Sunshine Nursery Childcare Center 2

Documentation showed that staff #1 had a state police clearance dated 1/29/20 and a new clearance dated 4/8/25, which exceeds the requirement that clearances be updated every 60 months. Documentation showed that staff #1 had a child abuse clearance dated 3/16/20 and a new clearance dated 4/11/25, which exceeds the requirement that clearances be updated every 60 months. Documentation showed that staff #1 had an FBI clearance dated 2/8/20 and a new clearance dated 4/8/25, which exceeds the requirement that clearances be updated every 60 months. Documentation showed that staff #1 had an NSOR clearance dated 4/9/20 and a new clearance dated 4/11/25, which exceeds the requirement that clearances be updated every 60 months.

Staff were observed serving young toddlers whole cheese sticks. Staff were informed of the danger of cheese sticks becoming a choking hazard. Staff pulled the cheese sticks into thin strands after being prompted.

A hands-free trash can was not available in the diapering areas of the following classrooms: Infant, Toddler, Preschool.

Documentation of 12 hours of annual training was not available for staff #1.

Upon arrival onsite for the initial complaint investigation, it was observed that the Older Toddler childcare space had 12 children in care and only one staff person, as the facility director was moving between childcare groups to cover for a facility person call off.

Upon inspection of each physical childcare space, it was found that one electrical outlet receptacle was missing a protective cover in the preschool/school-aged childcare space.

Upon inspection of children's files, it was found that the immunization report for Child #1 was missing the following immunizations according to the CDC recommendation schedule: Hib [missing 1 of 3 doses]; Pneumococcal [missing 1 of 4 doses]; MMR [0 doses on record]; Varicella [0 doses on record] AND Hepatitis A [0 doses on record].

Upon inspection of the written policy for Shaken Baby Syndrome/Abusive head trauma, it was found to be lacking the following required elements: 1] Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma AND 2] Strategies for coping with a crying, fussing, or distraught child.

Upon inspection of the facility emergency plan on file, it was found that a plan for the continuity of operations was not included.

Upon inspection of the fire drill logs on file, it was found that the maximum of 60 days between required drills elapsed during the following interval: 5.8.23 -- 7.10.23 [63 days].

Upon inspection of the fire system testing logs on file, it was found that the maximum of 30 days between required tests had elapsed during the following intervals: 5.5.23 -- 6.5.23 [31 days]; 7.3.23 -- 8.3.23 [31 days]; 9.1.23 -- 10.2.23 [31 days]; 12.1.23 -- 1.4.24 [34 days]; 3.1.24 -- 4.1.24 [31 days].

Upon inspection of children's files, it was found that the child developmental report for Child #1 was last completed on 3.16.23. Therefore, updated reports would have been due in September 2023 and March 2024.

Upon inspection of personnel files, it was found that verification of childcare experience prior to service at the facility was not documented on file for Staff Person #1 and #2.

Upon inspection of personnel files, it was found that verification of childcare experience following the outset of service at the facility was not documented on file for Staff Person #1 and #2.

Upon inspection of the physical site childcare spaces, it was found that there was glass without any visual strip or other visual identification each of the toddler, prekindergarten and school-aged rooms.

Upon inspection of the children's files, it was found that no influenza vaccination was on file for child #1 and child #2.

Upon observation of each childcare space, it was directly observed that a childcare staff person in the infant room did change a child's diaper and immediately returned the child to the care space without washing their hands.

Upon inspection of the facility records, it was found that an emergency drill had not been conducted at any point in 2021 or 2022 [to date].

Upon inspection of the facility fire safety records, it was found that a purchase receipt for the system was not available.

Upon initiation of the annual renewal inspection, it was found that the identification presented by the owner/director was an expired Pennsylvania Driver's License.