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 3 and 5 did not have emergency plan training on file.

Corrected Corrected by Apr 16, 2024

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.

Staff 5 did not have fire safety training on file. Please see LIS for date of hire.

Corrected Corrected by Apr 30, 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). Facility Person #1 and 2 -- may not work in a child care position at the facility until all clearances are obtained. A facility persons records 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 Persons #1 and 2 may not work in a child care position at the facility until all clearances are obtained.

Facility person 1 did not have the state police, child abuse or FBI clearance on file. Facility person 2 did not have the DHS FBI clearance on file. There was only proof of applying for the DHS FBI clearance in facility person's 2 file. Facility persons 1 and 2 are past their 90 days of hire. Please see LIS for dates of hire.

Corrected Corrected by Apr 24, 2024

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). Facility person will have until 5/8/2024 to complete the mandated reporter training. Until such time as the required training has been completed, facility persons #1 and 2 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 facility persons 1 and 2, facility persons 1 and 2 may not work in a child-care position at the facility.

Facility persons 1 and 2 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet for date of hire).

Corrected Corrected by Apr 24, 2024

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.

Staff 5 did not have a staff evaluation on file.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. In the future, peeling paint will be added to the weekly checklist.

Walls in the lunchroom and front playground had peeling plaster. The wall upon entering the lunchroom to the far right had peeling plaster. Upon entering the front playground, the wall to the left had peeling plaster. The front playground will not be used until peeling paint is fixed.

Corrected Corrected by Apr 30, 2024

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.

The school age room did not have a daily schedule posted.

Corrected Corrected by Apr 16, 2024

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).

Children 1-5 did not have updated child service reports on file. Children 2 and 4 did not have a child service report on file. Child 1's last updated child service report was on 6/24/2023. Child 3's was on 1/19/2023 and child 5's was on 9/17/2023.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(b)/3270.151(c)(2) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff 5 did not have a health assessment or TB screening on file. Staff 6's health assessment did not have a signature from a physician, physician's assistant or CRNP.

Corrected Corrected by Apr 23, 2024

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

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff 4 did not have verification of childcare experience on file.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · 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 facility did have a fire drill documented on 4/9/2024. However, previous fire drills for the year of 2024 were not documented. As a result, the fire drills were not previously conducted every 60 days.

Corrected Corrected by Apr 9, 2024

Category: recordkeeping. 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 4 and 5 did not have 12 hours of annual training on file.

Corrected Corrected by May 10, 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. Children must be supervised at all times.

Facility self-reported to DHS on 12/12/2023 that child 1 left her classroom for approximately 3-4 minutes on 12/8/2023. Staff 1 was in the classroom with 4 children in care, including child 1. There is a bathroom connected to the classroom. After staff 1 helped child 1 in the bathroom, staff 1 began to assist another child in the bathroom. During that time, staff 1 stated child 1 exited the classroom door. Staff 1 stated that as soon as she walked out of the bathroom, she observed the classroom door open. As per staff 1, it was less than one minute from the time she walked out of the bathroom and child 1 exiting the classroom. After exiting the classroom door, the child turned right and went through two double green doors. After the double green doors, child 1 went down a flight of stairs and straight through one of the exits/entrances of the building where the public would need to be buzzed in. When outside, she then went towards where the facility vans are parked and was found by staff 2. Staff 2 called staff 3 around 2:38p.m. to receive child 1 from her. At 2:41p.m. staff 3 did receive child 1 from staff 2.

Corrected Corrected by Jan 16, 2024

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. Children must be supervised at all times. Facility staff will receive a minimum of two hours of training regarding supervision of children through a PQAS trainer. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Facility self-reported to DHS on 12/12/2023 that child 1 left her classroom for approximately 3-4 minutes on 12/8/2023. Staff 1 was in the classroom with 4 children in care, including child 1. There is a bathroom connected to the classroom. After staff 1 helped child 1 in the bathroom, staff 1 began to assist another child in the bathroom. Facility self-reported to DHS on 12/12/2023 that child 1 left her classroom for approximately 3-4 minutes on 12/8/2023. Staff 1 was in the classroom with 4 children in care, including child 1. There is a bathroom connected to the classroom. After staff 1 helped child 1 in the bathroom, staff 1 began to assist another child in the bathroom. During that time, staff 1 stated child 1 exited the classroom door. Staff 1 stated that as soon as she walked out of the bathroom, she observed the classroom door open. As per staff 1, it was less than one minute from the time she walked out of the bathroom and child 1 exiting the classroom. After exiting the classroom door, the child turned right and went through two double green doors. After the double green doors, child 1 went down a flight of stairs and straight through one of the exits/entrances of the building where the public would need to be buzzed in. When outside, she then went towards where the facility vans are parked and was found by staff 2. Staff 2 called staff 3 around 2:38p.m. to receive child 1 from her. At 2:41p.m. staff 3 did receive child 1 from staff 2.

Corrected Corrected by Jan 19, 2024

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. Children must be supervised at all times. Facility will develop a policy to put in place where staff will be required to request assistance when needing to assist children with bathroom needs. Policy will be forwarded to DHS for approval. Certification representative will make three unannounced visits over the next three months, to ensure the policy is being properly followed.

Facility self-reported to DHS on 12/12/2023 that child 1 left her classroom for approximately 3-4 minutes on 12/8/2023. Staff 1 was in the classroom with 4 children in care, including child 1. There is a bathroom connected to the classroom. After staff 1 helped child 1 in the bathroom, staff 1 began to assist another child in the bathroom. During that time, staff 1 stated child 1 exited the classroom door. Staff 1 stated that as soon as she walked out of the bathroom, she observed the classroom door open. As per staff 1, it was less than one minute from the time she walked out of the bathroom and child 1 exiting the classroom. After exiting the classroom door, the child turned right and went through two double green doors. After the double green doors, child 1 went down a flight of stairs and straight through one of the exits/entrances of the building where the public would need to be buzzed in. When outside, she then went towards where the facility vans are parked and was found by staff 2. Staff 2 called staff 3 around 2:38p.m. to receive child 1 from her. At 2:41p.m. staff 3 did receive child 1 from staff 2.

Corrected Corrected by Apr 16, 2024

Category: supervision. Marked corrected in the state record.

3270.21/3270.174 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator of the vehicle shall be 18 years of age or older and shall have a valid operator's license.

During a complaint investigation, it was determined through multiple interviews that staff 1 allowed children 1-3 to drive one of the facility vans through the parking lot. He would sit in the driver seat while the children would sit in his lap.

Corrected Corrected by Nov 21, 2023

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

3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

During a complaint investigation, it was determined through multiple interviews that staff 1 allowed children 1-3 to drive one of the facility vans through the parking lot. He would sit in the driver seat while the children would sit in his lap. Children 1-3 are younger than 7 years of age and were not in an appropriate age restraint system.

Corrected Corrected by Nov 21, 2023

Category: transportation. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f). Staff person #1 and 3 will have until 12/21/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 and 3 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 #1 and 3, staff person #1 and 3 may not work in a child-care position at the facility.

Staff person #1 and 3 has not completed the following required pre-service training: Get Started in Center Based Care. Please LIS for dates of hire.

Corrected Corrected by Dec 21, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person #2 shall complete the required one-hour 2022 update to the health and safety training by 12/21/2023.

Staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Dec 21, 2023

Category: health medication. 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). Facility Person # 2 may not be in the facility until all clearances are obtained. 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 Person # 2 may not be in the facility until all clearances are obtained. The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person 1 and 2 will have until 12/21/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person 2 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 and 2, staff person 1 and 2 may not work in a child-care position at the facility.

During a complaint investigation, it was found that staff 2 had expired state police and FBI clearances on file. Staff 2 also did not have a child abuse clearance on file. The FBI clearance that was on file was dated 3/27/2009 and the state police clearance that was on file was dated 11/16/2015. Staff 2 also did not have an updated mandated reporter training on file. The mandated reporter training that was on file was last dated 6/3/2015. Staff 1 did not have a mandated reporter training on file.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f)(10) · Staff person 3 shall complete professional development in the topics of 3270.31(f)(10). Staff person # 3 will have until 12/21/2023 to complete the required training. Until such time as the required training has been completed, staff person #1, 2 and 3 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, staff person 3 may not work in a child-care position at the facility.

Staff person 3 has not completed the following required pre-service training: Pediatric first aid/cpr. Please see LIS for dates of hire.

Corrected Corrected by Dec 21, 2023

Category: supervision. 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 an inspection on 11/20/2023, it was found that the last fire alarm testing that was conducted was on 10/13/2023, making it more than 30 days between testing of the alarm system.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

During an inspection on 11/20/2023, it was found that there was a "report of concern" on file that staff 1 inappropriately touched a child at the facility. There was no proof on file that the facility reported the incident to another agency.

Corrected Corrected by Nov 7, 2023

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

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department. Operator will develop a mandated reporter policy that clearly explains mandating reporting requirements for all staff. The policy shall include required mandated reporting timelines. The operator shall send a copy to the Regional Office for approval. Once approved, the operator shall hold a staff meeting for all staff to go over the supervision policy. Staff will sign a statement affirming that they have read and understand the policy.

During an inspection on 11/20/2023, it was found that there was a "report of concern" on file that staff 1 inappropriately touched a child at the facility. There was no proof on file that the facility reported the incident to another agency.

Corrected Corrected by Jan 31, 2024

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). Facility Person # 1 and 2 may not work in a child care position at the facility. 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 Person #1 and 2 may not work in a child care position at the facility.

Staff 1 and 2, who are not in child care roles, did not have appropriate clearances on file. Staff 1's state police clearance was last updated on 12/17/2015. He also did not have a DHS FBI clearance on file. Staff 2 only had proof of applying for the DHS FBI clearance.

Corrected Corrected by Oct 13, 2023

Category: background checks. 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.

Staff 3, 4, 5 and 6 did not have updated staff evaluations on file.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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.

In the preschool room, there was an outlet uncovered in the power strip which was by the computer area.

Corrected Corrected by Oct 13, 2023

Marked corrected in the state record.

3270.123(a)(3)/3270.124(f) · 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). 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.

Child 2 and 3 did not have updated child service reports on file. Child 2's last child service report was dated 1/19/2023. Child 3's child service report was last dated 10/1/2021. Child 1 and 2 also need updated emergency forms. Child 1's emergency form was last updated on 3/11/2022 and child 2's was last updated 8/15/2021. See LIS for dates of admission.

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Expired inhalers were observed in the cafeteria area.

Corrected Corrected by Oct 13, 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.

Fire alarm testing was conducted pm 6/12/2023, 9/1/2023 and 10/13/2023 making it more than 30 days between tests.

Corrected Corrected by Oct 13, 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 annual inspection on 10/12/2022, there was a missing ceiling tile in the back kitchen to the left. A ceiling tile next to that was also chipped.

Corrected Corrected by Oct 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.

Plastic bags were in a drawer by the sink in the Teddy Bear room. The drawer was unlocked. There was rubber gloves accessible to the children in the Grasshopper room. The rubber gloves were in an unlocked drawer accessible to children.

Corrected Corrected by Oct 12, 2022

Marked corrected in the state record.

3270.124(f)/3270.181(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.

Children 1 and 2 had outdated emergency forms and fee agreements. Child 1's fee agreeement and emergency form was last updated on 4/5/2022. Child 2's were last updated on 4/7/2022.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. 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.

Staff 1 had an outdated physical. It was last updated in August of 2020 making it more than 2 years since the last update.

Corrected Corrected by Nov 12, 2022

Category: ratio. 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.

The facility did not have an emergency drill documented during the annual inspection on 10/12/2022.

Corrected Corrected by Nov 12, 2022

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.

Staff 1 last had fire safety training on 9/3/2020. As a result, staff 1 last took fire safety training more then 12 months ago.

Corrected Corrected by Oct 13, 2021

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.

In the chipmunk room there was a ceiling tile that was chipped and show water stains.

Corrected Corrected by Oct 17, 2021

Category: physical safety. 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.

In the chipmunk room, there was chipping paint on the wall facing the person that is entering the room.

Corrected Corrected by Oct 17, 2021

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

3270.102(a) · 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.

In the lower level playground, there was a small chain link fence towards the back. The chains were not connected to the poles and had sharp points at the end.

Corrected Corrected by Oct 17, 2021

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 Steam room, there was a chair with foam coming out of it making it not easy to clean.

Corrected Corrected by Oct 7, 2021

Marked corrected in the state record.

3270.94(a)(1) · 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.

Fire drills were last conducted on 7/28/2021.

Corrected Corrected by Oct 11, 2021

Category: recordkeeping. Marked corrected in the state record.