Heritage Out of School Time

The file for Staff #10 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).

Adult scissors were observed accessible on the teacher's desk in the Steelers and Penguins rooms.

The initial emergency plan training on file for Staff #7 is dated 7/2/25, more than 90 days beyond the facility person's date of hire (SEE IS CODE SHEET).

The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

A protective receptacle cover was missing in an outlet in the Dreamers, Imagineers, and Voyagers rooms.

Hand sanitizer in the Penguins room and antibacterial wipes in the Pirates room, both labeled 'Keep Out of Reach of Children', were observed accessible to children.

A trash can in the outside play space was observed with garbage from days prior.

In the Penguins and Panthers rooms, garbage cans containing napkins with human secretions lacked lids on the receptacles.

In the Panthers Room, a piece of baseboard trim was missing on the cabinet in the corner and was not in good repair. Broken tiles with sharp edges located at the bottom of the walls and standing water on the floor and in a bucket were observed in the Boys Bathroom. Broken tiles with sharp edges located at the bottom of the walls and a leaking sink was observed in the Girls Bathroom. In the outside play space, standing water was observed in the toy bins and play tables.

A green toy bin in the Voyagers classroom was observed to have a broken handle and not in good repair. Foam blocks with ripped pieces and teeth marks were observed in the Pirates room. Peeling vinyl was observed on the couch in the Dreamers classroom, on the brown couch in the Voyagers classroom, a bean bag in the Panthers classroom, and on the front and back wall mats in the Gym. Rest equipment with torn vinyl and exposed foam was observed in the Dreamers and Imagineers classrooms.

Rest equipment in the Dreamers and Imagineers classrooms lacked two feet on three sides of the rest equipment while the equipment was in use.

The two most recent health assessments on file for Child #1 (Preschool Age) are dated 3/14/24 and 4/4/25, more than 12 months apart.

The immunization record for Child #4 (PSA) lacked the following immunizations: 2 doses of Rotavirus and 1 dose of Pneumococcal without a Letter of Exemption in the file. Child #4 must be dismissed from care by close of business on 7/16/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The health assessment on file for Child #2 dated 9/24/24 does not indicate if the child is free from contagious disease and may participate in child care.

The file for Child #3 contained an immunization record dated 1/17/25, more than 60 days beyond enrollment (SEE IS CODE SHEET). The file for Child #6, enrolled more than 60 days, lacked an immunization record or letter of exemption from the parent (See LIS Code Sheet). Child #6 must be dismissed from care by close of business on 7/16/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.

The most recent health assessment on file for Staff #12 (5/5/23) and Staff #6 (4/26/23) are dated more than 24 months prior. The two most recent health assessments on file for Staff #14 (1/4/23 & 3/3/25) and Staff #11 (7/16/21 & 1/28/24) are dated more than 24 months apart.

In the Imagineers Room, a child's lunchbox containing potentially hazardous food from home was observed on a table and not refrigerated.

The two most recent emergency drills are dated 2/20/24 and 6/5/25, more than 12 months apart.

The file for Child #6, enrolled more than 60 days, lacked an initial health report (See LIS Code Sheet).

The file for Child #3 contained an initial health assessment dated 1/17/25, more than 60 days beyond enrollment (SEE IS CODE SHEET).

The two most recent fire safety trainings on file for Staff #1 are dated 6/30/23 and 7/10/24, more than 12 months apart.

The two most recent mandated reporter trainings on file for Staff #1 (4/30/20 & 6/17/25), Staff #2 (4/20/20 & 7/11/25), and Staff #14 (4/27/20 & 6/4/25) are dated more than 60 months apart. Staff #3 and Staff #4 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #7 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The training was completed on 7/13/25.

The two most recent staff evaluations on file for Staff #13 are dated 5/23/24 and 6/30/25, more than 12 months apart.

The most recent child service report on file for Child #2 is dated 1/7/25, more than 6 months from the child's date of enrollment (SEE IS CODE SHEET). The two most recent child service reports on file for Child #8 are dated 12/1/23 & 2/10/25, more than 6 months apart.

The file for Child #5, Child #7, Child #9, and Child #10 contained the original financial agreement when the parent is to receive the original agreement.

The emergency contact form on file for Child #7 and Child #8 lacked a complete address and phone number for the child's physician or source of medical care.

The emergency contact form on file for Child #1, Child #5, Child #6, and Child #7 lacked complete addresses for the enrolling parent's home and work address.

The emergency contact form on file for Child #3 and Child #6 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.

The emergency contact form on file for Child #5 lacked the health insurance policy or medical assistance policy number.

The emergency contact form on file for Child #1 and Child #7 lacked complete addresses for all release persons.

The file for Child #2 contained an emergency contact form that was reviewed and updated by the parent dated 9/4/24 & 4/4/25, more than 6 months apart.

The file for Child #3 contained a financial agreement form that was reviewed and updated by the parent dated 10/10/24 & 5/5/25, more than 6 months apart.

The emergency contact form on file for Child #3 and Child #6 lacked the enrolling parent's signature giving the facility written consent to administer minor first aid.

The files for Staff #3, Staff #4, Staff #5, Staff #8, Staff #9, and Staff #11 lacked two written nonfamily reference letters.

Staff #1 was observed to be caring for children unsupervised. Staff #1 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 6/17/20.

The fire alarm 30-day test log includes test dates 12/17/24-1/28/25, 4/2/25-5/12/25 and 5/12/25-6/24/25, more than 30 days apart.

Staff #3 and Staff #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. Staff #3 completed the training on 6/5/25. Staff #4 completed the training on 6/15/25.

The two most recent mandated reporter trainings on file for Staff #5 (4/17/20 & 6/13/25), Staff #6 (4/30/20 & 6/5/25), and Staff #7 (4/30/20 & 6/14/25) are dated more than 60 months apart.

Staff #1 and Staff #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated: Staff 1: 6/17/20 & Staff #2: 4/7/20.

Based on the self-reported noncompliance and staff interviews, Child #1 was left along in the Gym for approximately 2 minutes on 12/20/24 between 8:25 AM - 8:30 AM before bus dismissal while Staff #1 and Staff #2 were outside waiting for the buses with the rest of the supervision group.

Based on the self-reported noncompliance and staff interviews, Child #1 was left along in the Gym for approximately 2 minutes on 12/20/24 between 8:25 AM - 8:30 AM before bus dismissal while Staff #1 and Staff #2 were outside waiting for the buses with the rest of the supervision group.

Based on the self-reported noncompliance and staff interviews, Child #1 was left along in the Gym for approximately 2 minutes on 12/20/24 between 8:25 AM - 8:30 AM before bus dismissal while Staff #1 and Staff #2 were outside waiting for the buses with the rest of the supervision group.

Based on staff statements, on 10/11/24, child #1 was receiving care and bumped their head against a wall in the restroom and resulted in receiving emergency room treatment sometime between 10/11/24 to 10/13/24. The regional office was notified on 10/22/24 but was not within 24 hours of receiving treatment.

Based on staff statements, on 10/11/24 at approximately 11:45am, child #1 bumped their head against a wall in the boy's restroom which resulted in a mild concussion. Staff person #1 was assisting another child with handwashing and did not observe child #1 bump their head due to staff person #1 was unable to see and properly supervise their group of assigned children on the other side of the restroom.

An incident report on file for child #1 who bumped their head that resulted in a mild concussion on 10/11/24 was completed and dated 10/14/24 and was not given to the parent on the day of the incident.

Staff #2 and Staff #17 were observed to be caring for children unsupervised. Staff #2 and Staff #17 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

The file for Facility Person #11 (dated 6/13/23) Facility Person #14 (dated 7/16/24), and Facility Person #15 (dated 6/20/24) contained a Child Abuse clearance beyond their date of hire (SEE IS CODE SHEET). The file for Facility Person #14 lacked documentation of application of an NSOR certificate prior to date of hire required for provisional hiring under the CPSL (See IS CODE SHEET). The NSOR request for Facility Person #14 was dated 7/11/24.

The two most recent Mandated Reporter trainings on file for Staff #4 are dated 1/25/18 and 7/8/24, more than 60 months apart. The disclosure statement on file for Staff #7 lacked a witness signature. The disclosure statement on file for Facility Person #15 was dated 7/23/24, which is beyond their date of hire (SEE IS CODE SHEET). Facility Person #10, Facility Person #11, Facility Person #12, and Facility Person #13 have not completed the Mandated Reporter training within 90 days of their date of hire (SEE IS CODE SHEET).

A unlabeled spray bottle containing cleaning materials was observed in the Imagineers Room.

The first aid kit in the Adventurers Room was accessible to children.

Magnatiles with broken plastic pieces were observed in the Dreamers classroom.

Refrigerators in the Imagineers, Steelers, and Panthers classrooms lacked a thermometer.

The file for Child #1 lacked documentation of written immunization record without a letter of exemption from the parent. Child #1 must be dismissed from care by close of business on 7/18/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent health assessment for Staff #4 (dated 3/21/21) and Facility Person #10 (dated 8/11/21), more than 24 months prior. The two most recent health assessments on file for Staff #6 (dated 10/26/20 and 1/4/23) and Staff #9 (dated 2/18/22 & 7/2/24), are more than 24 months apart. The file for Facility Person #11 lacked a valid staff health assessment.

The file for Facility Person #14 lacked documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for Staff #14 dated 6/9/23.

The facility's fire drill log contained consecutive hypothetical locations of the fire for drills conducted on 10/31/23 and 11/17/23.

The two most recent annual fire tests conducted by a fire professional are dated 6/20/23 and 7/5/24, more than 12 months apart.

The facility lacked documentation of the Emergency Plan and subsequent plan updates being sent to the local municipality and County Emergency Management Services.

The two most recent fire safety trainings on file for Staff #3 (3/31/22 and 7/3/24), Staff #4 (dated 6/22/22 and 7/14/24), Staff #5 (dated 6/24/23 & 7/7/24), are more than 1 year apart.

The file for Staff #8 did not complete the following pre-service training within 90 days of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was completed on 6/6/24.

The Financial Agreement form on file for Child #3 lacked amount of the fee to be paid by the parent/guardian.

The Financial Agreement form on file for Child #3 lacked the date the fee is to be paid by the parent/guardian.

The two most recent Child Service Reports on file for Child #1 are dated 10/26/23 and 5/31/24, more than 6 months apart.

The Financial Agreement form on file for Child #1 lacked the child's arrival and departure times.

The Financial Agreement forms for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 were the original and not a copy.

The Emergency Contact form for Child #1 lacked the address of physician or medical care. The Emergency Contact form for Child #5 lacked the phone number of physician or medical care.

The Emergency Contact form for Child #9 lacked written parental consent for the facility to obtain emergency medical care.

The Emergency Contact form for Child #1 and Child #9 lacked the health insurance coverage and policy number.

The Emergency Contact form for Child #2, Child #5, and Child #7 lacked complete addresses for all listed release persons. The Emergency Contact form for Child #9 lacked a telephone number for all listed release persons.

The file for Child #1 contained parental reviews for the Emergency Contact form dated 3/31/23 and 10/1/23, more than 6 months apart. The most recent 6 month review signature for the Emergency Contact form on file for Child #7 is dated 7/12/24, more than 6 months after the previous 6 month review signature.

The two most recent 6 month review signatures for the Financial Agreement form on file for Child #1 are dated 8/30/23 and 3/5/24, more than 6 months apart. The most recent review and update by the parent on the Financial Agreement forms for Child #3 (8/23/23) and Child #7 (8/23/23) are dated more than 6 months prior.

The Emergency Contact form for Child #4 lacked written parental permission for the facility to administer minor first aid procedures.

The files for Staff #1 and Staff #16 only includes 1 written nonfamily reference letter. The files for Facility Person #13 and Facility Person #14 lacked 2 written nonfamily reference letters.

The file for Staff #4 lacked a minimum of 12 hours of childcare training.

The file for staff #3 lacks an NSOR clearance. Staff #3 was properly provisionally hired however never received the NSOR clearance after requesting it 2 separate times.

The file for staff #2 shows an improper provisional hire. Staff #2 did not have a complete child abuse clearance on file at the time of the provisional hire. The child abuse clearance was due 6/22/23 and obtained 7/21/23. All clearances on file for staff #2 are valid now.

The file for child #2 contains an initial health assessment that was obtained late. The facility had a medical summary dated 4/2022 on file that appeared to be a health assessment but wasn't. The health assessment was due 11/9/22 and was obtained 2/2023.

The file for child #1 contains a health assessment that appears to be age appropriate however, it is not dated.

The file for staff #1 contains health and safety update training that was completed late. The training was due 12/2022 and completed 1/2023.

The file for staff #3 contains a health assessment that was renewed late (beyond 24 months).

Staff person # 1has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr.

Staff person #2 had 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.