La Willow Grove LLC

Staff person # 9 and #13 did not have a signed disclosure statement. Staff person # 16 and 17 did not have required NSOR certificate documented in their records.

At time of inspection, there was no documentation to prove that staff person #7,12 and 13 received initial and/or annual emergency plan training.

At time of inspection, the first aid kit for room # 8 did not have tweezers and room #7 and 9 did not have gloves inside of the first aid kit.

At time of inspection, room #9 did not have appropriate names listed on chart and/or labeled on the rest equipment children were using in the space. In addition, the rest equipment was not placed with 2 ft of space on 3 sides as required.

At time of inspection, staff person # 3-5,7 and 13 did not have a current health assessment with documented negative TB screening documented in their records.

At time of inspection, Child #1 did not have health assessment with immunization documented in their record. Child # 5 did not have an updated health assessment documented in their record.

At time of inspection, staff person # 12,14 and 16 did not have required pediatric first aid /CPR training documented in their records as required per regulations. In addition, staff person #17 did not have required health and safety training completed and documented in their record as required.

At time of inspection, the following staff persons (#2,4,10,11 and 12) did not have an annual written evaluation completed by the director.

At time of inspection, staff persons # 3, #9, #13 and 17 did not have two years of experience to qualify them for their positions of AGS at facility. In addition, staff # 7 did not have proof of education and experience to qualify her for her position as AGS at facility. Staff person # 11 did not her foreign degree evaluated to qualify her for her position as GS at facility.

At time of inspection, child #1 did not have an agreement from with the fee listed.

At time of inspection, Children # 1 and #3 did not have the address of release person documented on their emergency contact forms. In addition, the emergency contact form for child# 4 did not have the health insurance policy number documented on form as required.

At time of inspection, the emergency contact form for all the children in care was not present in room#7 and #8.

At time of inspection, the parents of children # 1 and #2 did not provide signed parental consent for emergency medical care and administration of minor first aid documented in their records.

At time of inspection, staff person # 5,7,9,13 and 17 did not have two non-family references documented in their records.

Staff person # 1,2 4,8,10,11,12,15 and 16 did not have the proof of completion of 12hours of childcare training documented in their records.

Facility had a gap in reporting incidents that had occurred at facility between March 24th to March 26th.

At time of inspection, staff person # 2 did not have required updated FBI clearance (2/27/19) documented in her record. Staff person # 8 did not have required NSOR certificate documented in her record.

During time of inspection, the maximum grouping sizes were not being maintained in several rooms within the facility. (room #6,8 and 9)

At time of inspection, child # 1 did not have an initial health assessment documented in their record.

At time of inspection, child #2 did not have updated annual health assessment documented in their record. (last health assessment dated 12/13/21)

Staff person #10 and #18 did not have required health assessment with negative TB screening documented in their records.

At time of inspection, staff person # 11,13, and 20 did not have negative TB screening documented in their records.

At time of inspection, Staff person # 10,#16 and #17 did not have proof o age documented in their records.

Staff person # 1 and #5 did not have required fire safety training documented in their records.

At time of inspection, staff person #10, #16 did not have required health and safety training documented in their records.

At time of inspection, the director had not completed annual written evaluations for staff person #1,4,6, 9,14,15 and 19.

At time of inspection, child #1 do not have the name of release person documented on agreement form. Child #2 did not have the addresses of release person documented on the emergency contact form.

At time of inspection, the parents of child #1 did not provide written consent from emergency medical care and administration of minor first aid.

At time of inspection, staff person #5 and 10 did not have required non-family references documented in their records.

At time of inspection, staff person # 2, #11, #12, #14, #17 did not have required 12 hours of childcare training documented in their records.

During unannounced inspection on Friday, 08/04/23, a compliant investigation was conduction regarding mold in the infant room. Per staff interview it was confirmed mold was detected in facility due to broken compressor in air conditioning unit.

In review of staff files, staff persons 4 and 13, employed more than 45 days, file failed to include FBI clarences. Staff persons 6, 14 and 19, employed more than 45 days, file failed to include PA state police clearance. Staff persons 6 and 19 file included the request and not the completed PA state clearance. Staff persons 9 and 15, employed more than 45 days and has resided outside the state of PA within 60 months, file failed to include out of state criminal history, child abuse clearance and sex offender registry check. Staff person12, employed more than 45 days, file failed to include NSOR certificate.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

During renewal inspection on Friday, 06/09/23, cert rep observed first aid kit located in rooms 1 and 5 failed to contain gloves. Cert rep observed first aid kits throughout the facility was accessible to children.

During renewal inspection on Friday, 06/09/23, cert rep observed damaged baseboard by back exit door in room 1 and in room there was a broken toilet that was not flushing.

During renewal inspection on Friday, 06/09/23, cert rep observed chip paint located on the wall in room 1.

During renewal inspection on Friday, 06/09/23, cert rep observed cribs in the room 2 failed to have 2 feet of space on 3 sides while in use and rest equipment in room 6 failed to be labeled with child's name.

In review of staff files, staff persons 14, 18, 23, 24 and 25 file failed to include a health assessment.

In review of staff files, staff persons 1, 14, 18, 23 and 24 file failed to include TB results.

In review of health and safety documents, staff persons 4, 8, 10 and 20 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe of 12/30/22.

In review of health and safety documents, staff persons 12 and 17 failed to have completed required training in health and safety topics within 90 days of hire. Staff person 17 completed Health and Safety Basics: Requirements for Certification after 06/30/18, which is no longer counted towards the new Health and Safety Professional development requirements.

In review of staff files, staff persons 1 and 25 file failed to inlcude transcripts verifying area of studies/major in which degree was received in.

In review of staff files, staff persons 2 and 6 file failed to include acceptable proof of education and verification of 2 years (2500 hours) of experience working with children. Staff persons 2 and 6 file included education received abroad that had not been evaluated to determine US equivalent. Staff persons 3, 4, 10, 12, 15, 19 and 23 file failed to include verification of 2 years (2500 hours) of experience working with children. Staff person 15 verified 1385.6 hours working with children.

In review of children's files, children enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

During renewal inspection on Friday, 06/09/23, cert rep observed children receiving care in rooms 1, 5, 6 and 8 failed to have their emergency contact information present in childcare space.

In review of staff files, staff persons 1, 5, 23 and 25 file failed to include two written nonfamily letters.

In review of health and safety documents, staff persons 7, 9, 11, 12 and 16 failed to have completed required health and safety training in pediatric first aid/CPR within 90 days of hire. Staff person 9 first aid/CPR training was completed online and staff persons 11 and 12 received pediatric first aid/CPR that does not meet PQAS requirements.

In review of staff files, staff persons 10 and 21 failed to have completed 12 hours of annual professional development. Staff person 10 file contained only 9.5 hours of PD training.

During compliant investigation on Friday, 05/12/23, by way of staff interviews, cert rep determined that a staff member was not properly supervising children during bathroom time and not following facility's bathroom procedure.

During unannounced inspection on Tuesday, 03/14/23, cert rep observed classroom 4 out of ratio. There were 11 preschool age children with 1 staff member.

During compliant inspection on Monday, 07/25/22, cert rep was informed that a staff member did use inappropriate language when speaking of a child.

In review of staff files, staff person 1 file failed to contain current mandated reporter training. Mandated reporter training included in file was last completed on 02/24/17. Staff persons 2, 5 and 7 file failed to include FBI clearances. Staff persons 5 and 7 file contain DOE FBI clearances. Staff person 9 file failed to include child abuse and FBI clearance. Staff persons 10 and 17 file failed to include NSOR certificate. Staff person 12 file failed to include required FBI clearance and mandated reporter training. Staff person 12 file contain DOJ FBI clearances. Staff person 13, a provisional hire, file failed to include a copy of requests for the PA state clearance. Staff person 14 file failed to include NSOR certificate and mandated reporter training. Staff person 15, a provisional hire, file failed to include required FBI clearance or copy of requests for DHS FBI clearance. DOE FBI clearance was contained in staff person's 15 file.

During renewal inspection on Wednesday, 06/22/22, cert rep observed cribs in the infant room (Room 2), failed to have 2 feet of space on 3 sides while in use.

During renewal inspection on Wednesday, 06/22/22, cert rep observed refrigerators throughout the facility, thermometers read above 45° F.

During renewal inspection on Wednesday, 06/22/22, cert rep observed children eating meals on Styrofoam plates. erved on

In review of staff files, staff persons 7, 11, 13 and 15 file failed to include a health assessment.

In review of staff files, staff persons 11, 13 and 15 file failed to include TB results.

In review of emergency plan documents, facility failed to have conducted an annual drill.

Provider did not have a copy of the facility's current liability insurance on file at the time of the renewal inspection on Wednesday, 06/22/22. Liability insurance on file expired on 06/15/22.

In review of staff files, staff persons 1, 2, 9 and 14, all employed more than 90 days, failed to have completed required professional development training in health and safety requirements.

In review of staff files, staff person 8, a GS, file failed to include verification of education in ECE or related fields.

In review of staff files, staff persons 2, 3, 4, 8, 11, 13 and 18 file failed to include verification of 2 years (2500 hours) of experience working with children.

During renewal inspection on Wednesday, 06/22/22, cert rep observed a child receiving care in room 2 failed to have their emergency contact information present in childcare space.

In review of staff files, staff persons 2, 3, 5, 6, 19, 11, 16 and 18 file failed to include two written nonfamily letters.

During compliant investigation on Wednesday, 06/01/22, by way of staff interviews, cert rep determined that a staff member use physical punishment towards a child.

During compliant inspection on Monday, 11/15/21, it was bought to the cert rep's attention that a staff person was witness speaking aggressively to children.