TTs Toy Box Day Care Center

In the outdoor play space, exposed fence bolts were observed on the inside of the fence gate, which could be harmful to children.

In the bathroom, loose plastic gloves were observed in an unlocked drawer, and an opened box of garbage bags were observed in an unlocked cabinet, both accessible to children who are still placing objects in their mouths.

During a diaper change, Staff #1 was observed placing the used diaper on the changing table and not immediately discarding the diaper into the plastic lined, hands-free covered can.

The record of the required education on file for Staff Person #2 to be classified as an assistant group supervisor was an international diploma, not translated by an approved evaluator with no equivalency on file.

The emergency contact form for Child #1 lacked a complete address for the child's physician.

On 4/10/25, a mixed age group of 6 children, ranging from older toddler to preschoolers, were observed in Young Toddler Room 1 that has a designated maximum capacity of 3.

While observing a diaper change in the infant room, Staff #2 was observed opening the hands-free can for diaper disposal with their hands.

Between diaper changes, it was observed that Staff #2 did not clean or sanitize the diaper changing surface.

The two most recent First-Aid/CPR certificates on file for Staff #1 are dated 6/29/22 and 8/25/24, exceeding the 24-month update.

Two loose crib sheets were observed on pack and plays in the Infant Room, causing the risk of suffocation.

In the Kitchen, multiple cleaning products were observed on the side of the washer and dryer and were accessible to children.

In the Young Toddler Room 1, peeling vinyl on the red couch was observed to be less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

A cracked plastic hinge was observed on the outdoor slide, which could be harmful to children.

Pea gravel with a diameter of less than 1 inch was observed in the outdoor play space, used by infants and toddlers.

The immunization record on file for Child #3 did not contain all recommended DTAP, Pneumococcal, and Hepatitis A recommended for an Older Toddler annually by the ACIP. Child #3 must be dismissed from care by close of business on 4/16/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The facility's fire drill log contained consecutive hypothetical locations for the fire used for the fire drill.

The initial health assessment and written verification of immunizations for Child #1 (12/26/23), Child #2 (10/2/23) and Child #3 (12/4/23) were dated more than 60 days beyond enrollment (SEE IS CODE SHEET).

The file for Staff #1 includes verification of First Aid/CPR training dated 3/24/24, after the expiration of 3/3/2024.

The two most recent Mandated Reporter trainings on file for Staff #2 are dated 1/19/19 and 2/6/24, more than 60 months apart.

At the time of inspection, the facility does not have a Director on staff.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original Financial Agreement. The parent is to receive the original agreement and the facility is to retain a copy of the agreement.

The two most recent PA State Police, FBI and Child Abuse clearances for Staff #1 were dated more than 60 months apart.

The facilities Emergency Plan lacked updates to the following sections: Volunteer Emergency Preparedness Training and Continuity of Operations.

The Outdoor Play Space had an exposed tree stump and three rocks, approximately the size of a softball, imbedded in the dirt and sticking up posing a tripping or cutting hazard.