Kids First Center for Early Learning

The file of Staff #15 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #15 had a Mantoux read date of 7/1/22.

The files of Staff #3, #9, #10, and #11 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

The operator lacked documentation of sending the emergency plan updates to the local municipality.

Staff #16 lacked renewal of his/her certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification observed on file for Staff #16 was dated 6/6/21 with an expiration date of June 2023. The file of Staff #16 contained a certificate dated 11/16/22 but it was not pediatric first aid/CPR from a PQAS approved trainer.

Staff #2 and #8 lacked documentation of completing mandated reporter training every 60 months. Staff #2 and #8 had documentation of mandated reporter training completed on 2/5/20 with previous training completed on 1/27/15.

The files of Staff #14 and #15 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #14 contained written evaluations dated 1/5/22 and 11/7/23. The file of Staff #15 contained a staff evaluation dated 11/28/23.

The files of Staff #3 and #4, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children.

The agreement for Child #1 did not specify the amount of the fee to be charged per day or per week.

At approximately 12:10 PM Certification Staff observed 2 toddlers lying on rest equipment behind bookcases in the ITCS2 Room which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

At approximately 11:40 AM Staff #1 and #2 were caring for a group of 18 preschoolers. When asked to name the children in their assigned groups, Staff #1 named 7 of the 9 children in his/her group while Staff #2 named all 9 of the children in his/her group.

Observed an emergency crib in front of the exit door from the facility in I/YT Room.

Observed a changing table closet to the I/YT Room with approximately a 12-inch crack creating rough edges and pinch points.

The file of Child #2 contained a health report which did not include a list of the child's allergies.

The file of Child #2 contained a health report which did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed.

Child #1, a 4-year-old, lacked a current influenza immunization according to the recommendations of the ACIP.

The file of Child #2 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Volunteer #1 lacked a State Police Clearance and FBI Clearance updated every 60 months. Volunteer #1 had a State Police Clearance dated 3/29/19 with the previous one dated 10/8/09. Volunteer #1 had an FBI Clearance dated 8/24/21 with a previous one dated 1/27/12. The file of Staff #5 lacked a State Police Clearance and FBI Clearance updated every 60 months. Staff #5 had a State Police Clearance dated 10/6/22 with a previous one dated 10/2/17. Staff #5 had an FBI Clearance dated 10/6/22 with a previous one dated 9/30/17. The file of Staff #7 lacked an FBI Clearance and National Sex Offender Registry Certificate prior to providing initial service in a child care setting. (SEE LIS Code Sheet). The file of Staff #7 contained an FBI Clearance dated 10/29/21 and a NSOR dated 11/1/21. The file of Staff #12 lacked a State Police Clearance updated every 60 months. Staff #12 had a State Police Clearance dated 7/11/22 with a previous one dated 7/10/17. The file of Staff #18 lacked a National Sex Offender Registry Certificate prior to providing initial service in a child care setting. (SEE LIS Code Sheet). The file of Staff #18 contained a NSOR dated 11/1/21.

On 3/29/23 observed 2 pair of adult scissors in a cup on the teacher's desk in the Pre K 3 Classroom which were accessible to children. On 3/29/23 observed adult scissors in the top bin of the white cabinet to the right of the door in the Pre K 5 Classroom which were accessible to children.

The file of Staff #5 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #5 contained documentation of training regarding the emergency plan on 10/5/22 but no documentation for 2021.

On 3/29/23 observed Eucerin Cream which indicated "keep out of the reach of children" in a bin on the 3rd shelf by the emergency exit which was accessible to children in the Pre K 3 Classroom.

On 3/29/23 observed 2 Bingo Daubers used for art activities which indicated "keep out of the reach of children" in the Toddler 2 Classroom.

On 3/29/23 the hot water temperature at the changing table sink for the Infant 1 Classroom was 117 degrees. On 3/29/23 the hot water temperature at the changing table sink for the Infant 2 Classroom was 119 degrees. On 3/29/23 the hot water temperature at the child height sink in the changing table area for the Infant 1 and Infant 2 Classrooms was 111 degrees.

On 3/29/23 observed rust at the bottom of 3 stalls in the girls' bathroom located in the hallway.

On 3/29/23 observed cracked large LEGOs in the outdoor play space. On 3/29/23 observed wooden blocks with rough edges and splinters in the Pre K 1, Pre K 2, Pre K 3, Pre K 4, and Pre K 5 Classrooms. On 3/29/23 observed a cracked Magna Tile in the Pre K 2 Classroom. On 3/29/23 observed a mat with exposed foam in the cube in the Pre K 1 Classroom. On 3/29/23 observed a frayed basket containing baby clothes in the Pre K 2 Classroom. On 3/29/23 observed a frayed basket containing babies in the Pre K 5 Classroom. On 3/29/23 observed a frayed basket containing dress up clothes in the Toddler 2 Classroom. On 3/29/23 observed 2 cracked purple square magna tiles in the Toddler 2 Classroom. On 3/29/23 observed blue and purple blocks with exposed foam in the Toddler 1 Classroom.

On 3/29/23 observed foam blocks with bite marks in the Toddler 2 and Toddler 1 Classrooms.

On 3/29/23 observed a bookcase containing blocks and a bookcase containing transportation items with rough edges in the Pre K 1 Classroom.

On 3/29/23 observed a child sleeping on a child sofa in the Pre K 2 Classroom. On 3/29/23 observed a child sleeping in a large wooden cube in the Pre K 3 Classroom. On 3/29/23 observed a child sleeping on the mat used in the playhouse in the Pre K 4 Classroom.

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained a health report dated 1/4/23 with a previous one dated 6/21/22.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/5/21.

The file of Child #4 contained a health report which did not include a list of the child's allergies.

The file of Child #4 contained a health report which did not include a list of the child's current medication and the reason for the medication and if a special diet is prescribed.

Child #1, a 16-month-old, lacked a current influenza immunization according to the recommendations of the ACIP. Child #2, a 4-year-old, lacked Pneumococcal and influenza immunizations according to the recommendations of the ACIP. Child #2 had documentation of 3 Pneumococcal immunizations. Child #4, a 4-year-old, lacked a current influenza immunization according to the recommendations of the ACIP. Child #5, a 28-month-old, lacked a current influenza immunization according to the recommendations of the ACIP. Child #6, a 3-year-old, lacked a current influenza immunization according to the recommendations of the ACIP. Child #7, a 34-month-old, lacked a current influenza immunization according to the recommendations of the ACIP. Child #9, a 9 month old, lacked DTAP/DTP/TD, Pneumococcal, and influenza immunizations according to the recommendations of the ACIP. Child #9 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.

The file of Child #4 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The files of Staff #7, #14, #17, and #24 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #7 contained a health assessment dated 10/29/21. The file of Staff #14 contained a health assessment dated 7/14/22. The file of Staff #17 contained a health assessment dated 1/20/23. The file of Staff #24 contained a health assessment dated 3/2/22.

The files of Staff #7, #14, #17, #20, and #24 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #7 had a Mantoux test read date of 10/29/21. Staff #14 had a Mantoux test read date of 9/23/20. Staff #17 had a Mantoux test read date of 1/20/23. Staff #20 had a Mantoux test read date of 9/1/22. Staff #24 had a Mantoux test read date of 3/2/22.

The file of Staff #11 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

The operator did not conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility used the fire drill log to document emergency drills conducted on 12/13/22 and 2/21/23. The documentation did not record the names of facility persons who participated, address special accommodations the facility used for any category of children and address problems encountered or observations during the drill.

The file of Child #8 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #8 had an admission date of 10/31/22 with a health report dated 2/28/23.

The files of Staff #3, #4, #5, #6, #7, #9, #10, #11, #12, #13, #14, #15, #16, #18, #19, #20, #21, #22, #23, #25, #26, #27, #28, #29, and #30 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #3 contained documentation of completing the health and safety update on 1/11/23. The file of Staff #4 contained documentation of completing the health and safety update on 1/20/23. The file of Staff #5 contained documentation of completing the health and safety update on 1/18/23. The file of Staff #6 contained documentation of completing the health and safety update on 1/11/23. The file of Staff #7 contained documentation of completing the health and safety update on 1/12/23. The file of Staff #9 contained documentation of completing the health and safety update on 1/11/23. The file of Staff #10 contained documentation of completing the health and safety update on 1/12/23. The file of Staff #11 contained documentation of completing the health and safety update on 1/11/23. The file of Staff #12 contained documentation of completing the health and safety update on 1/11/23. The file of Staff #13 contained documentation of…

Staff #23 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certificate. Staff #23 had current certification on file dated 2/11/23. Staff #23 had a previous certification on file dated 1/30/21 with an expiration date of 1/31/23.

The files of Staff #5 and #16 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #5 contained documentation of participating in fire safety training on 11/1/22 with a previous training completed on 10/18/21. The file of Staff #16 contained documentation of participating in fire safety training on 11/1/22 with previous training completed on 10/26/21.

Volunteer #1 lacked documentation of mandated reporter training completed every 60 months. Volunteer #1 had documentation of mandated reporter training completed on 3/16/23 with previous training completed on 9/20/13. Staff #2 and #7 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #2 had documentation of mandated reporter training completed on 1/12/23. Staff #7 had documentation of mandated reporter training completed on 4/10/22. Staff #11, #12, and #28 lacked documentation of mandated reporter training completed every 60 months. Staff #11 had documentation of mandated reporter training completed on 2/7/20 with previous training completed on 1/28/15. Staff #12 had documentation of mandated reporter training completed on 2/7/20 with previous training completed on 1/28/15. Staff #28 had documentation of mandated reporter training completed on 2/10/20 with previous training completed on 1/28/15.

The files of Staff #2 and #8, who were designated as assistant group supervisors, lacked documentation of 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education, or the human services field.

The files of Staff #9, #14, and #17 who were designated as assistant group supervisors, lacked documentation of 2 years experience with children. The file of Staff #20, who was designated as an assistant group supervisor, lacked documentation of a high school diploma.

The agreement of Child #3 did not specify the persons designated by a parent to whom the child may be released.

At approximately 11:30 AM when Staff #1 was asked to name the children in his/her assigned group, Staff #1 could only name 3 of the 9 school-age children in his/her assigned group.

Staff Person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Observed in the Pre-K 5 classroom the first aid kit lacked disposable, nonporous gloves. Observed in the Pre-K 3classroom the first aid kit lacked tweezers.

Observed in the Pre-K 3 room, small and large sized triangle and rectangle shaped Magna-tiles that were broken.

The files of staff #1 and staff #2 had documentation of completing Mandated Reporter trainings late due to the fact the documents on file were dated 1-28-15 and 2-5-20. Therefore, more than 60 months apart.