TLC for Kids

The file for staff person #3 included a child abuse clearance dated 7.31.24, after the first day working with children (See IS CODE SHEET) required for provisional hiring under the CPSL.

The door to the staff lounge in the PreK room on the lower level was accessible to children and the room contained several toxic items, including Tums, Vitamin C gummies, Claritin, Tylenol, Pepto Bismal, Allegra, and Mucinex, all labeled "Keep out of reach of children."

There were exposed fence bolts around the playground gate which posed an injury hazard to children.

There were wooden blocks in the Upper level PreK section of Room 1 that had splintered edges, posing an injury hazard to children.

The two most recent health assessments on file for Child #4, who is a Young Toddler, are dated 6.10.24 and 1.10.25 more than 6 months apart. The two most recent health assessments on file for Child #5, who is a Young Toddler, are dated 4.16.24 and 12.31.24, more than 6 months apart.

The current health assessment on file for Child #3 does not indicate if the child has any acute or chronic health conditions or special needs.

The current health assessment on file for Child #3 does not indicate if the child is free from contagious or communicable disease and is able to participate in childcare.

The current health assessment on file for Child #3 does not indicate if the child has had all required age-appropriate screenings recommended by the American Academy of Pediatrics.

Prior to serving lunch, it was observed that none of the young toddlers washed their hands before eating.

The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment. There were adult scissors on the teacher's desk and accessible to children in the Caterpillar section of Room 1 on the upper level and on the teacher's desk and accessible to children in the PreK room on the lower level.

The file for Staff person #1, #4 includes verification of First Aid/CPR training dated 9.3.24, after the expiration date of the previous training, 8.31.24.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

The two most recent staff evaluations on file for Staff person #1 are dated 1.16.24 and 2.18.25, more than 1 year apart. The file for Staff person #5, includes a staff evaluation dated 2.17.25, more than 1 year after hire (See LIS Code Sheet).

The most recent child service report on file for Child #1, #3, #4, and #5, dated 11.2024, more than six months after the previous child service report dated 4.2024.

The emergency contact form on file for Child #5 does not include the telephone number for the child's pediatrician/source for medical care.

The files for Child #1, #2, #3, #4, and #5 include a 6-month review signature for the emergency contact form and the agreement that are dated 2.2024 and 9.2024, more than 6 months apart.

The file for Staff person #5 includes only 1 written nonfamily reference.

The file for staff person #2 has documentation of PA Child Abuse and FBI clearance results dated more than 60 months apart. PA Child Abuse clearances are dated 12/14/18 and 2/7/24, and the FBI clearances are dated 12/4/18 and 2/8/24.

Handwashing signs were not posted at two sinks in the Upstairs Classroom.

The two most recent health assessments in the files for staff persons #1 and #2 were conducted more than 24 months apart. Staff person #1: 12/28/21 and 2/24/24. Staff person #2: 1/3/22 and 2/1/24.

The file for staff person #1 had documentation of written evaluations being completed more than 12 months apart: 1/31/23 and 2/23/24.

The two most recent Emergency Plan Trainings for staff person #2 are dated more than 12-months apart: 2/15/22 and 3/1/23.

A trash receptacle in the School-Age bathroom, Upstairs girls' bathroom, Upstairs boys' bathroom, and near the sink on the PS section Upstairs contained trash contaminated by human secretions and were not contained in a closed, plastic-lined receptacle.

In the Older Toddler section Upstairs, foam building blocks were observed to have bite marks and accessible to children who are still placing objects in their mouths.

The refrigerator in the School-Age room was observed to lack an operating thermometer.

The file for child #2 lacked documentation of the yearly Influenza shot that is recommended by the ACIP for the year 2022 with no letter of exemption on file.

The facility lacked policies regarding recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with crying, fussing, or distraught children, and prevention and identification of child maltreatment. The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

Staff person #1 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.

The emergency contact form on file for child #1 lacked the enrollment parent's work address. The emergency contact form on file for children #2 and #3 lacked the enrollment parent's work telephone number.

The facilities most current certificate of compliance was not posted in a conspicuous location used by parents at the front entrance and second floor entrance. The certificate of compliance posted was observed to be dated 6/27/21-6/27/22.

The file for Staff person #6 includes documentation of an application for a WV child abuse clearance, which was dated 3/1/22, after hire; and an OH child abuse/sex offender clearance dated 3/7/22 with no proof of application prior to working with children. (SEE LIS CODE SHEET). The file for Staff person #7 includes documentation of a Mississippi criminal history, child abuse, and sex offender clearance dated 3/9/22, with no proof of application prior to working with children; .a North Carolina child abuse/sex offender clearance dated 3/15/22, with no proof of application prior to working with children; and a Tennessee criminal history, child abuse, sex offender clearances dated 2/25/22, with no proof of application prior to working with children (SEE LIS CODE SHEET). The signed Disclosure statement on file for Staff person #4, #5, #6, and #7, all new hires, is not the currently required version.

There was a section of broken baseboard in the toddler room in the corner.

The most recent influenza vaccination on file for Child #2 is dated 11/11/20, more than 1 year ago. The most recent influenza vaccination on file for Child #3 is dated 11/15/19, more than 1 year ago. The most recent immunization record on file for Child #5, who is 16 months old, includes 3/4 Pneumococcal vaccines recommended by the ACIP for a child this age.

There were 2 Epi-Pens in the preschool classroom which were in the children's cubbies, accessible to children, and not in a locked area out of reach of children.

There was a bottle of children's Motrin in the preschool room labeled for use by a child which had an expiration date of 12/2021.

There was a bottle of children's Tylenol in the preschool room, labeled for use by a child, that did not have written parental consent to administer.

The facility does not have verification of completing an annual emergency drill, which was due to be completed prior to 12/19/21, as required per current regulation.

The provider did not have documentation of testing the smoke detectors every 30 days prior to 2/28/22, as required per Act 62 and current regulation.

The current pediatric First Aid/CPR certificate on file for Staff person #1, dated 3/6/21, is dated after the expiration of the previous certificate, dated 2/2/19. The current pediatric First Aid/CPR certificate on file for Staff person #2, dated 3/6/21, is dated after the expiration of the previous certificate, dated 1/16/19.

The most recent fire safety training on file for Staff person #1 and #3 is dated 3/6/21, more than 1 year ago.

The 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 6/30/15 and 9/23/21, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #3 are dated 1/12/17 and 2/25/22, more than 60 months apart.

The 2 most recent staff evaluations on file for Staff member #1 are dated 10/31/21 and 6/5/20, more than 12 months apart.

The agreement on file for Child #4 does not include the fee amount to be paid for services.

The emergency contact form on file for Child #1 and #5 does not include a complete address and/or telephone number for the enrolling parent's employment.

The emergency contact form on file for Child #2 and #5 does not include a complete address for all listed release persons.

The Infant and School-age classrooms did not include a posted emergency transportation plan in the event a child requires emergency care.

The pediatric First Aid/CPR training on file for staff person #4 was not completed within 90 days of hire (See LIS CODE SHEET). The pediatric First Aid/CPR training on file for staff person # 4 was dated 2/20/22.

The file for Staff person #1, who was hired prior to 12/19/20, includes documentation of 8 of the required 12 hours of annual training between 12/19/20-12/19/21. The file for Staff person #3, who was hired prior to 12/19/20, includes documentation of 9 of the required 12 hours of annual training between 12/19/20-12/19/21.