Lehigh Valley Childrens Center At Campus - Bethlehem PA Child Care Center

Noncompliance Area: During the Renewal Inspection on 1/28/2020, the immunizations attached to the updated health report for Child #1, DOB-3/14/2017 showed that not all of the immunizations recommended by the ACIP between the age of 12-15 months were given to the child. The file for Child #1 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated by the child's parent.

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

Noncompliance Area: During the Renewal Inspection on 1/28/2020, a container of bleach and sanitizer tablets were seen in an unlocked cabinet in the Pre-K Counts 1 classroom. Both items read keep out of reach of children on the container.

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: During the Renewal Inspection on 1/28/2020, the hot water temperature for the sink in the Pre-K Counts 2 classroom was measured and reached 114 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: During the Renewal Inspection on 1/28/2020, a cracked outlet cover case with sharp edges exposed was seen in the school age classroom. A cracked lattice with sharp edges exposed was also seen on the fence outside in the toddler play area.

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 facility self-reported that on the afternoon of 08/15/2019, Staff #1 was subbing at the LVCC Campus location in the preschool classroom. Upon entering the building from the outside playground area, Staff #1 conducted a supervision check of her group. However, once inside Child #1, age 3 remained outside the door unsupervised. A teacher within the building observed the child outside of the door and brought the child inside. Written statements from staff verified this incident. Video surveillance showed that Child #1 was unsupervised outside for nearly 2 minutes on the afternoon of 8/15/2019.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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. 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: It was verified through written and verbal statements from staff that on 7/16/2019, Child #1 was throwing rocks outside near Staff #1. Child #1 ignored several redirections from Staff #1 to stop throwing rocks. Staff #1 then told Child #1 that he would punch him if he were hit with the rocks. Staff #1 quoted himself in writing, "I will punch you if you hit me with the rocks."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: During a pool visit on 7/18/2019, Facility Person #2 was identified as the lifeguard for this location. However, Facility person #2 left the pool area while the children were still in the water.

Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3270.31(e)(4)(iii) (relating to age and training).

Noncompliance Area: During a pool visit on 7/18/2019, Staff #1 was included in the staff to child swim ratio. It was later discovered that the state police clearance on file for Staff #1 was from 7/2/2014. This clearance was not within previous 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All clearances must be updated at least every 5 years. 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. Staff #1 may not work in a child care position at the facility until an updated state police clearance is requested and received.

Noncompliance Area: During a pool visit on 7/18/2019, the first-aid kit at the pool was missing scissors and gloves.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: On 1/23/2019, the most recent health report on file for Child #1, a Young Toddler was dated 4/6/2018. The health report for Child #1 documented that the parent has refused immunizations for the child. However, an exemption statement from the child's parent documenting exemption from immunizations for religious belief or strong personal objection equated to a religious belief was not on file. The most recent health report on file for Child #2, also a Young Toddler was dated 6/25/2018.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: On 1/23/2019, the mandated reporter training that was on file for Staff #1 was dated 2/21/2013.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff must completed an approved mandated reporter training at least every 5 years, as required by the CPSL.

Noncompliance Area: On 1/23/2019, the hot water temperature for one of the sinks in the Pre-K Counts 2 classroom measured 117 F. The hot water temperature for one of the sinks in the Older Toddler classroom measured 113 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: On 1/23/2019, one of the windows in the Preschool classroom on the 2nd floor of the building was missing a bracket. This caused the window to open more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The following was observed on 1/23/2019: The lattice outside in the toddler play area was cracked and hanging off of the fence, cracks were on one of the sheds outside, and one of the toilets in the bathroom on the 2nd floor was missing a seat.

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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: On 1/23/2019, the fire drill log showed that the last documented fire drill at the facility was held on 11/3/2018.

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.