Thomas Child Care and Learning Academy LLC

The fee agreement for Child #3 and Child #5 was lacking the date of admission.

The emergency contact forms for Child # 1, Child #2, and Child #5 were lacking the work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #2 was lacking written consent signed by a parent for emergency medical care.

The emergency contact forms for Child #1, Child #2 and Child #5 were lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form for Child #1, Child #3, and Child #4 was lacking health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for Child #1, Child #2 and Child #5 was lacking the addresses of the individuals designated by the parent to whom the child may be released.

The emergency contact form on file for Child #2 was lacking signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Staff Person #2 completed Pediatric First Aid/CPR pre-service training after 90 days of their day of hire (see LIS code sheet). Their Pediatric First Aid/CPR certificate is dated 5/22/25.

On 11/20/24, the operator self-reported a non-functioning furnace in the downstairs preschool classroom.

The file for staff #2 contained a current NSOR clearance dated 12/7/23. Staff #2 date of hire was 12/5/23. The file lacked documentation of the NSOR clearance application prior working with children.

There was a piece of wood with two exposed screws on the floor by the sink steps in the toddler room accessible to children.

There was an uncovered electrical outlet on the circle time wall in the preschool room accessible to children 5 years of age or younger.

There was a hand sanitizer labeled " keep out of reach of children". accessible to children on the floor in the in the preschool room.

There was an open garbage can with contaminated by human secretions trash in pre-k room and one in the infant/toddler room.

The first -Aid kit in the preschool room was placed on the floor accessible to children.

On the stairs leading to the second floor, there were 2 damaged stair covers causing a tripping hazard. The upstairs children bathroom window frame wallpaper was pulling off the wall. There was a ceiling light frame coming off the ceiling in the toddler room.

The second toilet in the boy's bathroom was soiled.

There were foam blocks with teeth marks and a cracked bin in the preschool room. There was a cracked pencil box, a cracked blue bin, and a cracked yellow bin in the pre-K room. There was a blue cracked bin in the toddler room. There was a broken garbage can with an exposed wire in the playground.

The operator was not maintaining a medication log for prescriptions medication, Albuterol for child # 4.

Staff # 3 did not wash the child's hands after diapering.

Staff # 3 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

There was a lunchbox out of the refrigerator that contained cheese. The lunchbox was on a shelf by the refrigerator in the pre-K room.

The file for child # 2 an old toddler contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report.

The file for staff #1 lacked documentation of current pediatric first-aid and pediatric CPR certification. The previous certification for staff #1 was dated 9/22/22 to 9/22/24.

The files for child # 1 and 3 contained an original agreement form.

The file for child #3 lacked the child's birthday on the emergency contact form.

The file for child # 3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

The file for child # 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

The file for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The infant/toddler room lacked an emergency transportation plan.

The file for Staff #3 contained an FBI Clearance and State Police Clearance without the accompanying Rap Sheets, and therefore was not a complete clearance.

The file for Staff #5 contained Emergency Plan trainings that were dated more than 12 months apart.

Observed three outlets on a surge protector in the Infant Classroom that lacked protective receptacle covers. These outlets were accessible to children 5 years of age or younger.

Observed Lysol Spray and GNC Immune Defense Gummies in an unlocked cabinet in the Middle Classroom. Observed hand sanitizer on a low interior windowsill in the Middle Classroom. These toxics were all labeled "Keep out of Reach of Children" and accessible to the children in care. Observed Lysol Spray labeled "Keep out of Reach of Children" on a low shelf in an unlocked cabinet that made them accessible to the children in care in the School Aged Classroom where Toddlers were receiving care.

Observed a missing face plate on an accessible electrical outlet in the School Aged Classroom. Observed a ripped carpet seam that ran the length of the Downstairs Classroom and caused a tripping hazard to the children in care. In the Downstairs Classroom a knob was observed to be missing on a low cabinet which exposed the screw underneath creating a cutting hazard.

Observed Plastic Bags and Halloween Plastic Eyeballs that were labeled, "Choking Hazard" in the School Aged Classroom where Toddlers who are still placing items in their mouths were receiving care. Observed foam shapes with bite marks in the School Aged Classroom where the Toddlers who are still placing items in their mouths were receiving care. Observed Tulle Material tied to multiple cribs in the Infant Classroom. These items pose a choking hazard to the children who are still placing items in their mouths. Observed small glue sticks labeled, "Choking Hazard" in a low unlocked drawer in the Infant Classroom that were accessible to children who are still placing items in their mouths.

The file for Child #2, an Older Toddler, contained Health Reports that had been updated in an interval greater than 12 months. The file for Child #3, a Preschooler, lacked an updated health report within the last 12 months. The file for Child #4, an Older Toddler, contained a health report that lacked a date; therefore, it could not be determined if it was within the last 12 months.

The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a 2nd and 3rd dose of the DTAP vaccination, and an influenzas vaccination as required based on the child's age as per the ACIP recommended schedule.

The file for Child #6, an infant, lacked a written formula and feeding schedule obtained from the parent.

Although Staff #2, #5, #6, and #7 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #2, #5, #6, and #7 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06. The file for Staff #8 lacked the Pennsylvania Health and Safey Updated training by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

The file for Staff #5 contained Fire Safety Trainings that were dated more than 12 months apart.

Staff Person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics). Although Staff Person #7 had Health and Safety Basic training at the time of Renewal Inspection, it was observed that Staff Person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics).

Although Staff #4 had Mandated reporter Training at the time of the Renewal Inspection, it was observed that Staff #4 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

The file for Staff #1 contained a written evaluation that was conducted in an interval greater than 12 months. Although the files for Staff #5 and #7 contained a Staff Evaluation at the time of the Renewal Inspection, it was observed that Staff #5 and #7 lacked a written evaluation within the first year of hire.

The file for Child #2 contained a child service form that provides information to the family about the child's growth and development in the context of the services being provided that had not been updated in the previous 6 months. The files for Child #1 and #3 contained a child service form that provides information to the family about the child's growth and development in the context of the services being provided that is deemed unacceptable.

The Emergency Contact Form in the file for Child #2 lacked written consent signed by a parent for emergency medical care.

The Emergency Contact information was not present in the Downstairs Classroom for Child #5. The child was present and receiving care in the room. The Emergency Contact information was not present in the Middle Room for the children who were present and receiving care in the room.

The file for Child #1 contained an Emergency Contact Form that had not been updated within the last 6 months.

The Emergency Contact form for Child #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The file for Staff #3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

The files for staff #2, 3, 4 and 6 lack the one-hour health and safety update which was to be completed by 12/30/22.

Staff person # 5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training.

Staff person # 1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour health and safety training. There is now health and safety training on file and dated 2/20/23.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Based on interviews, it was determined that there have been times in the past few months when staff have been on their personal cell phones, stepping out of the rooms, while supervising children and leaving other staff out-of-ratio.

Based on interviews, it was determined that there have been times in the past few months when staff leave child care spaces and their supervision groups to talk on their personal cell phones and are not supervising their assigned child care groups. During the investigation on 5.5.23, Staff #3 was observed to not be able to see, direct or assess three (3) of the five (5) children in her supervision group when they ran ahead of her and into the empty classroom for several seconds and staff was not physically present with the children.

Based on interviews, it was determined that there have been times in the past few months when staff leave child care spaces and their supervision groups to talk on their personal cell phones in the hallway and therefore, were not physically present with the children in their respective groups. During an unannounced visit on 5.5.23, when asked to identify supervision groups, Staff #1 was unable to identify which children she was to be supervising until the third attempt, and only when assisted by other staff. Staff #2 was only able to identify four (4) of the eight (8) children which she was to be supervising. During an unannounced visit on 5.5.23, Staff #3 was observed to not able to see, direct or assess three (3) of the five (5) children in her supervision group when they ran ahead of her and into the empty classroom for several seconds and staff was not physically present with the children.

Staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service trainings required prior to caring for children unsupervised: Mandated reporter training, Pediatric first-aid/CPR training from a PQAS approved trainer, and Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training in the topics of 3270.31(f)(1-9).

The file for staff person #7 lacked an FBI clearance and had an NSOR verification certificate that was dated after their start date and did not have verification of application for the FBI clearance or the NSOR verification certificate at their start date to be a provisional hire. (See LIS CODE SHEET) The file for staff person #2 had a disclosure statement that was not signed by the staff person.

In the large bathroom on the main floor, there were 2 containers of Disinfex Multi-purpose Wipes labeled "Keep out of reach of children" that were in an unlocked cabinet under the sink and were accessible to children.

The first-aid kit in the infant/toddler room lacked sterile gauze pads.

In the middle room, there were 2 screws protruding out from the right wall near the doorway leading to the downstairs that were a potential hazard.

In the preschool room, there were multiple cabinets on the left wall that had purple paint peeling in multiple areas near the handles on the cabinet doors.

The infant/toddler room lacked a source of running water for handwashing near the changing table to wash hands after diapering.

There were multiple rest mats in the preschool room that had tears that exposed the stuffing inside.

The file for child #2, a preschooler, lacked a current health assessment updated within the last 12 months.

The file for child #2, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

In the infant/toddler room, the staff stated that the 2 year olds that are still wearing diapers have their diapers changed at the changing table in the room, and the children do not have a nearby sink to wash their hands after being diapered.

The files for staff person #3 and #6 lacked a current health assessment completed within the last 24 months. The files for staff person #4 and #5 had a health assessment that exceeded 24 months between assessments.

The file for staff person #2 had a tuberculosis screening by the Mantoux method that was dated over a year prior to initial employment and requires a current tuberculosis screening by the Mantoux method.

In the infant/toddler room, staff person #2 was observed changing a 1 year olds diaper at the changing table in the room, and then using hand sanitizer afterwards. The staff person did not wash their hands after diapering the child, and a sink was not located near the changing table to wash their hands after diapering the child.

In the infant/toddler room, there were 2 bottles in the refrigerator for an infant in the room that were not labeled with the child's name.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 1-6-22 to 3-10-22 and 5-9-22 to 7-11-22.

The facility had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not address the recognition of potential signs and symptoms of shaken baby syndrome and the prevention and identification of child maltreatment as required to comply with 45 CFR 98.41(a)(1)(vi).

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Health and Safety Training in the topics of 3270.31(f)(1-9).

Staff person #6 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 1-12-17 and 10-5-22.

The file for staff person #4 lacked a current staff evaluation completed within the last 12 months. The files for staff person #1 and #3 had a staff evaluation that exceeded 12 months between evaluations.

The file for staff person #9, functioning as an aide, lacked verification of education to qualify as an aide.

The file for child #1 had an agreement that lacked the child's arrival and departure times.

The file for staff person #1 lacked 8 annual hours of child care training completed within the last year. The file for staff person #4 lacked 6 annual hours of child care training completed within the last year.

At 10:04 am in the infant/toddler room with a total of 13 children in the room, staff person #1 named 4 older toddlers in their group, staff person #2 named 4 children in their group, including 2 preschoolers and 2 older toddlers, and staff person #3 named 4 children in their group, including 3 young toddlers and 1 infant, resulting in 12 out of 13 children being named in a group and 1 child not being named in a group.

The file for staff person #5 had a disclosure statement that lacked the signature of a witness. The file for staff person #3 had state police clearances dated 11-19-15 and 12-17-20, child abuse clearances dated 11-23-15 and 12-17-20, and FBI clearances dated 11-18-15 and 8-31-21 that were over 60 months between clearances.

The file for staff person #4 lacked current emergency plan training within the last year. The files for staff person #1 and #2 had emergency plan training that exceeded a year between trainings.

At approximately 11:15 a.m. on the outdoor toddler play space with a capacity for 6 preschoolers and 8 toddlers, there were 9 total children, including 1 preschooler, 6 toddlers, and 2 infants with 3 staff persons, resulting in the play space being overcapacity.

The janitor's closet door was unlocked in the hallway on the main floor with multiple toxics inside the closet labeled "Keep out of reach of children" that were accessible to children including a bottle of Clorox.

The first-aid kit in the middle room lacked soap. The first-aid kit in the school-age room lacked tweezers.

In the school-age room, the refrigerator door was not closed completely due to milk containers preventing the door from closing resulting in multiple containers of milk being visibly warm and the digital thermometer reading 72° F. In the infant/toddler room, the refrigerator that stores food for the children had a thermometer that was not functioning.

In the office, there were Albuterol and 2 EpiPens for child #4 that were expired.

In the large bathroom on the main floor, the diapering can being used to dispose of diapers had a flip lid and was not a hands-free covered diapering can.

In the infant/toddler room, the 2 infants in care lacked a feeding schedule.

The files for staff person #1 and #4 had a staff evaluation that exceeded 12 months between evaluations.

The daily activity schedule was not posted in the middle room.

The file for child #1 had an agreement that lacked the operator's signature.

The file for child #2 had an agreement that lacked the child's admission date.

The file for child #3 had an emergency contact form that lacked the health insurance policy number.

The file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

The file for child #2 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

The file for staff person #5 had one written, nonfamily reference and lacked a second written, nonfamily reference.