Wee Care Best INC · 1169 Eichelberger St, Hanover

It was observed in classrooms 3, 4, 5, and 7 that floors, shelving surfaces, tables, chairs, and toys accessible to children were not kept clean and dirty with unwashed grime. It was observed in classroom 5 an area rug was not in good condition causing a potential tripping hazard to children.

It was observed classroom 3 does not contain a sufficient amount and variety of play equipment and materials accessible to children.

It was observed in classrooms 3, 4, 5, and 7 multiple books that were broken or torn and not in good condition.

It was observed in classroom 3 that plastic trash bags were stored on a low shelf and accessible to toddlers. (corrected on site)

The file for staff person #1 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 on file is dated 8/10/22.

The emergency contact for child #1 does not include information on the child's 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 for child #1 does not contain signed parental consent for administration of medications or special dietary needs.

It was indicated by staff members #1 and #2 that they have yelled at children in harsh tones due to being frustrated by children's behaviors.

During an on-site inspection, cert rep heard staff person #1 say "he won't shut the fuck up." to another staff as she was entering the facility with a child.

It was observed in infant room #2, child #1 who is four months of age was propped up on a pillow on the floor drinking a bottle.

It was observed in classroom #4 a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (corrected on site)

The first-aid kit in classroom #7 did not contain soap or adhesive bandages. (corrected on site)

It was observed in classroom #1 and classroom #7 an unlocked drawer containing scissors.

It was observed in classroom #1 a sensory bottle had a lid with a diameter of less than 1 inch and was removable was accessible to children who are still placing objects in their mouths. Sensory bottle also contained objects with a diameter of less than 1 inch. (sensory bottle removed at time of inspection) It was observed in classroom #1 an unlocked drawer containing thumb tacks, rubber bands, and paperclips posing possible choking hazards accessible to children who are still placing objects in their mouths. It was observed in the bathroom of classroom #4, plastic grocery bags accessible to toddlers. (plastic bags removed at time of inspection) It was observed in classroom #7 an unlocked drawer containing thumbtacks, paperclips, and office supplies posing possible choking and safety hazards accessible to children who are still placing objects in their mouths.

A medication log for child #7 has not been established by the operator for nonprescription medication on site.

Medication logs for children #1, #4, #5, and #6 did not include dates for administration by the parents.

Emergency contact form for child #2 does not include the telephone number of the child's physician or source of medical care.

Emergency contact form for child #1 does not include the home telephone number of the enrolling parent.

Emergency contact forms for child #2 and #3 does not include completed address and/or telephone numbers of individuals child may be released to.

Staff person #1 placed child #1 and #2 in bathroom with bathroom door partially closed and lights off during rest time while laying on their nap cots.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have occurred on 1/2/23 with no additional dates to follow.

It was observed in classroom 3, chipped paint and exposed plaster at the back right corner of the classroom. It was observed in classroom 4, chipped paint and exposed plaster at the back left corner of the classroom and chipped paint on the windowsill. It was observed in classroom 8, chipped paint and exposed plaster on the left wall of the classroom at the circle time area and near the stacked nap cots.

Staff person #1 and #2 have not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

It was observed that a sleeping infant in a crib at the back of the infant #2 classroom was not visible to staff at all times.

Staff #1 & #2 in the first infant room could not identify the primary group of children assigned to them. Staff #3 working in the two-year-old classroom could not identify the primary group of children assigned to them.

During inspection, 11/29/22 it was observed that cribs being used by infants were not at least 2 feet apart on three sides.

It was observed at the time of inspection that child #1 was observed laying on the floor, their head supported by a boppy pillow, holding their own bottle and feeding themselves.

The file of facility person #10 does not contain a completed valid child abuse [volunteer 1.12.21], DHS required FBI clearance [Department of Education 6.1.21], or a valid PA criminal clearance [volunteer 1.12.21]. The file does not contain copies of request(s) for the proper clearances/verification.

Upon inspection of the childcare spaces, it was found that the refrigerator in one of the young toddler rooms [staff person #4 and #6] was 50 degrees AND one of the older toddler rooms [staff person #13] was 48 degrees.

Upon inspection of the fire safety logs, it was found that the system was tested on the following dates, which show lapses in the minimum 30 day requirement: 11.3.21, 12.15.21, 1.19.22, 2.8.22, 3.23.22, 4.19.22, 5.12.22, 6.9.22, 7.19.22, 8.5.22, 9.20.22. Also, it was found that a receipt of purchase for the system was not available.

Staff person #1 - #13 have 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.

It was observed on 12/20/21 that the facility is not following the accepted plan of correction submitted for the same violations observed on 11/18/2021 regarding yelling inappropriately at children. On 12/20/21, Facility Person #1 was observed using harsh language, yelling and using an inappropriate tone with children in the older two year old classroom. Facility person #1 did participate in the training required for the violations of 11/18/21.

It was observed in the older two year old classroom that the children's hands were sprayed with hand sanitizer and not washed prior to lunch time.

It was observed in the older two year old classroom that the liquid or powdered soap was not used for handwashing.

It was observed in the older toddler classroom that Facility Person #1 did not wash hands before meal times.