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.

Water stained tiles were observed in the bathroom in the young toddler class on the second level.

Corrected Corrected by Feb 24, 2025

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

3270.102(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 plastic bin filled with blocks with a cracked handle that created a pinch point in the young toddler classroom on the second level.

Corrected Corrected by Feb 18, 2025

Category: physical safety. 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 childcare group settings). Child #1 and #2 must be dismissed from care by close of business 9/14/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

While at the facility unannounced on 9/14/23 for a complaint visit the inspector verified that child #1 was missing DTAP, Polio, HIB, PCV, and Roto immunizations as recommended by the ACIP. Child #2 was missing MMR and Varicella Immunizations as recommended by the ACIP.

Corrected Corrected by Sep 25, 2023

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 childcare position at the facility.

While at the facility unannounced on 6/14/23 the inspector reviewed the file for staff #1 and noted that this employee had been hired with a volunteer PA Child Abuse versus the required employment PA Child Abuse clearance.

Corrected Corrected by Jun 14, 2023

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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.

While at the facility unannounced on 2/23/22 the inspector reviewed staff files and noted that staff #1, #2, #3, and #4 were all employed over 90 days and did not have their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) as is required.

Corrected Corrected by Feb 10, 2022

Category: ratio. 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.

While at the facility unannounced on 2/23/22 the inspector reviewed staff files and noted that staff #5 had a first day of working in child care as 2/9/22 and as of 2/23/22 did not have proof of having had FBI fingerprinting completed as well as proof of having submitted for the PA State Police clearance.

Corrected Corrected by Feb 23, 2022

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

3270.151(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.

While at the facility unannounced on 2/23/22 the inspector reviewed staff files and noted that staff #5 had a first day of working in child care as 2/9/22 and as of 2/23/22 did not have proof of having had a health assessment on file as is required prior to direct care with children.

Corrected Corrected by Feb 23, 2022

Category: ratio. Marked corrected in the state record.