Teeny Treasures Childcare LLC

During nap time it was observed that staff #2 walked to another side of the classroom and was not able to see, hear or assess the children napping.

The file for Staff #1 was observed not to have proof of a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file for Staff #1 was observed not to contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water. An incident report was not given on the day of the incident.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water.

A complaint investigation confirmed that a child sprayed another child on the cheek with bleach water. An incident report was not given on the day of the incident.

In the preschool room bathroom, it was observed that a hand washing sign was not posted behind the toilet on the day of inspection.

On the day of inspection, it was observed torn blocks located in the preschool room.

The Emergency contact form on file for Child #1, child #2 and child #3 were observed not to contain the address of the individual designated by the parent to whom the child may be released.

Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification observed on file was dated 1/29/22.

It was observed in the gym the tumble mats marked antsy pantsy were torn, exposing foam and a large hole was observed in the cardboard brick block.

It was observed in the young toddler room on the day of inspection, that a young toddler was sleeping on the floor and not on age-appropriate rest equipment.

An expired glucagon injectable pen, located in the locked medication cupboard, was observed to be expired.

The most up to date health assessment on file for Staff persons #1, #2, #6 and #7 were observed to be greater than 24 months.

The file for Child #3 DOE: 10/30/23 was observed not to have documentation of an initial health report no later than 60 days following the date of enrollment. This is evidenced by the health report being dated. 1/6/2024.

The files for staff persons #3, #6 and #7 were observed not to have documentation of annual fire safety training.

The Agreement form on file for Children #1, #2, #3, #6, and #7 was observed not to contain the services to be provided by the facility to the parents of the children.

The agreement forms on file for Children #1, #2, #3, #4, #5, #6 and #7 were observed not to contain services which are to be considered as extra.

The Emergency contact form on file for Child #3 was observed not to contain the address of the child's physician.

The Emergency contact form on file for Child #3 was observed not to contain the health insurance policy number for the child under a family policy or Medical Assistance benefits.

The Emergency contact form on file for Child #7 was observed not to contain the address of the individual designated by the parent to whom the child may be released. The Emergency contact form on file for Child #3 was observed not to contain the telephone number of the individual designated by the parent to whom the child may be released.

The Agreement form and Emergency Contact form on file for Child #2 was observed not to have documentation of updates being done in a 6 month period or as soon as there is a change in the information.

The file for staff person #4, DOH:6/12/23 was observed not to have documentation of pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire. This is evidenced by training being completed 10/14/23.

Staff file #2 contained PA State Police Criminal clearance dated 2/4/18 and a DHS FBI clearance dated 2/12/18, both clearances exceeded the 60 month requirement and were not valid.

Staff file #1 contained a Mandated reporter training certificate dated 3/29/18 which exceeded the 60 months as required and was not valid.

Per staff comments and facility incident report, on 1/10/23, the disinfectant cleaning solution, QUAT, was used to clean the diaper changing pad in the Infant room. Three children were observed to develop a skin irritation after coming into contact with the pad that had been cleaned with the QUAT solution. The QUAT cleaner contained a warning that the product should not come into contact with skin. The QUAT solution was not diluted according to the manufacturer's directions.

Per staff comments and facility incident report, on 1/10/23, the disinfectant cleaning solution, QUAT, was used to clean the diaper changing pad in the Infant room. Three children were observed to develop a skin irritation after coming into contact with the pad that had been cleaned with the QUAT solution. The QUAT cleaner contained a warning that the product should not come into contact with skin. The QUAT solution was not diluted according to the manufacturer's directions.

The facility lacked an emergency plan that included accommodations for shelter of children during an emergency, including lock-down and shelter away from the facility during an emergency.

The surge protector in the Preschool room lacked protective outlet covers and was accessible to children 5 years and younger. The surge protector on the wall under the large TV in the infant room lacked a protective outlet cover and was accessible to children 5 years and younger.

The cleaning and disinfecting solution QUAT was in spray bottles that were not labeled with the contents of the bottle.

The first aid kit located in the Preschool room lacked tweezers in the kit. The first aid kit located in the Toddler room lacked sterile gauze pads and nonporous gloves. The first aid kit located in the Infant/Toddler room lacked nonporous gloves.

The toddlers were observed washing their hands in a sink located in the childcare room not in the bathroom where they were toileting.

The toilets located in the preschool, school age and toddler bathrooms lacked handwashing signs at each toilet.

The bottom drawer of the 3 tier plastic bin used for toys in the preschool room was cracked and had rough edges. The blue chair at the table in the gross motor room was cracked on the seat posing a pinch points to children sitting in the chair.

The diapering area in the infant room lacked an operable, hands free covered can.

The facility had fire detection system inspections conducted on 1/7/22 and 1/13/23 which exceeded the annual requirement of annual fire detection system inspections.

Child file #4 contained a health report dated 6/8/22 which was more than 60 days after admission to the facility. Child file #5 contained a health report dated 8/1/22 which was more than 60 days after admission to the facility. SEE CODE SHEET

The facility lacked documentation of notifying the local traffic safety authorities annually in writing of the location and routes used for the facility.

Staff files #1, #2 and #3 lacked completion of fire safety training conducted by a fire protection professional annually.

Child file #2 lacked the amount of the fee to be charged and the date to which the fee is to be paid on the agreement form.

Child file #1 lacked the date of the child's admission on the agreement form.

Child file #5 lacked the name, address, and telephone number of the child's physician on the emergency contact form.

Child files #1, #2 and #6 lacked signed written consent from parents for emergency medical care on the emergency contact forms.

Child file #1 and #6 lacked the health insurance coverage and policy number for the child on the emergency contact form.

Child files #1, #2 and #6 lacked signed written consent from parents for administration of minor first aid to the children on the emergency contact forms.

The facility lacked an accident file containing copies of the accident, injuries and illnesses of the children while at the facility.

According to staff statements, on 6/2/22, there were 14 children ranging in ages, young toddler to preschool, with 2 staff for approximately 5 minutes in the outdoor play space, while a 3rd staff took an injured child inside the building. Based on the age of the youngest child in the group, the ratio would have been 1:5 during that time.

Staff file #2 lacked a signed disclosure statement at hire and a valid Child Abuse Clearance, a household member child abuse clearance dated 1/10/18 was in the file. (See LIS CODE SHEET) Staff file #4 lacked a signed disclosure statement at hire. (See LIS CODE SHEET)

Staff file #3 lacked documentation of completion of professional development health and safety training within 90 days of hire. (See LIS CODE SHEET)

Staff file #1 lacked documentation of completion of Mandated Reporter Training within 90 days of hire. (See LIS CODE SHEET)

The file for staff person #1, whom was hired as an aide on 9/9/21, lacked an NSOR Verification Certificate. The application for the NSOR was in the file and was dated 5/13/21.

The file for staff person #1 whom was hired on 9/8/21 lacked a health assessment that was conducted 12 months prior to providing initial service in a child care setting. The health assessment in the file was dated 8/31/20.

The file for staff person #1 lacked a health assessment that included an examination for communicable diseases and the results of that examination.

The file for staff person #3 lacked a health assessment that included an examination for communicable diseases and the results of that examination and lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

The fire drill log was observed and there were 65 days between 7/27/21 and 9/30/21, 61 days between 9/30/21 and 11/30/21, and 62 days between 11/30/21 and 1/31/22.

Facility lacked proof of purchase of the inter-connected smoke alarms.