3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 may not serve in a child care role with direct contact with children. 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 person #1 may not serve in a child care role with direct contact with children.

During the renewal inspection on 3/19/2025, it was observed that staff 1's NSOR clearance was dated 11/16/2019 making it more than 5 years since the last update.

Corrected Corrected by Mar 24, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the renewal inspection on 3/19/2025, the facility did not have a director on file.

Corrected Corrected by Jun 1, 2025

Category: recordkeeping. 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.

During the renewal inspection on 3/19/2025, it was observed that the infant room had a missing ceiling tile. In the older toddler room, there was an old fire alarm hanging down from the ceiling via wires. In the preschool room, there was a plastic cover over one of the lights in the preschool room that was broken.

Corrected Corrected by Mar 20, 2025

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

During the renewal inspection on 3/19/2025, child 1 did not have a child service report on file. Child 2's last updated child service report was dated 8/15/2024, making it more than 6 months since the last update. Please see LIS for DOBs and DOAs.

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(c) · 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 3/19/2025, children 1 and 3 both had emergency forms and fee agreements that were dated 8/5/2024, making it more than 6 months since the last update. Please see LIS for DOAs.

Corrected Corrected by Mar 20, 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. Staff Person #3 may not work in a child care position at the facility until all clearances are on file at the facility.

During renewal inspection conducted 3/6/2024, the following clearances for staff person #1 were obtained past 60 months: PSP clearances dated 12/10/2018 and 2/15/2024. Child Abuse clearances dated 12/17/2018 and 2/22/2024. FBI clearances dated 12/12/2018 and 2/16/2024. An acceptable plan of correction was received with a correction date of 3/6/2024. When certification representative returned for unannounced monitoring on 3/27/2024, staff person #3 did not have child abuse clearance on file (see LIS code sheet for start date).

Corrected Corrected by Apr 2, 2024

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During unannounced monitoring conducted 3/27/2024, it was verified that staff person #2 was unsupervised with school-aged children in the morning. Staff person #2 is qualified as an aide.

Corrected Corrected by Apr 2, 2024

Category: supervision. 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.

During unannounced monitoring conducted 3/27/2024, staff person #3 did not have health assessment on file (see LIS code sheet for start date).

Corrected Corrected by Apr 2, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must arrange for staff person #1 to complete three trainings entitled "Supervisión: ¿Qué Se Requiere?", "Supervisión: Contando a los Niños", and "Supervisión: Posicionamiento -- ¿Cuál Es Mi Lugar?" through Better Kid Care.

Complaint investigation verified that staff person #1 left children unattended in the school age room while staff person #1 cooked in the kitchen. Staff person #1 could not see children from the kitchen.

Corrected Corrected by Apr 12, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Complaint investigation verified that staff person #1 left children unattended in the school age room while staff person #1 cooked in the kitchen. Staff person #1 could not see children from the kitchen.

Corrected Corrected by Apr 4, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

Complaint investigation verified that staff person #1 left children unattended in the school age room while staff person #1 cooked in the kitchen. Staff person #1 could not see children from the kitchen.

Corrected Corrected by Apr 17, 2024

Category: supervision. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During renewal inspection conducted 3/6/2024, unlabeled bottles were observed in the Infant and Older Toddler/Preschool rooms.

Corrected Corrected by Mar 6, 2024

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.

During renewal inspection conducted 3/6/2024, facility's emergency plan did not address continuity of operations.

Corrected Corrected by Mar 21, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During renewal inspection conducted 3/6/2024, facility did not have liability insurance.

Corrected Corrected by Mar 27, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

During renewal inspection conducted 3/6/2024, fire safety training for staff person #1 was obtained 10/21/2022 and 2/22/2024, which is past one year.

Corrected Corrected by Mar 6, 2024

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.

During renewal inspection conducted 3/6/2024, the following clearances for staff person #1 were obtained past 60 months: PSP clearances dated 12/10/2018 and 2/15/2024. Child Abuse clearances dated 12/17/2018 and 2/22/2024. FBI clearances dated 12/12/2018 and 2/16/2024.

Corrected Corrected by Mar 6, 2024

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During renewal inspection conducted 3/6/2024, fee amount and date payment is to be paid was missing from fee agreement of child #2.

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection conducted 3/6/2024, release person(s) was missing from the fee agreement of child #1.

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During renewal inspection conducted 3/6/2024, the following information was missing from children's emergency contact forms: Child #1: mother's work address and work telephone number. Child #2: release peoples' addresses. Child #3: mother's work telephone number.

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 renewal inspection conducted 3/6/2024, signed parental consents for emergency medical care and minor first-aid were missing from child #1's emergency contact form.

Corrected Corrected by Mar 6, 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.

During renewal inspection conducted 3/6/2024, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 4/8/2023-5/10/2023, 7/3/2023-8/7/2023, 8/7/2023-9/11/2023, 10/10/2023-11/13/2023, 1/3/2024-2/5/2024.

Corrected Corrected by Mar 6, 2024

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.

During renewal inspection conducted 3/6/2024, staff person #1 obtained 4.5 hours of annual child care training. Staff person #2 obtained 0 hours of annual child care training.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.106(a)/3270.119 · 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. 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 unannounced monitoring conducted 5/15/2023, a 4-month-old infant was observed to be sleeping in a swing. Certification representative asked staff to move infant to a crib. Staff placed child into the crib on his stomach.

Corrected Corrected by May 15, 2023

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

3270.106(a)/3270.119 · 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. 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. All staff must review the Safe Sleep flyer and sign in acknowledgement that they understand it. Safe sleep flyers must be hung in the infant room in both English and Spanish.

During unannounced monitoring conducted 5/15/2023, a 4-month-old infant was observed to be sleeping in a swing. Certification representative asked staff to move infant to a crib. Staff placed child into the crib on his stomach.

Corrected Corrected by May 26, 2023

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

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Legal entity must develop a supervision policy that must also include supervision during transitions, outdoor excursions, and transportation. Supervision plan must be sent to Northeast Regional Office for approval. Once approved, supervision plan must be reviewed with all current and future staff, who will sign and date in acknowledgement.

During unannounced monitoring conducted on 5/15/2023, Staff #1 was entering the building while bringing a group inside from the playground. In the process of bringing the children inside, she let several children into the building and stayed outside for approximately 2 minutes, leaving the children inside unsupervised.

Corrected Corrected by May 26, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During unannounced monitoring conducted on 5/15/2023, Staff #1 was entering the building while bringing a group inside from the playground. In the process of bringing the children inside, she let several children into the building and stayed outside for approximately 2 minutes, leaving the children inside unsupervised.

Corrected Corrected by May 15, 2023

Category: supervision. Marked corrected in the state record.

3270.166(3)/3270.166(4) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name.

During renewal inspection conducted 3/6/2023, unlabeled bottles were observed in the Infant Room. Operator states that bottles are washed in the facility. Facility does not have a commercial dishwasher. An acceptable plan of correction was received with a correction date of 3/8/2023. When certification representative returned for unannounced monitoring on 5/15/2023, staff reported that bottles are no longer washed at the facility and are sent home with children; however, certification representative observed unlabeled bottles in the infant room.

Corrected Corrected by May 22, 2023

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. Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The 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 renewal inspection conducted 3/6/2023, facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Mar 8, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During renewal inspection conducted on 3/6/2023, staff person #3 and staff person #6 have not been trained on the emergency plan since 1/28/2022. There is no record of emergency plan training for staff person #7.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

During renewal inspection conducted on 3/6/2023, the following staff persons need updated fire safety training: Staff person #1: last fire safety training on file is dated 1/28/2022. Staff person #3: last fire safety training on file is dated 1/31/2022. Staff person #6: last fire safety training on file is dated 1/31/2022. Staff person #7: no fire safety training on file (see LIS code sheet for start date). Staff person #2: Fire safety trainings on file are dated 7/2/2020 and 10/21/2022, which is more than one year.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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 #7 will have until March 31, 2023 to complete the required training. Until such time as the required training has been completed, staff person #7 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 #7, staff person #7 may not work in a child-care position at the facility.

During renewal inspection conducted 3/6/2023, staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet for start date): CCDBG Health and Safety Training.

Corrected Corrected by Mar 8, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Staff person #1 and staff person #2 shall complete the required one-hour 2022 update to the health and safety training by April 1, 2023.

During renewal inspection conducted on 3/6/2023, staff person #1 and staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Mar 8, 2023

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. Staff person #7 may not work in a child care position at the facility until appropriate clearances are on file.

During renewal inspection conducted 3/6/2023, staff person #7 has volunteer clearances on file for PSP and Child Abuse, which are unacceptable. There is no NSOR clearance on file for staff person #7. Staff person #7 is past 45-day provisional period (see LIS code sheet for start date)

Corrected Corrected by Mar 24, 2023

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.

During renewal inspection conducted 3/6/2023, peeling paint was observed on the bookshelves in the Infant, Toddler, and Pre-K Rooms.

Corrected Corrected by May 14, 2023

Category: physical safety. 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 Director, Legal Entity Representative, or anyone at the facility responsible for the hiring of staff or maintaining staff files are required to attend Existing Provider Orientation conducted at the Northeast Regional Office on May 4, 2023. The legal entity representative must contact the Northeast Regional Office in order to schedule this training no later than April 14, 2023.

During renewal inspection conducted 3/6/2023, staff person #7 has volunteer clearances on file for PSP and Child Abuse, which are unacceptable. There is no NSOR clearance on file for staff person #7. Staff person #7 is past 45-day provisional period (see LIS code sheet for start date)

Corrected Corrected by May 4, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During renewal inspection conducted on 3/6/2023, there were no staff evaluations on file for staff person #1, staff person #2, staff person #3, or staff person #7. All staff members have been employed at the facility for more than one year (see LIS code sheet for start date).

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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 renewal inspection conducted 3/6/2023, a child lock on a cabinet under the sink in the Pre-K Room was disarmed. There was a bottle of Windex in the cabinet which was accessible to children.

Corrected Corrected by Mar 8, 2023

Marked corrected in the state record.

3270.74/3270.124(e) · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection conducted 3/6/2023, the following items were not posted in child care spaces: Emergency transportation plan: missing from Pre-K Room. Emergency telephone numbers: missing from Infant and Pre-K Rooms.

Corrected Corrected by Mar 8, 2023

Category: transportation. Marked corrected in the state record.

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During renewal inspection conducted on 3/6/2023, there was no first-aid kit in the School-Age Room. First-aid kits in the Infant and Pre-K Rooms were both missing tape.

Corrected Corrected by Mar 8, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During renewal inspection conducted 3/6/2023, refrigerator in the Infant Room did not have a thermometer.

Corrected Corrected by Mar 8, 2023

Category: nutrition. 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.

During renewal inspection conducted 3/14/2023, emergency contact form for Child #2 is missing release persons' addresses.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child(ren) #1, #2, and #4 must be dismissed from care by close of business, 3/6/2023, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 1/18/2023, the following children did not have proof of immunizations in accordance with the schedule recommended by the ACIP: Child #1 does not have proof of influenza vaccine on file. There is no exemption on file. Child #2 has received 2 of 3 doses of Hep B, Rotavirus, DTAP, HIB and Pneumococcal, and Polio vaccines. Child #2 is an infant (see LIS code sheet). There is no exemption on file. Child #4 has received 1 of 3 doses of the hepatitis B vaccine; no proof of vaccination against Rotavirus; 1 of 4 doses of DTAP, HIB, Pneumococcal, and Polio vaccines; no proof of vaccination against Rotavirus, MMR, Varicella, or Hepatitis A vaccines. Child #4 is preschool aged (see LIS code sheet). There is no exemption on file.

Corrected Corrected by Mar 8, 2023

Category: health medication. 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.

On renewal inspection conducted on 3/6/2023, there was unlabeled diaper rash cream in the Toddler area.

Corrected Corrected by Mar 8, 2023

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.

During renewal inspection conducted on 3/6/2023, Staff person #1 needs an updated health assessment. Last health assessment on file is dated 1/20/2020. Staff person #2 needs an updated health assessment. Last health assessment on file is dated 9/29/2020. Staff person #4, Staff person #5, Staff person #6, and Staff person #7 do not have initial health assessment on file (see LIS code sheet for start date).

Corrected Corrected by May 14, 2023

Category: ratio. Marked corrected in the state record.

3270.166(3)/3270.166(4) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name.

During renewal inspection conducted 3/6/2023, unlabeled bottles were observed in the Infant Room. Operator states that bottles are washed in the facility. Facility does not have a commercial dishwasher.

Corrected Corrected by Mar 8, 2023

Marked corrected in the state record.

3270.181(c) · 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 renewal inspection conducted on 3/6/2023, the following emergency contacts and fee agreements need to be updated: Child #1: Emergency contact form last updated on 6/24/2022. Fee agreement last updated on 8/4/2022. Child #3: Emergency contact form last updated on 11/2/2021. Fee agreement last updated on 8/9/2022. Child #4: Emergency contact form last updated on 5/5/2022. Fee agreement last updated on 8/1/2022.. Child #5: Emergency contact form last updated on 11/23/2021. Fee agreement last updated on 8/2/2022.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During renewal inspection conducted on 3/6/2023, file for staff person #7 did not contain proof of qualifications or level of education. Staff person #7 is an aide.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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 renewal inspection conducted on 3/6/2023, files for staff person #5 and staff person #7 did not contain two written, nonfamily references.

Corrected Corrected by Mar 10, 2023

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. Staff person #2, staff person #3, and staff person #7 must take 6 hours of professional development to fulfill requirement for training year 3/8/2021-3/8/2022.

During renewal inspection conducted 3/6/2023, the following staff persons did not obtain an annual minimum of 12 clock hours of child care training: Staff person #2: obtained 6 hours of child care training. Staff person #3: obtained 6 hours of child care training. Staff person #7: obtained 6 hours of child care training.

Corrected Corrected by Mar 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During renewal inspection conducted 3/6/2023, operator admitted to not notifying local traffic authorities this year of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Mar 22, 2023

Marked corrected in the state record.

3270.20(a)(1)/3270.20(b) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

Provider contacted NE Regional Office on 6/7/2022 to verbally report an incident that occurred on 5/31/2022 in which a child was seen in the emergency room following an incident that occurred at the facility. Child's mother told the director on 6/1/2022 that she had taken the child to be seen in the emergency room. Provider created an electronic incident report on 6/8/2022 regarding the same incident. The operator did not meet the timeframe requirements for telephoning the regional office or submitting the written report to the regional office.

Corrected Corrected by Jun 23, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

On renewal inspection conducted on 3/16/2022, Staff #2 completed mandated reporter training on 1/29/2016 and 2/2/2022, which is past 60 months.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During renewal inspection conducted 3/16/2022, an exposed outlet accessible to children was observed in the infant/toddler area above coat racks used by the children.

Corrected Corrected by Mar 16, 2022

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.

On renewal inspection conducted on 3/16/2022, white-out was observed in the director's desk drawer. Desk was in an area accessible to children and did not contain any child-protective locks.

Corrected Corrected by Mar 16, 2022

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

On renewal inspection conducted on 3/16/2022, the first-aid kit in the school-age room was observed to be accessible to children as it was located on a bench by the bathrooms in an area used by all children in the facility.

Corrected Corrected by Mar 31, 2022

Marked corrected in the state record.

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

On renewal inspection conducted on 3/16/2022, excursion first-aid kit did not contain a bottle of water.

Corrected Corrected by Mar 17, 2022

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.

On renewal inspection conducted on 3/16/2022, infant room was observed to contain equipment and toys which were stacked, creating a tipping hazard. Director indicated that infant room is currently being used as storage. The infant room is currently licensed as a childcare space.

Corrected Corrected by Mar 31, 2022

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.

On renewal inspection conducted on 3/16/2022, blue and orange slide and square climbing toy were observed with cracked plastic, creating pinch points. Toys were both located in the back playground area.

Corrected Corrected by Mar 21, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On renewal inspection conducted 3/16/2022, the refrigerator in the infant/toddler area was observed to have a sticky substance on the bottom shelf.

Corrected Corrected by Mar 16, 2022

Category: nutrition. Marked corrected in the state record.

3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

On renewal inspection conducted on 3/16/2022, parent handbook did not include supervision policies.

Corrected Corrected by Mar 18, 2022

Category: supervision. 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.

On renewal inspection conducted on 3/16/2022, emergency contact forms for Child #1, Child #2, and Child #3 did not contain the address of the individual(s) designated by the parent to whom the child may be released.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7)/3270.131(d)(8) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

On renewal inspection conducted on 3/16/2022, Child #3 had Department of Education health assessment on file that did not indicate that child is free from contagious or communicable disease or that child has received age-appropriate screenings recommended by the AAP. Child #3 is not a school-age child. Child #4 has DHS health report on file; however, it does not indicate that child is free from contagious or communicable disease or that child has received age-appropriate screenings recommended by the AAP.

Corrected Corrected by Mar 31, 2022

Category: health medication. 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.

On renewal inspection conducted on 3/16/2022, there was unlabeled diaper rash cream in the infant area.

Corrected Corrected by Mar 16, 2022

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

3270.151(c)(2) · 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.

On renewal inspection conducted on 3/16/2022, Staff #3 (Date of Hire: 5/31/2021) had initial TB screening and chest x-ray dated 8/7/18. This was completed more than one year prior to initial service at current provider.

Corrected Corrected by Apr 13, 2022

Category: health medication. 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.

On renewal inspection conducted on 3/16/2022, record for Child #5 did not have signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 16, 2022

Category: ratio. 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.

On renewal inspection conducted 3/16/2022, annual emergency drill had not been conducted or documented.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. 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.

On renewal inspection conducted on 3/16/2022, fire detection log reflected that testing was completed on 8/6/2021 and again on 9/20/2021, 10/18/2021 and again on 11/22/2021, and 1/12/2022 and again on 2/16/2022. Testing was not completed within 30 days.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. Marked corrected in the state record.