Nesbitt Child Development Center

The only health assessment on file for Facility Person #1 (see code sheet for first day with children) was dated 5/4/23. Also, the file for Facility Person #1 did not include any tuberculosis screening tests. It only included a chest x-ray that was dated 3/13/23.

The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 7/18/25 to 8/19/25 and 8/19/25 to 9/21/25.

There was no proof on file showing that a copy of the emergency plan had been sent to the local municipality.

The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 2/7/25 to 3/10/25 and 5/5/25 to 6/16/25.

The most current emergency plan trainings on file for Staff #3 and #4 were dated 11/2023 and 12/2024. More than a year had lapsed between emergency plan trainings.

Simply Right, Persani, and Up and Up hand sanitizers were observed on a table that was located near the Girls' Restroom. All of these items were labeled, "keep out of reach of children," but were accessible to the children who passed by the table to access the Girls' Restroom. Dial antibacterial hand soap, Equate sunscreen, and Coppertone sunscreen were observed, about ankle height, in an unlocked cabinet in the Preschool Room. Also, Dawn cleaner was observed in a blue container that was on a window shelf in the Preschool Room. These items, which were labeled, "keep out of reach of children, were accessible to the children who were being supervised in that room.

The telephone number of the nearest ambulance was not posted by the telephones in the Infant Room, Toddler Room, or Preschool Room.

A hand washing sign was not observed at the sink area in the Boys' Restroom.

The radiator outside the Infant Room had a loose cover, revealing sharp metal edges. Similarly, the radiator outside the Toddler Room was missing part of its cover, exposing sharp metal edges. One toilet in the Boys' Restroom had two exposed bolts and two toilets in the Girls' Restroom had one exposed bolt.

A plastic Ziploc bag and two metal staples, that had a diameter of less than 1 inch, were observed on the Toddler Room floor. These items were accessible to the toddler aged children who were being supervised in that room.

The last complete health assessment on file for the Child #3 was dated 8/11/22.

The health assessments on file for Staff #4 were dated 3/25/22 and 4/11/24. More than 24 months had lapsed between health assessments.

The only emergency drills on file were dated 11/29/22 and 12/20/24. More than a year had lapsed between emergency drills.

Staff person #6 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

The emergency contact information on file for Child #2 did not include the policy number for their health insurance coverage.

The most current emergency contact information on file for Child #1 was dated 3/14/24 and 1/24/25 and for Child #5 was dated 2/19/24 and 1/28/25. More than 6 months had lapsed between parental reviews, updates, and signatures on these emergency contact forms. The only emergency contact information on file for Child #2 was dated 5/2/24. The only financial agreement information on file for Child #1 was dated 3/18/24. There was no financial agreement information on file for Child #2. The most current financial agreement information on file for Child #3 was dated 3/7/24 and for Child #4 was dated 2/9/24. More than 6 months had passed since a parent last reviewed, updated, and signed emergency contact and financial agreement forms.

The fire detection system was not tested at least once every thirty days as evidenced by the following fire detection system logs that were on file: 8/30/2024 to 9/30/2024. Also, the last documented fire detection system test was 10/28/2024, but another fire detection system test should have occurred by 11/27/2024.

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: Pediatric First Aid/CPR and Health and Safety Training Update.

The fire detection system was not tested every 30-days as evidenced by the following fire detection system logs that were on file: 5/3/24 to 6/3/24 and 7/2/24 to 8/2/24.

A renewal inspection was conducted on 2/8/24. The emergency telephone numbers were not posted near the telephones in the infant, preschool or toddler's classrooms.

A renewal inspection was conducted on 2/8/24. The emergency bag first aid kit in the preschool classroom did not contain a bottle of water. The operator acknowledged that this is the bag they take in case of an emergency.

A renewal inspection was conducted on 2/8/24. Child #3's does not have an updated health report in the last year. The last health report is dated 11/10/22. (Please see code sheet for child #3's DOB).

A renewal inspection was conducted on 2/8/24. Child #2's immunization record indicates the child has only three doses of DTAP, three doses of Pneumococcal vaccine, one Hepatitis A vaccine and no exemption letter is in child's file. This is not in accordance with the ACIP recommended schedule. (Please see code sheet for DOB).

A renewal inspection was conducted on 2/8/24. Child #1-3's files did not have a child service report. The director could not provide the cert rep with the reports.

A renewal inspection was conducted on 2/8/24. Child #1 did not list the parents work address and work phone number on the emergency contact form. Child #2 did not list the parents work address on the emergency contact form.

A renewal inspection was conducted on 2/8/24. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the infant classroom.

A renewal inspection was conducted on 2/8/24. Child #1 has a fee agreement that has not been updated in the last 6 six months. Child #1's fee agreement was dated 6/19/23. Child #2 and Child #3's emergency contact form and fee agreements have not been updated in the last 6 months. Child #2's emergency contact form was dated 3/14/23 and the fee agreement was dated 5/1/23. Child #3's emergency contact form has no date and the fee agreement was dated 5/1/23. (Please see code sheet for DOA).

A renewal inspection was conducted on 2/8/24. Staff person #1's file did not contain references. Staff person #2's file did not contain verification of work experience.

Report was received that while the class went on a walk in the community on 4/24/2023, Staff #1 was observed pulling Child #1's cheek "very hard". On 4/25/2023, Staff #2 confirmed that this incident took place the day before.

There is a container of disinfecting wipes located in an unlocked cabinet below the bathroom sink

There is a container of painted wooden blocks located in the toddler room and some of the paint is peeling from the blocks