ST Mary Child Development Center

At the time of the investigation, it was confirmed that Staff Person #1 physically restrained Child #1 by placing both hands on the child to keep him on the sleeping mat during nap time.

At the time of inspection on 12/19/25, written diaper changing record was reviewed. According to the written record, child #1 diaper was not checked for more than 3.5 hours. Child #1 diaper was checked at 7:01 AM and then at 10:47 AM.

During the renewal inspection conducted on 10/03/2025, it was noted that staff person #1 has completed Pediatric first aid and CPR training, however, the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

During the renewal inspection conducted on 10/03/2025, it was noted that the emergency contact forms for children #1, #2, and #3 had not been updated within the required six-month period. The updated forms were missing from both the master file and the childcare space.

At the time of renewal inspection, file of staff person #1 did not include current DHS approved FBI clearance. Staff #1 had FBI PDE clearance on file that cannot be accepted.

At the time of renewal inspection observed that rest mats were ripped on the edges exposing foam in Butterflies room.

At the time of renewal inspection observed that fire drills document did not include hypothetical locations of the fire for each drill.

At the time of renewal inspection, file of staff person #2 included PA state police clearance for volunteer purpose.

At the time of renewal inspection, emergency plan did not contain a statement regarding volunteers, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

At the time of renewal inspection, a sign on which requirements to wash hands after toileting, diapering and before eating is written was not posted at each sink Caterpillars, Grasshoppers, and Leapfrogs rooms.

At the time of renewal inspection observed that a temperature in the refrigerator that was shown on the thermometer in Caterpillars room was 70°F, a temperature in the refrigerator that was shown on the thermometer in Butterflies room was 52°F.

At the time of renewal inspection, immunization record of child #1 did not include influenza immunization recommended by ACIP, file of child #2 did not include DTAP, IPV, Pneumococcal, Rotavirus and Hepatitis B immunization recommended by ACIP. Last influenza immunization on file of child #1 was from 2020. A letter of exemption was not observed in the files of child #1 and #2.

At the time of renewal inspection, a health assessment on file for Staff person #1 did not include a physical examination.

At the time of renewal inspection, a health assessment on file for Staff person #1 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, emergency plan did not include information about accommodations for infants, toddlers and children with chronic medical condition.

A CEILING TILE IN THE GRASSHOPPER'S BATHROOM, CLOSEST TO THE OUTSIDE, WAS DAMAGED - LOOKED LIKE IT HAD A BLACK MOLD LIKE SUBSTANCE ON IT.

STAFF 1 GRABBED CHILD 1 BY THE ARM AND PULLED THEM DOWN CAUSING THE CHILD TO HIT THEIR HEAD.

STAFF 1 YELLED AT CHILD AND SPOKE HARSHLY TO CHILD 1.

STAFF 1 (HIRED 5/10/21) DID NOT HAVE A TB RESULTS WITH IN A YEAR OF THE HIRE DATE.

PROVIDER DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE ALARM SYSTEM.