Stillmeadow Nazarene Child Care Center INC

In one of the closing rooms, Staff Person #1 and #2 had a total of 12 preschoolers. Neither staff were able to identify which specific children were assigned to them in Primary Care Groups.

As groups combined in the Kids Worship Space in the afternoon, 4 classroom backpacks containing first aid kits, were observed on the floor, accessible to children.

Staff Person #1 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality (10 hours)" dated 8/17/20 but has not completed the required health and safety course titled "PA Health and Safety Update 2022 (1 hour) training.

On the morning of 2/18/25, a parent dropped off her 2 young school aged children. Staff Persons #1 and #2 were supervising the group of 26 school aged children (mostly young school agers). Staff Person #1 at that time, had 14 children in her care group and Staff Person #2 had 12 children in her care group. The parent stayed there with her children until Staff Person # 3 arrived at 7:45am. The school age room was out of ratio by 2 children, from 7:34 - 7:45am.

While reviewing staff file paperwork on 2/14/25, it was discovered that Staff Persons #1 - 19, had been working in childcare positions at the facility, with expired NSOR clearances.

In the Teacup Room, blind cords were hanging to the floor, creating a safety hazard (corrected on-site).

Hand Sanitizer in an unlocked church cabinet in the Kids Worship Space (napping room), was accessible to children (corrected on-site).

The first aid kit in the worship space (napping room), was located on a low shelf in the church cabinet, that was not locked and therefore accessible to children (corrected on-site).

There was no water with the first aid kit in the emergency bag used when going outside in the Cool Cats Room (corrected on-site).

A vent located in the wall of the Fireflies Room, had a thick layer of dust accumulation. In the School Age Room, the divider wall had areas where the surface was peeling.

The dramatic play kitchen in the Groundhog Room, had a broken, splintered top with an exposed screw.

There was no annual staff evaluation in the staff file for Staff Person #16.

There were no emergency contact forms present in the Tumbleweeds Room, for the children who were in the classroom (corrected on-site).

Staff person #1 said that when she was changing Child #1 after Splash Day (on the child's towel on the floor), she admittedly crossed her legs over the child to keep the child from squirming as she changed her out of her swimsuit. Staff Person #2 sometimes tucks blankets/sleeping bags around 1-year olds (on rest mats on the floor), so that the child is unable to squiggle out and get up at rest time.

On 7/17/24, Staff Person #1 aggressively tossed Child #1 down on his rest mat so that he would stay on his mat. Child #1 reportedly does not fall asleep for nap. Non-nappers are taken to an "awake" room at 2:00pm, however Child #1 and other non-sleepers are expected to stay on their mats, with nothing to do, from 12:45 - 2:00.

In the Young Infant Room, an evacuation crib that was being used by a child in care, was observed to have 2 mattresses stacked together to make it higher and easier for the staff person to reach the child when in the crib.

Two outlets were not covered (and were not safety outlets) in the School Age Room 204 (corrected on-site).

Hand Sanitizer was accessible to children, located in the front pocket of the backpack that was hanging low enough for children to reach in the Fireflies Room.

Magic Erasers (cleaning product) that were not labeled, were observed in the Happy Camper and Teacup classrooms (corrected on-site).

The backpacks containing first aid kits, were hanging on a hook that was low enough for children to reach in the Fireflies and Forest Friends classrooms.

Ceiling tiles and vents in the Ladybugs Room were dusty. There was a water-stained ceiling tile above the Bunny Hutch in the Happy Campers Room.

The Emergency Contact Form for Child #1, who was at the pool during the swim check, did not include signed, parental consent for swimming.

The backpack containing the first aid kit was observed on the floor, accessible to children in the Teacup Room (corrected during inspection). The staff person said it is usually kept on the teacher chair, which is also accessible to children.

The nap mats in the Preschool, PreK and 1's (Chameleons) Rooms were not labeled for the use of a specific child and used only by the specified child.