Tots-N-Tikes

The file for Staff #1 does not contain a National Sex Offender Registry certificate and it is beyond Staff #1's date of hire (SEE IS CODE SHEET).

Protective electrical covers were missing in the outlet and in the electrical power strip under the chalkboard in Room 5.

In Room 5, a container of Clorox antibacterial wipes on a classroom shelf and a bottle of Dawn dish soap next to the windows were both labeled 'Keep Out of Reach of Children' and were observed to be accessible to children.

In Room 5, a garbage can containing used tissues was observed without a lid.

In Room 6, a broken screw with sharp edges was observed protuding from the wall and could be hazardous to children. A missing ceiling tile was observed outside of Room 8's classroom door.

In Room 3, bubbled paint and plaster was observed under the windows. In the Girl's Bathroom, peeling paint and plaster was observed on the wall and behind the toilet in the last stall and in the second stall at the wall connection.

A toy bin was observed with a broken corner with sharp edges in Room 2, which could cause injury to children.

Peeling tape less than one inch in diameter was observed on a couch in Room 1 and was accessible to children who are still placing items in their mouths. Peeling and torn vinyl was observed on the play mats in Room 4, the toddler gross motor room.

The most recent fire drill documented on the facility's fire drill log is dated 2/13/25, more than 60 days prior.

The most recent fire alarm testing documented on the facility's test log is dated 2/13/25, more than 30 days prior.

The files for Staff #2 and Staff #9 contained an incomplete criminal history clearance that did not include a dissemination date, making it invalid (SEE IS CODE SHEET). The file for Staff #2 contained an FBI clearance (dated 6/6/24) and an NSOR certificate (dated 6/7/24) after date of hire (SEE IS CODE SHEET) without documentation of applications prior to date of hire required for provisional hiring under the CPSL. The file for Staff #4 contained a Child Abuse clearance dated 8/11/24, after Staff #4's date of hire (SEE IS CODE SHEET).

The facility's Emergency Plan lacked a Continuity of Operations policy.

The most recent annual review of the facility's emergency plan is dated 1/11/24, more than 12 months prior.

The most recent emergency plan training on file for Staff #7 and Staff #8 are dated 9/12/23, more than 12 months prior.

In Room 5, an unlidded trash can contained used tissues with human secretions.

In Room 3 and Room 5, foam blocks were observed with teeth marks.

The most recent health assessment on file for Child #5 (Preschool Age) is dated 12/14/23, more than 12 months prior.

The file for Child #6 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 1 dose of Rotavirus, 1 dose of HiB, 2 doses of Pneumococcal, 1 dose of Polio, 1 dose of Hepatitis A without a Letter of Exemption on file. Child #6 must be dismissed from care by close of business on 2/18/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #3 (Preschool Age) contained an initial school-aged health assessment (dated 8/29/24) and does not indicate if the child is free from contagious disease and may participate in child care.

In Room 5, hydrocortisone cream for Child #10 contained an expiration date of 01/2025. In Room 6, Benadryl cream for Child #11 contained an expiration date of 2/2024

The initial health assessment and tuberculosis test on file for Staff #2 are dated 6/9/24, after Staff #2's date of hire (SEE IS CODE SHEET). The initial health assessment and tuberculosis test on file for Staff #4 are dated 8/4/24, after Staff #4's date of hire (SEE IS CODE SHEET).

The health assessment on file for Staff #3 dated 1/12/25, did not indicate if the staff person was assessed for communicable diseases. The two most recent health assessments on file for Staff #7 dated 2/7/21 and 2/6/23, did not indicate if the person was assessed for communicable diseases.

The two most recent health assessments on file for Staff #7 dated 2/7/21 and 2/6/23, did not include the physician or health care professional's assessment of the person's suitability to provide child care.

The two most recent emergency drills on file at the facility are dated 8/28/23 and 9/11/24, more than 12 months apart.

The fire alarm 30-day test log includes test dates 6/18/24-8/19/24, more than 30 days apart.

The file for Staff #5 contained an incomplete Pediatric First Aid/CPR training dated 3/5/23, making it invalid.

The two most recent fire safety trainings on file for Staff #1 are dated 8/9/23 and 1/3/25, more than 12 months apart.

Staff #2 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was dated 9/12/24.

The file for Staff #3, Staff #6, and Staff #7, classified as Group Supervisors, contained documentation of an associate's degree in early childhood education, but lacked documentation of two years of childcare experience.

The file for Staff #9, classified as an Assistant Group Supervisor, contained documentation that Staff #9 graduated high school but lacked documentation of 2 years of experience with children.

The files for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, and Child #9 contained the original copy of the Financial Agreement form. The parent is to receive the original form, and the facility is to obtain a copy of the agreement.

The Emergency Contact form for Child #2 and Child #6 lacked complete addresses and phone numbers for all listed release persons.

The 6-month review signatures for the emergency contact and financial agreement forms on file for Child #7 are dated 1/3/24 and 8/20/24, more than 6 months apart.

The file for Staff #9 lacked two written nonfamily reference letters.

The two (2) most recent Child Abuse Clearances in the file for Staff Person #6 was dated more than 60 months apart. The PA State Police, Child Abuse, NSOR and FBI Clearances in the file for Staff Person #3 were dated after Staff Person #3's Date of Hire. (SEE LIS CODE SHEET)

In Room #2, on a bookshelf and on the window ledge were two pair of adult scissors which pose a cutting or puncture hazard and were accessible to children.

The two most recent Emergency Plan Trainings for Staff Persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 were dated: (08/2022 and 09/2023) which are more than 12-months apart. (SEE LIS CODE SHEET)

In Room #6, on the window ledge was a bottle of "Lysol" spray labeled "Keep Out of the Reach of Children," was accessible to children.

In Rooms #1, #2, #3 and #4 the chalk tray at the bottom of the chalkboard, at child height level posing a head injury.

In Room #6 a Red, Plastic bin, in a play wooden cupboard in front of the windows was cracked which posed a cutting hazard or pinch point.

The file for Child #1 (OT) (Dated: 09/2023) and Child #2 (OT) (Dated: 07/2023) had Updated Health Assessment more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

The two most recent Health Assessments for Staff #6 was dated more than 24-months apart. (See IS CODE SHEET)

The initial health assessment for Staff #17, Staff #19 and Staff #20 were dated: 01/2024, 11/2023 and 11/2023, respectively, which is after their date of hire. (SEE LIS CODE SHEET)

The initial health assessment on file for Staff person #17, Staff Person #18, Staff Person #19 and Staff Person #20 had tuberculosis screening which were dated 01/20/2024, 05/25/2023, 11/29/2023 and 11/21/2023 respectively, which was dated of their date of hire. (See IS CODE SHEET)

The facility lacked a posted lunch menu in a conspicuous place, provide a lunch menu to each family or submit on the SeeSaw App.

The initial health assessment for Child File #5 had an initial health assessment dated 04/2023 which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET)

The last two fire safety trainings in the file for Staff Person's #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 are dated (02/2022 and 01/2024) which is dated more than one year apart. (SEE LIS CODE SHEET)

The Emergency Contact Form for Child #3 lacked the Name, Address and Phone Number of the Physician or Medical Care Provider (SEE LIS CODE SHEET). The Emergency Contact Form for Child #4 lacked the Address of the Physician or Medical Care Provider. (SEE LIS CODE SHEET)

At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

At approximately 12:00 P.M., Staff Person #1 and #2 were in the Pre-School Room with 12 Pre-School Children preparing to take the children to lunch. While in the cafeteria with the other children and at approximately 12:05 P.M., Staff Person #1 and #2 realized they were missing a child. Therefore, ratio was 0:1 child. Staff #2 went to the classroom to retrieve said child, leaving staff person #1 out of ratio with 11 children in the cafeteria.

In Pre K-3 Room, on the teacher's desk, were two pair of adult scissors accessible to children which pose a puncture and cutting risk. In the Pre K-2 Room, on the teacher's desk, were two pair of adult scissors accessible to children which pose a puncture and cutting risk. In the Pre K-1 Room, on the teacher's desk, were two pair of adult scissors which were accessible to children which pose a puncture and cutting risk. In the Pre K-1 Room, top right drawer of the teacher's desk, was a 3M packing tape holder with an exposed cutting edge which was accessible to children which poses a cutting hazard.

The first aid kit, in the Older Toddler room, lacked scissors and soap.

In the Pre K-1 Room, a wooden, play stove's door was loose causing the screws to become exposed posing a cutting hazard. In the Pre K-2 Room, a red, plastic bin, with toys, was cracked posing a pinch point or cutting hazard. In the Pre-S/OT Room an empty, green bin had a piece missing with jagged edges posing a cutting hazard. In the Pre-S/OT Room a red bin, with toys, was cracked posing a pinch point or cutting hazard. In the Older Toddler Room, a blue bin, with toys, had a cracked handle posing a cutting and/or pinch point hazard.

The file for Child #6 (OT) lacked an Updated Health Assessment within the last year.

In the Pre K-3 Room, Epi-Pens labeled for Child #1 and Child #2 lacked a medication log for administration.

The two most recent Health Assessments for Staff #4, #6, #8, #13, #18 and #19 were dated more than 24-months apart.

The files for staff #1 - #21 lacked the one-hour Health and Safety Training update by 12/30/2022.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire.

The file for child #1 and child #6 contained an emergency contact form that was not updated within 6 months of the previous update.

The file for child #1 and #6 contained a Financial Agreement form that had updates more than six months apart.

A review of staff person #3's file revealed that staff person #3 has resided out of state in the previous 5 years and lacks out of state clearances from the state where they previously resided as required by current CPSL. The FBI clearance on file for staff person #5 was updated in an interval greater than 5 years or 60 months as required by current CPSL.

The two most recent emergency plan trainings on file for staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9 #10, #11. #12. #14, #15, #16, and #17 are dated more than 12 months apart. The most recent emergency plan training on file for staff person #13 is dated more than 12 months ago. The file for staff person #19 contains verification of initial emergency plan training completed more than 7 days after staff person #19 began in a child care taking position.

The black garbage can near the entrance to the gross motor space was unlidded and was observed to contain used cups and plates.

Observed a large area of peeling paint on the far right wall near the ceiling in the bathroom across from the office.

The toilet in the first stall on the left in the boys' bathroom in the gross motor space lacks a posted handwashing sign. The toilet in the stall across from the sink in the girls' bathroom in the gross motor space lacks a posted handwashing sign. The toilet in the first stall in the bathroom across from the office lacks a posted handwashing sign.

Observed three loosely hanging cabinet doors on the play kitchen in the preschool room which creates a pinch point.

The file for child #1 lacks verification of a current Hepatitis B, HIB, Pneumococcal, Polio, Influenza, MMR, and Varicella vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current DTAP, HIB, Pneumococcal, Influenza, MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP.

The two most recent health assessments on file for staff person #10, # 13, #14, and #15 are dated in an interval greater than 24 months.

During the intervals of 03/25/21-05.26/21 and 07/23/21-09/24/21, fire drills were held in an interval greater than 60 days.

The facility lacks a proof of purchase for the hardwired, interconnected fire detection system installed and in use at the facility.

The two most recent documented fire safety training on file for staff persons #1, #2, #3, #4, #5, #6, #7, #8, #10, #11, #12, #14, #16, and #17 are dated more than 12 months apart.

The two most recent mandated reporter trainings on file for staff person #2 and staff person #6 are dated more than 5 years or 60 months apart, exceeding the time frame of 5 years or 60 months established by the current CPSL. The file for staff person #18 contains verification of mandated reporter training completed more than 90 days after staff person #18 began in a child care taking position.

The two most recent evaluations on file for staff persons #3, #5, #6, #9, #10, and #16 are dated in an interval greater than 12 months.

The emergency contact information on file for child #2 lacks the health insurance policy number.

The emergency contact information on file for child #4 was last updated more than 6 months ago.

The file for staff person #3, #6, #9, #10, #16 lacks verification of 12 hours of child care training completed in the most recent service year. The file for staff person #5 lacks verification of 6 hours of child care training completed in the most recent service year.