North Wales Academy · Wyncote

On 4/18/24, at time of unannounced inspection, a soiled pull up was observed on the floor of the boy's bathroom. Staff #1 did not know there was a soiled pull up on the floor while sending other children into the bathroom stall. Additionally, the boy's bathroom located outside the PK classroom did not contain a lidded waste receptacle. Children were observed carrying their own wet pull ups from the boy's bathroom to be discarded in the lidded waste receptacle outside the girl's bathroom.

On 4/18/24, at time of unannounced inspection, Staff #1 was observed assisting three children with soiled pull ups in the boy's bathroom. Staff #1 used one pair of gloves for all diaper changes. Staff #1 did not wash own hands after changing each child's pull up prior to assisting another child.

On 3/21/24, at time of unannounced inspection, Staff #1 and Staff #2 were observed out of ratio with 11 children. The youngest children were one-year olds.

On 3/21/24, at time of unannounced inspection, Staff #3 acknowledged the use of harsh language and elevated voice when addressing young toddlers. On 3/8/24, Staff #3 was observed stating, "I will knock you back in your seat" when addressing a young toddler.

On 3/21/24, at time of unannounced inspection, Staff #1 and Staff #2 file did not contain documentation of training in the facility's emergency plan at time of initial hire.

On 3/21/24, at time of unannounced inspection, children in the OT classroom did not wash their hands prior to eating lunch.

On 3/21/24, at time of unannounced inspection, Staff #1 file did not contain an initial health assessment, including results of tuberculosis testing.

On 3/21/24, at time of unannounced inspection, Staff #3 and #4 have not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR.

On 3/21/24, at time of unannounced inspection, Staff #2 was observed working in the OT classroom. Staff #2 file did not contain verification of education to determine their qualifications for the childcare position performing at the facility.

On 3/21/24, at time of unannounced inspection, Staff #2 and Staff #4 files did not contain two letters of written references.

On 8/16/23, at time of inspection, discarded food wrappers and trash was observed inside facility's van used to transport children.

On 8/16/23, at time of inspection, Child #1 has been enrolled at the facility for more than 60 days. Child #1 file did not contain an initial health report, including immunization records. Child #2 file did not contain an updated health report. (The last health report was dated 7/27/22)

On 8/16/23, at time of inspection, Child #1 emergency contact information did not include signed parental consent for emergency medical care and the administration of minor first aid procedures by facility staff.

On 6/13/23, Staff person #1 and Staff #2 were observed to be caring for children unsupervised. Staff person #-1 and Staff #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training and Pediatric First Aid/CPR.

On 6/13/23, at time of unannounced inspection, Staff #1 file did not contain results of Child Abuse Clearance and FBI Clearance as required by CPSL. Staff #1 file did not contain copy of request made for Child Abuse and FBI Clearances required by CPSL. Staff #2 is a provisional hire. Staff #2 file did not contain results of FBI clearance. At the time of inspection, Staff #1 and Staff #2 were observed working in the Young Toddler room unsupervised by a permanent staff person.

On 6/13/23, at approximately 8:15am, Staff #1 and Staff #2 were observed out of ratio with 11 children (1 Infant, 5 YT, 5 OT) in the Young Toddler Room. Additionally, on 6/14/23, at approximately 3:20pm, Staff #2 and Staff #4 were observed out of ratio with 14 children (1 Infant, 6 OT and 7 YT) in the Young Toddler Room.

On 6/13/23, at the time of unannounced inspection, Staff #1 and Staff #2 file did not contain training in the facility's emergency plan.

On 6/14/23, at time of unannounced inspection, Child #1, #2 and #3 have been enrolled at the facility more than 60 days. Child #1, #2 and #3 immunization records did not contain annual influenza vaccine recommended by ACIP.

On 6/13/23, at time of unannounced inspection, Staff #3 file did not contain results of tuberculosis testing dated within 12 months of initial service at the facility.

On 6/13/23, at time of unannounced inspection, Staff #1's health report on file dated 11/7/22 did not contain the physician's assessment of Staff #1 suitability to provide childcare.

On 6/13/23, Staff #1 file did not contain verification of education.

On 6/13/23, at time of unannounced inspection, Staff #1 and Staff #2 files did not contain two written letters of reference.

On 8/30/22, Staff #1 file did not contain Out of State Clearances (Maryland) as required by CPSL.

On 8/30/22, individual rest equipment was not observed in the PS classroom. Children were observed sleeping on rest mats that were not assigned to them.

On 8/30/22, Child #1 file did not contain an initial health report (immunization record was on file). Child #2 file did not contain an updated health report. The last health report on file was dated 12/1/17.

On 8/30/22, certification representative observed a bottle in the infant room that did not contain the child's name.

On 6/1/22, during complaint investigation, Staff #1 stated that Child #1 was scratched on the neck by another child (exact date unknown). Staff #1 reported it to Staff #2 but an incident report was not completed by the facility. A week later (exact date unknown), Staff #3 stated Child #1 ran into the classroom door frame while returning to the classroom after diapering in the bathroom. Staff #1 reported the injury to Staff #2. Staff #2 notified Child #1 parent by phone, however, an incident report was not completed by the facility.