3270.14/3270.21 · 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 file for Staff #2 (see IS Code Sheet) contained documentation of the Health & Safety - 1-Hour Update, dated 3.8.23, which was due by 12.30.22. The file for Staff #3 contained documentation of First-Aid/CPR training on 3.11.23, which was not Pediatric.

Corrected Corrected by Aug 4, 2024

Category: ratio. 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.

The two (2) most recent Health Assessments, in the file for Staff # 1, exceeded the 24-month renewal requirement.

Corrected Corrected by Aug 4, 2024

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Fire Testing Log contained documentation of testing on 2.1.24 to 3.30.24, and 4.6.24 to 6.2.24, which exceeded the 30-day requirement.

Corrected Corrected by Aug 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Staff Person #1, who has been identified as the Director at the facility, is not present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Oct 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Upon arrival to the facility at approximately 10:05am, Staff Person #2 was observed to be in their car in the parking lot outside the facility. Staff Person #2 went in through a side door as Cert Rep went in through the front door with two parents dropping off 2 preschool age children. Upon entering the PS Classroom Cert Rep observed Staff Person's #2 and #3 moving children between the PS and Toddler Classrooms. It was reported that Staff Person #3 was caring for the children together in the PS classroom prior to Staff Person #2's return inside the facility. After reviewing the emergency contact forms to confirm dates of birth of the children present it was determined that Staff Person #3 was caring for a mixed age group that included 2 young school agers, 2 older school agers, 3 preschoolers and 1 older toddler while Staff Person #2 was outside in their car. Initially Staff reported that the older toddler was a preschool age child. With the determination that the youngest child in the mixed age group was an older toddler, Staff Person #3 was not compliant with the required 1:6 ratio as she was caring for 8 children. These 8 children did not include the 2 preschool children being dropped off at Cert Reps arrival.

Corrected Corrected by Sep 2, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff Person's #4 and #5 lacked verification of experience to qualify them for the position that they were reported to be performing at the facility.

Corrected Corrected by Sep 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · 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 files for Staff Person's #1, #2, #3 and #4 lacked completion of the required 1-hour Health and Safety Training update by 12.30.22. The update was completed on 3.8.23 for Staff Person's #2 and #3, 3.10.23 for Staff Person #4 and 6.11.23 for Staff Person #1.

Corrected Corrected by Jun 9, 2023

Category: ratio. 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.

The file for Staff Person #1 lacked verification that they had received fire safety training within the 12 months prior to the current fire safety training on 1.3.23.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A bottle of bleach was observed on the windowsill in the restroom in the Preschool Classroom. The bleach was accessible to School Age children who were receiving care in the space.

Corrected Corrected by Jun 9, 2023

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

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

An unlabeled spray bottle that was reported to contain Fabuloso was observed in a locked closet in the Multipurpose Classroom.

Corrected Corrected by Jun 9, 2023

Category: ratio. Marked corrected in the state record.

3270.103 · 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 Infant Classroom, a bin containing empty plastic bags was observed on a low shelf and would be accessible to children receiving care in the space.

Corrected Corrected by Jun 9, 2023

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

3270.124(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 #2 lacked the policy number for the child's health insurance information.

Corrected Corrected by Jun 12, 2023

Category: health medication. 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 child care group settings). Child #3 will be dismissed from the facility at the close of business on 6.9.23.

The file for Child #3 lacked an updated immunization record to verify that the child had received all the vaccinations recommended by the ACIP. The most recent immunization report for the child lacked one dose of the recommended DTAP, HIB and Pneumococcal vaccinations. The immunization report also lacked documentation that the child had received the recommended Varicella and Hepatitis A vaccinations. A written exemption for the missing recommended immunization was not on file at the time of the inspection.

Corrected Corrected by Jun 13, 2023

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

3270.181(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 updates to the emergency contact form and financial agreement for Child #1 has exceeded 6 months since last update on 10.4.22.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(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 current Certificate of Compliance was not posted in a conspicuous location in the facility.

Corrected Corrected by Jun 9, 2023

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #1 lacked 9 of their required 12 hours of child care training in their respective training year.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water in the Multi Purpose Room was measured at 126.2° F. The hot water in the Infant Room, that is used for changing children from the Multi Purpose Room, was measured at 130° F.

Corrected Corrected by Jun 16, 2022

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

3270.75(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 Infant Classroom was missing gloves.

Corrected Corrected by Jun 16, 2022

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

A strap was missing from one of the bucket high chair table seats in the Multi Purpose Classroom.

Corrected Corrected by Jun 16, 2022

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The temperature in the refrigerator in the office was measured at 55° F.

Corrected Corrected by Jul 22, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(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 the addresses for two of the release persons listed.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation of an annual emergency drill prior to 12/19/21. The documented emergency drill was dated 5/6/22.

Corrected Corrected by Jun 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility lacked proof of purchase of the interconnected fire detection system.

Corrected Corrected by Jul 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(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 current Certificate of Compliance was not posted in a conspicuous location. The posted Certificate expired in 2021.

Corrected Corrected by Jun 16, 2022

Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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. 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 file for Child #1 lacked an initial health assessment and immunization record within 60 days of enrollment. Based on the listed enrollment date the child has been enrolled for 99 days.

Corrected Corrected by Jul 22, 2022

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