SUMMIT Early Learning-Lewistown

The inspection summary from a previous inspection was observed to not be posted in a conspicuous location at the time of the renewal inspection.

In the Preschool A classroom a written schedule of daily activities was observed to be missing.

File for staff #1 did not include verification of experience, File for staff #2 did not have verification of experience calculated. File for staff #4 did not include verification of experience. File for staff #5 did not include verification of experience,

In the infant room, cribs could not be seen from kitchen or changing table. A solid barrier, bookshelf, and large chair were observed to obstruct staff's view of children sleeping in cribs.

PreK-Counts room a trashcan beside the sink was observed to be missing a lid.

In the Toddler 1 room green foam blocks were observed to be peeling and in disrepair.

In the toddler 2 room, broken crayons less than an inch in diameter were observed to be accessible to children.

In the infant room 2 children were observed sleeping in cribs that were not spaced at least 2 feet apart.

Staff #1 does not have a completed bachelor's or associate's degree on file. Staff #1 does not meet director qualification until a degree is obtained.

Fire detection testing was completed on 3/1/24 and again on 4/1/24, which is greater than 30 days.

Record for Staff #4 was observed to not contain evidence of emergency plan training at time of hire.

In classroom 8 (EHS 1) the hands free can was observed to not work properly.

Records for 3 staff members did not contain evidence of a current Pediatric CPR/1st Aid Certification. Staff #1 - 08/30/2021 (exp), Staff #3 - 04/01/2021 (exp), Staff #7 - 04/06/2021 (exp).

File for Staff #6 reflected a gap between certifications in Pediatric 1st Aid/CPR. First was 11/11/2020-2022, the next was 01/09/2023-2025.

Record for Staff Members #1, #2, #3, #5, #6, #7 did not contain current evaluations.

Staff person #3 (see LIS code sheet for hire date) did not have a child abuse clearance on file until 6/20/22. Per ACT 12 of 2022 on Provisional Hiring Practices, facility persons must have results of the applicant's PA Child Abuse History Clearance prior to employment.

During the physical site inspection in the Preschool A classroom, the first-aid kit was missing scissors and tweezers.

In reviewing of the staff files, staff person #4's contained an updated Health Assessment that was late in obtaining (previous dated 6/19/20; updated dated 10/27/22).

In reviewing the Emergency Plan for the facility, it did not contain accommodations for infants, toddlers, and children with chronic medical conditions.

In reviewing of the paperwork for the facility, there was not documentation of an annual emergency drill being completed.

In reviewing of the Emergency Plan, there was not documentation of the plan being sent to the local municipality and county emergency management system.

In reviewing of staff files, staff person #8's updated Mandated Reporter training was late in obtaining.

In reviewing of children's files, child #1's file did not contain an updated emergency contact form.

In reviewing of staff files, staff person #1 has acceptable pediatric first aid/CPR training in an approved curriculum, however the trainer has not provided documentation that they are PQAS-certified in that training.

Staff person #3 and staff person #7 have 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.

In reviewing of staff files, staff person #2, staff person #5, and staff person #6 had completed the Health and Safety Basics course prior to 9/30/2016.

While in the outdoor play area, child #1 had been following staff person #1 into the shed and kept trying to take toys out. Staff person #1 kept trying to keep child #1 out of the shed. Staff person #1 put a bubble machine away in the shed and allowed another child to get a tissue. Sometime during these 2 trips to the shed, child #1 had gone into the shed without staff person #1 noticing him and the shed door was shut. A short time later, staff person #2 went into the shed to obtain a toy for a fussy child to play with and noticed child #1 in the shed and brought him out.

On 3/24/22 at 8:42AM, child #1 and child #2, both infants, left the room through a gate that had been popped open unbeknownst to staff person #1 and staff person #2, the two staff in the room at the time of incident. Staff were not physically present with the children for approximately 1 minute and 45 seconds until notified by staff person #3 that child #1 was in the hallway outside of the classroom door. At the same time, staff person #4 had observed child #2 down the hall and was on the way to return the child to the classroom. Staff person #2 took both children and returned them to the classroom. Neither staff person #1 nor staff person #2 would have been able to see the children leaving between the gate and the hallway due to furniture set up in the classroom.

On 2/8/22 at 8:30 AM, child #1, known by the facility to have an egg allergy, was accidentally given egg for breakfast by facility person #1, causing the child to have an allergic reaction.

Facility person #1, hired 9/15/21, did not have emergency plan training until 10/26/21. Emergency plan training was not completed at the time of hire. Facility person #2, hired 9/13/21, did not have emergency plan training on file. Facility person #2 left employment 11/5/21. Facility person #3, hired 8/30/21, did not have emergency plan training on file until 10/26/21. Emergency plan training was not completed at the time of hire.

On the outdoor play space with the shed, a broken board was observed on the shed.