The Learning Experience · Levittown

At the time of the inspection, the file of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

At the time of the inspection, staff person #1 flicked children, forcibly pushed a pacifier into the child's mouth and cursed in the presence of children. This was confirmed by staff person #2.

Where staff person #1 and #2 were positioned, it did not allow full supervision of children while setting up meals for lunch and cots for nap time in the classroom. During lapse in supervision the child sustained scratches.

At the time of the inspection, staff person #3, #4, and #5 were unable to name the children in their assigned group.

During my inspection I observed that the staff 1, 2, did not know whom they were responsibly for.

During my investigation, I found that staff 1, hit a child during a diaper changing process.

At the time of inspection, staff person #1 did not have a complete PA State Police Clearance on file. Staff person #1 cannot work in a childcare position.

At the time of inspection, staff persons #2 and #3 identified being responsible for 3 children each when a total of 10 children were present.

At the time of inspection, the water temperature in preschool room 2B measured at 117 degrees.

At the time of inspection, damaged paint was observed in twaddler room B on the right-side wall towards entrance and in the bathroom.

At the time of inspection, in preschool room 2B, the handwashing sign present did not indicate when to wash hands.

During the renewal inspection conducted on 8/9/2023 observed peeled paint in the Pre K B room, Preschool 1 room, Twaddler room, Preschool 1 A room and Preschool 2 room.

During the renewal inspection conducted on 8/9/2023 observed the glass door in the lobby did not have a visual strip or other visual identification placed on the glass.

During the renewal inspection conducted on 8/9/2023 observed the child sized couch in the Preschool 1 room was ripped.

During the renewal inspection conducted on 8/9/2023 observed the infant A room's refrigerator did not include a thermometer. Corrected on site 8/9/2023.

During the renewal inspection conducted on 8/9/2023 observed staff person #1's health assessment did not have question #3 answered which includes information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During the renewal inspection conducted on 8/9/2023 observed the facility's Shaken Baby Syndrome policy did not include recognition of potential signs/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. Also observed the facility's emergency plan did not address continuity of operations. Corrected on site 8/9/2023.

During the renewal inspection conducted on 8/9/2023 observed child #1, #2, #3, #4, #5, #5, #6, #7, #8, #9 and #10's fee agreements did not specify the persons designated by a parent to whom the child may be released.

During the renewal inspection conducted on 8/9/2023 observed child #5's fee agreement did not specify the date of the child's admission.

During the renewal inspection conducted on 8/9/2023 observed child #3, #5, #6, #7 and #10's financial agreements were not reviewed or updated within the 6-month period.

During the renewal inspection conducted on 8/9/2023 observed staff person #2's file did not include verification of annual minimum of 12 clock hours of child care training.

During the renewal inspection on 11/2/22, it was observed that the records of child #1, child #2, and child #3 did not include the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77 or an exemption from immunization letter

During the renewal inspection on 11/2/22, there was no handwashing observed during the diapering of multiple children.

During the renewal inspection on 11/2/22, it was observed that the Pediatric First Aid training dated 10/10/22 submitted for staff persons #1, #2, #3 and #4 could not be verified as being completed by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR).