classroom sink, located on the second floor of the childcare space, did not contain a lidded garbage can or hand washing sign at any of these individual locations.

It was observed on 11/3/21, that the fire drill log used by the back building at the facility, had written verification that the last fire drill conducted was on 4/14/21.

It was observed on 11/3/21, that the facility had logged a fire alarm test on 4/14/21, but had not been logging the fire alarm tests every 30 days as required under section 1016(c) of the act (62 P.S. § 1016(c)).