Little Ramblers Daycare & Preschool

At the time of reviewing the file, the file of staff #4 lacked proof of an updated Child Abuse clearance; the one in the file was dated 11-5-19. The file of staff #4 also lacked an updated Disclosure Statement. The file of staff #2 had a late initial PA Child Abuse clearance and signed Disclosure statement due to the fact they were dated: 8-26-24 and 8-27-24 (see LIS code sheet). The file of staff #1 had PA State Police clearances more than 60m months apart due to the fact they were dated: 7-11-24 and 7-8-19.

Observed prescription medication for child #1 accessible to children in care due to the fact it was stored in the child's bookbag sitting on a shelf low enough for children in care to access.

Observed prescription medication for child #1 with an expiration date of 3-2024.

The file of staff #3 had health assessments more than 24 months apart due to the fact they were dated: 3-29-23 and 3-1-21.

Based on documentation of testing the smoke detection system, testing occurred once a month rather than every 30 days for the months that have 31 days.

At the time of the inspection, there was no documentation the emergency plan was sent to the local municipality.

The file of child #3 lacked an emergency contact form with the address of the child's physician or source of medical care.

The file of child #3 lacked an emergency contact form with the work address and phone number of the enrolling parent.

The file of child #3 lacked an emergency contact form with information on the child's special needs or "NA" if not applicable.

The file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

Observed in the infant room the pack n plays had loose sheets creating and increased risk for SIDS for the infants.

Observed staff file #2 contained a criminal background check which was not complete and was stating the request was under review. Staff #2 has been in a child care position for more than 45 days.

Observed an electrical outlet in the small room which did not have a protective receptacle cover. Observed and outlet on the counter in the preschool area which did not have a protective receptacle cover.

Observed the infant first-aid kit did not contain sterile gauze.

Observed a spot of damaged drywall in the bathroom next to the small room. Observed damaged and exposed wires in the outdoor play area which were a tripping hazard. Observed an exposed bolt on the gate leading to the outdoor play area. Observed a cracked window with a rough edge in the small room. Observed the toddler and the preschool fans needed to be cleaned.

Observed a spot of peeling paint by the door in the small room bathroom.

Observed a torn diaper changing pad in the infant room.

Observed child file #1 contained an updated health assessment (9/13/23) which was dated more than 6 months after the previous valid health assessment (1/13/23).

Observed staff file #1 contained an updated health assessment (9/9/22) which was dated more than 24 months after the previous valid health assessment (6/24/20).

Observed the facility did not have documentation of completing an emergency drill within the previous 12 months.

Observed one time in the previous 12 months the fire alarm testing was conducted more than 30 days apart (6/1/23-7/5/23).

Observed staff file #5 contained documentation of the updated health and safety training which was completed after the required date to complete the training (12/30/22). Observed staff files #1, #3, #4, #6, #7, #8, #9, and #10 did not have documentation of completing the required health and safety training update which was to be completed by 12/30/22.

Observed staff file #5 did not contain documentation of 1 year of experience with children.

Observed child files #2 and #3 did not contain the address of the individual designated by the parent to whom the child may be released.

Observed a can of shaving cream, labeled keep out of the reach of children, in the arts and crafts cabinet in the preschool room.

Observed cabinet doors in the toddler bathroom and the preschool area which did not completely shut creating pinch points. Observed an exposed carpet seam and a door hinge which was loose and not working properly in the infant room.

Observed the toddlers did not have steps to reach the sink used to wash hands and were being lifted by staff to get their hands washed.

Observed a broken plastic cone in the outdoor play area. Observed exposed foam on a soft chair in the infant room.

Observed a small object less than 1 inch in diameter in the ball pit in the infant room. Observed multiple small particles less than 1 inch in diameter on the floor by the big chair in the infant room.

Observed 2 high chairs in the back room which were missing the T-shaped safety strap.

Observed the thermometer in the back room refrigerator was at 50 degrees at the time it was checked.

Observed child file #1, an infant, did not contain an updated immunization record of vaccinations received for the period of time when the infant was between 4 and 8 months old.

Observed the facility did not have a written feeding plan which listed the packaged baby foods the infant was allowed to be fed.

Observed the operator did not have documentation of submitting the updated emergency plan to the local municipality.

Observed the facility did not have a copy of the comprehensive general liability insurance.

Observed child file #1 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Observed staff file #1 contained two written, nonfamily references which were dated after the staff began working in a child care position. Observed staff file #2 contained one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: 3270.31.f.1-10.

Observed staff file #1 did not contain a CPSL required signed disclosure statement. Observed staff file #1, did not contain a valid child abuse clearance which is required when a staff starts in a child care position.

The file for Staff #2 contained FBI Clearances that were not completed within 60 months of the previous clearance; 12/2/14 and 12/18/19. The file for Staff #3 contained State Police Clearances that were not completed within 60 months of the previous clearance; 3/30/16 and 4/19/21. Although the file for Staff #6 contained complete clearances at the time of inspection, it was observed that the provisional time period of 45 days had expired prior to the National Sex Offender Certificate and Child Abuse Clearance being in their file. Staff #6 was allowed to continue to work with children during this time period.

In the Main Room, the gate was left open giving the children access to the kitchen area where there were sharp knives located in a drawer accessible to the children in care.

In the Back Room on the floor was a Hawaiian Breeze Glade Air freshener that was accessible to the children in care. In the Kitchen underneath the sink there was Clorox Bleach, Toilet Bowl Cleaner, and Miracle Rust Preventative Spray Enamel all labeled Keep Out Of Reach Of Children. The cabinet was left unlocked and the gate to the kitchen was not closed giving the children in care access.

In the School Age Room there was an unlabeled bottle. Staff stated that the liquid in the bottle was toy disinfectant.

In the Main Room there was a window open that did not have a screen.

In the Back Room, there was a Little Remedies Gas Relief Drops that did not identify the name of the child for whom the medication was intended.

The files for Staff #2 and Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment. Staff #2 Health Assessments dated, 1/10/18 and 1/21/20. Staff #3 Health Assessments dated, 3/29/18 and 6/24/20. The file for Staff #7 lacked a Health Assessment at time of hire.

The Facility's Emergency Plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The file for Staff #4, date of hire 4/21/21, lacked documentation of health and safety training numbers 1-9, as listed in the regulation within 90 days of hire.

The files for Staff #1, Staff #2, and Staff #3 contained mandated reporter training that was not completed within 60 months of the previous training. Staff #1 dates of training,22/4/15 and 2/16/20. Staff #2 dates of training, 2/4/15 and 10/21/20. Staff #3 dates of training, 3/28/16 and 4/10/21. The file for Staff #4 lacked timely Mandated Reporter Training as required under the CPSL. The staff file contained Mandated Reporter training after the required with 90 days of hire.

The file for Staff #3 and Staff #5, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person. The file for Staff #6, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

The file for Staff #2 lacked competence in the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR) before the requirement of compliance on 6/17/21. The file for Staff #4 lacked documentation of current certification in pediatric first-aid and CPR.