3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 -- may not work in a childcare position at the facility.

The PA Child Abuse clearance for Staff Person #1 was dated 2/13/20, exceeding the 60-month update.

Corrected Corrected by Mar 5, 2025

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The file for Child #3 contained a Child Service Report dated 3/1/24, more than 6 months prior.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement form for Child #1 lacked a departure time.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #1 lacked a work address and work phone number for the enrolling parent.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 emergency contact form for Child #2 did not contain information regarding if the child has special needs.

Corrected Corrected by Mar 3, 2025

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

3280.124(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.

The emergency contact form for Child #1 lacked addresses for the release persons.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The two most recent health report forms on file for Child #3 (preschool aged) are dated 2/8/23-3/13/24, more than 12 months apart.

Corrected Corrected by Mar 3, 2025

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility's fire detection log documented dates 9/27/24-10/30/24, more than 30 days apart.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

At the time of inspection, the facility lacked a written notification to local traffic safety authorities regarding the location of the facility and the program's use of pedestrian and vehicular routes.

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

3280.32(a)/3280.192(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 for Household Member #1 contained an expired Pennsylvania State Police clearance (2/13/19).

Corrected Corrected by Aug 26, 2024

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the outdoor play space, a bottle of Kingsford Charcoal Lighter Fluid and a propane tank labeled "Keep Out of the Reach of Children" was observed to be accessible to children.

Corrected Corrected by Sep 2, 2024

Category: ratio. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire alarm 30-day test log includes dates 3/28/24-4/29/24, more than 30 days apart.

Corrected Corrected by Aug 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

The file for Staff #1 did not contain annual emergency plan training. The file for Staff #2 lacked Emergency Plan training within 90 days of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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 most recent FBI clearance on file for Staff #3 was dated 4/7/15, which is more than 60 months prior. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 22, 2024

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

3280.32(a)/3280.192(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 files for Staff #1 and Staff #3 did not contain a disclosure statement. The file for Staff #2 contained a disclosure statement dated 12/21/21, more than a year prior to date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 23, 2024

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

3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Two sets of three stairs were observed in the outdoor play space that did not contain railings or barriers to restrict children from the unsafe area. An uncovered, detached utility trailer was observed near the outdoor play space, accessible to children, with splintered plywood on two sides.

Corrected Corrected by Feb 27, 2024

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

3280.76 · 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.

A exposed metal rod was observed behind the fence gate in the Side Yard, which could be hazardous to children.

Corrected Corrected by Feb 27, 2024

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

3280.102(a)/3280.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A broken plastic container with sharp edges and a foam pad with teeth marks were observed in the Play Room and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Feb 23, 2024

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The file for Child #1, Child #2, Child #3, and Child #4 did not contain any Child Service Reports.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Financial Agreement form for Child #3 did not contain arrival and departure times.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact form on file for Child #2 and Child #3 did not contain the address for the physician or medical care provider.

Corrected Corrected by Feb 24, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form for Child #1, Child #2, and Child #3 did not contain the enrolling parents work address and work phone number. The Emergency Contact form on file for Child #5 did not contain a complete home address, work address, home phone, and work phone for the enrolling parent.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 Emergency Contact form for Child #1, Child #3, and Child #4 did not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Feb 24, 2024

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

3280.124(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.

The Emergency Contact form for Child #5 did not contain the Health Insurance/MA Coverage.

Corrected Corrected by Feb 24, 2024

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

3280.124(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.

The Emergency Contact form for Child #1, Child #2, Child #3, and Child #5 did not contain a complete address for all listed release persons.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The most recent 6 month review signature for the Emergency Contact and Financial Agreement forms for Child #1 is dated more than 6 months after the previous 6 month review signature.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for Child #1 (OT) (dated 2/8/23) and Child #3 (PSA) (dated 10/27/22), contained a health assessment dated more than 12 months ago. The file for Child #2 (YSA) did not contain a school age health assessment.

Corrected Corrected by Mar 20, 2024

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

3280.131(c)/3280.182(1) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A child's record must contain initial and subsequent health reports.

The health assessment on file for Child #4 does not include a date, making it invalid.

Corrected Corrected by Feb 24, 2024

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

3280.131(d)(5)/3280.131(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).

The file for Child #3 (4yr) lacked updated written verification of ongoing administered vaccines: 1 Dose of Pneumococcal with no Letter of Exemption in the file. The file for Child #4 (3yr) lacked updated written verification of ongoing administered vaccines: 3 Doses of Rotavirus and 1 Dose of MMR with no Letter of Exemption in the file. Child #3 and Child #4 must be dismissed from care by close of business on 2/23/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Mar 20, 2024

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

3280.151(a)/3280.192(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.

The file for Staff #2 includes a health assessment (12/21/21) and tuberculosis (1/7/22) screening which are dated more than 12 months prior to hire. (SEE LIS CODE SHEET)

Corrected Corrected by Apr 5, 2024

Category: ratio. Marked corrected in the state record.

3280.151(c)(3)/3280.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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.

The current health assessment on file for Staff #1 and Staff #2 does not indicate that the staff persons were assessed for communicable/contagious diseases.

Corrected Corrected by Apr 5, 2024

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The fire alarm 30-day test log includes test dates 4/28/23-5/31/22, 6/30/23-7/31/23, 7/31/23-8/31/23, 9/26/23-10/31/23, and 12/29/23-1/31/24, more than 30 days apart.

Corrected Corrected by Feb 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #2 did not complete the following required pre-service training within 90 days of their date of hire: health and safety training (dated 10/1/23) (SEE LIS CODE SHEET)

Corrected Corrected by Feb 23, 2024

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

3280.14/3280.20 · 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.

The facility emergency plan does not include a Continuity of Operations plan.

Corrected Corrected by Feb 13, 2023

Category: ratio. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There is no documentation regarding an emergency drill conducted during the year 12/18/2021 to 12/18/2022.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

The file for child #2 lacks an updated health assessment.

Corrected Corrected by Feb 25, 2022

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

3280.131(d)(5)/3280.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record must contain initial and subsequent health reports.

The files for children #3 and #4 lack verification of flu vaccinations.

Corrected Corrected by Feb 25, 2022

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

3280.133(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.

Observed ibuprofen in the first aid kit without the name of a specific child for whom the medication was intended.

Corrected Corrected by Feb 17, 2022

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #1 lacks signed parental permission for minor first aid and emergency medical care.

Corrected Corrected by Feb 25, 2022

Category: ratio. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility does not have the proof of purchase for the fire detection system.

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.