Jefferson Defrees Family Center

The file for staff person #1, hire date (see IS code sheet), is lacking a child abuse clearance as required for employment in child care under CPSL.

The letter for parents regarding the facility emergency plan is lacking information regarding procedures in a lock down emergency.

Observed on the outside play space a bin of assorted toys with a yellow plastic lid that was cracked posing a pinch hazard.

The files for staff persons #1, #2 and #3 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files are now current.

At the time of the inspection the door to the storage room located between the Gym and the Minions classroom was open allowing children access to a paper cutter which was sitting inside the door on a low table.

The file for child #1 contains emergency contact and financial agreement that has not been updated during the previous 6-month period.

Observed in the Turtles Room located on the second level, a sliding window with a modification that was not functioning properly and allowed the window to be open greater than 6 inches.

Observed in the Elephants Room Zyrtec and an Epipen that were not labeled with the name of the child for whom they were intended.

The fire alarm test log identified that alarm tests were conducted 1/24/25 and 2/24/25 which exceeded 30 days between tests.

The file for staff person #3, provisional hire date (see IS code sheet), is lacking a completed NSOR verification within 45 days of hire as required for provisional hire under CPSL. The file does contain a current NSOR verification.

Observed the following toxic plants located in childcare spaces and accessible to children: Cheetah Room - Aloa, pothos and Corn plant; Toddler Room - Aloe, snake, pothos and corn plant; Elephants Room - Aloe, Corn plant.

The file for staff person #3 contains documentation of a TB test that is lacking the results of the TB test.

The file for staff persons #1, #3 and #4 contain current health assessments that are lacking physician statements regarding examination for communicable disease and suitability to provide childcare.

The file for staff person #2, hire date (see IS code sheet) is lacking The Pennsylvania Health and Safety Update 2022 that was required to be completed by all staff by 12/30/2022.

The file for staff person #2 is lacking a valid mandated reporter training completed within 90 days of hire. The file does contain documentation of a current mandated reporter training.

The files of facility person #1, #2, #3, #4, #5, and #6, all new hires, did not have signed disclosure statements on the current for but did contain signed disclosure statements on the 11/2015 form.

A parent letter was not provided to the parents of enrolled children explaining the emergency procedures described in subsection (a).

The toilet in the Giraffe classroom did not contain a posted handwashing sign.

Cubbies were obstructing an exit in the upstairs school age classroom and cots were obstructing an exit in the balcony classroom.

The file of child #1 contained health assessments which were dated more than 12 months apart (8/18/2021 and 12/28/2022).

The immunization record of child #3 did not contain documentation of Hepatitis vaccinations as recommended by the ACIP or acceptable documentation of exemption.

The financial agreement of child #2 did not contain the arrival and departure times of the child.

The emergency contact form of child #4 did not contain the complete address of the child's physician.

The emergency contact form of child #4 did not contain 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 or documentation this is not applicable to the child.

The emergency contact form of child #2, #3 and #4 did not contain complete addresses of the individuals designated by the parent to whom the child may be released.

A monitor was observed atop an approximately 4' x 18" wooden shelf in an area accessible to children in the Giraffe Room. It was determined that the monitor could be knocked off of the shelf if the shelf were to be tipped, which created a risk of blunt force injury.

Two toilets located in the bathroom used by children in care were observed to have bolts protruding from the base of each side of the toilets. Contact with said bolts could cause laceration and/or puncture injuries.

An approximately 2'x2' wooden table used by children in care in the Turtles Room was observed to have exposed bolts on the underside of the tabletop where the top connected to the table legs. In the Elephants Room, an exposed bolt was observed on the underside of a wooden, child-sized chair used by children in care. Contact with said bolts could cause puncture or laceration injuries. An approximately 4'x3' free standing dry erase board in an area accessible to children in care in the Elephants Room was observed to have pinching points located at the base of the support frame.

An expired bottle of allergy medication was observed in an area inaccessible to children in the Elephants Room.

Although the file for Staff #2 contained a current health assessment, the previous health assessment on file was dated as administered more than 24 months prior.

The file for Child #1 contained an emergency contact form that did not include the address of an individual who is listed as a person to whom the child can be released.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not conspicuously posted in the Kangaroos Room.

The file for Staff #1 contained two written references; however, one reference was written by a relative of Staff #1.