MZ Smileys Childcare CTR

There was a power strip with 5 uncovered electrical outlets and two uncovered outlets on the wall by the table accessible to children 5 years of age or younger in the main room. There were 2 uncovered electrical outlets accessible to children 5 years of age or younger in the infant room.

There was a hair spray can and a fragrance mist on top of the sink and Fabric Refresher under the unlocked sink cabinet in the school age bathroom label " Keep out of reach of children" accessible to children.

There was contaminated by human secretion trash in an open garbage can in the main room.

There was peeling paint on the wall in the playroom.

The school age bathroom contained a garbage can with no lid.

There was a big blue cracked bin in the playroom.

The file for staff # 4 lacked a health report.

The fire drill log lacked hypothetical locations.

The annual fire detection system test was dated 10/22/24, the previous report was dated 8/31/23.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the Child Maltreatment statement.

The facility lacked a current liability insurance.

The file for staff #1 lacked a current fires safety training, the previous training was dated 10/6/23. The file for staff #4 lacked a current fires safety training, the previous training was dated 1/23/22.

The file for staff # 3 and 4 lacked written evaluation.

The file for child # 1 lacked information to the family about the child's growth and development in the context of the services being provided.

The file for child #3 lacked the date of the child's date of admission on the agreement form.

The file for child #1 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 9/7/23. The file for child #2 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 9/7/23. The file for child #3 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 6/2020. The file for child #4 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 8/7/18.

The file for staff # 2 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23. The file for staff # 3 lacked 9 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23. The file for staff # 4 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

The file for staff #3 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22. The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

There were 4 uncovered electrical outlets on the power strip on top of the table in the preschool room accessible to children 5 years of age or younger.

There were Desitin, Aquaphor, and Remedy Protectant diaper rash creams labeled " keep out of reach of children" accessible to children in the infant toddler room.

There was rubber baseboard pulling of the wall in the bathroom.

The toilet in the left side of the wall lacked the tank cover.

There was a cracked clear bin, a cracked pencil box lid in the preschool room and a cracked toy castle in the gross motor room.

The file for child # 2 a young toddler contained a health report dated 2/15/23. The file lacked a 6-month updated health report.

The file for child # 3 a preschooler lacked an updated health report. The previous report was dated 10/11/22. The file for child # 4 a school age lacked an updated health report. The previous report was dated 8/2/22. The child started kindergarten in September of 2023.

The file for staff # 1 lacked an initial health report. The file for staff # 2 lacked an updated health report. The previous report was dated 1/21/21.

A copy of the facility Emergency Plan was not sent to the county emergency management agency.

Staff # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Health and Safety training the certificate is dated 10/10/23.

The file for staff # 3 lacked an updated Mandated Reporter training. The previous report was dated 11/21/17.

The file for staff # 1 lacked a minimum of one written staff evaluation every 12 months.

The file for child # 2 lacked Emergency contact information required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for child # 1 lacked the birthdate of the child on the emergency contact form.

The file for child # 2 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The file for child # 2 lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The files for staff # 1 and 2 lacked the emergency plan training. The previous training was dated 10/23/21.

There was an uncovered outlets accessible to children 5 years of age or younger in the infant room.

The was a hole made by the door handle on the right-side wall at the entry way. There was a hole on the bottom of the yellow door in the playroom. There was a light cover glass cracked in the staff bathroom.

There was peeling paint on the purple wall under the window in the main room, the wall with the alphabet stickers, the left side wall on the main room and the walls in the playroom.

In the children' s bathroom one of the toilet handles is damaged preventing it for been able to flush.

There was a cracked plastic oven window on the kitchen in the playroom.

The sleeping cots were not labeled for the use of a specific child and used only by the specified child.

The file for Child #2 lacks documentation of a 2021 influenza immunization as recommended by the ACIP.

Staff # 2 did not wash the child's hands after diapering.

Staff #2kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

The files for staff # 1 contained a current health report dated 1/30/21. The previous report was dated 11/28/18. The files for staff # 2 contained a current health report dated 10/4/22. The previous report was dated 1/10/20.

The facility lacked annual emergency drill documentation.

The file for child # 3 contained an initial health report that is dated later than 60 days following the first day of attendance at the facility.

The facility lacked the letters to the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

The file for staff # 2 lacked a written evaluation. The previous evaluation is dated 10/22/21.

The file for child # 1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

The file for staff #1 lacked 9 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21. The file for staff #2 lacked 12 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21.

The first aid kit in the indoor gross motor room did not contain gloves.

The thermometer in the facility's 2nd refrigerator was broken.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities or chronical medical conditions.

Based on conversation with the operator, they are not able to demonstrate operability of the fire detection system or test the fire detection system every 30 days because they rent space in a very large commercial building which houses apartments. The last testing report by a fire safety professional was dated from January 2020 and was expired. Based on conversation with the operator, the building's fire detection system is a pull-down alarm system, which is considered an interconnected system, and they did not have proof of purchase of the fire detection system.

The facility's emergency plan did not include accommodations for shelter of children during a lock-down.

2nd citation: Based on conversation with the operator, they are not able to demonstrate operability of the fire detection system or test the fire detection system every 30 days because they rent space in a very large commercial building which houses apartments. The last testing report by a fire safety professional was dated from January 2020 and was expired. Previously cited 11/9/21.

The file for staff person #1, hired before 12/19/21, did not include evidence of pediatric first-aid and CPR.

The last fire safety training in the file for staff person #1 was more than 12 months ago. The last two fire safety trainings in the file for staff person #2 and #3 were dated more than 12 months apart.

There was no agreement in the file for child #1.

The agreement in the file for child #2 and #3 did not specify the child's arrival and departure times.

The agreement in the file for child #3 did not designate to whom the child may be released.

The emergency contact information in the file for child #3 did not include any information for the child's physician.

The emergency contact information in the file for child #4 did not include the name of the child's health insurance.

The file for staff person #1 did not include 2 written nonfamily references. The letters were reviewed at a previous inspection, but were not on file at the facility at the time of this inspection.

The file for staff person #1, employed before 12/19/20, did not include training in health and safety topics #1 through #9.

2nd citation: The file for staff person #1, hired before 12/19/21, did not include evidence of pediatric first-aid and CPR. Previously cited on 11/9/21.

2nd citation: The last fire safety training in the file for staff person #1 was more than 12 months ago. Previously cited on 11/09/21.