Inspire Early Education · 2498 W Philadelphia St, York

The health report (dated 1/8/25) for Child #1, did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. That question was not checked/answered by the health care practitioner.

Medication for Child #2, was not in the original prescription container with a label that identifies the name of the medication and the name of the child for whom the medication is intended.

Staff Person #3 reportedly administered medication for Child #2 on 6/5/25 without written instructions from the medical practitioner who prescribed the medicine. There was no medication log filled out by the parent, or by staff who had administered the medication.

Medication for Child #2 was observed in a small bag inside of the child's backpack, which was hanging in the child's cubby in the classroom where it was accessible to children.

There was no medication log filled out by the parent, giving consent to administer medication to Child #2.

There was no Medication Log at the facility for medication that had been administered to Child #2. When medication is administered at the facility, a Medication Log must be established and maintained. The Log must include all items in 3270.133 (7)(i) through .133 (7)(viii).

Staff Person #1 has not completed Pediatric First Aid/CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric First Aid/CPR training on file expiring 5/11/25. Documentation of updated Pediatric First Aid/CPR is not on file.

The Daily Routine/Schedule was not posted in the PreK/SA Room (corrected on-site).

The file for Staff Person #2 did not contain documentation of the required 12 hours of annual childcare training. Documentation on file only showed that 2 hours of annual training was completed.

The files for Staff Persons #1 and #2, did not contain current clearances as follows: Staff Person #1 did not have a current NSOR clearance (dated 1/30/20) or State Police clearance (dated 2/21/20) and was observed working alone with children. Staff Person #2 did not have a current NSOR clearance (dated 1/30/20) and was observed working with children.

On 12/2/2024 child #1 was left alone on the outdoor play space, unsupervised for a period of approximately 6 - 8 minutes. At the time of the supervision lapse, staff #1 had 6 older toddlers in her care group and staff #2 had 5 younger and older toddlers in her care group, which included child #1. When lining up to come inside, both staff counted the total number of children. Staff did not recount or check for all children when they arrived back in the classroom. Staff #1 and staff #2 did not know child #1 was missing until they were returned to the group by the child's parent.

Sunscreen and diaper creams were accessible to children in a cabinet under the changing table in the Infant Room (corrected on-site). Hand sanitizer was accessible on a low shelf in the Prekdg room (corrected on-site) as well as on play equipment on the Toddler Playground (corrected on-site).

There was no thermometer inside the refrigerator in the Infant Room (corrected on-site).

The file for Child #1 did not include an updated health report within 6 months prior to the last one dated 11/17/23. The one submitted after that last one was dated 10/24/24.

Staff Person #1 did not wash two of the children's hands prior to eating lunch in the Infant Room.

Staff Person #1 did not wash her hands before serving lunch in the Infant Room.

Continued non-compliance from 11/14/23: The file for Staff 3 (who was observed working on 1/2/24), did not include the results of the NSOR clearance within the 45-day provisional hire period.

The PreKDG room had a school age child visiting with the preschool aged children and Staff 5 had 11 children in her care group consisting of 10 preschool aged children and 1 school age child. The other staff person, Staff 8, had 6 preschool aged children in her care group (corrected on-site). The Older Toddler room had a total of 12 children which included 9 older toddlers and 3 younger toddlers. Staff 3 had 6 children in her care group that included 5 older toddlers and 1 young toddler. Staff 6 had 6 children in her care group that included 4 older toddlers and 2 young toddlers.

Continued non-compliance from 11/14/23: A crib was observed being used for a newly enrolled infant (Child 1) in the Infant Room, that was not labeled for the use of a specific child. (Corrected on site).

The Emergency Contact Form in the classroom for Child 4 did not include Emergency Contact Persons.

Emergency Contact Forms in the classrooms for the following children were missing info about the child's physician as follows: Child 3: No name of physician listed Child 6: No name, address and phone number of physician listed Child 7: No phone number and address of physician listed

Emergency Contact Forms for Child 3, Child 4, Child 5 and Child 6 did not include information about any special needs, allergies or medical/dietary needs of the child.

The Emergency Contact Form for Child 6 did not include health insurance coverage and policy number.

Continued non-compliance from 11/14/23: There were no Emergency Contact Forms in the classrooms for newly enrolled children; Child 1 and Child 2 (Child 1: corrected on-site). The Emergency Contact Form for Child 5, that was updated on 10/6/23 on the office copy, was not copied and given to the child's classroom.

Emergency Contact Forms in the classrooms for Child 3 and Child 6 did not include signed parental consent for emergency medical care or for administration of minor first-aid procedures by facility staff. The Emergency Contact form in the classroom for Child 7, did not include signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff 7 did not include two written, nonfamily references. There was only one written reference in the file (corrected on-site).

The file for Staff 2 did not include the results of the NSOR clearance within the 45-day provisional hire period.

The floors through the facility were found to be sticky and dirty. The kitchen was not adequately cleaned and the counter and sink area were cluttered with materials.

The tables and shelving units in the classrooms throughout the facility were found to be dirty.

The bathroom in the Young Toddler Room contained a lined trash can with no lid and a lidded trash can with no liner. The bathroom in the Young Preschool Room also contained a lined trash can with no lid and a lidded trash can with no liner.

The first aid kit in the Older Toddler Room did not include tape. The first aid kit in the Young Preschool Room did not include scissors.

The first aid kit in the Go Bag of the Young Toddler Room did not include a bottle of water.

Floors and rugs throughout the facility were found to be dirty throughout the facility as follows: The floor in the kitchen and Older Toddler Room were dirty. Area rugs in the Older Toddler, Young Toddler, Older Preschool and Young Preschool classrooms were dirty.

The sinks, toilets and mirrors in the Young Toddler and Older Preschool bathrooms were found to be dirty.

The climber in the Young Toddler Room was dirty and the climber carpet was stained. The dramatic play equipment was dirty in the Older Toddler Room.

There were two cribs being used in the Infant Room for newly enrolled infants, that were not labeled for the use of a specific child.

The file for Child 1 did not include an updated health report within 12 months from the previous one, dated 1/20/22.

A child in the Older Toddler Room was observed not washing hands after using the toilet. Staff 3 was observed using gloves, but not washing her hands between diaper changes in the Older Toddler Room. Staff 4 did not wash infant hands after diapering. She said that she uses wipes on their hands but does not wash their hands with soap and water after diapering.

The fire drill log did not include documentation showing that the fire system was tested every 30 days.

The file for Child 2 did not include an initial health report within 60 days of the child's first day of attendance and the child is still enrolled at the facility. The immunization list provided for the child, did not include a current influenza vaccine. The last one documented was from 10/2020.

Staff 1 did not have documentation of 2 years of childcare experience to accompany her HS Diploma, as required for an Assistant Group Supervisor.

The Emergency Contact Forms that were present in the childcare classrooms, were not copies of the most current ones that had been updated in the past 6 months.

The file for Staff 1 did not include two written, non-family references.

The files for Staff Persons #1 and #3 did not include documentation of completion of the required 2022 1-hour Health and Safety training within the prescribed timeframe (by Dec. 30, 2022).

The file for Staff Person #2 did not include documentation of annual fire safety training within the past year.

Staff Person #4 has not completed the following required pre-service training within 90 days of hire (see LIS Code sheet): Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum

The file for Staff Person #5 contained only 1 of the 2 required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.