Smithfield Learning Center

A pair of adult scissors were accessible to children in a cup on the teacher's desk in the PS room.

Based on statements made by the operator, communication with parents during and after an emergency would be conducted through a social networking app and by cell phone, The emergency plan presented for review did not include these details,

Based on documentation at the facility, the emergency plan has not been reviewed in over 12 months. The most recent documentation of an annual review was dated 1/26/23.

The files for staff #1-5 lacked documentation of emergency plan training completed in the last 12 months. The most recent training on file was dated 1/26/23. The file for staff #6, hired over 90 days ago, did not contain documentation of emergency plan training.

The facility's letter to parents explaining the emergency procedures did not include the accommodations made for infants and toddlers. The letter also lacked details regarding communication with parents during and after the emergency via social networking app and cell phones.

An electrical outlet in the infant/toddler room, accessible to children 5 years of age or younger, lacked a protective cover.

Four stained ceiling tiles were observed in the PS room and hallway area where children eat meals. Two were observed in the infant/toddler room.

A metal bolt, approximately 2 inches long was observed in the paint tray of an easel in the infant/toddler room. Multiple small pieces of torn gray foam were observed in the outdoor toddler play space.

The emergency plan presented for review did not include details regarding accommodations for infants and toddlers.

The facility lacked documentation of emergency drills conducted in 2023 or 2024.

The files for staff #1-5 did not contain documentation of fire safety training completed in 2023. Current training dated 1/27/24 is on file for all 5 staff.

The file for staff #2 contained evaluations dated more than 12 months apart; 10/29/22 and 11/17/23. The most recent evaluation on file is current.

The file for child #1, enrolled for over 6 months, did not contain documentation of a child service report completed by staff and shared with the parents.

The agreement for child #1 did not specify the child's date of admission.

The emergency contact form for child #2 was not present in the infant/toddler room where the child was observed in care.

Two broken sand shovels were observed in the sand box in the outdoor play space. The plastic was cracked creating pinch points.

A broken area of wood was observed on the seat of an adult rocking chair in the infant/toddler room.

The facility lacked the emergency plan posted in a conspicuous location.

The first aid kit located in the preschool room was located on the outside cart which was accessible to the children in care.

The infant toddler room lacked tweezers in first aid kit.

Child #1 lacked a written feeding schedule obtained from the parent with the formula and feeding schedule for the infant while in care.

The facility lacked documentation of conducting an emergency drill annually since 6/9/22.

The facility's documentation showed testing of the fire detection system completed on 8/15/23 and 9/20/23 which was not conducted within the 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)).

Staff #2 lacked documentation of completion of the Pennsylvania Health and Safety Update 2022 by December 30, 2022, as per Announcement C-22-06. Staff file did contain documentation Get Started with Center-Based Care-Revised 2022 on 11/22/2023.

Staff files #2, #3, #4, and #5 lacked documentation of staff evaluations completed by the director every 12 months as required.

Staff file #1 contained documentation of 6 hours of childcare training completed during 12/19/21-12/19/22 not the required 12 hours of childcare training.

Staff file #2 lacked criminal history record and child abuse registry clearance information from the state of West Virginia where staff person resided within the last 5 years. (See LIS CODE SHEET)

Staff files #1 and #3 lacked documentation of emergency plan training annually or when the emergency plan was updated.

Child files #1 and #2 lacked documentation of the influenza vaccination administered yearly in accordance with the schedule recommended by the ACIP.

The facility lacked a procedure for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions during an emergency in the emergency plan.

The facility lacked an emergency plan that included accommodations for shelter during lockdown in the plan.

The facility lacked documentation of the emergency plan being sent to the local municipality and county emergency management agency when updated.

The facility lacked documentation of the annual letter sent to the local traffic safety authorities to notify them of the routes utilized around the facility.

The facility lacked a policy on the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements that includes but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing or distraught child; and how to address the prevention and identification of child maltreatment.

Staff file #2 contained certificate for completion of the health and safety professional development dated 11/8/22 which was more than 90 days after hire. (See LIS CODE SHEET) Staff file #3 lacked documentation of completion of the health and safety professional development within 90 days of hire. (See LIS CODE SHEET)

Staff file #3 contained copies of staff evaluations dated 3/16/20 and 12/6/21 which exceeded the 12 months as required.

Staff file #2 contained documentation of completion of pediatric first aid and pediatric cardiopulmonary resuscitation dated 8/31/22 which was not completed within 90 days of hire. (See LIS CODE SHEET)

Staff file #3 lacked documentation of completion of 12 hours of child care training completed between 12/19/20 and 12/19/21 in the file.

The file for Staff #1 contained a State Police clearance that was not obtained within 60 months of the previous clearance (7/13/15 and 7/15/20). The file for Staff #3 lacked a timely National Sex Offender Registry (NSOR) certificate required under the CPSL. The staff file contained NSOR certificates dated 8/23/21, after the required date of compliance.

The file for Staff #1 and Staff #3 did not contain documentation of receiving training regarding the emergency plan within the past 12 months.

In the Preschool Room under the window there was an electrical outlet that lacked protective receptacle covers. The outlet was accessible to children 5 years of age and younger.

In the Preschool Room there was a loose wood piece of trim that was hanging from the wall creating a tripping or scraping hazard for the children in care.

The file for Staff #2 did not contain a Health Assessment at the time of hire.

The file for Staff #3 lacked competence in the completion of training by a professional in the field of Pediatric first-aid and cardiopulmonary resuscitation (CPR) before the requirement of compliance on 6/17/21. The First Aid and CPR obtained on 10/26/21 did not specify it was in the field of Pediatric First Aid and CPR.

The file for Staff #3, an existing staff member, lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f). Training was required within 180 days following the implementation of the current regulations.

The file for Staff #2 contained Mandated Reporter Training that was not completed within 90 days of hire.

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

The file for Staff #2 contained First Aid and CPR that was obtain after 90 days of hire. The file for Staff # 2 contained First Aid and CPR that did not specify it was in the field of Pediatric First Aid and CPR.