St Pauls Childcare Preschool and Kidz Korner

The file of staff #1 contained child abuse and state criminal history clearances which were dated more than 60 months apart.

The file of staff #1 and #3 contained NSOR verification certificates which were updated more than 60 months apart. The disclosure statement of staff #7 was dated 9/23/2024, after their start date at the facility (see LIS code sheet). The file of staff #11, employed for more than 45 days (see LIS code sheet), did not contain a completed FBI clearance. The file of staff #12 contained documentation of child abuse, PA state police and FBI clearances which were dated more than 60 months apart.

The file of staff #11 contained documentation of emergency plan training dated 10/18/2024, more than 90 days from their start date at the facility (see LIS code sheet).

Based on a conversation with a staff person, the shaving cream labeled "keep out of the reach of children" in the cabinet in the Craft Room was used for an art activity with children.

The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the telephones in the New Horizons classroom or the gym.

The changing table in Pod 3 and the middle sink in the upstairs boy's restroom did not contain hand washing signs.

Based on the immunization's records on file, child #2 lacked 1 pneumococcal; child #3 lacked 1 rotavirus, 2 DTaP, 1 Hib, 1 polio and 2 pneumococcal; child #6 lacked a second Hep A and child #7 lacked 1 DTaP. Written exemptions were not on file for child #2, #3, #6 or #7.

An expired Epi-pen for a specific child was in the medication box in the New Covenent classroom.

The health assessments of staff #1 were dated more than 24 months apart. The health assessment of staff #10 was dated 5/17/2024, and the health assessment of staff #11 was dated 10/17/2024, after their start dates at the facility (see LIS code sheet).

The tuberculosis screening of staff #11 was dated 10/23/2024, after their start date at the facility (see LIS code sheet).

The health assessment of facility person #9 did not have complete documentation of information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The facility did not have documentation of fire safety training for staff #2 and volunteer #4 completed within the past 12 months.

Staff person #7, #8 and #11 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR

The file of staff #6 contained documentation of completion of the required health and safety topics listed in subsections (f)1-9 dated 12/26/2024, and staff #11's documentation of completion was dated 11/14/2024, both were more than 90 days from their start at the facility (see LIS code sheet).

Staff person #11 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file of staff #7, identified as an aide, did not contain documentation of education or experience.

The financial agreement of child #1, #2, #3, #6 and #7 did not contain the date on which the fee is to be paid.

The financial agreement of child #1, #2, #3, #6 and #7 did not contain information on the services to be provided the child and the family.

The financial agreement of child #1, #2, #3, #4, #5, #6 and #7 did not specify persons designated by the parent to whom the child may be released.

The financial agreement of child #1, #2, #3, #4, #5, #6 and #7 did not contain the child's admission date.

The emergency contact form for child #2 was not present in the Crib Room where the child was receiving care.

The file of staff #5, #6, #7, #11 did not contain 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Facility person #12 and #13, who have direct contact with children, lacked a disclosure statement and an NSOR verification certificate on file at the facility at their start date and require a current NSOR verification certificate and a disclosure statement. The file for staff person #9, hired provisionally, had a state police clearance dated 10-26-23 that was after their start date and lacked verification of application for the state police clearance at their start date to be a provisional hire.

Facility person #12 and #13 lacked emergency plan training at the time of initial employment and require current training.

The Charles and Susana Room, the Homework Room, and the New Horizons Room lacked a first-aid kit.

In the Kidz Corner Room, the first-aid kit was in an unlocked drawer that was accessible to children.

In the gym to the right of the stage, the corner edge of the wall had a sharp piece of metal that was accessible to children and was a visible hazard. In the homework room, the electrical outlet on the front wall lacked a plastic outlet plate cover resulting in a hole in the wall with wires inside the wall behind the outlet being accessible to children.

In the gym to the right of the stage, the corner edge of the wall had multiple areas with damaged plaster.

In the upstairs boys' bathroom outside of the gym, a handwashing sign was not posted at the middle and left sinks.

Facility person #12 and #13, who have direct contact with children, lacked a health assessment on file at the facility. The file for staff person #11 lacked a current health assessment updated within the last 24 months. The files for staff person #6, #8, and #10 had a health assessment that exceeded 24 months between assessments.

Facility person #12 and #13, who have direct contact with children, lacked a tuberculosis screening by the Mantoux method on file at the facility.

Staff person #7, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 12-18-23 that was not completed by 12-30-22 as required. Staff person #11, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 2-1-23 that was not completed by 12-30-22 as required.

The files for staff person #1, #2, #3, and #4 had fire safety training that exceeded a year between trainings.

Facility person #12 and #13 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12-26-18.

The files for staff person #1 and #3 had a staff evaluation that exceeded 12 months between evaluations.

The daily activity schedule was not posted in the school-age lunch room.

Facility person #12 and #13 lacked two written, nonfamily references.

The file for facility person #1, hired provisionally, had proof of application for the NSOR verification certificate at their start date and lacked the NSOR verification certificate within 45 days of their start date as required for a provisional hire and requires a current NSOR verification certificate. (See LIS CODE SHEET)

Facility person #1 completed the following required pre-service training on 6-26-23 that was over 90 days after their date of hire (see LIS code sheet): Mandated reporter training.

The file for staff person #11 had an FBI clearance with a rap sheet that lacked the required disposition. The file for staff person #18 had a state police clearance dated 8-11-17 and lacked a current state police clearance updated within the last 60 months. The file for staff person #23 had a state police clearance dated 4-27-17 and a child abuse clearance dated 4-12-17 and lacked current state police and child abuse clearances updated within the last 60 months and had FBI clearances that exceeded 60 months between clearances. The file for staff person #24 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #10 had an NSOR verification certificate that was dated after their start date. (See LIS CODE SHEET) The file for staff person #12 had state police, child abuse, and FBI clearances that exceeded 60 months between clearances. The file for staff person #17 had child abuse and FBI clearances that exceeded 60 months between clearances. The file for staff person #20 had a state police clearance, a child abuse clearance, an FBI clearance, and an NSOR verification certificate…

During naptime at approximately 2:30 pm in the crib room, staff person #3 was observed leaving the room for about 10-15 seconds with a young toddler to take the child to the large drop-in child care room next door leaving staff person #5 with 7 young toddlers, 3 older toddlers, and 1 preschooler, resulting in staff person #5 being out of ratio.

The emergency plan lacked requirements for volunteer emergency preparedness training according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

The files for staff person #13 and #22 had emergency plan training that exceeded a year between trainings.

In the large drop-in child care room, the white cabinet on the left in the infant area had the right top hinge of the door that was loose and the door was coming apart from the hinge on the cabinet resulting in the door being unstable. In the new horizons room, there was a broken baseboard near the heater.

The refrigerator in the large drop-in child care room lacked a thermometer.

In the large drop-in child care room, there was an inhaler for child #3 that lacked the prescription or instructions to verify that the medication was prescribed for that child.

The files for staff person #4, #8, #10, and #22 had a health assessment that exceeded 24 months between assessments. The file for staff person #20 had a health assessment that was dated after providing initial service in a child care setting. (See LIS CODE SHEET)

The file for staff person #17 had a health assessment that was not completed by a physician, physician's assistant or CRNP.

The file for staff person #20 had a tuberculosis screening by the Mantoux method that was dated after initial employment. (See LIS CODE SHEET)

The file for staff person #15 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

The written notification of safe routes was not posted at a conspicuous location in the child care facility.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 10-25-22 to 12-12-22.

The file for child #1, a school-age child, lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Staff person #14, with a start date prior to 10-4-22, lacked the Pennsylvania Health and Safety Update 2022 Training required by 12-30-22 and requires current training. (See LIS CODE SHEET) Staff person #23, with a start date prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-9-23 that was after 12-30-22 as required. (See LIS CODE SHEET)

The file for staff person #25 had pediatric first-aid and CPR training with an expiration date of July 2022 and lacked current training. The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 12-17-22 that was after the February 2022 expiration of the prior training. The files for staff person #2, #12, and #13 had current pediatric first-aid and CPR training with a completion date of 3-4-21 that was after the December 2020 expiration of the prior training. The file for staff person #3 had current pediatric first-aid and CPR training with a completion date of 3-24-21 that was after the December 2019 expiration of the prior training. The file for staff person #5 had current pediatric first-aid and CPR training with a completion date of 3-24-21 that was after the December 2020 expiration of the prior training. The file for staff person #6 had current pediatric first-aid and CPR training with a completion date of 3-24-21 that was after the January 2021 expiration of the prior training.

The file for staff person #23 lacked current fire safety training completed within the last year. The files for staff person #10, #17, #18, and #22 had fire safety training that exceeded a year between trainings.

Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #15 has not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid/CPR Training, Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #16 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #19 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid/CPR Training. Staff person #7 completed the following required pre-service training on 7-10-22 that was over 90 days after their date of hire (see LIS code sheet): Pediatric First-aid/CPR Training. Staff person #9 completed the following required pre-service training on 8-9-22 that was over 90 days after their date of hire (see LIS code sheet): Pediatric First-aid/CPR Training. Staff…

The file for staff person #10 had mandated reporter training dated 4-11-22 that was over 90 days after their start date. (See LIS CODE SHEET) The file for staff person #12 had mandated reporter trainings that exceeded 5 years between trainings.

The files for staff person #10, #18, and #22 had a staff evaluation that exceeded 12 months between evaluations.

The file for child #2 had an emergency contact form that lacked the address of the child's physician.

The files for staff person #20 and #24 lacked two written, nonfamily references.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

The file for facility person #1 had a disclosure statement that lacked the date.

On an excursion swimming at a pool, a first-aid kit was observed in an unlocked backpack on the ground and was accessible to children.

The file for facility person #1 lacked an initial health assessment prior to providing initial service in a child care setting at the facility and requires a current health assessment.

The file for facility person #1 lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method.

The file for facility person #1 had one written, nonfamily reference and lacked a second written, nonfamily reference.

The file for facility person #4 contained a Child Abuse clearance, with a purpose of the clearance stated for volunteer. The file contained a FBI clearance dated for 11/18/16 and a letter stating that the facility person did apply for a new FBI clearance, but it was not on file. The file for facility person #6 contained current clearances but were dated more than 60 months from the previous clearances.

In the drop-in main room, it was observed that 29 kids were present and only 28 kids were named between the 6 staff that were present. It was determined that facility person #9 named 3 older toddlers but missed the 1 preschool child that was in the assigned group.

The file for facility person #4, with a hire date of 9/3/17, completed emergency plan training on 9/1/21, with no documentation of prior trainings on file. The file for facility person #5 completed emergency plan training on 12/20/20 and 2/2/21, which is not annually. The file for facility person #6, with a hire date of 10/24/16, completed emergency plan training on 9/1/21, with no documentation of emergency plan training in 2020.

It was observed in the school age lunch room, that hand sanitizer was sitting on a counter accessible to the children.

The first-aid kit in the New Horizon classroom lacked soap.

The files for child #6, child #7, child #8,and child #9 lacked an immunizations record in accordance with the ACIP.

At 12:10pm it was observed that 29 children were in the craft room, which measures for 15.

The facility lacked an emergency plan that provides for accommodations for infants and toddlers.

The fire drill log contained documentation of a fire drill completed on 6/15/21 and 10/25/21, with a documented closure of the facility from 7/31/21-9/7/21, still leaving more than 60 days passing between fire drills.

The file for facility person #1 completed fire safety training on 7/17/20 and 8/25/21, which is not annually. The file for facility person #2 completed fire safety training on 9/20/20. The file for facility person #4 completed fire safety training on 8/24/20 and 8/26/21. The file for facility person #6 and facility person #7 completed fire safety training on 7/6/20 and 7/7/21.

The file for facility person #6 contained mandated reporter training completed on 10/30/16 and 1/4/22, which is not every 60 months.

The file for facility person #1, with a hire date of 9/6/16, lacked a staff evaluation. The file for facility person #5 had an evaluation completed on 12/20/19 and 12/9/21, which is not every 12 months.

The file for child #5 lacked an agreement.

The agreement for child #9 and child #10 lacked the date on which the fee is to be paid.

The file for child #3 and child #4 contained the original agreement forms.

The emergency contact form for child #2 lacked the birth date of the child.

The emergency contact form for child #8 lacked the phone number of the child's physician or source of medical care.

The emergency contact form for child #2 lacked the enrolling parent's work address and work phone number. The emergency contact form for child #9 lacked the enrolling parent's work address.

The emergency contact form for child #2 lacked the health insurance coverage and policy number for the child.

The emergency contact form for child #1 lacked the release person's phone number.

The file for facility person #3 contained 1 written reference.