Penn Pals Child Care Center · Jeannette

The file for Staff Person #6 lacked a current NSOR Certificate. The most recent NSOR Certificate on file was dated 6.16.20. The NSOR Certificates on file for Staff Person #2 exceeded 60 months between updates. This was evidenced by NSOR Certificates dated 1.6.20 and 5.30.25.

The file for Staff Person #4 lacked verification that they had received emergency plan training. Staff Person #4 has exceeded 90 days of employment at the facility at this time (refer to LIS code sheet).

Behind the shed in the outdoor play space a winterberry holly bush was observed to have grown over into the space. The winterberry holly bush is a considered a toxic plant.

An unlabeled bottle of gas relief drops was observed in a child's bin inside the locked cabinet under the changing table in the Infant Room.

An expired bottle of infant acetaminophen was observed in the Older Toddler Classroom downstairs. An expired Albuterol Inhaler was observed in the locked medication bin in the School Age closet downstairs.

The updates to the health reports on file for Staff Person #5 exceeded 24 months between exams on 9.28.22 and 5.29.25.

The health assessment on file for Staff Person #3 lacked information related to an examination for communicable diseases and the results of that examination.

The file for Staff Person #7 included approved Pediatric First Aid and CPR trainings dated 11.5.22-24 and 5.30.25-27. Staff Person #7 did complete a K-12 first aid and CPR training on 2.27.24 however it was not an approved curriculum or with a PQAS instructor. This resulted in them not having an approved training completed between 11.24 and 5.25.

The file for Staff Person #1, identified as an Assistant Group Supervisor, lacked verification of 1 year experience to qualify them for the position.

The file for Staff Person #4, who was identified as an Assistant Group Supervisor, lacked verification of education to qualify them for the position.

The file for Child #1 lacked the complete addresses for 3 of the release persons listed for the child.

The emergency contact form for Child #1 lacked signed parental consent for administration of minor first aid by facility staff.

Staff Persons #1 and #2 have restrained Child #1 by holding the child on their lap and wrapping their arms and a leg around the child or by "hugging" the child. This restricted the child's ability to move freely. Staff reported this only occurred when the child was exhibiting behaviors that placed the other children in care at risk of harm.

The file for Staff Person #1 lacked verification that they had been fingerprinted for a DHS FBI clearance prior to starting. An FBI clearance for DOE purposes was observed on file upon starting. A DOE FBI clearance is not acceptable for employment in a child care facility. The FBI clearance for DHS purposes was dated 15 days after Staff Person #1 started at the facility. The updates to the State Police Clearances on file for Staff Person #4 exceeded 60 months. This was evidenced by State Police Clearances dated 5.4.19 and 5.29.24. The updates to the State Police, Child Abuse and FBI Clearances for Staff Person #5 exceeded 60 months. The State Police and Child Abuse Clearances on file were dated 3.5.19 and 5.28.24. The FBI Clearances were dated 3.7.19 and 5.30.24.

In the kitchenette area outside of the lower-level Toddler Classroom a large knife was observed in an unlocked drawer. Young School Agers were observed to be receiving care in the lower-level Toddler Classroom and would have passed through the Kitchenette allowing access to the unlocked drawer where the knife was observed.

An unlabeled spray bottle containing a cleaning solution was observed in the locked cabinet above the toilet in the lower-level Middle Classroom.

The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were missing at the telephone in the lower-level Toddler Classroom.

Exposed bolts were observed on the fence in the outdoor play space.

In the lower-level Preschool Classroom one cracked bin with a potential pinch point was observed.

The file for Staff Person #3 lacked a current health assessment. The most recent health assessment on file was dated 8.11.21. The updates to the health assessments on file for Staff Person #5 exceeded 24 months between examinations on 4.13.22 and 6.1.24.

The health assessment on file for Staff Person #2 lacked information verifying that they had been examined for communicable diseases and that results of that examination. The health assessment also lacked information from the physician of their assessment of the Staff Person's suitability to provide child care.

The facility lacked verification that they had participated in an annual emergency drill within the last 12 months. The last documented emergency drill was completed on 12.6.22.

The file for Staff Person #3 lacked verification that they had completed the required 1-hour health and safety training update.

The file for Staff Person #3 lacked a written staff evaluation.

The emergency contact form for Child #1 lacked the addresses for the release persons listed.

The written emergency transportation plan posted in the classrooms at the facility lacked information related to staffing provisions in the event of an emergency.

Based on interviews with staff, on 2/16/24, staff person #1, staff person #2 and 12 older toddlers were present in the OT room. All of the children were on their cots getting ready to nap. Child #1 was next staff person #2. Child #1 picked up the staff person's permanent marker off of the floor and scribbled on both of their hands, ankles and right cheek. Staff person #1 and staff person #2 did not see the child draw on themselves. Staff person #2 stated approximately one minute went by until they looked over and saw child #1 with scribbled marker on themselves.

Based on interviews with staff, on 2/16/24, child #1 scribbled permanent marker on both of their hands, ankles and right cheek. Staff person #1 attempted to remove the permanent marker on child #1 by using baby oil and then rubbing it with a Magic Eraser. Liquid or powdered soap was not used.

Based on interviews with staff, on 2/16/24, child #1 scribbled permanent marker on both of their hands, ankles and right cheek. Staff person #1 attempted to remove the permanent marker on child #1 by using baby oil and then rubbing it with a Magic Eraser as a result the child sustained burns on skin.

An accident/injury report for child #1 was completed and given to the parent on 2/19/24 and was not given to the parent on the day of the incident that occurred on 2/16/24.

The file for Staff Person #2 lacked verification that they had been fingerprinted for their FBI Clearance prior to starting in a child care taking position. A completed FBI clearance was not on file until 100 days after starting at the facility. The file for Staff Person #4 lacked verification that they had been fingerprinted for their FBI Clearance prior to starting in a child care taking position. A completed FBI was completed 1 day after starting at the facility.

A power strip was observed behind the refrigerator in the downstairs Middle Classroom. Outlet covers were missing from electrical sockets on the power strip.

An open cabinet containing toxic cleaning products was observed over the toilet in the downstairs Middle Classroom.

An unlabeled spray bottle was observed in the cabinet above the toilet in the Younger 3 Classroom.

The first aid kit in the Infant Classroom was missing tape.

A cracked lid with potential pinch points was observed on a bin containing wooden blocks in the Upstairs Middle Classroom.

The small refrigerator in the Downstairs Middle Classroom was missing an operable thermometer.

The file #3 lacked verification that the child had received an annual influenza vaccination as recommended by the ACIP. A written exemption was not on file at the time of the inspection.

A medication log was missing for a Children's Ibuprofen in the Upstairs Middle Classroom. A Medication log was missing for an Ibuprofen in the Younger 3 Classroom. A medication log was missing for an Albuterol Inhaler in the downstairs Middle Classroom.

A Staff Person in the Infant Classroom was observed to dispose of a soiled diaper by lifting the lid with their hand. The hands-free foot pedal was not used to allow for appropriate disposal of a soiled diaper.

The sink that is used to wash hands following diapering of children was reported to be used to also prepare bottles in the Infant Classroom. This sink is considered part of the diapering area and may not be used for food preparation.

The updates to the health assessments on file for Staff Person #1 exceeded 24 months between examinations on 5.8.19 and 6.10.22.

The file for Staff Person #4 lacked a tuberculosis screening that had been completed within 12 months prior to starting at the facility.

The health assessment on file for Staff Person #4 lacked information related to an examination for communicable diseases.

Two unlabeled bottles were observed in the Infant Classroom.

Upon arrival to the facility, 30 school age children were observed in the Upstairs Middle Classroom. It was reported that there had been 29 school age children in the Downstairs Middle Classroom prior to them going to the school buses, which was where these 29 children were observed. The Upstairs and Downstairs Middle Classrooms both have a measured capacity of 21 children.

Upon arrival to the facility at 9:00am a total of 104 children were present. The facility has a total measured capacity of 102 children.

The file for Staff Persons #3, #5 and #6 lacked completion of their 1 hour health and safety training by 12.30.22. The health and safety training updates were completed on 2.2.23 for Staff Persons #3 and #5 and on 1.2.23 for Staff Person #6. The file for Staff Person #7 lacked completion of their 1 hour health and safety training update within 90 days of starting at the facility (refer to LIS code sheet).

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(10): pediatric first-aid and CPR. The training on file was not completed with a PQAS instructor.

The file for Staff Person #1 lacked a written staff evaluation.

The file for Child #1 lacked an agreement that had been signed by the operator and the parent.

The emergency contact form for Child #3 lacked the health insurance coverage and policy number for the child.

The emergency contact form for Child #2 lacked the complete address for the release person listed.

At the time the children were departing for a field trip, the emergency contact forms for 1 Older and 7 Young School Age children were not present in the school van. The emergency contact forms were present with Staff on the school bus that was also going on the field trip.

The written emergency transportation plan posted in the classrooms was missing information related to staffing provisions in the event of an emergency related to a child needing to be transported to emergency care.

The emergency contact form and financial agreement for Child #3 exceeded 6 months between updates on 5.13.21 and 9.16.22.

The file for Staff Person #1 lacked 3 of their required 12 hours of annual child care training in their respective training year of 12.19.21-12.18.22.

The file for Facility Person's #5, #7, #8 and #10 lacked a current disclosure statement. The files for Facility Person's #9 and #10 lacked a current disclosure statement and the disclosure statements on file lacked a witness signature. The file for Facility Person #7 lacked an FBI clearance that had been completed for Child Care Employment purposes. The FBI clearance on file was completed for Department of Education purposes. The files for Facility Person's #8 and #11 lacked completion of their mandated reporter training within 90 days of starting at the facility. Facility Person #8 completed the training 135 days after starting. Facility Person #11 completed the training 96 days after starting.

The emergency plan on file at the time of the inspection lacked information related to the method for facility persons to contact parents when an emergency situation arises and when it has ended and how parents can safely be reunited with their children.

The first aid kits in the PreK classroom Downstairs and the Young Toddler classroom downstairs were observed to be missing tape.

Three cribs were observed end to end in the Infant Room. The middle crib was not in use but infants were observed in the two cribs to the left and right of the middle crib. The middle crib did not allow for 2 feet of space on 3 sides of the crib on the right or 2 feet of space on 2 sides for the crib on the left. The crib on the left was in a corner allowing for 2 feet on 2 sides.

The health report on file for Child #3 lacked information related to an assessment of health problems or special needs and any recommendations for treatment or services.

The health assessment on file for Child #3 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and that age appropriate health screenings recommended by the AAP were conducted since the time of the previous health report.

A Diazepam Nasal Spray was observed in the medication box for Child #1. The facility lacked the written instructions from the individual who prescribed the medicine.

The health assessments on file for Facility Person's #1, #2, #3 and #4 exceeded 24 months between update. The file for Facility Person #7, a rehire, lacked an initial health assessment within 12 months prior to restart.

The health assessments on file for Facility Person's #1, #6, #8 and #10 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

The file for Child #2, a school age child, lacked an updated equivalent health report or a child care health assessment. The last health assessment on file was completed when the child was 4 years of age.

At approximately 3:17pm Facility Person #4 was observed in the Older 3 year old classroom with 10 preschool age children. The classroom has a measured capacity of 9. At approximately 3:19pm Facility Person's #12 and #13 were observed to be caring for 11 preschool age children in the Younger 3 classroom. The classroom has a measured capacity of 10 children. At approximately 3:28pm Facility Person's #14 and #15 were observed in the Middle Room- lower level to be caring for 22 children. The classroom has a measured capacity of 21 children.

The emergency plan on file at the time of the inspection lacked information as to where the facility would evacuate the children away from the facility in the event of an emergency.

The file for Child #1 lacked an initial health assessment within 60 days of starting at the facility. A health assessment was observed on file however it has not been completed by the child's physician.

The file for Facility Person #10 lacked completion of the required health and safety trainings .31(f)1-9 within 90 days of starting at the facility. The training was completed 161 days after starting at the facility.

The file for Child #2 lacked a completed agreement that had been signed by the operator and the parent.

The file for Facility Person #3 lacked 8 of their annual 12 hours of child care training. The file for Facility Person #4 lacked 1 of their annual 12 hours of child care training.