Vincentian Child Discovery Center McCandless

The staff file for Staff person #7, contained a current health assessment dated 7/28/25 which was conducted more than 24 months from the previously dated 6/29/23 health assessment on file. The staff file for Staff person #10, contained a current health assessment dated 9/3/24 which was conducted more than 24 months from the previously dated 3/15/22 health assessment on file.

The child file for Child #1 contained an initial health report that is dated more than 60 days after initial enrollment.

The staff file for Staff person #1, Staff person #4, Staff person #5, Staff person #6, Staff person #8, and Staff person #10 were observed to lack fire safety training for 2024; the dates of the two most recent trainings are January 2025 and December 2023.

Staff person #2 had 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. Staff person #1 has since completed the training on 8/29/25.

The staff file for Staff person #1 contained current mandated reporter training dated 3/22/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 12/30/19. The staff file for Staff person #4 contained current mandated reporter training dated 3/29/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/3/20. The staff file for Staff person #5 contained current mandated reporter training dated 3/22/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 1/5/20. The staff file for Staff person #6 contained current mandated reporter training dated 3/23/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 12/21/19. The staff file for Staff person #9 contained current mandated reporter training dated 3/18/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 12/19/19. The staff file for Staff person #10 contained current mandated reporter training dated 3/20/25 which was not renewed within 60 months from the previously existing…

The child file for Child #4 was observed to contain an emergency contact information form that lacked addresses for the designated release persons listed.

The child file for Child #2 contained a financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 8/21/25 and 4/24/24 and the financial agreement form was last reviewed and signed on 9/19/24. The child file for Child #3 contained an emergency contact information form that was not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 4/4/25 and 9/24/24.

The Child file for Child #3 was observed to lack the original financial agreement form.

2nd CITATION: In Young Toddler B Room, peeling paint was observed to the right of the mirror on the wall near the baseboard as well as below the #4 sign located underneath the learn and grow sign. Also in Young Toddler B Room, damaged drywall was observed from a wooden baby gate that was attached to the wall. PREVIOUSLY CITED ON: 3/4/25

2nd CITATION: At approximately 11:05am, Staff person #1 was observed in the hallway outside of the Young Toddler A Room returning a red buggy used to transport the toddlers to/from outside playground. Certification Rep. walked past Staff person #1 and entered the Young Toddler A Room where 1 staff with 8 young toddlers was observed thus resulting in a staff: child ratio of 1:8. PREVIOUSLY CITED ON 3/4/25

2nd CITATION: At approximately 11:05am, Staff person #1 was observed in the hallway outside of the Young Toddler A Room returning a red buggy used to transport the toddlers to/from outside the playground. Certification Rep. walked past Staff person #1 and entered the Young Toddler A Room where Staff person #2 and 8 young toddlers were observed. Staff person #1 entered the classroom shortly thereafter. During the onset of supervision and ratio, Staff person #1 identified and named 4 young toddlers and Staff person #2 identified and named 4 young toddlers. Therefore, it was determined that Staff person #1 was observed to not be physically present with their assigned group of children while they were returning the red buddy to the hallway. At approximately 11:15am, Preschool B was observed outside on the playground with 4 Staff and 25 preschool age children who were lined up against the fence and one child being held by Staff person #4. During the onset of supervision and ratio, when staff were asked to identify and name the children whom they were responsible for, Staff person #3 identified and named responsibility for 10 preschool age children, Staff person #4, who was holding the…

The facility's inspection summary from 3/4/25, that contained regulatory noncompliance citations needing verified as corrected, was not posted in a conspicuous location used by parents.

In the director's office, the child records are stored in two mobile file carts. One cart was observed to have the cover opened and the other cart lacked the sliding cover entirely.

As a result of a complaint investigation conducted on 3/4/25, based on interviews with staff, it was determined that during naptime a staff person used their leg to restrain a child on their mat because the child kept getting up off their mat and would not nap.

The staff file for Staff person #1, who is a substitute staff person, lacked a State Police clearance; the one observed in the file was for another person.

At approximately 12:20pm two staff and twenty preschool age children were observed transitioning back into the facility from being outside on the playground. Three preschool age children, who were in the front of the line, were observed to have walked down the hall, around the corner out of eyesight of Staff person #2 and Staff person #3. Those three preschool age children were observed to enter the elevator by themselves and the elevator door closed behind them without any staff present in the elevator thus resulting in the staff: child ratio to be 0:3. A few other children were observed lining up at the elevator with no staff present.

At approximately 12:20pm two staff and twenty preschool age children were observed transitioning back into the facility from being outside on the playground. Three preschool age children, who were in the front of the line, were observed to have walked down the hall, around the corner out of eyesight of Staff person #2 and Staff person #3. Those three preschool age children were observed to enter the elevator by themselves and the elevator door closed behind them and a few other children were observed lining up at the elevator without being supervised by any staff person. At approximately 1:10pm, during naptime in the Young Toddler B Room, upon certification entering the room, Staff person #4 was observed on their cell phone and not able to see, direct or assess the toddlers in their care. Also, where Staff person #4 was positioned in the room they could not adequately supervise three of the napping toddlers due to the diaper changing table obstructing the Staff's ability to see, direct, and assess those toddlers that were napping on the opposite side.

At approximately 12:20pm two staff and twenty preschool age children were observed transitioning back into the facility from being outside on the playground. Three preschool age children, who were in the front of the line, were observed to have walked down the hall, around the corner out of eyesight of Staff person #2 and Staff person #3. Those three preschool age children were observed to enter the elevator by themselves and the elevator door closed behind them and a few other children were observed lining up at the elevator without a staff person being physically present with those children.

In the Preschool Room, in the lunch area, an electrical outlet located to the left of the kitchen door and an electrical outlet located under the audio center sign were each observed to lack one protective receptacle cover. Also in the Preschool Room an electrical outlet located behind the light table was observed to lack one protective receptacle cover.

In the Preschool Room, two Purell hand sanitizers labeled 'Keep Out of Reach of Children' were observed on a shelf near the language arts center accessible to the preschool age children in care. In the Indoor Play Space one Purell hand sanitizer was observe to the left of the doorway on the window ledge accessible to children in care.

In the School Age Building the following were observed to not be in good repair: in the Gym part of the black cove base was observed to be detached from the wall, a wall plate covering an electrical outlet was observed to be cracked at the top and broken off, a long vertical tear of the wallpaper in the hallway leading to the Gym was observed to be detached from the wall, and in Room 009 one ceiling tile to the left of the light was observed to not be kept clean as evidence by having water damage from a previous leak.

In Young Toddler B Room, peeling paint was observed to the right of the mirror on the wall near the baseboard as well as below the #4 sign located underneath the learn and grow sign. Also in Young Toddler B Room, damaged drywall was observed from a wooden baby gate that was attached to the wall.

At approximately 1:10pm in the Young Toddler B Room, during naptime, the following mats were observed to not have at least 2ft of space on 3 sides while in use: a toddler was observed sleeping on a mat that was placed approximately 1.5 feet from a shelving unit as well as 10 inches from a toy sink and another mat used by a toddler was placed up against the other side of the toy sink set and placed approximately 1 foot from the wall.

The staff file for Staff person #1 lacked a valid DHS FBI clearance. The staff file for Staff person #5 contained a current State Police clearance dated 10/24/23 which was not renewed within 60 months of the previously dated 10/18/18 State Police clearance expiring. The staff file for Staff person #6 contained a current State Police clearance dated 8/9/24, a current Child Abuse clearance dated 8/21/24 and a current FBI clearance dated 8/7/24 all of which were not renewed within 60 months of the previously dated 4/25/29 State Police clearance, the 5/3/19 Child Abuse clearance and the 5/10/19 FBI clearance expiring.

In School Age Building, the following rooms were observed to have ceiling tiles with visible water damage and/or mold: Room 009 with 6 tiles, Room 019 with 3 tiles, Gym with 11 tiles, Hallway to left of Room 011 with 6 tiles, Hallway to right of Gym with 5 tiles, Room 010 with 2 tiles, Room 011 with 7 tiles, Room 010 with 5 tiles, and Room 011 with 7 tiles.

In the School Age Building two sinks located in the girl's restroom was observed to lack handwashing signs.

The child file for Child #5, who is a preschool age child, was observed to contain health reports that were conducted more than 12 months apart; those health report dates are dated 8/30/23 and 9/1/24.

The child file for Child #2 was observed to contain a current health report dated 8/29/24 that lacked a statement that the child is able to participate in childcare and is free from contagious or communicable disease.

The staff file for Staff person #2, lacked a valid health assessment and TB test results; the health assessment and TB test results on file are more than 12 months old.

Staff person #4 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; the first aid/CPR training on file was not an approved curriculum.

The child file for Child #1 contained a current emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 9/26/23 and 4/29/24.

The child file for Child #4 was observed to lack a financial agreement form.

The staff file for Staff person #3 was observed to lack one nonfamily reference.

During a complaint investigation conducted on 7/10/24, it was disclosed during staff interviews that only parents of those children receiving care in the effected classrooms were notified of a suspected outbreak of a communicable disease.

During a complaint investigation conducted on 7/10/24, it was disclosed during staff interviews that children who were excluded from care for having a communicable disease were permitted to return without a doctor's note indicating that they were able to return to care.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 5/30/24 to 7/3/24 (34 days).

2nd CITATION: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 10/26/23 to 11/27/23 (32 days). PREVIOUSLY CITED on 12/19/23

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 10/26/23 to 11/27/23 (32 days).

The staff file for Staff person #3 was observed to contain a signed disclosure statement that was not dated thus unable to determine if it was signed at time of hire. The staff file for staff person #4 lacked a signed disclosure statement.

The staff file for Staff person #7, Staff person #8, and Staff person #9 lacked documentation of having received training regarding the facility's emergency plan with in 90 days of hire.

In the Toddler 2 Room, a six-outlet surge protector power strip located on the windowsill to the left of the refrigerator was observed to be missing two protective outlet covers was accessible to children 5 years of age or younger. In the Preschool Room, an electrical outlet located in the eating area and to the left of the sand table was observed to lack one protective outlet cover and was accessible to children 5 years of age or younger.

The water coming from the sink located to the right of doorway in Room 011 was observed to measure 133° F.

In the Indoor Play Space one large yellow interlocking foam play mat located on the wall to the left of the doorway was observed to be detached from the wall.

The child file for Child #1 lacked a flu shot for 2022.

The staff file for Staff person #4 contained a current health assessment dated 7/27/22 which was conducted more than 24 months from the previously dated 3/14/20 health assessment on file. The staff file for staff person #6 lacked an updated health assessment; the most recent health assessment on file is dated 6/10/21 which is more than 24 months old.

The file for Staff person #1 contained a current health assessment dated 1/17/23 that lacked an examination for communicable diseases and the results of that examination as well as a doctor or CRNP's assessment of Staff person #1's ability to provide childcare.

The manufacturer's instructions for use of safety restraints were observed to not be in the 2020 Chevrolet Micro Bird nor in the 2019 Dodge Caravan that the facility uses to transport children in care.

An annual emergency drill conducted on 5/22/23 lacked the total number of staff, total number of children who participated, the time it took to complete drill, special accommodations the facility used for any category of children, and any problems encountered that is required to be documented when conducting the emergency drill, per announcement C-22-04.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 8/10/23 - 9/11/23 (32 Days).

The staff file for Staff person #7 lacked valid pediatric first-aid/CPR; the certification on file dated 4/7/21 has expired. The staff file for Staff person #9 lacked valid pediatric first-aid/CPR; the certification on file dated 7/30/21 has expired.

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #1 completed Pediatric First Aid/CPR on 9/1/23. Staff person #2 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.

The staff file for Staff person #4, Staff person #5, and Staff person #6 contained current staff evaluations completed in July 2023 which were more than 12 months from their previously dated June 2022 staff evaluations on file.

In the Infant 2 Room, the sheets being used in five of the cribs used by an infant in care was observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

The first aid kit located in Room 11 was observed to lack tweezers.

In the Indoor Play Space two large interlocking foam play mats located on the walls nearest the doorway were observed to be detached from the wall.

The child file for Child #1, Child #4, and Child #5, who are preschool age children, lacked a flu shot for 2022. The child file for Child #2, who is an 8mo old infant, and Child #3, who is a young toddler, lacked a flu shot for 2022.

The staff file for Staff person #5, contained a current health assessment dated 3/15/22 which was conducted more than 24 months from the previously dated 7/30/19 health assessment on file.

Staff person #2 and Staff person #5 lacked the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. Staff person #6, Staff person #10, and Staff person #14 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06; all staff completed the one-hour training in January 2023.

The staff file for Staff person #3 through #7 and Staff person #9 through #18 had not participated in annual fire safety training; the two most recent trainings were dated 1/18/23 and 12/28/21.

Staff person #8 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 and Pediatric First Aid/CPR.

The child file for Child #4 contained an emergency contact information form that lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for Staff person #1 was observed not to contain a National Sex Offender Registry (NSOR) certificate.

3rd CITATION: At approximately 10:10am, Staff person #5 was observed transitioning a group of young school-age children from Room 002 to the hallway. Staff person #5 was then observed leaving the hallway and returning to Room 002 to retrieve the remaining children in their group. At this point, staff: child ratio was exceeded, as no staff were present with the children while they were in the hallway. PREVIOUSLY CITED ON: 5/4/22 and 6/13/22

At approximately 10:10am, Staff person #5 was observed transitioning a group of young school-age children from Room 002 to the hallway. Staff person #5 was then observed leaving the hallway and returning to Room 002 to retrieve the remaining children in their group. As a result, the children who were left in the hallway were unsupervised as Staff person #5 was not present to properly see, hear, direct, and access those children.

2nd CITATION: In the school age building, at approximately 10:00am, Staff person #4 answered the door to let this certification representative into the building thus causing Staff person #4 to not be physically present with their 12 young school age children that they were responsible for supervising in Room 0002. Upon entry into Room 002 at the outset of supervision and ratio, two staff and 24 young school age children were observed. Staff person #4 identified and named 9 children and Staff person #5 identified and named 9 children thus leaving 6 children unaccounted for. Staff were given a second opportunity to name the children whom they were responsible for and Staff person #4 identified and named 11 children and Staff person #5 identified and named 9 children thus still leaving 4 child unaccounted for. On a third opportunity all children were accounted for. PREVIOUSLY CITED ON: 6/13/22

In Room 0002 ten bottles of sunscreen labeled, 'Keep Out of Reach of Children' were observed on ledge accessible and in reach of the children in care.

Upon entry in to the Preschool Room, the restroom located on the right side of the class room was observed to have broken loose tile pieces around the sewer lid that have separated from the floor causing the floor not to be in good repair.

The child file for Child #1, who is a young toddler, was observed to lack an updated health report at least every 6 months; the most recent health report on file is dated 11/10/22.

The child file for Child #2 and Child #3 lacked a flu shot for 2021.

The staff file for Staff person #3, contained a current health assessment dated 2/21/22 which was conducted more than 24 months from the previously dated 9/13/19 health assessment on file.

2nd CITATION: At approximately 10:00am, 2 staff and 24 young school aged children were observed to be utilizing Room 002 that has a maximum capacity of 10. PREVIOUSLY CITED ON 6/13/22

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff person #1 has not completed pediatric first-aid/CPR training within the last 24 months. This is evidenced by the previously documented pediatric first-aid/CPR training on file being dated 3/9/20.

The staff file for Staff person #2 contained current mandated reporter training dated 12/29/21 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 5/29/15.

The child file for Child #3 lacked a flu shot for 2021.

***2nd CITATION: At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who named responsibility 7 preschool age children in their assigned group, was observed at one point to no longer to be outside and subsequently was observed to be returning outside from inside of the building. At that point ratio was 3:35. According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio anywhere between 4 to 13 preschool age children through out each day during that week. Also during the week of June 7-10, 2022, staff disclosed that the school age building, which cares for young school age children only, was also over ratio on Wednesday (1:13), on Thursday (1:14), and on Friday(1:15) during that week. These staff statements are supported by the weekly attendance schedule provided by the director. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling documentation of other staff who may have been in those rooms. PREVIOUSLY CITED…

**2nd CITATION: At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who named responsibility 7 preschool age children in their assigned group, was observed at one point to no longer to be outside and subsequently was observed to be returning outside from inside of the building. At that point ratio was 3:35. According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio anywhere between 4 to 13 preschool age children through out each day during that week. Also during the week of June 7-10, 2022, staff disclosed that the school age building, which cares for young school age children only, was also over ratio on Wednesday (1:13), on Thursday (1:14), and on Friday(1:15) during that week. These staff statements are supported by the weekly attendance schedule provided by the director. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling documentation of other staff who may have been in those rooms. PREVIOUSLY CITED ON…

*2nd CITATION: At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who named responsibility 7 preschool age children in their assigned group, was observed at one point to no longer to be outside and subsequently was observed to be returning outside from inside of the building. At that point ratio was 3:35. According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio anywhere between 4 to 13 preschool age children through out each day during that week. Also during the week of June 7-10, 2022, staff disclosed that the school age building, which cares for young school age children only, was also over ratio on Wednesday (1:13), on Thursday (1:14), and on Friday(1:15) during that week. These staff statements are supported by the weekly attendance schedule provided by the director. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling documentation of other staff who may have been in those rooms. PREVIOUSLY CITED ON…

*4TH CITATION: According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio on Wednesday and Thursday of that week. This is supported by weekly attendance record provided by the director. Upon review of the weekly attendance record for Preschool B, on Wednesday, June 8, 2022 there was 1 staff and 18 preschool and school age children scheduled between the hours of approximately 7:29am to 9:10am and on Thursday, June 9, 2022 there was 1 staff and 15 preschool age and school age children scheduled between the hours of approximately 7:25am to 8:43am. Ratio on Wednesday was 1:18 and ratio on Thursday was 1:15. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling records of other staff who may have been in those rooms. PREVIOUSLY CITED ON 5/4/22. PREVIOUSLY CITED ON: 5/4/22, 3/10/22 and 11/22/21

***4TH CITATION: According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio on Wednesday and Thursday of that week. This is supported by weekly attendance record provided by the director. Upon review of the weekly attendance record for Preschool B, on Wednesday, June 8, 2022 there was 1 staff and 18 preschool and school age children scheduled between the hours of approximately 7:29am to 9:10am and on Thursday, June 9, 2022 there was 1 staff and 15 preschool age and school age children scheduled between the hours of approximately 7:25am to 8:43am. Ratio on Wednesday was 1:18 and ratio on Thursday was 1:15. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling records of other staff who may have been in those rooms. PREVIOUSLY CITED ON 5/4/22. PREVIOUSLY CITED ON: 5/4/22, 3/10/22 and 11/22/21

**4TH CITATION: According to staff statements during the week of June 7-10, 2022 the preschool room was over ratio on Wednesday and Thursday of that week. This is supported by weekly attendance record provided by the director. Upon review of the weekly attendance record for Preschool B, on Wednesday, June 8, 2022 there was 1 staff and 18 preschool and school age children scheduled between the hours of approximately 7:29am to 9:10am and on Thursday, June 9, 2022 there was 1 staff and 15 preschool age and school age children scheduled between the hours of approximately 7:25am to 8:43am. Ratio on Wednesday was 1:18 and ratio on Thursday was 1:15. The director was asked if any other staff were scheduled to work in those rooms and the director responded there could have been other staff in those rooms however was unable to provide the names or scheduling records of other staff who may have been in those rooms. PREVIOUSLY CITED ON 5/4/22. PREVIOUSLY CITED ON: 5/4/22, 3/10/22 and 11/22/21

***At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who was responsible for 7 preschool age children, was observed going back inside the facility causing Staff person #1 not to be physically present with the children in their group. When asked, no other staff claimed to be supervising those 7 preschool age children. Also Staff person #2 was observed sitting outside at a table near the main entrance engaged in an activity with small groups of children. When asked to identify her supervision group, Staff person #2 was unable to locate the children from where she was sitting and had to get up and go look them. Neither Staff Person #1 nor Staff Person #2 were physically present with the children in their assigned groups.

**At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who was responsible for 7 preschool age children, was observed going back inside the facility causing Staff person #1 not to be physically present with the children in their group. When asked, no other staff claimed to be supervising those 7 preschool age children. Also Staff person #2 was observed sitting outside at a table near the main entrance engaged in an activity with small groups of children. When asked to identify her supervision group, Staff person #2 was unable to locate the children from where she was sitting and had to get up and go look them. Neither Staff Person #1 nor Staff Person #2 were physically present with the children in their assigned groups.

*At approximately 10:50am, 4 staff and 35 preschool age children were observed outside near the main front entrance. Staff person #1, who was responsible for 7 preschool age children, was observed going back inside the facility causing Staff person #1 not to be physically present with the children in their group. When asked, no other staff claimed to be supervising those 7 preschool age children. Also Staff person #2 was observed sitting outside at a table near the main entrance engaged in an activity with small groups of children. When asked to identify her supervision group, Staff person #2 was unable to locate the children from where she was sitting and had to get up and go look them. Neither Staff Person #1 nor Staff Person #2 were physically present with the children in their assigned groups.

According to staff statements during the week of June 7-10, 2022 room capacity was exceeded in the school age building between the hours 8:30am - 4:00pm during that week. This is supported by weekly attendance records provided by the director.

At approximately 10:15am in Toddler 3 Room 2 staff and 14 older toddlers were observed. While conducting supervision and ratio both staff identified and named responsibility for all 14 older toddlers therefore, ratio was 1 staff to 14 children thus causing the facility to not be in compliance with staff: child ratios.

3RD CITATION: At approximately 10:00am in the Preschool Room, while conducting supervision and ratio Staff person #1 identified and named 16 children of mixed ages (preschool age and young school age) therefore, ratio was 1 staff to 16 children thus causing the facility to not be in compliance with staff: child ratios. PREVIOUSLY CITED ON 3/10/22 and 11/22/21

The staff file for Staff person #2 lacked valid health and safety training; the health and safety training on file dated 9/7/16 was completed prior to 9/30/16 and is no longer considered an acceptable training.

2ND CITATION: According to the majority of staff statements, multiple groups with mixed age levels in the facility are regularly out of ratio at various times throughout the day and week. PREVIOUSLY CITED ON 11-22-21.

At approximately 12:30 p.m. in the transitional preschool area of the preschool room with a total of 14 children, staff person #1 named 6 older toddlers in their group, and staff person #2 named 8 older toddlers in their group, resulting in staff person #2 being out of ratio. According to staff statements, multiple rooms, including the preschool room, have been out of ratio on multiple occasions ranging in time from a few minutes to the entire day.

At approximately 9:20 a.m., there were 8 children, including 2 older toddlers and 6 preschoolers, observed on the Gymagic Bus parked in the front of the building, without a staff person from the facility providing supervision. A staff person from Gymagic Bus was on the bus with the children and is not a facility staff person. According to staff statements, multiple rooms with mixed age levels have been observed out of ratio on multiple occasions ranging in time from a few minutes to the entire day.

At approximately 9:20 a.m., there were 8 children, including 2 older toddlers and 6 preschoolers, observed on the Gymagic Bus parked in the front of the building, without a staff person from the facility providing supervision. A staff person from Gymagic Bus was on the bus with the children and is not a facility staff person.

At approximately 9:20 a.m., there were 8 children, including 2 older toddlers and 6 preschoolers, observed on the Gymagic Bus parked in the front of the building, without a staff person from the facility providing supervision. A staff person from Gymagic Bus was on the bus with the children and is not a facility staff person.