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 provider's written policy must include, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

During the inspection, the operator did not have a policy addressing the prevention and identification of child maltreatment.

Corrected Corrected by Apr 19, 2023

Category: ratio. 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 the renewal inspection, staff person #1, staff person #2 and staff person #3 did not have 12 clock hours of child care training during their training year 12/21-12/22.

Corrected Corrected by Apr 19, 2023

Category: recordkeeping. 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. Until such time as the required pre-service trainings are completed, staff person #3 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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

During an onsite inspection on 7/18/22, staff person #3 was observed to be caring for children unsupervised. Staff person #3 had not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics including Pediatric First Aid/CPR.

Corrected Corrected by Jul 18, 2022

Category: supervision. 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. To maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

During an onsite inspection on 7/18/22, the operator did not have volunteer emergency preparedness training and continuity of operations included in their emergency plan. The operator was not in compliance with 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Jul 18, 2022

Category: ratio. 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 #3 will have until 10/14/22 to complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

During an onsite inspection on 7/18/22, staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Health and Safety Topics including Pediatric First Aid/CPR.

Corrected Corrected by Jul 18, 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. Changes to the CPSL requirements went into effect on 12/31/19 requiring all clearances for volunteers Facility Person #10 may not be present in the child care facility until all clearances are obtained and reviewed by DHS.

During an onsite inspection, facility person #10 who is a volunteer, did not have a completed PA State Police background check, FBI clearance, signed disclosure statement or NSOR certificate on file. (see code sheet for start date of volunteering)

Corrected Corrected by Jul 19, 2022

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

3270.151(a)/3270.151(c)(2) · 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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

During an onsite inspection on 7/18/22, facility person #10 did not have a health assessment or TB test on file at initial start date (see code sheet for start date of volunteering).

Corrected Corrected by Jul 22, 2022

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

During an onsite inspection on 7/18/22, facility person #10 did not have verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. 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 an onsite inspection on 7/18/22, the last recorded fire drill being conducted was documented as 4/18/22 and not within the 60 day requirement.

Corrected Corrected by Jul 19, 2022

Category: recordkeeping. 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 the renewal inspection, on the outside playground, there was a red easel that had broken plastic causing sharp edges. A wooden green easel had chipped paint and was rough to the touch posing potential splinters. In the Pre-K classroom, the cushions on the bench in the reading area were dirty.

Corrected Corrected by Apr 22, 2022

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

3270.131(b)(2)/3270.131(d)(5) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection on 4/11/22, the health assessment of child #4 (see code sheet for date of birth) was reviewed. The health assessment on file was dated 3-24-21 and was not updated within 12 months. The immunization record did not include an annual influenza vaccine within the past 12 months or an exemption from that vaccine.

Corrected Corrected by Apr 29, 2022

Category: health medication. 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.

During the renewal inspection on 4/11/22, the operator was unable to provide verification that emergency drills are being conducted annually and are being documented.

Corrected Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection on 4/11/22, the emergency plan on file was not reviewed by local emergency management agencies when it was updated on 1/21/22.

Corrected Corrected by May 11, 2022

Category: recordkeeping. 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.

At the time of the inspection, staff #1 had a health assessment on file that expired on 10-18-21. Staff #2 had a health assessment on file that expired on 11-11-21. Health assessments are required to be completed every 24 months and therefore, the provider is not in compliance.

Corrected Corrected by Jan 25, 2022

Category: ratio. Marked corrected in the state record.

3270.27(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.

At the time of the inspection, the emergency plan on file did not include accommodations for infants and toddlers in the event of an emergency.

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.