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 #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

In the Young Toddler room, staff #2 was observed working with staff #1 together. Staff number 2 did not have completed CPR/First Aid training and staff #1 was a provisional hire. Due to staff #1 being a provisional hire, staff #1 was not qualified to supervise staff #2.

Corrected Corrected by Sep 17, 2024

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.

Staff #3 had a state police clearance dated 7/3/19 and updated on 7/9/24 and a child abuse clearance dated 6/27/19, both of which were not updated within 60 months of expiration. Staff #4 was determined to have lived out of state within the past 5 years and clearances were not on file for that state. Staff #4 obtained out of state clearances on 9/19/24.

Corrected Corrected by Sep 17, 2024

Category: ratio. 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.

In the PreK Counts room, a container of tadpole food labeled "Not for human consumption" was observed on a shelf accessible to children.

Corrected Corrected by Sep 17, 2024

Category: nutrition. Marked corrected in the state record.

3270.76 · 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.

In the Young Toddler room and the PreK Counts room window sills were observed to be dusty.

Corrected Corrected by Sep 17, 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.

In the infant room, a plastic lined foam pit was observed to have fraying and ripping edges/corners, exposing the internal foam to children.

Corrected Corrected by Sep 17, 2024

Category: physical safety. 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.

Staff #2 had a health assessment dated 7/3/24, which was not completed prior to working with children. Staff #5 had a health assessment dated 1/29/24, which was not completed prior to working with children.

Corrected Corrected by Sep 17, 2024

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.

Fire detection testing was observed to be completed greater than 30 days on the following occasions: 12/22/23-1/22/24, 1/22/24-2/22/24, and 5/3/24-6/3/24

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.135(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.

In the upstairs OT room 2nd on left from the stairwell the flip can required for the diapering area was observed to be switched with the regular classroom can and the diapering can was not then hands free.

Corrected Corrected by Oct 19, 2023

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

3270.76 · 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.

In the upstairs 3s/4s classroom 3rd from stairwell on the right, the toy wooden refrigerator and stove were observed to be in need to repair (fridge replace handle, stove tighten handle screws)

Corrected Corrected by Oct 19, 2023

Category: physical safety. 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.

Record for Child #1 did not contain the addess for listed individuals authorized to pick up the child as required.

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. 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.

Records for Staff Members #1 and #2 contained health assessments with dates that exceeded the two year date interval permitted. Staff #1 was 7/7/21 and 7/13/2023 and Staff #2 was 8/19/20 and 9/29/22.

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

3270.76 · 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.

The toddler room on the first (ground) floor was observed to have a tear in the changing pad, and the cabinet door was observed to be missing the handle knobs, leaving the screws exposed.

Corrected Corrected by Oct 3, 2022

Category: physical safety. 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.

Record for Child #1 did not contain a policy number for the health insurance policy.

Corrected Corrected by Oct 3, 2022

Category: health medication. 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.

The file of facility person #2, at the time of inspection, did not contain a valid FBI clearance. The only clearance on file within the past 60 months was a Dept. of Education clearance dated 4/2/19, however it does not meet the requirements of the CPSL. An FBI clearance dated 1/26/18 was later provided.

Corrected Corrected by Oct 4, 2021

Category: background checks. 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.

Peeling paint was observed on the wall by a cabinet in the young toddler room and along the purple baseboard in the infant room.

Corrected Corrected by Oct 19, 2021

Category: physical safety. 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.

The container of Tylenol for the use of child #1 was observed not to be labeled with the child's name.

Corrected Corrected by Sep 10, 2021

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Albuterol was observed being administered to Child #2 during inspection, and signed consent by the parent for administration of the medication was not on file.

Corrected Corrected by Sep 13, 2021

Category: ratio. 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.

The file of facility person #1, hired 8/16/21, contained a health assessment dated 9/5/19 and TB test results dated 8/23/19. The initial health assessment and TB test results were not dated within 12 months prior to providing initial service. An updated health assessment was provided dated 9/16/21 and updated TB test results were provided dated 9/18/21.

Corrected Corrected by Sep 18, 2021

Category: ratio. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation of proof of purchase of the facility's interconnected fire alarm system was not on file at the time of inspection, as required under Act 62.

Corrected Corrected by May 1, 2021

Category: recordkeeping. Marked corrected in the state record.