3270.92(a) · Portable space heaters are not permitted.

Upon walking into the office space, it was observed that a portable space heater was operating.

Corrected Corrected by Nov 14, 2024

Category: physical safety. 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.

In the infant room, it was observed that a child was resting in a crib that only had approximately two feet of space on two sides. The third side had various items on the side of it, prohibiting the ability to have two feet of space on that side.

Corrected Corrected by Nov 14, 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.

In the school age room, a daily schedule was not posted.

Corrected Corrected by Nov 14, 2024

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

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

In the infant room, multiple infant bottles were observed to not be labeled with the child's name.

Corrected Corrected by Nov 14, 2024

Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

In the older toddler room, a filing cabinet was observed to have a broken lock. The filing cabinet had child service reports in it.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection, fee agreement used throughout facility did not specify release people.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

During renewal inspection, school busses used by facility to provide transportation to and from school were not inspected annually by Pennsylvania State Police (PSP).

Corrected Corrected by Dec 8, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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.

During renewal inspection, the following staff persons did not renew their certification in pediatric first-aid/CPR on or before the expiration of the most current certification: Staff person #1: 8/25/2021 and 10/16/2023. Staff person #2: 7/30/2021 and 10/16/2023. Staff person #3: 7/30/2021 and 9/13/2023. Staff person #4: 8/21/2021 and 9/13/2023. Staff person #5: 8/25/2021 and 9/13/2023. Staff person #6: 8/1/2021 and 9/13/2023. Staff person #7: 8/19/2021 and 9/12/2023.

Corrected Corrected by Nov 16, 2023

Category: ratio. 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 #4 may not be present in the child care facility until results from PSP clearance are on file.

During renewal inspection, the following items from staff files were updated past 60 months: Staff person #1: FBI clearances dated 3/29/2016 and 8/14/2021. Staff person #2: Mandated reporter training completed on 6/29/2018 and 7/17/2023. Staff person #4: PSP clearance dated 6/20/2018 and PSP clearance request dated 5/8/2023. Clearance request is not an acceptable clearance. Staff person #5: Child abuse clearances dated 6/14/2016 and 10/12/2021. Mandated reporter training completed 8/8/2016 and 10/4/2021.

Corrected Corrected by Nov 16, 2023

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

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

During renewal inspection, director indicated that facility has 170 total children enrolled on provider survey sheet. Operator reports that the maximum number of children at any given time is 100 children. Facility does not employ 3 group supervisors.

Corrected Corrected by Feb 3, 2024

Category: supervision. 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.

During renewal inspection, vinyl on red/blue chair in PK1 room was ripped. The plastic on an outdoor climbing toy was cracked, creating a pinch point.

Corrected Corrected by Nov 16, 2023

Category: physical safety. 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 and child #2 must be dismissed from care by close of business 11/16/23 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, the following children's files did not reflect immunized status in accordance with the recommendations of the ACIP: Child #1: 2 of 3 doses each of Rotavirus, DTAP, and Pneumococcal vaccines. Child #1 is an infant (see LIS code sheet for date of birth). There is no exemption on file. Child #2: 3 of 4 doses of DTAP vaccine and no record of HIB or Polio vaccines. Child #2 is a young toddler (see LIS code sheet for date of birth). There is no exemption on file.

Corrected Corrected by Nov 16, 2023

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

3270.113(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. Staff #1, Staff #2, and Staff #3 shall register for and attend training titled "The Importance of Supervision: Indoors & Out," on June 29, 2023, which is located on the PD Registry.

During complaint investigation, there were 12 children in the Older Toddler room with three staff members. Staff initially identified 9 children as being in groups. One staff member reported having two children in her group, another staff member reported having three children in her group, and the third staff member reported having four children in her group, leaving three children unaccounted for. Before certification representative left the room, all staff members admitted to being assigned four children each. An acceptable plan of correction was received with correction date of 4/18/2023. When certification representative returned for unannounced monitoring on 5/24/2023, there were 15 children in the Older Toddler room with three staff members. Staff #1 initially reported having 8 children in her group, then said that she had 6 children in her group. Staff #2 initially stated that she had 3 children in her group. Staff #3 stated that she had 5 children in her group, but only named 4. Before certification representative left the room, all staff members were assigned the following groups: Staff #1 was assigned 6 children, Staff #2 was assigned 4 children, Staff #3 was assigned 5 children. All staff were able to name their groups prior to certification representative leaving the room.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.113(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.

During complaint investigation, there were 12 children in the Older Toddler room with three staff members. Staff initially identified 9 children as being in groups. One staff member reported having two children in her group, another staff member reported having three children in her group, and the third staff member reported having four children in her group, leaving three children unaccounted for. Before certification representative left the room, all staff members admitted to being assigned four children each. An acceptable plan of correction was received with correction date of 4/18/2023. When certification representative returned for unannounced monitoring on 5/24/2023, there were 15 children in the Older Toddler room with three staff members. Staff #1 initially reported having 8 children in her group, then said that she had 6 children in her group. Staff #2 initially stated that she had 3 children in her group. Staff #3 stated that she had 5 children in her group, but only named 4. Before certification representative left the room, all staff members were assigned the following groups: Staff #1 was assigned 6 children, Staff #2 was assigned 4 children, Staff #3 was assigned 5 children. All staff were able to name their groups prior to certification representative leaving the room.

Corrected Corrected by May 25, 2023

Category: supervision. Marked corrected in the state record.

3270.113(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.

During complaint investigation, there were 12 children in the Older Toddler room with three staff members. Staff initially identified 9 children as being in groups. One staff member reported having two children in her group, another staff member reported having three children in her group, and the third staff member reported having four children in her group, leaving three children unaccounted for. Before certification representative left the room, all staff members admitted to being assigned four children each.

Corrected Corrected by Apr 18, 2023

Category: supervision. Marked corrected in the state record.

3270.113(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. Legal entity must develop a supervision policy that must also include supervision during transitions, outdoor excursions, and transportation. Supervision plan must be sent to Northeast Regional Office for approval. Once approved, supervision plan must be reviewed with all current and future staff, who will sign and date in acknowledgement.

During complaint investigation, there were 12 children in the Older Toddler room with three staff members. Staff initially identified 9 children as being in groups. One staff member reported having two children in her group, another staff member reported having three children in her group, and the third staff member reported having four children in her group, leaving three children unaccounted for. Before certification representative left the room, all staff members admitted to being assigned four children each.

Corrected Corrected by May 22, 2023

Category: supervision. Marked corrected in the state record.

3270.177(b) · Children shall be supervised during boarding and exiting vehicles by an adult who remains outside the vehicle.

Complaint investigation verified that Staff person #1 remained inside of the vehicle while Child #1 exited and boarded the vehicle

Corrected Corrected by Apr 25, 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 #12 , #10, and #13 will have until 12/17/2022 to complete the required training. Until such time as the required training has been completed, staff person #12, #10, and #13 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 #12, #10, and #13, staff person #12, #10, and #13 may not work in a child-care position at the facility.

Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): CCDBG Health and Safety training. Staff person #10 and Staff person #13 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR from PQAS instructor.

Corrected Corrected by Dec 13, 2022

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 #7 may not work in a child care position at the facility until all required clearances are on file, including out of state clearances from New York.

During renewal inspection conducted 11/7/2022-11/17/2022, the following clearances were not updated within 60 months as per CPSL: Staff #1: Child abuse clearances dated 3/24/2015 and 10/5/2020. FBI clearance dated 3/25/2015 and 8/14/2021. Staff #2: Mandated reporter training dated 9/9/2017 and 10/20/2022. Staff #3: Mandated reporter training dated 8/11/2016 and 10/5/2021. Staff #5: FBI Clearance dated 3/29/2016 and 8/14/2021. Staff #4: Child abuse clearance dated 4/29/2022, which is after staff's start date (see LIS code sheet). Staff #6: Child abuse clearance dated 10/24/2022, which is after staff's start date (see LIS code sheet). Staff #7: Child abuse clearance dated 11/2/2022, which is after staff's start date. Staff #7 began working without properly requesting out-of-state clearances (see LIS code sheet).

Corrected Corrected by Nov 17, 2022

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

3270.74 · 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.

During renewal inspection conducted 11/7/2022, emergency telephone numbers were not posted in the Pre-K 1 room.

Corrected Corrected by Nov 7, 2022

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.

During renewal inspection conducted 11/7/2022, a plastic picnic table located in the outdoor play space was observed with cracked plastic, creating pinch points.

Corrected Corrected by Nov 7, 2022

Category: physical safety. 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.

During renewal inspection conducted 11/7/2022-11/17/2022, fire drill log reflected that fire drills were conducted 12/2/2021 and 2/11/2021, which is past 60 days.

Corrected Corrected by Nov 17, 2022

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.

During renewal inspection conducted 11/7/2022-11/17/2022, the following staff did not obtain an annual minimum of 12 clock hours of child care training: Staff #1: obtained 6 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #3: obtained 0 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #5: obtained 8.5 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #8: obtained 2 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #9: obtained 5.5 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #10: obtained 2 hours of annual child care training for training year 12/19/2020-12/19/2021. Staff #11: obtained 10.5 hours of annual child care training for training year 12/19/2020-12/19/2021.

Corrected Corrected by Nov 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.108(c) · Styrofoam cups and plates may not be used.

During renewal inspection on 11/2/21 cert rep observed that facility was using Styrofoam plates in all the classrooms.

Corrected Corrected by Nov 3, 2021

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.

The facility had confirmed positive cases of Covid-19 in children from the Pre-K 1 classroom. Administration notified parents and Allentown Health Bureau. They did not notify OCDEL cert rep or regional office as required by OCDEL Announcement C-21-07 effective 9/7/21 which states that the facility must continue to use the Covid Data Collection Tool and notify their designated certification rep of exposure and/or new positive cases of Covid-19.

Corrected Corrected by Oct 23, 2021

Category: ratio. Marked corrected in the state record.

3270.136(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.

The facility had confirmed positive cases of Covid-19 in children from the Pre-K 1 classroom. Administration notified parents and Allentown Health Bureau. They did not notify OCDEL cert rep or regional office as required by OCDEL Announcement C-21-07 effective 9/7/21 which states that the facility must continue to use the Covid Data Collection Tool and notify their designated certification rep of exposure and/or new positive cases of Covid-19.

Corrected Corrected by Oct 23, 2021

Category: ratio. Marked corrected in the state record.