New Castle Community y Daycare

In room 204 the spray bottle that contained the sanitizing solution was not labeled.

In rooms 201 and 202 the trash cans that contained discarded food were not lidded.

In the gym the book bag that contained the first aid kit was sitting on the floor not locked accessible to children.

The first aid kit in room 201 was missing scissors. The first aid kit in room 202 was missing adhesive bandages(band aids).

In the pink bathroom a handwashing sign was missing from the left toilet stall.

In room 205 was a cracked green bin with sharp edges.

In room 204 there was Child Motrin that did not contain the name of the child for whom the medication is intended.

In room 202 there was an Epi-pen that did not have a log with written parental consent for administration.

In room 204 there was dirt and debris under the mat on the changing table.

Staff #1's file contained an initial health assessment dated 1/13/25 which was after their date of hire(See LIS Code Sheet).

Staff #1's file contained an initial TB test dated 1/13/25 which was after their date of hire(See LIS Code Sheet).

The fire alarm testing log contained the following dates 1/16/25-2/19/25, 2/19/25-3/25/25, 5/16/25-6/16/25, and 6/16/25-7/23/25 which are more than 30 days apart.

The file for Staff person #1 includes verification of Pediatric First Aid/CPR training dated 7/9/25, after the expiration date of 4/2025. The file for Staff person #2 includes verification of Pediatric First Aid/CPR training dated 7/9/25, after the expiration date of 6/2025.

The emergency plan was not posted in the facility at a conspicuous location.

The letter provided to the parent of each enrolled child explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

In room 201 a power strip under the TV with 3 uncovered outlets was on the ground accessible to children.

In room 205 on the cabinet by the far exit was Mellow instant hand sanitizer which stated keep out of reach of children was accessible to children.

In room 201 a trash can that that had been contaminated by human secretions did not have a lid on it. In the girl's bathroom the trash can that had a used, contaminated pull-up inside, did not contain plastic lining.

In room 204 there was damaged paint and plaster on the left-hand side of the room near the kid's kitchen set.

In room 204 a handwashing sign was missing on the diapering table. In the girl's bathroom a handwashing sign was missing above the sink on the left.

In the outside play area was a broken alligator see-saw that caused a pinch point. There were 13 exposed bolts on the gate to the outside play space.

The outside play space had embedded equipment. The Director was unable to provide the ASTM letter to show compliance with the recommendations of the United States Consumer Product Safety Commission for the unitary playground protective surface covering.

In room 201 a tall cabinet for dress up clothes was not attached to the wall making it unstable when touched. In room 205 the back of a metal chair was separating making it not in good repair.

The rest equipment in room 204 was not labeled for the use of a specific child.

Child #3's, an infant age child(See LIS Code Sheet), current health assessment is dated 4/24/24 which is more than 6 months ago.

In room 204 three medications were expired: Hyland's Baby Mucus + Cold Relief Exp. 9/2024, Children's Tylenol Exp. 9/2024, and TopCare Children's Pain and Fever Exp 10/2024.

Staff #1's file did not contain a health assessment.

Staff #1's file did not contain a TB test.

In room 202 four infant bottles were not labeled with the child's name.

Child #1's initial health assessment is dated 12/10/21 which is more that 60 days after enrollment(See LIS Code Sheet).

The operator last notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility on 11/3/22 which is more than 12 months ago.

Child #1's file contains a child service report dated 12/14/23 which is more than 6 months ago. Child #3's file did not contain a child service report, the child has been enrolled more than 6-months(See LIS Code Sheet).

Child #2's file did not contain the policy number for a child under a family policy or Medical Assistance benefits.

Staff #2's file did not contain two written nonfamily references.

The facility did not have information posted for parents on how to access the regulations electronically and with instructions for contacting the appropriate regional child care office.

Staff #1, working as a group supervisor, had a file that did not contain a signed disclosure statement. Staff #2, working as a group supervisor, had a file that contained a Department of Education FBI clearance which is not accepted by DHS.

In the gym 2 electrical outlets covers were missing.

In room 204, the older toddler room, the cabinet under the diaper table was unlocked and accessible to children. The diaper table cabinet contain a tube of Triple paste, 2 tubes of butt paste, and a tube of Balmex Diaper Rash cream, all stated to keep out of reach of children.

A first aid kit in room 201 was missing soap and disposable nonporous gloves.

In room 204 foam blocks with teeth mark were observed accessible to children who are still placing objects in their mouths.

In room 202 prescription Nystatin ointment was observed with no prescription label or instructions for administration.

In room 202 it was observed that the name of the child from whom the medication is intended was missing from: Children's Tylenol, Hyland's Kids Cough and Mucus, and Nystatin ointment.

In room 202 Nystatin ointment was observed to be expired on 1/24. In room 204 it was observed infants Tylenol expired 1/24, another infants Tylenol expired 12/23, and Motrin Infant Drops expired 8/23. This means that the expired medication was not stored in accordance with the manufacturer's or health professional's instructions on the original label.

In room 202 it was observed that there was no log forms or parents written consent for these medications: Infant's Pain and Fever, Children's Motrin, and Nystatin Ointment. In room 204 it was observed that there was no log form or parent's written consent for these medication: Childrens Tylenol and Ventolin Hfa.

Staff #1's Health assessment did not include an examination for communicable diseases and the results of that examination.

The facility has not been testing the fire system every 30 days. They do have an annual fire test letter for testing, but this does not apply since they are the only legal entity in the building.

Staff #1 who has been working as a group supervisor had a file that did not contain proof of education or experience prior to service at the facility(See LIS Code sheet).

Staff #3, who has been working as an assistant group supervisor, had a file that did not contain proof of education or experience prior to service at the facility(See LIS Code sheet).

In room 201 the emergency contact information was not present in the child care space for one child that was receiving care.

Per staff statements, there were at least 3 incidents of children eloping to other rooms, unsupervised. Staff #1 was transitioning children back into the classroom. Child #1, a young toddler, left the group without Staff #1's knowledge and went into the adjoining school age classroom. Child #1 was observed to be alone in the school age room and was immediately returned to her classroom. The child was unsupervised for approximately 3-5 minutes. Staff #2 was supervising 3 school age children and 1 young toddler, Child #1. Child #1 left the room, without the knowledge of Staff #2. Staff #3 was in the youth lounge with the preschoolers. Child #2, a preschooler, left the youth lounge without the knowledge of Staff #3 and followed an adult into the fitness center. A community member using the fitness center called the front desk to notify them that the child was in the gym. Child #2 was then returned to the child care.

**Per staff statements, there were at least 3 incidents of children eloping to other rooms, unsupervised. Staff #1 was transitioning children back into the classroom. Child #1, a young toddler, left the group without Staff #1's knowledge and went into the adjoining school age classroom. Child #1 was observed to be alone in the school age room and was immediately returned to her classroom. The child was unsupervised for approximately 3-5 minutes. Staff #2 was supervising 3 school age children and 1 young toddler, Child #1. Child #1 left the room, without the knowledge of Staff #2. Staff #3 was in the youth lounge with the preschoolers. Child #2, a preschooler, left the youth lounge without the knowledge of Staff #3 and followed an adult into the fitness center. A community member using the fitness center called the front desk to notify them that the child was in the gym. Child #2 was then returned to the child care.

*Per staff statements, there were at least 3 incidents of children eloping to other rooms, unsupervised. Staff #1 was transitioning children back into the classroom. Child #1, a young toddler, left the group without Staff #1's knowledge and went into the adjoining school age classroom. Child #1 was observed to be alone in the school age room and was immediately returned to her classroom. The child was unsupervised for approximately 3-5 minutes. Staff #2 was supervising 3 school age children and 1 young toddler, Child #1. Child #1 left the room, without the knowledge of Staff #2. Staff #3 was in the youth lounge with the preschoolers. Child #2, a preschooler, left the youth lounge without the knowledge of Staff #3 and followed an adult into the fitness center. A community member using the fitness center called the front desk to notify them that the child was in the gym. Child #2 was then returned to the child care.

Per staff statements, there were at least 3 incidents of children eloping to other rooms, unsupervised. Staff #1 was transitioning children back into the classroom. Child #1, a young toddler, left the group without Staff #1's knowledge and went into the adjoining school age classroom. Child #1 was observed to be alone in the school age room and was immediately returned to her classroom. The child was unsupervised for approximately 3-5 minutes. Staff #2 was supervising 3 school age children and 1 young toddler, Child #1. Child #1 left the room, without the knowledge of Staff #2. Staff #3 was in the youth lounge with the preschoolers. Child #2, a preschooler, left the youth lounge without the knowledge of Staff #3 and followed an adult into the fitness center. A community member using the fitness center called the front desk to notify them that the child was in the gym. Child #2 was then returned to the child care.

Per staff statements, there were at least 3 incidents of children eloping to other rooms, unsupervised. Staff #1 was transitioning children back into the classroom. Child #1, a young toddler, left the group without Staff #1's knowledge and went into the adjoining school age classroom. Child #1 was observed to be alone in the school age room and was immediately returned to her classroom. The child was unsupervised for approximately 3-5 minutes. Staff #2 was supervising 3 school age children and 1 young toddler, Child #1. Child #1 left the room, without the knowledge of Staff #2. Staff #3 was in the youth lounge with the preschoolers. Child #2, a preschooler, left the youth lounge without the knowledge of Staff #3 and followed an adult into the fitness center. A community member using the fitness center called the front desk to notify them that the child was in the gym. Child #2 was then returned to the child care.

Staff person #4 reported that there were times that they used their arm to hold a child down on their cot to prevent them from getting up.

Staff person #1 was observed to be caring for children unsupervised in room 204. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/ CPR

In room 201 during nap Staff #4 was sitting on the floor patting a child's back. Staff #4 was unable to see 2 other children that were asleep on cots due to shelves being in the line of sight in the middle of the room.

In room 202 it was observed that staff # 2 and #3 where present with 1 infant, 1 younger toddler, and 5 older toddlers. When Staff #2 and #3 were ask which children they were assigned to they said that they did not know who they were assigned to and that they just came in to give breaks. None of the children were assigned to a specific staff person.

Upon entering room 202 it was observed that an infant was sleeping in a baby rocking seat which is not the recommended position by the American Academy of Pediatrics.

In room 204 a child was observed asleep on a cot that was obstructing a side exit(203 doorway) from the room.

Upon entering room 202 it was observed that there was not the 2 feet of space that is required on 3 sides of rest equipment that was being used.

The files for staff #2 and #4 lack water safety training. Staff #2 and #4 were observed supervising children during swimming.

The file for staff #1 lacks a criminal clearance. The clearance was due 5/24/23.

The file for staff #4 was provisionally hired incorrectly. The FBI clearance and the NSOR clearances were not requested prior to initial service in the child care setting.

The files for staff #3, #5, #7 contain clearances that were obtained or updated late: #3 - NSOR was due 11/1/23 and obtained 11/2/2023; #5 - criminal was due 6/25/23 and obtained 6/29/23, child abuse was due 6/25/23 and obtained 6/29/23, FBI was due 6/2/23 and obtained 7/11/23; #7 - criminal was due 8/21/23 and obtained 8/23/23, FBI was due 8/21/23 and obtained 8/22/23, NSOR was due 8/21/23 and obtained 10/13/23.

The files for staff #6 and #7 lack current emergency plan training. #6 was due 6/2023; #7 was due 11/21/23.

The file for staff #8 contains emergency plan training that was obtained late. it was due 8/2020 and obtained 8/2023.

The file for child #1 contains a health assessment that was updated late. The health assessment was due 6/2023 and obtained 8/2023.

The files for staff #5, #7, #9, and #10 contain health assessments that were renewed late or obtained late initially. #5 - due 11/2022 and obtained 12/2022; #7 - due 8/2023 and obtained 9/2023; #9 - due 9/2023 and obtained 10/2023; #10 due 10/22 and obtained 8/2023.

The files for staff #7, and #10 contain TB tests that were obtained late initially. #7 - due 8/2023 and obtained 9/2023; #10 due 10/22 and obtained 8/2023.

The files for staff #2 and #4 lack the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility hasn't conducted an emergency drill annually.

The file for staff #8 contains fire safety training that was obtained late. It was due 1/2021 and obtained 10/2023.

Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire or the date designated by the department. (see LIS code sheet): health and safety update.

The file for staff #10 contains mandated reporter training that was obtained late. It was due 1/2023 and obtained 11/2023.

The files for staff #8 and #9 contain evaluations that were competed late. #8 was due 8/2020 and was completed 12/2022; #9 was due 10/2022 and completed 12/2022.

The files for staff #4 and #6 lack an annual evaluation. It was due 6/2023.

The file for staff #6 lacks a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

The file for staff #1 lacks a high school diploma to qualify her as an AGS.

The files for staff #6 (6/2022-6/2023) and #9 (10/2022-10/2023) lack an annual minimum of 12 clock hours of child care training.

At approximately 10:30 am, 14 children between the ages of 3-5 years were swimming in the pool. When asked, facility person #2 identified 6 preschool age children, facility person #3 also identified 6 preschool age children and facility person #4 identified 4 preschool age children. Two children were identified twice.

At approximately 10:25 am, facility person #1, identified as the lifeguard for the childcare facility, exited the pool area through a door to the hallway while 14 preschool children were swimming. At approximately 10:35, facility person #1 returned to their lifeguarding duty as the children were swimming in the pool.

The file for Staff #5 contained an FBI Criminal History Clearance that was processed through the Department of Education, which is not accepted by our department. Staff #5 cannot work at the facility until an accepted FBI Criminal History Clearance is obtained.

The files for Staff #2, #3, #4, #6, and #7 did not contain documentation of the completion of fire safety training over the past 12 months.

A spray bottle containing a sanitizing solution was observed on a countertop in an area accessible to children in care in the Preschool room.

A plastic ethernet cable encasement mounted on the wall at the rear of the Preschool room in an area accessible to children in care was observed to have a sharp edge that could cause laceration injuries.

In the Preschool room, in areas accessible to children, exposed bolts were observed on a 4' round table and metal shelf pegs were observed on the sides of a desk in the Preschool room. In the room at the towards the left end of the hallway, in areas accessible to children, exposed bolts were observed on a wooden easel and plastic toy storage bin was observed to have a cracked, jagged edge. Contact with exposed bolts, pegs, or cracked plastic edges could cause laceration and/or puncture injuries.

In the Preschool room, in an area accessible to children in care who are still placing things in their mouths, several toy foam blocks were observed to have bite marks, which poses a choking hazard.

The file for Staff #1 contained a current health assessment; however, said assessment was completed after Staff #1's first date in a childcare position.

Four nursing bottles in use by children in care in the Infant room lacked identifying labels with the child-user's name.

The files for Staff #1 through #4 and #6 and #7 did not contain documentation of the completion of fire safety training in the past 12 months.

The files for Staff #1 through #4 and #6 and #7 did not contain annual performance evaluations completed in the past 12 months.

The files for Child #1 and #2 contained emergency contact forms that did not include addresses of persons to whom each child can be released.

The file for Child #3 who has been in care for more than six months, did not include a parent's signature acknowledging that the agreement and emergency contact information had been reviewed.

Staff #1 was observed as they were the lone staff member charged with supervising 10 preschool-aged children. Staff #1 was working individually with one child. The child was seated at a desk and Staff #1 leaned over and assisted the child with a written assignment. Staff #1's ability to supervise the remaining nine children was compromised by three perpendicularly placed shelving units that obstructed her ability to maintain visual supervision.

The file for Staff #1 contained a PA DHS Child Abuse Clearance that was dated as processed more than 60 months ago.

Based upon interviews with staff members, there are occasions when Preschool-aged children in care exit child care spaces and run down the facility's hallways while unsupervised. Additionally, it was determined that preschool aged children are, at times, permitted to exit child care spaces and go to the hallway restroom while not being supervised by a staff member.

Based on interviews with staff members, it was determined that, on occasion, children exit child care spaces and venture down the hallway while not being supervised by a staff member. It was also determined that children in the Preschool aged classroom are permitted to exit the child care space and go to the restroom located in the hallway while not being supervised by a staff member. Further, facility person #1 was observed supervising three infants in the infant room. Staff #1 was unable to identify the three children within her supervisory group by first name.

Based on interviews with staff members, it was determined that, on occasion, children exit child care spaces and venture down the hallway while not being supervised by a staff member. It was also determined that children in the Preschool aged classroom are permitted to exit the child care space and go to the restroom located in the hallway while not being supervised by a staff member. Facility person #1 was observed supervising three infants in the infant room. Staff #1 was unable to identify the three children within her supervisory group by first name.

It was observed that the mats on the gym wall on the left side of the gym were torn and had holes in them.

It was observed in the boys restroom that a hand washing sign was not posted above the urinal.

The file for staff person #2 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 10/14/19 and 10/18/21. The file for staff person #4 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 9/30/19 and 11/9/21. The file for staff person #5 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 8/19/19 and 10/29/21.

The file for child #1 lacked an initial health assessment that was completed within 90 days of the start date. The child's start date in the file is 8/16/21.

The files for staff persons #1, #2, and #3 lacked firesafety training conducted by a fire protection professional within the past year.

The file for staff person #4 lacked 2 years experience with children. She needs 1, 319 more hours to qualify as an assistant group supervisor.

The files for children #2 and #4 lacked an agreement that specified the persons designated by a parent to whom the child may be released.

The file for child #3 lacked emergency contact information that included the address of the child's physician.

The file for child #2 lacked emergency contact information that included the home and work address and home and work telephone number of the enrolling parent. The file for child #3 emergency contact information that included the work address and home phone number of the enrolling parent.