Lightbridge Academy of Allentown

Child #1's, a preschool aged child, most recent health assessment on file was dated 8/4/2023.

In the Yellow Ducks room, an epi pen had an expiration date of November 2024 and a bottle of Children's Zyrtec had an expiration date of November 2024.

The facility did not have a continuity of operations plan in their emergency plan.

The facility did not keep incident reports in a master file at the facility.

It was observed that the first aid kit of the Teal Turtles classroom did not contain tweezers. It was also observed that the first aid kit in the Purple Cats classroom did not contain tape, soap, or band aids.

It was observed in the mobile infants room that there was not 2 feet on each side of the cots.

Staff #1 had a health assessment dated in their file for 12/27/21 and 1/15/24, indicating that a health assessment was not done within 24 months.

Fire alarm testing log was reviewed and indicated that the facility did not test the alarm within 30 days. Dates of testing were as follows: 4/5/23, 5/12/23, 6/14/23, 8/14/23, 9/14/23, 11/10/23, 12/12/23.

Staff #2 has not completed the pediatric first aid/CPR training from an approved PQAS instructor within 90 days of their date of hire (see staff dates of hire on code sheet.) Staff #2 also completed health and safety training on 1/9/24, which indicates that it was completed past 90 days. Staff #3 completed first aid/CPR on 1/15/24 which indicates it was completed over 90 days.

Staff #3 completed mandated reporter training on 1/4/24, which indicates it was completed over 90 days past the staff's hired date.

Child #2, #3 and #4 did not have an updated child service report within 6 months.

Child #1's emergency contact sheet did not contain the health insurance/ medical assistance policy number.

Child #2 and #3's financial agreement was not reviewed within 6 months.

During a complaint investigation on 3/27/23, it was verified that on 3/21/23 during the transition from the playground to inside the classroom, child # 1 left the group and was in the hall unsupervised

There is not a valid state police clearance on file for staff person # 1.

There is a bottle of bleach stored in an unlocked cabinet accesible to the children in the green frog classroom.

There is a hole in the wall of the green frog classroom.

There are plastic bags stored in an unlocked cabinet accessible to the children in the mobile infant room.

The vaccine record for child # 1, an infant, is missing the recommended 6-month vaccines as per the ACIP. The vaccine record for child # 2, an infant, is missing the recommended 4-month vaccines as per the ACIP.

The lock on the cabinet below the changing table in the orange giraffe classroom was broken making the diaper cream stored in it accessible to the children.

Staff persons # 4, 6, 7, 8, 10, 11, 12, and 13 have not completed the following required pre-service training within 90 days of their date of hire. Staff # 4, 6, 7, 10, and 11 - Get Started with Center Based Care. Staff # 8, 10, 11, 12, and 13 - Pediatric CPR/First Aid.

Staff persons # 4, 6, and 7 have not completed the mandated reporter training within 90 days of their date of hire.

Staff person # 5 was hired as an aide, there is no proof of education on file.

There is only one written non-family reference on file for staff person # 9. There are no written non-family references on file for staff persons # 2 and 3.

During an unannounced inspection, cert rep observed staff persons # 6 and 7 working alone together in a classroom. Neither staff person had proof of the completed required health and safety topics and were not under the supervision of at a minimum, an assistant group supervisor.

Staff persons # 1, 2, 3, 4, and 5 have been employed more than 90 days and do not have valid pediatric first aid and CPR training.

In the khaki kangaroo room, inspector observed toxics (bin of diaper creams) in an unlocked cabinet located below the changing table accessible to children. Diaper creams are labeled "keep out of reach of children".

In the purple cats room, the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted. Provider added emergency numbers immediately.

In the infant room, inspector observed a child inside of a crib that did not have at least 2 feet of space on three sides of the crib. Provider made 2 feet of space on 3 sides immediately.

At time of renewal, inside the refrigerator in the mobile infant room, inspector observed a thermometer that was 50° F.

In the purple cats room, inspector observed a diaper changing pad that cannot be properly sanitized due to several tears in the pad. In the purple cats room and the blue horses room, inspector observed a broken hands-free covered can that is used for diaper changes.

Emergency plan does not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The following children's fee agreement did not have a date of admission documented - child 1 and child 2

On 3.9.22 a complaint investigation was conducted. Inspector observed all rooms located in the front of the building have glass windows that start at the floor and go up. All windows in these rooms do not have a visual strip or other visual identification shall be placed on glass.

A self-report for lack of supervision on 9.30.21 was investigated and staff 1 left child 1 in the classroom alone. Staff 1 reports that a name to face was completed. Staff 2 returned to the building to get a jacket and saw child 2 alone in the infant room.. Both children 1 and 2 were not in with their class and were inside when the entire classroom was outside. Staff 1 was terminated. On 11.17.21 a supervision and ratio inspection was conducted. Staff in the brown bear room and blue horse room did not have sight of all children in their groups. Although the bathroom is located in the same classroom that the children are in, children go into the bathroom without staff's knowledge causing staff to not know the child's where about.