North Pocono Pre School-Moscow Center

During renewal inspection, staff files were reviewed. Staff #1's previous NSOR clearance is dated for 6/30/2020. An updated clearance was not obtained until 9/19/25. This date indicates that an updated NSOR clearance was not obtained within the 60-month requirement. Staff #2 has lived outside the state of Pennsylvania within the past 5 years. Staff #2 did not obtain a child abuse clearance from New York before working with children.

During renewal inspection, staff files were reviewed. Staff #4's health assessment is dated for 12/27/24. This date indicates that the health assessment form was not completed prior to staff working with children. (See code sheet for date of hire).

During renewal inspection, child files were reviewed. Child #3's last dated child service report is 7/11/24. Child #5's last dated child service report is 2/14/24. These dates indicate that an updated child service report was not done within the 6-month requirement.

During renewal inspection, child files were reviewed. Child #1's emergency contact sheet was last updated on 10/21/24. Child #2's emergency contact sheet was last updated on 9/23/24 and agreement was last updated on 9/27/24. Child #3's emergency contact sheet was last updated on 10/8/24. Child #4's emergency contact sheet was last updated on 8/19/24. Child #5's emergency contact sheet was last updated on 10/14/24 and agreement was last updated on 8/23/24. These dates indicate that a review & update of these documents was not done within the 6-month requirement.

During renewal inspection, staff files were reviewed. Staff #3 completed pediatric CPR on 2/4/26. Staff #5 completed pediatric CPR on 9/12/25. These dates indicate that the training was not completed within 90 days of hire. (See code sheet for dates of hire).

During renewal inspection, staff files were reviewed. Staff #4 only has 5 hours of childcare training. (See code sheet for date of hire).

During renewal inspection, it was observed in the Infant/ School age room that tweezers were missing from the first-aid kit.

During renewal inspection, Staff #3 was observed working with children alone and did not have an PQAS approved pediatric CPR certification on file. Staff #2 did not obtain a pediatric CPR certificate until 10/11/24, which shows this date is past the 90-day pre-service training window. Staff #4 did not obtain a pediatric CPR certificate until 1/7/25. This date is past the 90-day pre-service training window.

A renewal inspection was conducted on 3/22/24. At that time, the staff files were reviewed. The PA State Police Clearance for Staff Person #1 was requested 11/6/23, after their date of hire.

A renewal inspection was conducted on 3/22/24. At that time, plastic zip lock bags were found in backpacks in the children's cubbies in the older toddler room. The staff in the older toddler room said that some of the children are still placing objects in their mouths. The plastic bags were accessible to the older toddler children in the room.

An unannounced inspection was conducted on 1/23/24. At that time, it was found that the parent of Child #1 had not yet received an incident report for an incident that occurred on 12/28/23.

Through an investigation at the facility, it was found that on 12/28/23 Staff Person #1 grabbed Child #1 by the neck and threw the child to the ground. Staff Person #1 then yelled in the child's face and hit Child #1 in the side of the head with an open hand hard enough for the child's head to hit a nearby shelf.

Staff Person #1 has been named as a perpetrator in a founded/indicated report of child abuse.

A renewal inspection was conducted on 3/7/23. At that time, the file for Staff Person #1 was reviewed. The file did not include the NJ Child Abuse, NJ Sex Offender Registry certificate, or the requests for either. Staff Person #1 indicated that they have resided in NJ in the past five years.

A renewal inspection was conducted on 3/7/23. At that time, a broken, sagging ceiling tile was observed near the stairs in the infant room. Four water stained ceiling tiles were observed in the infant/young toddler bathroom.

A renewal inspection was conducted on 3/7/23. At that time, children's Benadryl intended for Child #1 was observed in the medication box with an expiration date of 12/2022.

Staff person #1 has not completed the required pre-service training within 90 days of their date of hire: pediatric first aid and CPR training.

A renewal inspection was conducted on 3/25/22. At that time, the file for Staff Person #1, date of hire 2/7/22, was reviewed. The file contained an NSOR dated 2/9/22, but did not contain the request for the NSOR showing that it had been made prior to the start date of 2/7/22. The file for Staff Person #1 contained a PA Adult Household Member Child Abuse Clearance, but did not contain a PA Child Abuse Clearance for employment.

A renewal inspection was conducted on 3/25/22. At that time, Staff Person #2 was observed placing Child #2, an infant, on their stomach in the crib for a nap.

A renewal inspection was conducted on 3/25/22. At that time, many water stained ceiling tiles were observed in the School Age Room. The cover for the heater was broken in places with sharp pieces accessible to the children. Ripped carpet posing a tripping hazard was observed on the deck on the playground.

A renewal inspection was conducted on 3/25/22. At that time, exposed bolts were observed on the playground fencing. Two screws were observed sticking up out of the cozy couch in the school age room.

A renewal inspection was conducted on 3/25/22. At that time, the file for Child #1 was reviewed. The file did not contain written consent signed by the parent for emergency medical care.

A renewal inspection was conducted on 3/25/22. At that time, the file for Child #1 was reviewed. The file did not contain health insurance policy number.