Sands Quality Child Care INC

The file for Staff person #1 includes NSOR clearances dated 2.18.20-8.21.25, more than 60 months apart. The file for Staff person #2 includes criminal history clearances dated3.18.20-3.27.25; child abuse clearances dated 3.26.20-5.6.25; and NSOR clearances dated 3.17.20-8.21.25, all more than 60 months apart. The file for Staff person #3 includes NSOR clearances dated 2.8.20-8.21.25, more than 60 months apart. The current Criminal History clearance on file for Staff person #3 does not include a dissemination date making it invalid, and the previous clearance is dated 8.28.18, more than 60 months ago. The file for Staff person #3 who was rehired (See LIS Code Sheet) does not include a new signed disclosure statement at the time of rehire. The file for Staff person #4 includes NSOR clearances dated 5.22.20-8.21.25, more than 60 months apart.

There was an open window in the young toddler room that did not have a screen.

There was an exposed fence bolt on the fence near the gate in the outside play space.

There was a wood post on the side of the building inside the outdoor play space that had peeling paint.

There was no handwashing sign at the toilets in the bathrooms.

There was no thermometer in the refrigerator in the School age/Preschool room where children's milk is stored.

The fire alarm 30-day test log includes test dates 3.7.25-4.11.25 more than 30 days apart.

The agreement on file for Child #5 does not include the persons to whom the child can be released.

The agreement on file for Child #1, #2, #3, #4, and #5 are the original agreements, which are to be given to the parent, and a copy maintained by the facility.

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

The file for Child #1 does not include written parental permission for the facility to obtain emergency medical care.

A child was observed receiving care in the Toddler room without their emergency contact forms being in the classroom.

The file for Child #1 does not include written parental permission for the facility to administer minor first aid procedures.

The file for Staff person #2, included 8 of 12 hours of annual training from 12.2023-12.2024; an additional 2 hours of training from 8.13.25 and 2 hours from 8.21.25 are borrowed to meet the requirement.

The file for Staff person #2 contains an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

During a naptime supervision and ratio check, at 1:50 PM, Staff person #1 did not know the name of four of the children who she was to be supervising.

Adult scissors were observed on the teacher's desk in the preschool room, not locked and accessible to children.

The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

During the inspection, a window was observed open in the school-age room and there was no screen on the window.

There was chipped and peeling paint observed in the school-age room by the window.

The most recent health assessment on file for Child #1, who is a preschool age child, is dated 8.15.23, more than 12 months ago.

The file for Staff person #2 does not include the results of a tuberculosis screening, required prior to hire (See LIS CODE SHEET).

The fire alarm 30-day test log includes test dates 7/12/24-8/12/24, more than 30 days apart

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

The initial health assessment on file for Child #5, with an enrollment date of 1.2.24, is dated 12.12.24, in future, more than 60 days after enrollment.

The emergency contact form on file for Child #1 included a listed emergency contact person with no telephone number listed.

The emergency contact form on file for Child #1, #5 does not include the address and/or telephone number for the child's pediatrician/source for medical care.

The emergency contact form on file for Child #2 and #3 does not include the work address and/or telephone number for the enrolling parent.

The current emergency contact form on file for Child #4 and #5 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

The emergency contact form on file for Child #1 and #2 does not include a complete address for all listed release persons.

The 6-month review signature for the emergency contact form and financial agreement on file for Child #1, dated 12.28.23, is dated more than 6 months after the previous 6-month review signature, 5.26.23. The emergency contact form on file for Child #5, who has been enrolled more than 6 months, does not include a 6-month review signature.

The file for Staff person #1 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/19/23.

The child file for Child #4 who was a young toddler at the time, was observed to lack an updated health report every 6 months. The two most recent health reports on file were dated 8/28/23 and 7/22/22.

The child file for Child #3 contained an immunization record that lacked the following immunizations: 2nd, 3rd and/or 4th dose of DTaP, 2nd dose of Hep A, 2nd and 3rd dose of HiB, 2nd, 3rd, and 4th dose of PCV, and 2nd and 3rd dose of Polio.

Staff person #1 through Staff person #8, have not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06.

The staff file for Staff person #8 contained current mandated reporter training dated 8/24/23 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 6/6/18.

The child file for Child #1 contained a financial agreement form that lacked their admission date.

The staff file for Staff person #2 lacked a valid disclosure statement; the disclosure on file was not dated thus making it difficult to determine if it was signed prior to hire. The staff file for Staff person #4 contained a current State Police clearance dated 9/21/20, a current Chid Abuse clearance dated 10/21/20, and a current DHS FBI clearance dated 8/24/21 all of which were not renewed within 60 months of the previously dated 9/14/15 State Police clearance, 9/21/15 Child Abuse clearance and 5/3/16 DHS FBI clearance expiring.

In the Toddler Room one Pack 'n Play was observed to not be labeled for the use of a specific child.

The child file for Child #1, who is a preschool age child [See IS CODE SHEET], lacked a flu shot for 2021.

The staff file for Staff person #1, contained a current health assessment dated 8/24/22 which was conducted more than 24 months from the previously dated 6/9/20 health assessment on file.

The facility has not conducted an annual emergency drill between 12/19/20 - 12/19/21.

Upon review of the facility's 30 day fire alarm testing log the following test dates were observed to be conducted more than 30 days apart: 1/5/22, 2/16/22, 3/18/22, 4/21/22, and 6/17/22, 7/19/22, and 8/29/22.

The facility emergency plan lacked information regarding volunteer emergency preparedness, and continuity of operations included in their emergency plan. The facility lacked a written policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The staff file for Staff person #4 contained current mandated reporter training dated 9/24/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 6/25/15.

The staff file for Staff person #3, who is functioning as an aide, lacked proof of education.

The staff file for Staff person #4 only contained 6 out of the 12 clock hours of child care training for their anniversary date of 12/19/20 - 12/29/21 [See IS Code Sheet].