3270.14 · 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.

One of the school buses was due for its state safety inspection by 12/31/24 and as of 1/2/25 it had not been completed.

Corrected Corrected by Jan 9, 2025

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.

Per the facility's fire drill and detection log, the last fire drill was conducted June 3, 2024.

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

A renewal inspection was conducted 6/9/23. During the inspection, the manufacturers' instructions for the four booster seats in the van were not able to be located.

Corrected Corrected by Jun 9, 2023

Category: transportation. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #3 and Staff Person #4 will have until 6/27/23 to complete the required training. Until such time as the required training has been completed, Staff person #3 and Staff Person #4 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 #3 and Staff Person #4, then Staff person #3 and Staff Person #4 may not work in a child-care position at the facility.

A renewal inspection was conducted 6/9/23. During the inspection, the preservice training was reviewed for all staff. Staff person #3 has not completed the approved health and safety training required within 90 days of their date of hire. Staff person #4 has not completed the approved pediatric first aid/cpr training required within 90 days of their date of hire.

Corrected Corrected by Jun 27, 2023

Category: supervision. 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.

A renewal inspection was conducted 6/9/23 on site. During the inspection, the thirty day testing log of the fire detection system was reviewed. The dates of the testing were 8/9/22, 9/13/22, 10/11/22, 11/15/22, 12/7/22, 1/11/22, 2/9/22, 3/7/22, 4/6/22, 5/8/22, and 6/2/22, showing four times when the testing of the fire detection system had not been conducted in a thirty day period.

Corrected Corrected by Jun 9, 2023

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. Staff Person #1 may not work in a child care position at the facility until a complete State Police Clearance is on file.

A renewal inspection was conducted 6/8/23-6/9/23. During the inspection, the staff files were reviewed. The file for Staff Person #1 included the request for a PA state police clearance made 10/29/20, but did not include a current PA State Police clearance. A review of the file for Staff Person #2, found that the PA State Police Clearance, FBI Clearance, and PA Child Abuse Clearance had not been updated within 60 months. (PA State Police: 12/12/17, 3/3/23; FBI: 12/6/17, 3/9/23; Child Abuse: 12/27/17, 3/12/23).

Corrected Corrected by Jun 9, 2023

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.

A renewal inspection was conducted 6/9/23. During the inspection, water stained ceiling tiles were observed in the kindergarten classroom and in the boys bathroom.

Corrected Corrected by Jun 9, 2023

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.

A renewal inspection was conducted 6/9/23. During the inspection, exposed bolts were observed on the preschool playground. A cracked toy box lid, presenting pinch points, was observed on the toddler playground.

Corrected Corrected by Jun 9, 2023

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

3270.131(e)(2)(i)/3270.131(e)(3) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. 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 #1 must be dismissed from care by close of business 6/8/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 6/9/23. During the inspection, the child files were reviewed. The immunization record for Child #1 did not include a letter of exemption or documentation that the flu vaccine had been administered in the past year. The date of the last flu vaccine was 12/17/21.

Corrected Corrected by Jun 9, 2023

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted 6/9/23. During the inspection, the diaper changing pad in the infant room was observed to be ripped in two places and therefore was unable to be properly sanitized after use.

Corrected Corrected by Jun 9, 2023

Category: health medication. 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.

Child #2 is missing the health insurance policy number.

Corrected Corrected by Jun 24, 2022

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #1 is missing the child's arrival and departure times.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #1 is missing the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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.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.

Staff #1's health assessment and TB results are dated 6/10/22, they were not on file at time of initial service in a child care setting.

Corrected Corrected by Jun 10, 2022

Category: ratio. Marked corrected in the state record.

3270.192(3) · 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.

Staff #1's health assessment and TB results are dated 6/10/22, they were not on file at time of initial service in a child care setting.

Corrected Corrected by Jun 10, 2022

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

3270.95(b) · 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 is not completing fire system checks every 30 days. System check was completed on 2/11/22 and another on 3/17/22 this is a span of 34 days. System check was completed on 4/14/22 and another on 5/27/22 this is a span of 43 days.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. 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.

Staff 2 - DOH 3.13.21 and first day working with children - 6.14.21 did not receive training regarding the emergency plan at the time of initial employment. Staff 2 received emergency plan training on 6.28.21.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. 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.

Staff 1 did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff one has documented the previous pediatric first aid and cpr training was 6.30.18 and the current first aid and crp training is dated 7.20.20. Staff does not have supporting documentation that supports first aid and cpr training being scheduled prior to expiration.

Corrected Corrected by Aug 20, 2021

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).

After reviewing staff 1's file, staff 1 did not update mandated reporter training within 60 months. Previous mandated reporter training on file is dated 3.20.15. Most recent mandated reported training on file is dated 4.8.20.

Corrected Corrected by Aug 20, 2021

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 3 and staff 4 do not have proof of 2500 hours of child care experience on file to qualify as an assistant group supervisor.

Corrected Corrected by Aug 20, 2021

Category: supervision. Marked corrected in the state record.

3270.76/3270.77(a) · 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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At time of renewal inspection, inspector observed a hole in the wall that faces the playground in the OSA room to the right side of the table. Inspector also observed the boarder was peeling away from the wall in the OSA right across from the cubbies.

Corrected Corrected by Aug 7, 2021

Category: physical safety. 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.

Child 1's emergency contact form did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2)/3270.151(c)(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. An adult health assessment must include an examination for communicable diseases and the results of that examination.

Staff 4 - DOH - 6.1.21, did not have a tuberculosis screening by the Mantoux method at initial employment. Staff 4 has a tuberculosis screening on file dated 12.20.20. The health assessment on file for staff 4 does not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Aug 20, 2021

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Health assessment on file for staff 4 does not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 20, 2021

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Child 2's emergency contact form does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff. Child 2's emergency contact form contains initials of parent in place of signatures.

Corrected Corrected by Aug 20, 2021

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Child 2's emergency contact form does not contain signed parental consent for transportation, walking excursions, swimming and wading. Child 2's emergency contact form has initials of parent in place of signatures.

Corrected Corrected by Aug 20, 2021

Category: transportation. Marked corrected in the state record.