The Great Valley Childcare Center LLC

One child file did not have a medical record on file.

Swing set is not anchored in the ground to prevent movement.

In Rm 107 Little Giants, disposable diapers were placed in an uncovered container. Container was not emptied as required for odor control.

Toddler aged children in Rm 103 Little Rascals did not wash their hands after being diapered.

Staff member changing diapers in Rm 103 Little Rascals did not wash their hands after each diaper change.

Toothpaste, body spray and air freshener located in Rm 107 Little Giants is not in locked storage.

Adult scissors located in Rm 103 Little Rascals are not in locked storage. Corrected at visit.

✓ Corrected at visit

One child file does not have a current medical history form on file.

One child file does not have a health assessment on file. Child has been enrolled more than 60 days.

Swing set is not anchored in the ground to prevent movement.

In Rm 103 Little Rascals toddler aged children did not sit at the table for snack. Licensing specialist observed children walking around the room while eating graham crackers. In Rm 107 Little Giants, staff plated children's food prior to children coming to the table to eat. Children were not encouraged to serve themselves.

On 11/12/2025 an infant was taken on an off-premises trip to Subway without written permission from the parent or guardian. Per multiple staff statements, infants in Rm 108 Baby Geniuses have been taken on walks off-premises without written off premises permission from parent or guardian.

Six child files out of 15 child files reviewed do not have permission from parent for for emergency medical care.

One staff member on site has not completed an in-person skills test for pediatric CPR/first aid training. Staff member has been employed longer than 30 days.

One staff file out of seven staff files reviewed does not have orientation available for review.

Facility plays in the parking lot. Children do not have off-premises permission for this area.

Two staff files out of seven staff files reviewed do not have an updated health status form.

One staff file out of seven staff files reviewed does not have a health status form available for review.

Nine children did not wash their hands upon returning to Room 109 (The Sandlot) from being outdoors.

Facility is not maintaining Terms of License. Room 103 (Little Rascals) is licensed for ten children 12 months to 2 1/2 years of age. Per Program Director statement, a ten month old infant was present in the unit for two hours in the morning.

Multiple medications located in the office are not in locked storage.

Hair detangler in Room 107 (Little Giants) is not in locked storage.

Two child files out of 15 child files reviewed do not have a health assessment on file.

Two children on site do not have a medical record available for review.

Three child files out of 15 child files reviewed do not have a complete medical history form on file. Three child files out of 15 child files reviewed do not have a medical history recorded on the current form.

A two-month-old infant was asleep on a playmat. Corrected per licensing specialist's request.

Swing set is not anchored in the ground.

Children enrolled in Room 109 (The Sandlot) were playing in the front parking lot of the facility which is located directly adjacent to a heavily trafficked public roadway, creating a safety hazard. A plastic climbing structure with a slide is not in good repair as two long screws are sticking out of the structure.

Two month old infant was asleep with a bottle in the infant's mouth.

Prepared bottles of formula's located in the fridge of Room 108 (Baby Geniuses) were not labeled with the date prepared.

Two month old infant was not held when bottle-fed, as blankets were being used to prop the infant's bottle.

Breastmilk located in the fridge of Room 108 (Baby Geniuses) were not labeled with the date prepared.

Three child files out of 15 child files reviewed do not have current immunizations on file.

One staff member being counted in staff-child ratio does not have CPR/first aid training on file.

Two staff members do not have health and safety training on file. One staff member is being counted in staff-child ratio. One staff member has been employed more than 30 days.

Multiple bottles of sunscreen located in the outdoor play area is in an open plastic container attached to the fencing and not in locked storage. Corrected at visit.

✓ Corrected at visit

Multiple spots on the walls of Room 103 (Little Rascals), Room 107 (Little Giants), and Room 109 (The Sandlot) have chipped and peeling paint.

Licensing specialists observed burp cloths draped over the side of two separate pack n plays. Pack n plays were in use by sleeping infants. Corrected at visit.

✓ Corrected at visit

Climbing equipment with an attached swing set is not anchored to the ground.

Licensing specialist observed the sole staff member in Room 109 (The Sandlot) step out of the unit to speak with the licensing specialist leaving 10 children unsupervised.

One staff member on site has not been given orientation. Staff member has been employed longer than seven days.

Licensing specialists obsereved a staff member given the sole reponsibility of children in Room 109 (The Sandlot). Staff member does not have initial health and safety trainings available for review. Corrected at visit.

✓ Corrected at visit

Licensing specialists obsereved a staff member given the sole reponsibility of children in Room 109 (The Sandlot). Staff member does not have current CPR/first aid certification available for review. Corrected at visit.

✓ Corrected at visit

Licensing specialist observed a two-month-old infant asleep in a bouncer. Corrected upon licensing specialist's request.

Room 103 (Little Rascals) did not wash hands after snack.

Room 109 (The Sandlot) exceeded maximum capacity by one child. Maximum capacity for Room 109 (The Sandlot) is 10 children. Licensing specialists observed 11 children in the unit.

Multi-surface cleaner, sunscreen and shaving cream located in Room 107 (Little Giants) is accessible to children and not in locked storage.

Several spots on the walls of Room 103 (Little Rascals) have chipped and peeling paint.

In Room 103 (Little Rascals) nine toddler aged children did not sit at the table for snack. Licensing specialist observed children walking around the room while eating pretzels and cheese sticks.

Facility did not submit identifying information for one individual as required to complete background checks.

Facility has not maintained terms of license for Room 103 (Little Rascals), as the room is licensed for 10 children, 12 months (if walking alone) to 2.5 years of age. On 02/10/2025, licensing specialists observed a one-year-old child who is not yet walking in Room 103 (Little Rascals). Per Program Director statement, two preschool aged children have previously been present in Room 103 (Little Rascals). Per collateral contacts, there have been multiple occasions when infants under 12 months of age were taken out of Room 108 (Baby Geniuses) to other classrooms. Facility does not have other classrooms licensed for children under 12 months of age.

Per posted menu, afternoon snacks do not consistently include two components.

One staff file reviewed does not have record of scheduled hours.

On 12/2/2024, one individual on site and background check results remained pending.

On 11/22/2024, sole staff member in Room 109 (The Sandlot) did not have documentation of initial health and safety trainings and orientation on file.

On 11/22/2024, Room 109 (The Sandlot) did not have a staff member present with current CPR/first aid training.

Per staff statement and video footage, at 11:12 am on 11/22/2024 in Room 109 (The Sandlot), children were not appropriately supervised when a four- year-old child pulled down the pants and underwear of another four-year-old child. Children were playing under a loft not visible to the staff member present.

Two pairs of adult scissors located in Room 107 (Little Giants) are not in locked storage. Corrected at visit.

✓ Corrected at visit

Clorox wipes located in the bathroom of Room 109 (The Sandlot) are accessible to children and not in locked storage.

Six child files out of 17 child files reviewed did not have complete written permission from parent for emergency medical treatment. Three forms did not have a start date. Two forms did not have an end date. One form did not have a start or end date.

Infant Tylenol and gas drops located in Room 103 are not in locked storage. Corrected at visit.

✓ Corrected at visit

Two child files out of 17 child files reviewed do not have a complete medical history form on file. One form is missing emergency contact information. One child does not have a form on file.

Written emergency plans lack detail to specific location of facility.

Infant Tylenol and Infant Motrin located in Room 108 are not in locked storage. Corrected at visit.

✓ Corrected at visit

Six cribs located in Room 108 do not meet manufacturer's recommendations as all cribs have been modified by previous owner to add height. Manufacturer's recommendations are not available for review.

Outdoor play space does not have shade available.

A refrigerator located in Room 108 and a refrigerator and a freezer located in the kitchen do not have thermometers available. Corrected at visit.

✓ Corrected at visit