The Childrens House of Bucks County

On 9/17/24, at time of renewal, the Mandated Reporter Training belonging to Staff #2 was dated more than 60 months.

On 9/17/24, at time of renewal, Child #1, #2, #3, #4 and #5 emergency contact information did not include the address of individual release persons.

On 9/17/24, at time of renewal, Child #2, #3 and #5 emergency contact information was not updated within a 6 month period.

On 9/17/24, at time of renewal, Child #1, #3 and #5 emergency contact information did not include written consent to obtain emergency medical care and consent for the administration of minor first aid by the facility.

On 2/14/24, at time of unannounced inspection, Facility persons #1, and #2 did not have completed PA Criminal, Child Abuse, FBI and NSOR clearances. Facility person #3 did not have a Child Abuse Clearance. Facility Person #4 did not have results of FBI clearance processed by DHS. Facility person #5 did not have results of PA Criminal and NSOR clearances. Facility person #8 did not have results of PA Criminal, FBI and NSOR clearances as required by CPSL.

On 2/14/24, at time of unannounced inspection, Facility person #1 did not have copy of requests for FBI and NSOR clearances as required by CPSL. Facility person #2 did not have copy of request for FBI clearance as required by CPSL. Facility person #3 did not have a copy of request made for Child Abuse clearance as required by CPSL. Facility person #4 did not have a copy of request for FBI clearance as required by CPSL. Facility person #5 did not have a copy of request for NSOR clearance as required by CPSL. Facility person #8 did not have copy of requests made for PA Criminal, FBI, and NSOR clearances as required by CPSL.

On 2/14/24, at time of unannounced inspection, Facility person #1, #2, #3 and #8 files did not contain initial health assessments including results of tuberculosis testing.

On 2/14/24, at time of inspection, facility person #5 has not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training.

On 2/14/24, at time of inspection, facility person #5 has not completed the mandated reporter training within 90 days of their date of hire.

On 2/14/24, at time of inspection, Facility persons #1, #2 #6 and #7, #8 files did not contain verification of education or verification of experience (if applicable) in order to determine qualifications for positions performing.

On 2/14/24, at time of unannounced inspection, as of 2/9/24, the facility does not have a qualified director who is responsible for the general management of the facility as described in 3270.34(a)(1-6).

On 2/14/24, during unannounced inspection, Facility Person #1, #2, #3 and #4 were present at the facility. Facility Persons #1, #2, #3 and #8 did not have an individual file.

On 2/14/24, at time of inspection, facility persons #1, #2, #3, #6, #7 files did not contain two letters of written references.

On 12/13/23, at time of unannounced inspection Staff #1 and Staff #2 were observed working at the facility. Staff #2 file did not contain results of Child Abuse Clearance and NSOR Clearance as required by CPS Law. Additionally, Staff #2 file did not contain copies of requests made to the NSOR and Child Abuse Registry. Staff #1 file did not contain a copy of FBI fingerprinting receipt required in order to qualify as a provisional hire.

On 12/13/23, at time of unannounced inspection, Staff #2 file did not contain an initial health assessment. Only results of tuberculosis testing was observed on file for Staff #2.

On 12/13/23, at time of unannounced inspection, Staff #2 has not completed the following preservice trainings within 90 days of their hire date: Pediatric First Aid/CPR.

On 12/13/23, at time of unannounced inspection, Staff #2 has not completed the mandated reporter training within 90 days of their date of hire.

On 12/13/23, at time of unannounced inspection, Staff #2 file did not contain verification of education/experience in order to ensure qualifications for the position performing at the facility.

On 12/13/23, at time of unannounced inspection, Staff #2 file did not contain 2 written letters of reference.

Continued Noncompliance: Previously on 9/27/23, Staff #1 file did not contain completed NSOR and FBI clearances required by CPSL. The operator provided a plan of correction indicating that Staff #1 would be removed from the childcare facility until results of NSOR and FBI clearances were received. On 10/19/23, during unannounced inspection, Staff #1 was present at the facility. Staff #1 file still did not contain results of NSOR and FBI clearances.

Continuous Non-Compliance: Potentially hazardous food brought from child's home was not refrigerated.

Continued Non-Compliance: On 10/19/23, during unannounced inspection, emergency contact information was not present in the childcare space and outdoor play space where children were receiving care.

On 9/27/23, at time of renewal, Staff #2 file contained an FBI clearance from an agency other than DHS. Staff #3 file did not contain an updated Child Abuse Clearance (the clearance was dated 2018. Staff #4 file did not contain a completed FBI clearance. Staff #5 file did not contain a completed PA Criminal and Child Abuse Clearance for the purpose of childcare employment. Staff #7 file did not contain a completed FBI and NSOR clearance as required by CPSL.

On 9/27/23, at time of renewal, signs containing the requirement for handwashing were not posted by all sinks, toilet areas and diaper changing stations located in the facility.

On 9/27/23, at time of renewal, lidded waste receptacles were not observed in every toilet area and sink throughout the facility.

On 9/27/23 at time of renewal, potentially hazardous foods were brought from home were observed unrefrigerated in children's lunch boxes located in the storage cubbies.

On 9/27/23, at time of renewal, an EpiPen belonging to Child #1 was observed in the PK classroom. The EpiPen contained an expiration date of 6/2023.

On 9/27/23, at time of renewal, Staff #1 and Staff #7 file did not updated health assessments.

On 9/27/23, at time of renewal, an evacuation plan was not posted in the detached modular classroom.

On 9/27/23, at time of renewal, a 30 day test of the smoke detection system was not logged and kept on file at the facility as required by the Fire & Panic Act

On 9/27/23, at time of renewal, a policy addressing Shaken Baby Syndrome/Head Trauma/Maltreatment of Children was not on file at the facility.

On 9/27/23, at time of renewal, Staff #4 and #7 file did not contain required annual fire safety training.

On 9/27/23, at time of renewal, Staff person #4 and #7 have not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training. Staff person #2 and #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

On 9/27/23, at time of renewal, emergency contact information for all children was not present in the childcare spaces where children in the facility were receiving care, including on the outdoor play space. Emergency contact information that was present in the emergency binders were not updated at least once in a 6-month period.

On 9/27/23, at time of renewal, emergency transport plan was not posted in the childcare spaces located in the main facility.

On 9/27/23, at time of renewal, Staff #7 file did not contain two letters of written references.

During renewal inspection certification rep observed the teacher in pre-primary 1 out of ratio. The teacher had 7 toddlers by herself. The teacher in primary 2 left the co teacher out of ration. The teacher had 11 preschool children by herself. It was also observed a child elope from primary 2. The teacher did not know the whereabouts of the child.

During renewal inspection certification rep reviewed staff files. Staff 3,6 and 7 were missing disclosure statement

During renewal inspection certification checked first aid bags. The first aid bag in pre primary 2 was missing tweezers

During renewal inspection certification rep reviewed child files. Child 2 physical exp 10-11-22

During renewal inspection certification rep observed medication for child 1 not in its original container.During renewal inspection certification rep did not observe a medication log for child 1

During renewal inspection certification rep reviewed staff files. Staff 4 last physical was on 9-9-2020,

During renewal inspection certification rep did not see a documented emergency drill.

During renewal inspection certification rep did not see a documented emergency drill.During renewal inspection certification rep reviewed staff files. Staff 3,4,6,7 were missing emergency plan training

During renewal inspection certification rep reviewed fire drill log. Last documented fire drill log was (3-2022)

During renewal inspection certification rep reviewed staff files. Staff 3,4,6 were missing fire safety training

Staff person #3,4--- has not completed the following required pre-service training within 90 days of their date of hire 10 hour health and safety training.

During renewal inspection certification rep reviewed staff files. Staff 1,3,4,5,6 and 8 were missing annual evaluations

During renewal inspection certification rep did not observe a daily schedule posted in primary 1

During renewal inspection certification rep reviewed staff files. Staff 3,4 were missing annual training hours.