Holy Innocents Episcopal Church Day Care

The files for children #3 and #4 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 #4 lacked a parent update to the emergency contact information and agreement form that was completed within the past 6 months. The update in the file was completed on 2/4/24.

There was a broken toy doctor kit box and a clear cracked bin in the preschool main room. There was a cracked pencil box in the Social Hall room. There was a sand box and a toy truck filled with water in the playground.

The temperature in the kitchen refrigerator was 46.7 degrees.

The file for child # 2 a young toddler contained a current health report dated 1/24/24 that was not updated withing 6 months from the previous report dated 1/25/23.

The file for child # 4 a preschooler contained a current health report dated 12/15/23. The report was obtained after 12 months, the prior report was dated 7/20/22.

The facility emergency plan lacked accommodations for infants and toddlers.

The file for child # 3 contained a current health report dated 4/23/24 that was provider after 60 days. The child was in care longer than 60 days without initial health report. The child start date was 6/26/23.

Staff # 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

The files for staff # 2 and 3 lacked 12 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

The file for staff # 3 contained a current FBI clearance dated 5/10/19, that was not renewed within 60 months of the prior FBI clearance dated 7/8/10. The file for staff #3 contained a current Child Abuse clearance dated 7/2/20 that was not renewed within 60 months of the prior FBI clearance dated 4/1/08. The file for staff # 3 contained a current State Police clearance dated 4/5/23, that was not renewed within 60 months of the prior FBI clearance dated 9/16/13. The file for staff # 2 contained a current Mandated Reporter training dated 4/5/23, that was not renewed within 60 months of the prior FBI clearance dated 5/27/15.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The file for staff # 3 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

There was a pair of adult scissors in the main room accessible to children. The stairway used by the preschool group to access their room, has a storage with some incomplete construction that is open and accessible to children. There was a thread and needle on top of a table on the back of the room accessible to children in the upstairs preschool room.

The file for staff #3 lacked the emergency plan training at initial employment, on an annual basis and at the time of each plan update.

There were Aquaphor lip repair and Advance Healing Ointment skin protection label " Keep out of reach of children". In the children cubbies. There was a can of spray paint on the stair way on the way up to the preschool room. There was a bucket with salt on the stairs hallway accessible to children.

There was a damaged ceiling tile with a hole that takes about a third of the tile in the main room bathroom. There was rust on the main room bathroom door. There was rust on the wall of the toilet stall in the upstairs bathroom accessible to children. There was a damaged rubber rug trim in the main room creating a tripping hazard. There was an exposed bolt in the playground fence gate.

There was peeling paint on the yellow shelf in the main room. There was peeling paint on the pink wall in the infant room. There was peeling plaster on the main room circle time wall.

The upstairs bathroom sink faucet was corroded.

The second toilet stall in the upstairs bathroom room lacked washing hands signs.

There was a cracked bin and foam blocks with teeth marks in the main room. There was a clear cracked bin holding ABC's blocks and a clear cracked bin holding wooden blocks. There was a blue shelf with a chipped corner in the upstairs preschool room. There was a broken yellow wet floor cone in the stairway by the upstairs preschool room. There was a playground play cube with a crack on the blue wall. There were 4 damaged hula hoops in the playground.

There was a bomb chair with missing straps in the infant room.

The file for child # 2 a young toddler lacked a current health report that was not updated within 6 months. The previous report was dated 4/12/21. The child start date was 4/12/21.

The file for child # 2 is missing a dose of DTAP, Hep A and influenza vaccine. The file for child # 3 is missing a dose of the MMR and Varicella vaccine.

The file for child # 3 contained an exemption letter for the influenza vaccine that lacked the date.

Staff# 5 was observed not cleaning the diaper changing pad after diapering.

Staff # 5 did not wash her hands after diapering a child.

The upstairs preschool room did not have the evacuation routes posted in a conspicuous location.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 3/31/23 to 5/15/23.

The file for child # 1 an infant lacked an initial health report. The child has been in care longer than 60days. The child cannot return until the facility has a copy of the immunizations.

The file for staff # 3 contained a current Pediatric First Aid and Pediatric CPR training dated 7/22/22. The training was not obtained prior to the expiration of the previous certificate dated 5/2/20 - 5/2022.

The file for staff #3 lacked annual fire safety training conducted by a fire protection professional.

Staff # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff # 4 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training the certificate is dated 12/14/22. Mandated Reporter training the certificate is dated 4/5/23.

Based on staff statements, the children were not taken outdoors daily, weather permitting.

The file for child #1 lacked the date on which the fee is to be paid on the agreement form.

The file for staff # 1 contains a current Mandated Reporter training dated 7/26/20. The previous certificate dated 5/16/15. The file for staff # 2 contains a current Mandated Reporter training dated 7/24/20. The previous certificate dated 5/22/15. The file for staff # 3 contains a current Mandated Reporter training dated 4/5/23. The previous certificate dated 5/27/15.

On 4/21/23, it was determined that staff #1 grabbed child #1 roughly, when the child was being disruptive during nap time.

On 4/21/23, based on staff statements, staff #1 stated "I can't stand him. I'll kill that kid." in the presence of children during nap time.

The file for staff #1, contained a current FBI clearance (4/14/21) that was renewed beyond 60 months after the previous clearance (12/14/15). A current State Police clearance (4/12/21)that was renewed beyond 60 months after the previous clearance (12/9/15). A current Child Abuse clearance (4/10/22) that was renewed beyond 60 months after the previous clearance (12/15/15). The file for staff #2 lacked the NSOR certificate.

There were 4 sanitizer bottles accessible to children in the Social Hall room. There were 3 sanitizer bottles in the Main room accessible to children, labeled "Keep out of reach of children".

The first-aid kit in the infant room lacked tweezers. The first-aid kit in the Main room lacked gauze.

The rubber wall baseboard on the main room was pulled off on the toddlers area.There was a wall panel that was pulling off on the back wall on the toddler area.

There was a broken plastic brown board filled with water on the corner of the fence playground.

The file for Child #1lacks documentation of a current influenza immunization as recommended by the ACIP.

There were 3 lunch boxes,unrefrigerated, in the in the Social Hall room that contained cheese, Yogurt and lunch meat.

The emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

The facility lacked annual Emergency drill log.

The operator was not maintaining a written log for testing the fire detection system every 30 days.

The emergency plan lacked accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility lacked a policy to identify Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

The file for staff #1 has a current pediatric first-aid and pediatric CPR certification dated 6/10/21-6/10/23. The certification was not renewed prior to the expiration of the previous certification dated 5/2/18-5/2/20.

The file for child #1 lacked the work telephone number of the enrolling parent on the emergency contact form.

The file for child #1 lacked the information on the child's special needs on the emergency contact form.

The file for child # 2 lacks the address and phone number for the release person on the emergency contact form.

The emergency contact form for child #3 was not present in the Social Hall room where the child was receiving care.

The file for staff #1 contained a current mandated reporter training certificate (7/24/20) that was renewed beyond 60 months after the previous certificate (6/2/15).