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.

Observed an unlocked garage door on the way to the outdoor play space, allowing toxics inside to be accessible to children.

Corrected Corrected by Feb 4, 2024

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.

Observed the emergency telephone numbers were not posted by the telephone stationed on top of the refrigerator.

Corrected Corrected by Jan 24, 2024

Category: physical safety. 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.

Observed the documentation for the required annual emergency drill did not contain all of the required information listed on the OCDEL emergency drill log.

Corrected Corrected by Jan 24, 2024

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.

Observed the facility did not have the current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Jan 24, 2024

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.

Child file #2 lacked the health insurance policy number for the child on the emergency contact form.

Corrected Corrected by Feb 1, 2023

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

3280.26(a)(3)/3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility emergency plan lacked a means for notifying parents when an emergency happens and when parents can be reunited with their children.

Corrected Corrected by Feb 1, 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). 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 file #2 contained PA State Police Clearance dated 7/27/17 and 9/14/22 which exceeded the 60 months as required by the CPSL. LIS CODE SHEET

Corrected Corrected by Sep 14, 2023

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

3280.78/3280.113(a) · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

During naptime at approximately at 1:45 PM, staff #2, staff #3 and staff# 4 were seated at the small table while 1 infant, 1 young toddler and 8 older toddlers were napping in the room. The CR also sat where the staff were seated to observe the space from their view. The staff identified the children in their groups. Staff #4, identified the 1 Infant, but could not see and asses the infant napping in a pack'n play due to the position of the staff, the mesh lining of the pack 'n play and the dim lighting in the space.

Corrected Corrected by Feb 1, 2023

Category: supervision. 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.

Child file #4 lacked the fee amount on the agreement form.

Corrected Corrected by Feb 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child files #1, #3 and #4 lacked the date of the child's admission on the agreement form.

Corrected Corrected by Feb 1, 2023

Category: recordkeeping. 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.

The hands free covered can located at the diaper changing area did not operate as hands free.

Corrected Corrected by Feb 1, 2023

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

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

Staff file #1 contained a health assessment dated 12/14/22 that lacked the results of the communicable disease examination.

Corrected Corrected by Feb 1, 2023

Category: health medication. 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 facility emergency plan did not provide for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Feb 1, 2023

Category: physical safety. 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 routes were not posted on every floor of the facility.

Corrected Corrected by Feb 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(2) · The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

The facility emergency plan lacked the evacuation routes and evacuation plans to exit the building from all exits and the floor plans.

Corrected Corrected by Feb 1, 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). 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 staff person #1, whom was hired as a primary staff person on 1/11/22 at the facility, lacked a disclosure statement that was completed prior to the hire date. The disclosure statement in the file is dated 1/21/22.

Corrected Corrected by Jan 21, 2022

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

The file for staff person #1, whom was hired as a primary staff person on DOH (See LIS CODE SHEET) at the facility, lacked a disclosure statement that was completed prior to the hire date. The disclosure statement in the file is dated 1/21/22.

Corrected Corrected by Jan 21, 2022

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