The Children's Courtyard Willow Grove

1 out of 10 employee's files reviewed did not have a notarized affidavit.

3 out of 4 infant's files reviewed did not have current infant feeding instructions.

2 out of 10 employee's files reviewed did not have a preemployment affidavit.

A child was observed watching videos on a tablet during nap time while other children were napping. This was corrected at the inspection when the caregiver put the tablet away.

The preschool/school-age playground did not have 6 inches of loose fill.

Based on evidence obtained during the investigation, it was determined that a caregiver used inappropriate discipline as the caregiver grabbed a child by the arm, leaving fingernail indentations.

One child did not have updated immunization records available.

One caregiver stated that infants are not engaged in outdoor play for a duration that each infant can tolerate.

Upon reviewing 10 children s records, two children did not have updated immunizations records available.

Three out of ten caregivers were found to lack training in emergency preparedness. Six out of ten were lacking training in Understanding building and physical premises safety.

During the inspection, it was found that two written feeding instructions had not been updated since 04/09/204. The infants were not yet ready for table food.

Three medications in the medication box were found to be expired, including one EpiPen that had passed its expiration date. The EPI Pen expired on Nov/23. Pitures were taken.

The director is missing training in building and physical premises.

The playground area contains water hoses, gardening tools, broken toys, a fridge, and buckets filled with water, all accessible to the children.

The director lacked training in Understanding early childhood brain development.

One caregiver lacked training in understanding early childhood brain development.

At the time of inspection, three infant in care did not have a written feeding instruction on file or available for review; the infants were not ready for table food.

One child aged 4 years did not have a hearing and vision on file.

Upon reviewing 10 children s records, two children did not have updated immunizations records available.

Five out of ten caregivers were found to lack training in emergency preparedness. Six out of then were lacking training in Preventing and controlling the spread of communicable diseases, including immunizations; Preventing and responding to emergencies due to food or an allergic reaction; and Understanding building and physical premises safety.

One caregiver stated that infants are not engaged in outdoor play for a duration that each infant can tolerate.

The director lacked training in Emergency preparedness, Administering medication, Handling, storing, and disposing of hazardous materials.

Four medications in the medication box were found to be expired, including one EpiPen that had passed its expiration date. Pitures were taken.

The playground structure was observed to have spider webs on it.

1 out of 10 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.

Loose fill was less than 3 inches for slides on the playground which require at least 6 inches of loose fill. This deficiency was corrected at inspection when the director had the maintenance crew rake required amount of loose fill around the use zone areas.

The building was observed to have large cracks in the walls, floor, and ceiling.

Playground equipment has not been adequately maintained, creating a risk for children when utilized. Loose boards and gaps were observed on a play structure used by young children.

Loose fill was less than 3 inches for slides on the playground which require at least 6 inches of loose fill.

At the time of inspection the operation did not have a current fire inspection.

Exposed Nails were observed in an area where young play.

Three children did not have a food allergy plan in the file at the time of inspection.

The operation has not reported the total number of employees who left the operation in the previous year of 2022.