3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #1 is missing the child's arrival and departure times.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

The facility does not have a policy to address continuity of operations.

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3280.14/3280.20 · 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. Child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

The facility does not have a policy in place to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment.

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3280.26(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.

Operator admitted the emergency plan has not been sent to the local municipality and to the county emergency management agency annually.

Corrected Corrected by Apr 18, 2025

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Child #1 is missing specific services to be provided to the family and the child. Child #2 is missing an updated child service report.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child #1 is missing the date of the child's admission.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #1 is missing signed consent by a parent for emergency medical care.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Child #2 is missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Child #2 is missing updated emergency contact and agreement form.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #1 is missing signed parental consent for minor first aid.

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3280.26(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.

The emergency plan does not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Apr 18, 2025

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Operator has not conducted emergency drills annually, date of last drill 3/28/24.

Corrected Corrected by Apr 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

During the renewal inspection on 4/19/2024, it was observed that the facility had an embedded swing set over concrete. Concrete does not meet the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Apr 19, 2024

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

3280.113(a)(1) · 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.

Upon arrival for the renewal inspection, it was observed that there were seven children. At least one child was an older toddler. Ratio required at least two staff people. Staff 1 and 2 did not have the children spilt into specific groups of children.

Corrected Corrected by Apr 19, 2024

Category: supervision. Marked corrected in the state record.

3280.131(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.

Children 1 and 2 did not have a statement on their health report saying that they are able to participate in childcare.

Corrected Corrected by May 3, 2024

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Toxics were observed in the unlocked bathroom sink. Clorox wipes were also observed on the counter in the bathroom and to be accessible to the children.

Corrected Corrected by Apr 17, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

On the outside play area, nails were sticking out of fence in multiple areas. The green carpet leading into the house was also sticking up and was a tripping hazard.

Corrected Corrected by Apr 24, 2023

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

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

During the renewal inspection on 4/17/2023, there was a dog present and in a crate. The dog's rabies vaccine expired on 3/22/2023.

Corrected Corrected by May 24, 2023

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Child 3 did not have a new child service report on file. Child 3's parent signed the previous one again. Facility did not complete a new child service report with the parent.

Corrected Corrected by May 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(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 1 did not have an updated health assessment on file. It expired on February 14, 2023.

Corrected Corrected by May 24, 2023

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

3280.131(e)(1)/3280.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Child 1 did not have an updated flu shot or an exemption letter on file.

Corrected Corrected by May 24, 2023

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

3280.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff 2 did not have a statement on file stating that she is suitable to provide childcare.

Corrected Corrected by May 24, 2023

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

3280.24(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.

The facility did not have electronic access to the regulations available to the parents. DHS contact information was also not available.

Corrected Corrected by Apr 24, 2023

Marked corrected in the state record.

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-9), within 90 days of hire. Staff person #2 will have until 5/1/2023 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a primary care staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training. (see LIS code sheet for date of hire): Get Started with Center Based Care.

Corrected Corrected by May 1, 2023

Category: supervision. Marked corrected in the state record.

3280.31(f) · Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 5/1/2023.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 1, 2023

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Staff 1 and 2 did not have 12 hours of annual training on file.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff 2 had a first aid/cpr certificate that expired in March of 2022.

Corrected Corrected by May 20, 2022

Category: ratio. Marked corrected in the state record.

3280.131(b)(1)/3280.131(d)(5) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Child 1 did not have an updated health assessment or immunizations on file. Proof of appointment also was not on file.

Corrected Corrected by Apr 20, 2022

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

3280.26(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.

The emergency plan did not have a section related accommodations for infants, toddler, children with disabilities and children with chronic medical conditions.

Corrected Corrected by May 20, 2022

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

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The third floor of the facility did not have an evacuation route posted.

Corrected Corrected by Apr 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)/3280.131(d)(7) · 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. 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.

Child 2 did not have an appropriate health assessment form on file. The form that was presented was a print out from the doctor's office and was not on an acceptable state issued form. The form did not state that the child was suitable for childcare and free from contagious diseases.

Corrected Corrected by May 20, 2022

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

3280.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Staff 1 did admit that she did not contact OCDEL for a positive COVID-19 case at the facility. The date of the positive COVID case was 9/16/2021.

Corrected Corrected by Oct 5, 2021

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