Juanita Collins Daycare

On 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room resulting in a 0 to 4, staff to child ratio. Then, staff person #4 walked into the room from the back hallway to supervise the children.

On 8-14-25 at approximately 12:05 p.m. with a total of 8 children in the toddler area, staff person #5 named 8 children in their group, including 7 older toddlers and 1 preschooler, resulting in staff person #5 being out of ratio. The 7 older toddlers were on rest equipment for naptime, and the preschooler was sitting in a chair and not on rest equipment, resulting in napping ratios not being applicable due to the preschool child that was not on rest equipment.

On 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room. Then, staff person #4 walked into the room from the back hallway to supervise the children.

On 8-14-25 at approximately 12:07 p.m. in the upstairs room during naptime, there were 4 preschoolers observed alone in the room on rest equipment for approximately 5-10 seconds without a staff person present in the room. Then, staff person #4 walked into the room from the back hallway to supervise the children. On 8-14-25, staff person #6 and #7 were observed on an excursion leaving the nearby high school with 18 school-age and preschool children and were walking back to the facility. Staff person #6 and #7 both stated that they were sharing the group of 18 children, with staff person #6 naming all 18 children, and staff person #7 naming 16 of the 18 children and stated that they did not know 2 of the children's names.

Staff person #3 had mandated reporter trainings dated 6-16-20 and 6-25-25 that were over 60 months between trainings.

The file for staff person #1 had an NSOR verification certificate dated 8-5-20 and lacked a current NSOR verification certificate updated within the last 60 months. The file for staff person #2 had child abuse clearances dated 6-16-20 and 7-2-25 that were over 60 months between clearances.

2nd CITATION: In the upstairs room, there were multiple areas of peeling paint on the back and right walls, and there were multiple areas of peeling paint on the two corners near the boys' bathroom in the hallway leading from the room to the bathroom. In the back room downstairs, there were a couple areas of peeling paint near the door to the room. PREVIOUSLY CITED ON 6-11-25.

The file for staff person #1 had an invalid state police clearance that lacked the disseminated date and requires a current state police clearance updated within the last 60 months. The file for staff person #1 had child abuse clearances and NSOR verification certificates that exceeded 60 months between clearances/certificates. The file for staff person #2 had state police clearances, FBI clearances, and NSOR verification certificates that exceeded 60 months between clearances/certificates.

In the upstairs sink/counter area in the kitchen near the bathrooms, there were a sharp knife and a pitchfork utensil that had sharp edges and were accessible to children.

On the outdoor play space, there were 4 bolts on the inside of the fence near the gate and right corner that were protruding out and were a visible hazard. In the upstairs back stairwell, the windowsill had cobwebs and visible dirt.

There were a couple areas of peeling paint upstairs on the left side of the hallway leading to the bathrooms and a couple areas on the right wall near the baseboard in the girls' bathroom.

In the infant room with a 1 year old that was walking and able to wash their hands, the sink next to the changing table had a stepstool that was at a height that the child was unable to reach the sink after diapering to wash their hands.

The file for staff person #2 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results of the examination.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 5-9-25 to 6-9-25.

The file for staff person #3 had current pediatric first-aid/CPR training with a completion date of 11-23-24 that was after the October 2024 expiration of the prior training.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training in the topics of 3270.31(f)(1-9).

The file for staff person #1 had an invalid state police clearance and requires a current state police clearance. The file for staff person #1 had a disclosure statement that was dated after their start date at the facility. The file for staff person #4 had a disclosure statement that lacked the signature of a witness.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with disabilities.

On the outdoor play space, there were several sharp edges of metal on the right wall of the building that were accessible to children.

In the school-age room, there was damaged paint and plaster in one area on the wall.

There was a portable space heater observed in the office area in the front of the building.

In the toddler room with young and older toddlers present in the room, there were two large fabric blocks that had multiple tears with small pieces coming apart from the blocks with a diameter of less than 1 inch and were accessible to children who are still placing objects in their mouths.

The file for child #3, a preschooler, had a health assessment that exceeded 12 months between assessments.

The file for child #2, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 3rd Hepatitis B and 4th DTAP vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #1 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The files for staff person #2 and #3 had a health assessment that exceeded 24 months between assessments.

The file for staff person #1 had a tuberculosis screening by the Mantoux method that was dated after their initial employment at the facility.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The file for child #2 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

The file for staff person #3 had fire safety training that exceeded a year between trainings.

The file for staff person #3 had a staff evaluation that exceeded 12 months between evaluations.

The file for child #1 had an agreement that lacked the fee amount.

The Disclosure statement on file for Staff person #1 does not include a witness signature. The file for Staff person #5, who was re-hired, does not include a signed Disclosure statement, signed at the time of re-hire (See LIS code sheet). The criminal history clearance on file for Staff person #5 is incomplete, making it invalid; and the FBI clearance on file includes a RAP sheet with charges that do not have a disposition, making it invalid.

During a supervision and ratio check at nap time, Staff person #1, who was supervising 1 young toddler and 4 older toddlers, could not name 2 of the 5 children.

The file for Staff person #3 did not contain the previously viewed Criminal history clearance, child abuse clearance, and FBI clearance, which were dated 5/11/15, 5/14/15, and 4/30/15, respectively. The file for Staff person #6 did not contain the previously viewed Criminal history clearance, child abuse clearance, which were dated 8/2/17 and 8/4/17, respectively. The file for Staff person #7 did not contain the previously viewed Criminal history clearance, child abuse clearance, and FBI clearance, which were dated 8/29/15, 6/18/15, and 9/25/15, respectively.

The 2 most recent emergency plan trainings on file for Staff person #7 are dated 5/10/22 and 6/6/23, more than 1 year apart.

There were area rugs in the Toddler area that were not tacked down and caused a tripping hazard as they were frequently kicked up or bunched up, creating a tripping hazard. There were missing ceiling tiles in the preschool area that had been removed during roof and water damage repairs and had not been replaced.

There was no running water for handwashing in the infant diapering area.

There were foam blocks in the Infant area and in the Toddler area that had teeth marks and small chunks that had broken off.

The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 2/16/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #4, who is 3 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, and a most recent influenza vaccination, which is recommended annually, dated 1/8/21, more than 1 year ago. The most recent influenza vaccination on file for Child #5, who is 5 years old, is dated1/25/19, more than 1 year ago, and is recommended annually by the ACIP.

The Infant diapering area does not have a hands-free, lined, lidded can for the disposal of diapers.

During an observed diaper change in the Infant area, a staff person did not wash their hands following the diaper change.

The most recent 30-day fire alarm test on file is dated 4/13/23, more than 30 days ago.

The file for Child #4, with an enrollment date of 3/6/23, more than 60 days ago, does not include a valid health assessment.

The Health and Safety professional development training update on file for Staff person #2 is dated 2/27/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #3 is dated 2/22/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 is dated 1/12/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff Person #6 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #7 is dated 2/28/23, after the deadline of 12/30/22, as per Announcement C-22-06.

The 2 most recent fire safety training certificates on file for Staff person #6 are dated 10/16/20 and 10/22/22, more than 1 year apart. The 2 most recent fire safety training certificates on file for Staff person #7 are dated 1/24/22 and 2/28/23, more than 1 year apart.

Staff person #3 completed mandated reporter training on 1/9/23, more than 60 months after the previous training, dated 10/28/17.

The file for Staff person #1, and #5 classified as an Assistant Group Supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

The file for Staff person #7, who has been employed for more that 1 year, does not include a staff evaluation (See LIS code sheet)

The file for Child #3, with an admission date of 9/19/22, more than 6 months ago, does not include a Child Service Report.

The file for Child #4 does not include written parental permission for the facility to obtain emergency medical care.

The emergency contact form on file for Child #3 does not include the child's health insurance policy number for the child's health care benefits.

The emergency contact form on file for Child #1 and #2 does not include a complete address for all listed release persons.

The file for Child #4 does not include written parental permission for the facility to administer minor first aid procedures.

The file for staff person #1 was observed not to include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) required for CPSL compliance. The file for staff person #4 was observed not to contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET).

The 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 5/29/15 and 6/16/20, more than 60 months apart. The signed disclosure statement on file for Staff person #3, #5, #6 are not dated, making them invalid. The file for Staff person #4 does not include a signed disclosure statement (See LIS Code Sheet).

While assessing supervision and ratio in the school age classroom, a staff person named 13 young and older school age children.

There was no gate at the top of the stairs on the 2nd floor, where 4 older toddlers were receiving care.

The cribs in the infant room are not labeled for use by a specific child.

During the renewal inspection, the refrigerator in the infant room was observed to not be closed fully, due to a milk jug preventing the refrigerator from closing completely, and the temperature measuring over 60 degrees Fahrenheit; while there was milk in the refrigerator.

The immunization record on file for Child #1, who is 2 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 1/25/19, more than 1 year ago, as is recommended annually by the ACIP. The immunization record on file for Child #3, who is 4 years old, includes 1 of 4 HIB vaccines recommended for a child this age by the ACIP. The immunization record on file for Child #4, who is 2 years old, includes 2 of 4 DTAP vaccines, 0 of 4 HIB vaccines, 2 of 4 Pneumococcal vaccines, 2 of 3 Polio vaccines, and 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

The initial health assessment on file for Staff person #3 does not indicate that a physical examination was conducted by the health care provider (See LIS Code Sheet).

There was no written documentation of an emergency drill being conducted prior to 12/19/21, as per updates to Chapter 3270 regulations, effective 12/19/20.

The file for Staff person #2 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #7 includes 9 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09.

Staff person #2 and Staff person #7 worked between 4/29/22-5/12/22 without having completed a PQAS approved Pediatric First Aid/CPR course taught by a PQAS approved instructor. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Get Started with Center-based Care: Building Blocks for Quality.

The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #4 and Staff person #6, both classified as Assistant Group Supervisors do not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or i high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

The file for Staff person #4 does not include two written, nonfamily references from individuals attesting to the person's suitability to work in a child care position. The file for Staff person #6 includes just one written, nonfamily references from individuals attesting to the person's suitability to work in a child care position.