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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in fire safety training: Staff #1 (previous 10/2023, current 11/25/24) and Staff #2 (previous 10/2023, current 11/25/24).

Corrected Corrected by Jan 13, 2025

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation and the CPSL requires clearances to be updated every 60 days. The following staff did not update their clearances at least every 60 days: Staff #1's FBI (previous 9/1/19, current 9/5/24) and Staff #2's child abuse (previous 12/27/17, current 11/20/23).

Corrected Corrected by Jan 13, 2025

Category: background checks. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessments at least every 24 months. Staff #2 did not update their health assessment every 24 months (previous 2/21/22, no update). Staff #2 was observed providing child care during this inspection.

Corrected Corrected by Feb 13, 2025

Category: ratio. Marked corrected in the state record.

3270.27(c) · Each facility person shall receive training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The date of each training and the name of each facility person who received the training shall be documented in writing and kept on file at the facility.

During the inspection, there was no documentation provided which showed that staff #2 had any emergency plan training since September 2022.

Corrected Corrected by Dec 5, 2023

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 # 2 may not work in a child care position at the facility.

Staff person #2 had a state police clearance that was not updated within the required 60-month period. This is evidenced by the documented clearance on file being dated 12/26/2017.

Corrected Corrected by Dec 5, 2023

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

3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the inspection, hand sanitizer was observed to be attached to a child's bookbag, and Dayquil Cough and Cold medication was found inside that same child's bookbag which was located on a metal shelf, near the main entrance doorway, where the bookbags are hung. This bookbag was about hip height and easily accessible to the children. Also, a large container of hand sanitizer was found on the "puzzles" shelf to the right of the main entrance doorway. The hand sanitizer was about elbow length high on the shelf and easily accessible to the children.

Corrected Corrected by Dec 5, 2023

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A flagpole holder, to the left of the "puzzles" shelf, was observed to be damaged and cracked. The bulletin board, near the main entranceway, had push pins on it. The push pins were located about hip height and could be reached by children. An exposed bolt was observed on the Puppet Time Theater which was located near the "Pretend Kitchen Area". Also, in the "Pretend Kitchen Area", the plastic covering on a blue chair was torn and jagged wood was exposed, and a plastic ironing board had a crack in it which resulted in a sharp edge.

Corrected Corrected by Dec 6, 2023

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

3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The records for child #4 and child #5 (see code sheet for DOB) did not have proof of influenza vaccination for the year of 2022, and the records did not contain letters of exemption from the parents.

Corrected Corrected by Dec 12, 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.

The facility was unable to test operability of their smoke detection system during the inspection. The most recent annual testing report on file was more than one year old at the time of inspection.

Corrected Corrected by Dec 6, 2023

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.

The emergency contact form on file for child # 1 did not have the release persons address.

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The water from the faucet in the boys restroom was measured at 117 degrees.

Corrected Corrected by Dec 28, 2021

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