MT Washington Childrens CTR

The file for staff person #2 had an NSOR verification certificate dated 2-10-20 and lacked a current NSOR verification certificate dated within the last 60 months.

On 2-11-25, the door to the kitchen was observed to be open at two different times during the morning and had sharp knives on the counter that were accessible to children.

In the infant room, there was one area with peeling paint on the back wall. In the pre-toddler room, there was one area with peeling paint on the back wall.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

In the pre-k 1 room, there was an inhaler for child #4 that was expired.

The file for staff person #1 lacked a current health assessment updated within the last 24 months.

In the Pre-k 1 and Pre-k 2 rooms, there were children's lunchboxes observed in the rooms containing multiple potentially hazardous foods that were not refrigerated including Go-Gurt Squeeze Yogurts, sliced strawberries, Pizza Lunchables with Cheese, Lunchables with turkey, ham, and cheese, and a sandwich with lunchmeat.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 5-24-24 to 6-24-24.

Staff person #3 completed the following required pre-service training on 1-8-25 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

The file for staff person #3, functioning as a group supervisor, lacked verification of education to qualify as a group supervisor.

The file for child #1 had an emergency contact form that exceeded 6 months between updates by the parent. The files for child #1, #2, and #3 lacked a current agreement updated by the parent within the last 6 months.

The light switch in the Infant room was observed to lack the wall plate cover for the light switch making it a visible hazard.

Handwashing signs were not posted at each toilet in the Toddler bathroom.

The facilities documentation of testing the fire detection system exceeded 30 days from 12/8/23 to 1/11/24.

A written plan of daily activities was not posted in the Infant, Pre-Toddler, and OT rooms.

The emergency contact form in the file for child #2 did not include the address of the child's physician.

The emergency contact forms in the files for children #1 and #2 did not include the enrolling parent's work address and telephone number. The emergency contact forms in the files for children #4 and #5 did not include the enrolling parent's work address.

The emergency contact form for child #3 did not include the addresses of the individuals designated by the parent to whom the child may be released.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the following rooms: PreK-1, PreK-2, Infants, OT, Toddlers, and Pre-Toddler.

The file for facility person #3 lacked documentation of FBI clearance results (See IS CODE SHEET) required under the CPSL. Facility person #3 cannot work in the facility until the FBI clearance results are submitted and verified.

The file for staff person #1 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The pre-service training on file for staff person #1 has a completion date of 1/18/23. The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

Clorox Disinfectant Bleach that states "keep out of reach of children" was observed in an unlocked storage closet across from the Toddler room and was accessible to children. Several containers of toxics that included Soft Scrub, Clorox Disinfectant Bleach, Lighter Fluid and Oxi-All Clean N' Fresh that all state "keep out of reach of children" were observed below the sink in the kitchen and the door to the kitchen was unlocked making the toxics accessible to children. A bag of rock salt was observed outside of the Main Entrance of the building and was accessible to children.

Three plastic bins containing children's toys were observed to be cracked with rough edges in the PreK-2 room and were not in good repair.

In the Toddler room, foam building blocks were observed to have bite marks and accessible to children who are still placing objects in their mouths.

The file for child #4 lacked documentation of a yearly Influenza vaccine (recommended annually by the ACIP) in 2022.

The agreement forms on file for children #1, #2, #3, #4, and #5 were observed to be the original agreement form, in which the parent shall receive the original agreement and the facility shall retain a copy of the agreement.

The emergency contact form on file for child #5 lacked the enrolling parent's work address and work telephone number.

The file for staff person #2 lacked completion of pediatric first aid and CPR training within 90 days of hire (See LIS Code Sheet): 8/10/22.

The file for Staff person #2, with a hire date of 11/3/21, includes a child abuse clearance dated 11/10/21, with no proof of application prior to working with children. The file for Staff person #3, with a hire date of 10/13/21, has documentation of an invalid FBI clearance (Department of Education), dated 10/1/21 at hire, and a valid FBI clearance dated 1/28/22, with no proof of fingerprinting prior to working with children. The file for Staff person #3, with a hire date of 10/13/21, includes an NSOR certificate dated 10/21/21, with no proof of application prior to working with children.

There was a broken wooden peg on the roof of the dollhouse in Preschool 2, which had sharp points, creating a hazard.

There was a Lego figurine in the Older Toddler room which was broken in to 2 pieces that were smaller than 1 inch. There were water beads in the Older Toddler room, which are not recommended for use by children still placing objects in their mouths.

The most recent influenza vaccination on file for Child #1 is dated 9/8/20, more than 1 year ago. The most recent influenza vaccination on file for Child #2 is dated 11/1/18, more than 1 year ago.

There was an expired Epi-Pen in Preschool 2 labeled for use by a child which expired in 1/2022.

The most recent health assessment on file for Staff person #5 is dated 7/10/20, more than 24 months after the previous health assessment, dated 7/8/18.

The initial health assessment on file for Staff person #4, with a hire date of 9/7/21, does not indicate that the health care professional completing the form conducted an examination.

The two most recent fire safety training certificates on file for Staff person #6 are dated 12/1/20 and 1/27/22, more than 1 year apart.

The two most recent staff evaluations on file for Staff person #6 are dated 1/18/21 and 2/2/22, more than 12 months apart.

The agreement on file for Child #3 does not include the date of the child's admission to the program.

There was a child receiving care in the Preschool 2 room, and 2 children receiving care in the Pre-toddler room without their emergency contact forms being in the room where they were receiving care.

The file for Staff person #1, with a hire date of 5/13/21 includes certification of pediatric first aid/CPR training dated 2/2/22, which was due by 8/16/21, 90 days after hire. The file for Staff person #2, with a hire date of 11/3/21 includes certification of pediatric first aid/CPR training dated 2/2/22, which was due by 2/1/22, 90 days after hire. The file for Staff person #3, with a hire date of 10/13/21 includes certification of pediatric first aid/CPR training dated 2/2/22, which was due by 1/11/22, 90 days after hire. The file for Staff person #, with a hire date of 9/7/21 includes certification of pediatric first aid/CPR training dated 2/2/22, which was due by 12/6/21, 90 days after hire. The file for Staff person #6, an existing staff member, includes certification of pediatric first aid/CPR training dated 2/2/22, which was due by 6/17/21, 180 days following the implementation of the current regulations.

The file for Staff #4, with a hire date of 9/7/21, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required within 90 days of hire, 12/6/21.

The facility did not have verification of having notified parents of enrolled children how to access the regulations for this chapter electronically.

The file for Staff person #5, who was hired prior to 12/19/20, lacked 12 hours of annual training between 12/19/20-12/19/21, as per Announcement C-21-09.