3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Child 2 did not have an updated health assessment on file. The previous health assessment on file was dated 7/7/2023.

Corrected Corrected by Nov 11, 2024

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

There were toxics under the sink in the kitchen area. The toxics were in an unlocked cabinet. Toxics were also accessible in the back building under the sink in an unlocked cabinet. The toxics included various cleaners.

Corrected Corrected by Nov 11, 2024

Category: ratio. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child 1 did not have a health insurance policy on file.

Corrected Corrected by Nov 11, 2024

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

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. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 2/22/2024.

During renewal inspection, staff person #1 did not complete did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Feb 5, 2024

Category: ratio. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During renewal inspection, thermometer in the refrigerator of the ICTS room was at 60°.

Corrected Corrected by Feb 9, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

During renewal inspection, the following information was missing from children's fee agreements: Child #3: Date of admission. Signed by operator. Child #4: Date of admission. Signed by operator. Child #5: Date of admission. Signed by parent and operator.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. 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 renewal inspection, there were no child service reports (CSRs) on file for child #1 and child #2. Child #1 and child #2 have been attending the facility for over 6 months (see LIS code sheet for dates of admission).

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During renewal inspection, arrival and departure times were missing from the fee agreements of child #3 and child #5.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During renewal inspection, phone number of physician/medical care was missing from the emergency contact of child #4.

Corrected Corrected by Jan 22, 2024

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

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #3: Mother's work address and work phone number. Child #5: release person's address.

Corrected Corrected by Feb 5, 2024

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 #2 must be dismissed from care by close of business 11/28/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection, child #2 has 1 of 2 doses of Hepatitis A vaccine, which is not in accordance to the recommendations of the ACIP for this child's age (see LIS code sheet for date of birth).

Corrected Corrected by Feb 5, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During renewal inspection, trash can used for diapering in the ITCS room was not hands-free.

Corrected Corrected by Feb 5, 2024

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

3270.151(a) · 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.

During renewal inspection, health assessments for staff person #2 are dated 7/29/2021 and 8/12/2023, which is past 24 months.

Corrected Corrected by Feb 5, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During renewal inspection, the following children's forms were not updated within the past 6 months: Child #2: Emergency contact form last updated 2/9/2023. Fee agreement last updated 2/21/2023. Child #3: Fee agreement last updated 2/28/2023. Child #4: Fee agreement last updated 3/2/2023.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

During renewal inspection, there were 18 children present in the PKC2 room, which has a capacity of 16. Daily activities did not indicate that capacity would be exceeded during this time.

Corrected Corrected by Feb 5, 2024

Category: ratio. Marked corrected in the state record.

3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

During renewal inspection, director of this facility was not present to present a valid photo identification during unannounced visits conducted 11/28/2023 or on 12/12/2023. Certification representative was not informed of any blackout dates or dates when director would be off from facility prior to renewal inspection.

Corrected Corrected by Feb 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During renewal inspection, emergency drill log on file at facility was dated 10/31/2022.

Corrected Corrected by Feb 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection conducted 11/22/2022, peeling paint was observed in the staircase area and also by the window (nook area) in the PKC 1 room. An acceptable plan of correction was received with a correction date of 12/5/2022. When certification representative returned for unannounced monitoring on 12/15/2022, peeling paint on the staircase was repaired; however, the peeling paint in the PKC 1 room (upstairs) by the window (nook area) was not repaired.

Corrected Corrected by Dec 30, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection conducted 11/22/2022, emergency transportation plan was not posted in child care spaces throughout the facility. An acceptable plan of correction was received with a correction date of 12/5/2022. When certification representative returned for unannounced monitoring on 12/15/2022, the emergency transportation plan was not posted in the PKC 1 room (upstairs).

Corrected Corrected by Dec 30, 2022

Category: transportation. Marked corrected in the state record.

3270.32(a)/3270.192(4) · 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. Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. Staff Person #2 may not work in a child care position at the facility until all required clearances are on file.

During renewal inspection conducted 11/22/2022, Staff person #2 does not have NSOR clearance on file. Staff #2 is past their 45-day provisional period.

Corrected Corrected by Dec 5, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 12/13/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/26/2016.

Corrected Corrected by Dec 5, 2022

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During renewal inspection conducted 11/22/2022, the following staff did not have a staff evaluation conducted within the past 12 months: Staff #1: last staff evaluation on file is dated 12/20/2020. Staff #2: no staff evaluations on file. Staff #3: no staff evaluations on file.

Corrected Corrected by Dec 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During renewal inspection conducted 11/22/2022, a cabinet in the PKC2 room containing toxics labeled "Keep out of reach of children" was unlocked. Toxics were accessible to children.

Corrected Corrected by Dec 5, 2022

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During renewal inspection conducted 11/22/2022, first-aid kit in the PKC1 room was missing tweezers, scissors, and soap.

Corrected Corrected by Dec 5, 2022

Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection conducted 11/22/2022, peeling paint was observed in the staircase area and also by the window (nook area) in the PKC 1 room.

Corrected Corrected by Dec 5, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection conducted 11/22/2022, emergency transportation plan was not posted in child care spaces throughout the facility.

Corrected Corrected by Dec 5, 2022

Category: transportation. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During renewal inspection conducted 11/22/2022 the following children have not had health reports dated within the past 12 months (see LIS code sheet for children's exact DOBs): Child #1 (older toddler): last health report on file is dated 10/8/2021. Child #2 (preschool child): last health report on file is dated 8/26/2021. Child #3 (preschool child): last health report on file is dated 10/27/2021.

Corrected Corrected by Dec 5, 2022

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During renewal inspection conducted 11/22/2022, emergency contact form for Child #1 was last updated 10/12/2021.

Corrected Corrected by Dec 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

While at the facility on 11/18/21 the inspector reviewed the Emergency plan and found it had not been updated for the current year as is required.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility.

While at the facility for the renewal inspection on 11/18/21 the inspector reviewed the file for staff #1 and noted a first day of direct child care as 10/10/16. As of 11/18/21 there was no proof of an FBI clearance on file as is required.

Corrected Corrected by Nov 17, 2021

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

While at the facility for the renewal inspection on 11/18/21 the inspector observed a glue trap on the side of the refrigerator and within reach of children.

Corrected Corrected by Nov 19, 2021

Marked corrected in the state record.

3270.72(d) · 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.

While at the facility for the renewal inspection on 11/18/21 the inspector observed several windows on the second floor to not have been modified or adapted to limit their openings to 6 or fewer inches.

Corrected Corrected by Nov 18, 2021

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

While at the facility for the renewal inspection on 11/18/21 the director could not provide original receipts for the fire detection system as is required.

Corrected Corrected by Nov 19, 2021

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

While at the facility for the renewal inspection on 11/18/21 the inspector reviewed the Emergency plan and found that there was no concurrence with local municipality and the county emergency management agency.

Corrected Corrected by Dec 30, 2021

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