Wyoming Valley Childrens Association

Three cots in Room 7 and three cribs in Room 10 were observed to be missing labels. This rest equipment was required to be labeled for use by a specific child.

The health report on file for Child #3, dated 7/8/24, did not include statements which indicated that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Staff person #8 (see code sheet for date of hire) provided an initial health assessment dated 8/8/2023 but it did not include tuberculosis screening by the Mantoux method. The only tuberculosis screening in their file was dated 8/2/2022, which is more than 12 months prior to their initial service at the facility and therefore not acceptable.

The agreement on file for Child #5 did not specify the date of the child's admission.

A renewal inspection was completed on 10/18/23. In the infant room, diaper rash cream was on laying on the infant changing table and was accessible to children.

A renewal inspection was completed on 10/18/23. The first aid kit in the infant room did not contain soap and tweezers.

A renewal inspection was completed on 10/18/23. In the library, several ceiling tiles had water damage.

A renewal inspection was completed on 10/18/23. In the infant room during nap time it was observed that several children's pack and plays were not spaced 2 feet apart on three sides.

A renewal inspection was completed on 10/18/23. Child #1 immunization record indicates the child does not have the flu vaccine for 2022 and no exemption letter is in child's file. The child is over six months of age.

A renewal inspection was completed on 10/18/23. The diaper changing mat, in the infant room, had a tear exposing the inner foam and preventing them from being sanitized properly.

A renewal inspection was completed on 10/18/23. Staff person's #1 and #2 (see code for date of hire) has a Health and Safety update date of 01/01/23 and 01/25/23. These were required to be completed by 12/30/22.

While at the facility unannounced on 7/7/23 the inspector observed the fire drill log and noted that the last fire drill was dated for March 31st, 2023.

While at the facility unannounced on 7/7/23 the inspector observed the fire drill and evacuation log and found that the facility did not have complete documentation for the May 10th, 2023, manual testing of the fire alarm system as is required.

While reviewing child files #1, #2, #3, and #4, the inspector found that all four child files were missing child service reports as are required.

While reviewing child files #1, #2, #3, and #4, the inspector found that all four child emergency contact forms were not updated every six months as is required.

While reviewing child files #1, #2, #3, and #4, the inspector found that all four child agreement forms were not updated every six months as is required.

Staff # 1 was witnessed smacking Child # 1 on the buttocks. Staff # 1 was witnessed threatening Child # 1 that if he is going to cry like a baby, she will put him in the highchair like a baby. Staff # 1 admitted to saying this to Child # 1.

Staff # 1 was observed to be caring for children unsupervised. Staff person # 1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR.

Cert Rep observed a total of 28 exposed bolts on the fence accessible to the children in the outdoor play space. 19 exposed bolts on the main entrance gate, and 9 exposed bolts towards the end of the right side of the fence.

During the record review of the renewal inspection it was observed that the fire system was tested on 7/26/22 then again on 8/31/22 which is a span of 36 days, system was also tested on 9/22/22 then again on 10/31/22 which is a span of 39 days which exceeds the requirement of testing every 30 days.

Child #1, 2 & 3 are missing specific persons designated by a parent to whom the child may be released.

Child #1, 2 & 3 are missing the child's date of admission on the financial agreement.

The operator states that the facility did not complete a lockdown drill in the past year. The facility does not have a written plan that includes making accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The new regulations went into effect 12/19/20.