3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of the inspection, there was not documentation of an emergency drill conducted in 2022.

Corrected Corrected by May 17, 2023

Category: recordkeeping. 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.

Observed in the infant/young toddler room, the middle leg of the counter loose and not secure.

Corrected Corrected by May 15, 2023

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 Emergency Plan lacked continuity of operations.

Corrected Corrected by May 22, 2023

Category: ratio. 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.

Upon reviewing the Emergency Plan during the renewal inspection, the plan did not address the role of the volunteers, nor was there documentation that the 3 volunteers received training on the Emergency Plan.

Corrected Corrected by Sep 15, 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.

At the time of the inspection, the numbers for the local fire department and ambulance were not posted.

Corrected Corrected by Aug 30, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

At the time of the inspection, there was not a first-aid kit in the gross motor room where children were observed in care in the morning and napping in the afternoon.

Corrected Corrected by Aug 30, 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.

Observed numerous rest mats damaged with exposed foam that were used by children in care and stored in the closet adjacent to the gross motor room.

Corrected Corrected by Sep 21, 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.

Observed in the infant room, a blue and white bouncer with clear tape present around the hinge. The tape was easily removable and less than 1 inch in diameter for children who are still placing objects in their mouths.

Corrected Corrected by Aug 26, 2022

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

Observed 5 Graco brand high chairs with plastic molded slates for straps but missing the shoulder straps that were intended to be used per the manufacturer's guidelines. Observed 2 tables in the toddler space with 8 built in chairs with plastic molded slates for straps but missing the straps that were intended to be used per the manufacturer's guidelines.

Corrected Corrected by Sep 6, 2022

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.

Observed and measured in the infant room the crib labeled for child #9 was less than 2 feet from the crib labeled for child #10; the crib for child #10 was less than 2 feet from the crib labeled for child #11; the crib labeled for child #11 was less than 2 feet from the crib labeled for child #12.

Corrected Corrected by Sep 14, 2022

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

3270.113(a) · 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.

Observed during nap time in the gross motor room, staff #2 unable to properly see and assess 1 preschool age child sleeping in the corner of the room due to the fact there was insufficient lighting.

Corrected Corrected by Sep 7, 2022

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Observed an infant sleeping in a swing in the infant room. Staff #1 reported they "thought it was ok if the parents did it at home."

Corrected Corrected by Sep 14, 2022

Category: health medication. 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.

The file of child #1 lacked an emergency contact form with the parent's home and work addresses and telephone numbers.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed the following in the infant room: Johnson and Johnson powder with an unidentifiable label; (2) Parent's Choice diaper rash/ointment not labeled; Aquaphor not labeled; and Dollar General brand A and D ointment not labeled

Corrected Corrected by Sep 13, 2022

Category: health medication. 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.

Observed the following expired creams/ointments in the infant room: Aveeno night balm for child #2 10/19; Desitin for child #1 7/19; Desitin child #3 2/22; Aquaphor child #4 11/19; Desitin child #5 7/22; Desitin child #6 2/18; Desitin child #7 8/20 and Aquaphor child #7 3/22; Balmex complex protection diaper rash child #8 4/20; and expired without labels: Aquaphor 5/20, Dollar General A and D 9/20; Parent's Choice diaper rash 3/20; and Parent's Choice diaper rash 5/20. Also observed a prescription medication for child #1 expired 12/20.

Corrected Corrected by Sep 13, 2022

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.

Staff #1, #2, #3, and #4, utilized as volunteers to assist staff on a regular basis, lacked emergency plan training.

Corrected Corrected by Aug 3, 2021

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. Volunteer #4 may not work in a volunteer position at the facility until all required clearances are obtained.

Staff #4, being utilized as a volunteer on a regular basis, lacked a National Sex Offender Registry (NSOR) certificate and a FBI clearance from the Department of Human Services.

Corrected Corrected by Aug 3, 2021

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.

The file for staff #5 lacked a health assessment every 24 months. Health assessments observed on file were dated 3/26/18 and 6/9/20.

Corrected Corrected by Aug 3, 2021

Category: ratio. 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.

The facility lacked a receipt for the installation of their fire detection system.

Corrected Corrected by Aug 11, 2021

Category: recordkeeping. Marked corrected in the state record.