3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS or above who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Staff person #1 (see code sheet for hire date) has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but did not complete the required health and safety update course titled "Pennsylvania Health and Safety Update 2022" (1 hour) training within 90 days of hire.

Corrected Corrected by Feb 19, 2025

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 person #2 had an FBI clearance that expired 10/22/19. At the time, she had a large laceration on her finger and could not be fingerprinted. The clearance was forgotten until 1/24/25 when she was removed from care until the clearance was obtained on 1/31/25.

Corrected Corrected by Feb 19, 2025

Category: ratio. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #3 did not have documentation on file to qualify for the stated position.

Corrected Corrected by Feb 28, 2025

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. Facility Person #1 may not work in a child care position at the facility.

During an unannounced swim check, the file of facility person #1 did not contain child abuse clearance as required. Facility person #1 may not work with children until required documentation is on file.

Corrected Corrected by Jun 28, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed in the social hall that a schedule of current daily activities was not posted in this space.

Corrected Corrected by Mar 6, 2024

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.

File for staff person #1 and #2, see code sheet for hire dates, both contained criminal history clearances with a pending record result; therefore a full and complete criminal history clearance was not found on file at the time of inspection for staff person #1 and #2.

Corrected Corrected by Feb 22, 2024

Category: background checks. 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.

It was observed that the first aid kit in the School Age #1 room was missing scissors.

Corrected Corrected by Feb 22, 2024

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.

It was observed in the young toddler room that the changing table mat contained a hole.

Corrected Corrected by Feb 22, 2024

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

It was stated by facility staff in the infant room that some infants are laid to rest on their stomachs or sides and not placed on their backs to sleep.

Corrected Corrected by Feb 22, 2024

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.

Emergency contact form for child #1 did not contain the child's health insurance policy number.

Corrected Corrected by Mar 1, 2024

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

3270.31(b) · A staff person shall be 18 years of age or older.

File for staff person #1, employed as an aide, verified that they are not currently 18-years-old.

Corrected Corrected by Jul 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 8/11/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/3/18.

Corrected Corrected by Aug 16, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3-#6 will have until 3/11/23 to complete the required training. Until such time as the required training has been completed, staff person #3-#6 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3-#6, then staff person #3-#6 may not work in a child-care position at the facility.

Although staff person #1 currently has training on file dated 2/7/23, staff person#1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Although staff person #2 currently has training on file dated 2/6/23, staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics - the 1 hour revised training. Staff person #3-#6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics completed after 9/30/16.

Corrected Corrected by Mar 11, 2023

Category: supervision. Marked corrected in the state record.

3270.76/3270.102(e) · 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. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

It was observed that the temporary fencing, which had been placed around the toddler's outdoor play space to keep the toddlers from accessing the mulch on the preschool playground, was not in good repair.

Corrected Corrected by Mar 28, 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.

It was observed in the outdoor play space that the large plastic slide contained a hole causing a pinch point at the top of that slide.

Corrected Corrected by Mar 17, 2023

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.

It was observed in the young toddler room that plastic bags were accessible to mouthing children.

Corrected Corrected by Feb 27, 2023

Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

It was observed in van number 2 that tweezers were missing from the first aid kit.

Corrected Corrected by Mar 27, 2023

Category: health medication. 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.

It was observed that the letter provided to each enrolled family explaining the facility's emergency procedures did not contain the facility's lockdown procedure or accommodations that are made for infants, toddlers, and those with special needs. Children requiring those accommodations were observed in care at the time of inspection.

Corrected Corrected by Mar 10, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

It was observed that the number to the nearest hospital was not posted by each telephone in the facility

Corrected Corrected by Mar 10, 2022

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