3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection on 8/8/2024, Certification Representative observed there was peeling paint on the walls in the following rooms: School Age Room A, Caterpillar Room right wall bottom, the doorway, and the Cubs Room on the left wall. In the first room on the left side there was a hole in the plaster around the thermostat.

Corrected Corrected by Aug 29, 2024

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.

During the renewal inspection on 8/8/2024, Certification Representative observed cubbies were not secure to the wall in the School Age A room, the Panda room, and the Caterpillars room, This is a tipping hazard. Also, the surface laminate on the tables in the School Age A room, and the Cubs room was wearing through to the particle board in several spots.

Corrected Corrected by Aug 29, 2024

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and the admission date was not specified on the agreement.

Corrected Corrected by Aug 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #3 and there was no physician's name, address, and phone number on the emergency contact form.

Corrected Corrected by Aug 8, 2024

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and #3 and it did not contain signed parental consent for the facility to administer emergency medical care for the child.

Corrected Corrected by Aug 8, 2024

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.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #1, and there was no insurance policy number. The file for child #3 did not have any health insurance coverage listed or policy number.

Corrected Corrected by Aug 8, 2024

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During the renewal inspection on 8/12/2024, the child files for child #1, #2, and #3 were reviewed and the Emergency Contact Form and the financial agreement were not update in a 6-month period. The forms for child #1 were dated 9/29/22, for child #2 the Emergency Contact Form was dated 9/3/21 and agreement dated 5/10/19, and child #3 the forms were dated 7/25/22.

Corrected Corrected by Sep 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

During renewal inspection on 8/12/2024, the files for child #1, and #3 were reviewed and the files did not contain an updated health report within a 12-month period. The last health assessment for child #1 was dated 6/10/19, child #3 was dated 4/17/23.

Corrected Corrected by Sep 3, 2024

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.

During the renewal inspection on 8/8/2024, Certification Representative reviewed the file for staff person #1 and there was not a current Health Assessment dated within the last 24 months. The previous Health Assessment was dated 5/13/22.

Corrected Corrected by Aug 29, 2024

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and #3 and it did not contain signed parental consent for the facility to administer minor first aid care for the child.

Corrected Corrected by Aug 8, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection on 8/8/2024, Certification Representative viewed the file for child #2, and the Emergency Contact Form did not contain signed parental consent or transportation, walking excursions, swimming and wading.

Corrected Corrected by Aug 8, 2024

Category: transportation. 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.

During the unannounced monitoring dated 10/12/2023, certification representative observed an infant child asleep in a bouncy chair instead of a nearby crib. The sleeping position of the child was not the position recommended by the American Academy of Pediatrics.

Corrected Corrected by Oct 12, 2023

Category: health medication. 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.

During the onsite complaint investigation dated 10/12/2023, certification representative observed that staff person #1 was lying on a mat in infant room, covered with a blanket and asleep while there were 3 infants in the room that were unsupervised.

Corrected Corrected by Oct 16, 2023

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection dated 9/14/2023, certification representative observed that there was a closet in hallway that was unlocked and had toxics in it and they were accessible to the children, and in the infant room, there was hand sanitizer and disinfectant near the changing table and it was accessible to the children.

Corrected Corrected by Sep 28, 2023

Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection dated 9/14/2023, certification representative observed chipped paint and plaster in rm next to crayon room, 2nd room on right, 2nd rm to left of front desk, bathroom toilet, purple room, and rm next to purple room on right.

Corrected Corrected by Sep 28, 2023

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.

During the renewal inspection dated 9/14/2023, certification representative observed a child's resting mat that had broken open on all sides and the styrofoam inside was coming out of mat.

Corrected Corrected by Sep 14, 2023

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a childcare space for children receiving care in the space.

During the renewal inspection dated 9/14/2023, certification representative observed that emergency contact information was NOT present in a childcare space for children receiving care in the space.

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During the renewal inspection dated 9/14/2023, certification representative observed that the file for child #1 had a health report that had no doctor signature on it.

Corrected Corrected by Sep 28, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

During the renewal inspection dated 9/14/2023, certification representative reviewed the file for staff person #1 and the most recent Health assessment was completed on 7/13/21 which is expired past the 24 month requirement.

Corrected Corrected by Sep 28, 2023

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

ON DATE OF INSPECTION THE FOLLOWING WERE OBSERVED: A BROKEN CRIB, DISREPAIRED NAP MATS AND PEELED DAMAGED PAINT ON THE WALLS AND DOOR PANELS. A CRIB IN THE INFANT/ YOUNG TODDLER ROOM WAS AGAINST A WALL WITH A LARGE HOLE, EXPOSING SHEET ROCK AND PLASTER. THE DESK/ CHAIR FURNITURE WERE IN DISREPAIR. LIGHT FIXTURES CONTAINED BLOWN-OUT BULBS. WOOD-LIKE FLOOR PANELS WERE IN DISREPAIR, AREA RUGS AND FLOORING THROUGHOUT THE FACILITY WERE DIRTY.

Corrected Corrected by Nov 14, 2022

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

3270.106(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.

ON DATE OF INSPECTION, INFANTS WERE SLEEPING IN CRIBS THAT WERE NOT LABELED FOR THEIR SPECIFIC USE. NAP MATS USED BY THE CHILDREN WERE IN DISREPAIR.

Corrected Corrected by Nov 11, 2022

Category: physical safety. 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 RENEWAL THE FACILITY'S EMERGENCY PLAN DID NOT INCLUDE A POLICY FOR SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA.

Corrected Corrected by Nov 15, 2022

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

ON DATE OF INSPECTION MULTILPLE SMOKE DETECTORS WERE OPERATIONALLY DISREPAIRED.

Corrected Corrected by Nov 21, 2022

Category: ratio. Marked corrected in the state record.