Munchkin Meadow Preschool INC

The adult health assessment for staff person #1 (DOH see LIS code sheet) does not include tuberculosis screening by the Mantoux method at initial employment.

The clearances for Facility person #3 were not updated within 60 months, as per the CPSL. This is evidenced by the PSP clearances dated 1/30/2019 and 3/6/2024, Child Abuse clearances dated 2/6/20219 and 3/6/2024, DHS required FBI clearances dated 2/6/2019 and 4/25/2024 and NSOR certificates dated 1/9/2020 and 2/3/2025.

It was observed on 2/19/2025 in the Octopus room a bottle of cleaning solution was accessible in a Swiffer mop. (CORRECTED ON SITE)

The health assessment for facility person # 5 (DOH see LIS code sheet) was not conducted within 12 months prior to providing initial service in a child care setting. This is evidenced by the health assessment dated 6/24/2024.

It was observed on 2/19/2025 the emergency contact form for Child #6 (DOB see LIS code sheet), which is kept in the facility's vehicle does not contain written parental consent for transportation provided by the facility. (CORRECTED ON SITE)

Facility person #5 (DOH see LIS code sheet) has not completed the required one hour Pennsylvania Health and Safety update 2022 by December 30, 2022.

Staff person #4 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/10/2025.

The agreement for Child #1 does not specify the date of the child's admission. The agreement for Child #2 does not specify the date of the child's admission. The agreement for Child #3 does not specify the date of the child's admission. The agreement for Child #4 does not specify the date of the child's admission.

The record for Child # 5 does not contain a copy of the initial written agreement between the parent and the operator.

The record for facility person #1 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #2 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff Person #2 (DOH see LIS code sheet) does not contain a copy of the request for the PSP clearance at time of hire. The file contains the results of the PSP clearance dated 6/28/23, which exceeds the 45-day provisional hire period as required by the CPSL. The file for Staff Person #3 (DOH see LIS code sheet) contains child abuse clearances dated 2/8/2018 and 7/25/2023 and FBI clearances dated 1/30/2018 and 6/23/2023, which exceeds the CPSL requirement that clearances are updated every 60 months. The file for Staff Person #5 (DOH see LIS code sheet) contains the results of a criminal history record dated 5/13/23 and the results of the child abuse clearance dated 8/14/23, both of which are after staff person #5's first day caring for children and is not in compliance with the CPSL. The file does not include copies of the requests for either of the criminal history records or the NSOR verification prior to the date of hire. The file for Staff Person #7 (DOH see LIS code sheet) contains PSP clearances dated 3/16/18 and 7/25/23, child abuse clearances dated 3/18/18 and 7/11/23, and FBI clearances dates 3/30/18 and 6/26/23, which exceeds the CPSL requirement that…

It was observed on 2/7/2024 in the Dolphins classroom numerous bottles of cleaning materials are being stored on a shelf in the bathroom and are accessible to children. It was observed on 2/7/2024 in the Sea Horses classroom containers of diaper ointment are accessible to children. (ALL CORRECTED DURING THE INSPECTION)

It was observed on 2/7/2024 in the Puffer Fish classroom a ceiling tile has water stains and is not in good repair. It was observed on 2/7/2024 in the Dolphins classroom two (2) ceiling tiles have water stains and are not in good repair. It was observed on 2/7/2024 in the Squids classroom a front section of the stage had a hole in it and was not in good repair. (ALL CORRECTED DURING THE INSPECTION)

It was observed on 2/7/2024 Staff Person #13 (DOH see LIS code sheet) in the Puffer Fish classroom was observed using their hands to unlatch a child safety lock before opening the lid of the trash can with their hands to discard a soiled diaper. Staff Person #13 did not use the hands-free foot pedal to open the covered can. (CORRECTED DURING THE INSPECTION)

The file for Staff Person #1 (DOH see LIS code sheet) contains health assessments dated 2/6/2020 and 12/28/2023, which exceeds the requirement of adult health assessments being updated every 24 months. The file for Staff Person #5 (DOH see LIS code sheet) contains a health assessment dated 5/12/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #7 (DOH see LIS code sheet) contains health assessments dated 4/23/2020 and 9/27/2022, which exceeds the requirement of adult health assessments being updated every 24 months. The file for Staff Person #8 (DOH see LIS code sheet) contains a health assessment dated 5/4/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #9 (DOH see LIS code sheet) contains a health assessment dated 9/22/2023, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for Staff Person #10 (DOH see LIS code sheet) contains a health assessment dated 7/28/2022, which was not conducted within 12 months prior to providing initial service in a child care…

The file for Staff Person # 5 (DOH see LIS code sheet) contains a health assessment signed by a medical assistant and not by a physician, physician's assistant or CRNP.

The adult health assessment for Staff Person #4 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for Staff Person #2 (DOB & DOH see LIS code sheet) does not contain documentation of a minimum of an 8th grade education neither is documentation of completion of classroom training and continuing enrollment in the training curriculum included in the staff person's file.

Staff members confirmed on 7/24/2023 at approximately 4:30-4:45pm Staff Person #1 left Child #1 (DOB see LIS code sheet), Child #2 (DOB see LIS code sheet), Child #3 (DOB see LIS code sheet) unsupervised in the Sea Turtles classroom with Child #4 (DOB see LIS code sheet) while Staff Person #1 went to the kitchen to refill Child #2's cup with drinking water. Staff Person #1 estimated being out of the classroom and therefore not supervising the children for approximately 2 minutes or less. Child #4 is the sibling of Child #2 and was previously signed out of the summer camp classroom by a parent. Child #4 was not under the direct supervision of their parent when they entered the Sea Turtles classroom.

On 7/31/2023 Staff Person #1 was observed to be caring for children unsupervised. Staff Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. On 7/31/2023 Staff Person #2 was observed to be caring for children unsupervised. Staff Person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR), safe sleep practices, including risk reduction of Sudden Infant Death Syndrome/Sudden Unexplained Infant Death (SIDS/SUID), prevention and control of infectious diseases (including immunizations), prevention of and response to emergencies due to food and allergic reactions, and prevention of shaken baby syndrome/abusive head trauma/child maltreatment. On 7/31/2023…

Staff Person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements, prevention of Sudden Infant Death Syndrome and use of safe sleep practices, administration of medication, consistent with standards for parental consent, prevention of and response to emergencies due to food and allergic reactions, building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic, prevention of shaken baby syndrome and abusive head trauma, emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1)…

The file for Staff Person #1 DOH (see LIS code sheet) contains FBI clearances dated 1/28/2017 and 3/2/2022, which exceeded 60 months prior to renewal and is not in compliance with the CPSL. The file for Staff Person #2 DOH (see LIS code sheet) contains mandated reporter training dated 7/17/2022, which is beyond 90 days from their start date and is not in compliance with the CPSL. The file for Staff Person #3 DOH (see LIS code sheet) contains a NSOR verification dated 8/15/2022, which is beyond the 45-day provisional hire period and is not in compliance with the CPSL.

It was observed on 2/17/2023 in the Sea Otters classroom an electrical outlet on a set of string lights that was plugged in and accessible to children did not have a protective receptacle cover. (CORRECTED ON SITE)

It was observed on 2/17/2023 in the Sharks room a bottle of White Out was accessible to children. It was observed on 2/17/2023 in the Dolphins bathroom numerous cleaning materials and other toxic materials are being stored on a shelf that is accessible to children. It was observed on 2/17/2023 in the Sea Otters classroom a bottle of White Out was being stored in a desk that is accessible to children. (ALL CORRECTED ON SITE)

It was observed on 2/17/2023 in the Puffer Fish classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 2/17/2023 in the Sea Turtle classroom a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (ALL CORRECTED ON SITE)

It was observed on 2/17/2023 the first-aid kit in the Octopus classroom does not contain tweezers. It was observed on 2/17/2023 the first-aid kit in the Whales classroom does not contain tweezers, scissors, sterile gauze, and tape. (ALL CORRECTED ON SITE)

It was observed on 2/17/2023 the corner of an area rug in the Puffer Fish classroom was rolled up creating a tripping hazard. (CORRECTED ON SITE)

It was observed on 2/17/2023 the bathroom in the Dolphins classroom was not equipped with a lidded waste receptacle.

It was observed on 2/17/2023 in the Dolphins bathroom plastic bags were being stored on the sink and were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

It was observed on 2/17/2023 an albuterol inhaler was in the Sea Horse classroom for Child #1; however, a medication log was not being maintained.

The file for Staff Person #2 DOH (see LIS code sheet) contains a health assessment dated 3/21/2022 which was not conducted within 12 months prior to providing initial service in a child care setting.

An emergency drill has not been conducted annually.

The agreement for Child #3 does not specify the amount of the fee to be charged per day or per week.

The agreement for Child #2 does not specify the date of the child's admission. The agreement for Child #4 does not specify the date of the child's admission. The agreement for Child #5 does not specify the date of the child's admission.

Staff Person #1 admitted to wrapping blue painter's tape around the fuzzy portion of Child #1's boots with the top layer of tape extending onto the child's jeggings. Staff Person #1 stated they did this as a "joke" close to the time the child's father typically picks up as a way of keeping the child's boots on. This activity does not promote the development of skills, social competence and self-esteem.

The file for Staff Person #1 hired 6/11/2021 contains a NSOR verification dated 2/9/2022 and documentation it was requested on 2/2/2022, which was after the staff person was hired and therefore not in compliance with the CPSL requirements. The file for Staff Person #2 hired 9/27/2021 contains a NSOR verification dated 2/2/2022 and documentation it was requested on 1/27/2022 which was after the staff person was hired and therefore not in compliance with the CPSL requirements. The file for Staff Person #3 hired 1/20/2022 contains a PSP volunteer clearance dated 5/18/2021 and a PSP employment clearance dated 3/2/2022 with a status of "Under Review" which is not a complete clearance. The PSP employment clearance was not requested until after the staff person's start date and is therefore not in compliance with the CPSL requirements. The file for Facility Person #4 hired 10/17/2011 does not contain the initial clearances obtained at time of hire. The facility person has all updated clearances on file with the exception of the NSOR verification. Documentation the NSOR verification was requested is dated 3/9/2022. The file for Facility Person #5 hired 10/29/2021 contains a PSP clearance…

It was observed on 2/28/2022 in the Sea Lions classroom a Magic Eraser and a spray bottle containing a cleaning solution were not being stored in an original labeled container or in a container that specifies the content. It was observed on 2/28/2022 in the 4 year old room a spray bottle containing a cleaning solution was not being stored in a container that specifies the contents. (ALL CORRECTED ON SITE)

It was observed on 2/28/2022 in the School-age Room the first-aid kit was accessible to children. (CORRECTED ON SITE)

It was observed on 2/28/2022 in the Sea Horse room (2 yr olds) plastic bags were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)

Staff Person #1 hired 6/11/2021 has a health assessment on file dated 1/28/2022, which is after their start date. Facility Person #5 hired 10/29/2021 who works with food preparation has a health assessment dated 12/2/2021, which was after the facility person's start date.

It was observed on 2/28/2022 the facility van used to transport kindergarten aged children (5-6 years old) was not equipped with age appropriate restraint systems.

It was observed on 2/28/2022 the first-aid kit in the van does not contain tweezers, soap, and water. It was observed on 2/28/2022 the first-aid kit in the mini bus does not contain tape, scissors, tweezers, gloves, soap and water. It was observed on 2/28/2022 the first-aid kit in Bus #89 does not contain scissors, tweezers, soap, and water. (ALL CORRECTED ON SITE)

The agreement for Child #6 does not specify the amount of the fee to be charged per day or per week.

The agreement for Child # 2 does not specify the persons designated by a parent to whom the child may be released.

The agreement for Child #6 does not specify the date of the child's admission.

Emergency contact information for Child # 3 does not include the birth date of the child.

Emergency contact information for Child # 4 does not include the home telephone number of the enrolling parent. Emergency contact information for Child #5 does not include the work address of the enrolling parent.

Emergency contact information for Child # 1 does not include the policy number for a child under a family policy or Medical Assistance benefits.

Emergency contact information specific to each child being transported to and/or from school on facility vehicles is not accompanying a staff person on the riding excursion. (CORRECTED ON SITE)

The file for Facility Person #4 hired 10/17/2011 does not include the initial and subsequent health assessments. The file was only observed to contain an updated helath assessment dated 7/20/2021 and the results of a tuberculin skin test dated 3/1/2022.