3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #3 and #4 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.

The file for staff person #1 #2, #3 and #4, who resided outside of PA in the previous 5 years, did not include documentation of out of state clearances within 45 days of hire (see LIS code sheet). The file for staff person #1 included documentation of a request for VA child abuse clearances dated 09/25/2024, without the final results of the clearance. The file for staff person #2 included documentation of a request for KY child abuse clearances dated 09/13/2024 without the final results of the clearance. The KY child abuse clearance dated 09/16/2024 was received and placed in the file on 11/08/2024. The file for staff person #3 included documentation of a request for MD child abuse clearances dated 03/06/2024 without the final results of the clearance. The file for staff person #4 included documentation of a request for NY child abuse clearances dated 09/12/2024 without the final results of the clearance. The file for staff person #5 included mandated reporter training and a child abuse clearance which was not updated within 60 months of the previous clearance. The current child abuse clearance was dated 01/30/2024, with the previous clearance dated 01/23/2019. The current mandated reporter training was completed 06/12/2024 with the previous training completed on 06/10/2019.

Corrected Corrected by Nov 7, 2024

Category: background checks. 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 for child #1 included a health report which was not at least every 12 months for an older toddler or preschool child (see LIS code sheet). The current health report on file was dated 12/01/2023 with the previous health report dated 09/10/2022.

Corrected Corrected by Nov 7, 2024

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for staff person #6 did not include an acceptable verification of education to verify a minimum of a high school diploma. The file for staff person #7 included a foreign degree which was not evaluated for equivalency.

Corrected Corrected by Nov 7, 2024

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.

During the course of the complaint investigation several staff stated they have witnessed staff person #1 being rough with the children. Staff stated they have observed staff person #1 grab children by the arm and pull them. Staff stated they observed staff person #1 push a child down into a chair and shove the child forcefully toward the table multiple times, hitting the child's stomach into the table hard enough that the table shifts.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

During the course of the complaint investigation several staff stated they have witnessed staff #1 using a harsh tone or yelling at the children.

Corrected Corrected by Jan 31, 2024

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 the course of the complaint investigation several staff stated they have witnessed staff #1 restrict a child's movement by holding them down on a cot or in a chair. Staff stated they observed staff person #1 push a child down into a chair and would not allow the child to leave the table; the child was crying and telling her "No". Another staff person observed staff person #1 put her hand on a child's head and back to hold them down on their cot; the child cried because they were unable to lift their head up.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Observed staff person #1 working alone in classroom #105 (Toddler 1) caring for a mixed age group of 5 young toddlers and 6 older toddlers during naptime. *Corrected at the time of the inspection.

Corrected Corrected by Nov 20, 2023

Category: ratio. 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 located in classroom #205 lacked disposable, nonporous gloves. *Corrected at the time of the inspection.

Corrected Corrected by Nov 17, 2023

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.

The rest equipment in classroom #202 had less than 2 feet of space on three sides while the equipment was in use. *Corrected at the time of the inspection.

Corrected Corrected by Nov 20, 2023

Category: physical safety. 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 emergency contact information for child #1 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Dec 18, 2023

Category: health medication. 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.

The emergency contact information for child #1 and #4 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #2, #3, #5, #6 and #7 did not include the work telephone number of the enrolling parent.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. 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 information for child #4 did not include the health insurance policy number.

Corrected Corrected by Dec 18, 2023

Category: health medication. 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 information for child #1 did not include the address of the individuals designated by a parent to whom the child may be released.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in classroom #102 for child #7 while receiving care. *Corrected at the time of the inspection.

Corrected Corrected by Nov 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A written statement giving the formula and feeding schedule for child #6 was not obtained from the parent.

Corrected Corrected by Jan 26, 2024

Category: nutrition. 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 within 90 days of hire. Staff person #3 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jan 6, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1 included an incomplete PA State Police Clearance dated 09/05/2019, which was a "Request Pending" status and was not a final clearance result. A final PA State Police Clearance was not obtained prior to their first day caring for children (see LIS code sheet). The file for staff person #2 included an FBI clearance which was not requested prior to their first day caring for children (see LIS code sheet). The FBI clearance was requested on 09/07/2022 and the FBI clearance result was dated 09/07/2022. A PA Department of Education FBI clearance dated 07/31/2021 was on file at the time of initial employment.

Corrected Corrected by Jan 6, 2023

Category: background checks. 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 for child #1 included an updated health report which was not updated at least once every 12 months. The current health report on file was dated 10/21/2022 and the previous health report was dated 09/21/2021.

Corrected Corrected by Jan 6, 2023

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