Thurston Childcare

Observed the stairs to the lower level on the preschool / school age side to be lacking a nonskid surface.

Observed on the toddler playground 2 cracked tricycles. Observed on the preschool playground cracked pieces of plastic, the broken remains of an unidentified plastic toy.

The file for child #5 contains an immunization report that is lacking current immunizations for HepB, DTAP, HIB, pneumococcal, polio and HepA as required by the ACIP. Child #5 must be excluded from care until documentation of updated immunizations is received.

The file for staff person #1 contains a current mandated reporter training that was completed greater than 60 months after the previous training as evidenced by trainings dated 2/27/2020 and 5/23/25. The training is now current.

The files for children #1,2,3 and 4 contain the original agreement.

The files for children #1 and #3 contain financial agreements and emergency contact information that has not been updated during the previous 6-month period.

The file for staff person #1, hire date (see IS code sheet), contains current criminal history, child abuse and FBI clearances that were obtained greater than 60 months after the previous clearances. Clearance dates are; Criminal History 5/31/2019 & 9/12/2024, Child Abuse 6/7/2019 & 9/18/2024, and FBI 6/20/2019 & 8/24/2024.

Observed on the wall near the evacuation window in the downstairs child care space evidence of mold and peeling crumbling paint.

The file for staff person #2, hire date (see IS code sheet), is lacking an annual staff evaluation during the year 11/1/2022 to 11/1/2023.

THIRD CITATION; PREVIOUSLY CITED ON 3/5/2024 AND 3/25/24: At approximately 3:45 PM, Facility Persons #1 and #2 were supervising a total of 17 children in the outdoor playspaces. When asked to identify which children they were each supervising, Facility Person #1 indicated responsibility for 2 older schoolagers and 8 younger schoolagers and identified each of them by name. Facility Person #2 then indicated responsibility for 5 preschoolers and identified each of them by name. There were two children in the playspace not claimed by either staff as a part of their supervision group.

SECOND CITATION; PREVIOUSLY CITED ON 3/5/2024: facility Person #1 was supervising 4 infants in the main child care space. Facility Person #1 was unable to identify the name of one of the infants in her care.

SECOND CITATION; PREVIOUSLY CITED ON 3/5/2024 The toddler outdoor play space was used to store an excessive amount of equipment, not allowing sufficient space for children to engage in gross motor activities. Some items in the space were broken; there were dissembled pieces of climbing structures, and a sandbox filled with standing water.

SECOND CITATION; CITED PREVIOUSLY ON 3/5/2024: There were 3 packnplays in use with less than 2 feet of space on 3 sides.

There was an infant observed asleep in a packnplay with a bottle also present in the packnplay.

Facility Person #2 was supervising 2 infants and 2 young toddlers in the main child care space. Facility Person #2 stated she could not remember the name of one of the infants in her care.

The toddler outdoor play space was used to store an excessive amount of equipment, not allowing sufficient space for children to engage in gross motor activities. Some items in the space were broken; there were dissembled pieces of climbing structures, and a sandbox filled with standing water.

There was an uncovered outlet in a restroom near the main child care space, on the wall near the sink, in reach of children who would stand on the stool while washing hands.

Exits to the basement and to the outside play space were obstructed with equipment.

There were 2 packnplays in use not labeled with the children's names.

There were 2 packnplays in use with less than 2 feet of space on 3 sides.

The binder of emergency contact forms kept in the vehicle used for transporting children did not include the emergency contact forms (containing signed parental consent to transport) for the three children currently transported by the facility.

Consecutive fire drills conducted in 11/2023 and 12/2023 listed the same hypothetical location of the fire.

The most recent smoke detector test recorded was listed as occurring on 2/1/24 - testing is required at least every 30 days.

The most recent mandated reporter training completed and on file for Facility Person #1 was completed more than 60 months prior (2/7/19).

There were no clearances, or proof of application for these clearances, from another state in which Facility Person #1 lived in the previous 5 years, on file for Facility Person #1. The FBI clearance on file for Facility Person #1 was incomplete and therefore not valid. This signed disclosure statements on file for Facility Persons #1 and #4, required prior to beginning employment, were not dated.

The facility's current emergency plan on file does not include the program's plan for continuity of operations in the event of an emergency.

The emergency plan was not posted in a conspicuous location in the schoolage building.

There was no first aid kit in Room 3.

A first aid kit in the main child care space did not include tweezers or scissors.

The downstairs pre-K room was not set up to safely care for children, but rather was functioning as a storage room.

There were small areas of damaged plaster both behind a packnplay in the infant area, and on the wall near the door to the basement in the child care space.

There was a young toddler resting on a cot labeled with a number corresponding to another child's name on the cot chart posted in the space.

A young toddler was resting on a cot without 2 feet of space on 3 sides.

There was no documentation of a current influenza vaccine on file for child #2.

There was a children's Tylenol in a cabinet in the main child care space not labeled with the name of the child for whom it was intended.

There was no written parental consent at the facility to administer a child's Tylenol located in a cabinet in the main child care space.

The initial TB test on file for Facility Person #3 and the initial health assessment and TB test on file for Facility Person #5 were each dated more than 12 months prior to the staff person's respective start date at the facility.

As per the operator's statement, at times food served as a part of meals to the children are changed from what is listed on the provided menu without parents being provided with notice at least 1 week in advance.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

There was no record on file of an emergency drill conducted at the facility.

The fire drill log on file at the facility did not list the names of the staff participating in each fire drill documented.

The most recent documented test of the facility's smoke detectors was dated 12/15/22. Tests are required under Act 62 to be conducted at least every 30 days and documented.

The facility's current emergency plan on file did not include the plan for shelter of children during a lockdown.

An updated health & safety training was required to be completed by all staff by 12/30/22. There was no documentation on file that Facility Persons #6, #7, and #9 completed the training. Documentation of completion of this training on file for Facility Persons #2, and #8, indicate their trainings were completed after 12/30/22.

Documentation of current firesafety training on file for Facility Persons #6 and #7 indicate the training was completed more than 12 months after the prior firesafety training documented and on file.

The current staff evaluations on file for Facility Person #7 was completed more than 12 months after the previous evaluation on file.

Facility Person #4 was classified as an assistant group supervisor. Qualifications documented on file were GED and less than 2 years of child care experience.

The daily activity schedule was not posted in the main child care space, and in Room 1-2, and Room 3.

Original agreements were on file for children #1-#5.

The emergency contact form on file for child #5 did not include the address of one of the release persons listed.

The medical emergency transportation plan was not posted in Room 3.

There was documentation of 6 of the required 12 hours of annual child care training on file for Facility Persons #6 and #7.

At approximately 7:00 AM, Facility Person #1 arrived at the facility with one young toddler, one older toddler, one preschooler and two young schoolagers. According to their statement, Facility Person #1 drove the five children from her home to the facility. There was no other adult in the vehicle to supervise the children.

When five children were transported in a vehicle to the facility, one young schoolager (age 7) and one preschooler were transported without the proper restraint (booster seat/ car seat) as stated in 75 Pa.C.S. §4581

There was no NSOR clearance, or application for an NSOR clearance, on file for Facility Person #3, who was observed in the main child care space on 9/12/22 serving as as a facility person.

According to staff statements, on 9/12/22 Facility Person #1 was the only staff person present in the facility while caring for children #6 and #7, from approximately 11:30 PM until 5:30 AM on 9/13/22 when Facility Person #2 arrived at the facility.

An infant was observed sleeping in a bouncy seat (not in the position recommended by the AAP) in the infant area of the main child care space.

There was no section of the emergency plan addressing continuity of operations in an emergency.

There was no first aid kit in the downstairs room on the school-age side of the facility.

There was a gate leading to the infant area of the main child care space with a small screw protruding from an area of splintered wood.

There were no handwashing signs posted at a toilet or sink in the restroom on the main floor of the school-age side of the building.

There was a cracked plastic lid on a toy storage bin in the older toddler area.

There were exposed bolts/screws protruding from the surface of a desk in the back of the Gathering Room.

There were two packnplays in use in the young toddler area of the main child care space with less than 2 feet of space on three sides due to their placement directly next to furniture or other packnplays not in use.

The thermometer in the refrigerator in the basement pantry in the school-age side of the building was reading 60° F.

One of the infant's bottles was not labeled with the child's name.

There was no documentation of an emergency drill conducted by the program.

Fire drills were conducted, according the facility's fire drill log, on 5/2/22 and then again on 7/5/22 - more than 60 days apart.

The hypothetical location of the fire was not recorded on the fire drill log.

There was no proof of purchase of the facility's interconnected fire alarm system on file at the facility.

There was no documentation a copy of the facility's emergency plan was sent to the county emergency management agency.

The letter sent to the local traffic safety authorities to notify them of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not dated, There was no documentation on file to indicate the letter was sent annually.

The daily activity schedule was not posted in the the Gathering Room (school age main floor),

The fee amount and the date to be paid was no specified on the agreements on file for children #2 and #4.

The agreement on file for child #1 did not specify the services to be provided.

The agreements on file for children #1-#4 did not specify the children's admission dates.

The agreements on file for children #1-#5 were the originals.

The emergency contact form on file for child #1 did not include the phone number of one of the release persons.The emergency contact form on file for child #4 did not include the addresses of the release persons.

There were no emergency contact forms in the Gathering Room (school age side, main floor) for the children who receive care in that room.

The emergency contact forms and agreements on file for children #2 and #3 were not reviewed and updated by a parent in writing within the previous 6 months.

Child records were stored in a unlocked cabinet.

Facility persons' records were not stored in a locked cabinet.

The information on how to access the regulations in this chapter electronically was not posted or, according to staff statements, shared with parents.

There were 6 hours of child training completed, documented and file for Facility Persons #1 and #2 during their most recent review year (beginning on the effective date of the regulation, 12/19/2020.)

A speech therapist, who is working with two enrolled children was denied access to the facility by Staff #1. The speech therapist is assigned to provide services for the children through the Erie School District Early Intervention Program.