Munchkinland Learning and Daycare Center LLC

4TH CITATION: 3rd CITATION: **At approximately 9:40am in Room 4, two staff and 11 older toddlers were observed. During the onset of supervision and ratio Staff person #1 identified and named 5 older toddlers and Staff person #2 identified and named 5 older toddlers thus leaving one child unaccounted for. When staff were asked again to identify and name the children whom they were responsible for all children were accounted for. PREVIOUSLY CITED ON 4/23/24, 5/28/24, and 6/12/24.

2nd CITATION: The rubberized playground surfacing throughout the outdoor play space was observed to have numerous cracks and areas of deterioration that pose as a tripping hazard and is not in good repair. PREVIOUSLY CITED ON 5/28/24.

The staff file for Staff person #3 who is functioning as an Assistant Group Supervisor, lacked proof of education and 2 years of experience working with children.

The staff file for Staff person #1 who is functioning as an Assistant Group Supervisor, lacked proof of education and 2 years of experience working with children.

The child file for Child #1 was observed laying open on the interior steps leading up to the glass door entrance of the facility and not stored in a locked cabinet.

3rd CITATION: **At approximately 9:40am in Room 4, two staff and 11 older toddlers were observed. During the onset of supervision and ratio Staff person #1 identified and named 5 older toddlers and Staff person #2 identified and named 5 older toddlers thus leaving one child unaccounted for. When staff were asked again to identify and name the children whom they were responsible for all children were accounted for. PREVIOUSLY CITED ON 4/23/24 and 5/28/24

The staff file for Staff person #3 lacked a valid disclosure statement; the one on file dated 5/16/24 was not signed by a witness. The staff file for Staff person #4 contained a National Sex Offender Registry (NSOR) check dated 3/5/24 and an application dated 3/1/24 which was not applied for prior to hire (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL). The staff file for Staff person #8 contained a National Sex Offender Registry (NSOR) check dated 1/4/24 which was not obtained within 45 days of hire (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL).

2nd CITATION: In Room 1 (Pre-K) at approximately 12:05pm, 3 staff and 19 preschool age children were observed sitting down at tables eating lunch. During the onset of supervision and ratio Staff person #9 identified and named 8 preschool age children, Staff person #10 identified and named 9 preschool age children, and Staff person #11 stated they were a floater and not responsible for any children, thus leaving two children unaccounted for. During the second attempt, Staff person #9 identified and named 8 preschool age children, and Staff person #10 identified and named 10 preschool age children thus still leaving one child unaccounted for. PREVIOUSLY CITED ON 4/23/24

In Room 2 the following toxics labeled, 'Keep Out of Reach of Children' were observed accessible to children: a travel sized hand sanitizer attached to a bookbag, Ortho Home Defense Insect Killing spray, and Downey Wrinkle Release. In Room 8 two hand sanitizers labeled, 'Keep Out of Reach of Children' were observed on the floor accessible to children.

In Room 3 and Room 9, a window was observed to be open for ventilation purposes and lacked a screen.

Room 8 was observed to lack a first aid kit.

In Room 2 the first aid kit was observed to lack tweezers.

The rubberized playground surfacing throughout the outdoor play space was observed to have numerous cracks and areas of deterioration that pose as a tripping hazard and is not in good repair.

In the girl's bathroom, handwashing signs were observed to be missing in two of the stalls.

The staff file for Staff person #5, contained a current health assessment dated 2/28/24 which was conducted more than 24 months from the previously dated 1/19/22 health assessment on file. The staff file for Staff person #6, contained a current health assessment dated 12/4/23 which was conducted more than 24 months from the previously dated 11/16/21 health assessment on file.

The staff file for Staff person #4 contained a current health assessment dated 2/16/24 that lacked examination for communicable diseases and the results of that examination.

The staff file for Staff person #7 contained a current health assessment dated 3/10/24 that had 'Yes' checked off to having a communicable disease and additional information describing the condition and the risk it might pose was not provided.

The staff file for Staff person #4 contained a current health assessment dated 2/16/24 that lacked the physician's or CRNP's assessment of the person's suitability to provide childcare.

The facility lacked proper documentation of comprehensive general liability insurance.

In Room 1, three staplers were observed stored on a shelf within reach of the preschool age children in care.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Revised 10hr Health and Safety Training. Staff person #8 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid CPR and Revised 10hr Health and Safety Training. Staff person has obtained Pediatric First Aid/CPR training as of 2/19/24.

Staff person #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The staff file for Staff person #1 who is functioning as a Group Supervisor, lacked proof of a bachelor's degree.

The staff file for Staff person #2 who is functioning as an Assistant Group Supervisor, lacked two years of childcare experience; only 450 hours of childcare experience was documented on file. The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked two years of childcare experience; only 1242 hours of childcare experience was documented on file.

The child file for Child #1 lacked a child service report every 6 months; the last child service report on file was dated 4/16/24. The child file for Child #8 lacked a child service report.

The child file for Child #2, Child #6, and Child #7 contained a current emergency contact form that lacked the parents work phone and work address. The child file for Child #3, Child #4, and Child #5 contained a current emergency contact form that lacked the parents work phone.

The child file for Child #7 contained a current emergency contact information form that lacked the address and phone number of the individual designated by the parent to whom the child may be released.

The child file for Child #6 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months.

The staff file for Staff person #1 lacked two nonfamily references. The staff file for Staff person #3 lacked one nonfamily reference.

*At approximately 9:40am in Room 4, two staff and 11 older toddlers were observed. During the onset of supervision and ratio Staff person #1 identified and named 5 older toddlers and Staff person #2 identified and named 5 older toddlers thus leaving one child unaccounted for. When staff were asked again to identify and name the children whom they were responsible for all children were accounted for.

**At approximately 9:40am in Room 4, two staff and 11 older toddlers were observed. During the onset of supervision and ratio Staff person #1 identified and named 5 older toddlers and Staff person #2 identified and named 5 older toddlers thus leaving one child unaccounted for. When staff were asked again to identify and name the children whom they were responsible for all children were accounted for.

***At approximately 9:40am in Room 4, two staff and 11 older toddlers were observed. During the onset of supervision and ratio Staff person #1 identified and named 5 older toddlers and Staff person #2 identified and named 5 older toddlers thus leaving one child unaccounted for. When staff were asked again to identify and name the children whom they were responsible for all children were accounted for.

At approximately 11:00am, outside on the playground, 4 staff and 15 young and older toddlers were observed outside playing and a first-aid kit was not present.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/8/24 to 2/8/24 (31 days).

2nd CITATION: The staff file for Staff person #3, Staff person #7 and Staff person #8, who were functioning as assistant group supervisors continued to lack proof of education and/or two years of experience working with children beyond the previously provided plan of correction date of 1/23/24 and were still employed at that time. PREVIOUSLY CITED ON 11/9/23

The file for Staff person #1 lacked documentation of receipt of having been fingerprinted for a DHS FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the Child Protective Service Law (CPSL). The file for Staff person #2 lacked documentation of valid Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #3, Staff person #5, Staff person #7, Staff person #6, and Staff person #8 lacked a signed disclosure statement at time of hire. The file for Staff person #4, lacked a signed disclosure statement that was not dated therefore it cannot be determined if it was signed at time of hire. Staff person #4 also lacked a valid Child Abuse clearance; The clearance on file is a volunteer Child Abuse clearance which is not an acceptable clearance for employment purpose per the CPSL.

During a complaint investigation conducted on 11/9/23, it was confirmed that in September, a child was observed in the main entryway by themselves without being accompanied by staff, resulting in a staff/child ratio of 0:1.

During a complaint investigation conducted on 11/9/23, it was confirmed that in September, a child was observed in the main entryway by themselves. No staff person was physically present with the child.

During a complaint investigation conducted on 11/9/23, it was confirmed that in September, a child was observed in the main entryway by themselves. No staff person was physically present with the child. Also during the complaint investigation, at approximately 10:15am, 3 staff and 20 preschool aged children were observed outside on the playground. During the assessment of supervision and ratio Staff person #1 identified and named responsibility for 5 preschool age children, Staff person #2 identified and named responsibility for 4 preschool age children and Staff person #3 identified and named responsibility for 10 preschool aged children thus leaving 1 child unaccounted for. When staff were asked again to identify and name the children they were responsible the same 1 child was unaccounted for. On the third attempt all children were identified and accounted for. Shortly thereafter Staff person #1 was observed taking one of their assigned children inside the facility to use the restroom thus leaving their four other preschool age children whom they were responsible for outside on the playground with two other staff who were not responsible for those children. Therefore, Staff #1…

The file for Staff person #1 lacked documentation of receipt of having been fingerprinted for a DHS FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the Child Protective Service Law (CPSL). The file for Staff person #2 lacked documentation of valid Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #3, Staff person #5, Staff person #7, Staff person #6, and Staff person #8 lacked a signed disclosure statement at time of hire. The file for Staff person #4, lacked a signed disclosure statement that was not dated therefore it cannot be determined if it was signed at time of hire. Staff person #4 also lacked a valid Child Abuse clearance; The clearance on file is a volunteer Child Abuse clearance which is not an acceptable clearance for employment purpose per the CPSL.

Staff person #4 and #8 were observed to be caring for children unsupervised. Staff person #4 and #8 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR and Health and Safety training.

In Room #5 damaged plaster was observed on the wall to the right of the doorway.

In Room #3 and Room #4, which toddlers receive care in, was observed to contain electrical baseboard heaters, that are no longer in use, however were observed to not be in good repair as evidence by the front covering is detached from the base, being held up by duct tape, and creating pinch points throughout the heaters and exposing the metal parts inside.

The staff file for Staff person #6 who is functioning as assistant group supervisors lacked proof of one year of experience working with children.

The staff file for Staff person #1, Staff person #2, Staff person #3, Staff person #4, Staff person #5, Staff person #7 and Staff person #8, who are functioning as assistant group supervisors lacked proof of education and/or two years of experience working with children.

The staff file for Staff person #1, Staff person #2, Staff person #3, Staff person #5, Staff person #6, and Staff person #8 lacked one or two non-family references.

At approximately 10:10am in Room 4 three staff and seven children were observed. During the assessment of supervision and ratio Staff person #1 identified and named responsibility for 4 children, Staff person #2 identified and named responsibility for 2 children and Staff person #3 stated they were not in ratio thus leaving one child unaccounted for. When staff were asked again to identify and name the children, they were responsible the same one child was left unaccounted for. On the third attempt all children were identified and accounted for.

During the course of a complaint investigation conducted on 10/6/23, according to staff statements, it was determined that a parent was not given free access through the childcare center while their child was in care.

2nd CITATION: Staff person #2, Staff person #4, Staff person #5, Staff person #6, and Staff person #13 failed to complete the one-hour Pennsylvania Health and Safety Update 2022 by the provider correction date of 5/25/23; Staff person #2, Staff person #4, Staff person #5, Staff person #6, and Staff person #13 have now completed the 1 hr. health and safety training. Staff person #11, Staff person #12, and #14 has not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. PREVIOUSLY CITED on 5/18/23

2nd CITATION: The child file for Child #1 was observed to contain an emergency contact information form that lacked the address of individual designated by the parent to whom the child may be released. PREVIOUSLY CITED on 5/18/23

In Room 10 and Room 11, the sheets being used in seven of the cribs used by an infant in care was observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

The file for Staff person #1 was observed not to contain a National Sex Offender Registry (NSOR) within 45 days of hire (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law [CPSL]. Staff person #1 also lacked a valid State Police clearance within 45 days of hire; Staff person #1 now has a valid State Police clearance on file. The staff file for Staff person #15 lacked a valid Child Abuse clearance; A volunteer Child Abuse clearance dated 9/27/22 was on file which is not an acceptable clearance for employment per the CPSL. The file for Staff person #16 was observed not to contain a National Sex Offender Registry (NSOR) within 45 days of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL; A NSOR certificate dated 5/2/23 is on file. The staff file for Staff person #18 and Staff person #19 was observed to lack a valid FBI clearance on file at time of hire; A Department of FBI clearance was on file which is not an acceptable clearance for employment per the CPS. Staff person #18 and Staff person #19 now has a DHS FBI clearance on file. The file for Staff person #20 was observed not to contain a National Sex Offender…

The hallway between Room 3 and Room 4 was observed to lack sufficient lighting; the celling light fixtures that provide artificial light were not operable causing the hallway to be dark, impeding visibility, and considered a safety hazard.

The portable sink in the hallway outside of Room 10 was observed to lack a handwashing sign.

One Bumbo seat that has been recalled by the United States Consumer Product Safety Commission were observed in Room 10.

The child file for Child #2, who is a young toddler, was observed to contain two health reports dated 10/4/22 and 5/12/23 that were more than 6 months apart. The child file for Child #5, who was a young toddler at the time, was observed to contain two health reports dated 4/13/22 and 2/10/21 that were more than 6 months apart.

The child file for Child #5, who is a preschool age child, lacked an updated health report every 12 months. The last health report on file is dated 4/13/22.

The staff file for Staff person #8, contained a current health assessment dated 1/30/23 which was conducted more than 24 months from the previously dated 12/4/20 health assessment on file. The staff file for Staff person #9, contained a current health assessment dated 4/25/23 which was conducted more than 24 months from the previously dated 1/30/21 health assessment on file.

The staff file for Staff person #7 and Staff person #18 was observed to contain a health assessment that did not indicate whether or not a physical exam was conducted.

In Room 10, four infants were observed to lack written feeding schedules from the parent.

The annual emergency drill that was conducted lacked pertinent information that is required to be documented when conducting the emergency drill, per announcement C-22-04.

Staff person #2, Staff person #4, Staff person #5, Staff person #6, Staff person #11, Staff person #12, Staff person #13 and #14 has not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. Staff person #3, Staff person #9, Staff person #10, Staff person #16 and Staff person #17 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. Staff person #3, Staff person #9, Staff person #10, Staff person #16 and Staff person #17 have since completed the training.

The child file for Child #1 was observed to have a financial agreement form that lacked the operator and parents' signatures.

The child file for Child #2 was observed to have a current child service report dated 5/1/23 which was not completed 6 months from date of enrollment (See IS Code Sheet). The child file for Child #3 was observed to have a current child service report dated 4/26/23 which was not completed 6 months from the previously dated 7/12/21 child service report on file. The child file for Child #4 was observed to have a current child service report dated 4/26/23 which was not completed 6 months from the previously dated 12/8/21 child service report on file. The child file for Child #5 was observed to have a current child service report dated 5/8/23 which was not completed 6 months from the previously dated 7/13/22 child service report on file.

The child file for Child #1 was observed to contain a financial agreement form that lacked the child's arrival and departure times.

The child file for Child #1 and Child #6 was observed to contain a financial agreement form that lacked the child's admission date.

The child file for Child #6 was observed to contain an emergency contact information form that lacked the name(s) and phone number(s) of who should be contacted in an emergency.

The child file for Child #1 and Child #6 was observed to contain an emergency contact information form that lacked either the name, address, and/or phone number of individual(s) designated by the parent to whom the child may be released.

The child file for Child #5 was observed to contain an emergency contact information form that was not reviewed and updated by the parent at least once in a 6-month period. The dates of the two most recent reviews were 5/8/23 and 7/13/22.

Based on staff interviews parents are not always provided with the original incident report on the day of the incident.

Staff person #4 and #5 were observed to be caring for children unsupervised. Staff person #4 and #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR.

The staff file for Staff person #1 lacked a valid DHS FBI clearance; a PDE FBI clearance was on file which is no longer an acceptable FBI clearance per the Child Protective Service Law (CPSL). The staff file for staff person #2 was observed not to contain a valid National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET). The staff file for staff person #4 contained a Child Abuse clearance dated 6/24/21 which was not on file at time of hire as required by the CPSL (See IS CODE Sheet). Staff person #4 was also observed not to contain documentation of receipt of having been fingerprinted for a DHS FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; a DHS FBI clearance dated 1/11/22 on file. The file for Facility person #5 who is a volunteer, lacked a NSOR certificate. The staff file for Staff person #6 was observed not to contain documentation of having applied for the NSOR certificate prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL; a NSOR certificate dated 7/4/22 is on file. The staff file for Staff person #7 lacked a complete State Police and DHS FBI…

In the Room 1, the preschool room, a travel sized bottle of hand sanitizer labeled keep out of reach of children was observed inside the mesh side pocket of a child's bookbag that was hanging in a child's coat locker accessible to the preschool aged children in care.

The thin green carpet throughout the outdoor play space was observed to be separating from the foam mat flooring and causing a tripping hazard.

The child file for Child #4, who is a young toddler, was observed to contain an updated health report dated 6/27/22 which was conducted more than 6 months from the previously dated 6/25/21 health report on file.

The child file for Child #4 lacked a flu shot for 2021.

The staff file for Staff person #10 contained a current health assessment which indicated the presence of a communicable disease but did not indicate the details of that disease nor the staff person's ability to remain in childcare.

Six bottles, used by infants in care, were observed to not be label with the child's name.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days: 6/7/22 to 7/12/22 (35 days).

The documentation of fire safety training completed by facility staff on 4/10/22 was deemed unacceptable as it did not include the signature of the fire safety professional, nor was there evidence of the instructor's training credentials.

The staff file for Staff person #,3 who is functioning as a group supervisor, lacked proof of bachelor's degree.

The staff file for Staff person #2, who is functioning as an assistant group supervisor, lacked proof of a high school diploma.

The staff file for Staff person #12, who is functioning as an aide, lacked proof of 8th grade education and two years experience with children.

The child file for Child #1 contained a financial agreement form that lacked the child's admission date.

The child file for Child #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates for the financial agreement and the emergency contact information form were 8/19/21 and 3/29/22. The child file for Child #3 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of the most recent updates for the financial agreement and the emergency contact information form were 3/5/21 and 4/13/22.

3RD CITATION: At approximately 9:45am in Room 4, at the outset of the supervision/ ratio check, two staff and 8 older toddlers were observed. Staff person #1 identified and named 5 children and Staff person #2 identified and named 2 children thus leaving one child unaccounted for. Staff were given a second opportunity to name the children whom they were responsible for and Staff person #1 identified and named 5 children and Staff person #2 identified and named 2 children thus still leaving one child unaccounted for. On a third opportunity all children were accounted for. PREVIOUSLY CITED ON 2/17/22 and 4/26/22.

2nd CITATION: The staff file for Staff person #1 lacked a National Sex Offender Registry (NSOR) certificate prior to hire; a NSOR certificate dated 2/24/22 is on file and there was no application on file of having applied prior to hire (See IS CODE SHEET). The staff file for Staff person #2 lacked a completed DHS FBI clearance. PREVIOUSLY CITED ON 2/17/22

2ND CITATION: At approximately 11:20am 4 preschool aged children were observed in Room 10 and 3 preschool aged children were observed in Room 11 with only one Staff person present standing in the archway, between rooms supervising the children in both rooms. The rooms are measured as two separate child care spaces so when Staff person #4 was in Room 10 assisting those children, the other children in Room 11 were left without a staff person. PREVIOUSLY CITED ON 2/17/22

At approximately 11:20am in Room 10 and Room 11, Staff person #4 was observed to be standing in the archway, between rooms, attempting to supervise two different rooms of children at once. The rooms are measured as two separate child care spaces so when Staff person #4 was in one room supervising those children the other room was not being supervised by a staff person.

2ND CITATION: At approximately 11:20am in Room 10 and Room 11, Staff person #4 was observed to be standing in the archway, between rooms, attempting to supervise two different rooms of children at once. The rooms are measured as two separate child care spaces so when Staff person #4 was in one room supervising those children the other room was not being supervised by a staff person. Also in Room 4. at the outset of the supervision/ ratio check two staff and 10 older toddlers were observed. Staff person #5 identified and named 4 children and Staff person #6 identified and named 5 children thus leaving one child unaccounted for. Staff were given a second opportunity to name the children whom they were responsible for and Staff person #5 identified and named 4 children and Staff person #6 identified and named 5 children thus still leaving one child unaccounted for. On a third opportunity all children were accounted for. PREVIOUSLY CITED ON 2/17/22.

In Room 10 at approximately 11:20am 7 preschool aged children were observed to be utilizing the space, which has an established capacity of 4, thus causing them to be over capacity by 3 children. In Room 12 at approximately 11:25am 4 preschool aged children were observed to be utilizing the space, which has an established capacity of 2, thus causing them to be over capacity by 2 children. A daily attendance schedule for the week of 4/25/22 - 4/29/22 for Room 10 (also called Pre School 2) and Room 11 (also called Pre School 1) was observed to show multiple days where capacity would be exceeded anywhere between 1-3 children depending on the day. Also in Room 5 at approximately 11:45am 10 children were observed to be utilizing the space, which has an established capacity of 6, thus causing them to be over capacity by 4 children.

In the Infant Room, on the stage area, outlets that were accessible to infants learning to walk were observed to be missing outlet covers.

In Room 8, approximately 20 diaper cremes (Aquaphor, Desitin, Boudreaux's Buttpaste) that are labeled, 'Keep Out of Reach of Children' were observed to be stored in a plastic bin on a shelving unit that was approximately 2ft in height from the floor and would be considered accessible to children. In Room 5 a diaper crème (Boudreaux's Buttpaste) was observed to be stored on a shelf underneath the changing table which was unlocked thus making the diaper crème accessible to children.

At approximately 10:55am in Room 5, after a diaper change, Staff person #3 took the child down off the changing table and proceeded to walk back towards the classroom without ensuring the child's hands and their hands were washed.

A Bumbo baby seat which was recalled by the USCPSC was observed in Room 3.

At approximately 10:55am in Room 5, during a diaper change, Staff person #3 was observed placing a soiled diaper down onto the changing table and not immediately discarded into a plastic-lined hands-free covered can.

*At approximately 10:30 AM, Staff #1 was taking the children individually out of the classroom to have their diapers changed, leaving Staff #2 alone in the classroom with the other 6 young toddlers. At approximately 12:30 PM Staff #1 left the classroom to get the children's rest equipment, leaving Staff #2 alone in the classroom with 7 young toddlers.

**At approximately 10:30 AM, Staff #1 was taking the children individually out of the classroom to have their diapers changed, leaving Staff #2 alone in the classroom with the other 6 young toddlers. At approximately 12:30 PM Staff #1 left the classroom to get the children's rest equipment, leaving Staff #2 alone in the classroom with 7 young toddlers.

**At approximately 10:00 AM, Staff #3 and Staff#4 were in Room 4 with 11 older toddlers. Staff #3 named 6 children in her assigned group. Staff #4 named 4 children in her assigned group, leaving one child not being named as part of a assigned group.

*At approximately 10:00 AM, Staff #3 and Staff#4 were in Room 4 with 11 older toddlers. Staff #3 named 6 children in her assigned group. Staff #4 named 4 children in her assigned group, leaving one child not being named as part of a assigned group.

***At approximately 10:00 AM, Staff #3 and Staff#4 were in Room 4 with 11 older toddlers. Staff #3 named 6 children in her assigned group. Staff #4 named 4 children in her assigned group, leaving one child not being named as part of a assigned group.

The file for Staff #1 contained a Department of Education FBI clearance. The file for Staff #1 did not contain a NSOR certificate. Staff #1 has lived outside of Pennsylvania in the last five years and did not have out of state clearances in their file. The file for Staff #3 lacked a NSOR Certificate, FBI Clearance and Child Abuse Clearance.

The file for Staff #1 lacked documentation of emergency plan training within the first week of hire. The file for Staff #3 lacked documentation of emergency plan training.

The file for Staff #3 contained a health assessment that was conducted more than 24 months after the previous assessment.

The file for Staff #1 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #1 contained a Health Assessment that did not include an examination for communicable diseases and the results of the examination.

The Health Assessment for Staff #1 lacked the physician's assessment of the person's suitability to provide child care.

The file for Staff #3 lacked Health and Safety training.

The file for Staff #3 lacked mandated reporter training.

The file for Staff #3 did not contain any staff evaluations.

The file for Staff #2, observed to be acting as an aide, lacked verification of child care experience, education and training prior to service at the facility, to qualify as an aide. The file for Staff #3, observed to be acting as a Assistant Group Supervisor, lacked verification of child care experience, education and training prior to service at the facility, to qualify as a Assistant Group Supervisor.

The file for Staff #3 lacked documentation of the annual 12 clock hours of training.

The files for Staff #1 and #3 lacked a disclosure statement. The file for Staff #1 lacked a request for FBI clearance in their file at date of hire and therefore was incorrectly provisionally hired. The file for Staff #2 lacked a request for their State Police Clearance at the time of hire, and therefore was incorrectly hired. The file for Staff #3 lacked a request for FBI clearance and therefore was incorrectly provisionally hired. The file for Staff #4 lacked a DHS State Police Clearance. The file for #7 lacked a National Sex Offender Certificate at the time of Inspection. The file for Staff #8 lacked an current FBI clearance.

At approximately 9:45 AM, there were 16 preschool aged children alone in Classroom 1. One staff had taken a child to the bathroom and the other staff stepped into the office, leaving the children unsupervised.

In Room 1, Staff #9 and #10 were unable to name the specific children that they were assigned the responsibility for supervision. In Room 4, Staff #1 and #2 did not know the names of the specific children they were assigned the responsibly for supervision.

In Room 10 on the Teacher's desk were a pair of sharp scissors that were accessible to the children. In Room 8 there was a locked door leading to the basement exit that would be used in case of an emergency. This door was locked form the other side and unable to be utilized.

In Room 4, a toddler classroom there were two electrical outlets on an extension cord that lacked protective receptacle covers. The outlets were accessible to children 5 years of age and younger.

In Room 4, a Toddler Room there was Multi-Purpose Solution labeled "keep out of reach of children" in a low door accessible to the children in care.

Observed the required emergency telephone numbers were not posted by the phone and in Room 6.

The first aid kit located in Room 6 and Room 7 lacked soap. The first aid kit located in Room 3 lacked tape. The first aid kit located in Room 9 lacked soap and tape.

The Upstairs bathrooms lacked hand washing signs posted at toilet.

The 6 passenger stroller used by toddlers had multiple ripped straps not allowing for it to be in good repair.

In Room 3, Toddler Room, there was Kinetic Sand on a low shelf accessible to children labeled "Not for Children under 3: Chocking Hazard."

In Room 9 there was a strap missing from one of the high chairs.

The Health Report for Child #4 lacked a statement indicating the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for Staff #3 lacked a Health Assessment at the time of providing initial service in a child care setting. At the time of the inspection the most current health assessment in Staff #5's file was dated 12/9/2019, more than 24 months following the date of signature.

Based on statements made by the operator, the local traffic authorities have not been notified this year in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

The legal entity was not able to produce a document containing comprehensive liability insurance to cover the persons who are on the premises.

The file #6 and #8 lacked competence in the completion of training by a professional in the field of Pediatric first-aid and cardiopulmonary resuscitation (CPR) before the requirement of compliance on 6/17/21. It was determined that the FA/CPS training present in the file for Staff #6 and #8 was not approved training.

The files for Staff #2 and #4, new hires, contained documentation of Health and Safety Basic training after the required 90 days from hire.

The file for Staff #2 contained Mandated Reporter training that was not completed within 90 days of hire.

Room 4, and 9 lacked a written plan of daily activities and routines

The Agreements for Child #1and #2 lacked the date of the child's admission.

The Emergency Contact Form in file for Child #1 lacked written consent signed by a parent for emergency medical care.

The Emergency Contact Forms for Child #1 and #2 lacked the release person's address of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #3 lacked the release person's telephone number of the individual designated by the parent to whom the child may be released.

Room 6, 10, and 11 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The file for Staff #3, lacked verification of experience and education or training.

The file for Staff #3, lacked verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #1, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person. The file for Staff #3 lacked two written, nonfamily references from individuals attesting to the person suitability to serve as a facility person.

The file for Staff #2 and #4 contained First Aid and CPR that was obtained after 90 days of hire. It was determined that the FA/CPS training present in the file for Staff #2 and #4 was not approved training.

The facility did not provide the parents of each child enrolled with information on how to electronically access the regulations.