Shanny the Nanny Early Learning Center LLC

There was a damage window screen in the Pre -K room.

There was a cracked ceiling tyle with water damage in the young toddler room.

There was a cracked clear bin in the preschool room. There was a cracked bin lid in the older toddler room.

The thermometer in the preschool refrigerator was 48°.

The file for child # 1 a young toddler contained a current health report dated 10/23/04 that was not updated within 6 months. The previous report was dated 2/28/24. The file for child # 3 an older toddler contained a current health report dated 12/3/24 that was not updated within 6 months. The previous report was dated 9/6/23.

There was a cough syrup in the preschool room that lacked the name of the child for whom the medication is intended.

The operator was not maintaining a medication log for a nonprescription medication, Neosporin for child #4.

The file for staff #2 contained a current health assessment dated 11/11/24. It was not obtained within 24 months of the previous assessment dated 4/19/22.

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement. The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

The file for staff # 3 contained a current Pediatric First Aid and Pediatric CPR training dated 10/24. The training was not obtained prior to the expiration of the previous certificate dated 5/25/22-5/24.

The file for child # 2 lacked the address of the child's physician or source of medical care on the emergency contact form.

The file for child # 1 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

The file for staff # 1 lacked the date when the TB test was applied or read.

The file for Staff #2 contained a Child Abuse clearance and FBI Clearance that were updated in an interval greater than 60 months.

In Room 7 there were doors on the cabinets that were loose and hanging creating a pinching hazard for the children in care. In the outdoor play space there was a divot in the squishy surface that created a tripping hazard for the children in care.

In Room 9, there were three blue seats that were a part of the high toddler table that were in use that were missing the required seat straps.

The file for Child #3, a Preschooler, contained Health Reports that had been updated in an interval greater than 12 months.

The files for Child #1, #3, and #4 enrolled for more that 60 days at the facility, did not contain documentation of an influenzas vaccination as required based on the child's age as per the ACIP recommended schedule. The file for Child #2, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the DTAP vaccination as required based on the child's age as per the ACIP recommended schedule.

There were no written instructions provided from the individual who prescribed the medicine for the medicine belonging to Child #7 at the facility.

The medication for Child #4 stored at the facility lacked parental written consent.

The file for Staff #5 lacked a Health Assessment conducted within the previous 12 months. The file for Staff #7 contained Health Assessments updated in a interval greater than 24 months.

The file for Staff #5 lacked the Pennsylvania Health and Safety Update. Although Staff #8 had the Pennsylvania Health and Safety Update training at the time of the Renewal Inspection it was observed that Staff #8 had not completed the Pennsylvania Health and Safety Update by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

The last two fire safety trainings in the file for staff person #1 were dated more than 12 months apart.

Although the file for Staff #6 contained Pediatric First Aid and CPR it was observed that the current Pediatric First Aid and CPR was not obtained prior to the expiration of the previous training. Although the file for Staff # 8 contained Pediatric First Aid and CPR it was observed that Staff #8 did not obtain Pediatric First Aid and CPR within 90 days of hire. Staff person #5 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).

Although Staff #8 had Mandated Reporter Training at the time of the Renewal Inspection it was observed that Staff #8 had not completed Mandated Reporter within 90 days of hire. The file for Staff #9 contained Mandated Reporter Trainings that were updated in an interval greater than 60 months.

The staff file #3 did not contain an evaluation completed within the previous 12 months.

The Emergency Contact Form for Child #5 and #6 lacked the address of the individual designated by the parent to whom the child may be released.

The Emergency Contact form for Child #3 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff #5 lacked 12 hours of annual childcare training.

Located in Room 6 were sharp teacher scissors and a stapler on the desk that were accessible and posing a threat to the children in care. Located in Room 8 was an accessible unlocked drawer that contained push pins creating a protrusion hazard to the children in care.

The first aid kit located in Room 12 was hanging on a lower hook that was accessible to the children in care.

The second stall in the main children's bathroom lacked a hand washing sign posted at the toilet.

The file for Child #3, a preschooler, contained two health reports that were dated more than 12 months apart. The file for Child #4, a preschooler, lacked an updated health report within the previous 12 months.

The file for Child #4 contained a health report which did not include a review of the child's immunized status.

The health reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #2 lacked an influenza vaccination. The report for Child #4 lacked a 4th dose of the pneumococcal vaccine.

There was no prescription for the Epi-Pen belonging to Child #7.

The medication for Child #6 and #8 lacked written parental consent.

The file for Child #1 lacked an initial health report within 60 days of attendance.

The file for Staff #4 (See LIS CODE Sheet) contained Fire Safety trainings that were dated more than 12 months apart.

Staff person #2, #5, and #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics). Staff person #3 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).

Staff person #4 and #7 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Child # 1 lacked a child service report within the 6 months of enrollment and after 10/31/22, the date of reinstatement of this regulation.

The Agreement for Child #3 and #5 lacked the date of the child's admission

The Emergency Contact Form for Child #1 lacked the telephone number of the child's physician.

The Emergency Contact Form for Child #1 lacked the health insurance coverage policy number for the child.

The file for Child #1 lacked an initial health report within 60 days of attendance.

The file for Staff # 1 and #8, lacked acceptable verification of experience and education or training. Staff #1 and #8 were present on the day of inspection acting as an AGS.

The file for Saff #7, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person.

The file for Staff #6, lacked documentation for 2 hours of the required 12 hours of annual childcare training.

The last 2 state police, child abuse and FBI clearances in the file for staff person #2 and #3 were dated more than 60 months apart. Both staff continued to work with children with expired clearances. The disclosure statement in the file for staff person #7 was not dated and could not be verified timely. Based on review of the file for staff person #10, hired November 2021, and on conversation with the staff person and the operator, staff person #10 had lived out of state within the last 5 years and there were no out of state clearances for the individual.

There was no prescription for the epi-pen belonging to child #4.

The last two health assessments in the file for staff person #6 were dated more than 24 months apart.

Based on review of the facility's fire drill log, two consecutive drills were conducted on 6/18/21 and 8/18/21, which is 61 days apart.

Based on review of the facility's fire drill log, all 6 drills conducted between 12/28/20 and 10/15/21 were conducted between 9:15 am and 11:30 am.

The facility's fire drill log specified the exits used during the drills, not the "hypothetical location."

The first-aid and CPR trainings in the file for the following staff did not specify that the training was pediatric; only that it was "infant/child:" #2, #3, #4, #5, #6, #8 and #9.

The last two fire safety trainings in the file for staff person #2' #3, #5, #6, #8 and #9 were dated more than 12 months apart. The only fire safety training in the file for staff person #5 was dated more than 12 months after they began working with children.

The last 2 Mandated Reporter trainings in the file for staff person #2 were dated more than 60 months apart.

The emergency contact information in the file for child #2 did not include a work phone number for the child's mother.

The emergency contact information in the file for child #2 did not include addresses for the 3 release persons. The emergency contact information in the file for child #3 did not include either a city or zip code for the 3 release persons and no address number for one of the individuals.

The health and safety training on topics #1 through #9 in the file for staff person #1, as required by regulation 31f, was dated after 6/17/21. Staff person #1 was hired before 12/19/20.