Treasured Times Learning Center

The Director or designated staff person who is responsible for compliance with this chapter did not ensure fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 10/11/24, 11/20/24, 1/6/25, 2/28/25, 4/7/25, 6/2/25 8/28/25, and 10/3/25.

The facility was unable to provide documentation that the fire detection system was inspected by a fire safety professional annually. The facility provided documentation that the fire detection system was inspected on 9/27/24 by a fire safety professional but did not provide documentation for 2025.

Staff #2 and #3 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). Staff #2 had documentation of completing the health and safety update on 1/31/23. Staff #3 had documentation of completing Get Started with Center-Based Care: Building Blocks for Quality on 10/10/22 and of completing the health and safety update on 3/17/23.

Staff #2 lacked documentation of completing mandated reporter training every 60 months. Staff #2 had documentation of completing mandated reporter training on 3/18/25 with previous training completed on 3/15/20.

The file of Child #1 contained the original copy of the agreement. The facility did not make a copy for the file and give the original to the parent.

Emergency contact information for Child #1 did not include the complete work address of the enrolling parent. Emergency contact information for Child #3 did not include the work telephone number of the enrolling parent.

Emergency contact information for Child #3 did not include the written consent signed by a parent for emergency medical care.

Emergency contact information for Children #3 and #5 did not include the address of the individual designated by the parent to whom the child may be released.

The agreement for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's agreement was reviewed on 8/20/24, 3/6/25, and 9/2/25.

The file of Child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Staff #1 lacked 6 of the 12 hours of annual child care training required from January of 2024 to January of 2025. Staff #1 had 3 hours of child care training completed on 3/14/25 used for correction.

Observed rust on the grate cover in the Preschool/School-Age Outdoor Play Space.

On 7/17/25 observed an electrical outlet which lacked a protective receptacle cover to the left of the block area in the Rainbow Room.

On 7/17/25 the hot water temperature at the sink in the Yellow Room was 120° F. On 7/17/25 the hot water temperature at the sink by the changing table in the Orange Room was 122° F. On 7/17/25 the hot water temperature at the sink by the changing table in the Blue Room was 119° F. On 7/17/25 the hot water temperature at the first sink in the Hall Bathroom was 121° F. On 7/17/25 the hot water temperature at the 2nd and 3rd sinks in the Hall Bathroom was 122° F. On 7/17/25 the hot water temperature at the two sinks in the bathroom by the outdoor play spaces was 120° F.

On 7/17/25 observed a metal grate in the Preschool/School-Age Outdoor Play Space creating rough edges and pinch points.

On 7/17/25 observed cracked magna tiles in the Yellow Room. On 7/17/25 observed a LEGO base with approximately a 3-inch crack in the Rainbow Room.

On 7/17/25 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 5/14/24 with a previous one dated 3/22/22.

The file of Staff #2 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing the health and safety update on 8/3/23.

Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 3/24/25 with previous training completed on 3/23/20.

The file of Staff #3 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #3 contained a written evaluation dated 7/23/25 with a previous one dated 6/9/24.

The file of Staff #1 lacked a valid State Police Clearance because it did not have a "disseminated on" date. The file of Volunteer #2 lacked a State Police Clearance and DHS FBI Clearance updated every 60 months. The file of Volunteer #2 contained a State Police Clearance dated 11/17/22 with a previous one dated 9/26/17. The file of Volunteer #2 contained DHS FBI Clearances dated 10/31/17 and 10/31/19.

On 10/23/24 observed 10 paring knives in the 1st drawer closest to the Blue Room in the kitchen which were accessible to children.

The file of Volunteer #2 lacked documentation of training regarding the emergency plan on an annual basis (SEE LIS Code Sheet). The file of Volunteer #2 contained documentation of emergency plan training on 8/20/24.

The letter provided to the parents explaining emergency procedures did not address a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

On 10/23/24 observed a first-aid kit in the cabinet under the sink in the Blue Room which was accessible to children.

On 10/23/24 observed a blue large tote in the hallway leading to the outdoor play spaces containing large LEGOs with approximately 1-inch crack on two sides of it. On 10/23/24 observed a caterpillar tunnel with rough edges on both the front and back in the Toddler Play Space. On 10/23/24 observed a Little Tykes Cozy Coupe with a cracked gas cap creating rough edges in the Toddler Play Space. On 10/23/24 observed a mat labeled #1 with approximately a 1-inch tear in the Blue Room. On 10/23/24 observed a cracked blue square Magna Tile with an exposed magnet in the SACC Room. On 10/23/24 observed cracked LEGOS with rough edges in the SACC Room. On 10/23/24 observed a red and orange climbing wedge with approximately a 1-inch hole in the Orange Room. On 10/23/24 observed a blue and green rectangular climbing block with approximately 1/2-inch tears on the corners in the Orange Room. On 10/23/24 observed wooden blocks with rough edges in the Yellow Room.

On 10/23/24 observed foam blocks with bite marks on a shelf in the hallway leading to the outdoor play spaces.

The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 1/15/24 with a previous one dated 12/14/23.

The files of Volunteer #2 and Staff #3 lacked a health assessment conducted every 24 months (SEE LIS Code Sheet). The file of Volunteer #2 contained only a health assessment dated 10/26/23. The file of Staff #3 contained a current health assessment dated 10/18/24 with a previous one dated 9/6/22.

The facility was unable to provide documentation that the fire detection system was inspected by a fire safety professional annually. The facility provided documentation the fire detection system was inspected by a fire protection professional on 4/19/23 and 9/27/24.

The facility's emergency plan did not provide for accommodations for evacuation of children to a location away from the facility premises.

Emergency contact information for Child #1 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact information for Child #2 did not include the address of the individual designated by the parent to whom the child may be released.

The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was reviewed on 4/2/23, 3/22/24, and 8/21/24. Child #3's agreement was reviewed on 5/19/23, 3/22/24, 5/29/24, and 8/16/24.

The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

The file of Staff #1 lacked documentation of completing basic instruction in water safety from a certified lifeguard.

At the time of the inspection, upon reviewing the emergency plan, it was determined the plan had not been updated with the new director.

At the time of the inspection, one of the interior doors in the gross motor space that leads to an unmeasured, uncertified office was blocked with cabinets.

At the time of the inspection, observed in the preschool room foam building blocks with bite barks.

At approximately 12:35 pm, observed in the toddler room, children #6 and #7 sleeping on rest equipment 1 foot 8 inches apart from each other.

At the time of the inspection, the file of child #1 lacked an emergency contact form with the address of the child's physician or source of medical care. At the time of the inspection, the files of children #2 and #4 lacked emergency contact forms with phone numbers of the child's physician or source of medical care.

The file of child #2 lacked an emergency contact form with the enrolling parent's work address. The files of children #1 and #2 lacked an emergency contact forms with the enrolling parents' work phone numbers.

The file of child #1 lacked an emergency contact form with 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 or NA if not applicable.

The file of children #1 and #4 lacked emergency contact forms with the full addresses of the individuals designated by the parents to whom the children may be released.

At the time of the inspection, there were not copies of the emergency contact forms present in the classroom where children # and #5 were receiving care.

Observed a green vine plant with red egg-shaped berries located in the outdoor play space used for pre-school and school age children. Based on research of the plant, it is identified as Bittersweet Nightshade and is poisonous when consumed.

Observed in the playground used by pre-school and school-age children, a partially broken large tree limb which hangs over the play space; a thorn bush with limbs through the chain link fencing, accessible to children; and thorny weeds throughout the back half of the play space.

Observed a 6 outlet extension cord in on the windowsill in the preschool/school- age room that lacked 1 receptacle cover.

Observed Barbasol brand shaving cream labeled, "keep out of the reach of children" stored in a cabinet with other crafts items. Upon conversation with staff, it was determined the toxic is used by chidlren.

Observed in the outdoor play space used by toddlers, a table with splintering wood on the base.

The file of staff #1 had documentation of living in West Virgina in the last 5 years, but lacked clearances from West Virginia.

Observed in the toddler room at the end of the hallway on the left, a wooden table with a broken leg.

Observed an Epi-Pen labeled for child #1 with an expiration date of 1/2023. Observed an Epi-Pen labeled for child #2 with an expiration date of 2/2023.

Staff #2 and #3 had not completed the required 1 hour Health and Safety update by 12-30-23 due to the fact staff #2 completed it on 1-31-23; staff #3 completed it on 3-13-23 (see LIS code sheet).

During an unannounced inspection, the following information was gathered. Nearly all staff stated they had not participated in a fire drill since the Fall of 2022. During interviews with staff, it was disclosed that one staff person overheard staff person #2 direct staff person #3 to lie to the department and just "play dumb teenager." Staff person #2 admitted during interviews that she fudged the fire drill log because she was just trying to do a good job. She insisted no administration told her to falsify the document.

The following staff were listed as present for fire drills on the fire drill log for the dates: 12-8-22, 1-6-23, 2-3-23, and 2-21-23, staff #1, #2, and #3. However, timecards gathered for the above dates show the staff were not present at the time the fire drill was listed as taking place on said dates.

The file of staff #1 lacked documentation of completing the required 1 hour Health and Safety update training by 12-20-22, due to the fact it was completed on 3-13-23.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): emergency plan training.

The file of staff #2 lacked health assessment within 24 months due to the fact the health assessments on file were dated 7-30-20 and 9-6-22.

At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality.

At the time of reviewing the file, the file of staff #3 lacked documentation of completing the annual requirement for 12 clock hours of childcare training. (see LIS code sheet)

At the time of reviewing files, staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hours health and safety training.

The file of staff #3 lacked an evaluation, (see LIS code sheet).

The file of child #3 lacked an agreement with the child's arrival and departure times.

The file of child #1 lacked an agreement with the enrollment date.

The files of children #2 and #3 lacked emergency contact forms with information on the child's special needs or NA if not applicable.

The file of child #3 lacked an emergency contact form with the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of child #3 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

Second citation, previously cited on 5-17-22. The file of staff #6, an Assistant Group Supervisor, lacked documentation to support the position due to the fact the documentation of experience provided by staff #6 was not verified by the Human Resource Department of the facility.

The files of staff #1, #2, #3, #4, #5, #6, #7, #8, and #9 lacked Pediatric First Aide and CPR training completed by a qualified instructor. The operator has 30 days to inform the trainer to become PQAS certified or get all staff trained by a PQAS certified trainer.

*Based on interviews with staff, it was found that staff #1 and staff #2 have been observed pulling children by the lower and upper arms. It was disclosed that staff #1 has grabbed younger toddler aged children by the shoulders and shook the child. It was also disclosed that on another occasion staff #1 yanked the arm of one younger aged toddler and dragged the child by the wrist across the floor approximately 3 feet.

**Based on interviews with staff, it was found that staff #1 and staff #2 have been observed pulling children by the lower and upper arms. It was disclosed that staff #1 has grabbed younger toddler aged children by the shoulders and shook the child. It was also disclosed that on another occasion staff #1 yanked the arm of one younger aged toddler and dragged the child by the wrist across the floor approximately 3 feet.

The file of staff #1 had a Child Abuse clearance for the purpose of volunteer.

At approximately 11:30, observed staff #2 with 11 preschool aged children in the "purple room." The preschool age children were 3, 4, and 5 years old. Staff #2 reported that staff #3 had 6 preschool children at the restroom.

At approximately 11:45, observed in the infant room child #1 sleeping in a pea pod swing rather than placed in the sleeping position recommended by the American Academy of Pediatrics.

On 4-7-22, staff did not observe when and how child #1 was bitten. Staff #1 was in the kitchen area of the orange room and staff #2 was on the floor in the childcare space. Staff #1 and staff #2 had checked child #1 and found the bite. Staff #2 reported she didn't see anything happen. She heard child #1 cry and staff #1 said, "I think child #2 just bit child #1." Staff #2 picked up child #1. Staff #2 and staff #1 checked child #1 all over, noticed a wet mark on child's sleeve and noticed the mark, applied ice, and then, "···it looked like it disappeared."

*Video footage shows child #1 falling approximately 2 feet 7 inches over the railing of the loft in the orange room at approximately 10:30 am on 4/20/2022. Child #1 sustained an injury from this fall. At the time of the incident, staff person #1 can be seen on video standing with their back to all of the children in the room and staff person #2 is sitting on the floor with their head turned in the opposite direction from which child #1 and the loft are located. Neither staff person #1 or staff person #2 was able to effectively supervise all of the children in the classroom from their positions. Neither staff person #1 or staff person #2 attended to child #1 at the time of the fall. Approximately 1 minute passes before child #1 got up off of the ground and walked over to staff person #1. Also, neither staff person in the classroom was able to identify the children whom they were assigned the specific responsibility to supervise. At approximately 10:34 am staff messaged the mother of child #1 stating that the child was crying uncontrollably and don't know why. It was not until approximately 3:27 pm that staff notified the mother of child #1 to pick their child up because the child…

**Video footage shows child #1 falling approximately 2 feet 7 inches over the railing of the loft in the orange room at approximately 10:30 am on 4/20/2022. Child #1 sustained an injury from this fall. At the time of the incident, staff person #1 can be seen on video standing with their back to all of the children in the room and staff person #2 is sitting on the floor with their head turned in the opposite direction from which child #1 and the loft are located. Neither staff person #1 or staff person #2 was able to effectively supervise all of the children in the classroom from their positions. Neither staff person #1 or staff person #2 attended to child #1 at the time of the fall. Approximately 1 minute passes before child #1 got up off of the ground and walked over to staff person #1. Also, neither staff person in the classroom was able to identify the children whom they were assigned the specific responsibility to supervise. At approximately 10:34 am staff messaged the mother of child #1 stating that the child was crying uncontrollably and don't know why. It was not until approximately 3:27 pm that staff notified the mother of child #1 to pick their child up because the child…

***Video footage shows child #1 falling approximately 2 feet 7 inches over the railing of the loft in the orange room at approximately 10:30 am on 4/20/2022. Child #1 sustained an injury from this fall. At the time of the incident, staff person #1 can be seen on video standing with their back to all of the children in the room and staff person #2 is sitting on the floor with their head turned in the opposite direction from which child #1 and the loft are located. Neither staff person #1 or staff person #2 was able to effectively supervise all of the children in the classroom from their positions. Neither staff person #1 or staff person #2 attended to child #1 at the time of the fall. Approximately 1 minute passes before child #1 got up off of the ground and walked over to staff person #1. Also, neither staff person in the classroom was able to identify the children whom they were assigned the specific responsibility to supervise. At approximately 10:34 am staff messaged the mother of child #1 stating that the child was crying uncontrollably and don't know why. It was not until approximately 3:27 pm that staff notified the mother of child #1 to pick their child up because the child…

*Video footage shows child #1 falling approximately 2 feet 7 inches over the railing of the loft in the orange room at approximately 10:30 am on 4/20/2022. Child #1 sustained an injury from this fall. At the time of the incident, staff person #1 can be seen on video standing with their back to all of the children in the room and staff person #2 is sitting on the floor with their head turned in the opposite direction from which child #1 and the loft are located. Neither staff person #1 or staff person #2 was able to effectively supervise all of the children in the classroom from their positions. Neither staff person #1 or staff person #2 attended to child #1 at the time of the fall. Approximately 1 minute passes before child #1 got up off of the ground and walked over to staff person #1. Also, neither staff person in the classroom was able to identify the children whom they were assigned the specific responsibility to supervise. At approximately 10:34 am staff messaged the mother of child #1 stating that the child was crying uncontrollably and don't know why. It was not until approximately 3:27 pm that staff notified the mother of child #1 to pick their child up because the child…

**Video footage shows child #1 falling approximately 2 feet 7 inches over the railing of the loft in the orange room at approximately 10:30 am on 4/20/2022. Child #1 sustained an injury from this fall. At the time of the incident, staff person #1 can be seen on video standing with their back to all of the children in the room and staff person #2 is sitting on the floor with their head turned in the opposite direction from which child #1 and the loft are located. Neither staff person #1 or staff person #2 was able to effectively supervise all of the children in the classroom from their positions. Neither staff person #1 or staff person #2 attended to child #1 at the time of the fall. Approximately 1 minute passes before child #1 got up off of the ground and walked over to staff person #1. Also, neither staff person in the classroom was able to identify the children whom they were assigned the specific responsibility to supervise. At approximately 10:34 am staff messaged the mother of child #1 stating that the child was crying uncontrollably and don't know why. It was not until approximately 3:27 pm that staff notified the mother of child #1 to pick their child up because the child…

The file for staff person #8 was observed not to contain documentation of a Disclosure Statement at time of hire (See LIS CODE SHEET).

Observed in the Yellow room and in the SACC room sinks that drained into a bucket. Based on conversations with staff, the bucket is not emptied into an approved sewage system at least once a day.

Observed outside the Blue Room, rest mat #11 not in good repair due to the fact it was torn along the side. Observed outside the Green Room, rest mats #5, #15, #13, #4, #7, #11, and another #5 not in good repair due to the fact each were torn; some in many places.

Observed in the Red Room, expired diaper cream: child #2 Desitin expired 10-21. Observed in the Orange Room, expired Children's Motrin for child #3 expired 3-22.

An incident report was not written on 4-7-22 after child #1 was bitten. Also, on at least 2 other occasions staff person #1 did not write incident reports or tell parents when a child has been bitten in the classroom. It was reported that staff #1 had lied on incident reports to make the fault of other staff. This started in December 2021 and has been ongoing. It was reported 12 bites happened in the course of 16 days during the months of March and April. Staff #1 was present in the classroom for all incidents; and for at least 2 of the incidents, staff #1 did not write incident reports or tell the parents.

An incident report was not filed the day of the injury based on conversation with staff #3 who stated, "An incident report wasn't done until the next day, 4-21-22 because they had to review the classroom video to determine how child #1 got injured."

The file for staff person #7 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET).

The file of staff #6, an Assistant Group Supervisor, lacked documentation to support the position due to the fact there was only 100 hours of experience with children on file.

The file of child #1 lacked an emergency contact form with the full address of the individual designated by the parent to whom the child may be released.

The files for staff persons #1, #2, #6, and #8 were observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The file for staff person #4, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person # 4 was dated 9-1-16.

The files of staff #2 and #5 lacked documentation of completing the annual minimum of 12 clock hours of child care training due to the fact there were no transcripts in the files.

*3rd citation. Previously cited on 10/20/21 and 12/2/21. At approximately 12:00 PM Certification Staff observed 1 child lying on rest equipment between 2 bookcases in the Blue Classroom which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. At approximately 12:15 PM Certification Staff observed 1 child lying on rest equipment behind a bookcase in the Yellow Classroom which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervise

**3rd citation. Previously cited on 10/20/21 and 12/2/21. At approximately 12:00 PM Certification Staff observed 1 child lying on rest equipment between 2 bookcases in the Blue Classroom which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. At approximately 12:15 PM Certification Staff observed 1 child lying on rest equipment behind a bookcase in the Yellow Classroom which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervise

At approximately 1:00 PM Certification Staff observed Staff #1, who was designated as an aide, caring for 4 young toddlers and 1 older toddler without being supervised by a staff person qualified at minimum as an assistant group supervisor in the Orange Classroom.

2nd citation. Previously cited on 10/20/21. At approximately 1:15 PM Certification Staff observed 1 child lying on rest equipment behind a bookcase in the Yellow Classroom which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

2nd citation. Previously cited on 10/20/21. Staff #2 lacked documentation of training regarding the emergency plan on an annual basis. Staff #2 had documentation of training regarding the emergency plan completed on 7/16/19.

2nd citation. Previously cited on 10/20/21. Observed approximately a 6 inch hole in the building wall with exposed foam to the right of the door in the Preschool/School-Age Outdoor Play Space.

2nd citation. Previously cited on 10/20/21. Observed rest mats with tears and exposed foam in the Orange and Blue Classrooms.

2nd citation. Previously cited on 10/20/21. Child #1 lacked a health report which included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Staff #2 lacked a dated disclosure statement. The files of Staff #4 and #5 lacked a valid FBI clearance at the time of initial hire. The file of Staff #4, with a start date of 12/14/20, contained a Department of Education FBI Clearance dated 11/12/20 with a DHS FBI Clearance dated 9/27/21. The file of Staff #5, with a start date of 5/6/21, contained a Department of Education FBI Clearance dated 9/2/20 with a DHS FBI Clearance dated 10/1/21. The file of Staff #6 lacked a FBI Clearance dated prior to or on the date of initial hire. The file of Staff #6, with a start date of 6/7/21, contained a FBI Clearance dated 7/13/21. The file of Staff #11 lacked a FBI Clearance dated prior to or on the date of initial hire. The file of Staff #11, with a start date of 6/23/21 contained a FBI Clearance dated 7/8/21.

On 10/20/21 while Certification Staff was in the Green Classroom, Staff #1 left 3 preschoolers alone in the classroom while Staff #1 went into the hall to look for a child's coat in the cubbies.

On 10/20/21 while Certification Staff was in the Green Classroom, Staff #1 left 3 preschoolers alone in the classroom while Staff #1 went into the hall to look for a child's coat in the cubbies.

On 10/20/21 observed adult scissors on the counter to the right of the sink in the Green Classroom which were accessible to children. On 10/20/21 observed adults scissors in a metal bucket on top of a plastic bin by the teacher's desk and adult scissors in the top drawer of the plastic bin in the Yellow Classroom which were accessible to children.

The files of Staff #9 and #10 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #9 contained documentation of training regarding the emergency plan completed on 5/15/19. The file of Staff #10 contained documentation of training regarding the emergency plan completed on 7/16/19.

On 10/20/21 the electrical outlet above the book case in the art station was missing a protective receptacle cover in the Green Classroom.

On 10/20/21 observed Ginger Pear Hand Sanitizer which indicated "keep out of the reach of children" in the top drawer to the right of the refrigerator which was accessible to children in the Green Classroom. On 10/20/21 observed Mr. Clean Multi Surface Cleaner and Dawn Dish Detergent on the 2nd shelf from the bottom in the cabinet by the windows which were accessible to children in the School-Age Classroom.

On 10/20/21 observed a first-aid kit on the bottom shelf of the wooden closet located to the left of the door which was accessible to children in the Green Classroom. On 10/20/21 observed a first-aid kit in a backpack on the floor beside the teacher's desk which was accessible to children in the Yellow Classroom.

On 10/20/21 observed a red frayed area rug in the dress up area in the Purple Classroom. On 10/20/21 observed approximately a 6 inch hole in the building wall with exposed foam to the right of the door in the Preschool/School-Age Outdoor Play Space. On 10/20/21 observed loose weed fabric around the tree across from the Little Tykes House creating a potential tripping hazard in the Preschool/School-Age Outdoor Play Space.

On 10/20/21 observed 2 toilets in the large bathroom which were not operable.

On 10/20/21 the last stall in the large bathroom lacked a hand washing sign.

On 10/20/21 observed rest mats with tears and exposed foam in the Orange Classroom, the Green Classroom, and the Blue Classroom. On 10/20/21 observed approximately a 12 inch tear with exposed foam on the seat of the blue child's sofa in the Green Classroom. On 10/20/21 observed a torn cloth block with exposed foam in the Blue Classroom. On 10/12/21 observed a collapsible fire truck with approximately a 2 by 2 inch tear at the bottom and a collapsible bus with approximately a 2 by 2 inch tear at the front and approximately a 1 by 1 inch tear in the back in the Blue Classroom. On 10/20/21 observed cracked red and green triangle magna tiles in the School-Age Classroom. On 10/20/21 observed interconnecting plastic links that were cracked with rough edges in the Purple Classroom. On 10/20/21 observed a broken locking mechanism, crack at the circle, and broken off knob on the green base for gears in the Purple Classroom. On 10/20/21 observed a cracked red square Magna Tile in the Yellow Classroom. On 10/20/21 observed a metal cabinet with loose knobs and rust along the base in the Gross Motor Room. On 10/20/21 observed approximately an 8 inch crack on the back board of the basketball…

On 10/20/21 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 2 to 7 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

On 10/20/21 observed plastic garbage bags under the sink in the Orange Classroom which were accessible to children. On 10/20/21 observed paper clips in the top drawer to the left of the refrigerator in the Blue Classroom which were accessible to children.

On 10/20/21 observed one high chair in the Red/Pink Classrooms which lacked a T-shaped safety strap.

On 10/20/21 the refrigerators in the Red/Pink and Purple Classrooms lacked a thermometer.

Child #3 lacked a health report which included a statement that the child is able to participate in child care and appears to be free from contagious or communicable diseases.

Child #1 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, an 18 month old, lacked DTAP/DTP/TD immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of 3 DTAP/DTP/TD immunizations.

The file of Staff #6 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #6 had a start date of 6/7/21 with a health assessment dated 7/15/21. The files of Staff #9 and #10 lacked a health assessment conducted every 24 months. The file of Staff #9 contained a current health assessment dated 4/23/21 with the previous one dated 4/22/19. The file of Staff #10 contained a current health assessment dated 6/28/21 with the previous one dated 6/26/19.

The facility did not have an emergency plan that provided for accommodations for infants, toddlers, and children with chronic medical conditions.

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. Fire drills were conducted on 10/9/20, 12/14/20, 2/12/21, 3/10/21, 5/10/21, 7/9/21, and 9/10/21. The facility was closed from 11/26/20 through 12/10/20.

The files of Staff #2, #3, #5, #7 and #11 lacked documentation of completing the health and safety training within 90 days of hire. Staff #2 had a hire date of 3/23/21 with documentation of completing health and safety training on 7/6/21. Staff #3 had a start date of 1/11/21 with no documentation of completing the health and safety training. Staff #5 had a hire date of 5/6/21 with documentation of completing the health and safety training on 10/4/21. Staff #7 had a hire date of 12/23/20 with documentation of completing the health and safety training on 7/30/21. Staff #11 had a hire date of 6/18/21 with no documentation of completing the health and safety training.

The file of Staff #8, who was designated as an aide, lacked documentation of a minimum of an 8th grade education.

The file of Child #4 lacked the services to be provided to the family and child on the agreement.

On 10/20/21 emergency contact information was not present for Child #5 while he/she was receiving care in the Orange Classroom.

On 10/20/21 the Yellow Classroom lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

The file of Staff #12 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #12 contained only one reference from a nonfamily member.

The file of Staff #3, #7, #8, and #11 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #3 had a hire date of 1/11/21 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation being completed on 6/8/21. Staff #7 had a hire date of 12/23/20 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation being completed on 6/8/21. Staff #8 had a hire date of 1/26/21 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation being completed on 6/8/21. Staff #11 had a hire date of 6/23/21 with no documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation.