MT Top Kids · 1 Marian Ct, Mountain Top

During the renewal inspection conducted on 2/7/2025 observed child #1, child #2, and child #3's files did not include updated health reports within the 12-month time frame. The last reports on file are dated 10/24/2023 (child #1), 10/24/2023 (child #2), and 3/20/2023 (child #3).

During the renewal inspection conducted on 2/7/2025 observed staff person #1's health assessment on file is expired. The last health assessment on file is dated 1/19/2023. Observed staff person #2's file did not include verification of a health assessment conducted within 12 months prior to providing initial service in a child care setting

During the renewal inspection conducted on 2/7/2025 observed that the facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Corrected on-site 2/7/2025.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's file did not include verification of education and training following the outset of service at the facility.

During the renewal inspection conducted on 2/7/2025 observed staff person #2's file did not include verification of education and training prior to service at the facility.

During the renewal inspection conducted on 2/7/2025 observed the facility 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 displayed conspicuously in every child care space. Corrected on-site 2/7/2025.

During the renewal inspection conducted on 2/7/2025 observed child #2's financial agreement was not reviewed/updated within the 6-month time frame. The last financial agreement on file is dated 2/20/2024.

During the renewal inspection conducted on 2/7/2025 observed staff person #1's file did not contain verification of the annual minimum of 12 clock hours of child care training.

During the complaint investigation conducted on 1/23/2025 it was determined that child #1 was not placed in the sleeping position recommended by the American Academy of Pediatrics. A picture was provided showing that child #1 was asleep on their side rather than on their back in the crib. Staff person #1 stated that child #1 was awake when placed in the crib so that another child could be picked up because the child was crying. Staff person #1 stated that staff did not get a chance to put child #1 in the recommended sleeping position once the child fell asleep.

During the complaint investigation conducted on 10/2/2024 observed that the Toddler room had 24 children with the youngest being age 2. The capacity for the room is 19.

During the unannounced monitoring inspection conducted on 10/2/2024 observed the last fire drill conducted and documented in the fire drill log is dated 7/30/2024.

During the unannounced monitoring inspection conducted on 10/2/2024 observed the last manual testing of the fire detection system was dated 7/1/2024.

During the unannounced monitoring inspection conducted on 10/2/2024 observed staff person #1 has not completed Health and Safety training and pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of their date of hire.

During the unannounced monitoring inspection conducted on 10/2/2024 observed staff person #1 has not completed the mandated reporter training within 90 days of their date of hire.

During the unannounced monitoring inspection conducted on 4/18/2024 observed damaged paint in the Nursery room wall next to the exit.

During the unannounced monitoring inspection conducted on 4/18/2024 observed the facility's fire drill log was not up to date. The last fire drill conducted was on 2/1/2024.

During the unannounced monitoring inspection conducted on 4/18/2024 observed staff person #1's file did not include verification of completion of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1's date of hire is 11/6/2023.

The NSOR verification on file for staff # 1 is dated 1/19/24, which is more than 45 days after their date of hire (see code sheet for date of hire). The email proof of request for the NSOR was not in their file. Staff # 2 (see code sheet for DOH) does not have proof of request for out of state clearances. Staff # 2 does not have a proof of request for their original NSOR verification. Staff # 3 (see code sheet for DOH) does not have an NSOR verification within 45 days of their initial employment; the original proof of request was not in their file.

There was a red faux leather sofa in the older toddler and pink faux leather sofa in the young toddler classroom with small tears that exposed lining.

There is no health assessment or TB screening results on file for staff person # 3.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid and 10 Hour Health and Safety. Staff person # 4 completed the Pediatric CPR/First Aid training more than 90 days after their initial date of hire (see code sheet), the training certificate is dated 9/22/23. Staff person # 5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/First Aid.

Staff persons #2, 3, and 4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

The education on file for staff person # 1 did not include the transcript to verify 30 credit hours in a human services field.

The emergency contact form on file for child # 1 does not have the address for the release persons.

On 11/22/22, a child # 1, toddler, received a goose egg on their forehead and no staff in the classroom could explain how it happened.

During a complaint investigation on 11/28/22, staff person # 1 admitted to arguing with staff person # 2 on 11/22/22 in front of the children after child # 1 was injured.

On 11/18/22, staff person # 1 admitted that when they gave child # 1 medication on 10/20/22, they did not log the amount of medication given. Staff Person # 1 admitted to giving the child the amount of medication they thought was correct based on the estimated weight of the child. The amount given was estimated to be 1.75 ML too much.

During a complaint investigation, staff # 1 admitted that they did not maintain a medication log for medication administered to child # 1.

On 11/14/22, the fire drill log reviewed was out of compliance. More than 60 days passed between fire drills. A fire drill was logged for 11/7/22 and prior to that, 6/20/22.

During an unannounced inspection on 11/14/22, operator could not locate the fire alarm testing logs to verify fire alarms were tested every 30 days as required by Act 62.

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire: Getting Started with Center Based Building Blocks.

Staff person# 1 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 10/12/15.

Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire - Pediatric CPR/First Aid.

Child # 1 is a 6 month old. The child has only received one dose of the DTAP, HIB, Pneumococcal, and Polio vaccines. Child # 2 is an 8 month old; they have, only received one dose of the DTAP, HIB, Pneumococcal, and Polio vaccines. This is not in accordance with the ACIP recommendations and neither child has a written exemption on file.

The health report on file for child # 1 does not include a statement that the child can participate in child care.

Staff person # 1 started on 1/17/22; there is no health assessment or TB screening results on file. Staff person # 6 started on 8/16/21; the health assessment is dated 10/18/21 and not prior to their initial service.

The cert rep observed a bottle in the infant room refrigerator with no label.

There is no emergency drill logged at the facility for 2021.

There is no civil rights compliance letter posted at the facility.

Staff person # 2 started on 10/21/21 and did not complete mandated reporter training until 2/6/22. Staff person # 3 started on 9/2/21 and did not complete mandated reporter training until 1/17/22. Staff person # 5 started on 8/2/21 and has not completed mandated reporter training. Staff person # 6 started on 8/16/21 and has not completed mandated reporter training.

Staff person # 1 was hired as a group supervisor; there is no proof of education or experience in their file. Staff person # 4 was hired as an assistant group supervisor; there is no proof of education or experience in their file.

Staff person # 5 has one written reference on file. Staff person # 1 has no written references on file.