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

Agreement form for child #1, #2, #3, #4, and #5 did not list persons to whom the child can be released.

Corrected Corrected by Feb 10, 2025

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, #2, #3, #4, and #5 was missing the insurance policy number.

Corrected Corrected by Feb 10, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #6 and #7 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #6 and #7 may not work in a child care position at the facility.

Staff #1 had an FBI clearance dated 10/1/19 and updated 11/14/24, which is greater than 60 months. Staff #2 had a State Police clearance dated 5/29/29 and updated 11/13/24, and an FBI clearance dated 8/24/19 and updated on 11/14/24, both of which are greater than 60 months. Staff #5 had an FBI clearance dated 11/15/24, which was not completed within 45 days of hire. Staff #6 had a State Police Clearance on file with "Pending" results, which is not a completed clearance. Staff #6 had an FBI clearance for the Purpose of Department of Education on file, updated DHS clearance was later obtained dated 11/18/24. Staff #6 was observed to need out of state clearances for MAryland and clearances were not on file. Staff #7 had a State Police Clearance dated 12/6/24, FBI dated 12/9/24 on file, both of which were completed after 45 days of hire. Staff #7 is missing a completed NSOR and Child Abuse Clearance on file. Staff #6 and#7 may not work in a child care position at the facility until clearances are completed and on file.

Corrected Corrected by Feb 10, 2025

Category: supervision. Marked corrected in the state record.

3270.104(a)/3270.106(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In room 102 and 105, napping mats were observed to be in disrepair with exposed foam along the edges and corners of the mats.

Corrected Corrected by Feb 10, 2025

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.

In room 105, a classroom fridge was observed to be dirty and an odor was observed inside when the fridge was opened.

Corrected Corrected by Dec 18, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

Agreement form for child #1, #2, #3, #4, and #5 was not signed by the operator.

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. 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 #1, #2, #3, #4, and #5 was missing the addresses for persons to whom the child can be released.

Corrected Corrected by Feb 10, 2025

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.

A written transportation plan was observed to be missing from rooms 102, 101, 105, 106, and 107.

Corrected Corrected by Feb 10, 2025

Category: transportation. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

There was no medication log on file for child #1

Corrected Corrected by Feb 10, 2025

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

3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff #3 had a health assessment dated 1/24/20 and updated 12/2/24, which is greater than 24 months. Staff #4 had a health assessment dated 10/20/20 and does not have an updated health assessment on file.

Corrected Corrected by Dec 18, 2024

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.

There was no record of an emergency drill on file.

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. 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 detection testing was observed to be completed greater than 30 days on the following occasion- 9/11/24 to 10/30/24.

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #2 and #3 will have until December 15 to complete the required training. Until such time as the required training has been completed, staff person #2 and #3 must be supervised, when interacting with children, by an AGS qualified staff who has completed the required training related to this citation.

Records for Staff #2 did not contain evidence of the 10-hour health and safety training required within 90 days of hire. Files for Staff #2 and #3 did contain the one hour update. Staff #4 completed the ten hour training, but not the one-hour update training. Staff #1 completed the required trainings, but the update was completed after the December 2022 deadline (corrected at time of inspection).

Corrected Corrected by Jan 25, 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). 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.

Records for Staff #2 (delinquent state police clearance), #4 (delinquent state police and child abuse clearances), reflected delinquent clearances that were corrected at time of inspection.

Corrected Corrected by Nov 15, 2023

Category: background checks. 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 records for Staff #1, #2, #3, #5 and #7 contained health assessments that were either delinquent, or delinquent but corrected at time of inspection. Staff #1, #2, #5 and #7 were corrected at time of inspection, Staff #3 remains outstanding, the last health assessment on file dated 11/20/2020.

Corrected Corrected by Nov 13, 2023

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Record for Staff #6 did not contain evidence of letters of reference.

Corrected Corrected by Feb 5, 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. Facility Person #3 must be removed from a child care position by the close of business.

The file of facility person #1, hired 10/11/21, did not contain a completed child abuse clearance until 2/9/22 and did not contain a completed NSOR verification certificate as required under the CPSL. The facility did not have an approved provisional hire waiver on file. The file of facility person #2, hired 7/1/21, did not contain a completed state police clearance until 2/14/22. The file of facility person #3, with a start date of 1/27/04, did not contain an FBI clearance, as required under the CPSL.

Corrected Corrected by Mar 4, 2022

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

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

On 11/16/21, it was observed that a bottle of sanitizer in the 2 year old room was not labeled to specify the content.

Corrected Corrected by Mar 4, 2022

Category: ratio. 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.

The telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center were not observed to be posted by the telephones in the classrooms on 11/16/21.

Corrected Corrected by Mar 4, 2022

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.

On 11/16/21, potentially hazardous foods, including cheese and lunchmeat, were observed to be stored in lunch boxes with ice packs rather than in a refrigerator.

Corrected Corrected by Mar 4, 2022

Category: nutrition. Marked corrected in the state record.