Lehigh Valley Childrens Centers/Chase ELC

The emergency plan was not posted in a conspicuous location.

The hot water temperature in the boys and girls bathrooms measured at 117 degrees.

Child 1 had a health assessment that was dated 9/27/2023, making it more than a year old. Child 1 is a preschooler. Please see LIS for date of birth and date of admission.

An infant bottle was not labeled with the child's name.

During unannounced monitoring conducted 2/26/2024, facility's fire drill log reflected that last drill was conducted on 12/4/2023.

During renewal inspection conducted 10/31/2023, there were 17 total preschool-aged children in PKC1 room. When asked to name individual groups, staff person #1 first named 7 children and staff person #2 first named 9 children. Certification representative asked staff persons to review all children in the room, split their groups, and rename their children. Staff person #1 then named 8 children and staff person #2 stated that they had 7 children, but named 8. Certification representative had all of the children sit on the floor so that groups could be split appropriately and all children could be accounted for. Prior to certification representative leaving the room, it was determined that staff person #1 was responsible for 8 children and staff person #2 was responsible for 9 children.

During renewal inspection conducted 10/31/2023, a Swiffer Wet Jets with cleaning solution labeled "Keep out of reach of children" were observed in areas accessible to children in PKC4 and Wrap Care rooms. Cleaning supplies labeled "Keep out of reach of children" were observed in a cabinet under the sink in the School-Age room. Child lock was not secured on the cabinet.

During renewal inspection conducted 10/31/2023, adaptations to the window in the Toddler room (not in use at this time) were broken, allowing the window to be open more than 6 inches.

During renewal inspection conducted 10/31/2023, the following postings were missing in the following rooms: Toddler Room (currently not in use): Emergency telephone numbers and daily activities. Infant Room (currently not in use): Emergency telephone numbers.

During renewal inspection conducted 10/31/2023, refrigerator in PKC1 room was observed to be dirty. It appeared as if something had spilled in the refrigerator. Refrigerator in Infant room was observed to be moldy. Infant room is not being utilized at this time.

During renewal inspection conducted 10/31/2023, the following children were not immunized according to the schedule of the ACIP: Child #3: 1 of 2 doses of Hep A vaccine. Child #3 is preschool aged (see LIS code sheet). There is no exemption on file. Child #4: 1 of 2 doses of Hep A vaccine. Child #4 is preschool aged (see LIS code sheet). There is no exemption on file. Child #5: Influenza vaccine. There is no exemption on file. Child #6: Influenza vaccine. There is no exemption on file.

During renewal inspection conducted 10/31/2023, a lunchbox containing a cheese stick and a yogurt was observed in the cubby area of PKC4 room. Two lunchboxes containing chicken nuggets and mozzarella sticks were observed in the cubby area of the PKC1 room. A lunchbox containing a wrap with cheese was observed in the cubby area of the PKC2 room.

During renewal inspection conducted 10/31/2023, a written feeding schedule was not on file for child #1. Child #1 is an infant (see LIS code sheet).

During renewal inspection conducted 10/31/2023, evacuation route was not posted on the bottom floor of the facility. Bottom floor of the facility is used for indoor play space (Gym).

During renewal inspection conducted 10/31/2023, there was no initial health assessment on file for child #3 or child #4. Child #3 and child #4 have been enrolled for over 60 days (see LIS code sheet).

During renewal inspection conducted 10/31/2023, staff person #3 did not complete 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. Staff person #3 had first-aid/CPR card dated 10/18/2021; however, trainer was not a PQAS approved trainer.

During renewal inspection conducted 10/31/2023, the following was missing from children's emergency contact forms: Child #2: Health insurance policy number. Child #3: Address of physician. Child #7: Health insurance policy number.

During renewal inspection conducted 10/31/2023, the following was missing from children's emergency contact forms: Child #2: Last name of release person. Child #5: Release person(s) address(es). Child #7: Release person(s) address(es).

During renewal inspection conducted 10/31/2023, consent for minor first-aid was missing from child #3's emergency contact forms.

During renewal inspection conducted 10/31/2023, facility reports that there is no accident file at the facility. Incident reports are only kept on file in children's individual files.

During unannounced monitoring conducted on 9/20/2023, an infant, identified by staff members as being 2 months old, was observed to be asleep in a swing.

During unannounced monitoring conducted on 9/20/2023, staff person #1 has not completed the mandated reporter training within 90 days of their date of hire. Mandated reporter training was completed on 9/21/2023 (see LIS code sheet).

During renewal inspection conducted 10/17/2022, Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR from a PQAS trainer.

During renewal inspection conducted on 10/17/2022, Staff #1 and Staff #2 did not have NSOR clearance on file. No proof of mandated reporter training provided for Staff #4. The following clearances/mandated reporter trainings were not updated within 60 months: Staff #1: Mandated reporter training completed on 6/11/2015-11/17/2020 Staff #3: Mandated reporter training completed on 1/22/2015-2/20/2020 Staff #4: PSP clearance obtained 10/7/2014-10/7/2020

During renewal inspection conducted on 10/17/2022-11/1/2022, facility's fire drill log was not available for review. Staff report that the facility does practice fire drills; however, the log was unable to be located.

During renewal inspection on 10/17/2022, the following staff have not received training on the emergency plan within the past 12 months: Staff #1, Staff #2, Staff #4, Staff #5, Staff #6, Staff #7.

During renewal inspection conducted on 10/17/2022-11/1/2022, facility's emergency drill log was not available for review. Staff report that the facility does practice emergency drills; however, the log was unable to be located.

During renewal inspection conducted 10/17/2022-11/1/2022, there is no initial health assessment on file for Child #4. Child has been attending care for more than 60 days (see LIS code sheet for date of admission). Last health assessment on file for Child #6 is dated 3/25/2022, which is past 6 months. Child #6 is a young toddler (see LIS code sheet for age).

During renewal inspection conducted 10/17/2022, Staff person #3 and Staff person #8 have not 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 trainer.

During renewal inspection conducted 10/17/2022, staff evaluations completed within the past 12 months were not provided for the following staff members: Staff #1, Staff #3, Staff #4, Staff #9. Staff have all been employed at the facility for more than one year.

DuringDuring renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact forms: Child #1: health insurance policy number. Child #3: Address and phone number of physician/medical care. Health insurance coverage and policy number. Child #4: Address and phone number of physician/medical care.

During renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact forms: Child #1: Parents' work address and work phone number. Release person's address. Child #2: Release person's address. Child #3: Parents' work address and work phone number. Child #4: Parents' work address and work phone number. Child #5: Parents' work address and work phone number. Child #6: Parents' work address and work phone number. Release person's address.

During renewal inspection conducted 10/17/2022-11/1/2022, the following information was missing from emergency contact form: Child #4: Signed parental consent for administration of minor first-aid by facility staff and signed parental consent for emergency medical care.

During renewal inspection on 1/4/22 a spray bottle of disinfectant was observed on a counter in the Pre K Counts room, in reach of children.

At the time of the inspection, facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. §¿1016(c)).

Emergency Contact Form for Children # 1 and # 2 did not contain address of release persons.

Facility did not have a posted in each child care space written plan identifying the means of transporting a child to emergency care and staffing provisions in case of an emergency. Pre K Counts rooms, School-Age room, Pre K # 1, Pre K # 3 an # 4 rooms were missing the Emergency Transportation plan.