Miss Doreens Playmation Childcare

At the time of the inspection staff person #1 was not 18 years old.

At the timer of the inspection in the back room of the facility there were a mixed group of infants and younger toddlers in care, a total of 12 children for 2 staff. One primary care group was 4:1 with infants and the other was 7:1 with one year olds.

At the time of the inspection the records of facility person #3, #2, and #4 all had areas of non-compliance with regards to the CPSL requirements. Specifically #2 and #3 did not have completed state police clearances. and #4 did not have a complete FBI clearance.

At the time of the inspection the record of staff person #1 was lacking in the training regarding the emergency plan on an annual basis and at the time of each plan update, there was no documentation of the date of a current training kept on file at the facility.

At the time of the inspection the record of staff person #7 was lacking a current valid health assessment.

At the time of the inspection the record of staff people #5 and #6 were lacking the verification of child care experience which would serve as qualifications for the position in which the person is performing.

On 7/14/23, at approximately 11:30am, Staff #1 entered the facility from outdoor water play and lined the children up against the wall to begin using the restroom. While in line, Child #1 hit another child. Staff #2 witnessed Staff #1 slap Child #1 with an open handed on the back of his right shoulder, leaving a red handprint. Staff #1 proceeded to say to the child "if you cannot listen then maybe you should be slapped back."

On 5/24/23, at time of renewal inspection, Staff #5 file did not contain a completed FBI clearance required by CPSL. Staff #2 file did not contain an acceptable Criminal Clearance. Staff #3 file did not contain an acceptable Child Abuse clearance. Staff #4 file did not contain an acceptable Pa Criminal and Child Abuse clearance as required by CPSL. (Staff #2, #3 and #4 files contained clearances for Volunteers)

On 5/24/23, at time of renewal inspection, 7 wet ceiling tiles in the back infant room childcare space.

On 5/24/23, at time of renewal, Staff #1 has acceptable pediatric first aid/CPR training dated 7/13/22 in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

On 7/19/22, a cracked plastic lid was observed on the lego table located in the Green Room (PK).

On 6/28/22, staff person reported that during lunchtime on 6/16/22, Child #1 was sitting at the table and pushed self away from the table as Staff #2 was walking behind Child #1 chair. Staff #2 forcibly used her foot to push Child #1 (YT) into the table causing Child #1 to cry.

On 6/21/22, during unannounced inspection, Staff #1 file did not contain an initial health assessment including the results of tuberculosis skin test.

On 3/18/22, at approx. 3:35pm, Staff #1 was observed out of ratio with 6 infants in the infant room (continued non compliance from inspections dated 2/16/22 and 3/4/22), During the inspection, Child #1 was observed asleep in a pack n play unsupervised with the door closed in the separate sleeping room located on the right rear part of the infant room. When Cert Rep asked Staff #1 to name the children assigned for the purpose of supervision, Staff #1 did not name Child #1. Additionally, on 3/4/22 at approximately 10:40am, Cert Rep conducted an unannounced inspection at the facility. During the inspection Staff #1 was present with 4 infants. When asked, Staff #1 stated they were responsible for the 4 infants. On 3/18/22, Cert Rep reviewed Infant Room roll call for 3/4/22 and in/out times entered in the facility's tracking database. Based on the facility's detailed attendance records, Staff #1 was out of ratio with 7 infants on 3/4/22. Staff #1 acknowledged that 3 infants were unsupervised at the time of the inspection, 2 of the infants were sleeping with the door closed in the right rear room and 1 infant was asleep unsupervised with the door closed in the left rear room.

On 3/4/22 and 3/18/22, during unannounced inspections, Staff #1 was observed in the Infant Room working alone in the Infant Room in the capacity of an assistant group supervisor. Staff #1 is qualified as an aide.

On 3/18/22, at approximately 3:40pm, Child #1 was observed asleep in a classroom swing. Child #1 file does not contain documentation of a medical reason signed by a physician for being placed in a sleeping position other than the one recommended by the AAP.

On 3/4/22 at approximately 10:30am, Staff #1 was observed out of ratio with 13 Preschool children on the outdoor front porch. Staff #2 and Staff #3 were observed out of ratio with 13 Older Toddlers. Staff #4 was observed out of ratio with 7 Young Toddlers. At 10:55am, Staff #5 arrived at the facility and moved children to meet all ratio requirements. (Continued non compliance from renewal inspection on 2/16/22)

On 3/4/22, during unannounced inspection, a highchair was observed in front of the back exit door located in the infant room. (Continued non compliance from renewal inspection dated 2/16/22)

On 3/4/22, during unannounced inspection, Staff #2 was observed changing a diaper in the OT room. Staff #2 did not ensure the child's hands were washed after diapering. Additionally, Staff #2 did not wash own hands after diapering (Staff #2 was observed using hand sanitizer). Continued non-compliance from inspection dated 2/16/22.

On 3/4/22, during unannounced inspection, updated emergency contact information was not observed in the child care space (backpacks) where children were receiving care. (Continued non compliance from renewal inspection dated 2/16/22)

On 2/16/22, during renewal inspection, at approximately 10:30am, Staff #2 and Staff #3 were observed out of ratio with 14 Older Toddlers for approximately 15 minutes. Additionally, Staff #4 was observed leaving Staff #2 and Staff #3 out of ratio with 14 Older Toddlers to use the rest room located in the infant room.

On 2/16/22, during renewal inspection, the exit door located in the back of the infant room was obstructed by two floor high chairs.

On 2/16/22, during renewal inspection, an open container of plastic bags were observed accessible to children under the diaper changing table located in the Young Toddler Room.

On 2/16/22, during renewal inspection, 5 torn rest mats exposing the inside stuffing were observed in the back right PK classroom.

On 2/16/22, during renewal inspection, a thermometer was not observed in the refrigerator located in the infant room.

On 2/16/22, during renewal inspection, Staff #1 was observed changing a diaper in the Young Toddler Room. Staff #1 did not ensure the child's hands were washed after diapering. Staff #1 did not wash hands after diapering the child.

On 2/16/22, during renewal inspection, the fire detection system was not tested in a 30 day period as required by Act 62 of 2020, Fire & Panic Act. The last test date of the fire detection system was dated 1/6/22.

On 2/16/22, during renewal inspection, emergency contact information located in the child care space/outdoor backpacks were not updated in writing by the parent once in a 6 month period.