Tipton Baptist Church School and Day Care

On 3/7/24 the first-aid kit in Room 121/122 did not contain tweezers and disposable, nonporous gloves.

On 3/7/24 observed damaged wall mats around 2 outlets with exposed foam at the front of the building in the indoor play space. On 3/7/24 observed rust on the heat register along the left wall from the entrance in Room 123.

On 3/7/24 observed drywall with several small holes on the opposite wall across from the side entrance in the indoor play space as well as to the left of the fire extinguisher on the opposite wall of the side entrance in the indoor play space.

On 3/7/24 the bathrooms by Room 100 lacked clean, lidded waste receptacles.

On 3/7/24 observed a torn red and blue rest mat with exposed foam in the hall across from Room 121/122.

On 3/7/24 observed 2 red foam mat pieces with bite marks in Room 121/122. On 3/7/24 observed 5 foam blocks with bite marks in Room 113/114/115.

The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 8/19/22.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 3/2/23, 4/28/23, 6/20/23, 8/10/23, 10/1/23, 12/22/23, and 2/16/24.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 3/2/23, 3/27/23, 4/20/23, 5/17/23, 6/12/23, 7/2/23, 7/30/23, 8/10/23, 9/3/23, 10/1/23, 10/26/23, 11/19/23, 12/22/23, 1/19/24, and 2/16/24.

Children #4 and #5 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 6/30/23 had a health report dated 9/11/23. Child #5 who had an admission date of 8/28/23 had a health report in the file, but it was not dated.

The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment.

The file of Staff #2, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Emergency contact information for Child #3 did not include the complete address of the child's physician or source of medical care.

Emergency contact information for Child #1 did not include the complete work address of the enrolling parent.

Emergency contact information for Child #2 did not include 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.

Emergency contact information for Child #3 did not include the telephone number of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #4 did not include the complete address of the individual designated by the parent to whom the child may be released.

On 3/7/24 when children in Room 119/120 went outside, staff did not take the emergency contact information with them for children receiving care.

The file of Staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #1 contained one reference.

On 3/8/23 Staff persons #2, #4, #8, #9, #10, #11, #14, #15, and #19 were observed to be caring for children unsupervised. Staff person #2, #4, #8, #9. #10. #11, #14, #15, and #19 have not completed the following pre-service training required prior to caring for children unsupervised: an approved Pediatric first aid and CPR curriculum but the trainer is not PQAS certified. Staff persons #3 and #16 were observed to be caring for children unsupervised. Staff persons #3 and #16 have not completed the following pre-service training required prior to caring for children unsupervised: an approved Pediatric first aid and CPR curriculum but the trainer is not PQAS certified and health and safety training.

The file of Staff #1 lacked a disclosure statement signed at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained a disclosure statement dated 2/11/23. The file of Staff #5 lacked an FBI Clearance updated every 60 months. The file of Staff #5 contained an FBI Clearance dated 10/11/18 with a previous one dated 4/23/13. The file of Staff #8 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a NSOR application dated 7/20/21 and a NSOR dated 7/22/21. The file of Staff #16 lacked a State Police Clearance updated every 60 months. The file of Staff #16 contained a State Police Clearance dated 2/3/23 with a previous one dated 1/25/18. The files of Staff #11 and #19 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #11 and #19 was not the one updated in 2020.

On 3/8/23 observed a pair of adult scissors in the top black bin beside the bookcase in Room 112 which were accessible to children. On 3/8/23 observed a cord to a fan and a cord to an air purifier which were not secured creating a potential tripping/strangulation hazard in Room 121/122. On 3/8/23 observed a fan and air purifier on top of a child's table in Room 110 creating a potential tipping hazard.

On 3/15/23 observed an electrical outlet which lacked a protective receptacle cover beside the door in Room 118.

On 3/8/23 observed Bic Cover It which indicated "keep out of the reach of children" in the top black bin beside the bookcase in Room 112 which was accessible to children. On 3/8/23 observed Bath and Body Works antibacterial soap which indicated "keep out of the reach of children" on the bookcase beside the black bins in Room 112 which was accessible to children. On 3/8/23 observed MPC A2Z Disinfecting Glass and Multi-surface Cleaner and Stay Clean Hand Gel Sanitizer "which indicated keep out of the reach of children" on top of the piano in Room 117 which were accessible to children. On 3/8/23 observed Clorox Disinfecting Wipes which indicated "keep out of the reach of children" on top of a cubby in Room 118 which was accessible to children. On 3/8/23 observed MPC A2Z Disinfecting Glass and Multi-purpose Cleaner and Febreeze "which indicated keep out of the reach of children" at the handwashing sink in Room 123 which were accessible to children.

On 3/8/23 observed Clorox Odor Defense stored on a shelf with Goldfish crackers in Room 117.

The telephone number of the nearest hospital was not posted by the telephones in Room 100, Room 119/120, Room 121/122, and Room 123.

On 3/8/23 a first-aid kit was not present in Room 117 and Room 118.

On 3/8/23 observed 2 screws protruding from the wall in the Infant/Toddler Play Space. On 3/15/23 observed loose fabric at the bottom of the divider which separates Room 117 and Room 118.

On 3/8/23 observed peeling paint on the door frame in the Infant/Toddler Outdoor Play Space.

On 3/8/23 observed a sink in the Ladies' Bathroom and a sink in the Men's Bathroom located at the end of the hall which lacked handwashing signs. On 3/8/23 observed a sink the bathroom across from Room 121/122 which lacked a handwashing sign.

On 3/8/23 observed an exit in Room 121/122 which was blocked with a cabinet.

On 3/8/23 observed blue/orange/red steps and a yellow triangle mat with exposed foam in Room 121/122.

On 3/8/23 observed foam blocks with bite marks in Room 119/120.

The files of Children #1, #2, #3, #6, and #7 lacked a current influenza immunization in accordance with the recommendations of the ACIP.

The health report for Child #4 included a statement which indicated that the child was not able to participate in child care and does not appear to be free from contagious or communicable disease. The health report lacked an explanation why the child was not able to participate in child care and does not appear to be free from contagious or communicable disease.

The files of Staff #5 and #10 lacked a health assessment conducted every 24 months. The file of Staff #5 contained a current health assessment dated 7/29/21 with a previous one dated 6/29/19. The file of Staff #10 contained a current health assessment dated 2/13/23 with a previous one dated 6/3/20. The file of Staff #18 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #18 contained a health assessment dated 1/24/23.

The files of Staff #1 and #18 lacked an initial health assessment which included a tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux read date of 12/9/20. Staff #18 had a Mantoux read date of 10/5/16.

The operator did not conspicuously post the menu at least 1 week in advance. The only menu posted was for the current week.

The facility created an emergency drill log, but it did not address special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills are conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 2/7/22, 4/6/22, 6/2/22, 7/29/22, 9/28/22, 11/22/22, 1/5/23, and 3/2/23.

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protection professional on 2/8/23 but had no documentation for 2022.

The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment. The emergency plan did not address volunteer emergency preparedness training as well as volunteers' roles in the event of an emergency.

The file of Staff #19 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 within 90 days of hire (See LIS Code Sheet). Staff #19 completed Get Started with Center-Based Care: Building Blocks for Quality on 10/18/22 instead of Get Started with Center-Based Care Revised 2022. The file of Staff #19 contained no documentation of completing the health and safety update.

Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Staff persons #3 and #16 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Staff #7 lacked documentation of completing mandated reporter training every 60 months. Staff #7 had documentation of mandated reporter training completed on 2/20/20 with previous training completed on 12/31/14. Staff #19 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #19 had documentation of completing mandated reporter training on 2/6/23.

The file of Staff #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #4 contained a written evaluation dated 2/5/23.

The file of Staff #5 lacked documentation of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

The files of Staff #1, #10, and #18, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children.

The files Children #5, #6, and #7 lacked child service reports with the reinstating of this regulation on 10/31/22. Child #5, with an admission date of 8/3022, did not have a child service report on file. Child #6, with an admission date of 8/30/22, did not have a child service report on file. Child #7, with an admission date of 8/30/22, did not have a child service report on file.

The emergency contact for Child #2 lacked the complete address of the child's physician or source of medical care.

The emergency contact for Child #2 lacked the complete work address of the enrolling parent.

Emergency contact information for children in Room 100 was not present when they were receiving care in that room. The emergency contact information was kept in an office beside Room 100.

The files of Staff #4, #5, #10, and #18 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

The file for staff #1 lacked out of state clearances prior to date of hire (See IS CODE SHEET). The file of staff #2 had documentation of requesting the Child Abuse clearance after the date of hire (See IS CODE SHEET). The file of staff #4 had documentation of requesting the PA State Police clearance after the date of hire (See IS CODE SHEET).

Observed in the restroom located across from the toddler rooms, Clorox toilet bowl cleaner and Radiance brand disinfectant wipes stored in the cabinet above the toilet accessible due to the fact there was a step stool present at the toilet.

Observed in the 3-day Preschool program room a first aid kit lacking soap.

Observed in the 3-day preschool room broken Magna-tiles. Observed in the preschool room located near the office, broken Magna-tiles.

Observed in the restroom located across from the toddler rooms, Rite Aid brand diaper cream labeled for child #5 with an expiration date of 8-2020; Desitin brand diaper cream labeled for child #6 with an expiration date of 2/2022.

Observed prescription medications for children #7 and #8 but no medication logs; and Infant's Tylenol labeled for child #9 but no medication log.

At the time of the reviewing the emergency plan with the director, the emergency plan lacked accommodations for infants and toddlers.

Based on the fire drill log, fire drills were done more than 60 days apart due to the fact the dates documented were 12-8-21 and 2-7-22, which is 61 days.

The file of staff #3 had documentation of completing Mandated Reporter training late due to the fact the documents were dated 12-31-14 and 2-20-22.

The files of children #2 and #4 lacked an agreement with the children's dates of admission.

The files of children #1 and #3 lacked an emergency contact form with the parents' work addresses. The file of child #4 lacked an emergency contact form with the parent's full work address.

At the time of the inspection, the 3-day preschool room lacked emergency contact forms for the children receiving care in the space.

At the time of the inspection, the gross motor room lacked a posting of a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

At the time of the inspection, how to access the regulations in this chapter electronically was not posted.