Milestones Child Care Center LLC

Following a fire at the facility, the operator did not notify the appropriate regional office of the Department within the required 24 hours, as mandated by regulation.

Following a fire at the facility, the operator failed to mail or deliver a written report to the appropriate regional office of the Department within 72 hours of the fire incident at the facility, during which the fire department was called.

The NSOR Certificates (dated: 10.29.2024 and 01.22.2025, respectively) in the file for staff #4 and #5 were dated after their Date of Hire. (SEE LIS CODE SHEET)

The two most recent Emergency Plan Trainings for Staff #1 and #3 were dated more than 12-months apart. (SEE LIS CODE SHEET)

A trash receptacle in the Mezzanine (UPSTAIRS ROOM) containing human secretions (used Starbuck's plastic cup and used tissue) was not contained in a closed receptacle.

The Updated Child Health Assessment for Child #1 was dated more than 12 months apart. (SEE LIS CODE SHEET)

The Initial Health Assessment for Staff #4 was dated (02.2025) which is past their Date of Hire. (SEE LIS CODE SHEET)

The TB Test for Staff #4 was dated 02.10.2025 which is past their Date of Hire. (SEE LIS CODE SHEET)

The last two fire safety trainings in the file for Staff #1 and #3 are dated more than one year apart. (SEE LIS CODE SHEET)

Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Health and Safety training Part 1 (Dated: 02.01.2025) and Part 2 (Dated: 02.01.2025).

Mandated Reporter Training for staff #5 was dated (01.28.2025) was dated after their date of hire. (SEE LIS CODE SHEET)

The file for staff person #1 was missing a dissemination date for the Pennsylvania State Police Clearance.

The file for staff person #2 lacked documentation of emergency plan training.

In the front room, a bottle of Purell labeled, "Keep out of the reach of children" was observed on a toy shelf and in an unlocked drawer which was accessible to children.

In the back room, damaged plaster/dry wall was observed on the wall near the closet directly under the metal electrical wall covering.

Observed in the front room, was a cracked toy bin handle and cracked magnet tiles that could cause injury. In the front room and the upstairs room, foam blocks were observed with teeth marks and missing pieces that were not in good repair.

In the back room, a sensory table was observed to contain corn, elbow noodles, and beans that were less than 1 inch in diameter and accessible to toddlers.

The most recent health assessment on file for child #4 is dated 3/30/23, exceeding the 12 month update.

The health assessment for staff person #3 was dated 12/21/23 after date of hire. The health assessment for staff person #4 was dated 5/12/23 after the date of hire. (Use LIS code sheet)

The file for staff person #2 contained a tuberculosis screening that was dated 11/2018, which was longer than 1 year before hire date. The files for staff person #3 and staff person #4 contained a tuberculosis screening dated after their date of hire. (Use LIS code sheet)

There were more than 12 months between the last fire detection report on 11-4-22 and the most recent report on 11-21-23. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, the fire detection device or system must be tested annually by a fire safety professional

The file for Facility person #1 has served at the facility for more than 90 days and has not taken Mandated Reporter training. (See LIS CODE Sheet)

The files for child #2, child #3, and child #4 do not contain a child service report after July 2023, exceeding the 6 month update timeframe.

The emergency contact form on file for child #1 does not include a complete address for all listed release persons. The emergency contact form on file for child #4 does not include an address for all listed release persons.

The file for staff person #2 contained a tuberculosis screening that was dated 11/2018, which was longer than 1 year before hire date. The files for staff person #3 and staff person #4 contained a health assessment and a tuberculosis screening dated after their date of hire.

Staff persons #3, #4, and #5 were observed to be caring for children unsupervised. Staff persons #3, #4, and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/FA from an approved PQAS instructor.

The file for staff #3 contained out of state clearances dated after their first day in a child care position. The clearances were dated 3/16/23. Proof of applying for these clearances on or before their start date was not on file. (SEE LIS CODE SHEET).

The facility's emergency plan did not include details related to continuity of operation as required by Announcement C-22-04.

Hard plastic with sharp edges was observed on the support post for the gate between the entry area and the front child care space. A plastic pinch guard had previously been attached, but remnants remained after its removal.

A changing table observed in the upstairs preschool room was not positioned with a source of running water nearby. The changing table was across the room, approximately 10-12, feet from the sink with a child-size table in between.

Peeling plastic covering was observed on a blue foam play mat in the toddler room. Foam blocks with bitemarks and pieces missing were observed in the front preschool room.

A broken plastic piece of a marble game was observed in the front preschool room. The faucet on the play sink in the toddler room was loose creating a pinch point. The wall mounted changing table in the toddler room lacked safety straps. The manufacturer's instructions printed on the table indicated the equipment originally came with straps installed and that the straps are to be used during each diaper change.

Exposed screws and splintering wood were observed on the top of a white shelf in the back left corner of the toddler room.

The file for child #4 contained a health report which was not updated within 12 months. A current health report is now on file.

The file for staff #2 contained a health assessment which was not updated within 24 months. The most recent health assessment on file for staff #2 is now current.

The facility's annual fire alarm inspection reports were dated more than 12 months apart. The previous report was dated 10/28/21 and the current report was dated 11/04/22.

The initial health report for child #4 was conducted after the 90 days allowable during the suspension of the regulation due to covid 19.An updated and current health report is now on file.

Staff #1 and #2 did not complete the 1-hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22 as required by Announcement C-22-06. Completed training dated 3/21/23 is now on file for both staff.

The file for staff #3 contained documentation of completing training in topics 1-9 and Pediatric CPR/FA more than 90 days after their start date. The health and safety training training was dated 3/03/23. The CPR/FA training was dated 2/18/23. (SEE LIS CODE SHEET).

Staff persons #1 and #2 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 training was completed prior to 4/29/22.

The file for staff #3 contained documentation of mandated reporter training completed more than 90 days after their hire date. The training was dated 1/13/23. (SEE LIS CODE SHEET)

The file for staff #4, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.

The file for staff #2 contained a self evaluation, however the file did not contain an evaluation conducted by the director. Based on statements made by staff, only self evaluations are currently being completed.

The files for children #1, #2, and #3 contained service reports which were not updated within 6 months. Current reports are now on file. The file for child #4 did not contain a current service report. The last report on file for child #4 was dated 12/21/21.

The files for children #1, #2, and #4 contained the original agreements.

The contact information for the regional child care office was not posted.

The file for staff person #3 lacked a dated disclosure statement and mandated reporter training. The file for staff person #4 contained an old disclosure statement and lacked mandated reporter training. The file for staff person #5, lacked a disclosure statement signed by the staff. (SEE LIS CODE SHEET FOR HIRE DATES)

The file for facility person #5 lacked emergency plan training (SEE LIS CODE SHEET FOR HIRE DATE).

It was observed that the main double door was blocked on one side with 2 boxes.

The file for child #3, who is a young toddler, had a health assessment dated for 8/19/21, which is more than 6 months ago.

The immunization record for child #3 lacked an influenza vaccination in accordance with the ACIP.

The established capacity in the front room is 18. During the inspection on 4/6/22, it was observed that 19 kids were present.

Facility lacked documentation of a emergency drill being completed.

Facility lacked documentation of proof of purchase of the inter-connected smoke alarm system.

The file for child #1, with a start date of 10/1/21, had an initial health assessment dated for 4/4/22, which is more than 60 dates after starting.

The file for staff person #3 and staff person #4 lacked health and safety training in topic areas 1-10 within 90 days of hire, (SEE LIS CODE SHEET FOR HIRE DATE).

The agreement for child #2 lacked the operator's signature.

The agreements for child #2, #3, #4, and #5 lacked the date of admission.

The file for child #1, child #3, and child #5 contained the original agreement.

The emergency contact form for child #2 lacked the enrolling parent's work address. The emergency contact form for child #4 lacked the enrolling parent's work address and work phone number.

The emergency contact form for child #3 was reviewed on 8/2/21, which is more than 6 months ago.

The file for staff person #2, staff person #3, and staff person #4 lacked pediatric first aid and CPR training (SEE LIS CODE SHEET FOR HIRE DATES).

The file for staff person #1 (SEE LIS CODE SHEET FOR HIRE DATE) lacked 12 training hours from 12/19/20-12/19/21.