Ken-Crest N E CENTER

At the time of inspection, the file for child #1 did not contain an updated health assessment dated in the lasty 12 months.

At the time of inspection, the emergency contact form for child #3 did not have signed parental consent for emergency medical care.

At the time of inspection, the agreement form for child #1 was not signed by the parent in the last 6 months. The emergency contact and agreement forms were not signed by the parent in the last 6 months. The emergency contact form for child #3 was not signed by the parent in the last 6 months and there was not an agreement form present in the child's facility file. The file for child #4 did not contain an agreement form.

On 4/ 15 /24, a preschool child left from their assigned classroom on the second floor unsupervised, went down the stairs and out of the facility's front door, where the child was discovered by a parent arriving to the facility. Preschool staff members #1 and #2 were unaware where the child was and did not know the child was no longer present in the classroom.

At the time of inspection, the file for staff member #1, hired 9/5/23; did not include a receipt of request for a PA State Police Criminal Clearance nor the completed PA State Police Criminal Clearance, as required CPSL.

At the time of inspection, dirt was observed on the air vent in room 2 near the reading area. The air vent, near the sink in classroom 3 was observed dusty and/ or discolored. The trash can in the room 3 had dirt on the outside. The air vent, near the fire extinguisher; in room 4 was observed with dust on the surface. The fan on the wall in classroom 4 was observed with dust on the on the surface.

At the time of inspection, a trash receptacle observed in the bathroom located in room #4, was not equipped with a lid.

At the time of inspection, the file for child #1, D.O.B. 12/27/18 & enrolled 9/6/22; included a health assessment dated 4/6/22 which hadn't been updated within the last 12 months.

At the time of inspection, the file for child #2, D.O.B. 6/10/19 & enrolled 9/6/22; did not include a Child Health Assessment but a Summary of Visit documentation with vaccination information. The Summary of Visit document did not include the medical providers' signature, nor did it include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The last health assessment observed in child #3's file was dated 9/17/21.

At the time of inspection, the file for staff member #1 did not include an initial health nor the TB results required for an initial health assessment.

At the time of inspection, the file for staff member #2, hired 10/22/01; did not include verification of completion of the Health & Safety Training 1 Hour Update. All staff members were required to complete the training by the end of December 2022.

At the time of inspection, the agreement forms for child #2 and child #3 did not include enrollment dates.

At the time of inspection, the emergency contact forms for child #5 was missing the addresses of the release person(s).

At the time of inspection, the emergency contact and/or financial agreement forms for children #1, #2, 3 and #4 had not been updated or reviewed by the parents of the children in the last 6 months. The emergency contact and financial agreement forms for child #1 were both dated 9/1/22. Child #2's emergency contact form was dated 3/12/23 and the financial agreement was undated. Child #3's emergency contact form for was dated 5/15/22 and the financial agreement form was undated. Child's #4's emergency contact and financial agreement forms were both dated 8/19/22.

On May 10, 2023, certification representative conducted a complaint investigation. According to witnesses, staff person #1 picked a child up by the arm and moved them to another seat in a harsh manner.

On November 15, 2022 during the renewal inspection, staff #1 did not know the name of the children in their responsibility group.