3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

2nd citation. Previously cited on 6/26/24. Observed embedded equipment in the outdoor play space with approximately 1 to 4 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering.

Corrected Corrected by Aug 26, 2024

Category: physical safety. 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.

Observed a #3 peg board with bite marks in the Preschool/School-Age Room.

Corrected Corrected by Jun 26, 2024

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed a Step 2 tool bench, Fisher Price tool bench, Little Tykes Kitchen, and a Step 2 Kitchen which were not anchored creating a potential tipping hazard in the Toddler Section of the room.

Corrected Corrected by Aug 9, 2024

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

3270.27(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 letter provided to the parent explaining the emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 27, 2024

Category: physical safety. 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 of Staff #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training completed on 5/15/24 with a previous one completed on 10/10/22.

Corrected Corrected by Jun 27, 2024

Category: recordkeeping. 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 file of Staff #3 lacked a Child Abuse Clearance and DHS FBI Clearance updated every 60 months. The file of Staff #3 contained a Child Abuse Clearance dated 5/24/24 with a previous one dated 8/9/18. The file of Staff #3 contained a DHS FBI Clearance dated 5/22/24 with a previous one dated 8/30/18.

Corrected Corrected by Jun 27, 2024

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

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Observed toxic shrubs in the outdoor play space which were accessible to children.

Corrected Corrected by Aug 9, 2024

Category: physical safety. 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.

Observed Claire Disinfectant Spray and Fantastik which indicated "keep out of the reach of children" in the top drawer of the changing table which were accessible to children in the Infant Section of the room.

Corrected Corrected by Jun 26, 2024

Marked corrected in the state record.

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.

Observed rust on 3rd and 4th poles from the gate beside the parking lot in the outdoor play space. Observed rust on the 1st, 3rd, and 5th sections of the fence from the gate beside the parking lot in the outdoor play space. Observed rust on the 2nd post from the corner behind the swing set in the outdoor play space. Observed loose trim on the bump out in the bathroom of the Toddler Section of the room.

Corrected Corrected by Aug 9, 2024

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed peeling paint on the posts and boards of the swing set in the outdoor play space.

Corrected Corrected by Aug 9, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed embedded equipment in the outdoor play space with approximately 2 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as a protective surface covering.

Corrected Corrected by Aug 9, 2024

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of Child #3 lacked child service reports completed at least every 6 months. The file of Child #3 contained child service reports dated 5/22/23 and 1/17/24.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files of Children #1, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #4 did not contain the work address and work telephone number of the enrolling parent.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file of Child #5 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #5 contained health reports dated 9/27/23 and 6/6/24.

Corrected Corrected by Jun 28, 2024

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained health reports dated 3/27/23 and 5/15/24.

Corrected Corrected by Jun 28, 2024

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 emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were reviewed on 3/6/23, 9/3/23, and 4/4/24. The emergency contact and agreement for Child #5 were not reviewed and updated at least once in a 6-month period. Child #5's emergency contact and agreement were signed on 9/12/23 and reviewed on 4/3/24.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The files of Staff #1 and #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/18/23. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 5/14/24.

Corrected Corrected by Jun 28, 2024

Category: health medication. 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 of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(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 of child #1 lacked an emergency contact form with the address of the child's physician or source of medical care.

Corrected Corrected by Jul 11, 2023

Category: health medication. 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.

At the time of the inspection, there was not a Shaken Baby, Abusive Heah Trauma, and Child Maltreatment policy. At the time of the inspection, the Emergency Plan lacked continuity of operations.

Corrected Corrected by Jul 15, 2023

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed loose fitted sheets in the 3 brown pack and plays used by infants.

Corrected Corrected by Jul 11, 2023

Category: health medication. 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.

Observed in the infant space, 6 plastic baskets stacked on one another causing crush hazard.

Corrected Corrected by Jul 11, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of child #2 lacked child service reports every 6 months.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. 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 file of staff #1 lacked health assessments timely due to the fact they were more than 2 years apart.

Corrected Corrected by Jul 11, 2023

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director 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.

Based on documentation, fire drills were conducted more than 60 days apart due to the fact they were done on 4-5-23 and 6-28-23.

Corrected Corrected by Jul 11, 2023

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.

Based on documentation, testing of the smoke detectors was not done every 30 days due to the fact testing occurred on 5-1-23 and 6-1-23 which is 31 days.

Corrected Corrected by Jul 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 of staff #4 was observed to contain late Mandated Reporter trainings due to the fact they were dated 5-6-15 and 8-3-20. Therefore, more than 60 months apart.

Corrected Corrected by Aug 3, 2020

Category: recordkeeping. 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). Facility Persons #2 and #3 may not work in a child care position at the facility. 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 #2 and #3 may not work in a child care position at the facility.

The file for staff person #2 was observed not to contain documentation of application of a National Sex Offender Registry prior to date of hire and not to contain a National Sex Offender Registry report prior to date of hire (See IS CODE SHEET) At the time of reviewing files, the file of staff #3 was observed to have a PA State Police Clearance and PA Child Abuse clearance for the purpose of volunteer rather than employment See IS CODE SHEET)

Corrected Corrected by Jul 5, 2022

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

3270.36(b)(5)/3270.192(2)(iii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.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 of staff #1 lacked documentation to support the position of Assistant Group Supervisor due to the fact 2 years' experience was not on file.

Corrected Corrected by Jun 14, 2022

Category: supervision. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed expired diaper creams as follows: child #1 Equate Petroleum Jelly expiration 4-2022; child #2 Desitin expiration date 10-2020; child #3 Dollar General Baby Healing Ointment expiration 12-20-20; and child #4 Desitin expiration 10-2021.

Corrected Corrected by Jun 13, 2022

Category: ratio. Marked corrected in the state record.