Sharpsville Gardens Childrens Dev CTR

A bottle of hand sanitizer and a Bath and Body Works PocketBac hand sanitizer were observed on top of the cubby next to the exit to the outdoor play space. The hand sanitizers could be reached by children receiving care in the space.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone in the classroom.

The immunization record on file for Child #2 lacked 1 of their 3 recommended Hepatis B vaccinations. The immunization record on file for Child #3 lacked 1 of their 4 recommended DTAP and Pneumococcal vaccinations. The immunization record on file for Child #4 lacked 1 of their 4 recommended DTAP vaccinations. Written exemptions were not on file for the children at the time of the inspection.

An EpiPen was observed in the medication drawer in the office. The EpiPen lacked the written instructions from the individual who prescribed the medication.

A nebulizer machine was observed in a child's cubby. The front pocket of the nebulizer machine contained two Albuterol Sulfate Solution vials. The facility reported the nebulizer, and solutions were intended for the child to take with them to their father's home and was not intended for use at the facility. The Albuterol Sulfate Solution vials were accessible to children receiving care in the space.

An expired EpiPen was observed in the office medication drawer.

The emergency plan on file did not address accommodations for children with chronic medical conditions. A medication (EpiPen), intended for a child in care, was observed at the facility.

The facility has exceeded 12 months since their last emergency drill. The last documented emergency drill occurred on 2.16.2024.

The facility reported summer closure for June, July and mid August. The facility completed a Fire Drill on 3.22.2024 but lacked a Fire Drill in May of 2024. The facility did not complete a fire drill until the program resumed in 8.2024.

The facility lacked documentation that they had submitted the emergency plan to the local municipality and the county emergency management agency.

The update to the Pediatric First Aid and CPR training on file for Staff Person's #1 and #2 was not completed prior to the expiration of the prior certification. The most recent Pediatric First Aid and CPR training was completed on 3.6.2025. The prior certification expired on 2.28.2025.

The emergency contact form for Child #1 lacked the complete addresses for the release persons listed.

The updates to the emergency contact form and financial agreement for Child #1 have exceeded 6 months since last documented review on 8.1.2024.

The parent letter did not include updates to the emergency plan for lockdown and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The outdoor fencing located near the Simplicity 2 playset had a rusted bracket at the very bottom of the fence.

Child #1 had an initial health assessment dated 1-4-23 and an updated health assessment dated 2-7-24, which is more than 1 year apart. Child #4 had an initial health assessment dated 9-13-22 and an updated health assessment dated 11-16-23, which is more than 1 year apart.

Child #2 had an immunization record that lacked documentation of a varicella vaccine as recommended by the ACIP. Child #5 had an immunization record that lacked documentation of updated vaccinations according to the ACIP. Child #5 had only 1 of 2 Hep A vaccinations, only 2 of 3 HiB vaccinations and 2 of 4 pneumococcal vaccinations.

Staff person #1 had a previous health assessment dated 1-27-22 and a current health assessment dated 2-22-24, which was obtained after 24 months of the previous health assessment.

There were more than 30 days between manual checks of the fire detection system which were dated 12/22/23, 1/22/24 and 2/22/24.

The emergency contact form for Child #1 and Child #5 lacked a complete home address for the child and parent. Child #5's emergency contact form also lacked the enrolling parent's work address.

Child #3 had an emergency contact form that lacked a complete address for the persons designated by the parent to whom the child may be released.

The emergency contact form and agreement for Child #1 was updated on 5-30-23 and not again until 1-4-24, which was more than 6 months in between. The emergency contact form and agreement for Child #5 were signed on 5-31-23 and not updated again until 1-4-24, which was more than 6 months in between.

The file for staff #2 lacks a PA State Police clearance which has been completed within the past 60 months. This is evidenced by the current PA State Police clearance on file which is dated 2/6/2018.

In the outside play yard, observed a large caterpillar which the children can crawl through. The top of the purple area of the caterpillar was cracked creating a pinch point.

The file for child #1, who is of preschool age, lacked a health assessment which was completed within the past 12 months.

The most current health report on file for child #2 was not signed by a physician, physician's assistant, or a CRNP.

The most current health report on file for child #2 lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

There was more than 24 months between health assessments on file for facility persons #1, 3, and 4. Dates area as follows: Staff #1 - 2/22/21 and 2/28/23. Staff #3 - 1/8/20 and 1/27/22. Facility person #4 -12/3/19 and 2/14/22.

The file for staff #1, 2 and 3 did not contain the one hour health and safety update by 12/30/22. There are now current updates on file for staff 1, 2 and 3 and dated - Staff #1 - 2/15/23 and Staff #2 and 3 - 1/31/23.

There was more than 12 months between the previous and most current fire safety trainings on file for staff #1, 2 and 3. Dates are as follows: Staff #1 and 2 - 10/8/21 and 12/6/22. Staff #3 - 8/21 and 12/8/22.

Staff persons #1,and 2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #1 and 2 - 6 hour health and safety training between 9/30/16 and 6/30/18. Staff #1 - Pediatric CPR/FA with approved curriculum.

The file for staff #1, who holds the title of assistant group supervisor, lacks documentation of the qualifications for an assistant group supervisor.

The file for Child #1 who is 4 years old, contained an immunization record that was lacking 1-2 doses of rotovirus immunization and 1 dose of Hepatitis A immunization. The file for Child #2, who is 4 years, contained an immunization record that was lacking 2-3 doses of the rotovirus immunization.

The facility did not conduct and document an annual emergency drill between 12/19/20-12/29/21.

In the facility's documentation of testing of the fire detection system, there were two occasions that there were more than 30 days between testing, 9/17/21-10/29/21 and 12/17/21-1/19/22.