Wee Care Best INC · 71 Fairview Dr, Hanover

The file for staff person #10 included a NSOR certificate which was not updated within 60 months of the previous clearance. The current NSOR certificate is dated 5/8/2025 and the previous was dated 2/27/2020. The file for staff person #16 included a NSOR certificate which was not updated within 60 months of the previous clearance. The current NSOR certificate is dated 5/8/2025 and the previous was dated 1/14/2020.

It was observed in the Pre-K class, a 6-plug outlet extender was being used and did not contain protective receptacle covers for the unused outlets.

It was observed that the first-aid kit in the older toddler classroom was missing scissors, tweezers, gauze, and tape.

It was observed in the front infant classroom a power cord was hanging from an infant seat and accessible to children causing a potential strangulation hazard.

It was observed throughout the pre-k classroom, damaged and exposed plaster on the walls.

It was observed in the preschool, older toddler, and school-age classrooms, no handwashing signs posted at toilet and sink areas.

It was observed in the front and back infant classrooms that toys and play equipment being used by children were not kept clean and were dirty with unwashed grime.

The individual file for staff person #2 does not include a completed health assessment at least 24 months after the previous health assessment dated 5/4/23. The individual file for staff person #4 does not include a completed health assessment at least 24 months after the previous health assessment dated 6/2/23. The individual file for staff person #8 does not include a completed health assessment at least 24 months after the previous health assessment dated 7/12/23. The individual file for staff person #11 does not include a completed health assessment at least 24 months after the previous health assessment dated 8/14/23. The individual file for staff person #13 does not include a completed health assessment at least 24 months after the previous health assessment dated 3/14/23. The individual file for staff person #14 does not include a completed health assessment at least 24 months after the previous health assessment dated 5/12/23.

The operator could not provide proof that an emergency drill was conducted annually.

The file for staff person #2 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current first-aid and CPR training certificate is dated 8/21/2025 and the previous first-aid and CPR training certificate was dated 7/20/2023.

Written evaluations for staff persons #1 - #15 have not been completed on a regular basis or a minimum of once every 12 months.

It was observed in the Pre-K classroom a written plan of daily activities and routines, including a time for free play had not been established for the group.

It was observed in the Pre-K classroom a written plan of daily activities and routines, including a time for free play was not posted in the classroom.

The emergency contacts for children #2 and #3 do not include the work telephone numbers of the enrolling parent.

The emergency contacts for children #1, #3 and #4 do not include the address and telephone numbers of the individuals designated by the parent to whom the child may be released.

The financial agreements for children #2, #3, and #4 have not been updated at least once in a 6-month period or as soon as there was a change in information.

The facility director could not provide documented proof of annual emergency plan training for staff persons #6, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19.

It was observed in the Pre-K classroom, Lysol spray and Windex were stored on the top of the child's cubbies accessible to children.

It was observed in the back toddler classroom, Lysol spray was stored in a plastic bin with food.

It was observed in the school-age classroom, the first-aid kit was placed inside a backpack on the floor where it was accessible to children.

It was observed in the front infant, back infant, and back toddler classrooms that floors, shelving surfaces, tables, chairs, and toys accessible to children were not kept clean and dirty with unwashed grime.

Plastic grocery bags were observed laying on the floor of the toddler bathroom accessible to young toddlers.

The operator could not provide proof that local traffic safety authorities have been notified of the facility's pedestrian and vehicular routes.

The facility's emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

An emergency drill has not been conducted at least once annually. Emergency drill was not documented to have occurred.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 1/9/24-2/29/24.

The file for staff person #6 includes a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. This is evidenced by the previously documented pediatric first aid and CPR training certificate on file being dated 8/2/22.

Staff persons #1, #4, and #5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. 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 (CCDBG) Training.

Files for children #1, #2, and #3 do not include the Department's approved form to provide information to the family about the child's growth and development within the last 6 months.

Individual files for staff persons #7 and #8 do not include verification of child care experience, education and training prior to service at the facility.

Individual files for staff persons #3, #5, #7, and #8 do not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Facility does not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

It was observed in the toddler #1 classroom, staff person #2, working alone in the room, was unable to adequately supervise the other children in care while changing the diaper of a child due to the positioning of the changing table which caused the staff person to have their back to the other children in the classroom. Staff person #2 was unable to see all of the children in care during this time.

It was observed in the toddler classroom that posted notices and clipboards were hung on the wall using thumbtacks causing a potential choking hazard to children who are still placing objects in their mouths.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 11/15/23, 12/19/23 & 1/9/23, no February testing.

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 9/13/18.

Staff person #1 and #2 stated that children's hands are not cleaned with soap and running water before meals and snack and after diapering. Staff stated children's hands are cleaned with baby wipes.

Staff persons #1, #2, and #3 indicated that bowls of food are placed at the diaper changing area prior to being served to the children for meal preparation.

It was observed in the two-year-old classroom cubby area body spray, lotions, and hand sanitizer kept in bags brought from children's homes hanging on hooks accessible to children.

It was observed in the front toddler and pre-k classrooms Magic Erasers were not stored in an original labeled container or in a container that specifies the content. (corrected on site).

It was observed in the front toddler classroom that surfaces, tables, chairs, and toys accessible to children were not kept clean and dirty with unwashed grime. It was also observed in the front toddler classroom that children's drinking cups being used by toddlers throughout the day were dirty with grime and dried food on them.

It was observed in the two-year-old classroom, plastic grocery bags were accessible to toddlers. (corrected on site)

Medication log for child #1 has not been established by the operator. (corrected on site as parent was picking up child)

The file for staff #2 does not include a completed health assessment within 24 months after the previous health assessment dated 6/11/21.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 3/1/23, 4/20/23.

Staff persons #1 and #2 have not completed the required one-hour Pennsylvania health and safety training update 2022 by December 30, 2022. Staff person #1 completed the required training 8/3/23. Staff person #2 completed the required training 8/14/23.

Emergency contact for child #5 does not include completed work address and work telephone number of the enrolling parents.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for emergency medical care.

Emergency contact form for child #4 does not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact for child #5 does not include completed address of individual designated by the parent to whom the child may be released.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for administration of medications or special dietary needs.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for administration of minor first-aid procedures by facility staff.

Emergency contact forms for children #2 and #3 do not include written consent signed by a parent for transportation, walking excursions, swimming and wading.

It was observed that two infants in the front infant room were using pacifiers attached to pacifier ribbon clips while sleeping in cribs.

It was observed that the hallway ceiling light outside of the 2-year-old classroom and kitchen was inoperable due to the bulb being burnt out.

In the front infant classroom, cribs did not have at least two feet of space on three sides while in use by children. (corrected on site: staff moved cribs, spacing them 2 feet apart.)

On the morning of 9-1-22 child #1 was outside between 9:45 and 11:15 am without any sun protection. The child fell asleep and was sunburned on her face and forehead.

Child #1 was taken outdoors for a period of approximately 45 minutes, during which time he sustained a severe burn with blistering due to sunburn. Per staff person #1, the child was not placed in a shaded location or assessed for sun exposure until after burning occurred.

It was observed in the two year old classroom bathroom that Hello Bello and 2 tubes of Desitin were accessible to children. It was observed in the Pre-K classroom that there was a basket of sunscreens accessible to children. It was observed in the Preschool classroom that there were diaper creams and rash spray accessible to children.

It was observed in the Preschool classroom that there were 3 magic erasers not stored in the original packaging and or in a container that specifies the contents.

It was observed in the School Age classroom that the first aid kit did not contain scissors, tweezers, band-aids or gauze.

It was observed that the health assessment and file for child #1 did not include a review of the child's immunized status according to recommendations of the ACIP.

It was observed in the Infant room that Child #2 has Tylenol medication at the facility and did not have written parental consent for the administration of the medications.

It was observed that the health assessment on file for Facility Person #2 did not include an examination for communicable diseases and the results of that examination.

It was observed that the health assessment on file for Facility Person #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

It was observed that the facility director did not document testing of the interconnected fire alarm system every 30 days.

It was observed that all facility staff have not participated in fire safety training conducted by a fire protection professional annually.

It was observed in the Back Toddler classroom and in the School Age classroom that there was not a written plan of daily activities posted in the group space.

It was observed in the Front and Back Toddler classrooms that there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space.

Staff person #1 has not completed Pediatric CPR and First Aid within 90 days of their date of hire (see LIS code sheet).