Live n Learn SMILE Center - Birdsboro PA Child Care Center

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, a cracked plastic tote lid was observed in the School Age classroom. A large roll of butcher paper was observed in the bathroom of Room 6, posing a crushing hazard. A cracked toy playhouse was observed on the playground. A ripped seat was observed on the school bus.

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: A renewal inspection was conducted on 2/4/2020. At that time, a infant was observed sleeping in a crib with a pacifier that had a toy elephant attached to it.

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: A renewal inspection was conducted on 2/4/2020. At that time, the file for Facility Person #3 did not contain documentation of emergency plan training conducted at onset of employment. (Facility Person #3 date of hire: 8/26/19; emergency plan training on file: 11/19/19)

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.

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, Facility Person #1 and Facility Person #2, assistant group supervisors, had high school diplomas on file but did not have verification of experience on file at the facility.Provider will obtain verification of two years' experience for Facility Person #1 and Facility Person #2 and keep on file at the facility. In the future, provider will make sure each staff have on file verifications of education or experience for the position that they qualify for.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: A renewal inspection was conducted on 2/4/2020. At that time, hand sanitizer and Eucerin hand lotion were observed in a child's backpack hanging from a cubby in the Pre K Counts Yellow Room where they were accessible to the children in care. Both were labeled "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: An unannounced inspection was conducted on 7/31/19. At that time, Radiant disinfectant wipes were observed on the bottom shelf of an unlocked closet in the bathroom. They were labeled, "keep out of reach of children" and were 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: An unannounced inspection was conducted on 7/31/19. At that time, the outdoor carpeting was ripped on the young playground. A hole where a piece of hardware is missing was observed on the equipment on the older playground.

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: During an unannounced inspection on 11/26/18, a supervision check was conducted in each classroom. Staff #1 and Staff #2 in the School-Age classroom, as well as Staff #3 and Staff #4 in the combined Preschool classroom had difficulty identifying the children who were specifically assigned to each person's primary group. In the School-Age classroom, two children were not identified by either staff present, and neither staff knew which specific primary group they were assigned on that day. In the Preschool combined classroom, the staff had not taken responsibility for an assigned primary group until the inspector asked for each staff person's group. At that time, the staff had a conversation and decided how the children would be assigned to each staff person.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, A LARGE PILLOW WAS RIPPED WITH EXPOSED STUFFING IN THE YOUNG TODDLER ROOM. THE TOP OF THE QUIET AREA, WHICH IS A PIECE OF EQUIPMENT IN THE OLDER TODDLER ROOM, WAS RUSTING.

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: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, SMALL DOLL CLOTHES LESS THAN ONE INCH IN DIAMETER WERE OBSERVED IN THE YOUNG TODDLER CLASSROOM. SMALL DOLL SHOES AND SMALL PIECES OF CHALK WERE OBSERVED IN THE OLDER TODDLER CLASSROOM. ALL OF THESE ITEMS WERE ACCESSIBLE TO THE CHILDREN IN THE CLASSROOMS.

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: A COMPLAINT INVESTIGATION WAS CONDUCTED ON 2/12/18, AT THAT TIME FACILITY HANDBOOK THAT WAS GIVEN TO THE PARENT STATES JUICE IS SERVED WITH SNACK BUT FACILITY DOES NOT SERVE JUICE.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #5 DID NOT HAVE HEALTH INSURANCE INFORMATION OR POLICY NUMBER ON FILE AT THE FACILITY. CHILD #6 DID NOT HAVE A HEALTH INSURANCE POLICY NUMBER ON FILE AT THE FACILITY.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #8 DID NOT HAVE A HEALTH REPORT WITH IMMUNIZATION RECORDS ON FILE AT THE FACILITY. (DATE OF ADMISSION: 2/27/17)

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, CHILD #3 DID NOT HAVE A HEALTH REPORT STATING THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: A RENEWAL INSPECTION WAS CONDUCTED ON 2/12/18. AT THAT TIME, THE FEE AGREEMENT AND EMERGENCY CONTACT FORM FOR CHILD #2 HAD NOT BEEN UPDATED IN THE PAST 6 MONTHS. (CHILD #2 LAST UPDATE: 5/8/17) THE FEE AGREEMENT AND EMERGENCY CONTACT FORM FOR THE FOLLOWING CHILDREN HAD NOT BEEN UPDATED IN A 6 MONTH PERIOD; CHILD #1 UPDATES: 1/13/17, 1/29/18, CHILD #3 UPDATES: EMERGENCY CONTACT: 2/8/17, 2/5/18 FEE AGREEMENT: 9/13/16, CHILD #4 UPDATES: 2/23/17, 1/31/18, CHILD #5 UPDATES: 9/2/16, 1/26/18, CHILD #7 UPDATES: 1/31/17, 1/31/18, CHILD #8 UPDATES: 2/20/17, 1/26/18

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.