Providence Family Support CTR Childrens Program

The facility's emergency plan parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's fire detection log documented dates 10/2/24-11/11/24, more than 30 days apart.

The two most recent fire safety trainings on file for Staff #1 are dated 9/29/24 and 10/8/25, more than 12 months apart.

The file for Staff #1 and Staff #2 lacked a written evaluation.

The emergency contact form for Child #5 lacked the enrolling parent's work address.

The emergency contact form for Child #4 contained incomplete addresses for 2 release persons.

The two most recent agreement form reviews for Child #3 are dated 12/10/24 and 9/2/25, more than 6 months apart.

In Classroom 212, where older toddlers were receiving care, 4 magic eraser sponges were in a drawer under the microwave, the sand/water table contained foam blocks (a few with teeth marks) and on a shelf, crayons and markers with the caps, which were less than an inch in diameter, were all accessible to children still placing objects in their mouths.

The health assessment if child #2, identified as a preschool age child (see LIS code sheet), contained a health assessment dated 2/22/2023 and an updated health assessment dated 3/14/2024, exceeding 12 months.

The health assessment of staff #3 was not clear if a physical examination was conducted as looked as if both the "yes" and "no" boxes were marked on the health assessment form.

The health assessment of staff #3 did not include information that the staff person was suitable to provide childcare.

Documentation of the last fire drill conducted was dated 8/29/2024, more than 60 days prior to the date of the inspection.

The evacuation time was not listed on the fire drill log for the fire drill conducted on 8/29/2024.

The file of facility person #4, who has been volunteering at the facility for more than a year (see coded LIS sheet), did not contain documentation of fire safety training.

The Ounce Assessments to provide information to the family about the child's growth and development were dated 11/2023 and 10/2024, more than 6 months apart for child #1.

The file of staff #1, with an annual training year of 12/2022 to 12/2023, contained 11.5 hours of training lacking .5 hours. Staff #1 is now in compliance with an additional 1 hour of training taken on 4/8/2024. The file of staff #2, with an annual training year of 12/2022 to 12/2023, contained 6.5 hour of training lacking 5.5 hours. Staff #2 is now in compliance with an additional 4 hours taken on 1/19/2024 and 5 hours taken on 6/18/2024.

It was self-reported by the facility and confirmed thru investigation that Child #1, who has a known allergy, was inadvertently given a cupcake containing the known allergen during a classroom celebration. Child #1 had a bite or two of the cupcake before staff realized it contained the known allergen. Child #1 experienced an allergic reaction due to the ingestion of the known allergen that required the injection of an EPIPEN.

The file of facility person #1 contained a disclosure statement which did not contain a witness signature. The file of facility person #4 contained a PA state police which expired 9/18/2023 and documentation of a PA state police clearance "pending" results dated 1/5/2023.

The immunization record of child #2 did not contain documentation of a current influenza vaccination as recommended by the ACIP or documentation of an acceptable exemption.

Documentation of fire safety training for facility person #3 was dated 4/18/2022 and updated on 5/2/2023 exceeding 12 months.

The annual evaluations of facility person #2 were dated 10/22/2020 and 1/30/2023, which exceeded 12 months.

The financial agreement of child #1 did not contain the arrival and departure times of the child.

Staff person #2 and 3 were observed to be caring for children unsupervised. Staff person #2 and 3 had not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics were completed prior to 9/30/2016.

Adult scissors, which could cause laceration or puncture injury, were accessible to children in the craft box in Room 209 and in an unlocked drawer in the teacher's desk and unlocked cabinet in Room 224.

An electrical outlet accessible to children under the age of 5, did not have a protective cover in Room 117.

The 2 bottom windows to the hallway from Room 201, an infant room, did not contain visual strips.

A red Lego baseplate had a broken corner exposing rough edges in Room 224.

Foam peg boards in Room 116 (young and older toddler classroom) were accessible to children still placing objects in their mouths which was evidenced by teeth marks.

The health assessment of facility person #5 does not include an examination for communicable diseases and the results of that examination.

Staff person #2, 3 and 4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics were taken before 9/30/2016

Staff person #1 completed the health and safety topics more than the 180 days from 12/19/2020 (dated 4/27/2022) based on their start date (see LIS code sheet).

The most current written staff evaluation by the director for staff #1 was dated 7/2020 and #7 was dated 10/2020, which was more than 12 months ago and the evaluations of staff #2, 3, 4 and 6 exceeded 12 months being competed in 10/2020 and 1/2022.

The financial agreement of child #1 did not contain their admission date.

The emergency contact form of child #1 did not contain the telephone of the child's physician or source of medical care.

The emergency contact form information of child #1 did not contain the addresses and telephone numbers of 2 release persons listed.

The file of staff person #3, hired prior to 12/19/2020 (see coded LIS sheet), contained 7.5 training hours between 12/19/2020 and 12/19/2021 and 4 additional hours dated 2/10/2022. The file of staff person #4, hired prior to 12/19/2020 (see coded LIS sheet), contained 9.5 training hours between 12/19/2020 and 12/19/2021 and 4 additional hours dated 1/11/2022. The file of staff person #6 hired prior to 12/19/2020 (see coded LIS sheet), contained 5 training hours between 12/19/2020 and 12/19/2021 and 4 additional hours dated 1/3/2022, 2 hours dated 1/5/2022 and 1 hour dated 1/6/2022.

An injury report was not provided to the parent of child #1 on 4/22/2022, the day the child fell, and was injured at the facility.

The files for Staff #4 and Staff #5 existing volunteers whom were on leave from 3/13/20 - 7/26/21, contained documentation of NSOR clearances dated 7/29/21.The file for Staff #6, an existing facility person, contained documentation of NSOR clearance dated 7/2/20.

The file for Staff #3 contained documentation of consecutive emergency plan training conducted more than 12 months apart.

Toxic paint and hand sanitizer were observed to be accessible to children on a table in Room B-9.

The upstairs boys' bathroom was observed to lack a lidded waste receptacle.

The file for Staff #1 contained documentation of consecutive health assessments dated more than 24 months apart.

The observed posted menu contained menu items for the current week, yet lacked a menu for 1 week in advance.

Proof of purchase for the interconnected fire detection system was unavailable at the time of inspection.

The file for Staff #1 contained documentation of consecutive staff evaluations completed more than 12 months apart. The files for Staff #2 and #3 contained most recent staff evaluations dated more than 12 months ago.

The file for Child #1 contained an emergency contact form which lacked the telephone number of the child's medical provider.