Little Peaches Child Development Center

Second citation, previously cited on 6-10-25. The file of staff #1 lacked out of state clearances. Additionally, staff #1 was observed working with children even though the provider was informed staff #1 could not work at the facility until clearances were obtained.

Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children. Staff #2 was standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom.

Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children on their phone the entire time Cert Rep parked vehicle, got out of vehicle, walked across the parking lot, undid the lock on the gate, and stepped into the outdoor play space. Staff #2 was unable to properly supervise their group of children due to the fact they were standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom.

Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children on their phone the entire time Cert Rep parked vehicle, got out of vehicle, walked across the parking lot, undid the lock on the gate, and stepped into the outdoor play space. Staff #2 was unable to properly supervise their group of children due to the fact they were standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom.

Second citation, previously cited on 6-10-25. The smoke detection system was not tested every 30 days based on the smoke detection testing log due to the fact the dates were 5-27-25 to 6-27-25 = 31 days.

Staff persons #1, #2, and #3 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre- service training required prior to caring for children unsupervised: Health and safety training topics, Pediatric First Aid and CPR, and mandated reporter training. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR.

The file of staff #1 lacked a PA State Clearance, the National Sex Offender Registry report, and a signed Disclosure statement. The file of staff #2 lacked PA State Clearance, PA Child Abuse Clearance, DHS FBI clearance, the National Sex Offender Registry report, and out of state clearances. The file of staff #3 lacked the National Sex Offender Registry report and a signed Disclosure Statement.

Observed 13 preschool aged children on the playground with staff #1 and #3. Staff #1 named 9 children and staff #3 named 3 children. Both staff failed to name child #1.

The file of staff #3 lacked documentation of completing Emergency plan training at the time of initial employment.

Observed in the preschool/school age room a green bookbag sitting on the floor with the top zipper unzipped and Aquaphor cream labeled "keep out of the reach of children."

The files of staff #1 and #2 lacked initial health assessments or TB test results; no health assessments were on file.

Based on the fire drill log, fire drills were held more than 60 days apart due to the fact they were dated 1-7-25 and 4-14-25 which equals 97 days.

Based on the smoke detection testing log, testing was done more than 30 days apart on the following dates: 2-6-25 to 3-19-25 = 41 days; 3-19-25 to 4-23-25 = 36 days; 4-23-25 to 5-27 = 34 days.

The files of staff #1, #2, and #3, all AGS lacked proof of experience.

The files of staff #1, #2, and #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Observed in the infant room, pack and plays labeled for children #1 and #2 with loose sheets. Observed in the preschool room, adult scissors, thumb tacks, and an AV cord accessible to children in care due to the fact they were stored on an open shelf low enough for children to reach.

The file of staff #4 had clearances dated after initial employment due to the fact they were dated: PA State Police 10-2-24, Child Abuse 10-8-24, NSOR requested 10-3-24, and a signed disclosure statement dated 10-3-24 (see LIS code sheet). At the time of reviewing the file, the file of staff #5 lacked a current Child Abuse clearance and had a PDE FBI clearance.

Staff #8 left staff #9 in the first older toddler room with 7 older toddlers to walk down the hall to the young toddler room to get 2 young toddlers to bring into ratio with themselves and staff #9 in the first older toddler room. At 3:15, staff #3 was left with 17 preschool aged children in the preschool room while staff #7 walked to each room to remind them to turn on their cameras in their respected rooms.

At 3:19 staff #10 left staff #11 with 5 infant sin the infant room so they could walk down the hall to the young toddler room to get 2 young infants and bring them back to the infant room.

At 1:15, observed in the infant room insufficient lighting to properly supervise 5 infants were sleeping. Observed in the older toddler room insufficient lighting to properly supervise the young and older toddlers sleeping during rest time. At 2:30, observed in the young toddler room, older toddler room, and pre-school room insufficient lighting to properly supervise all children in care during rest time.

The emergency plan lacked continuity of operations. The file of staff #6 lacked documentation of completing the required 1-hour Health and Safety update training timely due to the fact it was dated 10-2-24.

Observed in the preschool room hand sanitizer hanging on the bookbag of child #4 in the cubbies. The hand sanitizer was labeled "keep out of the reach of children" and the cubbies were accessible to all children present in the room.

Observed in the snack area of the preschool space, two non-lidded lined trash cans with evidence of human secretions; and one non-lidded trash can in the infant room.

Observed in the preschool room, a cracked plastic bin housing wooden food; a white wooden shelf and a black wooden shelf that were not anchored posing a crush point.

Observed in the preschool room, 9 foam blocks with bite marks.

Observed in the front toddler room, Tylenol for child #1 with an expiration date of 3/23 and for child #6 an expiration date of 5/24.

At the time of reviewing the files, the files of staff #1 and #5 lacked documentation of health assessments every 24 months.

The file of staff #4 lacked documentation of tuberculin test at initial time of employment.

At the time of the inspection, there were not infant feeding schedules present for the infants observed in care.

At the time of reviewing the emergency plan, there were not accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The file of child #1 had a late initial health assessment due to the fact it was dated 5 months after enrollment.

Staff person #5 has not completed the following required pre-service training within 90 day of their hire date (see LIS code sheet): Health and Safety training Update 2022.

Staff person #5 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 2-6-19.

The file of child #1 lacked an agreement with the date on which the fee is to be paid.

The file of child #1 lacked an agreement with the services to be provided to the family and the child.

The files of children #1#2, #3, #4, and #5 lacked agreements with the children's arrival and departure times.

The files of children #4 and #5 had the original agreements rather than a copy.

The files of children #1 and #2 lacked emergency contact forms with the work phone numbers and work addresses of the enrolling parents. The file of child #4 lacked and emergency contact form with the work address of the enrolling parent.

The file of child #4 lacked an emergency contact form with written consent signed by a parent for emergency medical care.

The files of children #4 and #5 lacked emergency contact forms with the complete addresses of the individuals designated by the parents to whom the children may be released.

The file of child #4 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff.

The files of staff #2, #3, and #6 had documentation of completing Mandated Reporter training more than 60 months apart.

Staff person #5 has not completed the following required pre-service training within 90 days of their hire date (see LIS code sheet): Pediatric First aid and CPR.

It was observed in the Young Toddler room that the first-aid kit was missing tweezers, the Older toddler room's first-aid kit was observed to be missing tape and the Infant room first-aid kit was observed to be missing gauze.

In the preschool room, the green cubby was observed to have peeling paint.

It was observed in the young toddler room that the diapering area was not equipped with a lidded waste receptacle.

The green cubby in the preschool room was observed to have an exposed screw and a metal bracket was observed on the wall in the Older Toddler bathroom exposing sharp edges.

In the Older Toddler room, it was observed that there was not an operable thermometer in the refrigerator.

The facility's fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing being documented 12/1/22, 1/4/23, 4/3/23, 5/4/23, 6/6/23, 7/7/23, 7/7/23, 8/9/23, 9/22/23, 10/26/23, and 11/29/23.

The files for Staff person #1, #3 and #5 was observed not to have completed the Health and Safety Update 2022 by December 30, 2022.

The cribs in the infant room were observed to have loose fitting sheets covering the mattresses that could pose a threat to the health and safety of the children.

The file for staff person #2 (DOH) 9/18/22 was observed not to have documentation of Health and Safety training being completed within the staff persons first 90 days of hire. The file for staff person #6 (DOH) 9/5/23 was observed not to have documentation of Health and Safety training being completed within the staff persons first 90 days of hire.

The Agreement forms on file for Child #1, #2, #3, #4, #5 and #6 was observed not to specify the child's arrival and departure times.

The Agreement form on file for Child #1, #2, #3, #4, #5, and #6 were observed not to specify the services which are to be considered as extra.

The files for Child #1, #2, #3, #4, #5, and #6 were observed not to contain the required review for emergency contact information and financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for Staff Person #7 was observed not to contain documentation of education.

The file for child #3 was observed not to have an updated health report at least every 6 months for an infant or young toddler.

The file for child # 1, child #4, child #5, and child #6 were observed not to have documentation of an updated health report at least every 12 months for an older toddler or preschool child.

The health report on file for child # 1, child #4, child #5, and child #6 were observed not to have documentation of an influenza shot being administered with in the last year in accordance with the recommendations of the ACIP nor did the files contain documentation by written, signed and dated statement from the child's parent or guardian.

The health report on file for child #3 was observed not to contain documentation that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

The most up to date health assessment on file for staff person #12 was observed to be greater than 24 months. This is evidenced by the health assessment being dated 8/25/20 and 11/21/22.

It was observed that the facility did not have documentation of emergency drills being conducted annually.

The facility's fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 11/2/2021 to 1/7/2022 and 3/1/2022 to 5/6/2022.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days since 11/1/2021.

It was observed that the facility did not have documentation of sending copies of the emergency plan and subsequent plan updates to the local municipality and the county emergency management agency.

The facility was observed not to have documentation of a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The file for staff persons #1, #3, and #8 were observed not to have documentation of a written evaluation every 12 months.

The agreement form on file for child #3 was observed not to contain child's arrival and departure times.

The emergency contact form on file for Child #1 and Child #3 were observed not to contain the policy number for a child under a family health insurance coverage policy or medical assistance benefits.

The emergency contact form on file for Child #2 was observed not to contain written parental consent for emergency medical care or administration of minor first aid procedures.

It was observed that an outdated certificate of compliance was posted. This is evidenced by the certificate of compliance being dated 3/1/2020 to 3/1/2021.

The file for staff person #1, #2, #3, #4,, #6, #7, #8, #9, #10 and #11 were observed not to have documentation of 12 annual clock hours of childcare training.

Observed staff file #2, a provisional hire who has worked more than 45 days, did not contain a copy of the NSOR application or the NSOR verification letter. Observed staff file #4, who has been in a child care position for more than 90 days, did not contain documentation of completion of the CPSL required mandated reporter training. Observed staff file #5 contained updated criminal background clearance and the updated child abuse clearance which were dated more than 60 months after the previous valid clearances. Observed staff file #5 contained an FBI fingerprint clearance which was dated more than 60 months ago. Observed staff #5 and #6 contained updated documentation of the CPSL required mandated reporter training, which was dated more than 60 months after the previous training document. Observed staff file #8 did not contain a FBI fingerprint clearance.

Observed Butt Paste labeled keep out of the reach of children, accessible to children in a backpack hanging on a low hook in the preschool room.

Observed shaving cream labeled keep out of the reach of children in the locked cabinet containing arts and craft supplies.

Observed a detached piece of floor trim in the infant room creating a visible hazard. Observed damaged radiator covers in the young toddler room. Observed in the back young toddler room, loose hanging cords which were a visible hazard hanging by the refrigerator.

Observed the back young toddler room had a microwave on a cart with wheels which could be pushed or pulled by the young toddlers creating a possible tipping hazard.

Observed the health assessment for child #4 did not contain a statement that the child able to participate in child care and appears to be free from contagious or communicable disease.

Observed child file #3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP. Observed child file #1 did not contain an updated immunization record of vaccines administered in accordance with the schedule recommended by the ACIP.

Observed staff file #3, 4, and 11, who had already began providing initial service in a child care setting, did not contain initial health assessments. Observed staff file #7 and #10 contained updated health assessments which were dated more than 24 months after the previous valid health assessment. Observed staff file #9 contained a most recent health assessment which was dated more than 24 months ago.

Observed the young toddler room had a fire alarm which required the battery to be changed. Observed the interconnected system was not operating in sync. Each of the fire alarms would go off but they would not all go off at the same time. Observed the operator did not have proof of purchase for the interconnected fire alarms.

Observed the operator did not send a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

Observed staff file #3 and #12, who were required to obtain training in pediatric first aid and pediatric cpr by 6/19/21, did not have documentation of completion of the required pediatric first aid and pediatric cpr in their file.

Observed staff #4 and #8, who have worked for more than 90 days, did not contain documentation of completion of the required professional development health and safety topics.

Observed staff file #1, 3, 4, and 11 did not contain documentation of 2 years experience with children.

Observed the agreement for child file #1, 2, 3, 4, and 6 did not specify the date of the child's admission.

Observed child file #1, 2, 3, 4, and 6 contained original agreements.

Observed the emergency contact form for child file #5 did not contain the health insurance policy number.

Observed the emergency contact information for child file #2, 3, 5, and 6 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed staff file #4 and #11 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Observed the facility did not provide to the parent of each child enrolled with information on how to access the regulations in this chapter electronically.