My First Steps Child Care Center II

During a renewal inspection on 2/20/25 Staff reported that parents were not being provided a letter explaining the emergency procedures. Cert rep observed that the emergency plan was not posted in a conspicuous location for parents.

During a renewal inspection on 2/20/25 Cert rep observed an outlet without a protective cover in the yellow room on the wall to the right of the door with the moths of the year sign. This room could be accessible to children 5 years old or younger.

During a renewal inspection on 2/20/25 Cert rep observed the free standing sink was not securely attached to the wall. Children would be able to climb or hang on the sink which creates a hazard as it could fall on children if it detached fully from the wall. Cert rep also observed a pinch point between the sink and the wall as a result of it not be securely attached to the wall. This sink was located in the boys bathroom used by the Sky blue room and the green apple room. Cert rep observed a curl in the outdoor matting in the toddler playspace which created a tripping hazard. Cert Rep observed the cement in the raised section of the all ages playspace had loose chipped pieces with sharp edges.

During a renewal inspection on 2/20/25 cert rep observed a plastic bag in an accessible children's cubie in the green apple room. This room had older toddlers who may still be placing objects in their mouths.

During a renewal inspection on 2/21/25 cert rep noted Child 3's most recent acceptable health assignment was dated 9/12/23. This is more than 12 months old.

During a renewal inspection on 2/21/25 Cert rep observed Child 1 had an appointment summary on file as a health assessment. Cert rep observed Child 1's Health assessment was not signed by a physician, physician's assistant or a CRNP.

During a renewal inspection on 2/21/25 Children 1, and 2 did not have an acceptable health assessment which provided answers to the following: a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and a statement that the child had age-appropriate screenings recommended by the American Academy of Pediatrics were conducted. Child 1 had an appointment summary on file as a health assessment. Child 2 had a PA school physical on file as a Child health assessment and is not a school age child(see DOB in code). Children 1 and 2 have been enrolled for more than 60 days.

During a renewal inspection on 2/21/25 Cert rep noted that Child 1 did not have written verification of the child's immunization record on file. Child 1 did not have an immunization exemption on file. Child 1 in still in care at the facility. Child 1 has been enrolled for more than 60 days.

During a renewal inspection on 2/20/25 Cert rep observed that when diapers were changed in the Sky blue room a non-hands free trash can was being used to disposed of soiled disposable diapers.

During a renewal inspection on 2/20/25 and 2/21/25 Cert rep noted Staff 5 had a health assessment and TB test dated 9/15/23. This is not within 12 months of Staff 5's start date (See LIS code sheet for DOH).

During a renewal inspection on 2/20/25 Cert rep observed the first aid kits in the Chevy Express and the GMC Nico did not contain water bottles.

During a renewal inspection Cert rep noted there was not documentation available for review that supported the emergency plan was sent to the local municipality.

During a renewal inspection on 2/20/25 Cert rep observed the facility did not have a written policy that addresses: Strategies for coping with a crying, fussing, or distraught child.

During a renewal inspection on 2/20/25 Staff reported the maximum number of children at the facility at one time is 80 which would require 2 group supervisors. The facility had 1 Staff Person working as a group supervisor.

During a renewal inspection on 2/21/25 Staff 1 did not have a high school diploma or a general educational development certificate on file. Staff 1 has been working has an assistant group supervisor.

During a renewal inspection on 2/21/25 Cert rep noted Child 4's most recent child service report was dated 7/10/24. This is more than 6 months since the previous child service report. Staff reported that the facility was only completing child service reports once a year for enrolled children.

During a renewal inspection on 2/20/25 Cert rep observed that the emergency medical transportation plan was not located in the vehicles or in the emergency contact binders for transportation. Staff reported the facility was not taking the emergency medical transportation plan when staff left the facility with children.

During a renewal inspection on 2/20/25 and 2/21/25 the following staff did not have 12 training hours during their training year: Staff 2 (6.5 hours recorded during training year 12/2023-12/2024) Staff 3 (6 hours recorded during training year 110/2023-10/2024) Staff 4 (6.5 hours recorded during training year 12/2023-12/2024)

During an unannounced inspection on 12/19/24 Cert rep observed the school age children leaving the school aged classroom to go down the hall to their cubbies. Staff 1 and 2 who were assigned supervision of these children was not physically present with these children.

During an unannounced inspection on 12/19/24 Cert rep observed the school age children leaving the school aged classroom to go down the hall to their cubbies. Staff who was assigned supervision of these children was not physically present with these children.

During a renewal inspection on 12/19/24 cert rep observed school aged children having snack without washing their hands beforehand.

During an announced inspection on 12/19/24 it was noted Staff person 1 does not have a valid Pediatric First Aid and CPR on file. This is evidenced by the previously documented Pediatric First aid and CPR training on 10/15/2022 which expired 10/31/2024.

During an unannounced inspection on 10/2/24 cert rep observed two school aged children (ages 5 years and 6 years old) being transported in the facility van without appropriate safety restraints, booster seats.

During an unannounced inspection on 10/2/2024 cert rep observed safety restraints-booster seats in the silver Odyssey van that did not have the booster seat's manufactures' instructions in the vehicle.

During The Renewal Inspection on 2/25/2024, the lid for hands-free covered can used for diapering in the older toddler classroom was not going all the way up; thus, it was not working as hands-free.

During The Renewal Inspection on 2/25/2024, The financial agreement for Child #1 and Child #2 had not been updated by the parent since March of 2023.

During the Renewal Inspection on 2/9/2023, Child #1, an infant (Date of Birth-12/1/2022) was observed sleeping in a bounce seat from 10:45 AM until 10:56 AM. There is not any medical reason on file to document that Child #1 should not sleep in the sleeping position recommended by the American Academy of Pediatrics.

During the Renewal Inspection on 2/9/2023, the soap dispenser in the bathroom for the Blue Room was observed to be cracked with sharp edges exposed. The red wooden fence in the outdoor play area was observed to be peeling in several areas of the fence.

On 2/9/2023, Staff #3 had a completed health assessment on file that was dated 1/20/2022. See LIS code sheet.

On 2/9/2023, the facility did not have documented that an annual emergency drill has been conducted during the previous 12 months.

Staff persons #1 and #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented verified mandated reporter trainings on file being dated 3/28/2016 for Staff #1 and 12/8/2015 for Staff #2.

During the staff file review on 2/3/2022, each staff for all files that were reviewed had updated clearances and an updated mandated training on file. However, the following was observed: The mandated reporter training for Staff #2 was completed on 1/30/2021, but the previous mandated reporter training on file for Staff #2 was completed on 9/20/2015. The state police clearance for Staff #3 was updated on 8/4/2021, but the previous state police clearance on file was dated 6/7/2016, the FBI clearance for Staff #3 was updated on 8/6/2021, but the previous FBI clearance on file was dated 2/22/2016 and the mandated reporter training for Staff #3 was updated on 12/22/2021, but the previous mandated reporter training on file was completed 10/14/2016. The state police clearance for Staff #4 was updated on 5/28/2021, but the previous state police clearance on file was dated 3/11/2016, the child abuse clearance for Staff #4 was updated on 6/1/2021, but the previous child abuse clearance on file was dated 3/15/2016 and the FBI clearance for Staff #4 was updated on 5/30/2021, but the previous FBI clearance on file for Staff #4 was dated 3/30/2016. The state police and child abuse clearances…

During the Renewal Inspection on 2/3/2022, Staff #1 and Staff #2 were working in the Green Apple classroom with a group of 12 children that were each identified as Older Toddlers. A review of the file for Child #1 showed that this child will not be age 2 until 3/28/2022.

During the Renewal Inspection on 2/3/2022, the red wooden fence in the outdoor play area to have to broken fence posts that exposed sharp edges and splinters. The red wooden fence also had several areas where paint was peeling.

During the Renewal Inspection on 2/3/2022, a playhouse with several cracks that left sharp edges exposed was observed in the outdoor play area.

During the child file review on 2/3/2022, the most recent health report on file for Child #2, a young toddler was dated 7/26/2021. The most recent health report on file for Child #3, an older toddler was dated 1/7/2021.