Precious Ones Child Care II

A renewal inspection was conducted 8/19/26. At that time, the accordion wall of the classroom was pulled shut during the inspection. Staff Person #1 and Staff Person #2 were on one side of the accordion wall with a group of children. Staff Person #3 was observed to be caring for children unsupervised by another staff person on the other side of the accordion wall. Staff Person #3 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training.

A renewal inspection was conducted 8/19/26. At that time, Staff Person #2 named 11 children in their group. The group of children consisted of preschool and school age children.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The most recent health report on file for Child #1, a young toddler, was dated 8/27/25. The most recent health report on file for Child #2, a preschool child, was dated 7/22/25.

A renewal inspection was conducted 8/19/26. At that time, the lid to the hands-free trash can in the bathroom was not working properly and could not be opened hands-free. The trash can was not plastic-lined. When this was reported to Staff Person #1, they stated that the diapers are carried from the bathroom, across the room and discarded into an unlidded trash can outside. During the inspection, a hands-free trash can that was not plastic-lined was observed in the toddler area with a soiled diaper inside. Staff Person #3 stated that after changing a diaper in the bathroom, they will carry the diaper to this trash can to dispose of.

A renewal inspection was conducted 8/19/26. At that time, the preservice trainings were reviewed for all staff. Staff Person #1 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file dated 6/15/24, expiring 6/2026. The documentation of updated Pediatric first aid and CPR training is on file dated 7/27/26.

A renewal inspection was conducted 8/19/26. At that time, the staff files were reviewed. The file for Staff Person #3, an assistant group supervisor, did not include verification of experience working with children. The file did include verification of completion of high school education for Staff Person #3.

A renewal inspection was conducted 8/19/26. At that time, a daily schedule could not be located in the toddler area of the center that was to the left of the accordion wall.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The fee agreement for Child #3 did not include the fee amount or the departure time of the child. The fee agreement for Child #4 did not include the fee amount.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The fee agreement for Child #3 did not include the services provided by the facility.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The fee agreement for Child #3 did not include the designated release person by the parent.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the address of the child or the work name, address, or phone number of the child's father. The emergency contact form for Child #4 did not include a complete address of the child's mother or the work name, address, or phone number of the child's parents.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #4 did not include signed parental consent for emergency medical care for the child.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include whether the child has any special needs.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact forms for Child #3 and Child #4 did not include the health insurance policy information.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #4 did not include the address of the release persons.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #4 was last updated 12/1/25 and the fee agreement for Child #3 was last updated 12/12/25.

A renewal inspection was conducted 8/19/26. At that time, the child files were reviewed. The emergency contact form for Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

An unannounced inspection was conducted 4/22/26. At that time, Child #1, an infant, was observed sleeping in a bouncer with a pacifier attached their clothing by a strap clasped to the child's clothing. A soft toy was on top of the child as they slept. Child #2, an infant, was observed sleeping in a pack-n-play propped up by two c-shaped pillows behind the child's head and one c-shaped pillow under the child's feet. Neither child had any medical documentation on file stating that the infant should be placed in a sleeping position other than what is recommended by the American Academy of Pediatrics.

An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were inside the facility at that time. Facility Person #2 had a volunteer PA State Police Clearance, a volunteer PA Child Abuse Clearance, and an NSOR certificate on file. Facility Person #2, who resides in NJ, did not have an FBI Clearance, a NJ CARI, or a signed disclosure statement on file. Staff Person #4 had a PA Child Abuse Clearance and an NSOR certificate on file. A PA State Police Clearance was not on file. The request for the PA State Police Clearance was not on file. An illegible FBI Clearance was in the staff's file, but the name and date were not clear enough to determine any identifying information. Staff Person #1 stated that Facility Person #1 has been volunteering occasionally and Staff Person #4 helped out as a staff person twice.

An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was at the facility with one infant, one young toddler, three older toddlers, and one preschool child. Staff Person #1 cannot have more than four children in their group. The only other person at the facility was Facility Person #2, a volunteer. A volunteer is a person 16 years of age or older who is not included in the staff:child ratio and who assists in implementing daily program activities under the supervision of a staff person.

An allocated unannounced inspection was conducted 2/3/26. At that time, a young toddler was observed sleeping in a pack-n-play. The pack-n-play was against the wall on one side and had a bouncer and baby toys up against it on the three other sides.

An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility. No staff person was present with the children during this time.

An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan did not include the role of a volunteer or facility person during an emergency. The facility now has volunteers and facility persons at the facility.

An allocated unannounced inspection was conducted 2/3/26. At that time, the emergency plan had not been reviewed since 12/2024.

An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. Staff Person #3, who has been employed longer than 90 days, did not have emergency plan training on file at the facility.

An unannounced inspection was conducted 2/3/26. At that time, a source of running water was not present in the diaper changing area. The diaper changing table was across the room from the bathroom. Staff Person #1 was observed changing a child's diaper, walking with the child to the bathroom, opening the door, and then washing their hands and the child's hands.

An allocated unannounced inspection was conducted 2/3/26. At that time, diapers in plastic packaging sleeves were observed on the bottom portion of the changing table, where they were accessible to the infant and toddlers in the classroom who are still placing objects in their mouths. Aquaphor labeled "keep out of reach of children" was observed on the changing table where it was accessible to the children in the room.

An allocated unannounced inspection was conducted 2/3/26. At that time, two cloth towels were observed hanging in the bathroom. No paper towels were in the bathroom. The director stated that the cloth towels are used for handwashing.

An allocated unannounced inspection was conducted 2/3/26. At that time, Staff Person #1 was observed changing a child's diaper, going across the room to the bathroom to wash the child's hands and their own hands, and then sitting down in a chair. When asked how the changing table is sanitized, Staff Person #1 stated either baby wipes or Lysol is used to sanitize the changing table. Staff Person #1 then got up and used Lysol to sanitize the changing table.

An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2, a volunteer, did not include a health assessment or TB test results. Facility Person #2 was holding an infant at the onset of the inspection and was observed playing and interacting with the children throughout the inspection.

An allocated unannounced inspection was conducted 2/3/26. At that time, an unlabeled bottle filled with milk was observed on a highchair in the facility.

An allocated unannounced inspection was conducted 2/3/26. At that time, the fire drill log was reviewed. The last fire drill on the log was dated 10/20/25. The director stated the fire drills were conducted when the smoke detectors were tested. The director showed a calendar in their phone stating the system was scheduled to be tested 11/20/25, 12/20/25, and 1/20/25. The schedule did not indicate whether the system had been tested on those dates. When questioned if the facility is open on Saturdays because 12/20/25 was a Saturday, the director stated the system was tested 12/19/25 and a fire drill was conducted that day. Nowhere in the phone did it indicate the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

An allocated unannounced inspection was conducted 2/3/26. At that time, the thirty day testing log of the fire detection system was reviewed. The most recent testing date on the log was 10/20/25. The director stated the fire drills were conducted when the smoke detectors were tested. The director showed a calendar in their phone stating the system was scheduled to be tested 11/20/25, 12/20/25, and 1/20/25. The schedule did not indicate whether the system had been tested on those dates. When questioned if the facility is open on Saturdays because 12/20/25 was a Saturday, the director stated the system was tested 12/19/25 and a fire drill was conducted that day.

An allocated unannounced inspection was conducted 2/3/26. At that time, the files for the new facility persons were reviewed. The file for Facility Person #2 did not include any written references. The file for Staff Person #4 only included one written, nonfamily reference.

An allocated unannounced inspection was conducted 2/3/26. Upon arrival to the child care facility, Staff Person #1 was observed getting into their car. Staff Person #1 stated that they were moving their car from a handicap parking spot to another spot in the parking lot. Facility Person #2, a volunteer, was inside the facility with one infant, one young toddler, three older toddlers, and one preschool child. No other staff were at the facility.

A renewal inspection was conducted 8/15/25. At that time, a toaster was observed on a shelf approximately 30 inches high and was accessible to the children in the room. The toaster had been used to heat an Ego waffle and had reached a temperature of 140° F. An acceptable plan of correction was received 9/7/25 with a correction date of 8/15/25. An unannounced inspection was conducted 10/20/25. At that time, the radiator next to the front entrance reached a temperature of 170°F and the metal pipe underneath the radiator reached a temperature of 193°F. The radiator in the classroom reached a temperature of 170°F and the metal pipe underneath the radiator reached a temperature of 172°F. The radiators were accessible to the children in care.

A renewal inspection was conducted 8/15/25. At that time, the date of the last testing of the fire detection system was 7/15/25, thirty-one days prior to the inspection. An acceptable plan of correction was received 9/7/25 with a correction date of 8/15/25. An unannounced inspection was conducted 10/20/25. At that time, the thirty day testing log was reviewed. The fire detection system was tested during the renewal inspection on 8/15/25. The date of the next testing of the fire detection system after the renewal inspection was 10/6/25, 52 days later.