Up With Kids Childcare Center

The first-aid kit in room G-05 lacked adhesive bandages.

A portable space heater was observed in the director's office.

The record for child #3, who is a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

A fire drill was not conducted at least once every 60 days between 10/17 to 12/17/2024.

Fire drills were not conducted at different times of the day.

The fire detection system was not tested at least once every 30 days between 3/14 to 4/16/2024 and 4/16 to 6/15/2024.

A written plan of daily activities was not posted in room G-05.

The initial agreement for child #4 was not signed by the parent.

The Ages and Stages screening tool was used to provide information to the family about the child's growth and development, which is not accepted.

The facility retained the original agreement for child #1, #2, #3, #4, #5 and #6.

The record for staff #1 did not include two, written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff #2 contained a current Child Abuse clearance dated 1/24/20, that was not obtained prior the first day of employment.

There were 2 uncovered outlets accessible to children 5 years of age or younger in room 100.

There was a ripped carpet creating a tripping hazard in room G-5. There was a cracked light switch cover in the indoor gross motor room. There was rubber base board pulling off the wall in room 100 in room 202 and on the hallway by room 202. The bottom of the door in room 100 was damaged and had exposed splinters.

There was peeling paint on the blue wall on back of the room in room 100. There was damaged plaster by the window in room 102.

There was a broken red and green toy track in room G-5. There was a blue cracked bin in room 100. There was a blue cracked bin in room 102 There was a cracked clear bin with a cracked gray lid in room 202. There were 2 cracked clear bins in room 204. There were 2 clear cracked bins in room 207.

There were 4 mats that did not have at least 2 feet of space on three sides in room. 100.

There were Styrofoam plates in room G-5.

The file for child # 1 a preschooler contained a current health report dated 4/6/23. The report was obtained after 12 months the prior report was dated 3/17/23. The file for child # 6 a preschooler contained a current health report dated 1/17/24. The report was obtained after 12 months the prior report was dated 10/27/22. The file for child # 8 a preschooler contained a current health report dated 11/10/233. The report was obtained after 12 months the prior report was dated 8/10/22.

The file for staff # 2 contained a current health assessment dated 12/7/23. It was not obtained within 24 months of the previous assessment dated 11/19/21.

There was a bottle with milk that was not discarded in the infant room.

The file for child # 2 an infant contained a current health report dated 12/2023, that was obtained after 60 days. The file for child # 2 a preschooler contained a current health report dated 12/14/23, that was obtained after 60 days.

The file for staff # 1 lacked a written evaluation.

The file for child #1,3,5,6 and 8 contained a current Child Service Report that was conducted more than 6 months apart.

The file for child # 2 and 9 lacked the home addresses and work telephone numbers of the enrolling parent on the emergency contact form.

The file for children # 2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

The files for child # 1 and 4 contained an emergency contact form and an agreement form that were not reviewed within six months period.

**Per staff statements, on 5/26/23, staff were unable to see, hear, asses and direct a group of four preschool-aged children who had gathered under the playground equipment for several minutes.

***Per staff statements, on 5/26/23, staff were unable to see, hear, asses and direct a group of four preschool-aged children who had gathered under the playground equipment for several minutes.

*Per staff statements, on 5/26/23, staff were unable to see, hear, asses and direct a group of four preschool-aged children who had gathered under the playground equipment for several minutes.

The file for Staff #1, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 4/2/23. The update was required to be completed by 12/30/22, per Announcement C-22-06. The file for Staff #2, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 3/7/23. The update was required to be completed by 12/30/22, per Announcement C-22-06. The file for Staff #4, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 3/3/23. The update was required to be completed by 12/30/22, per Announcement C-22-06.

The disclosure statements in the files for Staff Persons #7, 8, 9, 12 and 14 were on an outdated form that was no longer valid when staff were hired. The disclosure statement in the file for Staff Person #13 is on a volunteer form. The most recent Child Abuse clearances in the file for Staff Person #1 exceeded 60 months between clearances: 6/16/15-8/28/20. The file for Staff Person #7, who has been working for more than 45 days (See LIS Code Sheet) did not contain an NSOR Certificate.

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

The initial emergency plan training in the file for Staff Person #7 (1/31/23) was more than 90 days after the staff person's start date (See LIS Code Sheet).

On the day of the inspection, Cert Rep observed 24 Preschool children playing in the gross motor room, which has a maximum capacity of 20.

Observed by the window in Room 204, wall heater cover was separating from the wall, which creates a potential pinch hazard.

The second floor boy's restroom lacked a handwashing sign above one urinal and one toilet. The second floor girl's restroom lacked a handwashing sign above two of the toilets.

The most recent immunization records in the files for Child #2, 3 and 4 did not include documentation of a flu shot conducted within the past year or a letter of exemption from the parent or physician.

The diaper disposal receptacles in the infant and toddler rooms were Diaper Genies, which are not approved by the department as a hands-free can.

The health assessment in the file for Staff Person #7 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

The facility did not have documentation that an emergency drill had been conducted for the most recent year: 12/19/21-12/19/22.

The facility was not documenting fire system checks conducted a minimum of every thirty days.

The files for Staff Persons #1, 2, 3, 4, 5, 6, 9, 10, 11 and 12 did not include documentation of training in the 1-hour Health and Safety Update. The prescribed time frame for completion was 12/30/22.

The most recent annual fire safety trainings in the file for Staff Person #5 exceeded one year between trainings: 11/1/21-1/5/23. The first annual fire safety training in the file for Staff Person #10 (1/5/23) was more than one year after the Staff Person's start date (See LIS Code Sheet).

Staff person #11 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 most recent Mandated Reporter Trainings in the file for Staff Person #3 exceeded 60 months between trainings: 6/11/15-7/2/20.

The most recent staff evaluations in the files for Staff Persons #5, 6 and 11 exceeded one year between written evaluations. Staff Person #5: 6/18/20-7/20/22 Staff Person #6: 7/19/21-1/19/23 Staff Person #11: 11/28/20-1/3/23. The file for Staff Person #10 did not have documentation of a written evaluation for the past 12 months (1/25/22).

The emergency contact form in the file for Child #4 did not include information on the child's special needs.

The first parental updates for the emergency contact form and fee agreement in the file for Child #1 were dated more than 6 months after the child's start date.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics 1-9.

Per staff statements, Staff #1 placed Child #1 in the church nursery room, which is not a measured child care space. The child was unattended, with the door locked for approximately 10-15 minutes at a time on several occasions to allow the child to calm down. Staff #1 also placed Child # 2 unattended, in the nursery room for redirection at times.

*Per staff statements, Staff #1 placed Child #1 in the church nursery room, which is not a measured child care space. The child was unattended, with the door locked for approximately 10-15 at a time on several occasions to allow the child to calm down. Staff #1 also placed Child # 2 unattended, in the nursery room for redirection at times.

**Per staff statements, Staff #1 placed Child #1 in the church nursery room, which is not a measured child care space. The child was unattended, with the door locked for approximately 10-15 at a time on several occasions to allow the child to calm down. Staff #1 also placed Child # 2 unattended, in the nursery room for redirection at times.

Per staff statements, the Preschool room was left out of ratio on several occasions when staff #1 left the 2nd preschool staff in the room to take one child into the hall or another room. The room would be out of ratio for 3-15 minutes at a time.

The file for Staff #2 contained an FBI clearance containing a charge which lacked a disposition. The file for Staff #4 contained a child abuse and NSOR clearance dated after the first day of employment.

A spray bottle reported to contain toxic cleaning solution was observed to be unlabeled, hanging on the top of the stall in the boys' bathroom upstairs.

The first-aid kit in the gross motor room was observed to lack sterile gauze.

Animal feces were observed on the ground of both playgrounds.

Handwashing signs were not posted at the urinal in the boys' bathroom upstairs, nor at 1 sink in the boys' bathroom upstairs.

The file for Child #4 contained a most recent health report dated more than 12 months ago.

The file for Child #5 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The files for Child #1, #2 and #3 contained records of immunization history which lacked current influenza vaccinations.

The fileS for Staff #1 and #6 contained consecutive health assessments dated more than 24 months apart.

The proof of purchase for the interconnected fire detection system was not available at the time of inspection.

The file for Staff #5 contained consecutive fire safety trainings dated more than 12 months apart.

The files for Staff #2 and #5 contained documentation of mandated child abuse reporter training completed more than 90 days after the first days of employment.

The file for Staff #2, designated as an AGS, contained documentation of 2 years of experience with children yet lacked a high school diploma or GED.

A written plan of daily activities was not posted in the School-Age Room.

The files for Staff #2 and #4 contained documentation of certification in pediatric first aid and pediatric cardiopulmonary resuscitation dated more than 90 days after the first days of employment.

The files for Staff #3 contained documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f), which was dated more than 90 days after hire. The file for Staff #5 lacked documentation of health and safety training numbers 1 - 9, as listed in the regulation 3270.31(f).

The posted regulations were observed not to be current.