Mount Alvernia Day Care and Learning Center

In the outdoor PS/SA Playground II, two children's playhouse equipment were observed to be cracked with rough edges and were not in good repair.

The diapering area in the YPS Room had a plastic-lined covered can but was not hands-free.

The health assessment on file staff person #2, dated 6/27/24, did not include an examination for communicable disease and the results of the examination.

The two most recent fire safety trainings in the file for staff person #1 are dated 6/8/23 and 9/3/24, which are more than one year apart.

The file of facility person #1, a recent hire (see coded LIS sheet), contained a completed disclosure statement, however it was not on the current form.

Sections of the surfacing in the outdoor toddler play space is pulling apart and not secured to the ground and could cause a child to trip and fall.

A toilet in the restroom by the large preschool/school-age classroom did not have a posted handwashing sign.

Based on the immunization records, the administered immunizations of child #2 were not accordance with the recommendations of the ACIP and an acceptable exemption was not on file.

The health assessments of facility persons #3 and #4 were updated more than 24 months from the prior.

The file of facility person #2 contained documentation their pediatric first aid and pediatric CPR expired 3/3023 and was updated on 4/6/2023, after the expiration of the prior.

The financial agreement of child #3 did not contain the signature of the operator.

The file of child #5 contained documentation of providing information to the family about the child's growth and development on an approved form dated 5/2022 but did not contain documentation of a current reports in the past 12 months.

The financial agreement of child #1 did not contain the date of the child's admission.

The emergency contact form of child #2 did not contain the work address and work telephone number of the enrolling parent.

The emergency contact form of child #4 did not include the phone number of one of the release persons designated by the parent to whom the child may be released.

Documentation of the last fire drill was dated 11/3/2021, which exceeded 60 days from the day of the on-site visit (1/9/2023).

Documentation of the annual inspection report of the fire detection system was dated 11/19/2021 and a current report was not present. The facility activated the fire detection system on 1/11/2023 and it was operable at that time.

Child #1 sustained injuries to the face, head and elbow on 1/4/2023 and an incident report was not provided to explain the injuries to the child.

The file of facility person/volunteer #1 did not contain documentation of submission, or a completed FBI clearance within 45 days of hire (see coded LIS sheet) and had a completed disclosure statement, but it was not the current disclosure statement.

At approximately 4:00 pm, a child was observed to come out of the restroom make a right and walk down the hall to the Main Activity room unsupervised as the staff were in the classroom at the time.

Adult scissors, which can cause a puncture wound, were observed on desks, accessible to children in the Main Activity and Older Preschool 2 classroom.

Cleaning materials and other toxics were accessible to children in the Main Activity room in an unlocked drawer in the teacher desk (hand sanitizer and Frebreze), on the desk hutch (hand sanitizer), on a shelf by the storage room door (Clorox Wipes) and in a cabinet below the sink with a broken child lock (Ajax, Comet, and bleach solution). Liquid White-Out was on a teacher desk in the Older Preschool 2 room accessible to children. Cleaning materials and toxics were labeled "keep out of the reach of children."

Lysol Wipes and Lysol Spray were stored on a shelf directly above diapers/pull-ups in the Preschool Building causing a hazard to children if the product leaks and drips onto the diapers/pull-ups.

The first-aid kit in the Main Activity room was on a storage tote, next to the refrigerator, accessible to children.

The first-aid kit in the Conference room did not contain an assortment of adhesive bandages.

The hallway by the Infant rooms had a cork board which was pulling and tearing from the wall and could be accessed by the children.

The hallway by the Infant rooms had green paint peeling from the wall.

Toilets in the Preschool building, Younger Preschool room, and Older Toddler room contained bolts protruding from the base of the toilets which could cause a puncture if stepped upon.

In the Older Toddler classroom, a play kitchen was missing the water faucet leaving the sharp end of the screw exposed, which was in reach of the children in care.

The file of facility person #1 did not have a health assessment on file prior to their initial service in the child care setting and facility person #2 contained a current health assessment which was dated more than 24 months from the previous health assessment (6/24/2020 and 7/5/2022).

The fire drill log documented a fire drill was conducted on 6/16/2022 with the next on 8/22/2022, exceeding 60 days.

The file of child #3, who has been enrolled for more than 60 days (see coded LIS sheet), did not contain an initial health assessment.

Facility person/volunteer #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Mandated reporter training of facility person #6 exceeded 60 months but is now current (12/28/2016 and 1/19/2022).

The emergency contact form of child #1, 3 and 4 did not contain information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

The emergency contact form of child #5 did not contain the policy number of the child's health insurance coverage.

The emergency contact form of child #2 and 5 did not contain the addresses and telephone numbers of all the individuals designated by the parent to whom the child may be released.

The Older Preschool 1 room did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the classroom.

Documentation of the last review and/or update to the emergency contact information of child #1 was dated 3/17/2022, which was more than 6 months ago.

The file of facility person #1 did not have 2 written non-family references attesting to their suitability to serve as a facility person.

The files of facility person #3, 4 and 5, all hired prior to 12/19/2020, did not have documentation of 12 annual training hours dated between 12/19/2020 and 12/19/2021. Facility person #3: 6 hours between 12/19/2020 and 12/19/2021, 1 hour 1/25/2022, 1 hour 1/26/2022, 3 hours 5/11/2022 and 1 hour 7/23/2022. Facility person #4: 10 hours between 12/19/2020 and 12/19/2021 and 2 hours 1/2/2022. Facility person #5: 9 hours between 12/19/2020 and 12/19/2021, 1 hour 1/25/2022 and 2 hours 7/7/2022. Facilty person #3, 4 and 5 are now current with annual training hours.

Staff stated that an accident/injury report was not completed on 3/23/22, when they found out about a child hitting another child.

Facility lacked an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Facility lacked an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The file for facility person #1, with a start date of 8/9/21, completed emergency plan training on 8/23/21, which is not at initial hire.

The bike room lacked a first-aid kit.

In the conference room, it was observed the wall behind the shelves, the plaster and paint were peeling.

It was observed in the Pre-k classroom that 1 toilet in the boys and girls bathroom was missing a handwashing sign.

In the Pre-k classroom, it was observed the doors at the end of the classroom were blocked by a chair and boxes.

It was observed in the younger preschool playground, that rocks on the Step 2 climbing wall were cracked along the tops and the Step 2 bridge was cracked exposing the children to pinch points. In the fenced in playground, it was observed that the oven door on the play kitchen was broken off, having sharp edges exposed. The Little Tikes picnic table had holes on each corner on the benches and was cracked along the bench edges, causing it to have pinch points.

The immunization record for child #4 lacked DTAP, Influenza, and Hepatitis A in accordance with the ACIP.

It was observed in the older preschool room that prescription Auvi-Q was present with no instructions from the individual who prescribed the medicine.

Facility lacked proof of purchase of the inter-connected smoke alarms.

The room off of the preschool room and the bike room lacked a daily activities schedule.

The emergency contact form for child #1, #2, and #3 lacked the enrolling parent's work phone number. The emergency contact form for child #3 lacked the enrolling parent's work address.

The emergency contact form for child #3 lacked the release person's address.

The room off of the preschool room and the bike room lacked emergency contact forms.

The room off of the preschool room and the bike room lacked the emergency transportation plan.