3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

At time of inspection on 11/12/24, staff person #1 acknowledged that on 11/4/24, staff person #2 was holding child #1 while trying to get a bottle out of the bottle warmer. While trying to pull the bottle out of the warmer, condensation on the warmer handle/bottle splashed onto the child's ankle, causing the child to receive a 2nd degree burn from the hot steam/condensation.

Corrected Corrected by Nov 5, 2024

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 renewal inspection on 7/30/24, the following physical site items were observed: visibly dirty and dusty ceiling vents were observed in several rooms through the facility. The plastic molding on the corner of the sink in the toddler B room was cracked and broken, leaving a sharp edge accessible to children. Several walls in rooms 2A, and 2B, and the door in the 3B room were observed to be visibly dirty.

Corrected Corrected by Aug 26, 2024

Category: physical safety. 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 on 7/30/24, the following areas were observed to have chipped/damaged paint or plaster: chipped paint was observed on the wall in the infant B room, on the wall in the bathroom of 2A, and on the door in room 3B.

Corrected Corrected by Aug 26, 2024

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.

During renewal inspection on7/30/24, the rest equipment in room 2B was not labeled with individual child names

Corrected Corrected by Aug 2, 2024

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During renewal inspection on7/30/24, the health report on file for child #1 (enrolled for more than 60 days) did not include all immunizations in accordance with the recommendation of the ACIP. It was not indicated by the physician that child #1 is on a delayed schedule, and there was not an exemption note from the physician or the parent on file.

Corrected Corrected by Jul 31, 2024

Category: health medication. 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 renewal inspection on 7/30/24, the file for staff person #1 included TB testing results that were more than 12 months old at the time of hire. TB test result date listed as 9/6/16.

Corrected Corrected by Aug 26, 2024

Category: ratio. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During complaint investigation on 6/7/24, due to self-reported non-compliance, it was determined that staff person #1 was physically aggressive with child #1 on 5/31/24, when pushing the child and his chair into the table. The harsh actions of staff person #1 resulted in child #1 pinching his/her thumb in between the table and the chair, causing the child to have a red and swollen thumb.

Corrected Corrected by Jun 8, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

During renewal inspection, the file for staff person #1, who has resided outside of Pennsylvania within the past five years and is past the provisional hiring period, did not include out of state clearances for the other state.

Corrected Corrected by Aug 16, 2023

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

3270.61(f) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

During renewal inspection on 8/15/23, the Pre-K B room, not currently in use, was being used as storage.

Corrected Corrected by Aug 21, 2023

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

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

During renewal inspection on 8/15/23, the child bathroom in the school age classroom was not working properly and had water coming up from the floor drain. Child bathrooms throughout the center had rusty caps covering the water line coming out from the wall.

Corrected Corrected by Sep 14, 2023

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

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Certification Representative observed several emergency contact forms in classrooms that were not updated at least every six months as required.

Corrected Corrected by Aug 8, 2022

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.

Facility staff #1 and #2 did not have health assessments in the file at the time of initial employment.

Corrected Corrected by Aug 8, 2022

Category: ratio. 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.

Certification Representative observed rusted and exposed bolts on the floor plate of play equipment in the outside play yard.

Corrected Corrected by Jan 31, 2022

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