Stemsteps

The files for children #1 and #2 lacked emergency contact information that included the written consent signed by a parent for emergency medical care prior to admission.

The files for children #1 and #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

The emergency plan was observed the updates explaining the lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions were not added to the parent letter.

In the kindergarten room two containers of Disinfex wipes were observed one on the circle table and one on the red filing cabinet both accessible to the children. The containers of wipes were labeled, "Keep Out of Reach of Children."

In the older toddler room beads and google eyes with a diameter of less than 1 inch were observed in plastic drawers accessible to the children who are still placing objects in their mouths.

The files for children #1 and #2 lacked a review of the child's immunized status according to recommendations of the ACIP and 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 child care group settings).

In the older toddler room a container of prescription Pittsburgh Butt Paste was observed to be expired.

In the older toddler room lunch boxes were observed to contain potentially hazardous food including meat and cheese and cottage cheese that were not in the refrigerator. In the hallway lunch boxes were observed to contain potentially hazardous food including Gogurt, turkey sandwich, yogurt, ham sandwich, hummus, and meat sticks that were not in the refrigerator.

The Fire Drill and Fire Detection Log was observed for the 30-day smoke detector check. There were 40 days between 10/21/22 and 11/30/22.

It was observed that the operator did not notify local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The files for staff persons #1, #2, #3, #4, #5, #6, and #7 that were hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Training being completed by the deadline date of 12/30/2022. The Pennsylvania Health and Safety Training in the files are dated 4/19/23.

The file for staff person #4 lacked a written evaluation by the director that was completed within the past 12 months. The last staff evaluation in the file is dated 5/26/21.

The file for child #5 lacked an agreement that specified the date of the child's admission.

The files for children #1, #3, #4, and #5 lacked emergency contact information that included the work addresses and work telephone numbers of the enrolling parent.

The files for children #3, #4, and #5 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.

On the outdoor playspace fence, bolts that were facing inside the playspace were observed causing a visible hazard.

A bottle of Tylenol in the infant room was observed to be past the expiration date.

The file for staff person #1 lacked a health assessment that was completed 24 months prior to the previous health assessment. The health assessments in the file are dated 12/4/19 and 12/7/21.

The files for children #1 - #7 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.