Highlands Childcare Center LLC

The wooden floor in the purple room has a 6 inch section missing creating a gap which presents a tripping hazard.

There were multiple areas of peeling paint in the facility, including: behind the door and to the lower right of the TV in the purple room; the wall under the window in the blue room; the walls by the bulletin board in the orange room; the wall above the toy box in the yellow room.

In the Red Room at approximately 1:00pm, Staff Person #6 was observed changing a diaper. Staff Person #6 placed the soiled diaper on the changing pad, then completed the diaper change and clean up before discarding the soiled diaper into a plastic-lined, hands-free covered can.

The current health assessment on file for Staff Person #1 was dated more than 24 months after the previous health assessment (1/17/22 and 3/20/24).

Current TB test results on file for Staff Person #4 were obtained more than 60 days after initial employment. The initial TB test results were completed more than 12 months prior to initial employment.

The Emergency Plan lacked accommodations for children with disabilities and chronic medical conditions.

The fire alarm testing log includes test dates that were more than 30 days apart (12/1/23 - 1/1/24 and 1/1/24 and 2/1/24).

The file for Child #4 contained a health report dated more than 60 days following the first day of attendance at the facility.

The agreement form for Child #4 lacked arrival and departure times.

The files for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 contained the original agreement form.

The emergency contact form on file for Child #7 lacked the name and address of the physician or source of medical care.

The emergency contact form on file for Child #5 lacked the address for the individual designated by the parent to whom the child may be released.

The file for staff #4 and staff #5 lacked one of the two required written, nonfamily references.

The file for Staff Person #1 lacked 9 of the required 12 hours of training for the most recent annual review period (December 19, 2022 - December 19, 2023).

At approximately 8:20 AM Facility Person #1 was observed leaving the Yellow Room and crossing the hall to the Red Room where Facility Person #2 was observed. There were 5 infants present in the room. Staff stated that the fifth child in the Red Room arrived a minute or two earlier, and Facility Person #2 was the only staff person supervising the children in that room until Facility Person #1 came into the room.

SECOND CITATION; CITED PREVIOUSLY ON 2/27/24: In the toddler room (Yellow Room) at approximately 8:00 AM, there were 20 children in total receiving care in the space. The maximum capacity of the classroom, based on the measured room size, is 9 children.

3270.113(a)(1) -- In the Toddler Room (Red Room) at approximately 8:20 AM, Facility Persons #1-#5 were supervising 2 infants, 7 young toddlers, 6 older toddlers and 7 preschoolers. Each staff person was asked to identify the children for which they were responsible supervising. None of the five staff in the room claimed responsibility for the 6 older toddlers. When asked who was assigned to supervise these children, staff stated that their teachers had not yet arrived.

In the toddler room (Red Room) at approximately 8:20 AM, there were 22 children in total receiving care in the space. The maximum capacity of the classroom, based on the measured room size, is 8 children.

The last fire drill recorded on the facility's fire drill log was documented as occurring on 9/11/23.

The last smoke detector testing recorded on the facility's smoke detector testing log was documented as occurring on 10/1/23. Testing is required at least every 30 days.

There was no documentation on file that Facility Person #1, who has been employed at the facility more than 90 days, had completed the required pre-service health and safety training.

There was no documentation on file that Facility Person #1, who has been employed at the facility more than 90 days, had completed mandated reporter training.

The file for staff person #1, whom was hired as the director on (See LIS Code Sheet), lacked state police and child abuse clearances that were completed 60 months from the previous clearance. The state police clearances in the file were dated 4/13/18 and 7/27/23. The child abuse clearances in the file were dated 4/21/18 and 7/31/23. The file for staff person #6, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked an FBI clearance that were completed 60 months from the previous clearance. The FBI clearances in the file were dated 9/1/18 and 10/13/23.

The file for staff person #7 lacked an adult health assessment that included a physical examination.

The file for staff person #7 lacked an adult health assessment that included an examination for communicable diseases and the results of that examination.

The file for staff person #7 lacked an adult health assessment that included information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for child #2 lacked an initial health report.

The files for staff persons #1, #2, #3, #4 and #5 who were hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training.

The file for staff person #7 lacked a high school diploma.

The file for child #1 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

The file for child #1 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #2 lacked a copy of the initial agreement.

The file for child #1 lacked a child health report that was updated 6 months prior to the current child health report. The child health reports in the file are dated 7/8/21 and 8/14/22.

The file for child #1 lacked updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to a toddler in accordance with the schedule recommended by the ACIP.

The file for staff person #1 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f).