3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #1 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Jun 27, 2024

Category: health medication. 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.

The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 12/17/21 and 2/5/24.

Corrected Corrected by Jun 25, 2024

Category: ratio. 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 #1 may not work at the facility.

The file for Staff #1 contained a volunteer disclosure statement. It was observed during the renewal inspection that the file for Staff #1, who has lived out of state in the previous five years, lacked out of state clearances or requests of out of state clearances.

Corrected Corrected by Jul 10, 2023

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

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

The medication for Child #1 lacked written parental consent.

Corrected Corrected by Jul 6, 2023

Category: ratio. Marked corrected in the state record.

3270.166(6) · Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Observed an Infant, in the Infant Room sleeping with a bottle in his mouth.

Corrected Corrected by Jul 5, 2023

Category: physical safety. 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.

Based on conversations with staff, the facility did not send a copy of the emergency plan to the local and county municipalities.

Corrected Corrected by Jul 18, 2023

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The files for staff #2, 3 and 4 lacked verification that the staff renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Dates are as follows: Staff #2 - expiration date of January 2021 and then renewed 6/24/21 Staff #3 and 4- expiration date of June 2021 and then renewed 7/20/21.

Corrected Corrected by Jun 8, 2022

Category: ratio. 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.

There was more than 60 months between the Child Abuse and FBI clearances on file for staff #2. Dates are as follows: Child Abuse - 8/9/16 and 8/24/21 and FBI - 7/25/16 and 8/6/21. There was more than 24 months between the Child Abuse and FBI clearances on file for staff #5. Dates are as follows: Child Abuse - 11/15/16 and 11/22/21 and FBI - 12/6/16 and 2/12/22.

Corrected Corrected by Jun 8, 2022

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.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #2.

Corrected Corrected by Jun 8, 2022

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

Staff were required to have training in CPR/FA by 6-17-21 due to the regulation change that took effect on 12-19-20. Staff #1 did not obtain the training until 6/24/21.

Corrected Corrected by Jun 8, 2022

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. Proof of purchase of interconnected fire detections system/devices shall be on file at the facility.

The facility file lacked proof of purchase of the interconnected fire detection system.

Corrected Corrected by Jun 8, 2022

Category: recordkeeping. 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.

The files for staff #1 and 5 contained 4 of the required 12 hours of child care training from 12/19/20 thru 12/19/21.

Corrected Corrected by Jun 8, 2022

Category: recordkeeping. Marked corrected in the state record.