3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

During the renewal inspection the inspector observed the file for staff #1 and found that this staff did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 5/12/19 and a current dated 06/13/24, a Pa Child Abuse previously dated 5/16/19 and a current dated 6/23/24, a previous FBI dated 5/11/19 and a current dated 06/17/24.

Corrected Corrected by Nov 7, 2024

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

3270.151(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.

During the renewal inspection the inspector observed the file for staff #2 and found that this staff did not obtain a TB screening until after providing direct care to children (see LIS Code Sheet for DOH).

Corrected Corrected by Nov 7, 2024

Category: health medication. 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). 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired correctly as a provisional hire but worked past their 45-provisional hire window without an NSOR clearance on file.

Corrected Corrected by Nov 21, 2023

Category: background checks. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 2 was working in child care and the file did not contain documentation of a tuberculosis screening.

Corrected Corrected by Nov 21, 2023

Category: health medication. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of Staff # 12. Staff # 12 has been employed with the facility for more than 1-year and this file did not contain a written evaluation.

Corrected Corrected by Dec 13, 2022

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire on the following staff. Staff # 12 had worked at the facility for over a year and this staff has not yet participated in fire safety training.

Corrected Corrected by Dec 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1, # 3, # 4, # 6 and # 12 will have until 12/14/22 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 3, # 4, # 6 and # 12 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, # 3, # 4, # 6 and # 12, Staff person # 1, # 3, # 4, # 6 and # 12 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1 and # 12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics and pediatric first aid/CPR. Staff person # 3 and # 6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

Corrected Corrected by Dec 14, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). Any 6-hour health and safety training taken after 6/30/18 is no longer acceptable. Staff person # 2 will have until 12/14/22 to complete the required training. Until such time as the required training has been completed, staff person # 2 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 2, staff person # 2 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had 6-hour health and safety topic training dated 1/7/19. As of 6/30/18, this 6-hour training no longer met the requirements for training of this regulation.

Corrected Corrected by Dec 14, 2022

Category: supervision. 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). 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 1 was hired incorrectly as a provisional hire. Staff # 1 did not receive their NSOR clearance until 11/8/21, which was not within 90 days of the staff's hire date. Staff # 1 worked in child care prior to receiving this clearance. Staff # 3 was hired incorrectly as a provisional hire. Staff # 3 did not submit their fingerprints for the FBI clearance until 1/20/22 which was after this staff began working in childcare. Staff # 3 did not receive their FBI clearance until 1/20/22. Staff # 4 was hired incorrectly as a provisional hire. Staff # 4 did not apply for the NSOR clearance until 2/4/22 which was after this staff began working in childcare. Staff # 4 did not receive their NSOR clearance until 2/10/22. Staff # 8 was hired incorrectly as a provisional hire. Staff # 8 did not receive their FBI clearance until 11/1/22 which was after this staff began working in childcare. The file did not contain documentation of when this staff submitted their fingerprints for this clearance. Staff # 9 was hired incorrectly as a provisional hire. Staff # 9 did not receive their FBI clearance until 9/26/22 and the NSOR clearance until 9/29/22 which was after this staff began working in child care. The file did not contain documentation of when this staff submitted their fingerprints for the FBI clearance or when this staff applied for their NSOR clearance. Staff # 10 was hired incorrectly as a provisional hire. Staff # 10 did not receive their FBI clearance until 8/31/22 which was after this staff began working in child care. The file did not contain documentation of when this staff submitted their fingerprints for their FBI clearance. Staff # 12 was hired incorrectly as a provisional hire. Staff # 12 did not receive an NSOR clearance until 10/5/22 which was after this staff began working in childcare. The file did not contain documentation of when this staff applied for their NSOR clearance.

Corrected Corrected by Nov 29, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 1, # 4, and # 12 will have until 12/14/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 1, # 4, and # 12 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1, # 4, and # 12, staff person # 1, # 4, and # 12 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1, # 4, and # 12 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Dec 14, 2022

Category: supervision. Marked corrected in the state record.

3270.124(f)/3270.181(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.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of admission/enrollment. Child file # 3 had an emergency contact form that has not been updated since 6/23/21 and an agreement form since 9/7/21. This child's forms have not been updated every 6 months.

Corrected Corrected by Dec 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of admission and dates of birth. Child # 2 is a 1-year-old child that has not had an updated health report and an immunization record since 5/25/22. Child # 3 is a 1-year-old child that has not had an updated health report and an immunization record since 8/9/21.

Corrected Corrected by Dec 13, 2022

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

3270.131(b)(2)/3270.182(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 shall contain initial and subsequent health reports.

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of admission and dates of birth. Child # 5 is a 2-year-old child that has not had an updated health report and an immunization record since 7/1/22. Child # 6 is a 2-year-old child that has not had an updated health report and an immunization record since 11/12/21. Child # 9 is a 4-year-old child that has not had an updated health report and an immunization record since 11/8/21.

Corrected Corrected by Dec 13, 2022

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

3270.151(a)/3270.192(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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 3 did not receive a health assessment and tuberculosis screening until 1/25/22. Staff # 4 did not receive a health assessment and tuberculosis screening until 3/2/22. Staff # 5 does not have a current tuberculosis screening on file Staff # 7 did not receive a health assessment until 8/30/22. Staff # 8 did not receive a health assessment and tuberculosis screening until 11/3/22. Staff # 9 did not receive a health assessment and tuberculosis screening until 8/22/22. Staff # 11 did not receive a health assessment and tuberculosis screening until 11/8/22. Staff # 12 did not receive a health assessment until 9/29/22. Staff # 12 did not have a current tuberculosis screening on file. These staff have worked in childcare without having the appropriate health assessment and tuberculosis completed prior to working in childcare.

Corrected Corrected by Dec 13, 2022

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 3 did not receive a health assessment and tuberculosis screening until 1/25/22. Staff # 4 did not receive a health assessment and tuberculosis screening until 3/2/22. Staff # 5 does not have a current tuberculosis screening on file Staff # 7 did not receive a health assessment until 8/30/22. Staff # 8 did not receive a health assessment and tuberculosis screening until 11/3/22. Staff # 9 did not receive a health assessment and tuberculosis screening until 8/22/22. Staff # 11 did not receive a health assessment and tuberculosis screening until 11/8/22. Staff # 12 did not receive a health assessment until 9/29/22. Staff # 12 did not have a current tuberculosis screening on file. These staff have worked in childcare without having the appropriate health assessment and tuberculosis completed prior to working in childcare.

Corrected Corrected by Dec 13, 2022

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

3270.113(a)/3270.113(a)(1) · 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. 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.

Self-reported non-compliance was reported on 5/3/22. On 5/3/22 an older toddler wandered out of their classroom unnoticed, made it into the hallway and found by another staff. This child was gone from the classroom less than 1 minute, as viewed on video. Staff # 1 and Staff # 2 admitted to not seeing the child leave the classroom and were unaware the child had left the classroom until the child was brought back to the class.

Corrected Corrected by May 3, 2022

Category: supervision. 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). 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 CPSL requires clearances and mandated reporter training to be updated every 60 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had mandated reporter training dated for 2/13/15 and this training was not updated until 5/19/20. Staff # 2 had mandated reporter training dated for 4/6/15 and this training was not updated until 5/17/20. Staff # 3 had mandated reporter training dated for 2/11/15 and this training was not updated until 5/20/20. Staff # 4 had mandated reporter training dated for 4/7/15 and this training was not updated until 5/26/20. Staff # 5 had mandated reporter training dated for 4/8/15 and this training was not updated until 7/28/21. Staff # 6 had mandated reporter training dated for 1/19/15 and this training was not updated until 1/25/20. Staff # 7 had mandated reporter training dated for 8/29/16 and this training was not updated until 9/23/21. These staff did not update their mandated reporter training every 60 months as required by the CPSL. Staff # 3 had a child abuse clearance dated for 1/2/16 and this clearance was not updated until 1/6/21. Staff # 7 had a state police clearance dated for 1/15/16 and this clearance was not updated until 1/26/21, a child abuse clearance dated for 1/21/16 and this clearance was not updated until 1/28/21, and an FBI clearance dated for 1/16/16 and this clearance was not updated until 2/13/21. These clearances were not updated every 60 months as required by the CPSL.

Corrected Corrected by Nov 5, 2021

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

3270.151(a)/3270.192(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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 8 had a date of hire of 9/1/21 and was hired using a physical that was not dated within 12 months prior to the staff's hire date. The date of the health assessment and the tuberculosis screening the staff presented for hire was dated for 7/14/20. Staff # 8 was working in child care without having a current health assessment and tuberculosis screening on file.

Corrected Corrected by Nov 23, 2021

Category: ratio. Marked corrected in the state record.