Tender Love for CHDN Childcare PS Kindergarten

The file for staff person #1 DOH: 8/6/24 was observed not to have documentation of pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The agreement on file for Child #3 and Child #5 were observed to not include extra services provided.

The Agreement on file for Child #1, Child #2 and Child #4 were observed to not to have documentation of the dates of the child's admission to the facility.

2nd citation. Previously cited on 12/4/23. The file of Volunteer #1 lacked a disclosure statement signed at the time of initial service in a child care setting. The file of Volunteer #1 did not contain a disclosure statement. The file of Volunteer #1 lacked a State Police Clearance and National Sex Offender Registry Certificate. The file of Volunteer #3 lacked a current State Police Clearance. The file of Volunteer #3 contained a State Police Clearance dated 3/6/15. The file of Volunteer #4 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate. The file of Staff #5, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #5 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #5 resided. The file of Staff #6 lacked a dated disclosure statement.

2nd citation. Previously cited on 11/29/23. On 2/1/24 when Certification Representative was assessing ratio and supervision in Room 2, Staff #10, #11, and #12 indicated they were sharing responsibility for 3 young toddlers and 10 older toddlers exceeding maximum group size.

2nd citation. Previously cited on 11/29/23. Observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.

2nd citation. Previously cited on 12/4/23. The files of Volunteer #4 and Facility Person #2 lacked documentation of emergency plan training on an annual basis (SEE LIS Code Sheet). The files of Volunteer #4 and Facility Person #2 contained no documentation of emergency plan training in 2022 or 2023.

2nd citation. Previously cited on 11/29/23. Observed 7 containers of Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" on the 2nd shelf from the bottom in the first closet which were accessible to children in the Multipurpose Room. Observed white out which indicated "keep away from children" in the bottom drawer of the bin on the stage which were accessible to children in the Social Hall.

2nd citation. Previously cited on 11/29/23. Observed a torn mat with exposed foam in Room 1.

2nd citation. Previously cited on 11/30/23. The file of Child #8 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #8 contained a health report dated 4/4/23.

2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not contain a health assessment.

2nd citation. Previously cited on 12/4/23. The file of Volunteer #4 lacked documentation of a tuberculosis screening by Mantoux method being completed.

2nd citation. Previously cited on 11/29/23. Observed bottles which were not labeled with the child's name in the Overflow Room.

2nd citation. Previously cited on 11/30/23. The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23.…

2nd citation. Previously cited on 12/4/23. The file of Staff #7 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #7 contained a written evaluation dated 11/1/22 but did not contain one for 2023.

2nd citation. Previously cited on 12/4/23. The files of Staff #8 and #9, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

2nd citation. Previously cited on 11/30/23. The files of Children #2, #3, #4, #6, #7, and #8 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.

2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission.

2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

2nd citation. Previously cited on11/30/23. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

2nd citation. Previously cited on11/30/23. The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.

2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not include verification of age.

The files of Volunteers #1, #2, #3, #4, #5, #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The files of Volunteers #1, #2, #3, #4, #5, #7, and #8 did not contain disclosure statements. The file of Volunteer #6 contained a disclosure statement dated 10/23/23. The files of Volunteers #7, #8, #10, and #11 lacked a State Police Clearance, Child Abuse Clearance, FBI Clearance, and National Sex Offender Registry Certificate. The file of Facility Person #9 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Facility Person #9 contained a State Police Clearance dated 7/18/18, a Child Abuse Clearance dated 3/26/15, and a DHS FBI Clearance dated 7/19/18. The file of Staff #12, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #12 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #12 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check…

On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 3, Staff #27, #28, and #29 indicated they were sharing responsibility for 17 older toddlers exceeding maximum group size.

On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 4, Staff #17, #24, and #25 indicated they were sharing responsibility for 5 older toddlers and 10 preschools exceeding maximum group size. On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 2, Staff #18, #19, and #26 indicated they were sharing responsibility for 5 young toddlers and 10 older toddlers exceeding maximum group size. On 11/29/23 at approximately 12:00 PM Certification Representative observed Staff #19 in the hallway preparing rest equipment while Staff #18 and #26 were in Room 2 with 5 young toddlers and 10 older toddlers and then Certification Staff observed Staff #26 in the hallway preparing rest equipment while Staff #18 and #19 were in Room 2 with 5 young toddlers and 10 older toddlers.

At approximately 1:15 PM Certification Staff observed a child lying on rest equipment behind the kitchen set in Room 4 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

On 11/29/23 Certification Staff observed Staff #17 take children to the bathroom located at the opposite end of the hall from Room 4. At approximately 1:00 PM Certification Staff observed a child at the entrance to Room 4. Staff #17 had sent the child to the room to get paper towels while she stood in the threshold of the bathroom with the other children.

On 11/29/23 observed 4 pair of adult scissors in the 2nd closet on the 3rd shelf which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the purple bin to the left of the door labeled "clips, index cards, and post-its" which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the bin on the stage stairs which were accessible to children in the Social Hall. On 11/29/23 observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.

The files of Volunteers #4, #10, and #11 and Facility Person #9 lacked documentation of emergency plan training on an annual basis. (SEE LIS Code Sheet). The file of Volunteer #4 contained no documentation of emergency plan training. The files of Volunteers #10 and #11 and Facility Person #9 contained no documentation of emergency plan training in 2022 or 2023.

On 11/29/23 observed Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" in a green bin on the bottom shelf of the bookcase to the left of the computer which were accessible to children in the Multipurpose Room. On 11/29/23 observed Lyson Disinfectant Spray which indicated "keep out of the reach of children" on top of the toilet paper holder in the bathroom which was accessible to children in Room 1. On 11/29/23 observed a bottle labeled "bleach water" above the changing table which was accessible to children in Room 1.

The first-aid kit in the chapel lacked nonporous gloves.

On 11/30/23 observed a piece of concrete missing on the steps in the Outdoor Play Space.

On 11/29/23 observed peeling paint in the middle of the wall to the right of the entrance of the Overflow Room.

On 11/29/23 observed a broken gear in the Social Hall. On 11/29/23 observed a blue connector with rough edges in the Social Hall. On 11/29/23 observed two alien figurines with rough edges in the Social Hall. On 11/29/23 observed a bin containing rubber ducks with a missing corner creating rough edges in Room 4. On 11/29/23 observed torn crib mattresses with exposed foam in Room 1. On 11/29/23 observed a torn mat with exposed foam in Room 1.

On 11/29/23 observed high chairs which lacked T-shaped straps in Room 1.

The files of Children #6, #7, and #10 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #6 contained health reports dated 3/4/22, 12/12/22, and 11/20/23. The file of Child #7 contained health reports dated 4/25/22, 12/1/22, and 3/22/23. The file of Child #10 contained a health report dated 4/4/23.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/7/23 with a previous one dated 7/16/21.

The file of Child #5, a 20-month-old, lacked DTAP/DTP/TD immunizations according to the recommendations of the ACIP. Child #5 had documentation of one DTAP/DTP/TD immunization. The file of Child #10, an 11-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #10 had documentation of one Rotavirus immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization, and one Polio immunization.

The operator did not establish and maintain a medication log for Children #15, #16, #17, #18, and #19.

The file of Facility Person #9 lacked a health assessment conducted every 24 months. The file of Facility Person #9 contained a health assessment dated 7/23/18. The files of Volunteers #10 and #11 did not contain a health assessment. The file of Staff #16 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #16 contained a health assessment dated 10/5/22.

The files of Volunteers #10 and #11 lacked documentation of a tuberculosis screening by Mantoux method being completed. The file of Staff #16 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #16 had a Mantoux test read date of 10/5/22.

On 11/29/23 observed bottles which were not labeled with the child's name in the Overflow Room.

The facility used the fire drill log to document an emergency drill. The facility did not record the names of staff who participated, address special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23. Staff in Room 1 provided documentation of fire…

The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #5, with an admission date of 12/5/22, contained a health report dated 10/20/23.

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic safety authorities were notified on 9/1/22 and 10/23/23.

The files of Staff #19 and #20 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The files of Staff #19 and #20 contained documentation of completing the health and safety update on 1/5/23.

Staff persons #14 and #15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

The file of Staff #14 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #14 contained documentation of completing health and safety training on 9/4/23.

Staff #14 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #14 had documentation of mandated reporter training completed on 10/31/23. Staff #18 lacked documentation of completing mandated reporter training every 60 months. Staff #18 had documentation of completing mandated reporter training on 8/6/23 with previous training completed on 7/23/18.

Facility person #9 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/19/18. Staff person #23 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/1/18.

Volunteers #10 and #11 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The files of Staff #17 and #20 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE Lis Code Sheet). The file of Staff #17 contained a written evaluation dated 10/3/23 but did not contain one for 2022. The file of Staff #20 contained a written evaluation dated 11/1/22 but did not contain one for 2023.

The files of Staff #21 and #22, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

On 11/29/23 the written plan of daily activities was not posted in the chapel.

Children #2, #3, #4, #5, #6, #7, #8, and #9 lacked child service reports completed at least every 6 months. Child #2 had child service reports completed on 9/29/22 and 10/23/23. Child #3, with an admission date of 9/6/22, had a child service report completed on 10/25/23. Child #4, with an admission date of 11/12/22, had a child service report completed on 10/29/23. Child #5, with an admission date of 12/5/22, had a child service report completed on 11/3/23. Child #6, with an admission date of 3/14/22, had a child service report completed on 11/1/23. Child #7, had child service reports completed on 10/28/22 and 10/18/23. Child #8 had child service reports completed on 10/12/22 and 10/26/23. Child #9 had child service reports completed on 11/4/22 and 11/2/23.

The files of Children #2, #3, #4, #8, #9, and #10 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.

The files of Children #1 and #4 lacked written consent signed by a parent for emergency medical care prior to admission.

Emergency contact information for Child #4 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation,

Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.

Emergency contact information for Children #11, #12, #13, #14, and #15 were not present when the children were receiving care in the Social Hall.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the chapel.

The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.

The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 8/22/22 and reviewed in April of 2023 and October of 2023. The emergency contact and agreement for Child #8 were not reviewed and updated at least once in a 6-month period. Child #8's emergency contact and agreement were reviewed on 7/21/22, 4/2023, and 10/2023. The emergency contact and agreement for Child #9 were not reviewed and updated at least once in a 6-month period. Child #9's emergency contact and agreement were signed on 8/23/22 and reviewed on 4/2023 and 10/2023. The emergency contact and agreement for Child #10 were not reviewed and updated at least once in a 6-month period. Child #10's emergency contact and agreement were signed on 3/30/23 and reviewed on 10/2023.

The files of Children #1 and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

The file of Volunteers #10 and #11 lacked the name, address, and telephone number of the volunteers.

The files of Volunteers #10 and #11 did not include verification of age.

The files of Volunteers #10 and #11 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

2nd citation. Previously cited on 11/9/22. Observed 1 crib with a loose sheet in the Overflow Classroom creating a potential suffocation hazard. 2nd citation. Previously cited on 11/29/22. Observed 4 pair of adult scissors in the bin labeled "scissors" in the art area of the Multipurpose Room which were accessible to children.

2nd citation. Previously cited on 11/29/22. On 2/15/23 at approximately 9:45 AM Staff #5 and #6 were caring for a group of mixed-aged children including 8 preschoolers and 4 older toddlers. Staff #5 indicated she was caring for 5 preschoolers while Staff #6 indicated she was caring for 3 preschoolers and 4 older toddlers.

2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 lacked documentation of emergency plan training at the time of initial service in a child care setting (SEE LIS Code Sheet).

2nd citation. Previously cited on 11/29/22. Observed Lysol Disinfecting Wipes, Great Value Disinfecting Wipes, 6 bottles of Derma Gel Hand Sanitizer, and Lysol All Purpose Cleaner which indicated "keep out of reach of children" in a pink basket on the 3rd shelf in the 8th closet in the Multipurpose Room which were accessible to children in care. Observed 2 Bath and Body Works antibacterial hand sprays, Germ X Hand Sanitizer, Vanilla Bean Noal Anti-bacterial hand gel, and Sweet and Shimmer Whipped Vanilla Hand Cream which indicated "keep out of the reach of children" in a red bin on a table located on the opposite wall from the entrance which were accessible to children.

2nd citation. Previously cited on 11/29/22. A first-aid kit was not in the Chapel.

2nd citation. Previously cited on 11/9/22. Observed rust on the fences in the Outdoor Classroom, Young Toddler/Young Preschool Outdoor Play Space, and Older Preschool Outdoor Play Space.

2nd citation. Previously cited on 11/9/22. Observed peeling paint on the fences in the Outdoor Classroom, in the Young Toddler/Young Preschool Outdoor Play Space, and the Older Preschool Outdoor Play Space. Observed peeling paint on the benches in the Older Preschool Outdoor Play Space and Outdoor Classroom.

2nd citation. Previously cited on 11/9/22. Observed foam blocks with bite marks in Room 4. Observed foam fish with bite marks in the Social Hall.

2nd citation. Previously cited on 12/12/22. Child #1, a 13-month-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 17-month-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child 7, a 3-year-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

2nd citation. Previously cited on 11/9/22. The operator did not establish a medication log for prescription medication for Child #11.

2nd citation. Previously cited on 11/29/22. The files of Volunteers #1 and #4 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment. Volunteer #1 had a Mantoux test read date of 10/20/21. Volunteer #4 had a Mantoux test read date of 12/7/17.

2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

2nd citation. Previously cited on 12/12/22. The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality.

2nd citation. Previously cited on 12/12/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child but not the prevention and identification of child maltreatment.

2nd citation. Previously cited on 11/29/22. The written plan of daily activities was not posted in the Chapel.

2nd citation. Previously cited on 12/12/22. The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

2nd citation. Previously cited on 11/29/22. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Chapel.

2nd citation. Previously cited on 12/12/22. The emergency contact and agreement for Child #10 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #10's emergency contact and agreement were signed on 10/19/20 with no documentation of reviews and updates.

Staff persons #5, #11, #18, #19, #20, and #21 were observed to be caring for children unsupervised. Staff persons #5, #11, #18, #19, #20, and #21 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety.

On 11/9/22 observed 2 cribs with loose sheets in the Overflow Classroom creating a potential suffocation hazard. On 11/29/22 observed a pair of adult scissors and a Phillips screwdriver on the table in the Chapel which were accessible to children. On 11/29/22 observed 4 pair of adult scissors in the bin labeled "scissors" in the art area of the Multipurpose Room which were accessible to children. On 11/29/22 observed adult scissors in a black pencil holder on the counter in the ABC Classroom which were accessible to children.

The files of Staff #1, #4, and #16 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #4, and #16 was not the one updated in 2020. The file of Staff #1, a provisional hire, lacked documentation of application for the State Police Clearance, Child Abuse Clearance, and FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a State Police and Child Abuse request date of 1/14/22 and a fingerprint receipt dated 1/18/22. The file of Staff #2, a provisional hire, lacked documentation of an FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #2 contained an FBI fingerprint receipt dated 9/29/22. The file of Staff #2, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #2 contained no NSOR, and Staff #2 was not suspended after 45 days. The file of Staff #3 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 contained a NSOR dated…

On 11/9/22 Certification Staff observed Staff #1, #2, #4, and #27, who were designated as aides, working alone with children in Room 1. On 11/29/22 Certification Staff observed Staff #1, #2, and #4, who were designated as aides, working alone with children in Room 1.

On 11/29/22 at approximately 9:00 AM Staff #12 was caring for a group of 9 mixed-aged children including 2 older toddlers and 7 preschoolers.

The files of Staff #6, #7, #9, #10, #12, #13, #15, and #16 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #6, #7 #9, #10, #12, and #15 contained no documentation for emergency plan training in 2021 or 2022. The file of Staff #13 contained documentation of emergency plan training on 10/4/21. The file of Staff #16 contained documentation of emergency plan training on 8/25/21. The files of Volunteers #23, #24, #25, and #26 lacked documentation of emergency plan training at the time of initial service in a child care setting (SEE LIS Code Sheet).

The operator did not post the emergency plan in the facility at a conspicuous location.

On 11/29/22 observed an electrical outlet located by the piano and chairs which lacked a protective receptacle cover in the Chapel.

On 11/29/22 observed Purell Advanced Soothing Gel on the table and Great Value Disinfecting Spray, CRL Plastic Cleaner, Clorox Disinfecting Wipes, and Members Mark Disinfecting Wipes under the table which indicated "keep out of the reach of children" which were accessible to children in the Chapel. On 11/29/22 observed Lysol Disinfectant Spray and Hom Multi-surface cleaner which indicated "keep out of the reach of children" on the shelf to the left of the entrance in the Multipurpose Room which were accessible to children. On 11/29/22 observed Derma Gel Hand Sanitizer which indicated "keep out of reach of children" on the bottom shelf of the 2nd closet in the Multipurpose Room which was accessible to children. On 11/29/22 observed Purell Hand Sanitizer which indicated "keep out of the reach of children" on the u-shaped table at the entrance to the Multipurpose Room which was accessible to children. On 11/29/22 observed Derma Gel Hand Sanitizer Gel and 2 Lysol Disinfecting Sprays, and G & Y Antibacterial Hand Wipes which indicated "keep out of the reach of children" in the top bin in the cabinet at the entrance to the Multipurpose Room which were accessible to children. On 11/29/22…

The telephone number of the nearest hospital was not posted by the telephone in the Overflow Classroom.

A first aid kit was not in the Chapel.

The first aid kit in Room 4 lacked tweezers and disposable, nonporous gloves.

On 11/9/22 observed rust on the fences in the Outdoor Classroom, Young Toddler/Young Preschool Outdoor Play Space, and Older Preschool Outdoor Place Space.

On 11/9/22 observed peeling paint on the fences in the Outdoor Classroom, in the Young Toddler/Young Preschool Outdoor Play space, and the Older Preschool Outdoor Play space. On 11/9/22 observed peeling paint on the benches in the Older Preschool Outdoor Play space.

On 11/9/22 observed the urinal and the sink in the Boys' Bathroom by Room 2 lacked handwashing signs. On 11/9/22 observed the toilet in Room 1 lacked a handwashing sign. On 11/29/22 observed the urinals in the Boys' Bathroom located by the ABC Classroom lacked handwashing signs.

The Boys' and Girls' Bathrooms by the ABC Classroom lacked a clean, lidded waste receptacle.

On 11/9/22 observed the diapering area in the Overflow Classroom lacked a source of running water for handwashing. The diapering area was located on one side of the classroom, and the sink was located on the other side of the classroom.

On 11/9/22 observed foam blocks with torn corners in Room 2. On 11/29/22 observed a cracked bin containing connectors in the Multipurpose Classroom. On 11/9/22 observed a broken gear with rough edges in the Social Hall.

On 11/9/22 observed foam peg boards and foam blocks with bite marks in Room 4. On 11/9/22 observed foam puzzle pieces and foam fish with bite marks in the Social Hall. On 11/29/22 observed foam shapes, foam blocks, and foam peg boards with bite marks in the ABC Classroom.

On 11/9/22 at approximately 12:00 PM observed 2 young toddlers sleeping in bouncer seats.

On 11/9/22 and 11/29/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Room 2, Room 3, Room 4, and the Social Hall.

On 11/9/22 observed cribs in the Overflow Classroom with less than 2 feet of space on three sides. The cribs were side by side in a L-shape.

The files of Children #1, #2, and #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained a health report dated 12/21/21. The file of Child #2 contained a health report dated 12/17/21. The file of Child #3 contained a health report dated 7/14/22 with a previous one dated 3/12/21.

Child #1, a 13-month-old, lacked Hepatitis B, Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, influenza, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #1 had documentation of 1 Hepatitis B, 1 Rotavirus, 1 DTAP/DTP/TD, 1 HIB, 1 Pneumococcal, 1 Polio, no influenza, and no Hepatitis A immunizations. Child #2, a 17-month-old, lacked DTAP/DTP/TD, HIB, Pneumococcal, influenza, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 2 DTAP/DTP/TD, 2 HIB, 2 Pneumococcal, no influenza, no MMR, no Varicella, and no Hepatitis A immunizations. Child #7, a 3-year-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

On 11/29/22 observed a prescription medication for Child #24 was not in the original container in the ABC Classroom

On 11/9/22 observed medication on a hook by the door in Room 3 which was accessible to children.

The operator did not establish a medication log for prescription medication for Child #13.

On 12/12/22 Staff in Room 4 did not ensure that a child's hands were washed before snack. Staff in Room 4 allowed the children to use hand sanitizer.

The file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 3/3/22. The files of Staff #6, #9, #12, and #15 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 8/17/21 with a previous one dated 8/2/19. The file of Staff #9 contained a current health assessment dated 9/29/21 with a previous one dated 8/2/18. The file of Staff #12 contained a current health assessment dated 10/12/22 with a previous one dated 10/4/20. The file of Staff #15 contained a current health assessment dated 10/5/21 with a previous one dated 9/18/19. The files of Volunteers #23, #24, and #25 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Volunteer #23 contained a health assessment dated 10/20/21. The files of Volunteers #24 and #25 did not contain any health assessments.

The files of Staff #3 and Volunteers #23, #24, and #26 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux test read date of 3/3/22. Volunteers #23 and #24 lacked documentation of a tuberculosis screening by Mantoux method being completed. Volunteer #26 had a Mantoux test read date of 12/7/17.

The file of Volunteer #26 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

The file of Staff #1 contained an adult health assessment which lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

An emergency drill was not conducted annually. The facility had no documentation of any emergency drill being conducted.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in Room 3 provided documentation of fire drills being conducted on 12/7/21, 1/24/22, 2/24/22, 9/20/22, and 10/19/22. Staff in Room 4 provided documentation of fire drills being conducted on 12/2/21, 1/12/22, 2/16/22, 3/3/22, 3/15/22, 4/7/22, 5/12/22, 6/24/22, 7/18/22, 8/18/22, 9/10/22, 9/28/22, 10/6/22, and 11/14/22. Staff in the ABC Classroom provided documentation of fire drills being conducted on 12/13/21, 2/8/22, 3/3/22, 9/6/22, 11/1/22, and 12/5/22. Staff in the Overflow Classroom provided documentation of fire drills being conducted on 3/11/22, 5/13/22, 7/23/22, 9/14/22, and 10/25/22. Staff in Room 1 provided documentation of fire drills being conducted on 1/14/22, 2/24/22/ 3/7/22, 4/11/22, 5/2/22, 6/3/22, 7/13/22, and 8/1/22. Staff in the Social Hall provided documentation of fire drills being conducted on 12/1/21, 1/21/22, 2/8/22, 3/16/22, 6/7/22, 9/14/22, 10/5/22, and 12/8/22. Staff in Room 2 provided documentation of fire drills being conducted on 11/1/21, 12/1/21, 1/3/22, 3/16/22, 6/15/22, and 9/27/22.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protectional professional on 6/7/21 and 7/8/22. The facility also had documentation the fire detection system was inspected and issued a certificate that was effective from 7/6/21 through 6/30/22.

The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter at locations away from the facility premises.

The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality.

The files of Children #2 and #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 had an admission date of 8/30/21 with a health report dated 12/17/21. Child #5 had an admission date of 6/7/21 with a health report dated 11/10/22. Child #5 also had another health report in the file, but it was not dated.

The operator did not notify local traffic authorities annually in writing of the location of the facility and the programs use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic authorities were notified on 9/1/22.

The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address volunteer emergency preparedness training, volunteers' roles in the event of an emergency, and continuity of operations.

The files of Staff #6, #7, #9, #10, #12, and #15 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The files of Staff #6, #7, #9, #10, #12, and #15 contained documentation of fire safety training completed on 10/4/22 with a previous one completed on 8/30/21. The file of Staff #16 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #16 contained documentation of fire safety training completed on 10/4/22.

The file of Staff #3 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing health and safety training on 9/18/22.

Staff persons #7, #8, #11, #14, #15, #17, #18, #19, #20, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Staff #6 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 3/18/21 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #7 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #9 and #10 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/8/22. Staff #12 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 12/7/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #13 did…

Staff #6, #7, and #15 lacked documentation of completing mandated reporter training every 60 months. Staff #6 had documentation of mandated reporter training completed on 10/30/20 with previous training completed on 3/9/15. Staff #7 had documentation of mandated reporter training completed on 3/20/20 with previous training completed on 3/10/15. Staff #15 had documentation of mandated reporter training completed on 3/10/20 with previous training completed on 3/9/15.

Volunteers #24 and #26 lacked documentation of mandated reporter training.

Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/3/16.

The files of Staff #10 and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #10 contained a written evaluation dated 7/2/21. The file of Staff #12 contained a written evaluation dated 11/7/22 with a previous one dated 10/4/21.

The files of Staff #6 and #15, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

The written plan of daily activities was not posted in the Overflow Classroom, Room 1, Multipurpose Room, and Chapel.

The files of Children #1, #2, #3, #5, and #6 lacked child service reports with the reinstating of this regulation on 10/31/22.

The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 lacked the persons designated by a parent to whom the child may be released on the agreement.

The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

The file of Child #9 lacked work address and work telephone number of the enrolling parent on the emergency contact form.

The file of Child #5 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Emergency contact information for Children #11 and #12 were not present when they were receiving care in Room 2. Emergency contact information for Children #14, #15, #16, #17, #18, #19, #20, #21, #22, and #23 were not present when they were receiving care in the Social Hall.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Chapel.

The emergency contact and agreement for Children #1, #2, #3, #5, #6, #8, and #10 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact and agreement were reviewed on 12/5/21 and then again on 11/7/22. Child #2's emergency contact and agreement were signed on 8/30/21 and reviewed in March of 2022 and then again on 10/25/22. Child #3's emergency contact and agreement were reviewed in March of 2022 and then again on 10/25/22. Child #5's emergency contact and agreement were signed on 4/7/21 with no documentation of reviews and updates. Child #6's emergency contact and agreement were reviewed in March of 2022 and again on 10/24/22. Child #8's emergency contact and agreement were reviewed in March of 2022 and then again on 10/25/22. Child #10's emergency contact and agreement were signed on 10/19/20 with no documentation of reviews and updates.

The files of Volunteers #23, #24, #25, and #26 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The files of Staff #1 and #3 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/10/22. The file of Staff #3 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/8/22.

Staff #9, who was hired prior to the implementation of the new regulations, did not complete health and safety training within 180 days of the new regulations being implemented.

The file of Staff #13 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Staff #4 was observed having Pennsylvania State police clearances dates 3/18/15 and 11/9/20, Pennsylvania Child Abuse clearances dated 3/2/15 and 11/5/20, and FBI clearances dated 3/21/15 and 11/5/20. All clearances exceeding 60 months between renewals. Staff #5 was observed having FBI clearances dated 3/19/15 and 3/5/20, exceeding 60 months between renewals. Staff #6 was observed having Pennsylvania Child Abuse clearances dated 4/6/15 and 9/2/20, exceeding 60 months between renewals. Staff #7 was observed having Pennsylvania State police clearances dates 3/6/15 and 7/3/20, Pennsylvania Child Abuse clearances dated 3/26/15 and 8/4/20, and FBI clearances dated 6/5/15 and 8/4/20. All clearances exceeding 60 months between renewals. Staff #8 was observed having Pennsylvania State police clearances dates 3/6/15 and 3/13/20 and FBI clearances dated 3/6/15 and 3/16/20, both clearances exceeding 60 months between renewals. Staff #9 was observed having Pennsylvania State police clearances dates 3/31/15 and 10/30/20, Pennsylvania Child Abuse clearances dated 3/26/15 and 11/2/20, and FBI clearances dated 4/2/15 and 10/30/20. All clearances exceeding 60 months between renewals.

The young infant child care space lacked tape, scissors, and tweezers in the first-aid kit.

The young infant child care space lacked a thermometer in the refrigerator.

Staff #1 was observed having health assessments dated 12/15/18 and 6/16/21, exceeding 24 months between health assessments. Staff #2 was observed having health assessments dated 8/8/18 and 11/20/20, exceeding 24 months between health assessments. Staff #3 was observed having health assessments dated 9/18/19 and 10/5/21, exceeding 24 months between health assessments. Staff #5 was observed having health assessments dated 12/5/18 and 2/9/21, exceeding 24 months between health assessments. Staff #6 was observed having health assessments dated 9/19/18 and 11/11/20, exceeding 24 months between health assessments. Staff #9 was observed having health assessments dated 11/1/18 and 11/2/20, exceeding 24 months between health assessments. Staff #10 was observed having health assessments dated 1/11/18 and 10/27/21, exceeding 24 months between health assessments. Staff #11 was observed having health assessments dated 8/2/18 and 9/29/21, exceeding 24 months between health assessments.

Staff #10 and #11 lacked professional development in all health and safety topics within 180 days after new regulations were implemented beginning on 12/19/20. No current training was observed on file.

The file for staff #11 lacked an educational record.