ST Pauls Child Development Center

At approximately 2:00 PM, Facility Person #2, classified as an aide, was observed supervising 10 young schoolagers in Room 107 with no other staff persons present in the room.

At approximately 2:00 PM. Facility Person #3 was supervising 4 older toddlers napping in Room 202. Facility Person #3 was unable to see one of the children on their rest equipment due to the staff person's seated position and the location of the child on the other side of a shelving unit.

There was an uncovered outlet in a power strip in reach of children in Room 209.

In the first floor boys restroom, there was a bottle of bleach water hanging in reach of children. In the gym, there was a unlocked closet with cleaning supplies in reach of children. There were 6 bottles of bleach water on a table in the hallway. There were diaper creams in an unlocked storage cabinet in a restroom.

There were spray bottles of cleaning supplies located on a shelf next to cups, lids, and plates used for food service.

The first aid kit in Room 209 did not include tweezers.

There was a loose metal panel on the front of door in the gym. There were exposed bolts at the gate and fence in the outdoor playspace.

There was a small area of damaged plaster on the wall behind a trash can in Room 106,

There was no handwashing sign at a urinal in the first floor boys restroom.

There was no lidded trash can at a sink in Room 207.

There was a cracked lid on a plastic toy bin - creating a sharp edge/potential pinch point - in the preschool outdoor playspace.

There were two packnplays observed in use in Room 207 and two packnplays observed in use in Room 106 with less than 2 feet of space on three sides.

There was no thermometer in the refrigerator in Room 105.

The immunization record on file for child #2 indicated the child did not have sufficient doses of the Hepatitis B, Rotavirus, DTAP, Hib, pneumococcal and polio vaccines.

There was a child's lunch in a cubby in Room 204 that included yogurt and chicken.

Facility Person #1 was classified as an assistant group supervisor. There was no documentation of education on file for Facility Person #1. The child care experience documentation on file for Facility Person #1 (more than 2 years) was not signed by a representative of the experiential entity.

The agreement on file for child #1 did not specify the admission date.

The medical emergency transportation plan was not posted in the gym.

There were toxics (glass cleaner, pine sol) accessible to children in an unlocked cabinet under the sink in the Pre-K room.

In the schoolage room, there was equipment in front of one of the classroom doors exiting to the hallway.

There was a cracked plastic toy bin in the Pre-K room.

There was a child's lunch on a shelf in the Two's room containing yogurt, cheese, and meat.

Facility Person #1 was classified as an assistant group supervisor with documentation of high school graduation and less than 2 years (2500 hours) of child care experience.

The certificate of compliance posted at the facility expired 10/7/24.

The criminal history clearance on file for Facility Person #1 was incomplete ("pending").

The documentation of emergency plan training on file for Facility Person #5 was completed more than 12 months after the previous emergency plan training.

The facility's letter to the families explaining the emergency plan did not include information on the plan for a lockdown and accommodations in the event of an emergency.

There was hand sanitizer and sunscreen (labeled "keep out of reach of children") in a backpack on the floor in Room 105, accessible to children. There was a bottle of bleach water on top of a min-refrigerator in Room 202, accessible to children.

There was a first aid kit in a backpack on the floor in Room 105, accessible to children.

There was a door leading from Room 107 to the hallway that was kept locked and blocked with furniture on both sides. When unlocked, the carpet under the door in the classroom prevented the door from opening.

There was a child's albuterol in Room 204 not labeled with their name.

There were two lunches in Room 204 in cubbies that contained potentially hazardous food requiring to be refrigerated. One lunch contained meat, cheese and yogurt, and the other contained a lunch meat and cheese sandwich.

The facility uses a 2019 Chevy Express 12 passenger van to transport children.

The facility's emergency plan did not provide for accommodations for infants and toddlers in the event of an emergency.

Documentation of fire alarm testing on file indicates they were tested on 3/8/24 and then again on 4/10/24, more than 30 apart.

The current pediatric first aid &CPR training on file for Facility Person #4 was completed more than 24 months after the previous training (after the expiration date) on file.

The documentation of firesafety training on file for Facility Persons #3 and #5 indicates the training was completed more than 12 months after the previous firesafety training.

Facility Persons #1 and #2 were classified as assistant group supervisors based on high school and 2 years of child care experience. The documentation of child care experience on file was completed by the facility director but did not notate the name of the representative of the experiential entity who provided the information and was not signed the director. There was insufficient child care experience documented on file for Facility Person #6, classified as an assistant group supervisor.

The current child service reports on file for children #1 and #3 were completed more than 6 months after the previous child service reports. There were no child service reports completed, and a copy give to parents, on file from the previous 6 months for children #2 and #4.

The current emergency contact forms and agreements on file for children #1, #2 and #4 were reviewed and updated by a parent in writing more than 6 months after the previous review/update.

The phone number for the regional child care certification office was not posted.

The file for staff person #3 lacked a disclosure statement that was completed on the most up to date form.

The file for staff person #2 lacked emergency plan training that was completed 12 months from the previous emergency plan training. The emergency plan training in the file was dated 12/20/21 and 5/23/23.

A broken bin with sharp corners and rough edges was observed in Room 206.

The file for child #1 lacked an influenza vaccination according to recommendations of the ACIP. The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in childcare group settings).

The file for staff person #1 lacked a written staff evaluation that was completed 12 months from the previous staff evaluation. The staff evaluations in the file were dated 10/19/21 and 10/20/22.

The file for child #3 lacked emergency contact information that included the address of the child's physician.

The file for child #2 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

The file for child #2 lacked emergency contact information that included 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.

The file for child #3 lacked emergency contact information that included the health insurance policy number for a child under the family policy.

The file for child #1 lacked emergency contact information that included the address of the individual designated by the parent to whom the child may be released.

During staff interviews on 1/12/23 it was verified that staff person #1 was on her phone and was not supervising child #1 and child #2 in the indoor gross motor room.

During staff interviews on 1/12/23 it was verified that staff person #1 smacked child #1 on the hand and swung child #2 by one arm in the air two feet off to the side of her.

* During staff interviews on 1/12/23 it was verified that staff person #1 smacked child #1 on the hand and swung child #2 by one arm in the air two feet off to the side of her.

The file for staff person #1, whom was hired on (See LIS Code Sheet) as a group supervisor, lacked a valid Child Abuse Clearance. The Child Abuse Clearance was requested for a volunteer not for employment. The Child Abuse Clearance in the file was dated 7/22/21.

In the preschool room, a toy food tray was observed to have a broken corner causing rough edges and sharp corners.

The file for staff person #2, whom was hired on (SEE LIS CODE SHEET) as an assistant group supervisor, lacked an NSOR verification certificate that was received within the 45 day provisional hire time frame. Staff person #2 was not removed from the schedule. The NSOR was applied for on 11/18/21. The NSOR verification certificate in the file is dated 3/11/22.

The file for staff person #1 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter trainings in the file are dated 5/3/17 and 7/8/22.

During a complaint investigation on 11/4/21, Director informed Certification Rep that the School Age Room had been closed due to COVID Positive and Exposures from 9/16 through 9/24 and two Preschool Rooms had been closed due to COVID Positive and Exposures from 9/21 through 10/4. Facility had not reported closures to the Regional Office.