Willows Early Learning Tree LLC

Representative observed first aid kit in the middle room contained no soap.

None of the first-aid kits at the building included a bottle of water.

A representative observed trash can in bathroom had a large cracked lid.

Representative observed a red buggy stroller in the outdoor play space area which included no straps for any of the seats. There were colorful tiled mats also in the outdoor play area that were extremely dirty.

Representative observed colorful play mats used to sit on by staff and children during free play were heavily soiled.

During the inspection, a representative observed children during snack time that did not wash hands before eating.

A representative observed water cups for children located in the fridge had no label with the children's names.

A representative observed staff members number 1,2 and 3 did not have current fire safety training.

One staff person's record did not contain written verification of annual minimum 12 hours of child care training. (#1)

On 7/5/23 at approximately 3:15pm, children were observed outdoors in a group activity and there was no first aid kit accompanying the children.

On 7/5/23 at approximately 3:15pm, children were observed outdoors in a group activity and emergency contact information specific to each child did not accompanying the staff person outdoors with the children.

On 7/5/23 at approximately 3:15pm, children were observed outdoors in a group activity and a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency did not accompany a staff person who was outdoors with the children. emergency contact information specific to each child did not accompanying the staff person outdoors with the children.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#10 hired 2/13/23- no proof of request for FBI) prior to working with children.

On 3/1/23 at approximately 1:45pm, one staff person was observed caring for a mixed age group of 5 infants/younger and older toddlers (ages birth to 2 years of age) in the infant/toddler area. Staff person #1 provided the ages of the children

One staff person's health assessment did not include an examination for communicable diseases and the results of that examination and the physician`s or CRNP`s assessment of the person`s suitability to provide childcare.(#1)

One staff person's record did not contain written verification of the physician's or CRNP's assessment of the person's suitability to provide child care. (#1)

The facility has an established capacity for 17 and there were 19 children observed in care.

One/two/several facility person's record/s did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1)

The facility's current certificate of compliance was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Durning complaint investigation staff walked to back of facility and left children in the front of the facility unattended.

Durning complaint investigation staff walked to back of facility and left children in the front of the facility unattended.

Provider did not have incident report on file nor did provider notify OCDEL of child's injury.

Provider did not have incident report on file nor did provider notify OCDEL of child's injury.

On 8/12/22, two staff persons had not completed the required Pre-Service Training of health and safety training topics and were observed caring for children unsupervised. (#6 and #7)

On 8/17/22, it was observed that facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several facility person's record did not contain the required CPSL hiring documents. (#3- hired 2/11/22- FBI was completed through PDE and not DHS) (#4- hired 9/7/21- no completed FBI) (#5-hired 7/16/22- no proof of request for FBI) (#6 -hired 8/11/22- request for State Police completed on 8/17/22, not prior to working with children) (#5 hired 8/12/22- no proof of requests for FBI, State Police, Child Abuse, NSOR prior to working with children)

On 8/12/22, at approximately 4:30pm, two provisional hire staff persons were observed caring for children and were not working in the vicinity of a permanent employee as there were no other staff persons present. (#6 and #7)

On 5/26/22, at approximately 2:30pm, three staff persons (#1, #2 and #4) were observed caring for a mixed-age group of 22 young and older toddlers/preschool/older school age children (7-young/older toddlers-1 to 2 years of age; 14 preschoolers- ages 3 years to first day of entering Kindergarten old; 1 older school age- grades 4th through 15 years of age) in the large, main childcare space. Staff persons verified the ages of the children in care.

On 8/12/22, at approximately 4:45pm, a child's movement (child #1) was observed being restricted when placed in a table seat for misbehavior as reported by staff person #6. The child was not eating or engaging in any activity.

Between 7/13/22 and 8/17/22, during the renewal inspection, the operator submitted several documents that did not appear to be authentic and had not been issued by the respective entities; certificate of insurance for comprehensive general liability insurance dated 5/01/22, certificates of completion for Adult and Pediatric First Aid/CPR for staff persons #1, #2 and #3 and high school diploma for staff person #3.

The letter given to parents regarding the emergency plan did not explain the emergency procedure updates to the plan as required in 3270.27 subsection a.

One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (child #4)

Several staff person's records did not contain a health assessment completed within 12 months prior to the date of hire. (#5, #6 and #7)

Two staff person's records did not contain a health assessment completed within 12 months prior to the date of hire. The health reports submitted appeared to have dates that were written over and could not be verified. (#3 and #4)

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

The facility lacked written documentation of proof of purchase and date of purchase of an interconnected fire detection device or system in accordance with standards established under the Act of July 14, 2020 (P.L. 639, NO. 62) (62 P.S. § 1016).

The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures.

On 5/26/22, at approximately 3:30pm, 22 children were observed receiving child care services at the facility which is has a maximum capacity for 17 children at any one time.

One child has been enrolled in the facility for more than 60 days and their record did not include a health report in accordance with this regulation. (#2)

The facility operated without valid comprehensive general liability insurance to cover the persons who are on the premises. The operator submitted a certificate of insurance that did not appear to be authentic and had not been issued by the insurance carrier. The insurance carrier verified that they had never provided insurance coverage for the facility or the owner/operator.

One staff person's record did not contain written verification of education and experience for their assistant group supervisor position. The document submitted appeared to be altered and not an authentic high school diploma conferred by the educational institution listed on the diploma. (#3)

Two staff person's records did not contain written verification of education and experience for their assistant group supervisor position. (#6 and #7)

One staff person's record did not contain written verification of education and experience for their aide position. (#7)

Written parental information to be given to parents at the time of enrollment did not include the facility's policies on supervision and dismissal.

One child's agreement did not specify the date of the child's admission. (child #1)

Several children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#2, #3 and #4)

Several facility person's record/s did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#5, #6 and #7)

Several staff persons records did not contain written verification of complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The operator submitted certificates of completion for Adult and Pediatric First Aid/CPR for staff persons #1, #2 and #3 that did not appear to be authentic and had not been issued by the American Red Cross. The American Red Cross verification system indicated that they were not completed by the staff named on the certificates. The record for staff person #4 contained verification of completion for Adult and Pediatric First Aid/CPR that had not been conducted by an approved Pennsylvania Quality Assurance System (PQAS) Instructor using a PQAS approved curriculum.