The Childrens Center of Pittsburgh

In Room 003 adult scissors. a stapler, a stapler remover, and boxes of thumb tacks were observed inside an unlocked drawer accessible to children in care; a lock was on the drawer however it was broken and would not engage to prevent from opening.

In Room 003 an electrical outlet located to the left of the kitchen play area, which is accessible to children 5 years of age or younger, was observed to lack one protective outlet cover.

In Room 003 a bottle of Advil and an Elta MD skincare product both labeled 'Keep Out of Reach of Children' was observed inside an unlocked drawer accessible to children in care; a lock was on the drawer however it was broken and would not engage to prevent from opening.

At approximately 12:30pm in Room 101B the following mats were observed to not have at least 2ft of space on 3 sides while in use: a young toddler was observed sleeping on mat that was placed 10inches from a shelving unit, and two infants were observed sleeping on mats that had 10 inches between them and were placed an inch from the wall. At approximately 2:30pm during naptime in Room 108 and in Room 001, multiple mats were observed to lack at least 2ft of space on 3 sides while in use during naptime.

The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 7/22/24 which was conducted more than 12 months from the previously dated 5/12/23 health report on file. The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 4/5/24 which was conducted more than 12 months from the previously dated 3/17/23 health report on file.

In Room 101A an infant Tylenol and Little Remedies saline spray were both observed to have expired as of 10/2024.

The staff file for Staff person #2, contained a current health assessment dated 10/7/24 which was conducted more than 24 months from the previously dated 9/29/22 health assessment on file.

An annual emergency drill was observed to be conducted on 11/14/24 which was more than 12 months after the previously documented emergency drill dated 3/29/23.

During an incident investigation conducted on 10/22/24 it was determined that on 9/27/24 Child #1 had a seizure and was taken to the emergency room, and the facility did not notify the western region office of the incident until 10/4/24.

During an incident investigation conducted on 10/22/24 it was determined that on 9/27/24 Child #1 had a seizure and was taken to the emergency room, and the facility did not submit a written report of the incident to the western region office until 10/4/24.

The file for staff person #9 had documentation of FBI clearance dated 4/7/23, which was after the staff person's start date (See LIS Code Sheet).

The two most recent emergency plan trainings documented in the files for staff persons #3, #7, and #11 are dated more than 12 months apart. Staff person #3: 7/14/22 and 8/30/23. Staff person #7: 3/3/22 and 8/30/23. Staff person #11: 5/19/22 and 8/30/23. The file for staff person #9 has documentation of emergency plan training dated 8/30/23 but was not at the time of initial employment (See LIS Code Sheet).

The first aid kit in Room 001 did not include tweezers.

In Room 004, several of the large, soft, padded shapes of the children's play equipment was observed to be tearing and were not in good repair.

The two most recent health assessments in the files for staff persons #1 and #8 exceeded 24 months between assessments. Staff person #1: 3/22/21 and 7/21/23. Staff person #8: 8/23/21 and 9/20/23.

The file for staff person #6 was observed to lack documentation of completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022

The file for staff person #10 had documentation of Mandated Reporter training that was not renewed before the expiration date of the most current certification: 8/28/18 and 9/14/23.

The emergency contact form in the file for child #2 did not include the enrolling parent's work address.

In Room 009-Front, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in a conspicuously location.

The emergency contact and financial agreement forms in the file for child #1 was updated by the parent on 1/26/23 and 8/2/23, which was more than 6-months apart.

The files for staff persons #1, #2, #4, and #5 did not include documentation of a minimum of 12 annual clock hours of child care training for the last full year of employment. Staff person #1 had 8 annual hours documented. Staff person #2 had 9 annual hours documented. Staff person #4 had 11 annual hours documented. Staff person #5 had 9 annual hours documented.

There were no handwashing signs at the 3 toilets in the "preschool potty" bathroom. The restroom in Room 009 did not have a handwashing sign above one of the toilets.

There was a cracked toy bin in the play kitchen area in Room 108.

The most recent health report in the file for child #1 did not include the name or title of the individual who completed the form. The only information listed was "Nurse CCP BW."

There were no written instructions for the inhaler belonging to child #5

The facility's emergency plan did not include information regarding continuity of operations. The facility's shaken baby polciy did not include informations regarding the identification of child maltreatment.

The file for staff person #4 included a provisional FA/CPR certificate that had expired 9/22/22. The individual did not complete the second part of the training.

The first fire safety training in the file for staff person #2, hired 12/4/20, was dated 8/31/22. last two fire safety trainings in the file for staff person #3 were dated 8/19/21 and 8/30/22. The last two fire safety trainings in the file for staff person #4 were dated 8/29/21 and 8/31/22. The last two fire safety trainings in the file for staff person #5 were dated 8/30/21 and 8/31/22

The health and safety training in the file for staff person #1, hired 8/2/22, was 11/16/22. The individual was suspended from 9/14/22 and 11/2/22, but returned without the training being completed.

The last two evaluations in the file for staff person #5 were dated 4/16/21 and 5/23/22. The last two evaluations in the file for staff person #6 were dated 4/16/21 and 5/23/22. Neither were signed/dated by the director. Based on conversation with the director, they review all staff evaluations, but did not document the reviews.

There were no release persons listed on the most recent agreement in the file for child #4

The most recent emergency contact information in the file for child #3 did not include a city or zip code for the child's physician.

The most recent emergency contact information in the file for child #3 did not include a city or zip code for the enrolling parent's home and work address.

The last two reviews in writing by a parent on the emergency contact information and agreement form in the file for child #2 were 12/14/21 and 7/22/22. The last two reviews in writing by a parent on the emergency contact information and agreement form in the file for child #3 were 12/16/21 and 8/9/22.

At approximately 10:30 am, staff person #1 and #2 were observed in the indoor gross motor space with 10 preschooler. Some children were eating and some children were playing. As a gross motor space, the room measures for 5 children. As a child care space, it measures for 6 children. Based on staff interviews, over the last week, between 4 and 10 preschool children were being cared for in the indoor gross motor space

Based on review of the facility's fire drill log, all fire drills conducted in 2022 occurred between 9:30 am and 11 am.

The facility does not have verification of the purchase of the fire alarm system installed in the facility, as required per Act 62.

The most recent emergency plan training on file for Staff person #4 is dated 11/1/21, more than 1 year after the previous training, dated 1/7/20,

The hot water at the sink where children wash their hands in Room 003 measured 111 degrees Fahrenheit.

There was Tylenol in Room 106 labeled for use by a child that did not have written parental consent to administer.

The current health assessment on file for Staff person #1 indicates that she has a contagious or communicable disease, with no further information given.

The first aid and CPR certification on file for Staff #3, with a hire date of 8/17/21, does not indicate it was pediatric first aid and CPR, as required to be completed within 90 days of hire, as required by the current regulations. The file for Staff #5, with a hire date of 5/3/21, does not include pediatric first aid and CPR certification, as required to be completed within 90 days of hire, as required by the current regulations.

The file for Staff person #2, with a hire date of 11/17/20, does not include 12 hours of annual training between 12/19/20-12/19/21, as required per Announcement C-21-09.