TTS Toybox Daycare Center LLC

The fire alarm 30-day test log includes test dates 7/3/25-8/3/25, more than 30 days apart.

The file for Staff #2 contained a Pennsylvania State Police clearance with an incomplete rap sheet, dated 8/6/24, making it invalid.

In Room 3, a bottle of hand sanitizer and a bottle of shaving cream were observed on a low shelf on the teacher's desk area and was accessible to children.

Peeling paint was observed in the vending area of the School Age room to the right of the door frame. Damaged plaster was observed on the wall behind the door in the hallway leading to the Infant Room.

In Room 1, foam blocks were observed with teeth marks. In the Preschool Room (711), torn plastic on a yellow couch and a pink chair and two cracked plastic bin lids were observed to not be in good repair and were accessible to children. In the School Age Room, cracked plastic with rough edges was observed on the ping pong table and was accessible to children.

In the Infant Room and Young Toddler Room, rest equipment was observed with less than 2 feet of space on three sides while the equipment was in use.

The immunization record for Child #5 (Older Toddler) lacked the following immunizations: 2 doses of Rotavirus without a Letter of Exemption in the file. Child #5 must be dismissed from care by close of business on 5/20/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The two most recent health assessments on file for Staff #3 (dated 9/14/22 & 2/22/25), Staff #4 (dated 1/22/21 & 2/24/25), and Staff #5 (dated 7/10/22 & 2/20/25), more than 24 months apart.

The file for Staff #2 contained an initial health assessment dated 8/20/24, which lacked information that a physical examination had been completed by a physician, physician's assistant, or CRNP.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #4 (dated 5/19/21 & 9/10/23) and Staff #5 (dated 7/21/22 & 8/7/24), more than 24 months apart.

The two most recent fire safety trainings on file for Staff #5 are dated 7/5/23 and 8/7/24, more than 12 months apart.

The two most recent staff evaluations on file for Staff #1 are dated 11/20/23 and 5/21/25, more than 12 months apart. The most recent staff evaluation on file for Staff #4 is dated 5/10/23, more than 12 months prior.

The file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8 contained the original financial agreement when the parent is to receive the original agreement.

The emergency contact form on file for Child #8 lacked the enrolling parent's work address.

The emergency contact form for Child #6 lacked complete addresses for all listed release persons.

The file for Staff #4 lacked 12 hours of annual training in the training timeframe of 4/22/24-4/22/25. The file for Staff #5 contained 6 of 12 annual training hours during the training timeframe of 7/7/23-7/7/24.

On 10-30-24 at approximately 10:35 a.m. with a total of 12 children in the 1 and 2 year old room, staff person #1 named 3 toddlers in their group and staff person #2 named 6 older toddlers in their group. Staff person #3 said that they were not responsible for specific children in the room and were assisting in the room. After staff person #1 and then staff person #2 were asked to name their supervision groups, staff person #1 then named an additional 3 children in their group for a total of 6 children, including 3 young toddlers and 3 older toddlers, resulting in staff person #1 being out of ratio.

* * According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children. This resulted in a 0:2 staff to child ratio.

* According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children. This resulted in a 0:2 staff to child ratio.

According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children.

According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children.

On 6/24/24 at 10:47am, Staff Person #1 left the preschool space leaving the second staff person supervising 13 preschool aged children.

The signed disclosure statement on file for Staff person #1, #3, #5, #6 is a volunteer Disclosure Statement, not valid for a staff person (See LIS Code Sheet). The signed disclosure statement on file for Staff person #4 is not the disclosure statement required at the time of hire (See LIS Code Sheet). The file for staff person #5 does not contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 9.6.23.

There were foam blocks in Room 2 that had bite marks and pieces torn from the corners. There were 2 cracked Magna Tiles in Room 3. The bin containing Magna Tiles in Room 3 was cracked. The bin containing wooden blocks in Room 3 was cracked.

There was a padded chair in the Gross Motor room that had a torn vinyl cover, exposing the foam underneath, that was accessible to children still placing things in their mouths, which the children could tear and place in their mouths.

The file for Child #2, who is a young toddler, includes health assessments dated 3.2.23 and 11.10.23, more than 6 months apart; a current health assessment dated 3.28.24 is on file.

The initial health assessment on file for Staff person #4 is not signed or dated by the health care professional who conducted the exam, making it invalid.

The health assessment on file for Staff person #4 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

There were 2 infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.

The fire drill log on file included fire drills conducted 9.1.23-11.1.23 and 12.29.23-2.29.24, more than 60 days apart.

The fire alarm 30-day test log includes test dates 12.17.23-1.17.24, more than 30 days apart.

The file for Staff person #2, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

The most recent 6 month review signature for the emergency contact form on file for Child #1 is dated 4.3.24, more than 6 months after the previous signature, dated 9.1.23.

The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. The current certificate of compliance was not posted in a conspicuous location used by parents. The posted certificate had an expiration date of 8.29.23.

There were several crib sheets in pack and play cribs that were loose on the mattress, posing a suffocation hazard.

The PA State Police clearance on file for Staff person #1 does not include a dissemination date (See IS CODE SHEET) required for provisional hiring under the CPSL. The PA State Police clearance on file for Staff person #2 does not include a dissemination date (See IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance on file for Staff person #7 is not complete (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #9 does not include a competed NSOR certificate (See LIS Code sheet), required for provisional hiring under the CPSL.

The Child Abuse clearance on file for Staff person #1 is dated 4/28/23, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #4 is dated 7/27/22, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #8 is dated 7/22/22, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #9 is dated 1/21/23, after the hire date (See IS CODE SHEET) as required under the CPSL. The NSOR certificate on file for Staff person #11 is dated more than 45 days after the hire date (See LIS Code Sheet).

The first aid kit in the upstairs older toddler room did not include tweezers. The first aid kit in the upstairs young toddler room did not include tape.

There was a missing toilet bolt cover on the toilet, next to the wall, in the Downstairs preschool bathroom.

Peeling paint was observed on the brown wall by the books in the upstairs older toddler room.

A foam building block that had bite marks was observed in the downstairs preschool room.

A green recalled Bumbo seat, with no safety straps was observed in the downstairs toddler room and a pink recalled Bumbo seat with no safety straps was observed in the infant room.

During the inspection, 2 children were observed in the infant sleeping in pack and play cribs that were next to each other, without 2 feet between them.

The immunization record on file for Child #5, who is 3 years old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; and 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 4 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #6, who is 2 years old, is dated 10/12/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #7, who is 3 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age.

The file for Child #2, with an enrollment date of 2/15/23, more than 60 days ago, does not include an immunization record.

The most recent health assessment on file for Staff person #6 is dated 3/1/21, more than 24 months ago.

The current health assessment on file for Staff person #3 indicates that the staff person has a communicable/contagious disease, with no additional information given.

The fire drill log on file included fire drills dated 11/4/22-1/4/23 and 1/4/23-3/6/23, more than 60 days apart.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality emergency management agency.

The file for Child #2, with an enrollment date of 2/15/23, more than 60 days ago, does not include a health assessment. The initial health assessment on file for Child #8, with an enrollment date of 8/17/22, is dated 12/8/22, more than 60 days after enrollment.

The Fire Safety training on file for Staff person #10 is dated 2/19/23, more than 1 year after hire (See LIS Code Sheet).

Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 11/29/22. Staff person #10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 3/11/23.

The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.

The young toddler room upstairs and the upstairs preschool room did not have a daily activity schedule posted at the time of the inspection.

The emergency contact form on file for Child #1 and #4 does not include the address and/or telephone number for the enrolling parent's employment.

The emergency contact form on file for Child #6 does not include a complete address for all listed release persons.

The file for Staff person #4 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

On 8/11/22, shortly after 1:00 PM, an infant was observed sleeping in a pack and pay with a soft stuffed toy in the crib with the infant.

The signed disclosure statement on file for Staff person #1, #4 is not the current Disclosure Statement. (See IS CODE SHEET).

At 9:57 Am, during a supervision and ratio check in Room 2, there was a staff person with 7 older toddler children in her group; one staff person with 5 young toddlers; and 1 third staff person with 1 young toddler and 4 older toddlers. During a supervision and ratio check at approximately 10:30 in the infant room, there were 9 infants with 2 staff persons present in the classroom.

At 1:20 PM, 4 infants were observed to be sleeping in swings and/or infant seats, not in a crib or on a cot, placed in the position recommended by the American Academy of Pediatrics.

The first aid kit in Room 1 did not include tweezers.

There was a child observed in the infant room sleeping in a crib not labeled for their use. The rest equipment in Room 3 was not labeled with names of the children for their specific use.

The immunization record on file for Child #1, who is 4 years old, does not include record of an influenza vaccination, which is recommended annually by the ACIP for a child this age. The immunization record on file for Child #4, who is 6 years old, includes 3 of 4 Pneumococcal vaccinations as recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 5 months old, includes 1 of 2 Rotavirus, 1 of 2 DTAP, 1 of 2 HIB, 1 of 2 Pneumococcal, and 1 of 2 Polio vaccinations, as recommended annually by the ACIP for a child this age.

The current health assessment, dated 7/6/21, on file for Child #5, who is 4 years old, does not indicate that the child appears to be free from contagious or communicable disease and is able to participate in child care.

There was medication, Nystatin, in Room 2 labeled for use by a specific child, that did not have written parental permission to administer.

The 2 most recent health assessments on file for Staff person #2 are dated 1/27/29 and 8/25/21, more than 24 months apart.

The initial health assessment on file for Staff person #1 does not include the results of a tuberculosis screening, due at hire. (See IS CODE SHEET).

The current health assessment on file for Staff person #2 does not indicate that the staff person was examined for communicable disease.

There were no written feeding plans given by the parent for any of the infants under 1 year old who were receiving care.

The fire drill log included fire drills dated 4/26/21 and 6/28/21, more than 60 days apart.

The 30 day test log for the fire alarm system includes tests dated 5/27/21-6/27/21, 31 days apart; 7/27/21-8/29/21, 33 days apart; 10/27/21-11/27/21, 31 days apart; 12/27/21-1/21/22, 35 days apart; and 2/28/21-3/31/22, 32 days apart

The current Pediatric First Aid/CPR training on file for Staff person #2 is dated 9/15/21, more than 24 months after the previous training, dated 1/13/19.

The most recent fire safety training on file for Staff person #2 is dated 9/15/21, more than 1 year after the previous training, dated 3/8/20.

Staff person #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour Health and Safety Training-Get Started with Center Based Care: Building Blocks For Quality. The file foe Staff person #5 included verification of completed health and safety training dated 3/16/22, more than 90 days after hire (see IS CODE SHEET).

The emergency contact form on file for Child #1 does not include the telephone number for the child's pediatrician/source of medical care. The emergency contact form on file for Child #2 does not include the name or telephone number for the child's pediatrician/source of medical care. The emergency contact form on file for Child #3 does not include the complete address or telephone number for the child's pediatrician/source of medical care.

There was a child receiving care in the infant room, without the emergency contact form being in the room. There were 5 children receiving care in Room 3 without their emergency contact forms being in the room.

The file for Staff person #2, #6 who were hired prior to 12/19/20, does not include 12 hours of annual training between 12/19/20-12/19/21, as per Announcement C-21-09.