Primrose School of Wexford

Based on staff interviews Staff person #1 admitted to picking up the wrong bottle and feeding approximately 2oz of another infant's breastmilk to Child #1 before noticing the mistake.

The fire alarm 30-day test log includes test dates 1.3.25-2.3.25; 3.3.25-4.4.25; and 4.4.25-5.5.25, more than 30 days apart

According to staff statements, on 11-26-24, child #1 was standing on the seat in a wagon and fell out of the wagon approximately 2.5-3 feet to the hardwood floor. The child landed on their back on the floor. The wagon was parked in the hallway alongside another wagon, each with 1 year olds in the wagons. Staff person #2 walked away from the wagon that had child #1 in order to open the door while staff person #2 was walking towards the wagon. Child #1 was not buckled into the seat while the wagon was in use.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

The file for staff person #4 did not contain documentation of application of the NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the completed NSOR certificate is dated 7.10.24.

At 2:09 PM, in Room 7, during naptime supervision and ratio assessment, multiple children were observed off their rest mats and walking around the room with 1 staff person in the room with 9 preschool children and 1 older toddler. At 2:19 PM, in Room 9, during naptime supervision and ratio assessment, multiple children were observed off their rest mats and walking around the room with 1 staff person in the room with 16 preschool children.

The file for Staff person #6 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

The first aid kit in Room 12 did not include tweezers.

Yarn pompoms less than 1 inch size were observed in Room 5, where children are placing things in their mouths. Staff reported the pompoms are used by the children for arts and craft projects.

The immunization record on file for Child #6, who is 10 months old, included 2 of 3 pneumococcal vaccines recommended by the ACIP for a child this age and 2 of 3 DTAP vaccines recommended by the ACIP for a child this age.

During an observed diaper change in Room 4, the staff person did not ensure that the child's hands were washed following the diaper change.

During observed diaper changes in Room 1, 2, 3, and 4, the staff were observed placing the soled diaper on the table and not immediately disposing of the diaper.

The current health assessment on file for Staff person #6 does not indicate if the staff person was assessed for communicable/contagious disease.

The health assessment on file for Staff person #6 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

The initial health assessment on file for Child #6 with an enrollment date of 4/1/24, is dated 9/24/24, more than 60 days after enrollment.

Staff person #2 completed her current mandated reporter training on11/11/24, more than 60 months after the previous training dated 9/13/19. Staff person #7 completed her current mandated reporter training on 12.4.24, more than 60 months after the previous training dated 9/13/19 and more than 90 days after the date of hire.

The file for Staff person #1, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children. The file for Staff person #1 did not include verification of 2 years (2500 hours) of experience with children. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years of experience with children. The file for Staff person #5 included a…

The file for Child #1, #2, #3, #4, #5, #6, who began receiving care more than 6 months ago, does not include a child service report on a Department approved form which provides information to the family about the child's growth and development in the context of the services being provided

The emergency contact form on file for Child #7 does not include the work telephone number for the enrolling parent.

The file for Child #3 does not include written parental permission for the facility to obtain emergency medical care.

The emergency contact form on file for Child #6 does not include the child's health insurance coverage and policy number for the child's health care benefits.

The emergency contact form on file for Child #2 and #6 does not include a complete address for all listed release persons.

The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #1, #2, #3, #5 is dated more than 6 months after the previous 6-month review signature.

The file for Child #3 does not include written parental permission for the facility to administer minor first aid procedures.

The file for Staff person #1 includes 8 of 12 required annual training hours completed between 1/2023-1/2024. The file for Staff person #3 includes 8.5 of 12 required annual training hours completed between 1/2023-1/2024.

The file for staff person #1 includes a PA Child Abuse clearance dated 7.23.24, after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

The file for staff person #3 does not include a valid Child Abuse clearance from New Jersey, where the staff person resided in the prior 5 years, within 45 days of hire (See IS CODE SHEET).

In Infant 2, an infant, under 12 months of age, was observed sleeping in their crip with a toy attached to their pacifier that was in their mouth while sleeping.

A hole with exposed plaster was observed in Pre-K 2, under the window in the corner by the dollhouse.

There was an infant feeding bottle in the refrigerator in Infant 1 that was not labeled with the name for whom the bottle was intended.

The fire alarm 30-day test log includes test dates 2.20.24-3.28.24 and 6.18.24-7.19.24, more than 30 days apart.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 5.13.24.

The file for Staff person #2, #4 includes only 1 written nonfamily reference attesting to the staff person's suitability to work in childcare.

The files for staff persons #2 and #8 did not contain documentation of application of FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #3 did not contain a valid PA State Police clearance within 45 days of hire (See IS CODE SHEET). The clearance on file, dated 12/7/17, lacked the disseminated date. Staff person #3 now has a current PA State Police clearance on file dated 12/7/23. The file for staff person #4 did not contain documentation of application of PA State Police clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #9 did not contain a valid PA State Police clearance. Staff person #9 renewed their PA State Police Clearance on 5/18/23 but had a status of Pending for control. The file for staff person #10 did not contain a valid PA State Police clearance within 45 days of hire (See IS CODE SHEET). The clearance on file, dated 4/20/23, lacked the disseminated date. The file for staff person #11 did not contain documentation of application of FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional…

In Room 7, a handwashing sign was not posted at the sink in the restroom. In Room 8, a handwashing sign was not posted at the toilet in restroom #1, and a handwashing sign was not posted at the sink and toilet in restroom #2. In Room 10, a handwashing sign was not posted at the sink in the restroom. In Room 11, a handwashing sign was not posted at the toilet in restroom #1. In Room 12, a handwashing sign was not posted at the toilet in restroom #2.

The file for child #5 does not include a health report conducted within the last 12 months. The most recent health report on file is dated 9/30/22.

In the first aid bag in Room 7, a prescription of epinephrine injection for child #5 was not in the original container.

The initial health assessment on file for staff person #7 was dated 10/12/23, which was not within 12 months prior to date of hire (See IS CODE SHEET). The initial health assessment on file for staff person #10 was dated 4/20/23, which was not within 12 months prior to date of hire (See IS CODE SHEET).

The tuberculosis screening on file for staff person #10 was dated 5/19/23, which was not at initial employment (See IS CODE SHEET).

The health assessment on file for staff person #6 did not include an examination for communicable diseases and the results of that examination.

The facility did not have documentation on file of conducting an annual emergency drill within the last 12 months. The most recent documentation on file was dated 11/28/22.

The file for child #3 had an initial health report dated more than 60 days following the first day of attendance at the facility.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (See IS code sheet): Pediatric first aid/CPR.

Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): Pennsylvania Health and Safety Update 2022.

The agreement forms on file for children #1, #2, and #3 did not specify the amount of the fee to be charged per day or per week.

The emergency contact forms on file for children #3 and #4 did not include written consent signed by the parents for emergency medical care which is required prior to admission.

The emergency contact forms on file for children #3 and #4 did not include written consent signed by the parents for administration of minor first-aid procedures by facility staff which is required prior to admission.

Staff persons #1 and #8 completed the required pre-service training Pediatric First Aid/CPR on 11/20/23 but was not within 90 days of their date of hire (See IS CODE SHEET).

It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups.

It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups.

It was self-reported and verified through staff interviews that on 10/12/2023 staff persons #1 and #2 left child #1 alone on the playground unsupervised for less than 5 minutes when they returned into the building with the other 14 children in their supervision groups.

It was self-reported and verified through staff interviews that staff person #3 fed ~1/2 ounce of breastmilk to child #2 from a bottle that was labeled with a different child's name.

The file for staff person #3 lacked documentation of application of a NSOR clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #4 lacked documentation of PA Child Abuse clearance results prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #4 was observed to lack documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET). Mandated Reporter Training on file for staff person #4 is dated 8/9/22. The file for staff #5 was observed to lack documentation of NSOR clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for staff person #5 was observed to have documentation of PA State Police clearance and PA Child Abuse clearance results that were not renewed before the expiration date of the most current clearances. The two most recent PA State Police clearances are dated 8/16/17 and 11/11/22, and the PA Child Abuse clearances are dated 8/23/17 and 11/29/22. The file for staff person #5 was observed to lack documentation of FBI clearance…

The file for staff person #4, #5, #8, #9, #10, #11, #16 and #23 was observed to lack documentation of emergency plan training at the time of initial employment.

Room 8 was observed to lack a first aid bag in the child care space while children were receiving care.

In Room 9, a plastic outlet wall plate located in the right corner of the room was observed to be cracked with sharp edges and not in good repair.

In Room 10, a handwashing sign was observed not to be posted above the toilet in the second restroom. In Room 12, a handwashing sign was observed not to be posted above the toilet in the larger restroom.

In Room 11, four clear toy bins containing children's toys were observed to be cracked with sharp edges and not in good repair. In Room 12, the Farm carpet near the entrance of the room was observed to be teared and fraying and not in good repair.

The file for children #3, #4, #5, and #6 lacked an updated health report conducted within 12 months of previous health report.

The file for staff person #3, #5, #7, and #11 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

The file for staff #3, #6, #15. and #17 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET).

The facility had documentation of fire alarm testing that exceeded 30 days from 2/23/22-3/30/22, 7/14/22-8/31/22, 9/6/22-10/18/22, and 10/18/22-11/21/22.

The files for children #8 and #10 lacked an initial health report within 60 days following the first day of attendance at the facility.

The files for staff person #3, #4, #10, #11, #15, #16, #18, and #23 was observed not to have completed the Health and Safety pre-service training within 90 days of hire (See LIS CODE SHEET).

Staff persons #18, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. 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 from a PQAS approved trainer and a PQAS approved curriculum.

The file for staff person #4, #5, #9, #10, #12, #13, #14, #17, and #20 was observed to lack documentation of verification of child care experience in order to meet staff qualification for the position in which the person is performing.

The file for staff person #8 and #20 was observed to lack documentation of acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The agreement on file for children #1, #9 and #10 lacked the operator's signature.

The agreements on file for children #1 and #10 lacked the fee to be paid for services.

The agreement on file for child #10 lacked the date on which the fee is to be paid.

The agreement on file for children #3 and #10 lacked the child's arrival and departure times.

The agreement on file for children #4 and #10 lacked the persons designated by a parent to whom the child may be released.

The agreement on file for children #3, #4 and #5 lacked the date of the child's admission.

The agreements on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 was observed to be the original agreement, in which the parent shall receive the original agreement and the facility shall retain a copy of the agreement.

The emergency form on file for child #10 lacked the enrolling parent's work address and work telephone number.

The emergency contact form on file for child #10 lacked the health insurance policy number for the child.

The emergency contact form on file for child #8 lacked the address of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for children #7 was not updated within 6 months of the previous update. The most current update for child #7 was on 1/9/22.

The file for staff #9, #14, and #20 was observed to be lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The files for staff #11, #13, and #23 was observed not to have completed pediatric first aid/CPR within 90 days of hire (See LIS CODE SHEET).

Staff person #1 and #2 lacked a minimum of 12 annual hours of childcare training

The file for Staff person #6, with a hire date of 11/9/21, includes an FBI clearance obtained through the Department of Education, making it invalid for a child care position. The file for Staff person #8, with a hire date of 12/3/21, has no verification of application for an NSOR certificate and has a criminal history clearance, dated 2/10/21, which was obtained for volunteer purposes. The file for Staff person #12 does not include a criminal history clearance, child abuse clearance, or sex offender clearance from Florida, where she resided within the past 5 years prior to her employment at the facility. The FBI clearance on file for Staff person #18, with a hire date of 10/12/21 was obtained through the US DOJ and is therefore invalid. The file for Staff person #19, with a hire date of 12/7/21, does not include a Criminal History clearance.

The file for Staff person #1, #3, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #19, and #20 does not include a signed Disclosure statement.

The emergency plan training on file for Staff person #!, #2, #3, #4#5, #6#7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26 is not valid, as it is not specific to the facility location.

There was diaper cream in Room 12 in an unlocked cabinet, making them accessible to children.

The hot water at the sink in the diapering area in Infant 1 measured 112 degrees Fahrenheit.

There was no hand washing sign posted at the toilet in the girls bathroom in Room 8, Room 9, Room 10, Room 11.

There was a bin containing "Brackitz Structures" in Room 8 that had a cracked lid.

The rest cots in Room 7 were not labeled for use by an individual child and the corresponding chart contained no names for the cots.

The immunization record on file for Child #3, who is 3 years old, includes 3 of 4 Pneumococcal vaccines recommended for a child this age. The immunization record on file for Child #6, who is 3 years old, does not include the first varicella vaccination, which is recommended for a child this age. The immunization record on file for Child #9, who is 16 months old, includes 3 of 4 Pneumococcal vaccines recommended for a child this age.

The health assessment on file for Child #5 indicates that the child has not received all age-appropriate screenings recommended for a child this age, with no additional information.

The first aid kit in the bus used for transporting school-age children does not include soap or tweezers.

The health assessment on file for Child #10, with an enrollment date of 10/4/21, is not dated, making it invalid.

The file for Staff person #2, classified as an assistant group supervisor does not include verification of 2 years of child experience to be combined with verified high school completion. The file for Staff person #6, classified as an assistant group supervisor, does not have verification of 1 year of experience in child care to be combined with 15 credits in education or a related human services field. The file for Staff person #9, classified as an assistant group supervisor does not include verification of 2 years of child experience to be combined with verified high school completion or 15 credits in education or a related human services field and 1 year of verified experience with children; or 30 credits in education or a related human services field. The file for Staff person #11, classified as an assistant group supervisor, does not include verification of 2 years of child experience to be combined with verified high school completion or 15 credits in education or a related human services field and 1 year of verified experience with children; or 30 credits in education or a related human services field.

The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 is not signed by the operator.

The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 does not include the services to be provided to the family and child.

The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 does not include the child's daily arrival and departure times.

The agreement on file for Child #1, #5, #6, #7, and #8, does not include the child's date of admission.

The agreement on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 does not include the services which are to be considered as extra.

The file for Child #7 does not include an emergency contact form, which is to reference who shall be contacted in an emergency.

The file for Child #7 does not include written consent signed by a parent for emergency medical care.

The emergency contact form on file for Child #10 does not include the name, address,. or telephone number of the persons to whom the child may be released.

The emergency contact forms for the children in care were not in any of the classrooms where children were located.

There was no Emergency Transportation Plan posted in any child care space in the facility.

The file for Child #7 does not include written parental consent for the facility to administer minor first aid procedures.

The file for Staff person #16 does not include 2 written, nonfamily references regarding her suitability to work in child care. The file for Staff person #21 does not include 2 written, nonfamily references regarding her suitability to work in child care.

The file for Staff person #12, with a hire date of 9/20/21, does not include verification of completed, valid pediatric first aid and pediatric CPR, which was due to be completed within 90 days of hire, 12/19/21; the training on file was completed on-line.

The file for Staff person #3, with a hire date of 9/20/21, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), which was required within 90 days of hire, 12/19/21.

The facility did not have the contact information for the regional child care office and did not have verification of notifying the parents of enrolled children on how to access the child care regulations (Chapter 3270) electronically.

The fence in the outdoor play space had multiple spots that bolts were exposed as well as on each gate.

It was disclosed by the operator that the Emergency plan was not sent to the local municipalities and to the county emergency management agency.