York Day Nursery

During the time of inspection, it was observed that the baseboard by the sink in the pre k 1 classroom wasn't fastened to the wall. The bottom of the door frame around the shed in the nature playground was rotting out and had sharp edges.

During the time of inspection, it was observed that paint was peeling in the kitchen area in the infant classroom. Plaster around the sink in the pre k 1 classroom was coming off.

During the time of inspection, it was observed that a basket with pretend people and a basket with baby clothes were broken in the young toddler classroom. A basket was broken with cut up paper in the two year old classroom. A basked was cracked with animals and a basket was broken with manipulatives in the pre k 2 classroom. All broken/bins were removed during the inspection.

Documentation of a medication log was not on file for child 1. The medication was administered to the child in March 2025 and July 2025.

Facility self reported that child 1 was left alone and unsupervised outside of the gym in the hall for roughly two minutes.

Child 1 was unsupervised for 15 minutes. The child was found outside, hiding by the shed in the nature center by another staff member while the rest of the group was in the big playground. Staff members did not know the where abouts of the child and weren't physically present.

While conducting a correction verification visit, it was observed that staff member 1 was in ratio with children and didn't have documentation of the results of the State Police Record Clearance or the results of the FBI clearance on file required for provisional hiring under the CPSL.

While conducting a correction verification visit, it was observed that the inspection summary ending in 382 was not posted in a conspicuous location used by the parents.

Documentation of the state police clearance, child abuse clearance and FBI clearance on file for staff member 2 were updated more than 60 months of the original clearance date. The state police clearance was obtained on 2/27/19 and updated on 5/13/24. The child abuse clearance was obtained on 3/7/19 and updated on 5/17/24. The FBI clearance on file was obtained on 1/15/19 and updated on 5/16/24. Documentation of the FBI clearance on file for staff member 3 was updated more than 60 months of the original date. The FBI clearance was obtained on 4/23/19 and updated on 5/16/24.

Documentation of annual emergency evacuation training was not on file for staff member 1.

During the time of inspection, it was observed that clorox wipes and other cleaning materials were within reach of children in the cafeteria. The clorox wipes and other cleaning materials were put out of reach of children during the inspection.

During the time of inspection, it was observed that ceiling tiles in the bathrooms located in the pre k 1 classroom, toddler 2 classroom and pre k counts classroom all had water marks on them.

During the time of inspection, it was observed that there was peeling paint until the window in the pre k 1 classroom, peeling paint under the sink in the pre k counts classroom and peeling paint under the cubbies in the toddler 2 classroom. The peeling paint was corrected during the inspection.

During the time of inspection, it was observed that a visual strip or other visual identification was not placed on the class in the pre k 1 classroom. This was corrected during the inspection.

During the time of inspection, it was observed that there were broken baskets containing toys in the pre k 1 classroom and the pre k 2 classroom. The climber in the toddler 2 classroom was visibly dirty and had dirt collecting in the corners of the equipment. The broken baskets were removed during the inspection.

A 6 month updated health assessment was not on file for child 7. The most recent health assessment on file was dated 12/6/23

An updated health assessment was not on file for child 4. The most recent health assessment on file was dated 5/22/23.

Documentation of the immunization record on file for child 7, did not include the 6 month recommended dose of the Rotavirus, DTAP, HIB, and PCV13 vaccines.

Documentation of the medication log on file for child 2 did not include the medication name and the amount of medication administered. This was corrected during the inspection.

Documentation of the medication log on file for child 1 and child 2 did not include the dates of administration. This was corrected during the inspection.

Documentation of the health assessment and TB test on file for staff member 1 was completed after the staff members first day caring for children.

Documentation of the letter on file that the parents receive at the time of enrollment that outlines the emergency evacuation plan, did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Documentation of the emergency contact form on file for child 5 did not include the enrolling parents work address. Documentation of the emergency contact form on file for child 6 did not include the enrolling parents work address and enrolling parents work phone number.

Documentation of the emergency contact information on file for child 3 and child 4 did not include complete addresses for release persons.

Documentation on file for staff member 4 did not include two written nonfamily references attesting to the person's suitability to serve as a facility person.

Clearances for staff members were not updated in a 60 month timeframe. The FBI clearance for staff member 6 expired on 1/17/23 and was updated on 1/18/23. The FBI clearance for staff member 17 expired on 5/8/23 and was updated on 7/13/23. The child abuse clearance for staff member 6 expired on 1/16/23 and was updated on 2/9/23. The state police clearance for staff member 7 expired on 9/21/22 and was updated on 12/22/22. The state police clearance for staff member 10 expired on 4/17/23 and was updated on 6/26/23.The mandated reporter training for staff member 17 expired on 5/22/18 and was updated on 7/10/23. The mandated reporter training for staff member 6 expired on 1/30/17 and was updated on 2/8/22.

During the time of inspection, it was observed that a staff member placed an infant in a crib with a pacifier clip attached to their clothes.

During the time of inspection, it was observed that a cabinet with cleaning materials wasn't locked and within reach of children in the Toddler 1 classroom. The cleaning materials were moved out of reach of children during the inspection. Potting soil was within reach of children in the Toddler 2 classroom and the Pre K classroom.

During the time of inspection, it was observed that the first aid kit in the infant room was missing tape. Tape was placed in the first aid kit during the inspection.

During the time of inspection, it was observed that the air vents in the Toddler 3, Pre K, Gym and Pre K three classrooms were visibly dirty. Ceiling tiles in the bathroom and classroom in the Toddler 3 room had significant water marks on them indicating a leak. A ceiling tile in the Pre K 3 bathroom wasn't placed in the tile grid, exposing duct work in the ceiling and another ceiling tile in the bathroom had a water mark on it indicating a leak. A ceiling tile in the gym had significant water damage indicating a leak. The baseboards in the corner of the Pre K 3 room by the sink were missing. The bottom of the cabinet by the child's handwashing sink in the Pre K classroom had water damage and was disintegrating.

During the time of inspection, it was observed that there was peeling paint in the Toddler 3 and Toddler 2 classrooms. The peeling paint was corrected during the inspection.

During the time of inspection, it was observed that the glass pane by the door in the toddler 1 room didn't have a visual strip or other visual identification.

During the time of inspection, it was observed that baskets that held toys were broken and had sharp edges that could cause a cut in the Toddler 1, Toddler 2, Toddler 3 classroom and Pre K 3 classrooms. The soap dispenser in the Toddler 2 bathroom was broke and fell off of the wall during the inspection. The half wall located in the gym was cracked/broken on the lower right side with sharp edges.

During the time of inspection, it was observed that a cot wasn't labeled for a specific child in the Toddler 1 classroom.

Documentation of the health assessment on file for staff member 14, staff member16, staff member and staff member 17 were updated after 24 months of their initial health assessment. The health assessment on file for staff member 18 was completed after their first day caring for children.

Documentation of the health assessment on file for staff member 1 didn't include a physical examination.

Documentation of the health assessment on file for staff member 4, didn't include an examination for communicable diseases and assessment of the person's suitability to provide child care.

Documentation of completing an annual emergency drill wasn't on file

Documentation of the fire detection system testing showed that the testing wasn't being completed every 30 days. Testing was completed on 12/30/22; 1/30/23; which is 31 days and 2/28/23, 3/31/23; which is 31 days.

Documentation of pediatric first aid/CPR on file for staff member 5, staff member 6, staff member 7, staff member 8, staff member 9, staff member 10, staff member 11, staff member 12, staff member 13, staff member 14, staff member 15, staff member 16 and staff member18 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification.

Staff person 10 has not completed the following required pre-service training within 90 days of their hire date (see LIS code sheet): Health and Safety Basics Update

Documentation of two years' experience working with children was not on file for staff member and staff member 3.

Documentation on file of pediatric first aid/CPR training for staff member 2 was completed after their 90 days of hire.

Staff person number 5 had a child abuse clearance dated 1/16/2017 and updated on 2/9/2022, which is greater than 60 months. Updated clearance is obtained and on file.

Staff person number 3 had a health assessment dated 11/5/19 and updated on 4/29/22, which is greater than 24 months. Staff person number 4 had a health assessment dated 2/21/20 and updated on 5/12/22, which is greater than 24 months. Staff person number6 had a health assessment dated 4/7/20 and updated on 5/2/22, which is greater than 24 months.

Proof of Purchase for Fire detection system was not on file.

Staff person number 1 had 6 hour health and safety training dated 9/1/16, which is not accepted. Staff number 1 may not be left unsupervised with children until approved training is completed. Staff person number 2 had 6 hour health and safety training dated 7/1/16, which is not accepted. Staff number 2 may not be left unsupervised with children until approved training is completed.

Staff person number 2 did not have Pediatric CPR/First Aid training on file. CPR/First aid training was not completed within 90 days of employment. Staff Person number 2 must be supervised by an AGS or higher until Pediatric CPR/First Aid is completed.

Staff person number 1 does not have health and safety training on file. Health and safety training was not completed within 90 days of employment. Staff number 1 must be supervised by an AGS or higher until health and safety training is completed. Staff number 3 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 3 must be supervised by an AGS or higher until health and safety training is completed. Staff number 4 does not have health and safety training on file. Health and safety training was not completed within 90 days of hire. Staff number 4 must be supervised by an AGS or higher until health and safety training is completed.

Staff number 1 took one older toddler aged child from the gym to the classroom, leaving one staff with 11 older toddler aged children.

An additional child was added to the group of 6 children and 2 staff, making 7 children and 2 staff. The 7th child was not added to a primary care group. The 7th child was left unsupervised in the classroom.

A child was observed to place a small rock in their mouth. The small object was located on the outdoor playground for toddlers.

On 2/3, Staff person number 1 and number 2 left child #1 in the classroom unattended after the staff took the rest of the class to breakfast. Child #1 was unattended for approximately 3 minutes. Staff number 3 then walked into the classroom and saw child #1 but did not look to see if any staff were around. Staff number 3 then left the classroom, leaving child #1 alone for approximately 1 minute until another staff came into the classroom and found the child. On 2/7/22, ratios and supervision were assessed in the classrooms. In the toddler 1 room, 3 children were not assigned to a care group amongst staff in the room. In the toddler 3 room, 15 children were in care but the classroom was split up. Inside, 8 children were in care and 5 were assigned to care groups amongst present staff, leaving 3 children unaccounted for. The other group of children from the toddler 3 room, 7 children were outside with 2 staff. Both staff listed 2 children in their primary care group, leaving 3 children not assigned to a primary group amongst the 2 staff.

Staff number 1 had a State Police clearance that was greater than 60 months. Clearance dated 12/19/15 and renewed on 1/4/21. Staff number 1 had a child abuse clearance that was greater than 60 months. Clearance dated 12/31/15 and renewed on 1/6/21. Staff number 2 had an FBI clearance greater than 60 months from previous clearance. Previous clearance dated 3/31/16 and renewed on 4/22/21. Staff number 6 had a State Police clearance with a period greater than 60 months. Previous clearance dated 3/30/16 and renewed on 4/22/21.

Staff in the PreK Counts 4 (room 124) classroom and in the PreK Counts 3 (room 127) classroom did not have assigned primary care groups.

The gross motor play room (gymnasium) did not have posted emergency telephone numbers or a posted emergency transportation plan. This was corrected on site.

Health assessment for child number 1 did not include a health history for the child.

Health report for child number 1 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

Letter of immunization exemption for child number 8 did not indicate a strong personal objection or a religious belief as a reason for not receiving immunizations.

Documentation of symptoms for administration of medication were not clear for child number 9.

Child number 7 had a prescription of Auvi-q but there was no medication log for the medication.

Staff number 5 did not update the health assessment within 24 months. Previous health assessment dated 8/27/19 and updated on 9/27/21.

Emergency plan on file did not list accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Staff number 3 did not have a completion date for Health and Safety training.

Emergency Contact form for Child number 2 did not include a physician's address.

Emergency Contact form for child number 2, 3, 4, and 5 did not list any information on the child's special needs or disabilities.