Start Smart Child Care Center

During the renewal inspection on 03/11/25 air freshener was observed in the bathroom accessible to children.

During the renewal inspection on 03/11/25 the file reviewed for staff person #1 and staff person #2 did not include updated health assessment.

During the renewal inspection on 03/11/25 the file reviewed for child #1 and child #2 did not include a child service report.

During the renewal inspection on 03/11/25 the fee agreement reviewed for child #1 and child #2 were not updated/reviewed within 6-month period.

During the allocated unannounced monitoring on 9/11/24 the indoor play space was observed being used for storage.

During the allocated unannounced monitoring on 9/11/24 there were missing outlet covers observed in the indoor play space.

During the allocated unannounced monitoring on 9/11/24 toxins were observed in the bathroom accessible to children.

During the renewal inspection on 03/19/24 the file reviewed for staff person #1 did not contain a completed child abuse, PSP criminal history clearance, NSOR certificate, DHS FBI clearance or a signed disclosure statement on file. The file does not contain copies of request(s) for the clearances/verification. Furthermore, staff person #1 was observed in infant/toddler room working alone with (4) children and was not in the vicinity of a permanent employee. The file reviewed for staff person #2 did not contain an updated PSP criminal clearance or updated PA child abuse clearance. PSP criminal clearance was dated 06/24/19 and PA child abuse clearance was dated 03/20/19 which is more than 60 months old.

During the renewal inspection on 03/19/24 CR observed (18) children being supervised by (2) staff members. Youngest child was 6 months old requiring staff: child ratio of 1:4.

During the renewal inspection on 03/19/24 the file reviewed for staff person #3 did not include documentation of emergency plan training at time of initial hire.

During the renewal inspection on 03/19/24 missing receptacle covers were observed in the infant/toddler room.

During the renewal inspection on 03/19/24 the hot water temperature in the bathroom #1 and bathroom #2 exceeded 110 degrees. Hot water temperature was 120 degrees via digital and analog thermometer.

During the renewal inspection on 03/19/24 there was no first aid kit present in the indoor play space.

During the renewal inspection on 03/19/24 the first aid kit located in the infant/toddler room was missing scissors. The first aid kit located in the Two's room was missing soap.

During the renewal inspection on 03/19/24 the thermometer located in the refrigerator was not operable.

During the renewal inspection on 03/19/24 the file reviewed for staff member #1 did not contain an initial adult health assessment. The file reviewed for staff member #2 did not contain an updated health assessment. Health assessment was dated 06/03/21.

During the renewal inspection on 03/19/24 the emergency drill documentation provided was dated 07/01/22.

During the renewal inspection on 03/19/24 the file reviewed for staff person #4 contained an expired first aid and CPR certification. Certification reviewed was dated 03/08/22.

During the renewal inspection on 03/19/24 the emergency contact form reviewed for child #1, child #5 and child #6 did not include health coverage information or policy number. The emergency contact form reviewed for child #4 did not include policy number.

During the renewal inspection on 03/19/24 the emergency contact forms for child #1, child #2, child #3, child #4, child #5 and child #6 were not reviewed/signed within 6-month time period. The fee agreement for child #1 was not reviewed/signed within 6-month time period.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- hired 1/4/23- no proof of request for STATE POLICE prior to working with children and no completed STATE POLICE clearance as it states "

An infant (#1) was observed sleeping in the crib with a padding/pillow and toys.

One staff person's record did not contain written verification of annual fire safety training. (#2)

One staff person's record did not contain written verification of required health and safety training completed within 90 days of employment. (#3)

Plastic phone wiring and air conditioning hoses were accessible to children in the rear outdoor play space. The play area was in the rear of the back driveway which presented and unsafe condition.

Two children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2 and #5)

The agreement form used by the facility did not have a provision to include services to be provided to the family and child. (#1, #2, #3, #4 and #5)

Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1, #2, #3, #4 and #5)

One child's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff/prior to admission.