Precious Tots Family Daycare LLC

The first-aid kit in the school-age space did not include scissors.

Bolts were exposed on the toilet in the school-age space and the toilet in the pre-school space.

A handwashing sign was not posted at the sink in the bathroom located next to the infant room.

Child #2, a young toddler, had an initial health assessment dated 3/5/24. They did not have an updated health assessment on file.

Staff person #1, staff person #2, and staff person#3 did not renew certification in pediatric first-aid and CPR on or before the expiration of the prior certification. The dates on which the prior certification expired for staff persons #1 and #2 was 9/5/24. Staff person #3 had training that expired 8/24. The current certification for staff #1, #2, and #3 was obtained on 10/29/24.

Staff person #4 had current mandated reporter training that was dated more than 60 months after the previous training was obtained. The previous training was obtained on 3/26/19 and the current training was obtained 10/29/24.

The files for child #1 and child #3 did not include child service reports completed every 6 months from the date of enrollment to provide information to the family about the child's growth and development in the context of the services being provided. The most recent service report for child #1 was dated 3/24 and the most recent service report for child #3 was dated 9/27/23.

The emergency contact information and fee agreement for child #3 were not updated or signed by parent once in a 6-month period. The most recent update was signed 9/27/23.

The staff file for Staff person #2 lacked documentation of having participated in annual emergency plan training for 2024; Staff person #2 last participated in emergency plan training on 1/27/23.

The refrigerator in the Infant Room lacked a thermometer.

The child file for Child #1, who was a young toddler at the time, was observed to lack an updated health report once every 6 months; the most recent health report on file is dated 4/18/23.

A Children's Tylenol and Children's Motrin were observed to not be labeled with the name of Child #3 whom the medication is intended for.

A Children's Tylenol and Children's Motrin were observed to be inside Child #3's bag that was zipped up and sitting on the floor in the hallway outside of the Toddler Room and accessible to the children who use the hallway to get to and from their rooms.

The facility lacked signed parental consent to administer Children's Tylenol and Children's Motrin to Child #3.

Staff in the Toddler Room self-disclosed that Child #3 was administered medication earlier today and it was not documented on a medication log.

The school age restroom upstairs was observed to lack paper towels for hand drying.

Staff person #3 self-disclosed that during a diaper change soiled diapers are placed in a plastic bag first before being discarded into the hands free lidded can.

The staff file for Staff person #2 lacked a current health assessment; the last health assessment on file is dated 2/4/21 which is more than 24 months old.

The staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 1/6/23 and 2/5/24.

The staff file for Staff person #2 lacked a written staff evaluation every 12 months; the last staff evaluation on file is dated 1/9/23.

The staff file for Staff person #2 who is functioning as an Assistant Group Supervisor, lacked proof of education.

The child file for Child #2 contained a current financial agreement form that lacked the names of the persons designated by a parent to whom the child may be released.

The child file for Child #2 contained a current emergency contact form that lacked the addresses of the persons designated by a parent to whom the child may be released.

The staff file for Staff person #1 lacked one non family reference.

****3rd CITATION: At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present for the duration that staff was inside the storage area, Staff person #5 was not physically present with the four children in their assigned group. PREVIOUSLY CITED on 7/31/23 and 8/25/23

2nd CITATIAON: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 10/6/23 to 11/6/23 (31 days). PREVIOUSLY CITED ON 10/5/23

On 10/5/2023, at approximately 8:37 am, staff #1 was observed to be working alone in the infant room supervising a group of children of mixed age levels, including 1 infant and 5 younger toddlers; and staff #2 was observed to be working alone in the toddler room supervising a group of children of mixed age levels, including 7 older toddlers and 5 preschool children.

On 10/5/2023, at approximately 8:37 am, 12 children were observed in care in the toddler room, which only has a capacity for 7 children.

A fire drill has not been conducted at least once in the last 60 days. A fire drill was last conducted on 7/3/2023.

The fire detection system has not been tested in the last 30 days. It was last tested on 7/31/2023.

At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present therefore staff: child ratio was 0:4 for the duration that staff was inside the storage area.

At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present therefore, the four children who were in the Toddler Room were unsupervised as Staff Person #5 was not present in the childcare space to properly supervise those children.

**2nd CITATION: At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present for the duration that staff was inside the storage area, Staff person #5 was not physically present with the four children in their assigned group. PREVIOUSLY CITED on 7/31/23.

****2nd CITATION: At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present for the duration that staff was inside the storage area, Staff person #5 was not physically present with the four children in their assigned group. PREVIOUSLY CITED on 7/31/23.

*2nd CITATION: At approximately 10:08am, during the assessment of supervision and ratio in the Toddler Room, Staff person #5 was observed to be inside of the adjoining storage area and is not measured childcare space, as it is less than 50% of the adjacent wall. Four older toddlers were observed inside of the Toddler Room alone with no other staff present for the duration that staff was inside the storage area, Staff person #5 was not physically present with the four children in their assigned group. PREVIOUSLY CITED on 7/31/23.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

The file for Staff person #1 was observed to lack a valid Child Abuse clearance prior to date of hire (See IS CODE SHEET) required under the Child Protective Service Law (CPSL); A Child Abuse clearance dated 4/3/23 is on file. Staff person #1 was also observed not to contain proof of having been fingerprinted for a DHS FBI clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL; A valid DHS FBI clearance dated 4/28/23 is on file. The file for Staff person #3 was observed to lack a valid Child Abuse clearance prior to date of hire (See IS CODE SHEET) required under the CPSL; A Child Abuse clearance dated 7/19/23 is on file. The file for Staff person #3 was also observed not to contain documentation of having applied for a State Police clearance prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL; A valid State Police clearance dated 3/29/23 is on file. The staff file for Staff person #5 lacked a valid FBI clearance; The FBI clearance on file is a PDE FBI clearance which is no longer considered an acceptable clearance per the CPSL.

In the Preschool Room, at approximately 9:40am, one staff and six preschool aged children were observed. During the onset of supervision and ratio, Staff person #4 identified and named 3 preschool age children thus leaving 3 children unaccounted for. Staff person #6 was observed coming out of the restroom and claimed responsibility for the 3 remaining preschool age children allowing all children to be accounted for. Staff person #6 was observed to not be physically present with their assigned group of children.

In the Toddler Room, chipping paint was observed in the lower left-hand corner of the main windowsill.

In the Infant Room the diapering area was observed to lack a handwashing sign.

In the Infant Room, an infant was observed asleep in a Pack N Play Playard that did not have at least 2 feet on three sides while in use.

The child file for Child #3, was observed to lack an updated health report; the most recent health report on file is dated 6/9/22 which is more than 12 months old.

The child file for Child #3, contained a health report dated 6/9/22 which was observed to lack a statement that the child is able to participate in childcare and is free from contagious or communicable disease.

The file for Staff person #1 was observed to not contain documentation of a health assessment being completed within 12 months prior to date of hire (See IS CODE SHEET). The health assessment on file for Staff person #1 is dated 3/25/23.

The file for Staff person #1 was observed to not contain a tuberculosis screening and the results completed within 12 months prior to date of hire (See IS CODE SHEET). The tuberculosis screening and the results on file for Staff person #1 is dated 3/23/23.

The child file for Child #1, was observed to not contain documentation of an initial health report within 60 days of enrollment (See IS CODE SHEET). An initial health report dated 6/8/23 is on file. The child file for Child #3, was observed to not contain documentation of an initial health report within 60 days of enrollment (See IS CODE SHEET). An initial health report dated 6/9/23 is on file.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Staff person #4 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #4 completed mandated reporter training on 7/23/23.

The staff file for Staff person #1, Staff person #2, Staff person #3, Staff person #4, and Staff person #5, who are functioning as an assistant group supervisor, lacked documentation of two years' experience working with children.

The Preschool Room 2, School Age Room, and School Age 2 Room were observed to lack a daily activity schedule.

The child file for Child #3 contained a financial agreement form that was observed to lack a fee amount.

The child file for Child #2 contained an emergency contact information form that was observed to lack the health insurance policy number.

The Preschool Room 2 was observed to lack a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The child file for Child #1 contained a current emergency contact information form that was observed to lack signed parental consent for emergency medical care for the child.

The child file for Child #1 contained a current emergency contact information form that was observed to lack signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff file #4 was observed to lack two nonfamily references.

The file for Staff person #1 and Staff person #2 was observed to lack a valid State Police clearance. The file for Staff person #2 was also observed to lack a National Sex Offender Registry (NSOR) Certificate.

In the Preschool Room the window that faces the main street was observed to be broken causing approximately two linear cracks along the bottom right half of the window.

A dryer electrical outlet located to the left of the water fountain in the Preschool Room, which is used by children 5 years of age or younger, was observed to lack a protective receptacle covering.

The Preschool Room, which is located on the second floor of the facility, was observed to have one window near the reading area that lacked a modification or adaptation to limit the opening to 6 or fewer inches. The two windows in the Preschool 2 Room, also located on the second floor of the facility were observed to lack a modification or adaptation to limit the opening to 6 or fewer inches.

The first-aid kit located in the Infant Room and Toddler Room lacked gloves.

The wooden fence surrounding the Infant/Toddler Playground and the Preschool Age/School Age Playground were observed to have numerous areas of splintering wood as well as a couple of tiny protruding screws on the entry gates with the sharp end facing inside the playground. In the Preschool Room the cove base located along the wall surrounding the dress up area was observed to be detached from the wall causing it not to be in good repair.

In the Infant Room a small patch of peeling paint was observed on the wall near the baseboard located to the right of the two electrical outlets. In Preschool room 2, damage plaster was observed on the wall near the baseboard located to the left of the window that faces the main street.

Both restrooms on the second floor were observed to lack handwashing signs at each toilet and sink. The kitchen area, which is located off of the School Age room, was observed to lack a handwashing sign at the sink.

The file for staff person #1 lacked a valid health assessment; the health assessment on file was dated 12/2/21 which is more than 12 months prior to providing initial service in a childcare setting.

The file for staff person #1 lacked a valid tuberculosis (TB) screening and the results; the TB test on file was dated 12/2/21 which is more than 12 months prior to providing initial service in a childcare setting.

The file for Staff person #2, who presented as being hired as a director, lacked documentation of 1 year of experience working with children.

The file for Staff person #1, who presented as being hired as an assistant group supervisor, lacked documentation of a high school diploma and 2 years of experience with children.

The staff file for Staff person #1 and Staff person #2 was observed to lack two non-family references from individuals attesting to the person's suitability to serve as a facility person.