Sayre Child Center

An unannounced inspection was conducted 9/2/25. At that time, the preservice training was reviewed for the staff present at the facility. Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 8/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Staff Person #1 was observed slamming Child #1, an infant, onto the changing table. Staff Person #1 then pointed their finger in the child's face and yelled, "Now stay there and don't move!" The staff then turned and took a step away from the child while leaving the child on the changing table to retrieve clothes for the child from the child's cubby. This was reported by a witness that was present with Staff Person #2 at the time of the incident. Staff Person #2 stated that they were not going to cause turmoil with other teachers by replacing Staff Person #1 with another staff and left Staff Person #1 to care for the children alone in the classroom.

Staff Person #1 was observed slamming Child #1, an infant, onto the changing table. Staff Person #1 then pointed their finger in the child's face and yelled, "Now stay there and don't move!"

A renewal inspection was conducted 2/5/25. At that time, the staff files were reviewed. The file for Staff Person #1 included a PA State Police clearance in the pending status, but did not include the completed PA State Police Clearance. The file for Staff Person #2 included a PA Child Abuse Clearance dated 9/24/2018, which is more than 60 months old. The file for Staff Person #3, who has been employed longer than 45 days, did not include an NSOR certificate. Staff Person #1 and Staff Person #3 were working together, unsupervised by another staff in the Little Kiddles Room during the inspection. Staff Person #2 was working unsupervised in The Crickets Room during the inspection.

A renewal inspection was conducted 2/5/25. At that time, water stained ceiling tiles were observed in the Dolphin Room, the Cricket Room, the Explorer Room, and the Superstars Room.

A renewal inspection was conducted 2/5/25. At that time, the child files were reviewed. The health assessments for Child #2 and Child #3, preschool children, had not been updated in the past year. The most recent health assessment on file for Child #2 was 11/4/22. The most recent health assessment on file for Child #3 was 4/10/23.

A renewal inspection was conducted 2/5/25. At that time, the staff files were reviewed. The health assessments on file for Staff Person #1 were dated 2/26/21 and 1/24/24, more than 24 months between health assessments.

A renewal inspection was conducted 2/5/25. At that time, the thirty day testing log of the fire detection system was reviewed. The system had not been tested within 30 days during the previous year on 3 occasions. The dates of the testing were: 7/1/24, 8/1/24, 9/24/24, 10/16/24, 11/19/24, 12/17/24, 1/15/25, 2/5/25.

A renewal inspection was conducted 2/5/25. At that time, the preservice training for all staff was reviewed. Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 10/15/22 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

A renewal inspection was conducted 2/5/25. At that time, the emergency transportation plan could not be located in the school age room, the dolphin room, the cricket room, and the explorers room.

A renewal inspection was conducted 2/5/25. At that time, the child files were reviewed. The financial agreements had not been updated within the past 6 months for the following children: Child #1, Child #3, and Child #4. The dates of the most recent updates to the fee agreements were: Child #1 7/22/24; Child #3 10/28/20; Child #4 8/30/23.

A renewal inspection was conducted on 7/16/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

A renewal inspection was conducted on 7/16/24. At that time, a gallon jug labeled "bleach" and Pure Power cleaner with Bleach labeled "keep out of reach of children" were observed on the windowsill approximately 30 inches high next to the sink outside of the bathroom for the Crickets (3 year olds) Room. Both were accessible to the children.

A renewal inspection was conducted on 7/16/24. At that time, Child #6 was observed walking into the kitchen to place their plate on the cart used to collect dirty dishes, where the hot stove used to cook lunch was accessible.

A renewal inspection was conducted on 7/16/24. At that time, windows in all four rooms upstairs and in the stairwell facing the playground were able to be fully opened and were not limited to opening 6 inches or fewer.

A renewal inspection was conducted on 7/16/24. At that time, the first aid kit in the Explorers room did not contain tweezers.

A renewal inspection was conducted on 7/16/24. At that time, a part of the outside school age room wall was deteriorating, where chipping pieces of wood and a rusty nail were observed.

A renewal inspection was conducted on 7/16/24. At that time, exposed bolts were observed along the fence to both playgrounds.

A renewal inspection was conducted on 7/16/24. At that time, mulch, with a diameter of less than 1 inch, was observed scattered over the toddler playground.

A renewal inspection was conducted on 7/16/24. At that time, plastic bags were observed in an unlocked floor level cabinet in the Tender Tykes Room, where they were accessible to the young and older toddlers in care.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The most recent health report in the file of Child #4, a preschool child, was dated 10/18/21. The most recent health report in the file of Child #5, a preschool child, was dated 5/27/21.

A renewal inspection was conducted on 7/16/24. At that time, the staff files were reviewed. The health assessments on file for Staff Person #1 were dated 5/7/21 and 8/8/23, more than 24 months between assessments.

A renewal inspection was conducted on 7/16/24. At that time, the emergency plan was reviewed. The emergency plan did not include accommodations for the infants and toddlers enrolled at the facility.

A renewal inspection was conducted on 7/16/24. At that time, the director stated that a letter notifying the local traffic safety authorities in writing of the facility location had not been sent.

A renewal inspection was conducted on 7/16/24. At that time, the preservice trainings were reviewed for all staff. Staff Person #2 completed their pediatric first aid/cpr training 2/12/24, more than 90 days after their date of hire.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The fee agreements for Child #4 and Child #5 did not include the arrival and departure times.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The fee agreements for Child #2 and Child #5 did not include the designated release persons.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The fee agreements for Child #4 and Child #5 did not include the arrival and departure times.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The emergency contact forms for Child #2, Child #3, Child #4, Child #5, Child #6 and Child #7 did not include the birthdate of the child.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The emergency contact forms for Child #1 did not include the work address and phone number of the father. The emergency contact forms for Child #6 did not include the work phone number of the parent.

A renewal inspection was conducted on 7/16/24. At that time, the child files were reviewed. The fee agreements for Child #2 and Child #6 had not been updated in the past six months. The dates of the last update were 9/20/23 and 1/2/23, respectively.

A renewal inspection was conducted on 7/16/24. At that time, the incident reports are being given to the parent and a copy is placed in the master file. A copy is not being placed in the child's file.

Facility staff # 4 hired and working in childcare does not have proof of a DHS FBI fingerprint taken. Facility staff # 3 has a Department of Education FBI clearance on file that is not accepted by DHS. Facility staff # 4 did not have a disclosure statement signed at time of hire. Disclosure completed 7/13/23. Facility staff #4 only has a 1-hour mandated reporter training completed not the required 3-hour mandated reporter training.

Child # 1 enrolled and attending facility has not had a flu shot in accordance with the recommendation of the ACIP. Last flu shot administered 1/22/21. Child # 1 does not have a letter of exemption written by a parent or guardian of strong personal objection or religious beliefs for not have a current flu immunization.

Facility staff # 1 did not have a health assessment on file for over 24 months from 10/16/20 to 6/20/23. Facility staff # 2 has a health assessment on file that is more than 24 months old dated 5/7/21.

The facility does not have an emergency drill documented and on file at the facility that they conducted since last year's inspection.

Child # 4 enrolled and attending facility over 60 days does not have proof of immunizations on file.

Staff person # 3 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid and CPR from a PQAS approved trainer and was observed working alone in the Crickets classroom at the time of the renewal inspection with 5 older toddlers.

Staff person # 3 did not complete the required pre-service training within 90 days of their date of hire: 10 Hour Revised 2022 Health and Safety training. Facility staff # 3 completed the health and safety training on 1/21/23. Staff person # 5 did not complete the required one-hour update to the health and safety training by 12/30/22. Staff person # 5 completed the training on 2/8/23. Staff person # 6 did not complete the required one-hour update to the health and safety training by 12/30/22. Staff person # 7 did not complete the required one-hour update to the health and safety training by 12/30/22. Staff person # 7 completed the training on 7/19/23.

Child # 1 has not had a child service report completed in over 6 months since 12/20/22. Child # 2 has not had a child service report completed in over 6 months since 5/18/22. Child # 3 has not had a child service report completed in over 6 months since Fall 2022, an Ages & Stages report was completed in January 2023, however that is not accepted as an approved Child Service report by OCDEL.

Child # 2 did not have their emergency contact form updated and reviewed in over 6 months from 7/11/22 to 5/15/23. Child # 3 did not have their emergency contact forms or fee agreements updated and reviewed in over 6 months from 12/8/22 to 6/12/23. Child # 4 did not have their emergency contact form updated and reviewed in over 6 months from 3/25/22 to 6/22/23.

Facility staff # 3 did not have 2 references on file at time of hire. References were on file 7/12/23 and 7/14/23.

Facility did not test the fire alarm system in over 30 days from 6/2/22 to 7/8/22.

Facility staff # 2 has mandated reporter training on file that is not a DHS approved course for child care providers.

Child # 1, 2 & 3 have fee agreements on file that have not been updated in more than 6 months from the last parental review.

There was hand sanitizer on the lunch room counter that the preschool children were eating in and have access to.

The out door play space fence on the back end inside green area of the infant / toddler play space has sharp, rough edges of the fence wires sticking out in 4 spots where the fence should attach.

2 high chairs in the infant room do not have t shaped safety straps.

Top Care Triple Antibiotic ointment for child # 1 expired in 10/2021.

The fire testing log documented that the fire alarm system was not tested in more than 30 days from 8/4/21 to 9/10/21 to 10/12/21 to 11/15/21.

Facility staff # 1 hired on 3/2/21 and working as a group supervisor, does not have proof of education on file.