Heritage 4 Kids Early Learning Center

At approximately 9:54am, Staff Person #1 and #2 were observed to be providing care to 2 younger and 4 older toddlers. When asked to identify their respective supervision groups, Staff Person #1 reported that they had 5 face-to-name tags and then handed 3 of them to Staff Person #2, who reported that they were substituting for a staff who was taking a break. Staff Person #1 identified being responsible for 2 children and identified them with their name/picture tags. Staff Person #2 identified 3 children using the tags given to them by Staff Person #1, leaving one child unaccounted for. Then, Staff Person #1 informed Staff #2 that they were also responsible for the child who had not been named. It was determined that a face- to- name tag was not present for this child. Based on the approved Transfer of Care Policy, the staff who was on break should have given their lanyard/cards to Staff Person #2 when Staff Person #2 arrived. In addition, a tag should have been present for all children. Therefore, staff did not correctly implement their own Transfer of Care Policy. As a result, one child was omitted when staff were asked to name the children for whom they were responsible.

The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom. This resulted in a Staff Person not being present to meet the required Staff:Child ratio requirements.

The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom.

The facility self-reported that Staff Person #1 had stepped into the Guppie Classroom to allow Staff Person #2 a restroom break. The staff did not communicate prior to Staff Person #2 leaving that there were two children present in the classroom. Staff Person #1 reported they only saw one of the two children. Staff Person #1 was unaware of an infant who was in a bouncy seat next to the rocking chair. Staff Person #1 stepped outside the classroom into the hallway with the one child, leaving the infant in the bouncy seat alone in the classroom.

The facility exceeded 30 days between fire alarm testing on 5.16.25 and 6.18.25.

Staff person #1 had completed first aid and CPR training on 6.9.23, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Staff person #2 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 5.1.20.

The file for Staff #4 contained an NSOR certificate dated 10/3/24, after date of hire, without a NSOR request on file at time of hire required for provisional hiring under the CPSL (SEE IS CODE SHEET).

Staff #12, classified as an Aide, was observed working unsupervised on two separate occasions during the renewal inspection.

The file for Staff #12 contained initial emergency plan training dated 12/13/24, more than 90 days beyond date of hire (SEE IS CODE SHEET).

The facility's Emergency Plan Parent Letter lacked accommodations for infants, toddlers, children with special needs, and children with chronic medical conditions.

The first-aid kit in the Penguins room lacked gloves. In the Tadpoles classroom, the first-aid kit lacked tape and gloves.

In the Jellyfish room, a gate near the diaper changing area was observed with a protruding metal bar that could be harmful to children.

In the Jellyfish room, peeling paint was observed on the right side of the window on the left wall.

The bathroom in the Polar Bears room contained 1 of 2 required handwashing signs

In the Guppies classroom, a U-shaped foam climber was observed with peeling vinyl pieces less than one inch in diameter which was accessible to children who are still placing objects in their mouths.

Broken magnatiles with cracked plastic was observed in the Polar Bears classroom. In the Dolphins classroom, ripped vinyl was observed on a couch and was not in good repair.

The most recent health assessments on file for Child #3 (Young Toddler, dated 4/22/24) and Child #4 (Young Toddler, dated 3/20/24) are dated more than 6 months prior.

The health assessment dated 3/20/24 on file for Child #4 did not include a review of the child's health history and current medications.

The file for Child #3 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of MMR, 1 dose of Varicella, and 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #4 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #6 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 2 doses of Rotavirus, 1 dose of HiB, and 3 doses of Pneumococcal without a letter of exemption in the file. Child #3, Child #4, and Child #6 must be dismissed from care by close of business on 1/7/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #2 contained an unacceptable exemption form stating that the child does not receive immunizations. Child #2 must be removed from care by end of business on 1/7/25 and may only return to care when the immunization record is updated or the parent provides an acceptable written, signed exemption letter.

In the Turtles classroom, an Epi Pen for Child #8 was observed expired with an expiration date of 11/2024.

A diaper genie in the Penguins classroom did not open hands-free when the pedal was pushed. In the Turtles classroom, a diaper genie was observed in the bathroom without a plastic lining or bag.

The two most recent health assessments on file for Staff #1 (5/2/22-8/29/24), Staff #2 (3/28/22-7/15/24), Staff #3 (10/26/22-11/7/24), Staff #7 (1/15/21-3/11/24), Staff #8 (11/28/22-12/4/24), Staff #13 (10/10/22-12/3/24) Staff #14 (7/16/21-1/28/24), and Staff #16 (9/20/21-2/20/24) are dated more than 24 months apart. The most recent health assessment on file for Staff #6 (dated 3/9/22), Staff #10 (dated 12/16/22), Staff #11 (dated 9/8/22), Staff #15 (dated 10/10/22), and Staff #17 (dated 6/9/22) are dated more than 24 months prior.

An infant feeding schedule was missing in the Tadpoles classroom Child #7.

One infant and two younger toddlers were observed unbuckled in a mini high chairs when safety straps were attached to the chairs.

The two most recent fire safety trainings on file for Staff #5 are dated 3/22/23 and 6/5/24, more than 12 months apart.

The financial agreement form on file for Child #1 lacked the parent's signature.

The financial agreement form on file for Child #1 and Child #2 was the original agreement form. The parent is to receive the original agreement, and the facility retains a copy.

The Emergency Contact form on file for Child #6 lacked the address of the child's physician or source of medical care.

The Emergency Contact form on file for Child #2 lacked the enrolling parent's work phone number.

The Emergency Contact form on file for Child #5 lacked the child's health insurance/MA policy number.

The Emergency Contact form for Child #4 and Child #6 lacked complete addresses from all listed release persons.

The two written, nonfamily reference letters on file for Staff #9 are dated 5/21/24 and 5/23/24, which is after Staff #9's date of hire (SEE IS CODE SHEET). The file for Staff #12 lacked two written, nonfamily reference letters.

Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

Based on staff interviews, Child #1 was alone in the Turtles classroom for at least 15 minutes while Staff #1 and Staff #2 were outside on the playground with 9 other children.

The file for Staff #2 contained a disclosure statement lacking a witness signature and a date, making it invalid.

At approximately 10:35 AM, 30 preschoolers were observed in the Dolphins classroom with Staff #5, Staff #6, Staff #7, and Staff #8 during a Zoo Mobile presentation. The designated maximum capacity for the Dolphins classroom is 26.

The facility's 30-day fire alarm test log included the most recent test date of 10/11/24, more than 30 days prior.

The files for Staff #1, Staff #3, and Staff #4 contained Pediatric First Aid/CPR Training dated 10/14/24 and did not complete the training within 90 days of their date of hire (SEE LIS CODE SHEET).

Observed an unrestricted window in the turtles room. The window was above the ground floor and opened directly to the outdoors and was accessible to children.

The refrigerator in the guppies room lacked a thermometer.

The files for staff #2 (due 10/2022 and obtained 1/2023) and #12 (due 7/2023 and obtained 1/2024) contained health assessments that were updated late.

The files for staff #6 (due 1/2023) and #13 (due 9/2023) lack current health assessments.

The files for staff #1, #3, #7, #8, #9 and #10 contain fire safety training that was obtained/renewed late. The training was due 6/2023 and was obtained 7/2023.

The file for staff #1 contains a health and safety update that was completed late. It was due 12/2022 and completed 1/2023. The files for staff #4 (due 1/2023 and obtained 10/2023) and #5 (due 3/2023 and obtained 10/2023) contain first aid and cpr training that was obtained late.

The file for staff #11 lacks a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

The file for child #1 lacks an updated health assessment. Child #1 is a young toddler and the most current assessment on file is 5/2022. An assessment was due by 11/2022.

The file for child #2 lacks an updated health assessment. Child #2 is an older toddler and the most current assessment on file is 8/2021. An assessment was due by 8/2022.

The files for staff #3 and #4 contain health assessments that were updated late. The health assessment for staff #3 was due 5/2022 and was obtained 10/2022. The health assessment for staff #4 was due 12/2022 and was obtained 1/2023.

The file for staff #2 contains a health assessment that was signed by an RN.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): general health and safety training.

The file for staff #1 lacks verification of an associate's degree to qualify the staff as a group supervisor.

The files for staff #2 and #5 lack one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The initial emergency plan training in the file for facility person #8, staff person #10 and staff person #17 was dated beyond their initial employment. The last two emergency plan trainings in the file for staff person #18 was dated more than 12 months apart.

There was an uncovered outlet on a wall in the Penguins room, behind a shelving unit.

There were spray bottles of bleach water not labeled with the contents in the Jellyfish, Penguins and Polar Bear rooms.

The hot water temperature was measured to be 128 degrees in the Polar Bear room at both the classroom and bathroom area sinks.

The first aid kit in the sensory room did not include scissors

There was a small area of peeling paint on the wall behind the trash can in the diapering area in the Starfish room. There was a small area of damaged plaster on the wall to the left of the glass pane in the Penguins room.

The most recent list of immunizations in the file for child #2, a 16 month old, was missing 1 of 1 MMR, Varicella and Hep A. The last flu shot in the file for child #4, a 2 year old, was dated in 2020. Neither file included a written statement of exemption by a parent.

The last two health assessments in the file for facility person #2 and staff person #5 and #16 were dated more than 24 months apart. The last health assessment in the file for staff person #12 was dated more than 24 months ago.

The most recent health assessment in the file for staff person #19 was signed by an individual whose title was listed as "RN."

The last two fire safety trainings in the following staff files were dated more than 12 months apart: staff persons #5 through #9, staff persons #11 through #16, staff person #18 and #19.

The agreement in the file for child #2 did not specify the amount of the fee to be charged.

The agreement in the file for child #3 did not specify the date on which the fee is to be paid.

The agreement in the file for child #1 did not specify the child's date of admission.

The agreement in the file for child #4 included two different colors of ink. Based on conversation with the provider, it was the child's original agreement.

The emergency contact information in the file for child #5 and #6 did not include the name of the child's physician.

The emergency contact information in the file for child #3 did not include a work address or phone number for the child's mother. The emergency contact information in the file for child #6 did not include the work phone number for the child's mother.

The emergency contact information in the file for child #1 did not include a policy number for the child's health insurance.

The file for staff person #4 did not include 2 letters of reference.

The file for staff person #1 and #3 included pediatric first aid and CPR training that was dated beyond their first 90 days working with children.

The file for staff person #3 included training in health and safety topics #1 through #9, as required by regulation 31f, that was dated beyond their first 90 days working with children.

At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.

At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.

At approximately 11:00 am, 4 preschool children were observed in the Penguin room with 4 adults, none of whom were staff. The children were in the room to receive dental care. The 4 adults in the room included the dentist, the dental hygienist and two staff from the AIU. The facility did not have written consent from the children's parent to release the children to any of the four adults in the room.