The Learning Lamp at Portage

The file of Staff #2 lacked documentation of application for the State Criminal History Check and Child Abuse and Neglect Registry Check from the State(s) in which Staff #2 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 did not contain a State Criminal History Check and Child Abuse and Neglect Registry Check from the State(s) in which Staff #2 resided. The file of Staff #3 lacked a dated disclosure statement

At approximately 12:30 PM on 11/6/24 Certification Staff observed 3 preschoolers lying on rest equipment behind bookcases in Room 101 which did not allow for critical oversight in which the supervisors could see, hear, direct, and assess the activity of the supervisees.

On 11/6/24 observed a first-aid kit on the floor behind the teacher's desk in Room 101 which was accessible to children.

On 11/6/24 observed rust on the railing leading from Room 102 to the outdoor play space.

On 11/6/24 observed 2 urinals in the boys' bathroom located by the cafeteria that lacked handwashing signs. On 11/6/24 observed 3 stalls in the girls' bathroom located by the cafeteria that lacked handwashing signs. On 11/6/24 observed 4 sinks outside of the boys' and girls' bathrooms by the cafeteria that lacked handwashing signs.

On 11/6/24 observed a cracked red square Magna Tile with an exposed magnet in Room 102. On 11/6/24 observed a frayed dog/letter D carpet square in Room 102.

On 11/6/24 observed 2 thermometers in the refrigerator located in Room 102. The one thermometer indicated the temperature was 46 degrees, and the other thermometer indicated the temperature was 50 degrees.

Child #2, a 4-year-old, lacked Hepatitis B, DTAP/DTP/TD, Pneumococcal, MMR, Varicella, and Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of 2 Hepatitis B immunizations, 3 DTAP/DTP/TD immunizations, 1 Pneumococcal immunization, no MMR immunizations, no Varicella immunizations, and no Hepatitis A immunizations. The file of Child #2 contained a standardized form titled "Pennsylvania Code §23.84 Exemption from Immunization" instead of an exemption letter from the parent.

The facility was able to provide written documentation that the fire detection system was tested annually by a fire safety professional. The facility provided documentation that the fire detection system was inspected by a fire safety professional on 8/2/23 and 8/5/24. The inspection report dated 8/5/24 indicated 10 deficiencies, and the facility was unable to provide documentation that the system had been repaired and passed with a follow-up inspection.

The facility did not have a policy that addressed the recognition of potential signs and symptom 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 file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 contained a written evaluation dated 9/9/24 with a previous one dated 7/31/23.

The agreement for Child #1 did not specify the date of the child's admission. The agreement for Child #4 did not specify the date of the child's admission.

Emergency contact information for Child #2 did not include the complete work address of the enrolling parent.

On 11/6/24 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 Room 101 and Room 102.

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 1/23/24 and reviewed on 8/15/24.

On 11/6/24 the facility's current certificate of compliance was not posted in a conspicuous location used by parents. The certificate posted was in effect from 2/3/23 until 2/3/24.

The files of children #1 and #2 lacked emergency contact forms with the address of the child's physician or source of medical care.

The file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

At the time of the inspection, there was no documentation of the emergency plan sent to the local municipality.

2nd citation. Previously cited on 11/22/21. The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

2nd citation. Previously cited on 11/11/21. The files of Children #2 and #3 lacked the date of the child's admission on the agreement.

Staff #1 lacked a copy of the National Sex Offender Registry Verification Certificate prior to providing initial service in a child care setting. Staff #1, with a start date of 9/13/21, had a NSOR dated 9/14/21.

On 11/22/21 observed Pure Silk Shaving Cream which indicated "keep out of the reach of children" in the bottom right drawer of the teacher's desk in the Preschool Classroom which was accessible to children.

On 11/22/21observed a first-aid kit located in a bag hanging on the pencil sharpener at the exit door to the outside in the Pre K Classroom which was accessible to children.

On 11/22/21 the last stall on the left side of the girls' bathroom lacked a handwashing sign.

Child #5, a 5 year old, lacked DTAP/DTP/TD, HIB, Pneumococcal, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #5 had documentation of 3 DTAP/DTP/TD immunizations, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Hepatitis A immunization.

On 11/22/21 observed medication for Child #4 located in the bag with the first aid kit hanging on the pencil sharpener by the exit door to the outside in the Pre K Classroom which was accessible to children.

On 11/22/21 observed the operator did not establish a medication log for Child #6.

The facility was unable to provide proof of purchase of the interconnected fire detection system.

The file of Child #4 lacked an agreement signed by the operator.

The file of Child #4 lacked the fee to be charged per day or per week on the agreement.

The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

The files of Children #2 and #4 lacked the date of the child's admission on the agreement.

The file of Child #5 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

The files of Children #2 and #3 lacked the complete home address of the enrolling parent on the emergency contact form.

The file of Child #3 lacked signed parental consent for emergency medical care prior to admission. Child #3 had an admission date of 9/13/21 with an emergency contact form signed 9/14/21.

The file of Child #3 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 #3 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #3 had an admission date of 9/13/21 with an emergency contact form signed 9/14/21.