Imagination Land Day Care

At the time of the inspection on 7/9/25, in the play space's poured in place surfacing, the surfacing was cracked and flaking away causing divots where it posed a tripping hazard to both staff and children.

At the time of the inspection on 7/9/25, a yellow plastic-molded seat for the table used in the infant room was cracked and posed a pinch point.

At the time of the inspection on 7/9/25, staff person #4 did not wash their hands or the hands after child #1 was diapered. The child was placed directly into a pack and play after diapering.

At the time of the inspection, 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 training requirements.

At the time of the inspection on 7/9/25, the facility's current certificate of compliance was not posted. The certificate of compliance that was posted had an expiration date of 3/12/25.

At the time of the inspection on 12/18/24, staff persons #9 and #12 had 6 children (2 infants and 4 young toddlers) in their care. When they were asked who they were responsible for, they admitted to not assigning children specifically to their own groups.

At the time of the inspection, the certification representative observed staff person #3 raising her voice to a child, putting her hands on his shoulders and told him to get to the back of the line. She then went to the back of the line and raised her voice again to the child and told him to sit down.

The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

At the time of the inspection on 12/18/24, the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of the inspection on 12/18/24, the emergency plan on file was last documented as being reviewed on 2/10/23 and not annually as required. Staff person #3 was not trained in the emergency plan annually as required. This is evidenced by the current training date of 11/26/24 and the previous training date of 3/7/23. Staff person #10 and staff person #12 did not have any evidence of updated emergency plan training being conducted annually. The only emergency plan training in the file was from 11/2/23. Staff person #11 did not have any emergency plan training in their file. Staff person #11 has been employed at the facility for more than 12 months. Staff person #5 was not trained in the emergency plan within 90 days of hire. She was not trained in the plan until 10/21/24 (see LIS code sheet for date of hire).

At the time of the inspection on 12/18/24, in the Preschool room, Dawn dish soap and Soft-soap was observed under the sink. The labels read "Keep out of reach of children" and these were accessible to children. In the Older Toddler room, Tylenol was observed in a child's bag in a child's cubby and was accessible to children.

At the time of the inspection on 12/18/24, a ceiling tile located in the corner of the PS room had water damage. The operator acknowledged a water leak in the ceiling. In the outdoor play area, on the deck portion of the play space, two nails were observed laying on the ground. In the play space's poured in place surfacing, the surface was cracked and caused large divots where it posed a tripping hazard to both staff and children.

At the time of the inspection, hand washing signs were missing from the sinks in the infant classroom.

At the time of the inspection, an emergency exit door in the older toddler room was observed to be obstructed by a shelf placed in front of it.

At the time of the inspection on 12/18/24, two portable space heaters were observed in the office.

At the time of the inspection on 12/18/24, the white highchair in the older toddler room was missing the T-shaped safety strap.

At the time of the inspection, the health assessment on file for child #2 was dated 10/18/24. The previous health assessment was dated 8/3/23. This was not updated every 6 months as required for a young toddler (see LIS code sheet for date of birth).

At the time of the inspection, there was no label for the Epi-Pen that was present at the facility for child #6. There was no medication log with parental written consent for the Tylenol for child #7.

At the time of the inspection, the hands of the children in the infant room were not washed prior to sitting in their seats to eat lunch.

At the time of the inspection, paper towels or any source for the child to dry their hands after washing them was missing from the school age and older toddler rooms.

At the time of the inspection on 12/18/24, in both of the infant and older toddler classrooms, the lid to the trash can used for diapering was not connected to the can and was resting on top of it. When the foot pedal was engaged to lift the lid, the lid did not move; therefore, this is not hands-free and cannot be used for diapering.

At the time of the inspection, the health assessment on file for staff #1, dated 10/17/24, appeared to have been photocopied after the date was altered on the original copy. The original copy of the document was observed in the file and contained a date of 9/7/23 which was altered, and a date of 10/17/24 was written in.

At the time of the inspection, the health assessment for staff person #13 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of the inspection, a bottle was observed with an infant in the child's pack and play. The bottle was not labeled.

At the time of the inspection, pick up and drop off procedures were not posted in the facility.

At the time of the inspection on 12/18/24, the emergency plan did not include lockdown procedures. The emergency plan was also not posted.

At the time of the inspection on 12/18/24, the initial health report for child #1 was dated 11/13/24 which was after the required timeframe of 60 days following the first day of attendance to submit a health report (see LIS code sheet for date of admission).

At the time of the inspection, staff person #1, #3 did not complete fire safety training annually as required. This is evidenced by the current fire safety training date of 9/26/24 and the previous training date of 6/29/23. Staff persons #10 and #11 did not complete fire safety training until 9/26/24. This was not within the 12 months of when the staff person was hired (see LIS code sheet for date of hire).

At the time of the inspection on 12/18/24, 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 First Aid/CPR training.

At the time of the inspection, staff person #6 and staff person #10 did not have 2,500 hours of previous childcare experience to accompany the diploma on file and could not qualify as an assistant group supervisor. Staff person #11 did not have a transcript to accompany the Bachelor of Art in Literature degree and could not qualify for the position they were performing.

At the time of the inspection, staff persons # 10, #11 and #12 did not receive a written evaluation until 11/26/24, which was past the 12-month requirement. Staff persons #10, #11 and #12 have been employed at the facility for more than 12 months (see LIS code sheet for date of hire).

At the time of the inspection on 12/18/24, a written plan of daily activities and routines, including a time for free play was not posted in the school age room.

At the time of the inspection on 12/18/24, the operator did not have supervision policies documented in the parent handbook which is provided to parents at enrollment.

At the time of the inspection on 12/18/24, the last documented child service report on file for child #3 was conducted on 5/14/24 and not every 6 months as required.

At the time of the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in any child care space.

At the time of the inspection on 12/18/24, the emergency contact form for child #4 was updated on 9/4/24 with a previous review/update date of 2/19/24. This reflects a period of longer than the 6-month required parent review/update.

At the time of the inspection on 12/18/24, the operator acknowledged that the parents of enrolled children are not provided Chapter 3270 regulations electronically.

The file of STAFF #1 (see code sheet) contained all required PA clearances. STAFF #1 has lived out of state within the past 60 months and does not have clearances from that state. There are no copies of requests for the out of state clearances in the file.

During renewal inspection in the OT room, there were numerous plastic bags stored in a drawer that was accessible to children. Plastic trash bags were stored in a cabinet that was accessible to children.

During renewal inspection on 12/14/22 cert rep observed a can of disinfectant spray and a can of spider killer in the bathroom vanity cabinet in the OLDER TODDLER room. The cabinet had a child proof lock on it, but the lock was open and the toxics were accessible to the children.

During renewal inspection on 12/14/22 cert rep reviewed several children's files. CHILD #2 (see code sheet for DOB) did not have the influenza immunization or an exemption letter in file.

During renewal inspection on 12/14/22 cert rep observed a bottle of Acetominophen in the PS (3 yr. old) room with an expiration date of 11/2022.

During renewal inspection on 12/14/22 cert rep reviewed several children's files. CHILD #1 (see code sheet for start date) did not have a health assessment in file. It is more than 60 days since child's start date.

During renewal inspection on 12/14/21 cert rep reviewed several staff files. STAFF # 1 (start date 12/13/21) had a confirmation that NSOR application was sent, but the NSOR verification was not yet received. Provider does not have a provisional hire waiver.

During renewal inspection on 12/14/21 cert rep asked to see the facility emergency plan. There was no copy of the emergency plan available at the facility.

During electronic review of facility emergency plan on 12/15/21 cert rep observed that there was no plan for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.