Murriel S Gunn Group Day Care Home

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the phone in the peachy room.

There was no first aid kit in the main/great room.

The first aid kit in the peachy room was missing adhesive bandages(band aids). The first aid kit in the kitchen/eating area was missing tweezers.

The bathroom in the peachy room was missing a hand washing sign above the toilet and sink. The sink in the great room was missing a handwashing sign. The sink in the kitchen/eating room was missing a handwashing sign.

In the back room there was a portable space heater on the wall.

The immunization record on file for Child #1, who is a preschool age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 3 HIB vaccines recommended by the ACIP for a child this age; and 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age.

The facility did not have a written statement giving formula and feeding schedule obtained from the parent for one infant.

The fire alarm testing log contained the following dates 8/2/24-9/3/24, 9/3/24-10/4/24, 10/4/24-11/4/24, and 12/4/24-1/30/25, which are move than 30 days apart.

Staff person #1's two most recent pediatric first aid/CPR training are dated 5/7/22 and 2/29/25 which are more than 24 months apart.

Staff #3's file did not contain documentation of evaluated proof of education of the persons' foreign diplomas.

The two most recent child service reports on file for child #1 are dated 5/2023 and 10/2024 which are more than 6 months apart.

Child #2's file did not contain one address for an individual designated by the parent to whom the child may be released. Child #3's file did not contain 3 addresses for individuals designated by the parent to whom the child may be released.

The Emergency Medical/Transportation plan was not posted in the peachy room, the great room, and the Kitchen/eating area.

The most current FBI clearance on file for staff #3 is not dated within the past 60 months. FBI date - 6/26/18. The file for staff #4, lacked a Child Abuse clearance on or before initial start date in a child care position and lacks an NSOR clearance. SEE IS CODE SHEET. Child Abuse clearance is now on file and dated 1/22/24. The disclosure statement on file for staff #6 lacks the date that it was signed. The file for facility person #7, who is 17 years of age, lacks a PA State Police and Child Abuse clearance and a disclosure statement.

The emergency plan on file lacked a continuity of operations plan for the aftermath of a disaster.

The file for facility person #7 lacks emergency plan training within 90 days of hire. SEE IS CODE SHEET.

The parent letter lacked lockdown procedures and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

Observed cleaner near the sink in the middle room. The bottle did not specify the contents.

The embedded swing set with slide in the preschool/SA outdoor play space lacked 5 of the required 9 inches of pea gravel.

The file for child #2, who is an older toddler, does not contain a health assessment which has been completed within the past 12 months. This is evidenced by the current health report on file which is dated 3/1/23.

The immunization record on file for child # 5 contained 2 of 4 DTAP, 2 of 3 HIB, 2 of 4 Pneumococcal and 2 of 4 Polio vaccinations as in accordance with the schedule recommended by the ACIP. The immunization record on file for child #1 contained 2 of 4 DTAP, 2 of 3 HIB, 2 of 4 Pneumococcal, 2 of 4 Polio and 1 of 2 Hep A vaccinations as in accordance with the schedule recommended by the ACIP.

Observed Neosporin in the first aid kit in the middle room. The medication did not have a name on it for whom the medication is intended.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #1 and 3. Dates are as follows: Staff #1 -5/12 21 and 6/22/23 and Staff #3 - 8/20/21 and 4/2/24. The files for staff #4 and facility person #7 lack an initial health assessment which has been completed within the past 12 months prior to providing initial start date in a child care position.

The most current health assessment on file for staff #1 was not signed by a physician, physician's assistant or CRNP.

The file for facility person #7 lacks a TB test within 12 months of providing initial service in a child care setting.

The last manual 30 day check of the fire detection system on file was not completed within the past 30 days. Date of last manual 30 day check was 3/1/24.

The file for child #4 did not contain an initial health assessment within 60 days of attendance at the facility. SEE IS CODE SHEET. This is evidenced by the initial health assessment dated 3/22/24.

The facility file lacked proof of purchase of the fire detection system.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): Health and Safety training.

Facility person #7- has not completed the mandated reporter training within 90 days of their date of hire (see IS code sheet).

The files for staff #3 and 4, who hold the title of assistant group supervisor, lack 2500 hours of child care experience.

There was more than six months between reviews/updates of the emergency contact and fee agreements on file for children #1, 2 and 3. There are now current reviews/updates on file.

The file for child #2 lacked signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

The file for facility person #7 lacks two written nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #3 contained an FBI Criminal History Clearance document that is not accepted by our department.

The file for Staff #1 contained documentation of a health assessment that was administered more than 24 months ago.

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

The file for Staff #1 did not contain a staff evaluation completed in the past 12 months.

The files for Staff #3 and #4 contained current FBI, PA State Police, and Child abuse clearances; however, each clearance was most recently updated more than 60 months prior to the date that previous clearances were processed.

The files for Staff #1 through #3 did not contain documentation of the completion of emergency plan training in the past 12 months.

Two exposed screws were observed protruding from an area of fencing in an area accessible to children in the outdoor play space. Also in an area accessible to children in the outdoor play space, an approximately 8' section of landscape timber was observed to have jagged, splintering edges. Contact with noted areas of concern could cause laceration and/or puncture injuries.

Although the file for Staff #2 contained a current health assessment, the previously completed health assessment on file was dated as administered more that 24 months prior.

The files for Staff #1 through #4 did not contain documentation of the completion of fire safety training in the past 12 months.

Although the file for Staff #4 contained documentation of the completion of mandated reporter training, the previously completed training was dated more than 60 months prior.

The files for Staff #1 through #3 did contain written evaluations completed in the past 12 months.