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.

Staff Person #2 has completed Health and Safety Basics: Requirements for Certification (6 hours),but has not completed Pennsylvania Health and Safety Update 2022 (1hour). Staff Person # 2 has been in a childcare position for more than 90 days. see code sheet for date of hire.

Corrected Corrected by Feb 11, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a childcare position at the facility until a PA Child Abuse History clearance for employment is received by the facility.

Staff Person #1 has a volunteer PA Child Abuse History clearance.

Corrected Corrected by Feb 10, 2025

Category: background checks. 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.

In the 4/5-year-old room, an area rug had a corner turned up posing a possible tripping hazard.

Corrected Corrected by Feb 10, 2025

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 facility had emergency procedures listed in their emergency plan, however, did not have it documented in the parent letter.

Corrected Corrected by Apr 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.

It was observed in the Monkey's room that the partition wall was peeling, causing hazardous exposure of wall material to the children. It was also observed in the Cub's room that there was chipped paint along the border of the wall.

Corrected Corrected by Apr 9, 2024

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

3270.21/3270.133 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

This was verified on SIN-00220908. Please refer to SIN-00220908 for violation description.

Corrected Corrected by Apr 30, 2023

Category: ratio. 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 is exposed foam on the small couch in the Preschool Room.

Corrected Corrected by Mar 31, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There wasn't two feet on three sides of a crib that was in use in the Infant Room

Corrected Corrected by Mar 13, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility does not have an accident file for incident reports.

Corrected Corrected by Mar 14, 2023

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

During a complaint investigation conducted on 3/13/23, it was determined that the operator did not notify the Northeast Regional Office within 24 hours of Child #1 receiving emergency room treatment for an allergic reaction that occurred at the facility on 3/6/23.

Corrected Corrected by Mar 13, 2023

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

3270.21/3270.133 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs. Conditions at the facility may not pose a threat to the health or safety of the children. he legal entity must create a policy regarding food allergies. This policy will ensure that children with food allergies are not served a food that they are allergic to. This policy will ensure that all staff are aware of the allergies of the children enrolled at the facility. The policy shall also include how the list of children with allergies will be communicated to the staff and the frequency of those communications. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the food allergy policy.

During a complaint investigation conducted on 3/13/23, it was determined that on 3/6/23, Staff Person #1 served Child #1 a fig bar that contained wheat & eggs, both of which he is allergic to. The facility is aware of the child's allergies; there is documentation on file from Children's Hospital of Philadelphia.

Corrected Corrected by Apr 30, 2023

Category: ratio. Marked corrected in the state record.

3270.21/3270.133 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

During a complaint investigation conducted on 3/13/23, it was determined that on 3/6/23, Staff Person #1 served Child #1 a fig bar that contained wheat & eggs, both of which he is allergic to. The facility is aware of the child's allergies; there is documentation on file from Children's Hospital of Philadelphia.

Corrected Corrected by Apr 15, 2023

Category: ratio. 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.

During a complaint investigation conducted on 3/1323. it was determined that on 3/7/23, Staff Person #2 left Child #2, a preschool aged child, inside, unsupervised for between 45 - 60 seconds, while Staff Person #2 took the rest of the class outside to the outdoor play space.

Corrected Corrected by Mar 7, 2023

Category: supervision. 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. The legal entity must arrange for all facility staff to receive a minimum of three hours of in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During a complaint investigation conducted on 3/1323. it was determined that on 3/7/23, Staff Person #2 left Child #2, a preschool aged child, inside, unsupervised for between 45 - 60 seconds, while Staff Person #2 took the rest of the class outside to the outdoor play space.

Corrected Corrected by Jun 30, 2023

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During a complaint investigation that was conducted on 3/13/23, it was determined that an incident report was not completed when Child #1 had an allergic reaction at the facility on 3/6/23.

Corrected Corrected by Mar 13, 2023

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During a complaint investigation conducted on 3-13-23, it was determined that on multiple occasions, Staff Person #1 yanked children by their arms and pulled children down from the step near the sink by their shirts. There was also one occasion in which a child's arm was scratched when Staff Person #1 grabbed the child's arm.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use any form of physical punishment, including spanking a child. Operator will develop a behavior management policy that clearly explains risk factors for challenging behaviors and use tools related to child development and learn strategies to manage children with challenging behaviors including appropriate discipline techniques. The policy will also discuss different behavior management techniques and discover the benefits of using positive redirection to teach children self-regulation and acceptable behavior. The operator shall send a copy to the Regional Office for approval. Once approved, the operator shall hold a staff meeting for all staff to go over the behavior management policy. Staff will sign a statement affirming that they have read and understand the policy.

During a complaint investigation conducted on 3-13-23, it was determined that on multiple occasions, Staff Person #1 yanked children by their arms and pulled children down from the step near the sink by their shirts. There was also one occasion in which a child's arm was scratched when Staff Person #1 grabbed the child's arm.

Corrected Corrected by May 16, 2023

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(5) · Staff Person #1 cannot have access to the children in the facility. The operator may not allow abuse to occur at the facility. The Department may deny, refuse to renew or revoke a certificate of compliance for mistreatment or abuse of a child/children cared for in facility.

During a complaint investigation conducted on 3/14/23, it was determined that Staff Person # 1 mistreated or abused Child # 1 while being cared for in the facility on 3/2/23.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.69(c) · Safe drinking water shall be made available to children of all ages throughout the day.

During complaint investigation conducted 10/19/2022, facility acknowledged that a child in the facility was not given water all day on 10/17/2022 due to a lack of communication.

Corrected Corrected by Nov 8, 2022

Category: physical safety. 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. Staff #2, Staff #3, and Staff #4 may not work in a child care position at the facility until all required clearance results are on file, including out of state clearances from North Carolina for Staff #2.

During unannounced inspection conducted 9/22/2022, Staff #2 began working without properly requesting out-of-state clearances. There is no NSOR clearance on file for Staff #3. Staff #3 is past 45-day provisional hiring period (see LIS code sheet). An acceptable plan of correction was received on 10/11/2022 with a correction date of 9/22/2022. When certification representative returned for unannounced monitoring on 10/19/2022, Staff #2 and Staff #3 were not present in the facility. Last FBI clearance results on file for Staff #4 are dated 10/10/2017. There is a receipt on file for fingerprints completed on 10/4/2022; however, results were not on file at the facility at the time of inspection.

Corrected Corrected by Oct 19, 2022

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During complaint investigation conducted 9/22/2022, rep reviewed video footage from 9/20/2022 at 9:30AM. In the video, Child #1 begins to hit another child on the back with a toy. Following incident, Staff #1 is observed to be holding Child #1 on the floor for approximately 10 minutes until another staff member came into the room. Child #1 is observed to be fidgeting, reaching for peers, and tying to get up.

Corrected Corrected by Sep 20, 2022

Category: recordkeeping. 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.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.

During complaint investigation conducted 9/22/2022, staff in several classrooms (Chicklets, Cubs, and Pandas) had trouble identifying their specific groups inside the classroom. Some children present were identified in two groups, and staff identified children who were not present when asked to name individual groups.

Corrected Corrected by Sep 22, 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. Staff #2 and Staff #3 may not work in a child care position at the facility until all required clearances are on file, including out of state clearances from North Carolina.

During unannounced inspection conducted 9/22/2022, Staff #2 began working without properly requesting out-of-state clearances. There is no NSOR clearance on file for Staff #3. Staff #3 is past 45-day provisional hiring period (see LIS code sheet).

Corrected Corrected by Sep 22, 2022

Category: background checks. 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. Staff #2 and Staff #3 may not work in a child care position at the facility until all required clearances are on file, including out of state clearances from North Carolina. The legal entity/director must register for and attend Existing Provider Orientation with the Northeast Regional Office on 11/30/2022.

During unannounced inspection conducted 9/22/2022, Staff #2 began working without properly requesting out-of-state clearances. There is no NSOR clearance on file for Staff #3. Staff #3 is past 45-day provisional hiring period (see LIS code sheet).

Corrected Corrected by Nov 30, 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.

During unannounced monitoring conducted 9/22/2022, last health assessment on file for Staff #1 was dated 8/20/2020 (see LIS code sheet).

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

During a complaint investigation completed on 7/27/22, facility staff admitted that on 7/25/22 at approximately 3:30pm child #1, who was toilet trained, reportedly asked to use the bathroom and this request was denied by staff person #1, which resulted in the child soiling themselves; therefore facility staff's daily routine did not promote developmental skills, social competence, self-esteem, or respect the child's personal privacy.

Corrected Corrected by Jul 26, 2022

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

3270.113(a)(1) · 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.

During a complaint investigation conducted on 6/16/22, it was observed in the Falcons School Aged classroom that 3 staff were present with 26 children. When staff were asked which children were assigned to them in their care group, staff #1 stated they had 11 in their care group, staff #2 stated they had 3 in their care group, and staff #3 stated they had 8 in their care group. In total, 22 children in the room were assigned to the care group of a specific staff person leaving 4 children unassigned to any care group in that space.

Corrected Corrected by Jun 16, 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.

Staff 2 (see code sheet for DOH) did not have a completed fbi clearance on file until 3.8.22. Staff 2 has a DOE fbi clearance on file dated 2.15.21 (which is considered not a completed clearance for DHS) and a DHS fbi clearance on file dated 3.8.22.Also, staff 2 lived outside of Pennsylvania within the last 5 year and did not obtain an out of state clearance until 3.1.22. Staff 6 (see code sheet for DOH) does not have proof of request for fbi clearance on file but has a completed fbi clearance on file dated 9.27.21.

Corrected Corrected by Apr 12, 2022

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

3270.25(a)/3270.27(a)(5) · 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 facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Provider does not provide the parents with information on how to access the regulations electronically with instructions for contacting the NE Regional child care office. Facility's emergency plan does not have accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 11, 2022

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The following staff did not have emergency plan training at initial hire; staff 1, staff 6 and staff 7. Staff 1 has emergency plan training on file dated 12.2.21, staff 6 has emergency plan training on file dated 8.24.21 and staff 7 has emergency plan training on file dated 11.30.21

Corrected Corrected by Apr 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

Staff 4 (see code sheet for DOH) does not have proof of 2500 hours of child care experience to qualify as an assistant group supervisor.

Corrected Corrected by Apr 12, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Emergency contact information for child 1 does not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Apr 11, 2022

Category: ratio. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child 1's record does not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Apr 11, 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.

Provider does not have proof of documentation that emergency drills are being conducted annually.

Corrected Corrected by Apr 12, 2022

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. Both staff must be supervised at all times until pediatric first aid and cpr training is completed.

Staff 5 has been employed for more than 90 days and does not acceptable pediatric first aid and cpr on file. Staff 5 has child/infant and adult first aid and cpr on file. Staff 3 has been employed for more than 90 days and does not have acceptable pediatric cpr training on file. Training was conducted by a person who is not on the approved pediatric first aid and cpr list.

Corrected Corrected by Apr 19, 2022

Category: supervision. Marked corrected in the state record.