Joy Garden Creative Center

A renewal inspection was conducted on 9/11/2025. At that time, an uncovered outlet was observed in the Lily Room near the refrigerator. Outlet was accessible to preschool-aged children.

A renewal inspection was conducted on 9/11/2025. At that time, several cleaning materials labeled "keep out of reach of children" were observed in a closet off of Room 4. Closet door was open and had a plastic gate propped against the doorframe. The gate was not secured and could easily be moved. Additionally, Mr. Clean floor cleaner and Goo Gone, both labeled "keep out of reach of children" were observed in the cabinet under the sink in the Lily Room. The cabinet was not locked and therefore accessible to children.

A renewal inspection was conducted on 9/11/2025. At that time, a sample of children's files were reviewed. Health assessment dated 7/2/2025 on file for child #1 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

A renewal inspection was conducted on 9/11/2025. At that time, staff files were reviewed. Initial health assessment and TB testing on file for staff person #4 are dated 4/29/2025, which is after their start date (see LIS code sheet for start date).

A renewal inspection was conducted on 9/11/2025. During that time, pick-up and drop-off procedures were not posted in a conspicuous location in the child care facility.

A renewal inspection was conducted on 9/11/2025. At that time, the facility's letter explaining the emergency plan did not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

A renewal inspection was conducted on 9/11/2025. During that time, last emergency drill log on file at the facility was dated 9/7/2023.

A renewal inspection was conducted on 9/11/2025. At that time, staff files were reviewed. Staff person #1 and staff person #2 were listed as Group Supervisors. A review of their qualifications determined that they qualify as Assistant Group Supervisors.

A renewal inspection was conducted on 9/11/2025. At that time, daily activities were not posted in the office (room 3), which is measured child care space.

A renewal inspection was conducted on 9/11/2025. At that time, a sample of children's files were reviewed. The following information was missing from emergency contact forms: Child #2: Both parents' work addresses and work telephone numbers. Child #3: Both parents' work addresses and work telephone numbers. Child #4: Both parents' work telephone numbers.

A renewal inspection was conducted on 9/11/2025. At that time, emergency contact form for child #3 was not present in the Sunflower Room, where child was receiving care.

A renewal inspection was conducted on 9/11/2025. At that time, staff files were reviewed. Staff person #1's file contained a reference written by their sister.

A renewal inspection was conducted on 9/11/2025. At that time, staff files were reviewed. Certificate for pediatric first-aid/CPR training on file for staff person #4 is dated 8/12/2025, which is more than 90 days after hire date (see LIS code sheet for hire date).

During a complaint investigation it was discovered that therapists were not being allowed into facility to work with children.

During unannounced monitoring conducted on 11/19/2024, Staff person #2 and staff person #3 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety training. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety training or mandated reporter training. An acceptable plan of correction was received with a correction date of 11/20/2024. When certification representative returned for unannounced monitoring on 1/7/2025, Staff person #1, staff person #4, and staff person #5 were observed to be caring for children unsupervised. Staff person #1, staff person #4, and staff person #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR from PQAS instructor.

During unannounced monitoring conducted 11/19/2024, staff person #6 was alone in the Lily Room with 12 preschool-aged children. Additionally, there were 13 children total in the Sunflower Room, ranging from young to older toddler. Staff person #2 identified 3 young toddlers as being in their group and staff person #3 first identified 3 young toddlers in their group. Staff person #3 was reminded that they were assigned an additional child and then identified that child as being in their group. Staff person #4 identified 6 older toddlers as being in their group. Prior to visiting the Sunflower Room, certification representative was verifying corrections from previous inspection summary and staff person #4 was accompanying certification representative throughout the facility without their assigned group, leaving staff person #2 and staff person #3 to supervise the 13 children. An acceptable plan of correction was received with a correction date of 11/19/2024. When certification representative returned to facility on 12/10/2024 for a complaint investigation, it was verified that on 12/5/2024, a representative from an outside agency observed the Lily Room to have 13 preschool-aged…

During renewal inspection conducted 10/3/2024, staff person #1 and staff person #2 were in the Sunflower Room during naptime. Both staff persons stated that there were 14 children total in the room, ranging from young to older toddler. Staff person #1 and staff person #2 each identified 5 children as being assigned to their individual groups, totaling 10 children. When asked about this, staff stated that the other staff member in the room assigned to the remaining 4 children is on break. Rep advised that all children must be accounted for. Staff understood and each took 2 additional children. Staff person #1 and staff person #2 were able to correctly identify all children in the room and each had a total of 7 children in their individual groups prior to rep departing room. An acceptable plan of correction was received with a correction date of 10/3/2024. When certification representative returned for unannounced monitoring on 11/19/2024, there were 13 children total in the Sunflower Room, ranging from young to older toddler. Staff person #2 identified 3 young toddlers as being in their group and staff person #3 first identified 3 young toddlers in their group. Staff person #3 was…

During unannounced monitoring conducted on 11/19/2024, Staff person #2 and staff person #3 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety training. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: CCDBG Health and Safety training or mandated reporter training.

During unannounced monitoring conducted 11/19/2024, disclosure statements on file for staff person #3 and staff person #6 were not dated.

During unannounced monitoring conducted 11/19/2024, staff person #6 was alone in the Lily Room with 12 preschool-aged children. Additionally, there were 13 children total in the Sunflower Room, ranging from young to older toddler. Staff person #2 identified 3 young toddlers as being in their group and staff person #3 first identified 3 young toddlers in their group. Staff person #3 was reminded that they were assigned an additional child and then identified that child as being in their group. Staff person #4 identified 6 older toddlers as being in their group. Prior to visiting the Sunflower Room, certification representative was verifying corrections from previous inspection summary and staff person #4 was accompanying certification representative throughout the facility without their assigned group, leaving staff person #2 and staff person #3 to supervise the 13 children.

During renewal inspection conducted 10/3/2024, staff person #1 and staff person #2 were in the Sunflower Room during naptime. Both staff persons stated that there were 14 children total in the room, ranging from young to older toddler. Staff person #1 and staff person #2 each identified 5 children as being assigned to their individual groups, totaling 10 children. When asked about this, staff stated that the other staff member in the room assigned to the remaining 4 children is on break. Rep advised that all children must be accounted for. Staff understood and each took 2 additional children. Staff person #1 and staff person #2 were able to correctly identify all children in the room and each had a total of 7 children in their individual groups prior to rep departing room. An acceptable plan of correction was received with a correction date of 10/3/2024. When certification representative returned for unannounced monitoring on 11/19/2024, there were 13 children total in the Sunflower Room, ranging from young to older toddler. Staff person #2 identified 3 young toddlers as being in their group and staff person #3 first identified 3 young toddlers in their group. Staff person #3 was…

During unannounced monitoring conducted 11/19/2024, first-aid kit in Room 4 (entryway) did not contain scissors or soap.

During renewal inspection conducted on 10/3/2024, there was no initial health assessment or TB test results on file for staff person #2 or staff person #5. An acceptable plan of correction was received with a correction date of 10/16/2024. When certification representative returned for unannounced monitoring on 11/19/2024, there was no initial health assessment or TB test results on file for staff person #3.

During renewal inspection conducted 10/3/2024, staff person #1 and staff person #2 were in the Sunflower Room during naptime. Both staff persons stated that there were 14 children total in the room, ranging from young to older toddler. Staff person #1 and staff person #2 each identified 5 children as being assigned to their individual groups, totaling 10 children. When asked about this, staff stated that the other staff member in the room assigned to the remaining 4 children is on break. Rep advised that all children must be accounted for. Staff understood and each took 2 additional children. Staff person #1 and staff person #2 were able to correctly identify all children in the room and each had a total of 7 children in their individual groups prior to rep departing room.

During renewal inspection conducted 10/3/2024, there was no first-aid kit in Room 4 (entryway) which is measured childcare space.

During renewal inspection conducted 10/3/2024, last health assessment on file for child #3 is dated 9/19/2023, which is past 12 months.

During renewal inspection conducted 10/3/2024, immunization summary on file for child #5 does not indicate that child is immunized according to the recommendations. Child #5 has received 3 of 4 doses of DTAP vaccine and 1 of 2 doses of Hep A vaccine. Child #5 is a young toddler (see LIS code sheet). There is no exemption on file.

During renewal inspection conducted on 10/3/2024, there was no initial health assessment or TB test results on file for staff person #2 or staff person #5.

During renewal inspection conducted 10/3/2024, fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 12/8/2023-1/8/2024 and 3/4/2024-4/4/2024.

During renewal inspection conducted 10/3/2024, staff person #3 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 from PQAS instructor.

During renewal inspection conducted 10/3/2024, staff person #3 and staff person #5 are both listed as AGS on staff data sheet, which was completed by director. File for staff person #3 contains proof of completing 11th grade and 3.5 years of childcare experience, which qualifies them as an Aide. File for staff person #5 contains a HS diploma and proof of 8 months childcare experience, qualifying them as an Aide.

During renewal inspection conducted 10/3/2024, the following information was missing from children's files: Child #1: Release person(s) on fee agreement. Last child service report (CSR) on file is dated 2/8/2024, which is past 6 months. Child #2: Last child service report (CSR) on file is dated 1/16/2024, which is past 6 months. Child #3: Last child service report (CSR) on file is dated 1/31/2024, which is past 6 months. Child #4: Last child service report (CSR) on file is dated 1/29/2024, which is past 6 months.

During renewal inspection conducted 10/3/2024, the following information was missing from children's emergency contact forms: Child #2: father's address, who is also listed as a release person. Child #5: release person's address and phone number.

During renewal inspection conducted 10/3/2024, emergency contact form for child #1 does not contain signed parental consents for minor first-aid or emergency medical care.

During renewal inspection conducted 10/3/2024, there was no verification of education on file for staff person #2.

It was observed that the facility did not provide to parents a letter explaining all of the facility's emergency plan procedures. The letter provided to the families did not include information regarding the facility's lockdown procedures or accommodations for toddlers, those with special needs or chronic medical conditions.

It was stated during inspection by facility staff that up to 12 preschoolers and 13 school agers could be present in the preschool classroom after school between 3:45p-4:15p on certain days, and the preschool classroom is only measured for a total capacity of 17 children. In addition, the classroom schedule does not show the room being over capacity at any point of the day, and there is nothing specifying the program activity that the children are involved in during that time that the room is over capacity.

It was observed that cleaning materials in both the toddler and preschool rooms were in spray bottles that were left unlabeled and did not specify the contents.

It was observed that the facility used portable phones which were moved about the facility, and neither the toddler or preschool rooms contained posted emergency telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center.

It was observed that a rest mat used by a child in the toddler room was ripped and not in good repair.

File for child #1 did not contain documentation regarding the status of all immunizations recommended by the ACIP; child #1 did not have any documentation regarding the influenza vaccine.

It was observed during rest time that a toddler had fallen asleep with a bottle.

It was observed on the facility's fire alarm test log that an alarm test was completed on 3/3/23 and the subsequent test was completed on 4/21/23. These dates show that the testing of the alarms was not completed and logged every 30 days as required.

It was observed that the facility did not have on file documentation to verify that the facility's emergency plan was sent to both the local municipality and to the county emergency management agency.

Files for staff person #1 and #2, both employed as aides, verified that neither of these staff persons are 18 years of age or older and neither had on file documentation to meet one of the applicable qualifications to be employed as an aide.

It was observed that although the preschool room had a schedule posted, that posted schedule did not include the plan of daily activities for the entire day. It was stated that the room opened at 6:30am, but the posted schedule of activities did not start until 8am.

File for child #2 did not contain a completed emergency contact form or any of the required emergency contact information. Agreement for child #2 did not specify designated release persons; this section was left blank.

Emergency contact form for child #4 did not contain the address of the child's physician or source of medical care, and did not contain the work address or work telephone number of the enrolling parent.

Emergency contact form for child #3 did not contain the child's health insurance coverage name or policy number.

Emergency contact forms for child #3 and #4 did not contain the release person's address.

It was observed that the emergency contact forms for children in the toddler and preschool rooms were not present for those children receiving care in those spaces.

It was observed that staff person #2 was in room 2 with 7 toddlers. It was stated that the youngest child present in room 2 with staff person #2 at that time was a young toddler.

It was observed that an extension cord was run from the right side of room 3, across the floor in front of an emergency exit, and was plugged into the wall on the left side of room 3, causing a tripping hazard.

Health report on file for child #1 did not contain a date.

It was observed that written document of an annual emergency drill conducted by the facility within the last 12 months was not found on file.

It was observed and stated that the facility did not send an annual traffic letter to the local traffic authorities.

Staff person #1, see code sheet for date of hire, did not complete annual fire safety training and has been employed at the facility for more than 1 year.

File for staff person #2, who is currently employed as an assistance group supervisor, did not contain adequate or acceptable documentation verifying their education level.

Agreement for child #1 did not specify the child's admission date.

It was observed that the facility did not have emergency contact information present in the child care spaces where children were receiving care that day.

It was observed that staff person #1 did not have written verification on file of completing 12 clock hours of annual child care training.

It was observed that a soiled diaper was left in a plastic grocery bag at the foot of the changing table in Room 2 instead of being immediately discarded into a plastic-lined, hands-free covered garbage can.

On 7/26/22, it was observed that the facility had sustained extensive damage to the outdoor play space fence, and the front left corner of the building. It was observed that a sign was posted on the door indicating that as of 7/21/22 at 10:30am, the building code official condemned the facility writing, "Section 116(A) 116.1 Structure unfit for human habitation due to a vehicle in the structure." It was confirmed by local authorities that on 7/21/22 at approximately 9:30am a vehicle crashed through the outdoor play space and into the side of the facility causing structural damage. It was observed that no one was present in the building on 7/26/22.

It was observed on 7/26/22, that the facility's out door play space fence, which restricts the children from the busy highway in front of the facility, was knocked over and broken, and a wall of crumbling brick from the side of the building was falling down in that play space. It was observed that this single out door play space containing the broken fence and crumbling brick is the facility's only indoor or outdoor space used for large muscle activity.

On 11/18/21, it was observed that the facility did not follow their previously accepted plan of correction requested on 10/15/21; the facility did not have in their emergency plan accommodations for toddlers, and toddlers were observed in care at the time of the inspection.

File for staff person #1, hired in 2011, contained a PA state police clearance dated 4/11/16 and 9/14/21, a child abuse clearance dated 4/14/16 and 9/20/21, and a FBI clearance dated 4/13/16 and 9/19/21. These clearances on file were obtained more than 60 months apart. File for staff person #2, hired in 2011, contained a PA state police clearance dated 4/11/16 and 9/14/21, a child abuse clearance dated 4/19/16 and 9/16/21, a FBI clearance dated 4/13/16 and 9/18/21, and a mandated reporter training certificate dated 11/29/15. These clearances on file were obtained more than 60 months apart. The mandated reporter training on file for staff person #2 is more than 60 months old and no updated training was observed on file. File for staff person #3, hired on 08/18/21, contained a NSOR verification certificate dated 09/21/21. Due to the start date of the staff person and the date of their NSOR verification certificate, this staff person would have been hired provisionally, but the facility does not currently have a provisional hire waiver on file.

It was observed upon arrival at the facility that staff person #1 and #3 were outside in the outdoor play space with eight toddler-aged children. Staff person #1 left the outdoor play space to go find staff person #2 leaving staff person #3 outside with all eight children, the youngest being child #4 who is a one-year-old. It was observed in Room 1, from approximately 10:30am until noon, staff person #4 was alone in the room and had 12 preschool aged children present.

A telephone was observed in Room 1 but the emergency telephone numbers were not posted by this phone as required. It was observed that the emergency telephone numbers posted by the telephone in Room 3 did not include the phone number to the nearest hospital.

It was observed in Room 1 that the roll shades, which were pulled down and used during rest time, contained frayed sides on three of the windows and a large hole at the bottom of one of them leaving these not in good repair.

It was observed in the outdoor play space that the wall of the climber was weathered and had a large open crack leaving it not in good repair.

It was observed in Room 3 and Room 4 that neither a daily schedule nor the facility's emergency transportation plan were posted.

It was observed that the facility did not have on file documentation of proof of purchase for their fire alarm system. It was observed that the facility maintains a fire alarm system but does not have on file a functional annual fire alarm inspection report, so in place of this, the facility logs testing of their fire alarms. The log shows that the alarms were tested on 3/23/21, 5/17/21, 7/1/21, 8/19/21, and 9/21/21. These fire alarm tests were not being completed and logged every 30 days as required. It was observed that the facility pulled the fire alarm to test and sound the system during the inspection. Although multiple alarms throughout the facility did sound, it was observed that the alarm in Room 1, as part of the system as a whole, did not sound during the inspection.

It was observed that the facility did not have in their emergency plan, a lock-down procedure or accommodations for toddlers, and toddlers were observed in care at the time of the inspection. A lock-down procedure was added to the facility emergency plan and verified as implemented on 11/18/21.

Agreement for child #2 did not specify the child's admission date.

Emergency contact forms for child #1 and #2 did not contain the child's health insurance coverage and policy number or Medical Assistance benefits information.

Emergency contact form for child #3 did not contain the release person's address.