Mechanic Grove Church of the Brethren DC

A written statement giving the formula and feeding schedule had not been obtained for infant child #1

At the time of inspection, the operator was unable to provide documentation of current general liability insurance policy.

The previous pediatric first aid and CPR training on file for staff person #15 expired at the end of January 2025. An updated training was not completed until February 20, 2025.

Fire safety trainings on file for staff person #8 were dated in June of 2024, and subsequently more than 12 months later in August of 2025.

Staff person #1 completed the required health and safety trainings (listed in subsections f1-9) 105 days after their date of hire. Staff person #13 completed pediatric first aid and CPR (listed in subsection f10) 172 days after their date of hire.

The agreement on file for child #6 was not signed by the parent. The agreements on file for children #7, #8, and #9 were not signed by the operator.

The agreement on file for child #6 did not specify the persons designated by a parent to whom the child may be released.

The agreements on file for children #6, #7, #8 and #9 did not specify the date of the child's admission.

The emergency contact information on file for child #5 did not include the enrolling parent's work address and also did not include addresses for 2 of the listed release persons. The emergency contact information on file for child #7 did not include the enrolling parent's work address and phone number.

The agreement on file for child #1 was signed/dated by the parent in November of 2024, and subsequently more than 6 months later in July of 2025.

The record for staff person #11 did not include documentation of 12 clock hours of annual child care training for the previous training year (6/2024-6/2025). The record for staff person #12 did not include documentation of 12 clock hours of annual child care training for the previous training year (6/2024-6/2025). Annual training hours have since been completed.

The operator did not telephone notice the appropriate regional office within 24 hours of a child receiving emergency room treatment. An email was sent in-lieu of a phone call.

Fire drills have not been completed at least every 60 days. Fire drills were completed on 8/1/24, 61 days later on 10/1/24, and then 62 days later on 12/2/24.

According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 8/1/24 to 9/2/24, 10/1/24 to 11/1/24 to 12/2/24 to 1/2/25.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 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 10/22/2018. The record for staff person 13 did not include the required 1-hour Pennsylvania Health and safety training update.

Staff person 9 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 10-22-2018. The records for staff persons 11, 15, and 17 included PDE FBI clearances in-lieu of the required DHS FBI clearances. Staff person 12 began working in a child care position without a complete child abuse clearance on file. (CORRECTED) Staff person 16 began working in a child care position without a complete child abuse clearance on file. The clearance was obtained 3 days after start date.

Staff persons 1, 4, 5, 6, 7, and 14 received emergency plan training in June of 2023 and then subsequently more than 12 months later in July of 2024.

A boxwood shrub was observed within reach of the outdoor preschool/school age child care space.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by the phone in the CLASP room.

The backpack containing the first aid kit and medications (an EPI pen, an inhaler, and benadryl) was observed on a table in an area accessible to the school age children in the space.

Updated health reports were not obtained timely during the past year for children 1 and 3. Child 1 - Health reports were dated 12/2022 and subsequently more than 6 months later in October of 2023. The child was a young toddler at the time of the lapse. Child 3 - Health reports were dated 9/2022 and subsequently more than 6 months later in 9/2023. The child was a young toddler at the time of the lapse.

Benadryl tablets were observed in loose blister packs. The box/original container was not on site.

The facility did not have medication logs on file for three medications that were on site in the CLASP space.

The most recent health assessment on file for staff person 10 was more than 24 months old, and no longer valid. The updated health assessment on file for staff person 14 was not updated timely. The health assessments on file were dated in February of 2022 and then more than 24 months later in March of 2023.

Staff persons 2 and 8 each completed fire safety training in October of 2022 and then subsequently more than 12 months later in November of 2023.

Children 1, 3, and 4 - Child service reports had been completed in June of 2023, and then subsequently more than 6 months later in May of 2024.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the CLASP space.

Emergency contact forms located in the toddler, preschool, infant, and CLASP rooms were past due for updates (parent signatures more than 6 months old).

Staff person 11 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Forms were on file that outlined the work she did, but did not attest to her suitability to serve as a facility person.

Two bottles of hand sanitizer were observed in areas accessible to the children. (CORRECTED ON SITE)

31 days lapsed between manual tests of the fire detection systems on 3/1/24 and subsequently 4/1/24.

The immunization record on file for child 1 was not updated in accordance with the schedule recommended by the ACIP. The record did not contain documentation of the immunizations given at 6 months.

Staff persons 1 and 2 are seasonal staff and have been employed for more than 90 days. Their pediatric first aid and CPR trainings expired and were not updated prior to returning for the summer employment.

The emergency contact information on file for child 2 was incomplete. The record did not include the address of the child's Physican, nor the health insurance policy number.

The emergency contact information on file for children 2 and 3 were past due for updates. The most recent parent signatures were more than 6 months old (1/23/23 and 12/22).

Staff person 2 had volunteer clearances on file in-lieu of employment clearances for a period of 11 calendar days. (CORRECTED ON SITE) The FBI clearance on file for staff person 7 expired 10/24/21, and the updated clearance was not obtained until 8/9/22.

11 younger and older toddlers were observed in a room measured for 8 children. (CORRECTED ON SITE)

Electrical outlets in both of the school-age bathrooms off the gym/main lobby were not covered. Five year old children use the space.

The carpet in the school-age space has significant staining that is not coming up during routine cleanings/shampooing.

Peeling paint was observed on the wall behind the trash can in the infant room.

An outdoor Step 2 Skyward Summit climber was not embedded over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission as required by the manufacturer's instructors.

The immunization record on file for child 2 was not in accordance with the schedule recommended by the ACIP, and also did not include any exemption notes. An annual influenza vaccine from the previous year was not on file.

The initial health assessment and TB test results on file for staff person 2 were dated more than 12 months prior to start date.

Staff persons 1, 5, 6, 7, 10, 11, 12 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The emergency contact information on file for children 1 and 3 were incomplete. (CORRECTED ON SITE) -Child 1, did not include address for listed release person -Child 3, did not include enrolling parent's work address and work telephone number

Some of the emergency contact forms present in the school-age space had not been updated during the previous six months.