Lehigh Valley Childrens Centers Fowler

An incident investigation was conducted 9/12/25. During the investigation, it was determined through interviews that a lack of supervision occurred sometime during July 2025. Staff Person #1 said that they realized they did not know where Child #1 and Child #2 were. This occurred in the Pre-K Counts Room, an L shaped back room of the first building of the facility which poses a blind spot depending on the position of the staff. Staff Person #1 found Child #1 and Child #2 around the corner of the room under a blanket together. Staff Person #1 said that the children may have been there for about five minutes.

An unannounced inspection was conducted 9/12/25. At that time, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 7/2/25, 8/2/25, and 9/2/25, which is 31 days between each test.

An unannounced inspection was conducted 9/12/25. At that time, the preservice training was reviewed for all staff present at the facility. Staff Person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/9/2020. Staff Person #3 had not completed mandated reporter training within 90 days of their date of hire. The date of the mandated reporter training on file was dated 7/20/25.

A complaint inspection was conducted on 3/19/25. Through interviews, the investigation found that Staff Person #1 yells harshly at children and yells at staff in front of children. Staff Person #1 has yelled in a manner that has scared the children. Staff Person #1 has yelled at a child "Fix your skirt! Why haven't you fixed your skirt yet?" bringing the child to tears. Staff Person #1 has also yelled at the school age children: "Everybody needs to be quiet." "The toddlers act better than you guys." Why aren't you guys listening?" I don't get paid enough for this."

A renewal inspection was conducted 11/12/24. At that time, blankets were observed under the fitted sheets of two cribs in the infant room. Staff Person #1 stated that Child #1 and Child #2 are propped while sleeping. Staff Person #1 stated that the infants have reflux and the parents have requested that the infants are propped while sleeping. There is no documentation of a medical reason by a physician on file for the infants for the alternative sleeping position.

A renewal inspection was conducted 11/12/24. At that time, Home Defense, Fantastik, Shout, and Bleach were observed in an unlocked cabinet in the kitchen under the sink. All were labeled "keep out of reach of children." The cleaning products were accessible to the children as there was nothing preventing access to the kitchen.

A renewal inspection was conducted 11/12/24. At that time, both doors to the kitchen were open while the oven was warming at 150° F. There was nothing preventing children access to the kitchen and there were times throughout the inspection when no one was in the kitchen. The oven is not equipped with a lock to prevent it from being opened.

A renewal inspection was conducted 11/12/24. At that time, three water stained ceiling tiles were observed in the Annex Room on the right.

A renewal inspection was conducted 11/12/24. At that time, there was no handwashing sign in the Middle Room (preschool) bathroom.

A renewal inspection was conducted 11/12/24. At that time, plastic bags were observed in an unlocked drawer approximately 30" high, where they were accessible to the older toddlers in the Annex Room to the left. Plastic bags were observed on the floor next to the toilet used by the older toddlers in the Annex Room to the left. Staff in the room stated that the children are still placing objects in their mouths.

A renewal inspection was conducted 11/12/24. At that time, the mats used for napping were identified with numbers, however there was no corresponding list to identify which child was assigned to each nap mat.

A renewal inspection was conducted 11/12/24. At that time, Staff Person #1 stated that Child #2 has medication (Mommy Bliss baby gas relief) at the center that has been administered by staff. There is no corresponding medication log for the medications.

A renewal inspection was conducted 11/12/24. At that time, there was no posted daily schedule in the Annex Room on the left where the older toddlers receive care.

A renewal inspection was conducted 11/12/24. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the work phone number of the parents. The emergency contact form for Child #3 did not include the work phone number of the parents. The emergency contact form for Child #4 did not include the work phone number of the father.

The single bathroom on the 2nd floor used by the school aged children does not have a working light.

There is no thermometer in the Preschool classroom refrigerator.

There are expired CVS Infant gas relief drops in the infant classroom medicine cabinet. The Gas drops expired in 7/2022. There is expired Coppertone kids' sunscreen in the school aged sunscreen cabinet. The sunscreen expired 12/2020.

Child # 1 has not had their fee agreement reviewed and updated in over 6 months since 1/18/23.

During a compliant investigation, facility staff # 1 wrote up an incident report on 8/11/23 stating child # 1 was running and fell down and hit their head on a brick wall and that child had a cut at 10:30 am. Facility staff # 1 did not contact Child # 1's parent until 12:30 pm after putting child down for a nap. Child # 1 had a cut on their head that required medical attention and to be glued by a medical professional.

During a complaint investigation on 6/20/23, certification representative observed facility staff # 1 & # 2 in the Pre-K classroom with 23 children. Certification rep responded to facility 8/17/23 to verify violation corrections and certification representative observed facility staff # 1 answer the facility main door for a parent. Facility staff #2 was alone with 18 children in the Pre-K classroom when certification rep entered the facility Pre-K classroom.

Facility staff # 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/22. Facility staff # 3 completed the training on 1/25/23.

Facility refrigerator in the preschool classroom does not have a thermometer.

There are no paper towels, hand soap or toilet paper in the girl's pink bathroom used by the children on the second floor of the facility.

Facility staff #1 did not have a health assessment in over 24 months from 2/18/20 to 9/20/22.

Facility did not conduct a fire alarm test in over 30 days from 7/1/22 to 8/1/22.

On 6/16/22 facility fire drill log was reviewed. Last facility fire drill was not conducted in over 60 days since 4/4/22.

On 6/16/22 facility alarm system testing log was reviewed, facility has not tested facility alarms in over 30 days since 5/4/22.

A complaint investigation was conducted on 2/18/22 at facility. At the time of the investigation, Facility Staff #1 admitted to rep that Facility Staff # 1 sprayed Child # 1 with soapy water while Facility Staff # 1 was cleaning off the classroom lunch table. Child # 1 remained at the table because Child # 1 fell asleep. All the other children in Facility Staff # 1's group were told to go to the classroom carpet to play by Facility Staff # 1 while they cleaned the tables from lunch. Certification rep also noticed toxic hand sanitizer on a classroom shelf accessible to the children during the complaint investigation.

The front cabinet drawer face fell off when rep pulled it from the handle to open in the mixed toddler classroom. The cabinet drawer had no screws or glue to attach it. The kitchen area school age room has holes in the wall and screws sticking out from an old phone system that was removed.

The refrigerator in the preschool classroom does not have a thermometer.

There is unlabeled Top Care Extra Strength Pain Relief tablets in the medicine box of the school age back room medicine cabinet. Child # 1 has Albuterol Sulfate Inhaler solution that expired 12/16/20 in the school age medicine cabinet. Child # 2 has Albuterol Sulfate Inhaler solution that expired 3/17/20 in the school age medicine cabinet.

There is expired milk in the kitchen area school age classroom refrigerator. The milk expired 8/12/21.

There are 3 bottles in the ITCS classroom that are not labeled. There are 5 bottles in the Infant classroom that are not labeled.

Facility has not conducted fire alarm testing in over 30 days from 7/9/21 to 8/12/21 to 9/23/21. Last fire alarm system test was conducted 12/3/21.