The Learning Lamp at Claysburg Kimmel

On 10/10/23 observed a playhouse in the Outdoor Play Space with a crack on the bottom of the entrance creating rough edges and pinch points.

Emergency contact information for Children #1, #2, #3, and #4 was not present in the bag taken by staff when children go outside.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

On 10/12/22 observed Vision Source Signature Eye Care Lens Cleaner which indicated "keep out of the reach of children" in the top drawer of the teacher's desk which was accessible to children.

The telephone number of the nearest police department and ambulance were not posted by the telephone in the classroom.

On 10/12/22 observed 5 stalls in the Girls' Bathroom and 3 urinals and 2 stalls in the Boy's Bathroom that lacked handwashing signs.

On 10/12/22 observed approximately a 2 inch tear with exposed foam at the corner of a rest mat.

The facility lacked documentation the protective surface covering under the outdoor equipment that requires embedded mounting meets the recommendations of the United States Consumer Product Safety Commission.

The file of Child #3, a 5 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #5, a 4 year old, lacked Hepatitis B, DTAP/DTP/TD, HIB, Pneumococcal, Polio, a current influenza immunization, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 contained documentation of no Hepatitis B, one DTAP/DTP/TD, no HIB, no Pneumococcal, one Polio, one MMR, one Varicella, and no Hepatitis A immunizations.

The Director or designated staff person did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

On 10/12/22 the Director or designated staff person was unable to provide documentation of an annual inspection of the fire detection system by a fire safety professional. The Director or designated staff person provided documentation of an inspection completed on 6/10/22 by a fire safety professional but not for 2021.

The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

The file of Staff #1 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #1 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/16/22 with a previous one completed on 8/11/20.

The file of Child #2 lacked the date of the child's admission on the agreement.

The file of Child #4 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

The file of Child #4 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #5 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The emergency contact for Child #1 was 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 was signed on 1/6/22 and reviewed on 9/19/22.