3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Facility staff # 1 will have until 6/15/24 to complete the required training. If the required training is not completed by 6/15/24, facility staff # 1 may not work in a childcare position at the facility.

Facility staff # 1 has not completed the required 1-hour 2022 update to the health and safety training.

Corrected Corrected by May 28, 2024

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Facility staff # 2 did not complete their Mandated reporter training in over 60 months from 1/30/19 to 2/1/24.

Corrected Corrected by May 28, 2024

Category: background checks. Marked corrected in the state record.

3270.76 · 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.

There is twisted manila rope and Christmas string lights in a storage container drawer accessible to the children in the preschool room 309 classroom.

Corrected Corrected by May 30, 2024

Category: physical safety. Marked corrected in the state record.

3270.103 · 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.

There was a penny (less than 1 inch in diameter) in the toddler room sink that was accessible and used by the older toddlers to wash their hands.

Corrected Corrected by May 30, 2024

Marked corrected in the state record.

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

There was a toy mobile attached to the crib side railings of a crib labeled for use of an infant.

Corrected Corrected by May 30, 2024

Category: physical safety. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There is an unlabeled bottle in the preschool classroom #310 refrigerator used by a preschool child.

Corrected Corrected by May 30, 2024

Marked corrected in the state record.

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

The emergency contact form for child # 1 has not been updated in over 6 months in the classroom emergency binder. The last update in the emergency binder for child #1 was on 5/8/23.

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the inspection, staff person #1, an aide, was observed to be caring for children unsupervised in the school age room with 24 school age children. Staff person #2, an aide, was observed to be caring for children unsupervised in the older toddler room with 6 older toddlers.

Corrected Corrected by Oct 15, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must arrange for all facility staff to receive a minimum of three hours of training, including technical assistance, regarding Ratios and Supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During the inspection, staff person #1 was the only staff person in the school age room with 24 school age children. This ratio requires there to be 2 staff members. In the infant room, staff person #4 was the only staff person with 5 infants. This ratio requires there to be 2 staff members.

Corrected Corrected by Dec 5, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

During the inspection, staff person #1 was the only staff person in the school age room with 24 school age children. This ratio requires there to be 2 staff members. In the infant room, staff person #4 was the only staff person with 5 infants. This ratio requires there to be 2 staff members.

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

During the inspection, at 6:45am, staff person #3 had 14 preschool children napping. 5 school age children then joined the classroom where the children were napping and began sitting at a table, therefore the preschool napping ratio is no longer in effect.

Corrected Corrected by Oct 6, 2023

Category: ratio. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times.

During the inspection, staff person #3 would continuously leave the preschool classroom unsupervised where 14 preschool children were napping to answer the front door during parent drop off. This occurred many times during the 6:45-8:30 inspection timeframe.

Corrected Corrected by Oct 6, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. 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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of three hours of training, including technical assistance, regarding Ratios and Supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During the inspection, staff person #3 would continuously leave the preschool classroom unsupervised where 14 preschool children were napping to answer the front door during parent drop off. This occurred many times during the 6:45-8:30 inspection timeframe.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During the inspection, staff person #1's health assessment stated "yes" to communicable diseases but did not include further explanation as required on the health assessment.

Corrected Corrected by Jul 19, 2023

Category: health medication. Marked corrected in the state record.

3270.27(c) · 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.

During the initial inspection, staff person #10, staff person #13 and staff person #16 did not receive emergency plan training within 90 days of date of hire (see LIS code sheet for date of hire). Staff person #1, staff person #2, staff person #3, staff person #6, staff person #7, staff person #12, staff person #15 and staff person #18 had emergency plan training on 5/10/23. The previous date of emergency plan training was on 3/9/22 reflecting more than an annual training timeframe.

Corrected Corrected by May 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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.

During the renewal inspection, in Room 308, the two-year-old room, the white cubby shelf which was located directly above the children's heads was pulling away from the wall where it was mounted. This poses a hazard to children.

Corrected Corrected by May 23, 2023

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

During the renewal inspection, staff #1, the Director, admitted that the facility does not use an approved assessment form to provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Jun 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the renewal inspection, the 2 year old class was in the gross motor play space. There was no emergency contact forms for any of the children that were in this child care space.

Corrected Corrected by May 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 5/23/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During the renewal inspection, child #1 did not have a current annual influenza vaccination on file.

Corrected Corrected by May 24, 2023

Category: health medication. Marked corrected in the state record.

3270.131(d)(7) · 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.

During the renewal inspection, child #4's health report did not have a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by May 24, 2023

Category: health medication. Marked corrected in the state record.

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

During the renewal inspection, staff person #1 admitted that she changed child #11's diaper at 5:40am. There was no indication or documentation showing that the child's diaper was checked between 5:40am and 9:25am when the certification representative was inspecting the classroom.

Corrected Corrected by May 24, 2023

Category: health medication. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the renewal inspection, the last documented manual monthly monitoring of the fire detection system was completed on 4/7/23 and not every 30 days as required by standards established under section 1016(c) of the act (62 P.S. §  1016(c).

Corrected Corrected by May 24, 2023

Category: recordkeeping. Marked corrected in the state record.