La Salle Academy

During renewal inspection, a first-aid kit was not present in Room 4 which is measured child care space.

During renewal inspection, medication for child #3 did not contain signed parental consent for administration or a medication log.

During renewal inspection, the following staff health assessments have not been updated within 24 months: Staff person #2: Last health assessment on file is dated 9/21/2022, which is past 24 months. Staff person #3: Last health assessment on file is dated 8/31/2022, which is past 24 months. Staff person #4: Last health assessment on file is dated 8/27/202, which is past 24 months.

During renewal inspection, facility did not have emergency drill log on file.

During renewal inspection, facility's fire drill log reflected that fire drills were conducted on 11/29/2023 and 2/9/2024, which is past 60 days.

During renewal inspection, files for staff person #1, staff person #2, staff person #3, staff person #4, and staff person #5 contained fire safety certificates dated 12/20/2022 and 10/1/2024, which is past 12 months.

During renewal inspection, daily activities were not posted in Room 2.

During renewal inspection, the following information was missing from children's fee agreements: Child #1: Date of admission. Signed by operator. Child #2: Date of admission.

During renewal inspection, emergency contact information was not present for child #2.

During renewal inspection, emergency contact form for child #1 did not contain father's work address or work telephone number.

During renewal inspection, three preschool-aged children were napping in Room 4. Emergency contact information for the children was not present in the child care space.

During renewal inspection, file for staff person #7 did not contain two written, nonfamily references. File for staff person #8 contained two references; however, one was from an uncle.

During renewal inspection, the following staff persons did not complete 12 hours of annual child care training: Staff person #1: completed 6.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #2: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #3: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024. Staff person #4: completed 5.5 hours of annual child care training for training year 9/3/2023-9/3/2024.

File for staff person #2, see code sheet for hire date, did not contain a valid FBI clearance for the purposes of working in a DHS licensed program.

It was observed and stated that the facility did not have a Continuity of Operations Plan (COOP) created or established for the facility.

It was stated that staff person #1 received annual emergency plan training, however, documentation was not observed on file verifying that this training was completed.

File for child #1, see code sheet for enrollment and birth date, did not contain documentation of the status of all immunizations recommended by the ACIP. File for child #1 was missing documentation regarding the influenza vaccine.

It was observed that the facility did not resend the traffic letter to the local traffic authority annually. The last verified date of submission for this letter was 9/1/22.

It was observed that a copy of the facility's comprehensive general liability insurance coverage was not on file at the time of inspection.

It was observed that files for staff person #1, #3, #4, and #5, did not contain written evaluations completed by the director within the last 12 months as required.

It was observed in the multi-purpose room that several outlets were left uncovered.

It was observed in Room #2 and #6 the sinks in the classrooms were missing a hand washing sign.

Although staff person #1-#3 already completed their 10 hour health and safety training topics, they have not completed the following professional development training by the required due date of 12/30/22 (see code sheet for date of hire): the 1 hour Pennsylvania Health and Safety Update 2022.

It was observed in the after care program that two staff were present with 16 children; the youngest being a young school ager. When staff were asked about primary care groups, they stated that the children were not assigned to be under the supervision of any specific staff person at that time. When staff were asked about the after care's dismissal process, staff described that on certain days when one staff person leaves the gym to answer the door for parents as they arrive, the remaining staff person in the gym would be out of ratio, and they regularly care for preschool through school aged children in the after care program.

Repeated noncompliance observed on 2/2/23, facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days. The last fire drill was conducted in November of 2022, and was not logged according to the requirements. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed, although the facility did create a supervision policy, an adequate dismissal policy was not created and therefore was not provided to all enrolled parents in writing as required. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 are now signed by both the parent and operator, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the date in which the fee is to be paid, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the designated release persons, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the agreement for child #1 and #4 now specify the child's admission date, an agreement for child #2 was not found on file. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 now includes the enrolling parent's work address, emergency contact forms for child #2 and #4 did not include the enrolling parent's work address. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although the emergency contact form for child #1 and #4 now includes the release person's address, emergency contact forms for child #2 did not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

Repeated noncompliance observed on 2/2/23, although files for child #2 and #4 now contain signed parental consent for administration of minor first-aid procedures by facility staff, files for child #1 and #6 do not. The plan of correction from inspection conducted 12/14 - 12/20/2022, was not implemented.

File for staff person #1, see code sheet for hire date, did not contain a DHS approved FBI clearance. File for staff person #3, see code sheet for hire date, did not contain a state police clearance, a child abuse clearance, or a FBI clearance. File for staff person #7, see code sheet for hire date, did not contain a completed state police clearance or the NSOR verification certificate. File for staff person #8, see code sheet for hire date, did not contain a DHS approved FBI clearance.

File for staff person #1did not contain documentation to verify the completion of emergency plan training.

It was observed that the facility's emergency plan was not posted in an conspicuous location for neither the preschool parents nor the before and after school care parents.

It was observed in the preschool room that two containers of cleaning wipes, sanitizing and disinfecting, were left accessible to children in care. Both containers stated "keep out of reach of children" on the label.

It was observed that children were using blankets alone as rest equipment in the preschool rooms.

File for staff person #1 did not contain a health assessment.

It was observed that the facility did not have pick up and drop off procedures posted in a conspicuous location for both the preschool and the before and after school care programs.

It was observed and stated that the facility did not have a fire drill log documenting all required information for fire drills that are to be conducted at least once every 60 days.

It was observed at the time of inspection that the facility did not have completed physicals, also known as child health reports, available on file for children #1-5, and it was stated by director that these children were enrolled more than 60 days at the facility.

It was observed that the facility did not have a written policy addressing shaken baby, head trauma, or maltreatment of children.

Staff person #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics. Although it was stated that staff person #1 obtained pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, documentation was not found on file. Therefore, there is no verification that staff person #1 has completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

It was observed that a written plan of daily activities was not posted in the cafe where the before and after school care program is located.

It was observed that the facility did not have created a dismissal policy or supervision policy for neither the preschool program nor the before or after school care program. These two specific policies were therefore also not provided to all enrolled parents in writing as required.

Agreements for child #1-5 were neither signed by the parent nor the operator.

Agreement for child #1-5 did not specify the date in which the fee is to be paid for neither the preschool nor the before and after school care programs.

Agreements for child #1-5 did not specify a release person.

Agreements for child #1-5 did not specify the child's admission date.

Emergency contact information for child #1-5 did not contain the address of the child's physician or source of medical care.

Emergency contact information for child #1-5 did not contain the enrolling parent's work address.

Emergency contact information for child #1-5 did not include the release person's address.

It was observed that the facility did not have the required emergency contact information present in the child care spaces for children that were receiving care in those spaces at the time of inspection.

It was observed that the emergency transportation plan was not posted in any of the child care spaces.

Files for child #1-5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

File for staff person #3 did not contain the staff person's address or verification of their age.

File for staff person #1, #3, and #7 did not contain verification of child care experience, education and training prior to service at the facility.

File for staff person #1 and volunteer #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

It was observed and the operator verified that the facility did not provide to the parents of each enrolled child information on how to access the regulations in Chapter 3270 electronically and did not provide them with instructions on how to contact the NE regional child care office.

File for staff person #2 did not contain a PA state police clearance or child abuse clearance suitable for the purposes of employment. Staff person #2 did not have verification on file of application requests for their DHS FBI clearance or NSOR verification certificate, and did not have a signed disclosure statement on file. File for staff person #3 did not contain a PA state police clearance suitable for the purposes of employment. Staff person #3 did not have verification on file of application requests for their NSOR verification certificate, and did not have a signed disclosure statement on file.

It was observed that the facility did not have a written emergency plan establish. An emergency plan for the facility was not sent to the local municipality or county emergency management agency.

It was observed that hand sanitizer, which was in a dispenser mounted on the wall in each child care space, would be left accessible to children in each of those spaces.

It was observed that the first aid kits did not contain soap.

It was observed that the toileting and sink areas throughout the facility did not contain posted hand washing signs or lidded garbage cans.

It was observed that a current copy of the facility's general liability insurance was not found on file at the facility.

File for staff person #2 and #3 did not contain verification of education or child care experience.

File for staff person #1, #2, and #3 did not contain an initial health assessment or the written results of an initial TB test.

File for staff person #1, #2, and #3 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.