Teddy Bear Day Care Center

At the time of the inspection on 9/17/25 at 9:40am, two children were observed in the hallway with a member of an outside agency. The director acknowledged that there was no written parent consent for the children to be removed from the classroom.

At the time of the inspection, staff person #4 did not have any documentation of emergency plan training on file and has been employed for more than 90 days (see LIS code sheet for date of hire).

At the time of the inspection, the operator did not provide the parents a letter explaining all of the center's emergency procedures.

At the time of the inspection, the trash cans in both the Pre-K and the School Age rooms did not have lids. Inside the trash cans were tissues contaminated by human secretions or excrement.

At the time of the inspection, the carpets throughout the facility were dirty and contained brown stains.

At the time of the inspection, there was only 2.5 inches of wooden mulch under the slide which had a fall height of 39". There was only 5.5 inches of wooden mulch under the slide that had a fall height of 48". There was only 1.5 inches of wooden mulch under the blue swings that had a fall height of 72". These areas require there to be at least 9 inches of wooden mulch under and around the equipment.

At the time of the inspection, the television on the shelf in the toddler room was wobbly and not secured to a surface.

At the time of the inspection, there was no thermometer in the refrigerator of the school age classroom.

At the time of the inspection, in the pre-K room, there were lunch boxes in cubbies. Inside the lunch boxes, there were lunch meat and cheese products. These are required to be refrigerated.

At the time of the inspection, staff person #4 did not have documentation of 2,500 hours of prior childcare experience on file and therefore, could not qualify as an assistant group supervisor.

At the time of the inspection, the child service report on file for child #4 was not conducted until 5/13/25, which is not every 6 months, as required (see LIS code sheet for date of admission).

At the time of the inspection, staff person #3 only had 3.5 hours of childcare training on file during the 3/24-3/25 training period.

During the inspection, the director acknowledged that a kitten was previously brought into a facility for a day in the summer by a previous staff person. There was no rabies vaccination on file for the kitten.

At the time of the inspection on 7/1/25, the certification representative observed staff person #3 sitting at a desk on their phone and not supervising school-age children. Children were arguing over activities in the classroom, running through the room and it appeared to be unstructured. During this same inspection on 7/1/25, Child #2, a school-age child was observed alone in the hallway taking things out of their bookbag. Child #2 was not supervised by any staff person while in the hallway. Numerous staff, including the Director, and school-age children acknowledged that the school-age children are permitted to leave the classroom, go down the hall and through the hallway door to the bathroom without a staff person present.

At the time of the inspection on, staff acknowledged that staff person #2 had stated to other children 'I told you to stay away from him, he is a bad kid" when referencing other child interactions with child #1. The director acknowledged that staff person #2 stated something to this extent regarding child #1.

At the time of the inspection, in the school age room, there were numerous holes in the wall causing the drywall to crumble and lay on the floor. Staff acknowledged the holes were put in the wall by the school age children.

At the time of the inspection, the certification representative observed school age children not washing their hands before morning snack. The school age children also acknowledged that they do not wash their hands before eating.

At the time of the inspection, staff person #1 acknowledged that an incident report was not completed or provided to the parent during a previous incident that occurred on 6/20/25 for child #1.

At the time of the inspection, there was no written daily schedule posted in the school age room.

Staff person #8 acknowledged that on 4/9/25, child #1 was screaming in her face and climbing on the table and chairs in the toddler room. Staff person #8 then pulled the child down from the table, put the child in her lap and proceeded to cover the child's mouth with her hand for a period of ten seconds while the child was crying.

Staff person #4 has not updated the health assessment every 24 months as required. This is evidenced by the health assessment on file dated 10/27/22.

Staff person #2 and staff person #7's health assessment read "yes" to communicable diseases with no additional documentation describing the conditions and the risk it might pose to others exposed to this individual, as required on the staff health assessment.

Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/25/25. Documentation of updated Pediatric first aid and CPR training is not on file.

During the inspection, staff person #5 had a PA State Police clearance dated 8/22/24, a Child Abuse clearance dated 8/31/24 and mandated reporter training dated 8/27/24. The previous date of PA State Police was 1/2/19, Child Abuse was 1/23/19 and mandated reporter training dated 6/27/19. This reflects a period of time where the PA State Police, Child Abuse clearance and mandated reporter training were not current.

During the inspection, the operator did not have any documentation of any staff person receiving emergency plan training in the past 12 months. The last documented date of emergency plan training on file was 9/14/21.

During the inspection, gloves were missing from the first aid kit in both the 3-year-old and Pre-K room. Tape was missing from the first aid kit in the Infant room. Scissors were missing from the first aid kit in the van used for transportation.

In the toddler room, there was not a source of running water for handwashing in the diapering area.

During the inspection, the embedded swing-set with a fall height of 83" did not have any loose fill protective surfacing under the swings and the underlayment compacted sand was exposed. There were numerous areas surrounding the embedded climber which had a fall height of 5' that did not have loose-fill protective surfacing and a green underlayment tarp was exposed. At minimum, embedded equipment requires there to be 9 inches of loose fill mulch around the equipment.

Two Fisher Price Infant to Toddler Rocker was observed in the Infant room. The United States Consumer Product Safety Commission deemed this hazardous in June 2022 and may not be used by children at the facility and may not be on the premises at the facility.

The health report for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Staff person #6, #8 and staff person #9 did not obtain a health assessment every 24 months as required. This is evidenced by the current health assessment on file dated 4/14/23, 7/6/23 and 10/19/22, respectively. The previous health assessments were dated 12/3/20, 3/24/21 and 9/2/20, respectively. Staff #10 has not had a valid health assessment conducted within the last 24 months. Staff #10 acknowledged that the health assessments on file, dated 11/15/21 and 11/13/23, were forged by the staff person. Director/Owner denied knowledge of this, and the staff acknowledged that she never informed the Director/Owner that the health assessment was fraudulent.

Staff person #6 did not complete the Pennsylvania Health and Safety Update 2022 by 12/30/22 as required. This is evidenced by the Pennsylvania Health and Safety Update 2022 training on file dated 1/3/23.

During the inspection, the operator acknowledged that she does not provide written supervision policies to parents at the time of enrollment

CHILD #2 (see code sheet) is more than 6 months old and does not have ACIP recommended influenza immunization or an exemption statement in file.

CHILD #1 (see code sheet) has been enrolled more than 60 days and does not have a health assessment in file.

STAFF #1 and STAFF #2 (see code sheet) have not completed the following required pre-service training within 90 days of their date of hire: Pediatric first aid & CPR from a PQAS-approved trainer and a PQAS-approved curriculum.