Wyoming Valley Montessori School

The facility's fire drill log for 12/10/2024 did not include the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participated in the fire drill.

The fire detection system was not tested at least once every 30 days as indicated by the following fire detection system testing logs that were on file: 11/7/24 to 12/10/24, 12/10/24 to 1/29/25, and 3/28/25 to 4/28/25.

There was no proof on file showing that Staff #1 (see code sheet for date of hire) had completed all of the required Health and Safety trainings. Only the one-hour Health and Safety Update training, dated 11/13/23, was on file. The file for Staff #5 had a 6-hour Health and Safety Basics: Requirements for Certification training dated 9/11/2015, which was not completed within an acceptable timeframe. This staff also had a Health and Safety Update 2022 training dated 9/5/2024. However, Staff #5 was required to retake a more updated version of the entire health and safety training. Currently, these required trainings are the PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

The emergency contact and financial agreement information on file for Child #1 were dated 6/13/24 and 1/8/25; for Child #2 were dated 5/31/24 and 3/31/25; for Child #4 were dated 6/11/24 and 1/6/25; and for Child #5 were dated 5/24/24 and 3/7/25. More than 6 months had passed since a parent last reviewed, updated, and signed the emergency contact and financial agreement forms.

Staff person #8 and Staff person #9 were observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training. Staff person #9 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training, Pediatric First Aid/CPR, and Mandated Reporter training.

The record for Staff person #4 contained current clearances, but there were no previous versions of the DHS FBI Clearance or NSOR certificates in the file. The CPSL requires that all clearance documentation be maintained during the course of employment at a facility. Staff person #7 (see code sheet for date of hire) did not have a Child Abuse Clearance on file. Staff person #9 (see code sheet for date of hire) did not have a Disclosure Statement on file.

The emergency plan that was on file did not include a continuity of operations.

Staff person #3 (see code sheet for date of hire) did not have initial emergency plan training conducted within 90 days of employment. The only emergency plan trainings on file for Staff persons #2 and #8 were dated 8/31/23, and there were no emergency plan trainings on file for Staff person #4 and #9. Staff persons #2, #4, #8, and #9 have all been employed at the facility for at least 3 years.

Three peace lily plants were observed, about waist height, and one orange tiger lily plant was observed to be about head height, in Toddler B. One peace lily plant was observed to be about shoulder height, on a window shelf, in Room 1. About twenty lily of the valley plants were observed in the outdoor Toddler Play Area, in a garden bed, that was at ground level.

A handwashing sign was not observed by the sink in the Great Room or the Girls Restroom that is next to the Reception Area. The sink in Room 1, by the washing machine and bathroom, did not have a handwashing sign. Next to the Reception Area, there were two trash cans in the girl's restroom that were observed with no lid and contained used tissues. Also, the staff restroom near Room 1 was observed to have one trash can with no lid and contained used tissues.

A first-aid kit was not observed in Room 2 or Room 3.

Two ceiling tiles in Primary B and three ceiling tiles in Toddler B were observed to have water damage stains. The same three ceiling tiles in Toddler B were also cracked. A hole, about ankle height, was observed on the wall near the sorting shelf in Room 2. Push pins were observed on a bulletin board, that was about shoulder height, in the Great Room.

A thermometer was not observed in the refrigerator for Toddler B.

The initial health assessment on file for child #1, which was dated 4/24/23, did not include a statement which indicated that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the inspection, there were no posted notifications which indicated a safe route for parents to pick-up and drop-off their children.

The hypothetical location of the fire was missing from the following documented fire drill logs: 9/28/23, 10/11/23, 11/15/23, 12/21/23, 1/4/24, 2/8/24, 3/12/24, 4/4/24, and 4/14/24.

The fire detection system was not tested every 30 days as evidenced by the following fire detection logs that were on file: 10/12/23 to 11/14/23, 12/14/23 to 1/16/24, and 2/15/24 to 3/19/24.

There was no documentation on file indicating that the local traffic safety authorities were notified of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The provider's written policy did not include the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, or the prevention and identification of child maltreatment.

Staff person #2, #3, #4, #5, #8, #9, and #10 had not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Health and Safety training. Staff person #9 does not have proof on file that they have completed the following required pre-service training and has been employed for more than do days: Pediatric First Aid/CPR.

Staff person #3 and Staff person #9 did not have any mandated reporter trainings on file and have been working at the facility for more than 90 days. Staff person #4 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the documented mandated reporter trainings on file being dated 6/5/15 and 10/19/23.

Staff person #9 had no proof on file which indicated that Staff person #9 had met the minimum education requirements for them to qualify as a staff.

Staff person #2, Staff person #4, Staff person #9 did not have any written staff evaluations on file and have been working at the facility for more than one year.

A written plan of daily activities and routines, including a time for free play, was not observed in the Great Room, Room 2, and Room 3.

Child #3, child #4, and child #5 did not have documentation of an enrolling parent's work phone number.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not observed in the Great Room or Room 3.

Staff person #7 (see code sheet for date of hire) does not have a health assessment or TB test on file. The files for Staff person #4 and Staff person #9 do not have any of the required initial or subsequent health assessments except for their current health assessment.

Staff person #9 (see code sheet for date of hire) did not have 12 hours of childcare training completed and documented on file for the staff person's annual training year, from 10/19/2022 to 10/19/2023.

On 10/12/23, Certification representative observed staff person #2 with 7 young toddlers, alone, while additional staff person left the room to get another child.

On 10/12/23, staff person # 3 in the Toddler B classroom and staff person #4 in the Toddler A classroom could not identify or name all the children in their assigned groups.

On 10/12/23, the fire drill log did not list hypothetical locations of the fire that are rotated around the facility for each drill. The hypothetical locations were all listed as the same location.

On 10/12/23, staff person #1 has not completed health and safety training within 90 days of their date of hire. (see code sheet).

On 10/12/23, Staff person #2 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 4/25/18.

As of the renewal inspection on 5/11/23, Staff #6 did not have NSOR and must be removed from care (see code sheet for hire date).

As of the renewal inspection on 5/11/23, there was no plan to address continuity of operations as required by 45 CFR 98.41(a)(1)(vii).

As of the renewal inspection on 5/18/23, there was no immunization record on file for child #1 who has been enrolled for greater than 60 days (see code sheet for start date). Child #1 must be removed from care until immunization record is on file.

As of the renewal inspection on 5/11/23, there was no documentation of an emergency drill conducted in the past year.

As of the renewal inspection on 5/11/23, there was no health assessment on file for child #1 who has been enrolled for more than 60 days (see code sheet for start date).

As of the renewal inspection on 5/11/23, there was no Shaken Baby/Abusive Head Trauma/Child Maltreatment policy as required by 45 CFR 98.41(a)(1)(vi).

As of the renewal inspection on 5/11/18, Staff #1, #2, #3, and #4 had not completed the 1 hour "Pennsylvania Health and Safety Update 2022" that was required by 12/30/22.

Staff person #1, #2, #3, #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 #5 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

As of the renewal inspection on 5/11/23, there was no documentation of a written evaluation of Staff #4 in the previous year.

As of the renewal inspection on 5/11/23, Staff #6, identified as a Group Supervisor, did not have documentation on file to qualify for the Group Supervisor position. There was no qualification documentation on file at all.

As of the renewal inspection on 5/11/23, there was no documentation provided to demonstrate that the operator had provided 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.

Staff person #1 has an FBI clearance on file from the Department of Education. The FBI clearance must be requested through the Department of Human Services.

Staff persons #1, 2, 3, 4 and 5 do not have documentation on file to verify that they have received annual emergency plan training

There are exposed bolts on the far corner of the fence located in the outdoor play space near the sidewalk

The facility emergency plan does not include a plan for accommodations to help assist infants, toddlers and children with disabilities or medical conditions in case of an emergency. The operator reports that an annual emergency lockdown drill has not been held.

The operator does not have documentation on file to verify that the facility emergency plan is on file with Luzerne County EMA

The facility does not have a policy statement on file in regards to Shaken Baby Syndrome, Traumatic Head Injury and the maltreatment of children. This requirement went into effect on 4/29/22.

Staff persons #1, 2, 3, 4 and 5 do not have documentation on file to verify that they have received annual fire safety training by a fire protection professional

Staff persons #1, 2, 3, 4 and 5 have pediatric first aid/CPR training in an approved curriculum taken prior to 4/29/22; however, the instructor has not provided documentation to verify that they are from a PQAS-certified organization in that training topic.

Child files #1 and #2 do not have emergency contact forms on file