Whites Tots to Teens

The file for Staff person #3 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid

Two radiator covers in the school-age room on the left, side of the classroom and accessible to children measured 131 degrees Fahrenheit and 121 degrees Fahrenheit.

While children were observed playing in the gym, there was no first-aid kit located in the gym.

Along the bottom edge of a divider in the Toddler room, there was a loose piece of metal with a sharp edge accessible to children. Several radiator covers in the school-age classroom had sharp edges accessible to children posing a hazard of a child being injured.

There were 2 wooden blocks in the toddler room that had splintered edges, creating a potential hazard to children.

An infant was observed in the Infant room sleeping in a crib not labeled for their individual use and staff stated it was the infant's first day and they were switching infants back and forth for naps.

The file for Child #1, a young toddler, includes child health assessments dated 1.11.24 and 8.6.24, more than 6 months apart.

The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5.23.23 and 12.18.24, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 7.7.23 and 11.19.24, more than 12 months apart.

The immunization record on file for Child #1, who is 16 months old, included 2 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; 2 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 2 of 3 Polio (IPV) vaccines recommended by the ACIP for a child this age.

The health report on file for Child #1 indicates that the child has not had all required age-appropriate screenings recommended by the American Academy of Pediatrics.

Children were observed in the toddler room eating lunch without their hands being washed prior to eating.

The most recent fire detection system annual inspection report on file is dated 9.5.23, more than 1 year ago.

The two most recent fire safety trainings on file for Staff person #1 are dated 1.21.24 and 1.24.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #2 are dated 1.19.24 and 1.24.25, more than 12 months apart.

Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 2.19.25

The file for Staff person #3, #4, #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

There was no daily schedule in the gym when children were observed in the gym for gross motor activity.

The agreement on file for Child #2, #4 does not include the date that the fee is due to be paid by the parent/guardian.

The most recent child service report on file for Child #1 is dated 12.16.24, more than 6 months after the date of admission. The 2 most recent child service reports on file for Child #2 are dated 1.3.24 and 12.4.24, more than 6 months apart. The 2 most recent child service reports on file for Child #4 are dated 1.17.24 and 12.14.24, more than 6 months apart.

Children were observed in the gym during gross motor time without their emergency contact forms being present.

The most recent 6-month review signature for the emergency contact form and agreement on file for Child #1, #2, #4, #5 is dated more than 6 months after the previous 6-month review signature.

The file cabinet where the child files are stored was not locked at the time of the inspection.

Staff person #3 was observed to be caring for children unsupervised in the infant room. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics 1-9.

The file for staff #3 contained a disclosure statement for the purpose of volunteering.

Staff #3, who qualifies as an aide based on their file contents, was observed caring for children unsupervised.

At approximately 10:30AM staff #2 was observed leaving the infant room and entering the office. This resulted in staff #3 being left alone with 5 infants in care in the infant room.

The operator stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in the facility's emergency plan.

The operator stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in letter for parents explaining the facility's emergency procedures.

Two electrical outlets in the preschool room lacked protective covers. The outlets were accessible to children 5 years of age or younger and were located under the teacher's work table.

A can of DG brand shaving foam, labeled keep out of reach of children, was observed in an unlocked accessible drawer in the preschool room. Based on statements made by staff, the shaving foam has been used by children for art projects.

The school age restroom lacked a lidded waste receptacle.

Two pairs of adult scissors were accessible to children in an unlocked drawer in the preschool room. The scissors were located in a plastic storage tower in a drawer with children's scissors.

Empty plastic bags were observed on the bottom shelf of a changing table in the preschool restroom.

A small sharp protruding nail was observed under the seat pad at the front of an adult rocking chair in the infant room.

A crib in use by a child in the main care space lacked 2 feet of space on 3 sides. One side was obstructed by an infant swing.

Styrofoam cups were observed in the breakfast set up area in the school age room.

The file for child #4 does not contain a current health report.

The file for child #4 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and was not signed by the physician.

The file for child #1 contained an immunization record indicating missing doses of DTAP and Pneumococcal vaccines. A written exemption was not on file.

Staff medication Midol and Benadryl cream were accessible to children on the counter in the preschool restroom. The medication was located in a plastic countertop storage unit that was not locked.

Based on the facility's fire drill log, consecutive drills conducted on 12/15/23 and 2/15/24 were more than 60 days apart.

The file for staff #1, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

The agreement for child #1 did not include the services to be provided.

The file for child #3 contained consecutive child service reports dated more than 6 months apart; 7/25/23 and 2/06/24. A current report is now on file.

The agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

The emergency contact form for child #2 did not include the phone number of the child's physician or source of medical care.

The emergency contact form for child #5 did not include the health insurance policy number.

The file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The facility's emergency plan did not include details regarding continuity of operations as required by Announcement C-22-04.

Two bottles of liquid White-Out, labeled keep out of reach of children, were observed in unlocked drawers in the PS room. Ice melt was observed in an open bucket near the bottom of the stairs used by children to access the gym.

The first aid kit in the school age room lacked tweezers.

Two of the four wall mounted braces on a handrail were loose or no longer attached to the wall. The handrail is on the right side of the steps leading up to the school age room from the gym. A protruding screw was observed on a separate handrail in the gym.

Peeling paint was observed on the wall under the windows in the PS room.

A handwashing sign was not posted at the toilet in the restroom near the gym.

Two stacks of child size chairs were observed blocking the rear exit in the front room.

A portable space heater was observed in the school age room under a table along the wall.

The door of a wooden cabinet in the PS room was loose creating pinch points.

An infant was observed in a bassinet which was not labeled with their name. In the nap room, a child was observed in a crib which was labeled for a different child.

The files for children #1, #2, #4, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine at any time in 2022. Written exemptions were not on file.

An Auvi-Q Pen intended for child #5 was observed in the office. Witten parental consent for administration was not on file.

The file for staff #2 contained an initial health assessment and TB screening conducted more than 12 months prior to providing initial service in a child care setting.

The file for staff #3 contained an initial health assessment dated after their first day in a child care position. The health assessment on file is now current.

Staff #2 has not completed the 1 hour training titled Pennsylvania Health and Safety Update 2022 as required in Announcement C-22-06.

The file for staff #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

Based on documentation at the facility, the director has not been conducting the annual staff evaluations. Evaluations are currently being conducted by another staff person.

A written plan of daily activities was not posted in the school age room.

The file for child #5 did not contain a child service report. The files for children #1 and #2 contained service reports conducted after the reinstatement date of 10/31/22 as stated in Announcement C-21-09. The file for child #4 contained a service report completed more than 6 months after their first day of attendance. Children #1, #2, and #4 now have current service reports on file.

The file for child #1 contained an agreement which did not specify the date of the child's admission.

The files for children #1-#6 contained original agreements.

The files for children #4 and #5 contained an emergency contact form which did not include the work addresses and telephone numbers of the enrolling parent.

The file for child #4 contained an emergency contact form which lacked the full name of one of the individuals designated to whom the child may be released. The file for child #5 contained an emergency contact form which lacked the address of one of the individuals designated to whom the child may be released.

The file for child #4 contained an agreement which was not updated within 6 months. The updates occurred 7/01/22 and 2/02/23.

Copies of incident reports are not being retained at the facility in an accident file.

The file for staff #1 contained documentation of three hours of training completed between 12/19/21 and 12/19/22. Nine additional hours were completed after 12/19/22. Staff #1 is now current on required hours of annual training.

The file for staff #1 contains a health assessment that was updated late. The health assessment was due 2/2021 but was obtained 6/2021.

The facility did not have proof of purchase for the fire detection system.

The files for staff #2 and #3 contain first aid and CPR training that was obtained late. The trainings were due 12/1/21 and were obtained 2/11/22.