Little Treasures Daycare · Grove City

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum from a certified PQAS instructor.

The most recent child service reports in the file for Child #4 exceeded 6 months between reports.

The most recent parental updates for the emergency contact forms and fee agreements in the files for Child #2, 3, 4 and 5 exceeded 6 months between updates. The most recent parental updates for the emergency contact forms in the files for Child #1 and 6 exceeded 6 months between updates.

There was no criminal history clearance on file for Facility Person #1, employed more than 45 days. Facility Person #1 was observed to be caring for children unsupervised. The disclosure statement on file and signed by Facility Person #4 was dated after their start date. The child abuse clearance on file for Facility Person #5 was not valid as it was a volunteer clearance.

The letter to the parents explaining the emergency plan did not include the facility's plan for a lockdown or information regarding accommodations in the event of an emergency or the annual emergency drill.

The hot water temperature at a sink used by children for handwashing in the Pre-K room was measured to be 116° F.

There was damaged plaster/peeling paint on walls behind trash cans in the Pre-K room and the older toddler room.

There were two exits blocked as follows: A door between the infant room and staff room was blocked by an exersaucer in the infant room in front of the door, and multiple pieces of furniture/equipment in the staff room, that did not allow the door to fully open. There were shelves in the Pre-K room moved at nap time (to allow spacing for rest equipment) that then did not allow sufficient space to exit through the door to the adjacent preschool room.

In the infant room, there were two cots were labeled with numbers (2 & 3), and there was a chart listing the name of each child corresponding to the number to indicate which children used each cot. However, the staff in the room supervising the children said that the child who used cot #2 was the child listed for cot #3, and vice versa. Staff stated the rest equipment was labeled incorrectly.

In the medication box in the preschool room, there was a Neosporin, Mucinex and Refresh eye drops each not labeled with the name of the children for whom they were intended.

In the infant room, a crockpot used for heating bottles was located on the counter next to the sink located in the diapering area, used for handwashing after diapering.

There were four infant's bottles in the infant room not labeled with the children's names.

Facility Persons #1, #3 and #5 were classified as assistant group supervisors. There was no documentation of the education required for the classification on file for Facility Person #1. The documentation of the child care experience required for the classification on file for Facility Person #3 was not provided by a representative of the experiential entity. The documentation of child care experience on file for Facility Person #5 was insufficient (less than 2 years) for the classification.

The birthdate listed on the emergency contact form on file for child #1 was incorrect.

There was one written nonfamily reference on file for Facility Person #2.

Facility Person#1 was observed caring for children unsupervised. Facility Person #1 had not yet completed the following pre-service training required prior to caring for children unsupervised: an approved pediatric first aid/CPR training, health and safety training. There was no documentation that Facility Person #2, employed at the facility since 3/1/22 had completed the updated health and safety training required to be completed by all staff by 12/30/22.

The current criminal history and child abuse clearances on file for Facilty Person #3 were completed more than 60 months after the previous clearances on file. The current NSOR clearance and application for the NSOR clearance on file for Facility Person #7 were both dated after their start date. Clearance date - 8.23.22, application date - 8/18/22 (See IS Code sheet.)

Review dates of the facility's emergency plan were documented as 8/2/21 and 9/5/22.

There was diaper cream in an unlocked cabinet under the changing table, accessible to children, in the older toddler room.

There was damaged plaster on walls in the following areas: in the young toddler room behind a trash can, in the older toddler room above a shelf under a window, and in the preschool room near where cots are stored near a door.

In both the young and older toddler rooms, there was a cot labeled with a number corresponding to a different name on a chart than the child who uses the cot.

The current health assessment on file for Facility Person #3 was completed more than 24 months after the previous health assessment on file.

The only emergency drill documented on file at the facility was conducted on 9/20/22, more than 12 months after the regulation effective date of 12/19/20.

According to dates documented, the fire alarm system testing was done more than 30 days apart when tested on 5/4/22 and next again on 6/29/22.

There was no proof of purchase for the facility's interconnected fire alarm system on file.

Facility Persons #1, #2, #4, and #5 initially completed the required health and safety training prior to 9/30/16. They each completed the updated health and safety training after the required completion due date of 6/17/21 for staff employed at the facility as of the regulation effective date of 12/19/20.

The most recent mandated report training was completed by Facility Person #3 more than 60 months after the previous mandated reporter training completed and on file.

There was no child service report (or other approved form) completed, on file, and a copy given to the parent in the last 6 months for child #2.

There was no emergency contact form in the older toddler room for one of the children receiving care in that room.

The current emergency contact forms and agreements on file for children #1- # 5 were reviewed and updated by the parents in writing more than 6 months after the previous written review/updates.

The documentation of pediatric first aid and CPR training on file for Facility Person #6 was completed more than 90 days after hire. Training date - 9/28/22 (See IS Code sheet)

Although the file for Staff #3 contained a current PA Child Abuse Clearance, the previous PA Child Abuse Clearance was processed more than 60 months prior to the processing date of the current clearance.

Although the files for Staff #2, #3, #5, and #6 contained documentation of the completion of emergency plan training in the past 12 months, the previously completed emergency plan training for each staff was conducted more than 12 months prior to the date of completion of the most recent training.

In the Preschool room, the rear egress, which has a full length glass sidelight, lacked visual identifiers that would prevent a child from running into the glass, which could cause blunt force injuries.

An approximately 12"x6" plastic storage bin in an area accessible to children in the Pre-K room was observed to have a cracked, jagged edge that could cause laceration injuries. In the Preschool room, in an area accessible to children, an approximately 24"x18" wooden desk was observed to have pinch points near the base due to loose screws where the sides of the desk attached to the frame base.

The file for Child #2 contained a health assessment that was dated as completed more than 12 months prior to the child's first date in care at the facility.

The file for Child #1, age four-years-three-months, did not include documentation of a third Hepatitis B vaccine as recommended by the ACIP. The file for Child #2, age two-years-six-months, did not include documentation of the following vaccines as recommended by the ACIP: * Third and fourth DTAP * Annual Influenza * Third HiB * Third and fourth PCV 13 * Third IPV * First MMR * First and second Hepatitis A * First Varicella The files for Child #3 and #4 did not include documentation of an annual Influenza vaccine as recommended by the ACIP.

The files for Staff #1, #2, #3, and #11 each contained current health assessments; however, the previous health assessment were administered for each staff member more than 24 months prior to the current assessments.

In the Infant room, a nursing bottle used by a child in care was observed to lack a label with the child-user's name.

Although the files for Staff #1, #2, #3, #5, and #6 contained documentation of the completion of fire safety training in the past year, the previously completed fire safety training for each staff was documented as being conducted more than 12 months prior to the most recent training completion date.

The file for Staff #7, employed in a child care position for more than 90 days, did not include documentation of the completion of Health and Safety Basics training.

The files for Staff #1, #2, and #3 contained documentation of the completion of mandated reporter training in the past five years; however, the previously completed mandated reporter training for each listed staff member was conducted more than 60 months prior to the most recent training completion date.

The file for Child #2 contained an emergency contact form that did not include the address of the child's physician.

The file for Child #2 contained an emergency contact form that did not include the child's health insurance provider or corresponding health insurance policy number.

The file for Staff #8 did not include documentation of a High School Diploma or GED.

The file for Staff #10 included two written references; however, one of the said references was completed by a family member.

The files for Staff #4, #8, and #11, all of whom having worked in a child care position for more than 90 days, did not include documentation of the completion of Pediatric CPR/First-Aid training.