Two Hands Are Better Than One Learning

The facility emergency plan was not reviewed annually. The previous review was done on 1/10/23.

There was a garbage can that contained contaminated by human secretions trash without a lid in the main room.

The first- aid kit in the main room lacked, an assortment of adhesive bandages, tweezers, tape, and gloves. The first- aid kit in the Toddler room lacked, gloves, tape and gloves.

There was a cracked window glass on the front entrance in the toddler room.

There was damage plaster on the wall by the computers in the main room.

The bathroom in the main room lacked washing hand signs above the toilet, above the training chair and above sink.

There were 2 cracked trucks, 3 cracked bin lids, 1 broken pink chair and one cracked pencil box in the main room.

The coats in the main room were not labeled for the use of a specific child and used only by the specified child.

The file for child # 2 a preschooler contained a current health report dated 11/21/24. The report was obtained after 12 months the prior report was dated 4/12/22.

The facility emergency plan lacked the emergency drill log.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

The file for child # 1 an old toddler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 3 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 4 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 5 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report.

The facility policy to identify the Prevention of Shaken Baby Syndrome, lacked The Abusive Head Trauma and The Child Maltreatment Statement.

Staff # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training.

The files for staff # 1,2, and 3 lacked a written evaluation.

The file for child # 1 lacked telephone number of the child's physician or source of medical care on the emergency contact form. The file for child # 5 lacked the address of the child's physician or source of medical care on the emergency contact form.

The files for children # 1,3 and 4 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

The file for child # 5 lacked the health insurance policy number on the emergency contact form.

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

The main room and the toddler room lacked emergency transportation plan posted.

The file for child #1 Contained an emergency contact and an agreement forma that has not been review since 10/3/23. The file for child # 2 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/23 and the current review was dated 11/17/24. The file for child #3 Contained an emergency contact and an agreement forma that has not been review since 9/6/22. The file for child # 4 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/21 and the current review was dated 11/17/24. The file for child # 5 contained an emergency contact and an agreement forma that has not been review since 12/19/23.

The files for children # 1,3 and 4 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

The files for staff # 2 and 3 lacked verification of experience.

Staff persons # 1,2,4,5, and 6 were observed to be caring for children unsupervised. Staff persons #1,2,4,5 and 6 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/26/22 to 2/26/24.

On 8/27/24 around 9: 10 am staff #2 was observed caring for 1 YT,3 OT and 3 PS in the toddler room.

There was a hair gel bottle on top of the sink counter labeled " keep out of reach of children" accessible to children.

There was peeling plaster on the wall above the sink in the preschool room.

The preschool room bathroom lacked a hand washing sign above the toilet.

The exit back door in the preschool room was obstructed with a few gallons of water.

There was a broken white and black motorcycle toy in the playground.

Staff # 3 did not wash the child's hands after diapering.

Staff # 3 kept a soiled diaper on the couch until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Staff # 3 did not use a changing pad or other surface covering. Staff # 3 changed the child on the couch. The surface was not sanitized

The file for staff # 7 contained a health report dated 9/11/23 that lacked a TB test.

Staff #3 did not wash her hands after diapering a child.

Staff # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety, Mandate Reported Training and Pediatric First Aid and Pediatric CPR.

Staff person # 1 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 (8/14/19).

The file for staff # 7 lacked proof of education and verification of childcare experience.

The file for staff # 7 lacked two written, nonfamily references.

The file for staff # 2 contained a current FBI clearance dated 3/1/21, that was not renewed within 60 months of the prior FBI clearance dated 6/13/15. The file for staff # 3 contained a current Child Abuse clearance dated 2/25/21, that was not renewed within 60 months of the prior Child Abuse clearance dated 6/4/15. The file for staff # 4 contained a current FBI clearance dated 7/2/19, that was not renewed within 60 months of the prior FBI clearance dated 11/5/09. The file for staff # 4 contained a current State Police clearance dated 10/15/21, that was not renewed within 60 months of the prior State Police clearance dated 3/6/15

The nursery room lacked a first-aid kit.

The first-aid kit in the main room lacked scissors.

There were 6 ceiling tiles with water damaged in the main room. There was a cracked light cover close to the kitchen area in the main room.

There was damage plaster above the bathroom sink.

There was a cracked plastic table, a rusted cracked easel, 2 broken plastic bins, a broken storage lid, and a bin filled with water in the playground. There were 2 blues cracked bins and a cracked toy truck in the main room.

The file for child #1a school age lacked an initial health report. The file for child # 5 a school age lacked an initial health report.

The file for child # 3 a school age lacked an updated health report. The previous report was dated 4/20/21. The file for child # 4 a preschooler lacked an updated health report. The previous report was dated 2/1/22.

The file for staff # 2 lacked an updated health report. The previous report date was 11/4/21. The file for staff # 3 contained a current health report dated 2/4/22.The file lacked documentation of the previous health report. The file for staff # 4 lacked an updated health report. The previous report was dated 4/7/21.

Th file for staff #5 lacked tuberculosis screening by the Mantoux method at initial employment.

The file for child # 2 a preschooler lacked an initial health report. Per directors' statement the child has been in care for long time.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility lacked a policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. The file for staff # 4 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

The files for staff # 2,3 and 4 lacked a current Fire Safety training. The prior certificate was dated 2/26/23.

The file for staff # 1 contained a current Health and Safety Updated training dated 11/10/23, that was not completed by 12/30/22. The file for staff # 3 contained a current Health and Safety Updated training dated 11/15/23, that was not completed by 12/30/22. The file for staff # contained a current Health and Safety Updated training dated, that was not completed by 12/30/22.

The files for staff # 2 and 3 lacked documentations of the previous and current written staff evaluation.

The Nursery room lacked a written daily activities schedule posted.

The file for child # 4 was not signed by the operator and the parent.

The files for children # 2 and 4 lacked the date of the child's date of admission on the agreement form.

The files for children # 1 and 5 lacked the name, address and telephone number of the child's physician or source of medical care on the emergency contact form.

The files for children # 1 and 5 lacked the work addresses of the enrolling parent on the emergency contact form.

The file for child # 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

The files for children # 1,2 and 5 lacked 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 on the emergency contact form.

The files for children # 4 and 5 lacked the health insurance policy number on the emergency contact form.

The files for children # 1 and 5 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

The files for children #1,3 and 5 emergency contact form and agreement form have not been updated once in 6 months period.

The file for staff # 5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff persons #1 and #2 have not completed the Pennsylvania Health & Safety Update 2022 which was required to be completed by 12/30/2022.

The files for Staff #1, 2, 3, and 4 were all lacking documentation of annual emergency plan training.

Peeling paint was observed in the restroom down by the toilet on the main older children side of the facility.

The Mickey Mouse table on the main side of the facility was observed to be peeling all on the top of the table.

The file for Child #5 who is a young toddler age child contained a health assessment that was more than 6 months old.

The file for Child #2 who has been enrolled at the facility for more than 60 days was lacking a health assessment.

The file for Child #3 contained an immunization record that was lacking the annual influenza immunization. The file for Child #5 contained an immunization record that was lacking 2-3 doses of the rotovirus vaccine.

The file for Staff #4 contains 2 health assessments that are more than 24 months apart.

The facility was lacking documentation of an annual emergency drill.

The facility lacked documentation of sending the annual traffic letters to the local traffic safety authorities.

The nursery side of the facility was lacking a posted written daily schedule. When certification Rep. asked if they had one the staff answered that they don't follow one in that room.

The file for Child #5 contained an agreement form that was lacking the persons whom the child can be released to.

The file for Child #4 contained an agreement form that was lacking the child's admission date.

The files for Child #1, 3, and 4 all contain emergency contact forms that are lacking signed parental consent for emergency medical care for the children.

The file for Child #5 contained an emergency contact form that was lacking the policy number for the child's health insurance.

The file for Child #3 contains an emergency contact form that was lacking the addresses of the persons to whom the child can be released.

The file for Child #3 was lacking 6 month signed updates of the child's emergency contact form and agreement form.

In the toddler kitchenette, there was a can of Lysol disinfecting spray and Suave hand sanitizer sitting on a small table next to a loaf of bread and canned food items.

The first aid kit in the toddler room did not contain gauze pads.

There were 2 small areas of flooring missing in the main room's bathroom.

There were several areas of peeling paint on the railing in the outdoor play space.

The health report in the file for child #1 was signed but the individual's title was not legible.

The health report in the file for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

There was no evidence of a flu shot in the file for child #1, a 3 year old. There was no evidence of a flu shot in the file for child #2, a 3 year old and they were missing 2 of 2 Hep A vaccinations. Neither file included a written statement of exemption by a parent.

The last health assessment in the file for staff person #1, #3 and #4 more than 24 months ago. The last two health assessments in the file for staff person #2 were dated more than 24 months apart.

The health assessment in the file for staff person #2 did not include the results of an examination for communicable disease as the box next to the statement was left blank.

The menu posted at the facility was for the current week.

Based on review of the facility's fire drill log and on conversation with the operator, the fire detection system was tested in March, August and December 2021.

The file for child #2, enrolled more than 90 days, did not include a health report for the child.

The last first-aid/CPR training in the file for staff person #1 expired in May 2021.

The last fire safety training in the file for staff person #1 through #5 was dated more than 12 months ago.

The last evaluation by the director in the file for Staff #1 through #4 was dated more than 12 months ago.

There was no agreement form in the file for child #1. The agreement form in the file for child #3 was not signed by a parent.

The agreement form in the file for child #2 and #3 did not specify the child's arrival and departure time.

The agreement in the file for child #2 did not specify the release persons.

The emergency contact information in the file for child #1 and #4 did not include an address for the child's physician. The emergency contact information in the file for child #2 and #5 did not include any information for the child's physician. The emergency contact information in the file for child #3 did not include a street number for the child's physician.

The emergency contact information in the file for child #1 did not include a work phone number for the child's mother. The emergency contact information in the file for child #2, #4 and #5 did not include a work phone number or address for the child's mother. The emergency contact information in the file for child #3 did not include a street number for the mother's work address.

The emergency contact information in the file for child #1, #2, #3 and #5 did not include written parental consent for emergency medical care.

The emergency contact information in the file for child #2 and #5 did not include any health insurance information. The emergency contact information in the file for child #3 did not include a work policy number for the child's health insurance

The emergency contact information in the file for child #2 did not include the last names of the release persons and both addresses were incomplete. The emergency contact information in the file for child #3 did not include complete addresses for the release persons, as there was no city or zip code, and there was no street number for one of the release persons. The emergency contact information in the file for child #4 did not include addresses for the release persons.

The emergency contact information in the file for child #1, #2, #3 and #5 did not include written parental consent for minor first-aid by staff.

The file for staff person #1 through #5 included health and safety training on topics #1 through #9 required by regulation 31f dated after 6/17/21. All 5 staff were hired before 12/19/20.

The certificate posted at the facility was from the previous certification year, 2020-21.