3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children. 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. Until such time as the required trainings are completed, staff person #1 and #2 must be supervised, when interacting with children, by a AGS, primary staff person 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.

Staff person #1 and #2 was observed to be caring for children unsupervised. Staff person #1 and #2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 5/28/22.

Corrected Corrected by Jun 11, 2024

Category: supervision. Marked corrected in the state record.

3280.74 · 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.

Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center are not posted in the facility.

Corrected Corrected by Jun 11, 2024

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

3280.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The facility's Parent Handbook does not include the facility's general daily schedule, clothing policy, dismissal policies, and supervision policies.

Corrected Corrected by Jul 15, 2024

Category: supervision. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact form for child #1 does not include address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Jun 21, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact form for child #1 does not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 does not include health coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jun 21, 2024

Category: health medication. 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.

Emergency contact form for child #1 and child #2 do not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information for each child receiving care is not present in each child care space.

Corrected Corrected by Jun 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is not displayed in every child care space.

Corrected Corrected by Jun 14, 2024

Category: transportation. Marked corrected in the state record.

3280.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

A medication log for child #3 has not been established by the operator.

Corrected Corrected by Jul 15, 2024

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

3280.171(b)/3280.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The operator has not established written notification of safe pedestrian crossways, pick-up and drop-off points.

Corrected Corrected by Jul 13, 2024

Marked corrected in the state record.

3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Emergency contact form for child #1 does not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Jun 21, 2024

Category: transportation. 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.

Evacuation routes are not posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 9/14/23 - 10/31/23, 11/20/23 - 12/21/23 - 1/31/24, and 2/22/24 - 3/27/24 - 4/30/24.

Corrected Corrected by Jul 19, 2024

Category: recordkeeping. 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.

Facility does not 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.

Corrected Corrected by Jun 11, 2024

Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The operator could not provide proof that local traffic safety authorities have been notified of the facility's pedestrian and vehicular routes.

Corrected Corrected by Jul 13, 2024

Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #1- may not work in a child care position at the facility.

Facility Person #1 was observed caring for children and did not have NSOR, Child Abuse, PSP or FBI clearance results at the facility.

Corrected Corrected by Sep 1, 2023

Category: supervision. Marked corrected in the state record.

3280.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

It was observed that Facility Person #1 was supervising Facility Person #2 in accordance to an approved safety plan from an outside agency. Facility Person #1 did not have a file at the facility to serve as a substitute staff person and therefore was not qualified to supervise Facility Person #2.

Corrected Corrected by Sep 1, 2023

Category: supervision. Marked corrected in the state record.

3280.151(a)/3280.192(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.

Facility Person #1 was observed caring for children and did not have a Health Assessment and Tb test results on file at the facility.

Corrected Corrected by Sep 7, 2023

Category: ratio. Marked corrected in the state record.

3280.191 · An individual record is required for each facility person.

Facility Person #1 observed caring for children and supervising another Facility Person did not have a file at the facility.

Corrected Corrected by Sep 5, 2023

Category: supervision. 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. Written plan for Shaken Baby Syndrome and Abusive Head Trauma should include at minimum; signs and symptoms to recognize Shaken Baby Syndrome and Abusive Head Trauma, strategies for coping with crying, fussing or distraught children and how to prevent and identify child maltreatment.

It was observed that the facility did not have a written policy to address Shaken Baby Syndrome and Abusive Head Trauma.

Corrected Corrected by Sep 13, 2023

Category: ratio. Marked corrected in the state record.

3280.14/3280.21 · 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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Facility person #1 and Facility Person #2 has not completed the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected Corrected by Sep 13, 2023

Category: ratio. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

It was observed that the upstairs kitchen was being used as childcare space and not previously measured.

Corrected Corrected by Sep 5, 2023

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

3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

It was observed that the wooden staircase to a second floor balcony was accessible to children posing a fall hazard.

Corrected Corrected by Sep 6, 2023

Category: physical safety. 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.

It was observed in the 2nd floor kitchen used as napping childcare space that there was an unlocked drawer with liquid nail, superglue, tools, nails and screws accessible to children. It was observed in the bathroom used by children in care that there was Desitin and Burts bees cream accessible to children.

Corrected Corrected by Sep 10, 2023

Category: ratio. Marked corrected in the state record.

3280.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

It was observed on the second-floor preschool classroom that all the windows, accessible to children, were able to open fully and were not limited to opening 6 or fewer inches.

Corrected Corrected by Sep 3, 2023

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

3280.74 · 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.

It was observed in 2nd floor preschool classroom that the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the phone.

Corrected Corrected by Sep 5, 2023

Category: physical safety. 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.

It was observed on the 1st floor that there was a room inside the entranced that was used for storage and stacked items that was unlocked posing a potential hazard. It was observed on the 2nd floor that there was a room used for storage and a bathroom containing hazardous items unlocked and accessible to children.

Corrected Corrected by Sep 7, 2023

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

3280.105(a) · 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.

It was observed that rest equipment used for the infants in care was not labeled fpr the use of a specific child and used only by that child. 4 pack n'plays were observed unlabeled.

Corrected Corrected by Sep 6, 2023

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

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was in the upstairs infant childcare room that Facility Person #2 dispose of a soiled diaper into a trash can that was not plastic-lined or used as hands-free.

Corrected Corrected by Sep 9, 2023

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 facility emergency plan did not provide for accommodations for infants and toddlers observed in care.

Corrected Corrected by Sep 13, 2023

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.

The facility operator did not conduct and document an emergency drill annually.

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. 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.

It was observed that the primary staff person did not ensure that evacuation routes were posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility emergency plan did not provide a plan for shelter of children during an emergency including lock-down.

Corrected Corrected by Sep 13, 2023

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