Watch Em Grow Child Care Preschool Ab

Staff person #3's and Staff Person #5's files did not contain current NSOR certificates, Staff Person #3's file did not contain a FBI clearance, or verification it was requested, and Staff Person 5's file did not contain a State Police Clearance, or verification that one was requested.

Staff person 1's Pediatric First Aid certification expired 5/25/25 and an updated certificate was not on file.

Staff Person #3 was working as an AGS and their file did not include verification of education or childcare work experience.

Staff Person #2's staff file was not initially in the facility when cert rep requested it. During the visit, Staff Person #1 made arrangements for the file to be delivered to the facility by a relative of Staff Person #2.

The file for Staff person #1 did not include complete NSOR verification. The file for staff person #2 included an NSOR dated 12/20/2019 and an update within 60-months was not on file at the time of the inspection. The file for Staff person #2 did not include documentation of completed mandated reporter training, from an approved source, within 90 days of their date of hire (see LIS code sheet).

In the outdoor play space, the white fence on the right side of yard had a hole with sharp edges (corrected during inspection).

The record for Child #1 included a health assessment dated 11/3/2023. An updated health assessment including the child's immunized status was not on file for Child #1.

Documentation of an annual emergency drill was not on file at the facility. Documentation that the emergency plan was reviewed annually was not on file at the facility (corrected during inspection).

Staff person #3 has not completed the following preservice training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR.

The emergency contact form for Child #3 included a health insurance policy name but the policy number was left blank. The emergency contact form for Child #3 was missing the addresses of designated release persons.

The emergency contact form for Child #1 was last updated on 11/27/2023.

The file for Staff #1 did not contain two written, nonfamily references that attested to the person's suitability to serve as a facility person. The file for Staff #4 included only one written reference.

It was observed at the time of inspection the cord from a sound machine was hanging accessible to children in the infant room causing a strangulation hazard. (corrected at inspection)

It was observed at the time of inspection the portable sink in the diapering area in the infant room was not working.

It was observed at the time of inspection staff changed a young toddler's diaper then carried the soiled diaper, through a door and disposed of it in an outside trash can.

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: mandated reporter training, 10-hour health and safety, pediatric first aid and CPR.

According to documentation on file at the time of inspection, when staff person #1 began working with children at the facility the staff record did not contain a completed child abuse clearance, a completed PA criminal history, a DHS FBI clearance, and the NSOR certificate as required under the CPSL. The file did not contain a copy of requests for the outstanding criminal history clearance, nor the request for the NSOR certificate as required for provisional hiring under the CPSL. The record also did not include a completed disclosure statement. Staff person #1 did not have any clearances on file and was observed working alone in a room with children. According to documentation on file at the time of inspection, when staff person #2 began working with children at the facility the staff record did not contain a completed child abuse clearance as required under the CPSL. According to documentation on file at the time of inspection, when staff person #3 began working with children at the facility the staff record did not contain a NSOR certificate as required under the CPSL and did not contain the request for the NSOR certificate as required for provisional hiring under the CPSL. The…

Staff person 1 was unable to identify the names of 3 of the children she was caring for.

During naptime in the one-year-old room, an infant was observed strapped into a bouncy seat and a young toddler was observed in a swing. The children were being kept in the equipment because they do not sleep at naptime. The children were not placed into age-appropriate nap/rest equipment.

An infant was observed sleeping in a car seat in the infant room.

Five children were observed in the infant room, which has a maximum capacity of four children.

In the one year old room, a pack and play labeled for a child was being used by another child. In addition, rest mats were not labeled for the use of a specific child.

More than 30 days lapsed between the manual tests of the fire detection system that took place on 4/1/24, 5/6/24, and 6/12/24. In addition, at the time of inspection 31 days had lapsed since the fire detection systems were last tested.

Facility staff were unable to provide immediate access to the staff and child files upon request.

The agreements on file for children 1, 2, and 3 were not signed by the operator.

The agreement on file for child 1 did not specify the child's arrival and departure times.

The agreement on file for child 2 did not specify the date of the child's admission.

The emergency contact form on file for child 2 did not include written consent signed by a parent for emergency medical care. The child's record also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Emergency contact information was not present in the child care space for at least 2 of the children receiving care in the one year old room.

One year old room - A single staff person was observed caring for 10 children. The youngest child in the group was an infant. Infant room - A single staff person was observed caring for 5 infants.

It was observed at the time of inspection staff #1 did not have a health assessment on file.

It was observed at the time of inspection young toddler staff was not cleaning diaper changing surfaces after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

It was observed at the time of inspection existing staff, hired prior to October 4, 2022, had not completed the health and safety professional development training update," Pennsylvania Health and Safety Update 2022" required by OCDEL within the prescribed timeframe of 12-30-22.