3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection certification rep observed door to the boiler room and storage room unlocked and accessible to children in the preschool room.

Corrected Corrected by Mar 4, 2024

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

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

During the renewal inspection certification rep reviewed staff data sheet and observed provider had over 50 percent of staff qualifying as aide qualification level.

Corrected Corrected by Mar 4, 2024

Category: supervision. 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 the renewal inspection certification rep observed staff #1, #2, #3, #4, #5, #6, #7, #8 ,#9 and 10 working with children unsupervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Mar 4, 2024

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 certification rep observed bottom cabinet in boy's bathroom unlocked containing Lysol disinfectant wipes and a gallon of Fabulosos cleaning agent.

Corrected Corrected by Mar 4, 2024

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 certification rep observed inner divider wall of girls bathroom had chipped paint.

Corrected Corrected by Mar 4, 2024

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 the renewal inspection certification rep read thermometer in the infant room refrigerator at 49 degrees.

Corrected Corrected by Mar 4, 2024

Category: nutrition. Marked corrected in the state record.

3270.192(2)(iv) · 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 the renewal inspection certification rep reviewed staff #1, #2, #3, #4, #5, #6, #7, #8, #9 and 10 record and observed verification of experience was not in record.

Corrected Corrected by Mar 4, 2024

Category: recordkeeping. 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.

At the time of the inspection, emergency contact information of child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. 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.

At the time of renewal inspection, record of staff person #1, #2, #3, #4, #7, #8, #9, #10, #11, and #12 did not include Pennsylvania Health and Safety Update 2022 professional development training.

Corrected Corrected by Feb 20, 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.

At the time of renewal inspection, document that staff person #5, and #6 received training regarding the emergency plan at the time of initial employment was not observed.

Corrected Corrected by Feb 27, 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.

At the time of inspection, file for staff person #1, #2 did not include verification that staff participated in fire safety training at least annually. Fire safety training on file of staff person #1 was from 2/6/22, staff person #2 completed fire safety training on 2/11/22.

Corrected Corrected by Feb 27, 2023

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: Staff Person # 13 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. Staff Person # 6, #10, #11, #12, #13 must be removed from child care position by close of business. Clearance must be obtained before facility person #6, #10, #11, #12, #13 may resume a child care position.

At the time of renewal inspection, record of staff person #6, #10 did not include complete PA state police clearance. Record of staff person #11 did not include NSOR Certification form, record of staff person #12 did not include PA state police clearance, PA child abuse clearance, FBI clearance. Record of staff person of staff #13 did not include a complete PA State police or FBI clearance required upon hiring. Staff person #6, #10, #11, #12 were not provisional hires.

Corrected Corrected by Feb 27, 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.

At the time of inspection, the files for staff member #3, #4, and #9 did not include an annual staff evaluation.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of renewal inspection, record of staff person #9 hired for the position of an assistant group supervisor, did not include verification of 2 years child care experience required prior to service at the facility.

Corrected Corrected by Feb 27, 2023

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Three staff would be required for a group of 13 or 15 children that ranged in age from older toddler to preschool.

At the time of renewal inspection observed 12 children outside ranging in age from older toddler to preschool with only 2 staff persons present. Later on, observed 15 children in Room #5 ranging in age from older toddler to preschool with 2 staff assigned to this group

Corrected Corrected by Feb 13, 2023

Category: ratio. 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.

At the time of renewal inspection, cribs were not labeled in Room #1.

Corrected Corrected by Feb 13, 2023

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.

At the time of renewal inspection, agreement of child #1, #3, #5, #6, #7, #8, and #9 didn't specify the date of the child's admission.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of renewal inspection, emergency contact form of child #1, #2, and #3 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. 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.

At the time of renewal inspection, emergency contact information of child #2 and #4 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of renewal inspection, emergency contact information did not include information on the child #1 and #2 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected Corrected by Feb 27, 2023

Category: health medication. 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.

At the time of renewal inspection, emergency contact information of child #6 and #8 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Feb 27, 2023

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

3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

At the time of renewal inspection, a health report of staff person #7 did not include the individual's professional title and there were no date next to the siggnature.

Corrected Corrected by Feb 27, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

At the time of renewal inspection, health assessment of staff person #13 did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Feb 27, 2023

Category: health medication. 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.

At the time of renewal inspection, emergency contact forms were not updated in Room #1, #2, #3, #4, and #5.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(4)/3270.182(5) · A child's record shall contain signed parental consent for administration of medications or special dietary needs. 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.

At the time of renewal inspection, a record of child #2 and #4 didn't contain signed parental consent for administration of medications or special dietary needs and/or for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Feb 27, 2023

Category: ratio. 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.

At the time of renewal inspection, fie of staff person #11 included only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File of staff person #13 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. 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.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Feb 14, 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.

At the time of renewal inspection file of staff person #1, #2 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. Record of staff person #1, #2 included only 11 hours.

Corrected Corrected by Feb 20, 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). Children #1, #2, and #3 must be dismissed from care by close of business 2/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

At the time of the complaint investigation, heath record of child #1 did not include include influenza immunization recommended by ACIP. Health record of child #2 did not include HIB immunization and 4th dose of PCV immunization. Health record of child #3 did not include 4th doze of PCV immunization. Health record of child #4 did not include immunization record. A letter of exemption was not observed in the file of child #1, #2, and #3.

Corrected Corrected by Feb 20, 2023

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

3270.131(e)(2)(i)/3270.131(e)(2)(ii) · 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. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record. Child #4 must be dismissed from care by close of business 2/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

At the time of the complaint investigation, file of child #4 did not include immunization record. An exemption letter from the parent was not dated and was not for religious believes or strong personal objections. The letter included a statement of following the recommended schedule and vaccine damage, but was not written, signed and dated by child's physician, physician's assistant or CRNP.

Corrected Corrected by Feb 20, 2023

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Three staff must be present with 13 children ranging in age from young toddlers to preschoolers.

At the time of unannounced monitoring inspection observed 13 children ranging in age from young toddlers to preschoolers with staff #1 and #2 on the fenced playground.

Corrected Corrected by Apr 27, 2022

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.

At the time of renewal inspection the documentation that staff person #4 hired on 12/13/21 and staff person #5 hired on 1/17/22 received emergency plan training at the time of initial employment was not observed.

Corrected Corrected by Feb 22, 2022

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 # 1 must be removed from child care position by close of business.

At the time of renewal inspection, file of staff person #2 hired on 10/19/21 did not include FBI clearance required by DHS and mandated reporter training which is required within 90 days of hire. File of staff person #3 hired on 10/20/21 did not include mandated reporter training which is required within 90 days of hire. File of staff person #5 hired on 1/17/22, who is a provisional hire, did not include Disclosure Statement and verification of request for NSOR certificate. Provisional Hire Waiver on file is from 10/25/20.

Corrected Corrected by Feb 28, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Three staff would be required for a group of 17 children that ranged in age from older toddler to preschool.

At the time of renewal inspection observed 9 older toddlers and 8 preschoolers with two staff persons present while staff #1 left the room.

Corrected Corrected by Feb 8, 2022

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.

At the time of renewal inspection observed 6 broken vinyl tiles that had missing parts on the floor near the door to Room #6

Corrected Corrected by Feb 22, 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.

At the time of renewal inspection observed that the rest equipment in Room #5 was not labeled for the use of a specific child.

Corrected Corrected by Feb 9, 2022

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

3270.123(a)(5)/3270.124(b)(7) · An agreement shall specify the persons designated by a parent to whom the child may be released. 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.

At the time of renewal inspection an agreement of child #1 did not specify the persons designated by a parent to whom the child may be released. Emergency contact form of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, a health assessment of staff person #3 and #5 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 22, 2022

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

3270.182(1) · A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection, health report of child #2 was not complete.

Corrected Corrected by Feb 22, 2022

Category: health medication. 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.

At the time of renewal inspection, a record of child #5 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Corrected Corrected by Feb 22, 2022

Category: ratio. 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

At the time of renewal inspection file of staff person #4 included only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of renewal inspection, file of staff person #3 hired on 10/20/21 did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation required within 90 days of hire.

Corrected Corrected by Feb 28, 2022

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

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

At the time of renewal inspection observed that a written record of fire drills do not include specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the number of children who participate in the fire drill.

Corrected Corrected by Feb 22, 2022

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 #1 may not work in a child care position at the facility.

At the time of initial inspection on 10/4/21, file of staff person #1, who holds the position of the director, included child abuse clearance for volunteer purposes.

Corrected Corrected by Oct 18, 2021

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

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

At the time of initial inspection on 10/4/21, first aid kits in every classroom did not contain soap.

Corrected Corrected by Oct 4, 2021

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At the time of renewal inspection on 10/4/21 observed two white shelves in Room #5 which were unstable and not secure. These items could fall and pose a hazard to the children in care.

Corrected Corrected by Oct 4, 2021

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

3270.124(e) · 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.

At the time of initial inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of emergency was not posted in every child care space.

Corrected Corrected by Oct 4, 2021

Category: transportation. Marked corrected in the state record.

3270.192(3) · 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.

At the time of renewal inspection on 10/04/2021, a written report of initial health assessment of staff person #1 did not include the results of initial tuberculin skin test.

Corrected Corrected by Oct 4, 2021

Category: health medication. 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.

At the time of renewal inspection on 10/4/21, provider did not provide documentation of proof of purchase and date of purchase of an interconnected system.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.