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.

At the time of renewal inspection, file of staff person #2 did not include Pennsylvania Health and Safety Update 2022 1-hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by Apr 3, 2025

Category: ratio. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of renewal inspection observed that cots in Room #4 are not labeled.

Corrected Corrected by Mar 13, 2025

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.

At the time of renewal inspection, written verification that staff person #5 received training regarding the emergency plan at the time of initial employment was not observed in file of staff person #5.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #5 will have until 03/28/25 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

At the time of renewal inspection, file of staff person #5 did not include verification that staff person #5 has completed pre-service training that includes Health and Safety topic as well as Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of their date of hire (see LIS code sheet). File of staff person #7 did not include pre-service training that includes Health and Safety topics.

Corrected Corrected by Apr 3, 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. Facility Person #1, #3, #4, #6, and #7 may not work in a child care position at the facility.

At the time of renewal inspection on 3/13/25, file of staff person #1 included PA state police clearance from 6/20/19 and was not valid. Files of staff persons #3 and 4 had FBI PDE clearance that is not acceptable. NSOR was missing in files of staff persons #3 and #4. File of staff person #6 did not include PA state police and Child abuse clearance from the state of New Jersey, where staff #6 lived within the last 5 years. File of staff person #7 did not include PA state police clearance.

Corrected Corrected by Apr 3, 2025

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.

At the time of renewal inspection, file of staff person #7 did not include an annual staff evaluation.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. 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.

At the time of renewal inspection, file of staff person #7 did not include verification of education required prior to service at the facility.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

At the time of renewal inspection, immunization record of child #1 did not include Hepatitis B, MMR, and Hepatitis A immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1.

Corrected Corrected by Mar 14, 2025

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of renewal inspection, agreements of children #1-#9 were not updated at least once in a 6-months period. These agreements were last updated in May or June 2024.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

At the time of renewal inspection observed that emergency information was not updated in each child care space. Each classroom had emergency contact forms that were updated by parents more than 6 months ago.

Corrected Corrected by Apr 3, 2025

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.

At the time of renewal inspection file of staff person #7 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. File included only 9 hours of training.

Corrected Corrected by Apr 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 will have until 5/25/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an assistant group supervisor who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

At the time of unannounced monitoring inspection on 5/10/24, file of staff person #1 did not include verification that staff person #1 has completed pre-service training that includes Health and Safety topic as well as Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by May 13, 2024

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 #1 will have until 05/25/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility. Staff Person # 1 must be removed from child care position by close of business. NSOR certificate must be obtained before staff person #1 may resume a child care position.

At the time of unannounced monitoring inspection on 5/10/24, staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). File of staff person #1 did not include NSOR certificate.

Corrected Corrected by May 10, 2024

Category: supervision. 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.

At the time of unannounced monitoring inspection on 5/10/24, file of staff person #1 did not include verification of education required prior to service at the facility.

Corrected Corrected by May 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of renewal inspection, file of staff person #3 did not include Pennsylvania Health and Safety Update 2022 1-hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by May 6, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2 will have until 04/27/24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

At the time of renewal inspection, file of staff person #2 did not include verification that staff person #2 has completed pre-service training that includes Health and Safety topics as well as Pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS approved curriculum within 90 days of their date of hire (see LIS code sheet). Staff person #4 did not complete pre-service training that includes Health and Safety topics.

Corrected Corrected by Apr 27, 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.

At the time of renewal inspection, health report of staff person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 20, 2024

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

3270.191 · An individual record is required for each facility person.

At the time of renewal inspection, the record of staff person #6 was not provided for review. Staff #6 was observed caring for children.

Corrected Corrected by May 6, 2024

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.

At the time of renewal inspection, file of staff person #2 included verification of education from Mexico that was not translated/evaluated. File of staff person #5 did not include verification of education.

Corrected Corrected by May 6, 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.

At the time of renewal inspection file of staff person #5 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. File of staff person #5 included only 10 hours of annual training.

Corrected Corrected by May 6, 2024

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 # 2 and 3--- may not work in a childcare position at the facility.

During review of the files, it was observed that Staff 2 was missing their Child Abuse Clearance and their NSOR and Staff 3 was missing their FBI. Both staff were past their provisional hire periods.

Corrected Corrected by Aug 10, 2023

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

3270.151(a)/3270.192(3) · 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. 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 did not have proof of a current physical at the time of the inspection. Physical was dated 7/23/21.

Corrected Corrected by Aug 10, 2023

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

During the file review at the time of inspection, the file for staff #1 did not have written proof of complying with all the CPSL requirements.

Corrected Corrected by Sep 14, 2021

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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.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.

At the time of inspection on 9/14/21, the file for staff #2 did not have written proof of a recent health assessment.

Corrected Corrected by Sep 23, 2021

Category: ratio. Marked corrected in the state record.