Mckeesport Child Development Center LLC · Closed

A large gap was observed under an exit door in a storage room near the kitchen. The door opens to the exterior of the building, The door lacked a guard at the bottom.

A reusable spray bottle containing bleach solution was accessible to children in an unlocked cabinet in the PS area near the kitchen. The bottle was observed on an accessible shelf inside the cabinet.

Trash from breakfast, including napkins, was observed in two open trash cans in both preschool areas. Lids for the cans were observed stored under the cans but were not in use which allowed the items contaminated by human secretion to be accessible.

A broken handle was observed on a blue floor scooter in the outdoor play space.

Nystatin cream which lacked written parental consent for administration was observed in the young toddler room. The medication was labeled for child #1.

Staff #1 did not renew the mandated reporter training within 60 months as evidenced by the certificates on file being dated 7/08/20 and 8/08/25. Current mandated reporter training is now on file.

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25, at 12:05pm Child #6 was observed in the restroom alone. There were no staff in the restroom or supervising the restroom while the child was in the restroom. Child #6 returned to their nap mat in the Preschool room. Staff #3 who was responsible for supervising Child #6, stated they were unaware the child had left the room and…

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25, at 12:05pm Child #6 was observed in the restroom alone. There were no staff in the restroom or supervising the restroom while the child was in the restroom. Child #6 returned to their nap mat in the Preschool room. Staff #3 who was responsible for supervising Child #6, stated they were unaware the child had left the room and…

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25 at 11:35am, in the School Age room there were 2 staff with 21 children. When asked to identify the children in their individual supervision groups, Staff #1 and Staff #5 failed to identify 2 school age children who were present. The staff were given several attempts to identify the children in their assigned supervision group. On…

The file for Staff #9 lacked PA Child Abuse clearance. (SEE LIS CODE SHEET)

The file for Staff #9 lacked emergency plan training. Staff #9 has been employed for at least 90 days.

Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2

Staff #1, #2, #7 & #8 were identified as assistant group supervisors. Their staff files lacked their qualifications. The file for Staff #1, #7 & #8 lacked documentation of 2 years experience with children. The file for Staff #2 lacked documentation of their high school diploma or GED certificate.

The file for Staff #8 contained only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff #9 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At approximately 10:30AM on an unspecified date in April 2025, child #1 pushed back from a table while seated resulting in the chair tipping and child #1 bumping his head on the floor. An accident/injury report was not written.

The file for staff #1 contained a child abuse clearance obtained for the purpose of volunteering.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff and children (YT and PS) present were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff and children (YT and PS) present were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff present and children (YT and PS) were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

On 2/06/25, staff #1 was assigned to supervise children in the preschool room during nap time. Child #1 was not supervised resulting in an injury from an accessible stapler.

The regional office was not notified that child #1 received emergency room treatment after an injury occurred at the facility on 2/06/25.

Based on statements made by staff, a stapler was accessible to children in the preschool room on 2/06/25.

On 2/06/25, child #1 incurred an injury to their finger caused by a stapler. An incident report was not written.

The file for staff #4 contained a child abuse clearance dated 8/21/19 which was not renewed on or before its expiration. A current child abuse clearance dated 9/04/24 is now on file. The file for staff #5 did not include a state police clearance and contained an expired NSOR clearance dated 11/07/19. The file for staff #10 contained an NSOR clearance dated 68 days after hire. The file also lacked an NSOR application. (SEE LIS CODE SHEET)

The file for staff #9 lacked documentation of current emergency plan training. The files for staff #2, #3, and #6 contained documentation of completing emergency plan training at an interval greater than 12 months. Current training is now on file for staff #2, #3, and #6.

The facility's letter to parents explaining the emergency procedures lacked details regarding the accommodations that will be made for infants, toddlers, children with disabilities and children with chronic medical conditions.

A spray bottle of bleach water and a small bucket of cleaning water were accessible to children in an unlocked storage cabinet in the PS room. A gallon pump bottle containing hand sanitizer was accessible to children in an unlocked storage cabinet in the OT room.

The first aid kit in the OT room lacked tweezers.

Stained ceiling tiles were observed in the following areas; 2 in the school age area, 2 in the cubby area near the restrooms, 3 above the rear gates of the PS/OT areas, and 3 in the infant room. In the restroom, a sharp white plastic piece was observed where a stall door had been removed and sharp, rusted metal was observed on the bottom of a stall door. The doorknob wall protector plate, mounted outside the restroom door, was observed to be broken with accessible sharp plastic. An area of splintering wood trim was observed at the base of a half door frame outside the restroom area.

Peeling blue paint was observed on the 1/2 wall in the school age room.

One toilet stall in the restroom used by children lacked a posted handwashing sign.

The changing pad in the restroom was torn exposing the inner foam filling.

A broken knob was observed on the play stove in Toddler 1. In the PS room, two broken baskets were observed in the cubbies and a broken blue magnatile was observed in a storage bin. In the EHS toddler room, a cracked clear plastic bin was observed in the play sink. A hardened, partially eaten cheese slice was observed on a toy shelf in Toddler 1.

A loose arm, resulting in a pinch pint, was observed on a patio type wooden chair in the school age area. Multiple loose and bent hooks were observed in the cubbies in the OT room and the EHS toddler room.

The file for child #3, a young toddler, did not contain a current health report. The most recent health report on file was dated 12/11/23.

The files for children #5 and #7 did not contain current health reports. The most recent health assessments on file are dated 8/25/23 for child #5 and 11/16/23 for child #7.

The most recent health report on file for child #8 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The last documented emergency drill occurred 7/21/23.

The files for staff #4 and #6 did not include current documentation of fire safety training. The files for staff #1, #3 and #9 contained documentation of completing fire safety training more than 12 months apart.

Staff person #4 did not renew mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/18/19 and the updated training being dated 3/12/24. Staff person #8 did not complete mandated reporter training within 90 days of hire. The training was dated 4/25/24. (SEE LIS CODE SHEET)

The files for staff #7 and #11, designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #10, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

The file for staff #4, employed for over 12 months, did not include a staff evaluation.

The agreements for children #2, #4, and #7 did not specify the amount of the fee to be charged.

The agreements for children #2, #4, and #7 did not specify the date on which the fee is to be paid.

The file for child #3, enrolled over 6 months, did not contain documentation of sharing the child service report with the child's parents. The file for child #4 contained two child service reports dated by staff as 6/02/24 and 11/02/24, however there was no documentation that the reports were shared with parents. The file for child #5 contained a child service report dated more than 6 months after initial enrollment, but is now current. The file for child #7 lacked documentation of sharing a child service report with parents within the last 6 months. The only report on file was dated 11/15/23.

The agreement for child #7 did not specify the child's departure time.

The agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact form for child #1 did not include a complete date of birth. The year was not listed.

The emergency contact forms for children #1, #2, #5, and #7 did not include the name, address and telephone number of the child's physician. The forms for children #5 and #8 included incomplete addresses for the children's physicians.

The emergency contact forms for children #1, #4, and #7 did not include the work address and phone number of the enrolling parent. The boxes were left blank. The emergency contact form for child #1 did not include the enrolling parent's phone number. The emergency contact form for child #6 did not include the complete address of the enrolling parent.

The emergency contact forms for the following children did not include the health insurance coverage and/or the policy number; children #1, #2, #4, #5, #7, and #8.

The emergency contact forms for children #1, #6, and #7 did not include complete addresses for the individuals designated by the parents to whom the children may be released.

The emergency contact form and agreement for child #5 have not been reviewed by the parent in over 6 months. The last documented review occurred 1/25/24. The Emergency contact forms and agreements for children #6, #7, and #8 were reviewed by the parents at intervals greater than 6 months, but are now current.

The emergency contact forms for children #2 and #7 did not include a date with the parent's signature following the most recent review.

The emergency contact forms for children #1, #2, #5, #6, and #7 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

The file for staff #7 did not include two written references.

Staff #5 did not complete training in pediatric CPR and first aid within 90 days of hire. This is evidenced by the training being dated 7/19/24. (SEE LIS CODE SHEET)

The file for staff #4 contained 6 hours of annual training completed on time between 4/30/23 and 4/30/24. Six additional hours were completed late in October 2024. Current training is now on file.

Based on statements made by staff and documentation at the facility, staff #1 used their hand to lightly strike a school- aged child on the hand because the child was not following directions.

**At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

*At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

Based on the facility's fire drill log, the hypothetical location of the fire was the same for two consecutive drills, dated 4/24/24 and 5/23/24. The drill completed on 6/18/24 was compliant with a different hypothetical location.

The files for staff #1 and #2 contained expired CPR and First Aid certification, both dated 4/03/22 with expiration at the end of 4/2024.

The NSOR on file for Staff #4 did not have Staff #4's name printed on it, making it invalid. Staff #4 must be removed a childcare position on 3/1/24, until the corrected NSOR is received.

At approximately 2:00 PM during nap time, Staff #5 was observed during with 1 PSA child and 7 YT in the Young Toddler Room. While Staff #5 was changing a diaper, 1 YT got up off their cot and Staff #5 instructed the child to sit at the table. This caused Staff #5 to be out of mixed age ratio, due to nap ratio no longer being applied. The ratio was 1:5.

At approximately 1:25 PM, Staff #3 and Staff #7 were observed in the Infant room with 7 Infants and 1 YT. Staff #7 was asked to name her supervision group and successfully named 1 YT and 3 Infants. Staff #3 was asked to name the children in her supervision group and named 3 but actually had four infants. CR gave Staff #3 a second attempt and was unsuccessful. CR explained there was a total of 8 children in the room and one child was left unidentified. After Staff #3 and Staff #7 discussed their respective groups, they realized the unidentified child was assigned to Staff #3.

An outlet cover was missing in the TV room.

Peeling paint was observed on the wall near the door in the Older Toddler space in the middle of the Main Room.

The Yellow space in the Main Room lacked a handwashing sign at the sink.

A cracked plastic toy bin was observed in the Yellow Space, a cracked green toy bin was observed in the Older Toddler middle space, broken magnatiles were observed in the Preschool and School Age spaces, and foam letters with teeth marks were observed in the Preschool space. A cracked handle on a Scooter Board was observed in the Outdoor Play Space.

The most recent health assessments on file for Child #6 (YSA) and Child #7 (YSA) are dated 8/23/22 and 9/10/21, which are health assessments completed for a preschool aged child, not a school aged child.

The most recent health assessment on file for Child #3 (PSA) is dated 5/17/22, more than 12 months ago.

The two most recent health assessments on file for Staff #2 were dated 2/23/22 and 3/3/24, more than 24 months apart.

The two most recent fire safety trainings on file for Staff #2 and Staff #5 were dated 4/3/22 and 7/21/23, more than one year apart.

Staff #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care: Building Blocks for Quality -- Revised 2022 (Dated 9/19/23)

The most recent mandated reporter training on file for Staff #6 is dated 2/28/19, more than 60 months ago.

The financial agreement form for Child #3 did not contain a fee amount.

The Financial Agreement forms for Child #3 and Child #4 did not contain the date which the fee is to be paid.

The files for Child #1 and Child #4 did not contain any Child Service Reports. The Financial Agreements on file for Child #2 and Child #3 lacked services provided.

The Financial Agreement form on file for Child #3 did not contain the date of admission.

The Emergency Contact form for Child #2 lacked the name, address, and telephone number of the child's physician or medical care provider.

The Emergency Contact form for Child #1 lacked a complete home and work address of the enrolling parent. The Emergency Contact forms for Child #2, Child #3, and Child #4 lacked complete work address and work phone number of the enrolling parent.

The Emergency Contact form for Child #5 did not contain consent from the parent for emergency medical care.

The Emergency Contact form for Child #3 did not indicate if the child has any special medical needs, which is needed in an emergency situation.

The Emergency Contact forms for Child #2, Child #3, and Child #4 lacked the Health Insurance/MA name and policy number.

The Emergency Contact forms for Child #2, Child #3, and Child #4 lacked complete addresses and phone numbers for all listed release persons.

The Emergency Contact form for Child #5 did not contain consent form the parent for the facility to administer minor first-aid.

The file for Staff #1 lacked 2 hours of annual training within the last 12 months. (See LIS CODE SHEET)

Based on conversations with staff, an infant was left alone in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym creating a staff to child ratio of 0:1.

**Based on conversations with staff, an infant was left alone and was not supervised in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym.

*Based on conversations with staff, an infant was left alone and was not supervised in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym.

Based on conversations with staff, a staff person did use curse words in the presence of children in the classroom. Also, staff have been heard raising their voices at the children in the classroom.

The file of child #1, who was out ill for a week with a communicable disease, did not contain a doctor's note permitting the child to return from care. When staff person #1 contacted the parent, the parent confirmed a doctor's note was not provided to the facility upon the child's return.

At 9:40 AM, 4 YT and 7 OT were observed receiving care in the "Indoor Gross Motor" playspace that has a designated maximum capacity of 8 toddlers.

SECOND CITATION: The facility does not employ two Group supervisors to be present 30 hours a week each. The facility has more than 45 children enrolled and attending daily. PREVIOUSLY CITED ON 8/25/23

At 12:53 PM, Staff #1 was unable to name 1 young toddler in the group of 9 children they were supervising during nap in the Purple Room.

The file for Staff #3 contained a disclosure statement that was not signed by the employee. The files for Staff #11 and #15 contained disclosure statements that did not include a witness signature.

At 9:10 AM, Staff #3 and Staff #14 were observed with 8 Infants and 1 Young Toddler while assessing supervision and ratio in the Infant Room.

During a nap time supervision & ratio check, a piece of furniture was observed obstructing the view of Staff #7 who was sitting in a chair while supervising a child on rest equipment. Multiple children were observed napping in the Purple Room with their faces covered by a blanket so that their face could not be seen by Staff #7. In the Pre-K room, multiple pieces of furniture were observed obstructing the view of Staff #6, who was standing in one area of the room during a nap time supervision and ratio check.

Staff #7 was unable to name 1 young toddler in the group of 9 young toddlers that they were supervising during nap in the Purple Room.

Emergency plan did not address continuity of operations. The files for Staff #6 and Staff #15 did not include documentation of completion for the Health and Safety 1 hour update.

The file for Staff #15 lacked an emergency plan training within 90 days beyond date of hire (SEE LIS CODE SHEET).

There were missing outlet covers in the School Age room, Toddler room, Gross Motor room, and TV room.

Aquaphor, Deodorant, and lotion, which were all labeled 'Keep out of reach of children', were located in an unlocked cabinet accessible to children in the Pre-K room.

A missing toilet seat was observed accessible to children in the bathroom located in the School Age room. A loose sink that was detaching from the wall was observed in the bathroom next to the School Age room. A damaged wall with exposed holes was observed in the Pre-K room.

There was peeling paint observed on the wall in Yellow Room.

Staff #7 was observed holding an able bodied child for handwashing after diapering.

While observing a diaper change, Staff #7 did not wash their hands after completing the diapering.

An exit door in the Purple room, which leads to the office, had furniture and plastic bins obstructing the exit on both sides.

A broken & separated blue table, a torn plastic corner on a sleeping mat, and a cracked purple bin were located in the School Age room which could be harmful to children. A cracked chair with sharp edges was observed in the Yellow Room. A cracked plastic tiger toy and a cracked wooden wire toy with pinchpoints were observed in the Purple Room with Toddlers. A cracked red bin with sharp edges was observed in the Middle Room, which could cause injury. In the Gross Motor space, a plastic toy vacuum was observed not to be clean and in good repair. In the outdoor playspace, there were exposed screws on a plastic toy house and exposed bolts on the fence which are hazardous to children.

The Purple Room contained rest equipment that was not labeled for the use by a specific child.

Sleeping equipment in the Yellow Room, Infant Room, and Pre-K Room, did not have 2 feet of space on three sides of a crib or cot while the equipment was in use.

The mini refrigerator located outside of the Purple Room did not contain a thermometer. The refrigerator in the Kitchen read 48 degrees and the thermometer in the Infant Room mini refrigerator read 54 degrees, which is more than 45 degrees or below to maintain food.

The initial health assessment on file for Child #5 is dated 5/3/19, more than 6 months prior to enrollment for a young toddler (SEE LIS CODE SHEET).

The file for Child #4 lacked consecutive health assessments and immunization updates for an infant and young toddler aged child.

The file for Child #4 lacked consecutive health assessments and immunization updates for a preschool aged child. The file for Child #5 contained health assessments dated 5/3/19 and 6/9/23, which are more than 6 months apart for a Toddler and over a year apart for a preschool aged child.

The file for Staff #13 lacked documentation of a negative chest X-Ray with documentation of a positive Tuberculosis screening.

The fire drill log included dates 6/9/23-8/9/23, which is more than 60 days between drills. (61 days)

The facility does not have a fire alarm 30-day test log, as required with the 12/19/20 Chapter 3270 regulation updates.

The files for Child #1 and #9 lacked initial health assessments and immunization records within 60 days of the date of enrollment (SEE LIS CODE SHEET).

The liability insurance certificate did not include the address of child care location.

Staff #2's file include a previous and most recent CPR/First Aid training that was more than 24 months apart 5-16-20 & 11-3-22. Staff #13 CPR/First Aid training certificate was not located in the file.

Staff #8 lacks the required 2500 hours of child care experience and 30 human service credits needed to meet the requirements of a Group Supervisor.

The facility does not employ two Group supervisors to be present 30 hours a week each. The facility has more than 45 children enrolled and attending daily.

The file for Staff #16 lacked documentation of 2500 hours of child care experience and an acceptable high school diploma need to meet the requirement for an Assistant Group Supervisor.

The file for Staff #3 and Staff #15 lacked documentation of 2500 hours of child care experience needed to meet the requirements for an Assistant Group Supervisor. The file for Staff #14 lacked documentation of a high school diploma need to meet the requirements for an Assistant Group Supervisor.

The file for Staff #5 lacked documentation of a minimum of an 8th grade education.

The files for Child #2 & Child #4 contained financial agreements that were missing the date of when the fee is to be paid.

The files for Child #2 and Child #6 were missing Child Service Reports within 6 months from date of enrollment (SEE IS CODE SHEET). The file for Child #4 was observed to include the most recent Child Service Report dated 7/2/21, which is over 6 months old. The file for Child #5 was observed to include the most recent Child Service Report dated 2/14/2023, which is more than 6 months old.

The file for Child #10 includes a financial agreement where the departure time is blank.

The file for Child #4 includes a financial agreement where the date of admission is blank.

The files for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 was observed to include the original copy of the financial agreement.

The Emergency Contact forms for Child #5 and Child #8 do not include the child's birthdate.

The Emergency Contact forms for Child #7, #8, and #10 do not include a complete address for the child's physician or source of medical care. The Emergency Contact form for Child #9 does not include a complete address and phone number for the child's source of medical care.

The Emergency Contact form for Child #4 does not include the parent's home address, work address, and work phone number. The Emergency Contact forms for Child #1, #5, #6, #7, #8, #9, #10 do not include the work address and work phone number for the parent's employer.

The Emergency Contact forms for Child #4, #5, #7, and #10 do not include information on the child's special needs.

The Emergency Contact forms for Child #3, #4, #6, #7, #8, #9 do not include the child's health insurance policy number. The Emergency Contact form for Child #5 does not include the child's health insurance coverage name and policy number.

The Emergency Contact forms for Child #2, #4, #5, #6, #8, #10 do not include complete addresses for all persons whom the child may be released to. The Emergency Contact form for Child #9 does not include a complete address and a phone number all persons whom the child may be released to.

Emergency Contact forms were not present in the School Age Room and Yellow Room for the children receiving care in the space.

The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #2 and #6 is dated more than 6 months after the previous 6 month review signature.

The file for Staff #12 includes only 1 written nonfamily reference letter.

Staff #8 CPR/First Aid training on file was completed on 5/26/23, which was past 90 days beyond date of hire(SEE LIS CODE SHEET).

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.

The file for Staff #6 contained an FBI clearance with RAP sheet which did not include disposition for charges.

Upon assessment of supervision and ratio in the Main Room at 1:15 PM on 8/29/22 during naptime, 1 staff was supervising 18 PS children. One of these children was observed sitting in a chair, not on rest equipment.

Upon assessment of supervision and ratio in the Main Room on 8/29/22 at 1:15 PM, Staff #7 did not know the names of 3 of the 18 PS children she was supervising during naptime, when given the opportunity to name her supervisory group two times.

The file for Staff #6 lacked documentation of initial emergency plan training.

Pieces of garbage were observed on the grass of the outdoor playground. A 6" piece of metal was observed on the grass in the outdoor playground.

Small rocks with a diameter of less than 1 inch were observed on the outdoor playground, in which toddlers receive care, near the shrubs.

Plastic bags were observed to be accessible to children in an unlocked cabinet under the sink in the Infant/Toddler Room.

An unsecure radio was observed in the Infant/Toddler Room, with wires hanging, which could be pulled down on a child. An unsecure TV was observed in the Main Room, which could be pulled down on a child. A Little Tikes picnic table was observed to have the top unattached from the base on the outdoor playground.

The cots used for sleeping children in the Main Room were observed to lack 2 feet on at least 3 sides on the day of the inspection during naptime.

The refrigerator in the Infant/Toddler Room was observed to lack a thermometer.

The file for Child #9 contained consecutive health reports dated more than 12 months apart.

The files for Child #4, #5 and #7 contained record of immunization history which lacked a current influenza vaccination.

Unlabeled albuterol, Motrin, Tums, Naproxen Sodium were observed in the medicine box of the facility.

An expired acetaminophen was observed in the medicine box of the facility.

An acetaminophen labeled for Child #10, an albuterol labeled for Child #11 and a Motrin labeled for Child #12 were observed to lack written parental consent for administration.

During an observed diaper change in the Infant/Toddler Room, the hands-free can was not able to be used as intended, as the hands-free mechanism was not working.

The files for Staff #2 and #3 contained consecutive health assessments dated more than 24 months apart. The file for Staff #6 contained an initial health assessment dated more than 12 months prior to start of employment.

The file for Staff #6 contained an initial tuberculosis screening by the Mantoux method dated more than 12 months prior to the start of employment.

A menu for the current week was observed to be posted, yet the menu for one week in advance was not posted nor provided to each family.

Feeding schedules provided by the parents for the infants in care were not available at the time of the inspection.

A bottle being used to feed an infant in the Infant/Toddler Room was observed to lack a label.

The proof of purchase for the observed interconnected fire detection system was not available at the time of inspection.

The files for Child #3 and #8 lacked initial health reports within 60 days of enrollment. The file for Child #6 contained an initial health report dated more than 60 days after the first day of enrollment.

Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first-aid/CPR training.

Staff person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Staff #4, designated as an AGS, contained documentation of a high school diploma, yet lacked documentation of prior experience with children.

The file for Child #6 contained an emergency contact form which lacked the child's name and birth date.

The file for Child #3 contained an emergency contact form which lacked the telephone number of the child's medical provider. The file for Child #4 contained an emergency contact form which lacked the address and telephone number of the child's medical provider. The file for Child #7 contained an emergency contact form which lacked the name of the child's medical provider.

The files for Child #2 contained an emergency contact form which lacked the work address and telephone number for the enrolling parent. The file for Child #3 contained an emergency contact form which lacked the home and work addresses and telephone numbers of the enrolling parent. The file for Child #6 contained an emergency contact form which lacked the work address of the enrolling parent. The file for Child #7 contained an emergency contact form which lacked the work address and telephone number and home telephone number of the enrolling parent.

The files for Child #1 and #3 contained emergency contact forms which lacked the health insurance coverage and policy number for the children.

The files for Child #1, #3, #4, #6, #7 and #8 contained emergency contact forms which lacked full addresses for release persons.

Staff person #1 was observed to be caring for children unsupervised on 5/23/22 at 10:35 AM. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics.

An open garbage bag was observed on the Playground which contained soiled napkins and used straws.

Staff person #1 and #2 completed the following required pre-service training more than 90 days after their dates of hire (see LIS code sheet): health and safety topics. Staff #1 completed the health and safety training on 5/25/22 and Staff #2 completed the health and safety training on 5/27/22.

Based on the investigation of an incident that occurred on 10/20/2021, including interviews with staff and review of video surveillance, it was determined that staff #1 used physical punishment with a child in care. Staff # 1 was observed poking the child in the head with a finger once; and then forcefully pushing the child's head with a hand and swatting at the child's head with the sleeves of a shirt several times.