Hilltop Community Childrens Center

The file for Staff #2 and Staff #3 lacked two written, nonfamily references.

The two most recent FBI (11/15/19 & 11/20/24), child abuse (11/14/19 & 11/19/24), and state police (11/13/19 & 11/19/24) clearances on file for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

A window in the first-floor older toddler room was observed to be higher than the ground level, unlocked, and not modified to limit the opening to 6 inches or fewer.

The carpet in the back of the indoor playroom was observed to be ripped and not in good repair.

In the second-floor older toddler room, the diapering area lacked a handwashing sign.

The two most recent health reports on file for Child #3 (a young toddler) are dated 7/9/24 and 2/5/25, more than 6 months apart. (SEE LIS CODE SHEET)

The file for Staff #2 includes a First Aid/CPR certificate dated 1/26/25, after the expiration date of 9/2024.

The agreement form for Child #1 was not signed by the operator.

The agreement form for Child #1 lacked the child's date of admission.

The emergency contact form for Child #2 lacked signed parental consent for emergency medical care.

The emergency contact form for Child #2 lacked a complete address for the release persons.

The fire alarm testing log contains the following dates 2/13/24-4/9/24, 4/9/24-5/15/24, 5/15/24-7/5/24, 7/5/24-8/29/24, 8/29/24- present, which is more than 30 days apart.

The file for staff #2 did not contain a valid state police clearance. The file contained an unacceptable certificate from criminalbackgroundrecords.com. The file for staff #13 contained a state police clearance dated 1/06/22 and an FBI clearance dated 1/07/22 which indicated a record. The attachments were not on file with the clearances.

The facility's emergency plan did not include details regarding continuity of operations as required by Announcement C-22-04.

When asked, the operator stated communication with families during and after an emergency would occur through Brightwheel and via phone, however the facility's emergency plan did not include that information.

Documentation of an annual review of the emergency plan dated January 2024 was observed. Documentation of previous annual reviews were not on file, therefore compliance could not be determined,

The following staff files lacked documentation of completing emergency plan training on an annual basis; #2,#4, #5, #6, #7, #8, #11, #12, #15, #16 and Facility person #14. Current training for all listed staff is now on file.

When asked, the operator stated communication with families during and after an emergency would occur through Brightwheel and via phone, however the facility's letter to parents explaining the emergency procedures did not include that information.

The following accessible toxics were observed; Lysol wipes under the sink in an unlocked cabinet in the 2nd floor restroom near the PS office, Lysol wipes and multipurpose cleaner under the sink in an unlocked cabinet in the 2nd floor restroom near the kitchen. Though this restroom is designated for staff, the door was open. Liquid White Out was accessible to children in the OT room in a small white plastic drawered storage box sitting on the radiator guard.

A cigarette butt was observed on the playground near the bench on the far-right side.

The facility lacked means of preventing access to a functional stove in the kitchen on the second floor. The kitchen does not have a door and a gate was not in use.

A first aid kit was accessible to children under the sink in an unlocked cabinet of the second-floor restroom near the PS office.

The following surface hazards were observed; a metal heater guard in the kitchen where children eat meals, was not secured to the wall, 4 low cabinets in the kitchen were missing doorknobs and/or drawer pulls leaving protruding screws exposed, a metal carpet trim piece in the rear hall behind the rec room was missing a tack on one end causing a tripping hazard, a protruding nail head was observed on the bench on the playground near the sandbox, an access panel in the restroom near the PS office on the second floor was not attached to the wall leaving a sharp screw exposed and allowing open access to the pipes in the wall behind the panel. A broken brochure holder with sharp edges was accessible under the bench in the first floor hall.

Peeling paint was observed on two of the wooden fire escape stairs leading to the playground.

A toilet in a second-floor restroom near the kitchen was loose and not fully secured to the floor.

A rear exit from the facility, from the hall at the back of the rec room, was observed to be blocked by 2 snow shovels, a lid for an outdoor cabinet, and a trash can.

A broken handle and a cracked plastic door were observed on the play kitchen equipment in the PS room on the second floor.

A split seam, which exposed the inner foam padding, was observed on the changing pad in the OT restroom,

The following accessible small items were observed in the OT room; 5 lollipops accessible in a red plastic bin sitting on the radiator guard, dried beans in the sensory bin, bingo chips and small stampers on a storage shelf with art supplies, batteries, pushpins, and staples in a small white plastic set of storage drawers sitting on a radiator guard. A sponge and loose grocery bags were observed to be accessible in the YT room in an unlocked drawer in the kitchen area where children were observed eating breakfast.

At approximately 2PM, two toddlers were observed sleeping on cots between the cribs in the infant nap room. The cots did not have the required 2 feet of space on 3 sides.

The file for child #3, 17 months old, contained an immunization record which lacked documentation of receiving the first doses of MMR and Varicella vaccines. A written exemption was not on file.

Psoriasis Relief cream, which was not labeled for a specific child, was observed the OT medication bag. Grape Pain & Fever medication, which was not labeled for a specific child, was observed in the YT medication bag. The label of a prescription medication in the YT room was illegible.

The file for staff #13 contained an invalid health assessment. The health assessment is dated more than 12 months prior to their first day in a child care position. The files for staff #2 and #10 contained initial health assessments dated after their first day of initial service in a child care setting. The file for facility person #14, whose duties include food preparation contained health assessments dated more than 12 months apart. The most recent health assessments on file for facility person #14 and staff #2 and #10 are now current.

The facility lacked documentation of an emergency drill conducted in the past 12 months.

Proof of purchase for the interconnected fire alarm system was not available for review during the inspection.

Documentation of submitting the emergency plan to the local and county EMA was not on file.

Documentation of writing and submitting an annual letter to local traffic safety authorities was not on file.

The file for staff #5 contained fire safety training completed more than 12 months after their first day in a child care position. The file for staff #15 contained consecutive fire safety training documentation dated more than 12 months apart; 10/10/22 and 1/18/24. Current training is now on file for both staff #5 and #15.

The file for facility person #14 did not contain documentation of completing mandated reporter training.

The file for staff #1, designated as the director on the staff data worksheet, did not contain verified experience in childcare. The files for staff #3 and #13, designated as AGS on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #9, designated as an AGS on the staff data sheet, contained documentation of previous job experience that did not include childcare related duties.

The following staff files did not contain written evaluations conducted in the last 12 months: #4, #5, #6, #7, #8, #11, #12, #15, #16. The file for staff #2 contained an evaluation conducted more than 12 months after their start.

A written daily schedule was not posted in the carpeted PS room on the second floor.

The agreement for child #2 was not signed by the parent or operator. The agreements for child #1 and #3 were dated after their documented first day in care.

The agreement for child #5 did not specify the child's arrival and departure times.

The agreements for child #2 and child #5 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact form for child #3 did not include the phone number of the child's physician or source of medical care.

The emergency contact form for child #1 did not include the enrolling parent's work address or phone number.

The emergency contact form for child #5 did not include the health insurance policy number.

The emergency contact forms for child #1, #3, and #5 did not include complete addresses and telephone numbers of the individuals designated by the parent to whom the child may be released.

Emergency contact information was not present in the carpeted 1st floor PS room for the children observed receiving care in the room.

A written plan identifying the means of transporting a child to emergency care was not posted in the PS Support room or the carpeted PS room on the second floor.

The file for facility person #14 did not contain written references.

The facility's certificate of occupancy, dated 4/11/95, indicates the certificate is for 205 Orchard Pl. The facility is located at 201 Orchard Pl.

The facility lacked documentation of providing an incident report to the parent of child #1 after an incident on 8/14/23 after which the child displayed signs of a possible injury to the arm. The incident report on file was not signed by the parent.

At approximately 10:40AM, the certification representative came down the stairs to the open door of the infant room. Staff #1 was observed near the windows of the infant room and staff #2 was observed sitting on the couch with 3 infants on the floor nearby. Upon seeing the certification representative, staff #1 walked into the infant nap room which connects to the infant room. The certification then observed 2 sleeping infants in cribs in the infant nap room. No other staff were present in these two rooms. The position of the two cribs in use was such that the infants could not been seen from where the two staff were positioned. Previously cited on SIN-00224326.

*At approximately 10:40AM, the certification representative came down the stairs to the open door of the infant room. Staff #1 was observed near the windows of the infant room and staff #2 was observed sitting on the couch with 3 infants on the floor nearby. Upon seeing the certification representative, staff #1 walked into the infant nap room which connects to the infant room. The certification then observed 2 sleeping infants in cribs in the infant nap room. No other staff were present in these two rooms. The position of the two cribs in use was such that the infants could not been seen from where the two staff were positioned. Previously cited on SIN-00224326.

At approximately 10:40AM, the certification representative came down the stairs to the open door of the infant room. Staff #1 was observed near the windows of the infant room and staff #2 was observed sitting on the couch with 3 infants on the floor nearby. Upon seeing the certification representative, staff #1 walked into the infant nap room which connects to the infant room. The certification then observed 2 sleeping infants in cribs in the infant nap room. No other staff were present in these two rooms. The position of the two cribs in use was such that the infants could not been seen from where the two staff were positioned. Previously cited on SIN-00223479.

**At approximately 10:40AM, the certification representative came down the stairs to the open door of the infant room. Staff #1 was observed near the windows of the infant room and staff #2 was observed sitting on the couch with 3 infants on the floor nearby. Upon seeing the certification representative, staff #1 walked into the infant nap room which connects to the infant room. The certification then observed 2 sleeping infants in cribs in the infant nap room. No other staff were present in these two rooms. The position of the two cribs in use was such that the infants could not been seen from where the two staff were positioned. Previously cited on SIN-00223479.

***At approximately 10:40AM, the certification representative came down the stairs to the open door of the infant room. Staff #1 was observed near the windows of the infant room and staff #2 was observed sitting on the couch with 3 infants on the floor nearby. Upon seeing the certification representative, staff #1 walked into the infant nap room which connects to the infant room. The certification then observed 2 sleeping infants in cribs in the infant nap room. No other staff were present in these two rooms. The position of the two cribs in use was such that the infants could not been seen from where the two staff were positioned. Previously cited on SIN-00223479.

Based on statements made by staff, child #1 was left unsupervised by staff in the carpeted room of PS2.

Based on statements made by staff, child #1 was left in the carpeted room of PS2 without a staff person physically present in the room.

Based on statements made by staff, on 4/26/23 staff #1 restrained child #2 by placing their arms and 1 leg across the child to prevent the child from leaving the nap mat he was laying on and by placing their arms and legs around the child while sitting on the floor behind him to prevent the child from striking other children.

The file for staff #1 did not include documentation of applying for the correct FBI clearance. The FBI clearance on file was from the Department of Education, making it invalid. Based on statements made by staff, staff #1 has had direct contact with children on two separate days while observing classrooms. The file for facility person #3 contained three expired clearances. The clearances on file were dated as follows; state police 5/17/16, child abuse 5/19/16, and FBI 5/28/16.

Based on statements made by staff, child #1 was left in PS2 for approximately 5-10 minutes with facility person #3, an individual who is not a staff person.

The following exits were blocked at the time of the inspection; 2 exits from the OT room, 1 exit from the YT room, 1 exit from the infant room, 1 exit from the infant nap room, 1 exit from the tiled side of PS1, 2 exits from the carpeted side of PS1, 2 exits from the carpeted side of PS2, 2 exits from the PS Support Room, and 1 exit from the facility at the rear of the Rec Room.

Two electrical outlets on a power strip on the floor of the older toddler room and two wall outlets in the Rec Room lacked protective covers. The outlets are accessible to children 5 years of age or younger. The outlets in the Rec Room have a built-in safety feature that was not functioning correctly at the time of the inspection.

A bag containing a first aid kit was accessible to children. The bag was observed on the ground in the outdoor play space while children were present in the space.

A tear approximately 4-5 inches long was observed on the seat a blue child size couch in PS2.

Staff person #2 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 1-9 PREVIOUSLY CITED ON SIN-00221658

Staff #4 has not yet completed the 1 hour training titled Pennsylvania Health and Safety Update 2022 as required by Announcement C-22-06.

Approximately 3 inches of standing water was observed in the sandbox in the outdoor play space while children were using the space. A tarp covering the sandbox had collected the water and it was not removed prior to allowing the children on the play ground.

The file for staff #1 lacked current state police, child abuse, and FBI clearances. The dates of the expired clearances are as follows; state police 10/30/15, child abuse 11/03/15, and FBI 11/17/16.

Two windows on the second floor, in PS 2, were not restricted to open 6 or fewer inches.

Splintering wood was observed on a broken section of baseboard behind the water table in PS 1.

Based on the facility's fire drill log, drills are not being conducted at least every 60 days. The last documented drill occurred 10/12/22.

The facility's proof of purchase for the fire alarm system was not available for review at the time of the inspection.

Staff #2 and #3 have not completed the one-hour course titled Pennsylvania Health and Safety Update 2022. As stated in Announcement C-22-06, staff were required to complete the training by 12/30/22.

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 1-9 and pediatric CPR/First Aid.

The file for staff #1 contained an NSOR certificate and application dated after their first day in a child care position. The application was dated 9/15/22. The completed certificate was dated 9/21/22 (SEE LIS CODE SHEET). The file for staff #4 contained an NSOR certificate dated 5/11/22 which is more than 45 days after their start date. The application on file was dated 3/10/21 (SEE LIS CODE SHEET). No record of suspension was on file.

The file for staff #6 contained a health assessment dated 7/18/22. The file for staff #7 contained a health assessment dated 9/17/22. The file for staff #9 contained a health assessment dated 3/10/22. The three physicians whose signatures were on the health assessments for staff #6, #7, and #9 have verified the individuals were not seen in their offices on those dates.

Standing water was observed in the sensory table bins and in two toy bins in the fenced playground while children were present in the space.

Three guards covering heat sources were not fully secured to the walls creating pinch points and a tipping hazard. Two of the loose guards are located in the older toddler room and one in the hall outside the kitchen.

Peeling paint was observed in the older toddler room near the window by the stereo and in the restroom of the young PS room on the wall facing the toilet.

Tears were observed on three blue child size couches which left the inner foam filling accessible to children; 1 couch was located in the young toddler room, 2 were located in the older PS room. Accessible foam batting was observed on the back cover of a bouncy seat on the infant porch.

A white storage cabinet in the crib area of the infant room was not anchored to the wall and presented a tipping hazard.

The file for child #1 contained an immunization record which did not include documentation of receiving the influenza vaccine in 2021 or 2022 in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The health assessments on file for staff #6, #7 and #9 dated in 2022, were determined to be invalid. The files for staff #6, #7, and #9 lacked health assessments completed within the past 24 months.

The file for staff #7 contained documentation of fire safety training completed more than 12 months apart; 10/11/21 and 11/03/22.

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics 1-9. Current training is now on file. Staff person #3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid.

Facility person #8 has not completed the mandated reporter training from an approved source within 90 days of their date of hire (see LIS code sheet).

The files for children #1 and #1 contained agreements which did not specify the date of the child's admission.

The file for child #2 contained emergency contact information and an agreement which were updated by the parent more than 6 months apart; 12/07/21 and 8/07/22. The documents are now current.

The staff file for Facility person #2 who has a start date working in child care of 7/18/19 and Staff person #3 who has a start date working in child care of 9/24/14 contained a National Sex Offender Registry (NSOR) certificate dated 7/8/20 which was not obtained by 7/1/20 as required by the Child Protective Service Law (CPSL).

The first-aid kits used in the to-go bags in the Young Preschool Art Room and Young Toddler Room lacked soap.

The staff file for Facility person #2 contained a current health assessment dated 2/10/21 which was updated more than 24 months from the previously dated 1/28/19 health assessment. The staff file for Staff person #3 contained a current health assessment dated 7/27/21 which was updated more than 24 months from the previously dated 6/21/19 health assessment.

On day of renewal inspection director tested the interconnected smoke detection system and the audible alarm could not be heard in the infant room with the door closed.

As of 12/19/20 the facility emergency plan lacked a lock-down procedure.

The staff file for Staff person #1 contained fire safety training that was not completed annually; the dates of the last two fire safety trainings were 1/7/20 and 10/11/21.