Play & Learn Blue Bell - Blue Bell PA Child Care Center

Noncompliance Area: On 1/14/2020 staff person #1 was working alone with 9 preschool aged children. Child #1 ran out of the classroom back door into a breezeway area and then left the building and ran onto the playground area. Child #1 was alone unattended on the playground area. Staff person #1 contacted staff person #3, in the infant room, to come to the preschool classroom and supervise the preschool children. Once staff person #3 came to the preschool classroom, Staff person #1 went out of the classroom front door to the room next door to alert the director child #1 had left the building. It was revealed during a meeting (held with OCDEL on 2/10/2020) with Staff person #1 and #2 that child #1 had left the classroom on multiple occasions in January including 1/22/2020 and 1/21/2020.

Correction Required: 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. TIERED LIS: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children and Classroom Management through the ELRC.

Noncompliance Area: On 1/3/2020 mouse droppings were observed behind the microwave in the preschool classroom.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: On 12/5/2019 staff person #1 allowed individual #2 (a parent of an enrolled child) to take child #1 out of the classroom and out of staff vision. Video camera footage revealed that individual #2 walked child to a community room, facility lobby and to a kitchen area. Individual #2 and child #1 were out of staff vision for approximately 3 minutes before individual #2 returned child #1 to the classroom and staff person #1. Individual #2 is not an individual designated in writing by the enrolling parent to whom the child may be released.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Noncompliance Area: On 11/21/2019 infants were observed sleeping in cribs that did not have two feet of space on three sides as required by regulation.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: On 11/21/2019 the file for staff person #3 did not have a health assessment on file with TB testing dates. The file for staff person #7 did not have TB testing dates and results on file at the facility.

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: On 11/21/2019 the file for staff person #3 did not have verification of age and address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.A facility person's record shall include verification of age.

Noncompliance Area: On 11/21/2019 the file for staff person #4 had a degree obtained outside of the United States and did not have a US equivalency evaluation on file. Staff person ##3 and #7 did not have verification of education on file at the facility.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: On 11/21/2019 the file for staff person #7 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On 11/21/2019 the operator did not have verification that staff persons #3 #5 #6 and #7 received training regarding the emergency plan at the time of initial employment.

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: On 11/21/2019 Staff person #1, hired 7/8/2019 did not have a PA Criminal Clearance or a disclosure statement on file at the facility. Staff person #2, hired on 7/19/2019 had a PA Criminal Clearance dated 2013 and did not have a disclosure statement on file at the facility. Staff person #3 did not have a PA Criminal Clearance or a disclosure statement on file at the facility. Staff person #5, hired on 10/18/2019 did not have application for a PA Criminal Clearance or completed PA Criminal Clearance and did not have a signed disclosure statement on file at the facility. Staff person #6 did not have a signed disclosure statement on file at the facility. Staff person #7, hired on 11/11/2019 did not have application for a child abuse clearance or a completed Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 and #2 may not work in a child care position at the facility. 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 Persons #1 and #2 may not work in a child care position at the facility.

Noncompliance Area: On 11/21/2019 a review of the fire drill log revealed that a fire drill had not held and logged since 4/19/2019.

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: On 11/14/2019 staff person #1 is observed on video camera kicking towards a child #1 behind a door. On 11/11/2019 staff person #1 is observed(on video at 11:30) grabbing child # 2 arm aggressively by the child's one arm. On 11/11/2019 staff person #1 is observed (on video at 11:30AM) aggressively pushing child #3 back into line. On 11/12/2019 staff person #1 is observed (on video at 12:03 grabbing child #1 by the arm and lifting him off of the ground two times.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: On 5/7/2019 during the renewal inspection the young toddler playground had uncovered protruding bolts on the fence on the inside of the playground in an area accessible to the children. On 6/18/2019 the young toddler playground had uncovered protruding bolts on the fence on the inside of the playground in an area accessible to the children.

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: On 5/7/2019 wood chips with a diameter on less than one inch was observed on the two year old playground. The playground does not have a barrier between the toddler and preschool playground allowing a large amount of woodchips to wash onto the toddler playground. On 6/18/2019 wood chips with a diameter on less than one inch was observed on the two year old playground. The operator placed a partial barrier to block the woodchips from the preschool playground allowing a large amount of woodchips to wash onto the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: On 5/7/2019 a child's Bumbo (recalled by the CPSC) was observed in the infant room.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.