Penn Garden Day Care Center

**At approximately 12:30 PM on the day of the Renewal Inspection, Staff #1 was observed with 7 Preschool Aged children at the girl and boy bathrooms. Staff #1 went into the boy's bathroom with the five boys while two girls were in a separate girls' bathroom. Staff#1 was not able to supervise the two girls in the separate bathroom while she was physically present in the boy's bathroom. Staff#1 could not see, hear, direct, or assess the two girls during this time and therefore ratio was 0:2.

*At approximately 12:30 PM on the day of the Renewal Inspection, Staff #1 was observed with 7 Preschool Aged children at the girl and boy bathrooms. Staff #1 went into the boy's bathroom with the five boys while two girls were in a separate girls' bathroom. Staff#1 was not able to supervise the two girls in the separate bathroom while she was physically present in the boy's bathroom. Staff#1 could not see, hear, direct, or assess the two girls during this time and therefore ratio was 0:2.

The pack n' play in which Child #3, an Infant, was sleeping had toys present in the pack n' play.

*At approximately 12:30 PM on the day of the Renewal Inspection, Staff #1 was observed with 7 Preschool Aged children at the girl and boy bathrooms. Staff #1 went into the boy's bathroom with the five boys while two girls were in a separate girls' bathroom. Staff#1 was not able to supervise the two girls in the separate bathroom while she was physically present in the boy's bathroom. Staff#1 could not see, hear, direct, or assess the two girls during this time.

**At approximately 12:30 PM on the day of the Renewal Inspection, Staff #1 was observed with 7 Preschool Aged children at the girl and boy bathrooms. Staff #1 went into the boy's bathroom with the five boys while two girls were in a separate girls' bathroom. Staff#1 was not able to supervise the two girls in the separate bathroom while she was physically present in the boy's bathroom. Staff#1 could not see, hear, direct, or assess the two girls during this time.

At approximately 12:30 PM on the day of the Renewal Inspection, Staff #1 was observed with 7 Preschool Aged children at the girl and boy bathrooms. Staff #1 went into the boy's bathroom with the five boys while two girls were in a separate girls' bathroom. Staff#1 was not able to supervise the two girls in the separate bathroom while she was physically present in the boy's bathroom. Staff#1 could not see, hear, direct, or assess the two girls during this time. Therefore ratio was 0:2.

Located in the Hallway and the Main Room there were oscillating fans that were plugged in. These fans were in reach of the children, posing a threat to any child that was in care. In the boy's bathroom was a black milk crate that was turned upside down and being used as a step stool for the children to wash their hands posing a falling hazard to the children in care. In the Preschool Room there was an extension cord running from the TV which was hung on the wall to the outlets that was close to the floor. This extension cord was loose and therefore, created a strangulation hazard to the children in care.

In the Preschool Room there was an electrical outlet hanging from the wall on an extension cord that lacked a protective receptacle cover. In the unlocked furnace room off of the Preschool Classroom there was an outlet on the far wall that lacked a protective outlet cover. Both of these outlets were accessible to children 5 years of age and younger.

The temperature of the hot water in the boy's bathroom sink measured 110.1° F.

In the Outdoor PlaySpace there was splintering wood on the far side of the fence along the ground creating a cutting hazard for the children in care. On the back of the storage box which held the Emergency Contact Forms and First Aid Kit in the Outdoor PlaySpace there were two metal hooks protruding out from the box creating a slicing hazard for the children in care. In the Outdoor PlaySpace along the wooden railing that separates the black top from the play equipment there were two screws protruding out creating a cutting hazard to the children in care. In the Preschool Classroom there were ten vents on the ceiling tiles that were covered in a black substance, there were four ceiling tiles that were missing pieces, and three ceiling tiles in which they were not secured in the ceiling, all of these created a crushing hazard to the children in care. In the Preschool Room there were two pipes and two metal hooks sticking out from the wall next to the right wall when entering the room. Both of the pipes and the metal hooks created a cutting hazard to the children in care. Along the far wall in the Preschool Classroom and the right-side wall the baseboard was not attached to the wall…

In the Preschool Room, there was peeling light blue paint on the left wall underneath the dry erase board. On the painted chalkboard int he Preschool Room there was peeling black paint in the lower right-hand corner. In the Toddler Gross Motor space there was peeling blue paint along the far wall.

Observed the side exit door off of the Main Room was partly blocked due to boxes and a gate. Observed the side exit door off of the Preschool Room was partly blocked due to a metal stool and door in the wooden frame that was leaning against the wall on the landing.

In the Preschool Room the play kitchen sink had a hole in the bottom of the plastic bucket creating a pinching hazard to the children in care. In the Preschool Room there was a black leather chair that had ripped, exposing the foam and wood beneath creating a splintering hazard to the children in care.

Observed foam sponges used for Art projects on a low surface in the Main Room that were accessible to the children in care. Observed empty plastic bags hanging in the girls' bathroom that were accessible to the children in care. In the Toddler Gross Motor Space there was a foam block that had tears in the seam allowing the foam to be accessible to the children in care. All of these items were accessible to children who are still placing objects in their mouths.

The file for Child #4, a young toddler lacked an updated health report within the last 6 months.

The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination as required based on the child's age as per the ACIP recommended schedule.

In the Infant Room, there was a bottle of Gripe Water used to treat infant gas, that did not identify the name of the child for whom the medication was intended.

The Emergency Plan Parent Letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The files for Children #1, #2, #3, #4, #5, and #6 contained original agreements.

The Emergency Contact Form for Child #5 lacked the address of the child's physician.

The Emergency Contact Forms for Child #1, #3, #4, and #5 lacked the enrolling parents work address and telephone number.

The Emergency Contact Form for Child #1 lacked the name, address, and telephone of the individual designated by the parent to whom the child may be released. The Emergency Contact Form for Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released.

Observed the Child Emergency Contacts for the facility in an unlocked storage box in the unlocked Outdoor PlaySpace which leaves confidential information vulnerable.

Based on conversation with staff, the facility was notified on 5/1/23 that child #1 was treated at Children's hospital on 4/29/23. The department was initially notified of the ER treatment on 5/4/23. The child had injured their left arm while using the monkey bars in the facility's playground on 4/26/23 and at that time, there was no apparent injury to the child.

The disclosure in the file for staff person #6 was not dated.

At approximately 12:30 pm, staff person #1 was in the main room with 8 preschoolers at lunch time. When they had finished lunch, staff person #1 sent the 8 children out of the main room and into the hallway to wait outside the bathroom unsupervised while the staff person briefly grabbed something out of a cabinet in the main room before joining the children in the hallway.

At approximately 12:30 pm, staff person #1 was in the main room with 8 preschoolers at lunch time. When they had finished lunch, staff person #1 sent the 8 children out of the main room and into the hallway to wait outside the bathroom unsupervised while the staff person briefly grabbed something out of a cabinet in the main room before joining the children in the hallway.

At approximately 12:30 pm, staff person #1 was in the main room with 8 preschoolers at lunch time. When they had finished lunch, staff person #1 sent the 8 children out of the main room and into the hallway to wait outside the bathroom unsupervised while the staff person briefly grabbed something out of a cabinet in the main room before joining the children in the hallway.

The last two emergency plan trainings in the file for staff person #1, #2, #4 and #5 were dated 1/22/22 and 1/24/23.

One window in the school-age area of the preschool/school-age room was able to be opened approximately 8 inches. The bracket that was used to modify the window opening had become loose. The window is on the 2nd floor and opens directly to the outdoors.

There was a bin of foam toy blocks on a low shelf in the one year old area of the toddler room, making them accessible to children who are still placing objects in their mouth.

The last two health reports in the file for child #3, a preschooler, were dated 9/21/21 and 3/28/23.

The last flu shot in the file for child #4, a preschooler, was 2021. There was no written exemption letter from a parent.

The file for child #2, a young toddler enrolled more than 60 days, did not include a list of immunizations

The last two health assessments in the file for staff person #1 were dated 3/4/21 and 3/8/23.

The file for child #2, enrolled more than 60 days, did not include a health report.

The last two evaluations in the file for staff person #3 were dated "November 2021" and "November 22," so timeliness could not be assessed. The evaluations were also not signed by a director.

The file for staff person #1, holding the title of director, included a college diploma, but the diploma did not state the degree earned.

The emergency contact information in the file for child #3 did not include the policy number for the child's health insurance.

The emergency contact information in the file for child #1 did not contain signed parental consent for minor first-aid.

The last two fire drills documented on the fire drill log were 7/26/22 and 9/28/22, which are more than 60 days apart.

At approximately 9:30 am, there were 22 children in the outdoor preschool/school-age play space, a combined group of 12 schoolagers and 10 preschoolers. The capacity measures for 14 preschoolers or school-agers.

At approximately 12:45 pm, a school-age child left the main preschool room to use the bathroom in the hallway. The bathroom is very close to the classroom, but is not inside the room.

At approximately 12:45 pm, a school-age child left the main preschool room to use the bathroom in the hallway. The bathroom is very close to the classroom, but is not inside the room.

At approximately 12:45 pm, a school-age child left the main preschool room to use the bathroom in the hallway. The bathroom is very close to the classroom, but is not inside the room.

At approximately 11 am, staff person #1 and #2 were present in the main room with 9 children, a combined group of 2 infants, 4 young toddlers and 3 older toddlers. Staff person #1 went into the adjacent infant room briefly to retrieve an item and left staff person #2 briefly out of ratio with all 8 children, as the infant room and the main room are measured as two separate spaces. A short time later, when the same staff and children were sitting down for lunch in the main room, staff person #2 went to the bathroom to grab wipes, leaving staff person #1 briefly out of ratio with all 8 children. The bathroom is off the infant room.

Upon review of the Facility Files it was verified that Facility Person #3 did not have a valid health assessment on file and that it had been photo copied from the last examination and the date had been changed to reflect 2022. Upon questioning the validity the Operator verified the prior assessment had been copied to Certification Representative. The Fire Safety Trainings on file for Facility Person's #1, #2, #3, #4, #5 and #6 were also not valid in that the Certificates from 2020 had been copied and dated to reflect a training occurring in 2021. Upon questioning the validity, Operator verified to Certification Representative that the Facility Persons did not participate in annual Fire Safety Training in 2021.

The Operator was unable to locate the emergency plan at the time of the inspection to allow for review.

In the Preschool/School Age Classroom a bottle of white out was observed on a low table accessible to children in the space. Two bottles of hand sanitizer were observed to also be accessible to the children in the classroom. In the hallway outside the restrooms a container of Clorox Wipes were observed on a low shelf and could be accessible to children traveling between the classrooms and the indoor gross motor room. All items were labeled Keep Out of Reach of Children.

Bleach bottles were observed to be stored next to Baby Food Jars in a cabinet in the Main Classroom.

A bag containing the first aid kit was observed to be hanging from a low hook in the School Age Area of the Preschool/School Age Classroom.

The immunization record on file for Child #1 lacked verification that the child had received an annual influenza vaccination.

The file for Facility Person #3 lacked a valid health assessment that had been completed within the last 24 months.

The facility lacked proof of purchase of their interconnected fire alarm system. The facility also lacked verification of an annual fire alarm inspection. An inspection of the Sprinkler System was all that was available.

The files for Facility Person's #1, #2, #3, #4, #5 and #6 lacked valid fire safety training completed with a fire protection professional within the last 12 months.

The emergency contact form for Child #2 lacked the address for one of the release persons listed.

The files for Facility Person's #3 and #4 lacked 6 of their 12 hours of required annual child care training.