Primrose School of Peters Township

The most recent Child Abuse Clearances in the file for Staff Person #2 exceeded 60 months between clearances.

On 1/7/25, observed Child #1 sleeping in a bouncer in the Infant #1 Room.

The sink in the Infant #2 Room, which is currently being used by younger toddlers who can stand on their own, was not a proper height, nor was it easily approachable by means of a platform or steps.

The file for Child #4, a Young Toddler, did not include an updated health report conducted within the past 6 months.

The most recent health reports in the file for Child #7, a Preschool Child, exceeded 12 months between reports. The file for Child #3, an Older Toddler, did not include an updated health report conducted within the past 12 months.

Observed alcohol pads, which did not identify the name of the child for whom the medication was intended, in the first aid kits in the Infant #1 and Early Preschool #2 Rooms.

The most recent health assessments in the file for Staff Person #3 exceeded 24 months between assessments. The initial health assessment/TB Screening in the file for Staff Person #4 was conducted more than one year prior to the staff person's first day working in child care and is not valid (See LIS Code Sheet).

The files for Staff Person #7 and #8 contained foreign degrees which had not been transcribed/evaluated by a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

The most recent written evaluations in the files for #1, 3 and 5 exceeded 12 months between evaluations. The files for Staff Person #2 and 6 did not contain documentation of a written evaluation conducted within the past 12 months.

The emergency contact form in the file for Child #1, who has been enrolled for more than 6 months, has not been updated by the parent. The first parent update for the emergency contact form in the file for Child #2 was more than 6 months after the child's first day in care. The most recent parent updates for the emergency contact form in the file for Child #5 exceeded 6 months between updates. The most recent parent updates for the emergency contact forms and fee agreements in the files for Child #3, 6, 7 and 8 exceeded 6 months between updates.

** Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

* Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

*** Based on interviews at the facility, on 4/10/24, staff #1 was scheduled to be done at 3:45PM. At approximately 4:00 PM, staff #1 took her 7 preschool age children out to staff #2, who was on the playground with 8 preschool age children. Staff #1 provided staff #2 with her identification cards so that she could supervise those children and then she left. This left staff #2 alone with 15 PS age children for approximately 20 minutes. On 4/11/24, it was observed that code orange was called 2 times over the facility intercom. Based on interviews at the facility, code orange notifies administration that the room is over ratio. On 4/11/24, at approximately 10:15 AM, Staff #2 was alone with 11 PS age children for approximately five minutes. On 4/11/24, at approximately 8:30 AM, staff #1 was alone with 12 PS age children for approximately 15 minutes.

Based on staff interviews and observation of the preschool room, there are times that the preschool room which has a capacity of 19 is used for nap time and 20 cots have been in use in the room. The placement of the rest equipment does not allow for 2 feet of space on 3 sides as described at 3270.106(f).

One of the toilets in the EPS 1 room is not flushing.

On 4/11/24, observed 5 cots in the Toddler 1 room which were in use and did not have 2 feet of space on three sides.

Based on staff interviews, the most recent director is no longer employed by the facility and the facility has been without a director since approximately 4/5/24.

Based on interviews with staff, staff have been instructed that the children may not get off their mats during naptime to use the restroom and some of the children have wet their pants.

Based on staff interviews, the staff in the preschool room have been instructed to require the children to remain on their mats for 3 1/2 hours, even though they were finished with their naps so as to maintain compliance with nap ratios.

The rubber wall baseboard on the Early Learning PS 2 room was pulled off by the bathroom wall.

There was urine in the boy's bathroom toilet in the Pre- K 1 room. There was toilet paper on the floor in the girl's bathroom in the Pre -K 1 room.

There was a cracked bin and a cracked toy cup in the PS 1 room. There was a red cracked bin in the Infant 2 room. There was a clear cracked bin in the Toddler 1 room.

There was a highchair with missing straps in the infant 1 room.

The file for child # 3 a preschooler lacked an updated Health Report. The previous report is dated. 9/9/22. The file for child # 5 a preschooler lacked an updated Health Report. The previous report is dated. 9/1/22.

The Solus Cortel medication for child #7 lacked the original container.

The EPI Pen for child # 6 was expired. The medication expiration date was 12/22/23.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

The file for staff #2 contained a current health assessment dated 8/17/23. It was not obtained within 24 months of the previous assessment dated 5/21/21.

The file for child # 1contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 5/10/23 and the health report was dated 7/14/23. The file for child # 2 a preschooler lacked initial health report. The child has been in care longer than 60 days. start date 5/8/23. The file for child # 4 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 6/20/23 and the health report was dated 10/31/23.

The file for staff #1 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

The emergency contact form for child #1 was not present in the Pathway room where the child was receiving care.

Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

*Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

**Per staff statements, on 6/23/23, Child #1 was unintentionally left alone, asleep in a crib in Infant Room I for approximately 15 minutes at the end of the day when the staff in the room transitioned to Infant Room II.

An Epinephrine Injection Pen, for a child in the Infant 2 Room, expired on 12/22.

The two most recent Health Assessments in the file for Staff #1 exceeded the 24-month renewal requirement.

Based on a conversation with the provider, information was not provided to parents of each enrolled child, on how to access the regulations electronically.

The files for Staff #6 and #10 lacked NSOR applications and contained NSOR clearances dated after the first day of employment in child care positions.

During assessment of supervision and ratio in the PK 2 Room at 11:10 AM on 2/9/22, Staff #5 named 8 PS and Staff #12 named 6 PS. There were 15 children in the room at this time. When asked to name their groups again, Staff #5 named 9 PS and Staff #12 named 5 PS. Again, there were still 15 children in the room at this time.

The boys' toilet in the PK 1 Room was observed to lack a handwashing sign.

The file for Child #5 contained consecutive health reports dated more than 6 months apart.

The files for Child #2 and #3 contained records of immunization history which lacked current influenza vaccinations.

During described and observed diaper changes in the Infant, Tod 1 and Tod 2 Rooms, staff left the soiled diaper on the changer until completing the diaper change.

The files for Staff #1 and #9 contained consecutive health assessments dated more than 24 months apart.

The file for Staff #11 contained a health assessment which lacked an indication that a physical examination was conducted.

The observed emergency plan lacked accommodations for children with disabilities, and children with chronic medical conditions.

Documentation of fire detection system testing contained dates of testing more than 30 days apart.

The files for Child #1 and #6 contained initial health reports dated more than 60 days after the enrollment date.

Notification of the location of the facility and program's use of pedestrian and vehicular routes around the child care facility.to local traffic safety authorities was not available at the time of inspection.

The files for Child #5 and #7 contained emergency contact forms which lacked the work telephone numbers for the enrolling parents.

The file for Child #1and #4 contained consecutive updates to the emergency contact form which were dated more than 6 months apart.

The files for Staff #3, #4, #7 and #8 contained documentation of certification in first-aid and CPR which were not listed as pediatric. The file for Staff #5 contained documentation of certification in CPR which was not listed as pediatric and lacked documentation of certification in pediatric first-aid.

The file for Staff #3 contained 7 of the 12 required training hours between 12/19/20 and 12/19/21.

During assessment of ratio and supervision on 1/10/22 at 9:00 AM in the Early PS Room, Staff #1 named 5 OT and Staff #2 named 4 OT. There were 10 children in the room at this time. When asked to re-name their supervisory groups, Staff #1 and #2 named the same children. When asked who was responsible for the unnamed child, staff realized who was missed and Staff #2 claimed that child in her group.

Staff #1, a provisional hire whose file lacked a completed FBI and NSOR clearance, was observed working with children unsupervised on 12/17/21.