3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff 4 had 4 hours of annual training on file. Staff 5 had 8 hours of annual training on file. Staff 4 and 5 did not meet the annual 12 hours of childcare training requirement.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. 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.

Staff 1, 2, 4, 5, 6,7, 8, 9 and 10 had outdated emergency plan training. The emergency plan training for these staff was last given on 2/27/2024, which was more than 12 months ago.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the annual inspection on 3/3/3025, staff 1, 2, 3, 4, 5, 6, 7, 8 and 9 ad outdated fire safety training. Fire safety training for these staff occurred on 2/15/2024 making it more than 12 months since the last fire safety training.

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. 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 the annual inspection on 3/3/2025, staff 8 and 9 did not have a staff evaluation on file. Staff 1, 2, 4, 5, 6 and 7 had outdated staff evaluations. Staff 1's staff evaluation was last completed on 2/29/2024. Staff 2's staff evaluation was last completed on 12/15/2023. Staff 4's last staff evaluation was completed on 7/30/2023. Staff 5's last staff evaluation was completed on 1/22/2025. Staff 6's last staff evaluation was completed on 1/20/2024. Staff 7's last staff evaluation was completed on 12/13/2023. Please see LIS for date of hire.

Corrected Corrected by Mar 18, 2025

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.

The outside play area had a loose board on the wooden fence. The board also had a rusty nail sticking out of it.

Corrected Corrected by Mar 18, 2025

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the caterpillar room, the diaper pad was ripped, making it unable to be properly cleaned and sanitized.

Corrected Corrected by Mar 18, 2025

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 renewal inspection, there was no documentation of staff person #3 receiving emergency plan training.

Corrected Corrected by May 1, 2024

Category: recordkeeping. 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.

During renewal inspection, child abuse clearances on file for staff person #3 are dated 1/30/2018 and 2/22/2023, which is past 60 months (see LIS code sheet for start date)

Corrected Corrected by Apr 8, 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.

During renewal inspection, the baby gate between the kitchen and multipurpose room was open, leaving the kitchen accessible to children. The facility's kitchen contains sharp utensils and the facility's stove.

Corrected Corrected by May 1, 2024

Category: physical safety. 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, mini fridge in Habitat room did not have a thermometer.

Corrected Corrected by May 1, 2024

Category: nutrition. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #1: Father's work address and work telephone number. Child #2: Father's work address and work telephone number. Child's doctor's telephone number. Child #3: Father's work address and work telephone number. Child #4: Father's home and work addresses and telephone numbers.

Corrected Corrected by May 1, 2024

Category: health medication. 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 renewal inspection, emergency contact forms for children were not present for all children in the infant room.

Corrected Corrected by May 1, 2024

Category: recordkeeping. 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, last health assessment on file for child #4 is dated 2/21/2023. Child #4 is preschool aged (see LIS code sheet for age).

Corrected Corrected by May 22, 2024

Category: health medication. 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 4/8/2024 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 #1 received 2 of 3 doses each of DTAP and Pneumococcal vaccines. There is no exemption on file. Child #1 is a young toddler (see LIS code sheet for date of birth).

Corrected Corrected by Apr 8, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During renewal inspection, saline spray labeled "keep out of reach of children" was observed to be in a child's cubby located in the multipurpose room. Cubbies are accessible to children.

Corrected Corrected by Apr 8, 2024

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

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

During renewal inspection, there was no soap in the bathroom used by children in the multipurpose room.

Corrected Corrected by Apr 8, 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 assessment on file for staff person #1 was dated 12/20/2023. Physician's office was contacted using the phone number on the health assessment. Health assessment was sent to the physician's office. Physician listed on form states that the signature on the form is not theirs. Furthermore, staff person #1 was not seen at the office listed on the date listed on health assessment.

Corrected Corrected by Apr 9, 2024

Category: ratio. Marked corrected in the state record.

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

During renewal inspection, unlabeled bottles were observed in the mini fridge in the Habitat room.

Corrected Corrected by Apr 10, 2024

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #2 must take 7 hours of professional development to fulfill requirement for training year 12/19/2022-12/19/2023.

During renewal inspection, the following staff members did not get 12 hours of training during their training year: Staff person #2: 5 hours of child care training for training year 12/19/2022-12/19/2023.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. 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.

During complaint investigation, staff person #1 first identified 12 children being in the multipurpose room. Another staff person corrected staff person #1 and advised that there are 11 children in the room. When asked to identify their group, staff person #1 pointed to and named 4 children. Staff person #2 identified 6 children as being in their group. Certification representative asked that staff persons figure out their groups, as one child is unaccounted for. It was then determined that staff person #1 had 5 children in their group and staff person #2 had 6 children in their group.

Corrected Corrected by Nov 28, 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. The legal entity must arrange for staff person #1 to complete the training entitled "Supervision: Staff:Child Ratios" through Better Kid Care. The training may not be counted towards the 12 hours of training required by regulation.

During complaint investigation, staff person #1 first identified 12 children being in the multipurpose room. Another staff person corrected staff person #1 and advised that there are 11 children in the room. When asked to identify their group, staff person #1 pointed to and named 4 children. Staff person #2 identified 6 children as being in their group. Certification representative asked that staff persons figure out their groups, as one child is unaccounted for. It was then determined that staff person #1 had 5 children in their group and staff person #2 had 6 children in their group.

Corrected Corrected by Nov 20, 2023

Category: supervision. 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. Until such time as the required pre-service trainings are 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.

During unannounced monitoring conducted 9/28/2023, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid/CPR.

Corrected Corrected by Aug 12, 2023

Category: supervision. Marked corrected in the state record.

3270.164 · Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child.

On date of investigation, there were 41 children present in the facility. There were 16 combination of younger- and older-school-age children, 10 preschool-aged children, 5 younger toddlers, 6 older toddlers, and 4 infants. Facility ordered 6 pizzas, totaling 48 slices of pizza. Facility served one slice of pizza and a milk to each child for lunch. Based on the number of children present in the facility and the ages of the children, meal servings were not appropriate.

Corrected Corrected by Aug 15, 2023

Category: nutrition. Marked corrected in the state record.

3270.52 · 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).

During unannounced monitoring conducted 8/2/2023, facility person #3 left a group of 8 older school aged children in the multipurpose room with 18 other children, ranging from preschool-aged to young school aged children and two staff members, totaling 26 children with two staff members present in the multipurpose room.

Corrected Corrected by Aug 2, 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. The legal entity must develop and implement a supervision policy which must include procedures for staff and child transitions, answering the door, and staff:child ratio.

During unannounced inspection conducted 8/2/2023, there were 18 children present in the multi-purpose room, ranging from preschool-aged children to young school aged children and two staff members. Staff person #1 stated that she was responsible for the young-school aged children. Staff person #1 first named 6 children and quickly stated that she actually has 8 and named two more children. Staff person #2 was responsible for the preschool-aged children. She named 12 children in her care. Rep noted that two of the children listed were already listed by staff person #1. Rep notified staff person #2 that she cannot have 12 children in her care due to the ages of the children in her group. It was then decided that staff person #1 had the two children she originally named, totaling 8 young-school aged children, and staff person #2 had 10 preschool-aged children in her group. Prior to rep departing, both staff members were able to correctly name their groups.

Corrected Corrected by Sep 4, 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.

During unannounced inspection conducted 8/2/2023, there were 18 children present in the multi-purpose room, ranging from preschool-aged children to young school aged children and two staff members. Staff person #1 stated that she was responsible for the young-school aged children. Staff person #1 first named 6 children and quickly stated that she actually has 8 and named two more children. Staff person #2 was responsible for the preschool-aged children. She named 12 children in her care. Rep noted that two of the children listed were already listed by staff person #1. Rep notified staff person #2 that she cannot have 12 children in her care due to the ages of the children in her group. It was then decided that staff person #1 had the two children she originally named, totaling 8 young-school aged children, and staff person #2 had 10 preschool-aged children in her group. Prior to rep departing, both staff members were able to correctly name their groups.

Corrected Corrected by Aug 2, 2023

Category: supervision. 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 3/1/2023, fabric freshener labeled "Keep out of reach of children" was observed in an unlocked cabinet in the bathroom used by children between the Cocoon and Caterpillar rooms. An acceptable plan of correction was received with a correction date of 3/1/2023. When certification representative returned for verification visit on 4/11/2023, fabric freshener, Ajax, and room spray labeled "Keep out of reach of children" were observed in an unlocked cabinet in the bathroom used by children between the Cocoon and Caterpillar rooms.

Corrected Corrected by Apr 18, 2023

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.

During unannounced monitoring conducted on 4/11/2023, a toy and a pillow was observed in a crib with a sleeping infant.

Corrected Corrected by Apr 11, 2023

Category: physical safety. 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. Until such time as the required pre-service trainings are completed, staff person #3 and staff person #4 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 #3 and staff person #4, staff person #3 and staff person #4 may not work in a child-care position at the facility.

During renewal inspection conducted 3/1/2023, Staff person #3 and Staff person #4 were observed to be working together in the Caterpillar Room. Staff person #3 has the six-hour training titled, Health & Safety Basics: Requirements for Certification dated 9/27/2016, which is unacceptable. Staff person #4 does not have acceptable Pediatric First-Aid/CPR training.

Corrected Corrected by Apr 5, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 and staff person #4 will have until April 6, 2023 to complete the required training. Until such time as the required training has been completed, staff person #3 and staff person #4 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 available to supervise staff person #3 and staff person #4, staff person #3 and staff person #4 may not work in a child-care position at the facility.

During renewal inspection conducted 3/1/2023, Staff person #3 and Staff person #4 were observed to be working together in the Caterpillar Room. Staff person #3 has the six-hour training titled, Health & Safety Basics: Requirements for Certification dated 9/27/2016, which is unacceptable. Staff person #4 does not have acceptable Pediatric First-Aid/CPR training.

Corrected Corrected by Apr 3, 2023

Category: supervision. 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. Staff person #1 and Staff person #2 may not work in a child care position at the facility until all appropriate clearances are on file at the facility, including New York clearances.

During renewal inspection conducted 3/1/2023, Staff person #1 did not have DHS FBI clearance on file. NSOR clearance is dated 2/15/2023, which is after Staff person #1's start date (see LIS code sheet). Staff #2 resided in New York within the past 5 years and does not have appropriate out-of-state clearances on file.

Corrected Corrected by Mar 1, 2023

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

3270.32(c) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness. The Department will review and may deny, refuse to renew or revoke a certificate of compliance if a legal entity, owner, operator or staff person has been convicted of a felony. The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness. Staff person #4. who has been convicted of a felony may not work in or enter the facility.

Staff person #4 pled guilty to a crime of criminal conspiracy robbery for an offense that took place on May 17, 2021. This crime is a felony with a grade of F1.

Corrected Corrected by Apr 5, 2023

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.

During renewal inspection conducted 3/1/2023, fabric freshener labeled "Keep out of reach of children" was observed in an unlocked cabinet in the bathroom used by children between the Cocoon and Caterpillar rooms.

Corrected Corrected by Mar 1, 2023

Marked corrected in the state record.

3270.74/3270.124(e) · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. 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 3/1/2023, the following posting were missing from childcare spaces: Cocoon Room: emergency transportation plan and emergency telephone numbers. Habitat Room: emergency transportation plan.

Corrected Corrected by Mar 1, 2023

Category: transportation. 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 3/1/2023, first-aid kit in the Cocoon Room was missing tape.

Corrected Corrected by Mar 1, 2023

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 renewal inspection conducted 3/1/2023, facility's outdoor play space had several down tree branches throughout the play area.

Corrected Corrected by Apr 3, 2023

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

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

During renewal inspection conducted 3/1/2023, the following was missing from child's fee agreement: Child #1: Arrival and departure times.

Corrected Corrected by Mar 1, 2023

Category: recordkeeping. 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 conducted 3/1/2023, the following was missing from children's emergency contact forms: Child #2: parent's work address and work phone number. Child #4: Release person's phone number.

Corrected Corrected by Apr 3, 2023

Category: recordkeeping. 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.

During renewal inspection conducted 3/1/2023, the following was missing from child's emergency contact form: Child #5: Health insurance coverage and policy number.

Corrected Corrected by Apr 3, 2023

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 conducted 3/1/2023, hands-free trash cans used for diapering were broken in the Cocoon and Caterpillar Rooms.

Corrected Corrected by Mar 1, 2023

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During renewal inspection conducted 3/1/2023, a lunchbox containing chicken, berries, and yogurt was unrefrigerated in the Habitat room.

Corrected Corrected by Mar 1, 2023

Category: nutrition. 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 3/1/2023, Child #4's emergency contact form and fee agreement were last reviewed and updated on 8/22/2022.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

20.71(b)(1) · A staff person who has been convicted of a felony/felonies may not work in the facility. The Department will review and may deny, refuse to renew or revoke a certificate of compliance if a legal entity, owner, operator or staff person has been convicted of a felony. The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness. Staff person #4. who has been convicted of a felony, may not work in or enter the facility.

Staff person #4 pled guilty to a crime of criminal conspiracy robbery for an offense that took place on May 17, 2021. This crime is a felony with a grade of F1.

Corrected Corrected by Apr 5, 2023

Category: background checks. 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 renewal inspection conducted 3/1/2023, facility's fire detection testing log reflected that detection systems were tested over 30 days on the following dates: 10/11/2022-11/16/2022, 12/16/2022-1/17/2023.

Corrected Corrected by Apr 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

During renewal inspection conducted 3/1/2023, there was no health report on file for Child #1. Child #1 is a young toddler and has been attending for more than 60 days (see LIS code sheet).

Corrected Corrected by Apr 3, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During renewal inspection conducted 3/1/2023, last written notification to traffic authorities was dated 1/20/2022. Operator reported that a notification was not sent out yet for the year 2023.

Corrected Corrected by Apr 3, 2023

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.

It was observed in an area of the Caterpillar - toddler room, that paint was chipped and peeling.

Corrected Corrected by Jun 15, 2022

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

It was observed in the preschool room that a staff person was changing a child's diaper and did not immediately wash their hands or the child's hands after the diaper change was completed.

Corrected Corrected by Jun 15, 2022

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Repeated noncompliance from inspection completed on 4/22/22, file for staff person #2, being used as an assistant group supervisor, did not contain both a high school diploma and 2 years of verified experience working with children.

Corrected Corrected by Jun 6, 2022

Category: supervision. 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.

Staff person #1, who is qualified to work as an aide, was observed caring for children in the toddler room unsupervised.

Corrected Corrected by Jun 3, 2022

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the infant room that outlets were left uncovered.

Corrected Corrected by Jun 3, 2022

Marked corrected in the state record.

3270.102(a)/3270.135(b) · 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

It was observed that the infant, toddler, and preschool rooms all contained changing tables and diapering children. The changing tables in those rooms all contained cloth covered changing pads, and these coverings were not being changed after each use. The plastic pads under the cloth coverings were also ripped and not in good repair.

Corrected Corrected by May 31, 2022

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

It was observed in the toddler room that a prescription medication for child #1 was present and was not being stored in its original container.

Corrected Corrected by May 31, 2022

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

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

It was observed in the toddler room that a prescription medication for child #1 was present and there was neither a medication log established for the administered medication nor signed parental consent for the administration of this medication.

Corrected Corrected by May 31, 2022

Category: ratio. 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.

It was observed in the preschool room that the garbage can used for soiled diapers was broken causing it to no longer be a hands-free lidded garbage can.

Corrected Corrected by May 31, 2022

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

It was observed on 5/24/22, that the menu posted for families was dated 5/9-5/13/22, and staff stated that the facility had not provided the menu to each family 1 week in advance.

Corrected Corrected by May 24, 2022

Marked corrected in the state record.

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

It was observed in the infant room that baby bottles were not labeled.

Corrected Corrected by May 24, 2022

Marked corrected in the state record.

3270.94(a)(1)/3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed on 5/24/22, that the last documented fire drill conducted by the facility was dated 3/15/22, and the last documented fire alarm test conducted by the facility was dated 4/22/22.

Corrected Corrected by May 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

File for staff person #1 and #2, both being used as assistant group supervisors, did not contain both a high school diploma and 2 years of verified experience working with children. Verification of experience and education was obtained and placed on file for staff person #1.

Corrected Corrected by May 4, 2022

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the bathroom shared by the preschool and toddler rooms that two outlets were left uncovered.

Corrected Corrected by Apr 22, 2022

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.

It was observed in the toddler room that two tubes of diaper cream were stored in an open bin on the lower shelf of the changing table allowing for those tubes to be accessible to the children in care.

Corrected Corrected by Apr 22, 2022

Category: health medication. 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.

It was observed in the bathroom shared by the preschool and toddler rooms that the protective cover to the glass fluorescent light fixture on the ceiling had been removed allowing for those lights to be exposed causing a visible hazard. It was observed in the multipurpose room that a flat screen television was stored on a high shelf, and that television was not anchored, allowing for it to be unstable creating a visible hazard.

Corrected Corrected by Apr 22, 2022

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.

It was observed in the infant room that plastic bags containing diapers were stored on the lower level shelves allowing for these bags to be accessible to mouthing children in care.

Corrected Corrected by Apr 22, 2022

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

3270.106(f) · 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.

It was observed in the infant room that two infants were sleeping in pack-n-plays and those pack-n-plays did not contain at least 2 feet of space on at least three sides of that rest equipment.

Corrected Corrected by Apr 22, 2022

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

It was observed that the facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Apr 22, 2022

Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's current emergency plan updated in January 2022, did not provide for a method of facility persons to contact parents when an emergency starts, a method to contact parents when the emergency has ended, or instructions on how parents can safely reunite with their children after an emergency.

Corrected Corrected by Feb 3, 2022

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

It was observed that the emergency plan was not posted at a conspicuous location in the facility.

Corrected Corrected by Feb 11, 2022

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

It was observed and stated that the facility did not provide to parents of each enrolled child a letter explaining the facility's emergency procedures.

Corrected Corrected by Feb 11, 2022

Category: physical safety. 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.

File for staff person #1, date of hire (see code sheet), contained PA State Police clearances dated 10/29/15 and 2/18/21, child abuse clearances dated 9/24/15 and 2/18/21, FBI clearances dated 12/3/15 and 11/2/21, and mandated reporter trainings dated 3/9/16 and 1/4/22. These dates on file show that the updated clearances and training were completed more than 60 months from the initial clearance and training on file. File for staff person #2, date of hire (see code sheet), contained PA State Police clearances dated 1/27/15 and 2/18/21, child abuse clearances dated 1/28/15 and 2/18/21, FBI clearances dated 2/9/15 and 10/20/21, and mandated reporter trainings dated 3/16/16 and 10/20/21. These dates on file show that the updated clearances and training were completed more than 60 months from the initial clearances and training on file.

Corrected Corrected by Feb 3, 2022

Category: background checks. 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. The Director, Legal Entity Representative, or anyone at the facility responsible for the hiring of staff or maintaining staff files are required to attend Existing Provider Orientation conducted at the Northeast Regional Office. The legal entity representative must contact the Regional Office in order to schedule this training.

File for staff person #1, date of hire (see code sheet), contained PA State Police clearances dated 10/29/15 and 2/18/21, child abuse clearances dated 9/24/15 and 2/18/21, FBI clearances dated 12/3/15 and 11/2/21, and mandated reporter trainings dated 3/9/16 and 1/4/22. These dates on file show that the updated clearances and training were completed more than 60 months from the initial clearance and training on file. File for staff person #2, date of hire (see code sheet), contained PA State Police clearances dated 1/27/15 and 2/18/21, child abuse clearances dated 1/28/15 and 2/18/21, FBI clearances dated 2/9/15 and 10/20/21, and mandated reporter trainings dated 3/16/16 and 10/20/21. These dates on file show that the updated clearances and training were completed more than 60 months from the initial clearances and training on file.

Corrected Corrected by May 25, 2022

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the butterfly and caterpillar rooms that outlets were left uncovered and were accessible to those children in care that were 5 years of age or younger.

Corrected Corrected by Feb 3, 2022

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.

It was observed in the butterfly room bathroom that cleaning products, hand sanitizer, medical cream, and a first aid kit were all accessible to children.

Corrected Corrected by Feb 3, 2022

Category: health medication. 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.

It was observed that the first aid kit in the butterfly room was missing scissors and the first aid kit in the habitat room was missing tweezers.

Corrected Corrected by Feb 3, 2022

Category: health medication. 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.

It was observed that the kitchen space containing sharp utensils and the facility's stove was left accessible to children in the multipurpose room causing a visible hazard.

Corrected Corrected by Feb 28, 2022

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

3270.102(a)/3270.103 · 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. 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.

It was observed in the caterpillar room that diapers were being stored in clear plastic bags on the bottom shelf of the changing table accessible to those mouthing children in care. It was observed in the infant room that the bouncers located on the floor of the room contained holes in the back of the seats leaving them not in good repair and allowed for the stuffing to be accessible to those mouthing children in care causing a choke hazard.

Corrected Corrected by Feb 11, 2022

Category: health medication. 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.

It was observed in the infant room that a Pack N Play, which was being used as the facility's crib, contained a sleeping infant with a stuffed animal, a mini pillow, and a plastic toy.

Corrected Corrected by Feb 11, 2022

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed in the multipurpose room that a daily schedule was not posted.

Corrected Corrected by Feb 18, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact form for child #1 and #4 did not contain the enrolling parent's work address and emergency contact form for child #1 also did not contain the enrolling parent's home address or work telephone number.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. 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.

Emergency contact form for child #1 and #3 did not contain the health insurance policy number.

Corrected Corrected by Feb 11, 2022

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

3270.124(b)(7) · 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.

Emergency contact form for child #2, #3, and #4 did not contain the release person's address and emergency contact form for child #4 also did not contain the release person's telephone number.

Corrected Corrected by Feb 11, 2022

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.

It was observed throughout the building that emergency contact information was not present in the child care space for those children receiving care in those spaces.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. 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.

It was observed that an emergency transportation plan was neither created for the facility nor posted in each child care space.

Corrected Corrected by Feb 11, 2022

Category: transportation. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Health report for child #2 and #3 did not contain written documentation of the status of all the age appropriate immunizations recommended by the ACIP.

Corrected Corrected by Mar 31, 2022

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

3270.133(1)/3270.133(4) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

It was observed that medication present for child #5 was not accepted or stored in it's original container and was left accessible to children in care.

Corrected Corrected by Feb 11, 2022

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

It was observed and stated that the facility is only posting their menu daily, and is not posting or providing families with a menu at least 1 week in advance.

Corrected Corrected by Feb 14, 2022

Marked corrected in the state record.

3270.166(1)/3270.166(4) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Disposable nursers and bottles shall be labeled with the child's name.

It was observed that a written infant feeding schedule was not obtained from the parent and placed on file and bottles observed were not labeled.

Corrected Corrected by Feb 18, 2022

Category: nutrition. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

It was observed that the facility's current emergency plan updated January 2022, did not include details on accommodations for infants and toddlers, and infants and toddler were observed in care the day of inspection.

Corrected Corrected by Feb 18, 2022

Category: physical safety. 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.

It was observed and stated that the facility did not conduct an annual emergency drill as required; no documentation of an emergency drill log was observed.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

It was observed that the operator did not provide to each enrolled parent information on how to access the regulations in chapter 3270 electronically.

Corrected Corrected by Feb 11, 2022

Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

It was observed that the current emergency plan updated in January 2022, did not include in-place shelter, a lock-down procedure, and did not specify evacuation locations or procedures.

Corrected Corrected by Feb 18, 2022

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

3270.171(a)/3270.171(c) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

It was observed and stated that the facility did not send their annual traffic letter to their local traffic authority. It was observed that the safe routes, which should indicate pick-up and drop-off procedures, were not posted.

Corrected Corrected by Feb 18, 2022

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 persons #1 and #2 have mandated reporter training dated 9/1/15 and 3/10/15. Facility persons #1 and #2 both updated mandated reporter training on 10/14/21.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. Marked corrected in the state record.