Treasure Lake Church GLT Childcare Center

Observed in the infant room, loose sheets in the cribs of children #1, #4, #5, #6, and #7.

The file of staff #1 lacked out of state clearances. The file of staff #2 had the PA Child Abuse clearance after their start date due to the fact it was dated 4-4-25 (see LIS code sheet) The file of staff #3 had the PA State Police clearance after their start date due to the fact it was dated 5-28-25 (see LIS code sheet). The file of staff #4 had clearances more than 60 months apart due to the fact they were dated: PA Child Abuse 5-5-25 and 2-12-20; PA Child Abuse 6-3-25 and 2-25-20; and NSOR 4-1-25 and 3-17-20. The file of staff #6 had a clearance more than 60 months apart due to the fact it was dated PA State Police 7-9-24 and 5-22-19. The file of staff #7 had clearances more than 60 months apart due to the fact they were dated PA State Police 3-11-25 and 2-12-20; PA Child Abuse 3-19-25 and 2-24-20.

Observed in the school age space located outside the gym adult scissors stored on the top shelf of a shelf accessible to children in care.

Observed in the Pre-K room where preschool aged children were receiving care a power strip lacking protective outlet covers.

Observed in the young toddler room a spray bottle of liquid not labeled. Observed in the school age space located downstairs outside the gym a spray bottle of liquid in the black cabinet not labeled.

Observed in the older toddler room the first aid kit lacked tweezers.

Observed in the restroom downstairs, the boys' restroom lacked handwashing signs at 2 urinals and the girls' restroom lacked handwashing signs in the 3rd and 4th stalls.

Observed a 6 seat stroller with torn shoulder straps in the front row, left seat.

At the time of the inspection, it was reported that some children present in the Pre-K room nap on the very large "moon pod bean bags" rather than individual, labeled rest equipment.

The file of child #2 lacked an updated health report due to the fact the one in the file was dated 3-27-24.

The files of staff #6 and #7 had health assessments more than 24 months apart due to the fact they were dated staff #6: 1-31-25 and 10-13-22; staff #7: 1-6-25 and 10-20-22.

Staff person #10 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 7/1/2018 -- 10/31/2022 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Staff person #6 had not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/2025. Documentation of updated Pediatric first aid and CPR training dated 4-29-25.

Staff person #5 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2 and Pediatric First Aid and CPR.

The files of staff #7 and #8 completed mandated reporter more than 60 months apart due to the fact they were dated staff #7 10-30-21 and 5-29-15; staff #8 12-7-22 and 9-20-17.

The file of staff #9, an AGS lacked documentation of experience.

The file of staff #3, an aide lacked documentation of education.

Teh file of child #2 lacked child service reports every 6 months due to the fact the only one on file was dated 8/2024.

The file of child #3, who takes walks lacked an emergency contact form with parent consent to go on walks.

During naptime, certificate representative observed staff #2 and #3 in the older toddler room both on their phones. Therefore, proper supervision of the children was not observed.

Observed in the preschool room in the fellowship hall, essential oils labeled "keep out of the reach of children" stored on a shelf accessible to children. Observed in the restroom between the toddler rooms, Glade brand aerosol spray, Clorox wipes, and 4 tubes of diaper cream all labeled, "keep out of reach of children" stored on shelves accessible to children. Observed in preschool room 4, Banana Boat sunscreen labeled "keep out of the reach of children" in the bookbag of child #7 hanging in a cubby accessible to children.

Observed in the restroom between the toddler rooms a clear bottle of liquid not labeled stored on top of the paper towel dispenser.

Observed in the younger preschool room, used tissues in a garbage can without a lid.

Observed in the preschool room, the first-aid kit lacked sterile gauze.

Observed on the playground, holes in the poured surface inside the dome climbing structure, near the bench, under swing set, and near the spiral slide.

Observed in preschool 4 room and the toddler room foam blocks with bite marks.

The file of child #6 lacked an immunization record.

Observed medications for children #1, #2, and #3 but no medication logs.

The file of staff #1 had a health assessment that was not dated.

The file of staff #1 lacked documentation of tuberculosis screening by the Mantoux method at initial employment.

At the time of the inspection, the fire drill log showed drills had been conducted more than 60 days apart based on the following dates: 10-3-23 to 12-18-23 = 76; 12-18-23 to 3-4-24 = 77 days and 3-4-24 - 5-24-24 = 81 days.

At the time of the inspection, the emergency plan had not been sent to the county emergency management agency.

There were no infant feeding schedules for the 4 infants observed in care at the time of the inspection.

The file of staff #2, a Group Supervisor, lacked a transcript of the associate's degree to show proof of education in the human service field.

The files of children #4 and #5 lacked emergency contact forms with the release persons' complete address.

The file of child #5 lacked documentation of parent review of the emergency contact information and financial agreement every 6 months.

The file for staff #4 lacked a disclosure statement on or before initial start in a child care position. SEE IS CODE SHEET. There is now a disclosure statement on file and dated 6/5/23 and there was more than 60 months between FBI clearances on file for staff #4. Dates are as follows: 6/4/18 and 7/3/23. The file for staff #5 lacked an FBI clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 6/15/23. The file for staff #10 lacked a Child Abuse clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now a Child Abuse clearance on file dated 11/8/22,

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

In the Young Toddler room, observed that the diapering area lacked a hand washing sign.

The files for child #3, 4 and 5, who are infants/ young toddlers, lack a health report within the past six months. Child #3 dated 7/7/22, child #4 dated 12/6/21 and child #5 - 12/15/22.

The file for child #1. who is an older toddler, lacks a health assessment which was completed within the past 12 months. Last health assessment on file is dated 3/18/22. There was more than 12 months between the previous and most current updated health assessment on file for child #2, who is an older toddler. Dates are 3/3/22 and 5/30/23.

The file for child #1 lacks a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #4 contains 1 of 3 Hep B, 1 of 4 DTAP, 1 of 3 HIB, 1 of 4 IPV, 0 of 1 MMR and Varicella and 1 of 3 Pneumococcal vaccinations and a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file or child #5 lacks 1 of 2 Rotavirus, 1 of 3 DTAP, 1 of 2 HIB, 1 of 3 PCV and 1 of 2 Polio vaccinations as in accordance with the schedule recommended by the ACIP.

In the infant room, observed an infant being diapered. Staff did not wash/wipe the infants' hands after diapering.

The file for facility person #9, who works with food preparation, lacks a health assessment which was completed within 12 months prior to providing initial service in a child care setting.

The health report on file for staff #8 was signed by an LPN.

The files for staff #1 and 4 lack a TB test within 12 months prior to providing service in a childcare setting. The file for facility person #9, who works with food preparation, lacks a TB test which was completed within 12 months prior to providing initial service in a childcare setting.

The health report on file for staff #8 lacks an examination for communicable diseases and the results of that examination and a physician or CRNP's assessment of the suitability to provide child care.

The facility lacked a written statement from the parent giving the formula and feeding schedule for infant #6.

The operator did not send the most recent update of the emergency plan to the local municipality.

The files for staff #1 and 2 lacked the one-hour health and safety update required by 12/30/22. The one-hour update is now on file. The files for staff #3 and 4 lack the one-hour health and safety update required by 12/30/22.

There was more than 12 months between fire safety trainings on file for staff #1 which are dated 3/19/22 and 4/24/23. The file for staff #4 lacks fire safety training within the past 12 months.

Staff person # 7 and 10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and Pediatric First Aid. There is now training on file for both dated 2/23/23.

There was more than 60 months between mandated reporter trainings on file for staff #6. This is evidenced by the trainings on file dated 9/20/17 and 12/7/22.

The file for staff #8 contains 1 of the required 2 non written, nonfamily references.

The files for staff #7and 9 lack the disclosure statement required under the CPSL. The file for staff #12 contains a DOE FBI clearance dated 4/4/22 and not the required DHS clearance required under the CPSL.

In the Preschool 3-4 room, observed sharp scissors in an unlocked drawer and accessible to the children in care.

In the 3 year old room, observed an electrical outlet which lacked a protective receptacle cover. In the Pre-K room, observed an electrical outlet which lacked a protective receptacle cover.

In the Nursery room, observed a bottle of toxic cleaner which lacked a label which specified the contents. In the 2 year old room, observed 2 bottles of toxic cleaner which lacked labels which specified the contents.

The first aid kit in the PS 3-4 room lacked scissors.

There was more than six months between the previous and most current and updated health assessments on file for child #3, who is a young toddler.

There was more than 12 months between the previous and most current and updated health assessment on file for child #1, who is of preschool age.

In the 1 year old room, observed Children's Acetaminophen which lacked the name of the child for whom the medication was intended.

In the Nursery, observed Infant Ibuprofen which expired 5/22.

In the Nursery, observed Children's Acetaminophen which lacked written parental consent for administration.

The file for staff #8 lacks a health assessment which was conducted 12 month prior to providing initial service in a child care setting. Health assessment on file is dated 5/24/21. (See LIS Code Sheet). There was more than 24 months between the previous and most current and updated health assessment on file for staff #10. There is a current health assessment on file and dated 10/20/21.

The files for staff #8, 9 and 11 lack a TB test by the Mantoux method which was conducted within 12 months prior to providing initial service in a child care setting. The TB tests dates on file are as follows: Staff #8 - 5/27/21, Staff #9 - 1/2/20 and Staff #11 - no test on file. See LIS Code Sheet. The TB test on file for staff #13 lacks the results of the tuberculin skin test.

The current health assessment on file for staff #13 lacks an examination for communicable disease and the results of that examination and the physician or CRNP's assessment of the person's suitability to provide child care.

Staff person #2, employed for more than 90 days (see LIS Code Sheet), did not have first aid/CPR training from an approved curriculum nor PQUA certified instructor as required by 3270.31(f)(10) within 90 days of hire. Staff person #2 has since obtained a pediatric first aid/CPR training dated 4/23/22 that is an approved curriculum and there is documentation from the training organization that the trainer is certified to train the approved curriculum.

Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f) (1-9) (Health and Safety training).

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 11/3/2016.

The file for staff #1, who holds the title of assistant group supervisor, lacks 814 hours of child care experience. There is a high school diploma and 1686 hours of child care experience on file. The file for staff #5, who holds the title of assistant group supervisor, lacks 2110.3 hours of child care experience. There is a high school diploma and 389.7 hours of child care experience on file. The file for staff #12, who holds the title of assistant group supervisor, contains an associates degree which is not in the human service field and the transcript was not on file to verify human service field credits. There are 1591 hours of child care credits. Therefore, the file is lacking either 15 credits in the human service field or an additional 909 hours of child care experience.

Emergency contact information on file for child #1 lacks the address and full phone number of the child's physician r source of medical care. Emergency contact information on file for child #2 lacks the address of all individuals designated by the parent to whom the child may be released.

The PS 4 room lacked a conspicuously displayed written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

The record for child #2 lacked signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

Staff #3 and 6 were required to have training in CPR/FA by 6-17-21 due to the regulation change that took effect on 12-19-20 but did not obtain the training until 8/7/21.

Based on staff interviews, over the last 30 days, the preschool room, located directly beside the directors office, has been out of ratio on at least 3 occasions. Older toddlers are brought in at the end of the day and there are usually 10 children with one staff who are of preschool and older toddler age. Out of ratio 1:10.