Lifesteps · Butler

The file for staff person #3, functioning as the director, had an NSOR verification certificate that was dated after their start date.

On the outdoor preschool play space, the fence had 2 sharp pieces of metal near the top of the fence in the far-right corner and 1 area in the far-left corner that were accessible to children.

In the Big Bird Room, the door leading to the toddler play space had peeling paint in multiple areas on the outside of the door and on the edge of the door.

In the Twiddle Bugs Room, the blue fabric cushion on the bench had multiple areas with tears in the fabric.

The file for child #3, a 4 year old enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP, 2nd Pneumococcal & Hepatitis A vaccinations, and 1st MMR and Varicella vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

The file for staff person #5 had a health assessment that exceeded 24 months between assessments.

The file for staff person #2 had an initial health assessment that was signed by a health professional that was not a physician, physician's assistant or CRNP.

The file for staff person #3 had an initial health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for child #3 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Staff person #1 completed the following required pre-service training on 8-16-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #3 completed mandated reporter training on 3-4-25 that was over 90 days after their date of hire. (see LIS code sheet) Staff person #4 had mandated reporter trainings dated 3-20-20 and 4-5-25 that were over 60 months between trainings. Staff person #6 had mandated reporter trainings dated 4-1-20 and 4-4-25 that were over 60 months between trainings.

The file for staff person #3, functioning as the director, lacked verification of 1 year of experience working with children.

The file for child #1 had an emergency contact form that exceeded 6 months between updates by the parent. The file for child #2 had an agreement that exceeded 6 months between updates by the parent.

The file for staff person #3 lacked a DHS FBI clearance and the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires a current DHS FBI clearance and out of state Sex Offender and Child Abuse & Neglect registry checks. (See LIS CODE SHEET) The file for staff person #1 had FBI clearances that exceeded 60 months between clearances.

On the toddler play space, the play kitchen had a refrigerator door that had multiple cracks with sharp edges.

The file for child #4 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Staff person #5 completed the following required pre-service training on 5-20-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #5 completed mandated reporter training on 5-9-24 that was over 90 days after their date of hire. (see LIS code sheet) Staff person #1 had mandated reporter trainings dated 1-10-19 and 2-5-24 that were over 60 months between trainings.

The file for staff person #3 had a staff evaluation that exceeded 12 months between evaluations.

The file for child #2 had an emergency contact form that lacked the health insurance policy number. The file for child #3 had an emergency contact form that lacked the name of the health insurance and the policy number.

The file for child #1 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for child #4 lacked a current emergency contact form updated by the parent within the last 6 months. The file for child #1 had an emergency contact form that exceeded 6 months between updates by the parent.

The files for staff person #2 and #4 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for staff person #2 had state police clearances that exceeded 60 months between clearances. The file for facility person #5 had state police, child abuse, and FBI clearances that were dated after their start date. The file for staff person #6 had state police, child abuse, and FBI clearances that exceeded 60 months between clearances.

An updated emergency plan was not posted in the facility.

In the Count Room, there was one window with a screen that had a small hole in the screen, and a second window with a screen that had a tear in the bottom right corner.

In the Count Room, there was a toy bin with Legos that had a crack in the bin with sharp edges.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

The operator lacked documentation of sending a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

The files for staff person #1 and #3 had pediatric first-aid and CPR training with an expiration date of April 2023 and lacked current training.

Staff person #2 had mandated reporter trainings dated 3-6-18 and 3-7-23 that were over 60 months between trainings. Facility person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The facility person has regular interaction with children at the facility.

The file for child #1 had an emergency contact form and agreement that exceeded 6 months between updates. The file for child #2 had an emergency contact form that exceeded 6 months between updates.

The file for facility person #5 lacked emergency plan training at the time of initial employment and requires current training. The file for staff person #4 had emergency plan training that exceeded a year between trainings.

The file for facility person #5 lacked two written, nonfamily references.

On the outdoor play space, there were cracks in the sidewalk with loose pieces of concrete that were a potential tripping hazard near the door to the Big Bird Room. In the Elmo room in the bathroom, there were two exposed bolts on the base of the toilet that were protruding up and were a potential hazard.

In the Cookie Monster Room, the right exit door to the hallway was obstructed by a container of books on the floor.

On the outdoor toddler play space used by 1 and 2 year olds, there were foam mats with small pieces coming apart that were less than 1 inch in diameter and were accessible to children still placing objects in their mouths.

In the Abby Cadabby Room, the refrigerator lacked a thermometer.

In the Elmo Room, there was Infants' Tylenol for child #1 that was expired.

The file for staff person #1 had a health assessment that lacked a physical examination.

The file for staff person #2 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

The files for staff person #1 and #2 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

According to the log, the interconnected fire detection system was not manually tested at least once every 30 days between 12-2-21 to 1-24-22. The facility lacked proof of purchase of the interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to comply with 45 CFR 98.41(a)(1)(vi).

The files for staff person #3, #4, #5, #6, and #7 had current pediatric first-aid and CPR training that was completed after the expiration date of the prior training.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9).