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 did not have policies for shaken baby syndrome, abusive head trauma, and child maltreatment. The facility did not have a policy for Continuity of Operations in the emergency plan.

Corrected Corrected by Sep 6, 2024

Category: ratio. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility did not have a parent letter explaining the emergency plan procedures.

Corrected Corrected by Sep 6, 2024

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Staff Person #1 (10.5 Hours) lacked a minimum of 12 hours of childcare training.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The Pediatric First Aid/CPR training for Staff Person #1 exceeded the expiration date. (8/28/21-9/23/23)

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the Front Room, a surge protector by the front window did not contain outlet covers. In the Main Room, and outlet next to the office door and by the Main Room entrance door did not contain outlet covers.

Corrected Corrected by Jul 20, 2024

Marked corrected in the state record.

3280.75(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.

The first aid kit in the Front Room did not contain soap and tweezers. The first aid kit in the Main Room did not contain soap, tweezers, scissors, and gloves.

Corrected Corrected by Sep 6, 2024

Category: health medication. 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.

In the Main Room, a vent cover on the floor was observed to have broken pieces.

Corrected Corrected by Sep 6, 2024

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

3280.103 · 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.

In the back of the Main Room, the surface of a composite wood shelf was observed to be peeling pieces less than 1 inch and accessible to children still placing objects in their mouths.

Corrected Corrected by Sep 6, 2024

Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The Fee Agreement form on file for Child #2, Child #3, Child #4, and Child #5 was the original and not a copy.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

The Emergency Contact form for Child #4 lacked phone numbers for emergency contacts.

Corrected Corrected by Sep 6, 2024

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 #5 lacked the enrolling parent's home address.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. 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 lacked the name of the child's health insurance coverage.

Corrected Corrected by Sep 6, 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 and Child #3 lacked a complete address for the release persons. The Emergency Contact form for Child #4 and Child #5 lacked a phone number for the release persons.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact forms for the children present in the facility were not located in the Front Room or the Main Room.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The initial health assessment on file for Child #5 (young school age) was not dated in accordance with requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations) as it was completed when the child was three years old. (See LIS Code Sheet)

Corrected Corrected by Sep 15, 2024

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

3280.181(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.

The most recent fee agreement review for Child #5 was dated 6/2/23, exceeding the 6-month update period.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation route was not posted in the facility in a conspicuous location.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a) · 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 facility's fire detection log documented testing on 1/10/24-2/13/24 and 3/12/24-4/13/24, more than 30 days apart.

Corrected Corrected by Jul 31, 2024

Category: physical safety. 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.

The facility did not have a written notification to local traffic safety authorities identifying their location and use of pedestrian and vehicular routes around the facility.

Corrected Corrected by Sep 6, 2024

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.

Staff #1, #2, and #3 are missing documentation of emergency plan training at time of initial employment, on an annual basis, and at the time of each plan update.

Corrected Corrected by Jul 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The emergency plan was not posted in the facility in a conspicuous location.

Corrected Corrected by Jul 12, 2023

Category: physical safety. 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). LACKING REQUIRED HIRING DOCUMENTS: 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 #1 & Staff #3 are unable to return to work after 7/11/2023 and may only return once updated clearances are obtained

The record for Facility Person #1 contained an expired Child Abuse clearance (9/15/17) and FBI (9/6/17).clearance. The file also lacked a state police clearance. The record for Staff person #3 contained an expired state police clearance (9/6/17), and an expired FBI Clearance (9/6/17). Staff #1 & Staff #3 are unable to return to work after 7/11/2023 and may only return once updated clearances are obtained.

Corrected Corrected by Jul 11, 2023

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The 2 most recent mandated reporter training certificates on file for Staff #2 are dated 1/3/15 and 9/10/20, more than 60 months apart.

Corrected Corrected by Sep 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)/3280.192(2)(iv) · A primary shall have attained one of the following qualification levels specified at §3280.34(b)(1) - (5). 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.

Facility Person #1 was categorized as a volunteer on the staff worksheet, but was observed performing the functions of a primary staff person by serving in the staff to child ratio. Facility person #1 lacks the required documented 2,500 hours of child care experience needed to meet the requirements of a primary staff person.

Corrected Corrected by Aug 21, 2023

Category: ratio. Marked corrected in the state record.

3280.52(a)(1)/3280.113(a)(1) · A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in §3280.52(b) or (c) requires a second or third staff person. 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.

Upon entering the facility for the unannounced renewal inspection at 9:15 AM, staff person #2, a primary staff person, left a group of 8 children ranging in age from OT to SA alone with Facility person #1 (volunteer) in the main room while answering the door and later to retrieve something from the front room.

Corrected Corrected by Jul 11, 2023

Category: supervision. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the right side of the Main Room, there was an electrical outlet located under the air conditioner that did not have an outlet cover. In the left side of the Main Room, there was an electrical outlet located on the wall that did not have an outlet cover. In the Gross Motor room, there was an extension cord, wall outlet, and power strip that were missing outlet covers.

Corrected Corrected by Jul 11, 2023

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.

The ceiling in the gross motor room had multiple bulging cracks that spread across the ceiling and around a light fixture. In the right side of the Main Room, the floor in front an emergency exit door was made of plywood and depressed when person stood on it. A gap was observed around the floor grate that was located in front of the changing table in the middle of the main child care room that poses a risk for tripping. There was a loose wood plank on the wall with a protruding nail, which created pinch points directly behind toddler highchairs in the middle of the Main Room that could cause injury.

Corrected Corrected by Aug 1, 2023

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint/plaster was present on the ceiling in the corner near the bathroom and in the corner by the exit door in the Main Room. In the Gross Motor room, there were multiple cracks and bulging plaster around a light fixture.

Corrected Corrected by Aug 14, 2023

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

3280.102(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.

There was a cracked plastic toy bin and a cracked wooden hamburger bun in the right side of the Main Room. There was a changing pad used for diapering that had peeling plastic along the sides.

Corrected Corrected by Aug 1, 2023

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

3280.103 · 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.

The facility had plastic bags located on the changing table that were accessible to the children and the changing pad had peeling plastic on the sides, which is less than 1 inch in size. The Main child care room is used for a variety of ages, including toddlers.

Corrected Corrected by Aug 10, 2023

Marked corrected in the state record.

3280.105(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.

The two cribs in Main Room used by the toddlers are not labeled for use by a specific child.

Corrected Corrected by Aug 21, 2023

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

3280.123(a) · An agreement shall be signed by the operator and the parent.

The agreement on file for Child #1 is not signed by the operator.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #2 is missing the fee amount.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreements on file for Child #2 and Child #5 are missing release persons in case of an emergency.

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Children #1, #2, #3, #4 and #5 were observed to contain the original agreements.

Corrected Corrected by Aug 21, 2023

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 #1 does not include the phone number for the child's pediatrician/source for medical care.

Corrected Corrected by Jul 12, 2023

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 on file for Child #4 does not include the work address of the parent and the file for Child #5 does not include a complete home address for the parent.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. 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 on file for Child #1, #3, and #4 does not include a complete address for all listed release persons.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(e) · 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.

The files for Child #2, #4, and #5 lacked an immunization record or exemption letter within the first 60 days from enrollment. Child #2, #4, and #5 must be dismissed from care by close of business on 7/11/23 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 Sep 21, 2023

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

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

While observing a diaper change in the Main Room, staff were observed not throwing the soiled diaper away immediately after removing it. When the soiled diaper was thrown away, it was placed in an unlined trash can.

Corrected Corrected by Aug 11, 2023

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

3280.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A diaper change was observed in the Main Room and the staff person did not sanitize the uncovered diaper changing surface after diapering.

Corrected Corrected by Jul 11, 2023

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

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation route was not posted in the facility in a conspicuous location.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. 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 most recent health assessments on file for Staff #2 (8/1/2018) and Staff #3 (10/19/17) are over 24 months old and have not been updated.

Corrected Corrected by Sep 21, 2023

Category: ratio. Marked corrected in the state record.

3280.183 · A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Completed fee agreement forms were observed on top of the cubbies in the Gross Motor room, which are required to be kept confidential.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

Staff #1 file lacked a documented home address.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.192(6) · A record shall include a copy of records of training required by the Department.

The file for Staff #1 and Staff #3 were observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET). The file for Staff #2 contained 6 out of 12 hours of annual professional development training at the time of inspection.

Corrected Corrected by Sep 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill 60-day test log includes test dates 10/3/22-12/10/22, 12/10/22-2/13/23, and 2/13/23-5/15/23, which are more than 60 days apart.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The fire drill log on file included multiple consecutive hypothetical locations of the fire used for the drill.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. 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 10/13/22-11/13/22, 1/10/23-2/16/23, 3/13/23-4/13/23, 5/13/23-6/13/23, which are more than 30 days apart.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance that was posted in a conspicuous location, used by parents, was expired.

Corrected Corrected by Aug 21, 2023

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The emergency plan on site at the facility does not include shelter in place procedures during an emergency.

Corrected Corrected by Aug 21, 2023

Category: physical safety. 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 #1 did not complete the following required pre-service training within 90 days of hire, which was required to be completed per the updates to Chapter 3280 Group Child Care regulations, effective 12/19/20: Get Started with Center-Based Care; Building Blocks for Quality. Staff #2 (4/10/17) and Staff #3 (6/27/18) completed the original Health and Safety training but did not complete the required Health and Safety 1 hour update by 12/30/2022 per Announcement C-22-02.

Corrected Corrected by Sep 15, 2023

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

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The files for Child #2, Child #4 , and Child #5 were observed not to contain documentation of an initial health assessment within 60 days of enrollment (See LIS CODE SHEET).

Corrected Corrected by Sep 21, 2023

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

3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

According to operator report, updates to the emergency plan were sent to the local municipality but not to the county emergency management agency.

Corrected Corrected by Sep 30, 2022

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

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for Child #1, #2, #3 and #4 contained agreement forms which lacked the enrollment dates for the children.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 lacked documentation of 12 clock hours of child care training required between 12/19/20 and 12/19/21.

Corrected Corrected by Sep 21, 2022

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

The file for Staff #1 contained a most recent state police clearance dated more than 60 months in the past and a disclosure statement which lacked a signature, date or witness signature.

Corrected Corrected by Jul 25, 2022

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An electrical outlet was observed to be uncovered in the Main Room, near the infant area.

Corrected Corrected by Jul 25, 2022

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.

Toxic bug stop and paint were observed to be accessible to children in an unlocked closet off the Main Room. Toxic Clorox was observed to be accessible to children in an unlocked staff room off the Main Room. Toxic hand sanitizer was observed to be accessible to children on a low toy shelf in the Main Room.

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

3280.74 · 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.

Emergency telephone numbers were not posted by the telephone in the Main Room.

Corrected Corrected by Sep 21, 2022

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

3280.102(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.

A doll house in the Main Room was observed to contain a cracked roof, causing a pinch point and sharp edge.

Corrected Corrected by Sep 21, 2022

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

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files for Child #2, #3 and #4 contained agreements which lacked the names of release persons.

Corrected Corrected by Sep 21, 2022

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 file for Child #1 contained an emergency contact form which lacked the telephone number of the child's medical provider.

Corrected Corrected by Sep 21, 2022

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 file for Child #1 contained an emergency contact form which lacked a complete address for release persons.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact forms were not present in the Main Room for children receiving care in that space.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Main Room.

Corrected Corrected by Sep 30, 2022

Category: transportation. Marked corrected in the state record.

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

According to operator report, soiled diapers are placed in a bag before being taken outside to the garbage can. A hands-free covered can was not available for soiled diapers at the time of the inspection.

Corrected Corrected by Sep 21, 2022

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

3280.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Facility Person #2 (volunteer) contained an initial health assessment dated more than 12 months in the past.

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

3280.151(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.

The file for Facility Person #2 (volunteer) contained documentation of initial tuberculosis screening by the Mantoux method which was dated more than 12 months in the past.

Corrected Corrected by Sep 30, 2022

Category: health medication. 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.

Documentation of an emergency drill held between 12/19/20 and 12/19/21 was not available at the time of inspection.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. 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.

There was a nail exposed on the wall in the large room.

Corrected Corrected by Nov 24, 2021

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

3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

A copy of the emergency plan was not sent to the local municipality emergency management agency. A copy of the emergency plan was not sent to the county emergency management agency.

Corrected Corrected by Nov 24, 2021

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

3280.31(e)(4)(i)/3280.33(c) · All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

The file for staff #1 lacked a current pediatric first-aid and CPR certificate. The prior certification on file expired on 2/16/21. There is no other staff available with current pediatric first-aid and CPR.

Corrected Corrected by Nov 24, 2021

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

According to last year's staff worksheet, Holly's FBI was already late, but it was waived due to the bill 360 Act 18 of 2020. She was required to obtain it by 12/31/20.

Corrected Corrected by Nov 24, 2021

Category: supervision. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was an uncovered protective outlet on the wall by the storage room accessible to children 5 years of age or younger.

Corrected Corrected by Nov 24, 2021

Marked corrected in the state record.

3280.102(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.

There was a broken easel in the main room that has an exposed screw holding the bending leg of the easel, and a white shelf that that was holding puzzle and other toys that has damage on the top right corner exposing splinters.

Corrected Corrected by Nov 24, 2021

Category: physical safety. 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 #1 lacked a current health assessment. The health assessment on file was greater than 24 months past the date of signature.

Corrected Corrected by Nov 24, 2021

Category: ratio. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted at a conspicuous location in the child care facility.

Corrected Corrected by Nov 24, 2021

Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 24, 2021

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

3280.95(a)/3280.95(b) · (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) 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 lacked an interconnected fire detection system.The facility had an operable, individual smoke detector on the facility that was unable to test.

Corrected Corrected by Nov 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The information on how to access the regulations electronically was not provided to the parents of each enrolled child.

Corrected Corrected by Aug 9, 2021

Marked corrected in the state record.