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.

There was no documentation of emergency plan training in the previous year for staff #3 and #4.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. 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.

Staff #4 did not have fire safety training in the previous year.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There was no written evaluation in the previous year for staff #3.

Corrected Corrected by Nov 8, 2024

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 #2, identified as an assistant group supervisor, did not have documentation of 2 years of experience with children.

Corrected Corrected by Nov 14, 2024

Category: supervision. 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.

On the health assessment for staff #5, the physician indicated that the staff was not suitable to provide child care.

Corrected Corrected by Nov 8, 2024

Category: health medication. 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.

A copy of incident reports is not being retained in the child's file.

Corrected Corrected by Nov 8, 2024

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff #1 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. 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.

Staff #3 did not have documentation of 12 hours of annual training.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(1)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. 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.

File for staff person #1 contained documentation on file showing 30 credit hours was completed in a human service related field, but did not contain any type of documentation verifying a high school diploma. It was stated by facility director that staff person #1 is currently employed as an assistant group supervisor at the facility.

Corrected Corrected by Nov 28, 2023

Category: supervision. 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.

File for staff person #1, see code sheet for hire date, contained a physical dated 3/16/22 and the written results of a TB test dated 6/15/22. The hire date provided by the facility confirms that this staff's physical and TB test results were completed more than 12 months prior to their initial service in child care.

Corrected Corrected by Nov 28, 2023

Category: ratio. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

It was observed that the facility did not have verification of sending their emergency plan to the local municipality or to the county emergency management agency, and the facility's emergency plan indicated in writing that the plan was revised on 8/25/23.

Corrected Corrected by Nov 29, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

It was observed and stated that the facility did not notify the local traffic authorities, annually in writing, of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Nov 28, 2023

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. The legal entity must develop a written supervision policy and procedure to be implemented in the facility. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

It was observed that 30 school-aged children were present outside the facility waiting to transition back into the building, and out of the 4 staff present, only 2 staff stated they had been assigned a group of children. Staff person #1 stated they were assigned 6 children to their group and staff person #2 stated they were assigned 5 children. This left 19 children unassigned to any specific staff person.

Corrected Corrected by Jul 20, 2023

Category: supervision. 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.

It was observed that 30 school-aged children were present outside the facility waiting to transition back into the building, and out of the 4 staff present, only 2 staff stated they had been assigned a group of children. Staff person #1 stated they were assigned 6 children to their group and staff person #2 stated they were assigned 5 children. This left 19 children unassigned to any specific staff person.

Corrected Corrected by Jul 20, 2023

Category: supervision. 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.

File for staff person #3 contained a health assessment dated 9/4/2020, but no updated health assessment completed within the last 24 months was observed on file.

Corrected Corrected by Aug 18, 2023

Category: ratio. 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.

Files for child #1-#4 did not contain signed parental consent for emergency medical care. Files for child #1-#5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 20, 2023

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.

File for child #6 did not contain signed parental consent for swimming and staff at the facility stated that child #6 participates in swimming.

Corrected Corrected by Jul 20, 2023

Category: transportation. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

It was stated and observed that the files for staff person #2 and #3 (see code sheet for hire dates), did not contain a written evaluation completed by the director within the last 12 months.

Corrected Corrected by Nov 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

File for staff person #1 did not contain written verification of their education level.

Corrected Corrected by Nov 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During an incident that occurred on 8/5/22 causing 14 children to be transported to emergency room care, the emergency contact forms were not present with the children, resulting in the hospital having insufficient identifying information to properly admit the children.

Corrected Corrected by Sep 19, 2022

Category: transportation. Marked corrected in the state record.

3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

During an incident that occurred on 8/5/22 causing 14 children to be transported to emergency room care, parents of the children taken to the hospital were not contacted for up to two hours after the incident occurred.

Corrected Corrected by Sep 19, 2022

Category: transportation. 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 #3 may not work in a child care position at the facility.

File for staff person #3, hired 6/1/19, contained an out of state driver's license that was issued on 11/27/17. This verified that staff person #3 lived outside of PA within the last 5 years, and file for staff person #3 did not contain any out of state clearances as required.

Corrected Corrected by Nov 23, 2021

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #2 did not contain a written evaluation completed by the director within the last 12 months.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. 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.

It was observed that 22 total children were present in the childcare space. Staff person #1 and #2 were both present in this space and assigned primary care groups. Staff person #1 was assigned the responsibility for supervising 12 children and staff person #2 was assigned the responsibility for supervising 9 children. This left 1 child unassigned to either staff persons primary care group.

Corrected Corrected by Dec 17, 2021

Category: supervision. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Agreement for child #1, #2, and #3 did not specify the date on which the fee is to be paid, and agreement for child #1 did not specify the fee amount.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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).

Agreement for child #2 and #3 did not specify the services to be provided to the family and the child.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.