Union Christian Academy

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training. Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR training from a PQAS approved trainer.

The file for staff person #5 had an invalid state police clearance and requires a current state police clearance. The file for facility person #6 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. The file for facility person #6 had a disclosure statement that was dated after their start date.

The file for facility person #6 lacked emergency plan training at the time of initial employment and requires current emergency plan training.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

The first-aid kit in the school-age room lacked soap and tape.

In the 3 year old room, the middle window ledge had a piece of the ledge that was broken and had rough edges that were accessible to children.

In the upstairs school-age room, the exit door to the porch outside was blocked by equipment, including rest equipment.

In the school-age room, the refrigerator that has been used to store food for children had standing water and multiple stains/visible dirt on the inside bottom surface of the refrigerator.

The files for child #1, #3, and #5, preschoolers, had a health assessment that exceeded 12 months between assessments.

The file for facility person #6, who regularly interacts with enrolled children at the facility, lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method. The files for staff person #3 and #4 had a health assessment that exceeded 24 months between assessments.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

The file for staff person #1 had pediatric first-aid/CPR training with an expiration date of September 2024 and lacked current training. The files for staff person #2, #3, and #4 had pediatric first-aid/CPR training with an expiration date of October 2024 and lacked current training.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved trainer.

The file for staff person #7, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor.

The files for staff person #2, #3, and #4 had staff evaluations that exceeded 12 months between evaluations.

The facility has had up to 55 children attend the facility daily and does not have 2 group supervisors employed at the facility as required.

The daily activity schedule was not posted in the 3 year old room.

Child #1, #3, #5, and #6 had child service reports that exceeded 6 months between reports.

The files for child #1, #2, #3, #4, and #5 had an agreement that lacked the persons designated by a parent to whom the child may be released.

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

In the infant room, an emergency contact form was not present in the room for child #7, who was receiving care in the room.

The file for child #3 lacked a current emergency contact form updated by the parent within the last 6 months. The file for child #6 lacked a current agreement updated by the parent within the last 6 months. The files for child #1 and #6 had an emergency contact form that exceeded 6 months between parent updates. The files for child #1, #3, and #5 had an agreement that exceeded 6 months between parent updates.

The files for child #2 and #5 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

The file for facility person #6 lacked two written, nonfamily references.

There were 2 cribs in the infant room that had crib sheets that were too big for the mattress and were loose on the mattress, causing a potential suffocation hazard.

The file for Staff person #1 did not include a criminal history clearance, child abuse clearance, or sex offender clearance from Delaware, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance. The file for Staff person #2 includes FBI clearances dated 7/24/18 and 8/3/23, more than 60 months apart. The file for Staff person #5 included a Criminal history clearance dated 10/9/23; a Child abuse clearance dated 10/11/13, both dated after the first day working with children (See LIS Code Sheet); and did not include an NSOR certificate, and the signed Disclosure statement was not dated, making it invalid. The file for Staff person #6 did not include a child abuse clearance, or sex offender clearance from West Virginia, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance.

There was cleaning solution labeled "Keep out of reach of children" sitting on the counter in the 4-year old classroom that was accessible to children.

There was no lidded trash can in the Transition/Young Preschool room for the children to dispose of plates, utensils, and uneaten lunches or used facial tissues.

The first aid kit in the Transition/Young Preschool room did not include soap.

There was peeling paint in the Young Toddler room by the table in the left corner of the room.

The couch in the Older Toddler room had several tears in the vinyl upholstery.

The thermometer in the refrigerator in the 4-year-old classroom measured over 45 degrees Fahrenheit at the time of the inspection.

The two most recent health assessments on file for Child #5, who was a young toddler, are dated 11/28/22 and 10/20/23, more than 6 months apart.

The most recent health assessments on file for Child #6, who is a preschool child, is dated 9/20/22, more than 12 months ago.

The file for staff person #1 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment is not dated, making it invalid. The 2 most recent health assessments on file for Staff person #3 were dated 2/25/20 and 3/17/22, more than 24 months apart.

The file for staff person #4 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #4 was dated 11/1/23.

There was an infant feeding bottle in the infant room refrigerator that was not labeled for use by a specific child.

There was not a safe drop-off and pick-up procedures posting in the facility in a conspicuous location for the parents to view.

The 2 most recent emergency drills on file are documented to have taken place on 9/5/22 and 10/3/23, more than 12 months apart.

The fire alarm 30-day test log includes test dates4/8/23-4/18/23; 8/7/23-9/11/23, more than 60 days apart. The most recent documented 30-day fire alarm test was documented to have occurred on 10/8/23, more than 30 days ago.

The file for Staff person #5, #6, 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 file for Child #3 does not include a signed agreement.

The most recent Child Service report on file for Child #5 is dated 10/5/22, more than 6 months ago.

The agreement on file for Child #6 does not include the child's date of admission.

The emergency contact form on file for Child #1, #2, and #5 does not include the telephone number for the child's pediatrician or source of medical care.

The emergency contact form on file for Child #3 does not include the child's health insurance coverage and policy number for the child's health care benefits.

The emergency contact form on file for Child #3, #4, and #5 does not include a complete address for all listed release persons.

At the time of inspection there was a child receiving care in the Transition/Young Preschool room without their emergency contact information being in the room where they were receiving care.

The most recent 6-month review signature for the emergency contact form and agreement on file for Child #4 is dated 1/23/23, more than 6 months ago.

The Certificate of Compliance posted at the facility expired on 4/25/23; the current COC was not posted.

The file for Staff person #2, did not include verification of 12 hours of annual training between 12/19/21-12/19/22, as per Announcement C-21-09; an additional 2 hours of training from 2/6/23 is used to meet the annual training requirement.

The Disclosure Statement on file for Staff person #2 is not dated, making it invalid. The file for Staff person #4 includes a criminal history clearance dated 7/11/22, a child abuse clearance dated 7/13/22, and an NSOR certificate dated 4/13/22, all dated after the first date working with children (See LIS Code Sheet). The file for Staff person #10, who was a re-hire, does not include a new signed Disclosure Statement signed upon the re-hire date.

The emergency plan on site does not include provisions regarding volunteer emergency preparedness training required as of 7/1/22, as per Announcement C-22-04.

The 2 most recent emergency plan trainings on file for Staff person #5 are dated 1/8/21 and 10/25/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #7 are dated 1/6/21 and 10/24/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #9 are dated 12/10/20 and 10/10/22, more than a year apart.

The first aid kit in the School Age room did not include soap or scissors.

There were sharp corners on the air conditioning window units in the outdoor playspace which could cause injury to a child if the bumped into them.

The immunization record on file for Child #1, who is 15 months old, does not include an influenza vaccination, which is recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 2 years old, is dated 11/2/21, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #7, who is 3 years old, is dated 12/2/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #6, who is 6 months old, includes 1 of 2 Hepatitis B immunizations; 1 of 2 Rotavirus immunizations; 1 of 2 DTAP immunizations; 1 of 2 HIB immunizations; 1 of 2 Pneumococcal immunizations; and 1 of 2 Polio immunizations, recommended for a child this age by the ACIP.

There was a bottle of Motrin in the 3-year-old room with the names of 2 children (siblings) on the bottle.

There was a bottle of Tylenol in the 1-year-old room labeled for use by a child without written parental consent to administer.

The cans for soiled diapers in the 1-year-old room and the 2-year-old room are not hands-free cans. During a diaper change in the Infant room, a staff person was observed opening the hands-free can with their hand.

The 2 most recent health assessments on file for Staff person #1 were dated 1/12/21 and 1/16/23, more than 24 months apart. The initial health assessment on file for Staff person #2 is dated more than 1 year prior to hire (See LIS Code Sheet). The 2 most recent health assessments on file for Staff person #3 were dated 3/5/19 and 4/15/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 10/22/18 and 2/25/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 2/25/20 and 3/17/22, more than 24 months apart. The initial health assessment and Tuberculosis test on file for Staff person #10 are dated more than 1 year prior to the staff person's re- hire date. (See LIS Code Sheet).

The initial health assessment on file for Staff person #8 does not indicate that a physical examination was conducted by the health care provider (See LIS Code Sheet).

The health assessment on file for Staff person #6 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

There was not a safe drop-off and pick-up procedures posting in the facility in a conspicuous location for the parents to view.

According to the fire drill log on file, fire drills were held on 6/9/22-8/11/22, more than 60 days apart.

According to the 30-day test log on file, the fire alarm was tested on 7/1/22-8/1/22; 8/1/22-9/1/22; 9/1/22-10/3/22; and 11/2/22-12/7/22, all more than 30 days apart.

The files for Staff #5, an existing staff member, included certification in pediatric first-aid and CPR dated 2/25/22;. Certification was due 6/17/21, 180 days following the implementation of the current regulations.

Staff person #2 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 12/6/22. Staff person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed 7/26/22. Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed 1/20/23.

The 2 most recent Mandated Reporter training certificates on file for Staff person #1 were dated 5/10/16 and 12/30/21, more than 60 months apart.

The file for Staff person #11, 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 and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience. The file for Staff person #7, 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 emergency contact form on file for Child #4, #5, and #7 does not include the telephone number for the child's pediatrician or source of medical care.

The file for Child #6 does not include written parental permission for the facility to obtain emergency medical care.

The file for Child #6 and #7 does not indicate if the child has special needs as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for Child #1 and #6 does not include a complete address for all listed release persons.

The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #2, are dated 12/28/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #3 are dated 12/29/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #5 are dated 1/10/22 and 8/4/22, more than 6 months apart.

The file for Child #6 does not include written parental permission for the facility to administer minor first aid procedures.

Child #1 was placed in a closet when logging into his Zoom classes during virtual schooling during the COVID pandemic.

Staff person #1, #2 has not completed 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.

Staff person #3, #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

The file for Staff #1 (see IS Code Sheet) contained a Disclosure Statement dated 3.2.21, which was signed after the first day working with children.

The file for Staff #2 contained Mandated Reporter trainings dated 5.10.16 and 12.30.21, which exceeded the 60 month renewal requirement.

Staff #4, with a hire date/start date of 2.23.21, did not obtain a State Police Clearance until 12.6.21, and did not provide proof of applying for missing clearance. Staff #6, with a hire date/start date of 5.8.19, did not obtain a Child Abuse Clearance until 5.14.19, and did not provide proof of applying for missing clearance. Staff #9, with a hire date/start date of 10.21.19, did not obtain a Child Abuse Clearance until 10.22.19, an FBI Clearance until 10.22.19, and an NSOR Certificate until 12.24.19, and did not provide proof of applying for missing clearance and certificate. Staff #11, with a hire date of 11.30.20 and a start date of 12.7.20, did not obtain an NSOR Certificate until 12.8.20, and did not provide proof of applying for the missing certificate.

A Borax cleaner, located in the bottom blue, unlocked base cabinet in the back of the school-age room, was accessible to children and contained the statement, "Keep out of reach of children."

The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by a telephone in the school-age room.

A handwashing sign was not located near one (1) toilet in the restroom off the school-age room.

The health assessment for Child #7 did not contain documentation of the influenza vaccination or a signed, exemption statement.

The file for Staff #2, with Health Assessments dated 7.5.18 and 9.28.20, did not show that they were completed within 24 months. The file for Staff #3, with Health Assessments dated 10.9.18 and 1.11.22, did not show that they were completed within 24 months. The file for Staff #4, with a hire date of 2.9.21 and a start date of 2.23.21, did not show an Health Assessment until 3.23.21. The file for Staff #9, with Health Assessments dated 2.5.19 and 1.13.22, did not show that they were completed within 24 months. The file for Staff #11, with a hire date of 11.30.20 and a start date of 12.7.20, did not show an Health Assessment until 12.12.20.

A proof-of-purchase was not available for the interconnected fire detection system.

The file for Staff #2, with a hire date of 6.12.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training. The file for Staff #3, with a hire date of 10.10.18, obtained Pediatric First-Aid/CPR trainings on 10.11.18 and 11.29.21, which was beyond the expiration date of the 2018 training. The file for Staff #5, with a hire date of 2.25.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19, which has expired, and no additional training has been taken. The file for Staff #8, with a hire date of 3.11.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training. The file for Staff #9, with a hire date of 10.21.19, obtained Pediatric First-Aid/CPR trainings on 8.20.19 and 11.29.21, which was beyond the expiration date of the 2019 training. The file for Staff #10, with a hire date of 5.6.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19, which has expired, and no additional training has been taken. The file for Staff #12, with a hire date of 5.21.18, obtained Pediatric First-Aid/CPR trainings on 9.19.17 and 10.29.19, which was beyond…

The agreement for Child #3 did not specify the date of the child's admission.

The emergency contact form for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 did not contain the telephone number of the child's physician or source of medical care.

The emergency contact form for Child #7 did not contain the address of the enrolling parent.

An emergency transportation plan was not displayed in the school-age room.

The file for Staff #1, with a hire date of 9.2.21, does not show any proof of Pediatric First-Aid/CPR training, which is beyond the 90 days allotted. The file for Staff #4, with a hire date of 2.9.21, does not show any proof of Pediatric First-Aid/CPR training, which is beyond the 90 days allotted. The file for Staff #7, with a hire date of 3.16.20, obtained Pediatric First-Aid/CPR trainings on 12.2.20, which was beyond the 90 days allotted. The file for Staff #16, with a hire date of 12.21.20, obtained Pediatric First-Aid/CPR training on 11.29.21, which was beyond the 90 days allotted.

The posted Certificate of Compliance expired on 4.25.21. A current Certificate of Compliance was not located or produced.