Schenley Heights Community Development at Grace

There were items labeled "keep out of reach of children" including lotions and hand sanitizer on a window ledge in the upper portion of Garnett Hall, in reach of children.

The program's emergency plan was not posted in a conspicuous location.

The Mobility Room, the facility's play space, was not safe for large muscle activity due to the fact that there was a table and chairs in the middle of the room.

The menu posted at the facility on 4/28/25 only ran through 4/30/25. The menu was not posted or shared with each family at least a week in advance.

The first aid training completed and documented on file for Facility Persons #2, #4, and #6 were expired.

The current fire safety trainings documented and on file for Facility Persons # 1 and # 5 were each completed more than 12 months after the prior fire safety trainings on file.

The current mandated reporter training completed and on file for Facility Person # 3 was completed more than 60 months after the prior mandated reporter training.

The emergency contact forms and agreements on file for children #1-#4 had not been reviewed and updated by a parent, with the review attested to with a parent's dated signature, within the previous 6 months.

There was documentation of a total of 6.5 hours of child care training completed during the annual period of 7/2023-7/2024 on file for Facility Person #1. Additional hours of child care training completed and documented on file during this time period were counted to correct noncompliance with this regulation for the annual period of 7/2022-7/2023 at the renewal inspection conducted on 9/26/23.

The files for staff #1, #3, #4, and #5 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for staff #1, #3, #4, and #5 are now current.

The file for staff #2 contained the results of a TB screening conducted more than 12 months prior to providing initial service in a child care setting.

The file for staff #3 contained documentation of completing the 1-hour training titled Pennsylvania Health and Safety Update 2022 more than 90 days after their rehire date.

The file for staff #2, designated as an aide on the staff data sheet, did not contain documentation of the qualifications required for the position.

The files for staff #4 and #5 did not contain current written evaluations.

The emergency contact form for child #3 did not include the address of the child's physician or source of medical care.

The emergency contact forms for children #3 and #4 did not include the addresses of the individuals designated by the parent to whom the child may be released.

The emergency contact forms and agreements for children #1-5 have not been reviewed and updated in writing in over 6 months.

The file for staff #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

At approximately 4:40 PM, staff #2 was observed with 12 children in the chapel. Two students were observed leaving the chapel to enter the Library/Gross Motor Room to retrieve books. No staff were present in the Library. Staff #2 was able to see the children from her position in the chapel, however staff #2 was not physically present with the children in the Library.

At approximately 4:30 PM, a school age child was observed alone in the chapel. A group of children were observed checking in with staff #1 at the entry of the facility. The certification representative observed 1 child ascend the staircase to the chapel. When the certification representative followed the child, no staff were present in the chapel.

The file for staff #4 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Written notification of safe routes was not posted in a conspicuous location in the child care facility.

Based on the 30 day fire detection system test log, consecutive tests occurred more than 30 days apart on the following dates; 10/19/23 and 11/23/22=35 days, 4/17/23 and 5/23/23 =36 days. The program restarted on 8/28/23 and a current test dated 9/11/23 is documented.

The files for staff #1, #2, #3, #4, #5, and #7 contained documentation of completing the 1 hour Pennsylvania Health and Safety Update after the deadline of 12/30/22 as set forth in Announcement C-22-06. The file for staff #8 lacked documentation of completing the training.

The file for staff #3 contained Pediatric CPR and First Aid certification that expired on 6/22/23.

The file for staff #4, designated by the director as an assistant group supervisor, did not contain documentation of the qualifications required for the position.

The files for staff #2 and #7 contained staff evaluations conducted more than 12 months apart. The most recent evaluations on file are now current.

The emergency contact form for child #1 contained an incomplete address and lacked a telephone number for the child's physician or source of medical care. The emergency contact form for child #2 lacked an address for the child's physician or source of medical care.

The emergency contact form for child #2 contained an incomplete address for the enrolling parent.

The file for staff #6 did not contain written references.

The file for staff #4 contained 11 hours of annual training completed late and 1 hour of training completed on time. The late trainings were dated after the assessment window of 7/19/22 to 7/19/23.

The file for staff #4 contained an expired child abuse clearance dated 12/08/15. The file also contained state police and FBI clearances which were not updated within 60 months. Dates are as follows; previous SP dated 9/24/15 renewed on 9/28/21, previous FBI dated 10/15/15, renewed on 9/14/21. The file for staff #2 contained a state police clearance which was not renewed within 60 months; previous SP dated 10/13/16, renewed on 11/23/21.

The facility's emergency plan did not address continuity of operations.

The files for staff #1, #2, and #3 contained health assessments which were updated more than 24 months after the date of previous assessment. The most recent health assessments on file for all three staff are now current.

The facility lacked a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The files for staff #1, #2, and #3 contained fire safety training that was not completed on an annual basis, staff completed the training in February 2021 and again in March 2022. The files for staff #4 and #9 did not contain documentation of current fire safety training.

Staff #5 and #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training topics 1-9. Current training is now on file. Staff #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric PR/FA. Current training is now on file.

Staff person #1 has not completed acceptable mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/13/16 and a training from an unapproved source dated 2/15/21. Staff person #4 did not renew mandated reporter training within 60 months. This is evidenced by the previous documented mandated reporter training on file being dated 10/21/16 and the most recent being dated 2/15/22.

The file for staff #7, designated as an aide, did not contain verification of the education required for the position.

The files for staff #2 and #4 contained written evaluations conducted more than 12 months apart. Both files now contain current evaluations.

The files for staff #7 and #8 did not contain written references.