Training Wheels Child Day Care Center

Based on the Fire Detection System Annual Letters, there was a gap in the documentation exceeding 1 year where the smoke detectors were not tested, 12/11/23 and 2/7/25.

The file for Staff #1 contained a NSOR Certificate that was not obtained within 60 months of the previous clearance. The file for Staff #3 contained a State Police clearance and FBI Clearances that were not obtained within 60 months of the previous clearance. The file for Staff #12 contained a State Police, Child Abuse, and FBI Clearance that were not obtained within 60 months of the previous clearance. Although the file for Staff #18 contained a NSOR Certificate at time of Renewal Inspection, it was observed that Staff #18 lacked a NSOR Certificate prior to caring from children.

The two most recent Emergency Plan Trainings for Staff #1, #7, #8, #9, #10, and #14 were dated more than 12-months apart.

A plant that was found to be toxic was present in Rom 210 at the facility.

The first aid kit in the cafeteria multi-purpose room lacked adhesive bandages.

There were two ceiling tiles that had visual dried stained water marks in Room 205. The Courtyard had three plastic corner trim pieces that were cracked posing a cutting hazard to the children.

The file for Child #9, a preschooler, lacked an updated health report within the last 12 months.

The files for Child #7 and #9, enrolled for more that 60 days at the facility, did not contain documentation of a 4th dose of the Pneumococcal vaccination as required based on the child's age as per the ACIP recommended schedule.

The file for Child #8, enrolled for more than 60 days, lacked written verification from a physician the dates the child was administered immunization in accordance with the recommendations of the ACIP.

The file for Staff #4 contained a health assessment that was not conducted within 24 months of the previous assessment. Although the file for Staff #17 contained a valid health assessment at time of Renewal Inspection, it was observed that Staff #17 lacked a health assessment prior to working with children.

The file for Child #9, a preschool aged child, contained a health report that was obtained over a year prior to enrollment and therefore not valid.

The file for Child #5, enrolled for more than 60 days lacked an initial health report.

Staff person #6 and #12 have completed the health and safety course titled (Get Started with Center-Based Care: Building Blocks for Quality) but have not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

The files for Staff #3, #4, #5, #6, #7, #8, #10, #11, #13, #14, #15, and #16 contained Fire Safety trainings that were dated more than 12 months apart.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training).

Staff person #2 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated (1/23/20).

The files for Staff #6 and #16 contained written evaluations that were conducted in an interval greater than 12 months. Although the file for Staff #3 contained a Staff Evaluation at the time of the Renewal Inspection, it was observed that Staff #3 lacked a written evaluation within the first year of hire.

The Emergency Contact Form for Child #3 lacked the name and telephone number of the child's physician.

The Emergency Contact Form for Child #4 lacked the telephone number of the individual designated by the parent to whom the child may be released. The Emergency Contact Forms for Child #6 and #10 lacked the address of the individual designated by the parent to whom the child may be released.

The files for Child #1, #2, #3, #4, #5, and #9 contained Emergency Contact Forms that had not been updated within the last 6 months.

The files for Child #1, #2, #3, #4, #5, and #9 contained Agreement Forms that had not been updated within the last 6 months. The file for Child #6 contained a financial agreement form that was not updated within 6 months of the previous update.

The file for Staff #4, lacked documentation of 1 hour of the required 12 annual clock hours of childcare training.

The disclosure statements in the files for Staff Person #8 and #13 were on outdated forms.

The most recent emergency plan trainings in the file for Staff Person #9 exceeded 12 months between trainings. The file for Staff Person #12 does not include documentation of emergency plan training conducted within the past 12 months.

The parent's letter regarding the facility's emergency plan did not include accommodations for children with disabilities or chronic medical conditions.

Observed a ceiling tile discolored from water damage in the far right corner of the girl's restroom on the 2nd Floor.

The file for Staff Person #2 did not include an updated health assessment conducted within the past 24 months. The initial health assessment in the file for Staff Person #3 was conducted after the Staff Person's first day working in child care. (See LIS Code Sheet).

Pick-up and Drop-off Procedures were not posted at the facility.

The initial health report in the file for Child #1 was conducted more than 60 days after the child's first day in care.

The one-hour Health and Safety Update in the file for Staff Person #5 was dated after the prescribed timeframe of 12/30/22. The one-hour Health and Safety Update in the file for Staff Person #7 was dated more than 90 days after the staff person's first day working in child care. The file for Staff Person #9, who has been working for more than 90 days, does not include documentation of the one-hour Health and Safety Update. (See LIS Code Sheet).

The most recent fire safety trainings in the files for Staff Person #6, 9, 10 and 11 exceeded 12 months between trainings. The file for Staff Person #12 does not include documentation of fire safety training conducted within the past 12 months.

Staff person #11 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/12/19.

The most recent mandated reporter trainings in the file for Staff Person #9 exceeded 60 months between trainings.

The file for Staff Person #3, an Assistant Group Supervisor with a High School Diploma, lacked verification of two years child care experience. The file for Staff Person #4, a Group Supervisor with 30 college credits in Education/Human Services, lacked verification of one year child care experience.

The file for Staff Person #1 does not contain a written evaluation conducted within the past 12 months (10/3/22). The most recent written evaluations in the files for all staff who have been working in the After School Program for more than two years exceeded 12 moths between evaluations (September, 2022-February, 2024).

The daily activity schedule was not posted in Room #209

The Emergency Transportation Plans posted in the facility did not include procedures for staff persons' accompanying a child who requires emergency medical care and remaining with the child until the parent/guardian arrives.

The file for Staff Person #2 contained only 8.5 annual hours of childcare training for most recent year of service: 2023.

The NSOR Application date and NSOR Certificate in the file for Staff Person #8 were after the staff person's first day in child care (See LIS Code Sheet). The FBI Fingerprint Receipt and FBI Clearance in the file for Staff Person #11 were after the Staff Persons start date. The State Police Clearance in the file for Staff Person #8 was on a volunteer clearance form.

The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and 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) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)

The most recent health assessments in the files for Staff Person #3, #4 and #5 exceeded 24 months between reports. The TB screening on file for Staff Person #8 was administered more than one year prior to start date and is not valid (See LIS Code Sheet). The initial health assessment/TB Screening in the file for Staff Person #11 were after the staff persons start date.

The Health assessments in the files for Staff Person #6, #8 and #9 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for Staff Person #11 did not include the one-hour health and safety update. The prescribed timeframe for completion was 12/30/22.

Staff person #7, #8, and #12 have not completed the following required pre-service training within 90 days of their dates of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum by a PQAS-approved instructor.

The files for Staff Person #1 and #2 did not include documentation of a high school diploma.

The fee agreements in the files for Child #1, #2 and #3 were not signed by the operator.

The fee agreements in the files for Child #1, #2 and #3 did not specify the date of the child's admission.

The fee agreements in the files for Child #1, #2 and #3, who have been enrolled for more than 6 months, have not been updated the parent. The emergency contact forms and fee agreements in the files for Child #4, 5, 6, 7, 8, 9 and 10, who have been enrolled for more than 6 months, have not been updated by the parent.

The State Police Clearance in the file for Staff Person #16, which was documented "record for control" did not include a rap sheet. The most recent State Police and Child Abuse clearances in the file for Staff Person #4 exceeded 60 months between clearances: State Police: 3/10/16-4/28/21. Child Abuse: 4/13/16-4/28/21. The State Police Clearance (3/21/22) and NSOR Certificate (4/11/22) in the file for Staff Person #5 were dated after the Staff Person's first day in child care. The NSOR Certificate (5/10/22) in the file for Staff Person #6 was dated after the staff persons first day in child care. The most recent State Police and Child Abuse clearances in the file for Staff Person #9 exceeded 60 months between clearances: State Police: 9/30/16-4/29/22. Child Abuse: 10/21/16-10/27/21. The NSOR Certificate (11/22/21) in the file for Staff Person #9 was after the staff persons first day in child care. The State Police Clearance in the file for Staff Person #15 was dated 4/20/22, which was after the staff persons first day in child care.

On May 10th, 2022, at approximately 8:00 AM, Staff Person #2 and #3 were supervising 11 Preschool children in Preschool Room #205. When asked which children they were supervising, Staff Person #2 identified four children and Staff Person #3 identified 2 children. When reminded that there were 11 children in the room, staff stated that the staff person responsible for the other 5 children had left the room to get breakfast.

The first aid kits in Rooms #301 and #305 lacked tape.

The most recent updated health reports in the file for Child #1, a Preschool Child, exceeded 12 months between reports.

The most recent immunization records in the files for Child #2, 3, 4 and 5 did not include documentation of a flu shot administered within the past 12 months or a letter of exemption from the parent or physician.

The most recent health assessments in the files for Staff Persons #2, #6 and #10 exceeded 24 months between assessments. The initial health assessments in the files for Staff Persons #5, #8 and #9 were conducted after the staff persons' first day in child care.

The most recent fire system checks exceeded thirty days between checks: 3/1/22-4/6/22.

The most recent Pediatric First Aid/CPR Training in the file for Staff Person #12 was conducted on 5/2/22, which was after the previous certificate had expired: 8/27/21. The most recent Pediatric First Aid/CPR Training in the file for Staff Person #13 was conducted on 5/2/22, which was after the previous certificate had expired: 9/4/20.

The files for Staff Person #7 and #15, who has been working for more than 90 days, did not include documentation of Health and Safety Training. The Health and Safety Training in the file for Staff Person #11 was the 6-hour Health and Safety Basics with a certificate date of 9/26/16 and is not valid.

The most recent Mandate Reporter Trainings in the files for Staff Persons #1, #8, #10 and #14 exceeded 60 months between trainings: Staff Person #1: 5/20/14-12/31/19. Staff Person #8: 1/23/17-4/26/22. Staff Person #10: 4/1/17-4/25/22. Staff Person #14: 1/6/17-4/25/22.

The Emergency Contact Form in the file for Child #1 did not include the enrolling parents' work address and work phone number.

The file for Staff Person #15 did not include two written references.

The Pediatric First Aid/CPR in the files for Staff Person #8, #9 and #15 were conducted more than 90 days after the staff persons first day working in child care: 5/2/22.

The disclosure statements in the files for Staff Person's #1 through #7 and #9 and #10 were not dated. The FBI Clearance in the file for Staff Person #3 did not include the required rap sheet. The NSOR Certificate in the file for Staff Person #1 was dated 10/19/21, which was after the staff person's first day working at the facility. The files for Staff Person's #2, 3, 4, 6 and 7 did not include an NSOR certificate.

Observed exposed nails in the wooden fence where post was separating from the framework in the outdoor play space. Observed splintering wood, which created a sharp edge on the fence in the outdoor play space.

Observed adult scissors, which were accessible to children, in the Maker Space Room.

Observed peeling paint in the stairwell on the right beside the gym.

The initial health assessments in the files for Staff Person's #3, 6, 7 and 8 were conducted after the staff person's first day working at the facility. The TB screening in the file for Staff Person #6 was conducted more than 12 months prior to staff person's first day working at the facility.

The Health and Safety Training for Staff Person #2 was conducted more than 90 days after the staff person's start date. The files for Staff Person's # 3, 6, 7, 8 and 9, who have worked for more than 90 days, did not include documentation of Health and Safety Training.

The files for Staff Person's #2, 4, 5, 8 and 9 did not include documentation of education and childcare experience. The file for Staff Person #6 did not include documentation of childcare experience.

The files for Staff Person's #2, 3, 5, 6, 7, 9 and 10 did not contain two written letters of reference.

The files for Staff Person's #3, 5, 6, 7, 8, and 9, who have been working for more than 90 days, did not include documentation of Pediatric First Aid/CPR training.

The current certificate of compliance was not posted at the facility.