Community Preschool And Nursery

Noncompliance Area: In Room 1, foam blocks with teeth marks and a small corner missing off one were on a shelf and Room 2 contained a small Lincoln Log block which was less than an inch in diameter and 2 foam peg boards all accessible to children still placing objects in their mouths. While the older toddlers were in the gym, pieces of the foam puzzle mat which were less than an inch in diameter were on the floor behind the climber accessible to children still placing objects in their mouths. All items were removed and/or made inaccessible at the time of the inspection.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: In Room 4, 4 bottles on the counter were not labeled with the name of the children for which they were intended. The bottles were labeled at the time of the inspection.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The file of facility person #1, with start date of 9/3/2020, resided outside of the state of Pennsylvania within the last 5 years and did not have the required out of state clearances on file by 7/1/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: In Room 2, the lock to the cabinet under the sink was not broken making Pure Bright Bleach, Clorax Disinfectant and Clorax Hydrogen Peroxide Wipes all labeled "keep out of the reach of children" accessible to children in the room. Cherry Cough Drops labeled "keep out of the reach of children" were accessible in a drawer with a broken lock in Room 2. The lock on the cabinet was replaced and the Cherry Cough Drops were made inaccessible at the time of the inspection.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The first aid kit in Room 4 did not contain gloves. The gloves were added at the time of the inspection.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The refrigerator in the infant classroom did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The file of child #1 and 2 contained immunization records which did not contain documentation of an annual influenza vaccination which did not meet the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: While observing diapering in Room 3 and 4, the infant and young toddler rooms, facility staff did not immediately discard the diaper directly into the plastic-lined, hands-free covered trash can. The soiled diaper was placed into the trash can after the new diaper was put on each child,

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file of facility person #2 contained a health assessment dated 5/17/2017 with an updated health assessment dated 6/4/2019, which exceeded the requirement of having a health assessment updated at least every 24 months. Facility person #2 now has a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The facility did not have a written notification of safe routes posted in a conspicuous location.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The file of facility person #2 did not contain documentation of at least 6 annual clock hours of training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of facility person #1 contained an evaluations completed on 10/2/2017 and 12/30/2018, exceeding the requirement of a written evaluation completed by the director at least every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In Room 2, the preschool classroom, Oxivir TB, a cleaning product labeled "keep out of the reach of children," was accessible to children in an unlocked cabinet under the sink. In the same classroom, hand sanitizer, labeled "keep out of the reach of children," was in a backpack on a hook accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: In Room 3, the young toddler classroom, facility staff were picking up the children to wash their hands at the adult height sink. The classroom did not have a platform or steps for able children to easily approach the sink for handwashing.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Noncompliance Area: The last documented fire drill was completed on 4/10/2019. The facility director stated they have not done a fire drill and were planning on doing afire drill next week.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: At approximately 2:50 pm on 5/3/2019, facility person #1 was observed to be alone in a classroom with 7 children, all one-year old. In the classroom, 2 children had an altercation while facility person #1 was changing a diaper and did not see the interactions between the 2 children. Facility person #1 was alone with the children for at least 10 minutes.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Noncompliance Area: At approximately 11:40am, one infant was sleeping in a bouncy seat and another infant was asleep in a swing.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: At approximately 11:40 am, facility person #1 left the infant classroom to get plates leaving facility person #2 alone with 8 infants. One of the infants was in an infant swing facing the wall and was unable to be seen by the facility persons. Through discussions with facility staff, it has been determined that children have left the classroom and ran down the hall themselves. They have also left the group when at the restroom and ran upstairs to the indoor play space themselves.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: Classroom 2 contained a Lego bin which was cracked exposing sharp edges and the Infant classroom contained a toy ball with a broken side.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Room 1, a one-year old classroom, contained a small Play Dough type substance on a table next to the counter which was less than a diameter of one inch. Room 3, a two-year old classroom, contained play french fries and ice cubes with a diameter of less than one inch in a bin in the play kitchen area. In Room 3, the toddlers were doing an art project with stickers which were less than an inch in diameter. Both of these rooms were observed to have children still placing objects into their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The file of child #1 contained information provided to the family about the child's growth and development dated 5/25/2017 and 11/22/17 but did not contain documentation of current information provided to the parent on the child's growth and development. The file of child #2 contained information provided to the family about the child's growth and development dated 5/24/2017 and 11/22/17 but did not contain documentation of current information provided to the parent on the child's growth and development.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file of child #2, a preschool-age child, contained a health report dated 3/20/2017, but did not contain an updated health report within 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: When diaper changing, a diaper was observed to be placed in a plastic bag by a facility person before being placed in the plastic-lined trash can in Room 1, a young toddler classroom.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file of facility person #1 contained a health report dated 4/16/16 with an update on 6/6/18, which exceeds 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The file of facility person #2 contained an incomplete health report lacking documentation a physical examination was completed and documentation the facility person is suitable to provide child care based on the examination.

Correction Required: An adult health assessment must include a physical examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The file of child #2 contained an emergency contact and financial agreement dated 5/11/17 with an update on 5/23/18, exceeding the requirement of an update at least every 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Room 2 contained a drawer with a broken lock which made adult scissors and a staple remover accessible to the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: In Room 3, a staff backpack containing Sween Moisturizing Cream labeled keep out of the reach of children was on the floor accessible to the children in the classroom.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A grate was pulling away from the wall in Room 3 causing a hazard to the children that may get their fingers pinched.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The last fire drill documented was held on 4/7/18, lacking a current fire drill.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Staff #1 is currently awaiting trail on charges which prevent them from working in child care.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 9/25/2017 at approximately 2:57, staff #1 came to the door and I introduced myself and she let me in. I followed staff #1 into the first classroom where a total of 11 children were in the classroom, 8 of the 11 children were on their cots and 3 children were sitting on the floor by the chair of staff #2. Staff #1 walked out of the classroom through the back door and returned about a minute later with a preschool age child which was in the infant classroom. I completed supervision and ratio. staff #1 had 7 preschool children and staff #2 had 5 children, the youngest being 2 years old.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: The file for child #1, with a start date of 08-15-2016, contained a child service report which was not completed until 04-17-2017. The most recent child service report on file is current.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file for staff #1 contained a health assessment which has not been updated within the past 38 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The files for child #1 and child #2 contained emergency contact information and a financial agreements which were not updated at least once in a 6 month period. The documents for child #1 were updated on 08-15-2016 with the subsequent updates occurring 05-11-2017. The emergency contact information for child #2 was updated on 03-23-2016 with the subsequent update occurring 05-19-2017. The financial agreement for child #2 has not been updated since 03-28-2016.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for staff #1 lacked verification of age.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: The file for staff #1 lacked proof of training regarding the emergency plan.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, with a hire date of 04-21-2014, lacked verification of participation in annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #1, with a start date of 04-21-2014, lacked a written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: A tote bag, sitting on a table and accessible to children in care in the preschool/school age room, was observed to contain hair bonding glue with a warning label stating keep out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The bottom step and top step on the stairs to the gym were observed to have nonskid treads which were not fully adhered to the step creating a tripping hazard for the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.