ST Paul Christian Early Learning Center

Backpacks containing first aid kits were observed in areas accessible to the children on both preschool playgrounds. (CORRECTED ON SITE)

The downstairs refrigerator used to store children's lunches did not contain a thermometer. The bottom drawer of the refrigerator was not clean (food residue and spoiled grapes and cucumbers).

The daily schedule and the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the school-age space. (CORRECTED ON SITE)

The agreement on file for child #1 did not include the child's date of admission. (CORRECTED ON SITE)

Windows in the Teddy Bears room (2nd floor) opened more than 6 inches. (CORRECTED ON SITE)

A health assessment form was on file for staff person #2, but the medical care provider did not fill out answer to the questions. The form did not indicate if a physical was done, did not include an examination for communicable diseases and the results of that examination, and did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The record for facility person #1 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The surface under the diaper changing mat in the infant room was visibly dirty. (CORRECTED ON SITE)

A handwashing sign was not posted in the girl's bathroom in the downstairs hallway.

Loose boards with exposed staples were observed on the wooden house on the preschool playground.

The health reports on file for child #1 were dated in February of 2023, and subsequently more than 12 months later in May of 2024.

Staff persons 1, 2, and 3 did not renew their pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) prior to the expiration of their previous certification. The previous training was dated in March of 2022 and expired at the end of March of 2024. Staff persons 1, 2, and 3 received updated trainings on April 1st, 2024.

The fire safety trainings on file for staff person #6 were dated in May of 2023, and subsequently more than 12 months later in July of 2024.

Staff persons 4 and 5 did not complete professional development in an approved pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training on file for staff person 4 was dated 224 days after hire, and the training on file for staff person 5 was dated 221 days after hire.

Landscaping mulch was observed along the edge of the toddler playground. The mulch was within reach of the toddlers that use the space.

According to the log on file at the time of inspection, more than 30 days have lapsed since all of the fire detection devices (smoke detectors) were last tested.

Staff person 1 was observed on video grabbing child 1 by the shirt and moving him across the hall and then scolding him. Child 2 was then observed speaking to the staff person, and then the staff person forcefully moved that child by the arms to the front of the line.

The record for staff person 4 included volunteer clearances (State Police and Child Abuse) in-lieu of the required employment clearances.

Plastic bags were observed in cubbies (accessible to one year olds) in the Teddy Bear room. (CORRECTED ON SITE)

The TB test on file for staff person 5 was more than 12 months old when the staff person began providing initial service in the childcare setting.

The health assessment on file for staff person 6 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

The smoke detector in the indoor gross motor space was not operational. (CORRECTED ON SITE)

The records for staff persons 1 and 2 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022. Staff person 3 has not completed the required Center-based health and safety training. The 10 hour training for family child care providers was on file. The staff person is serving as an AGS at the facility and is working alone with children.

Staff person 7 is serving as an AGS at the facility. The staff person's record did not include documentation of 2,500 hours (2 years) of child care experience. *The staff record included a reference that stated the staff person had provided childcare from November 2017 through April 2023, but was not clear on the number of hours worked.

The emergency contact forms on file for children 1-3 were incomplete. The emergency contact information on file for child 1 did not include the enrolling parent's work address and work phone number. (CORRECTED ON SITE) The emergency contact information on file for children 2 and 3 did not include the child's health insurance policy number. (CORRECTED ON SITE)

Facility self-reported: The side of a crib flipped down while in use, and child 1 (younger toddler) fell out of the crib.

The facility self-reported the following incident: Staff person 1 miscounted children prior to transitioning the group inside, and left child 1 behind on the preschool playground. Staff person 2 was taking trash out at the time of the supervision lapse. Staff person 2 observed staff person 1 counting the children, and then proceeded to walk around the outside of the playground to the neighboring dumpster. On the walk back to the building, staff person 2 observed child 1 alone on the playground. Simultaneously, the staff on the toddler playground noticed the child was alone. Staff got the child and returned him to staff person 1.

After being picked up at the bus-stop, child 1 (younger school-age) was able to elope from staff person 1 and hide behind the facility. Staff person 1 was solely responsible for 5 additional children at the time, and immediately called for help. Three staff persons were looking for the child within 30 seconds, and the lapse in supervision was estimated to be no more than 2 minutes.

Staff person 2 began working in a child care position without a child abuse clearance on file. The child abuse clearance was dated 16 days after the employees start date.

A backpack containing the first aid kit and medication in the Cheetahs room was stored in an area within reach of the children. (CORRECTED ON SITE)

The first aid kit in the Cheetahs room did not contain soap. (CORRECTED ON SITE)

An area of peeling pain was observed on the wall on the toddler playground.

The most recent health assessment on file for child 1 was more than 12 months old. The health assessment did not include documentation that the child had received an annual flu vaccine during the previous year (per the ACIP guidelines).

The most recent health assessments on file for staff persons 1 and 3 were more than 24 months old and past due to be updated.

The facility was unable to provide documentation of having completed an emergency drill during the previous year. An emergency drill was completed on 9/7/22.

At the time of inspection, the operator had not sent the annual letter to the local traffic safety authorities notifying them of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.