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 inspection on 9/5/24, staff person #1, who is a provisional hire, was observed to be caring for children unsupervised in Dance room. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training, pediatric firs aid/CPR. Staff #2, who is a provisional hire without completed Health and safety training and pediatric first aid /CPR was supervised by staff person #3, who has qualifications of an aide, not an assistant group supervisor. Staff person #5, whose file did not include mandated reporter training and health and safety training, was observed working unsupervised in Language Art room. Staff person #6 was working unsupervised in Drama room without pediatric first aid and CPR training.

Corrected Corrected by Sep 6, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff person#6 shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #6 shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #6 will have until 09/20/2024 to complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

At the time of the inspection on 9/5/24, file of staff person #6 did not include verification that staff person #6 has completed 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 Sep 6, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #1 may not work in a child care position at the facility.

At the time of inspection on 9/5/24, file of staff person #1 did not include current PA Child Abuse history clearance required for hiring provisionally. Staff person #4, who is a provisional hire, was observed working alone with children. File of staff person #4 was missing NSOR clearance.

Corrected Corrected by Sep 5, 2024

Category: supervision. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

At the time of inspection on 9/5/24 observed that staff person #6 did not wash her hands after diapering and did not ensure that a child's hands are washed after being diapered.

Corrected Corrected by Sep 6, 2024

Category: health medication. 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 9/5/24, file of staff persons #1, #3, and #5 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Sep 6, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

At the time of inspection on 9/5/24, a health assessment of staff person #2 did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Sep 6, 2024

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

3270.192(2)(i) · A facility person's record shall include verification of age.

At the time of inspection on 9/5/24, file of staff person #2 did not include verification of age.

Corrected Corrected by Sep 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 inspection on 9/5/24, file of staff person #5 did not include verification of education/experience.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. 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.

At the time of inspection on 9/5/24, file of staff person #1, #3, and #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At the time of inspection on 9/5/24, upon arrival, observed staff person #1 leaving the office and child #1. Observed child #1 standing in the office next to the glass entry door without physical presence of the staff. In addition, observed children walking unescorted between rooms to the office during pick up time.

Corrected Corrected by Sep 6, 2024

Category: supervision. 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, file of staff person #1, #2, #3 did not include written record that emergency plan training was conducted on an annual basis. Last emergency plan training on file for staff person #1 is 9/21/22, for staff person #2 was 9/27/22, and for staff person #3 was 9/26/22.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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 #4 did not include verification of experience required for the position of an assistant group supervisor.

Corrected Corrected by Mar 1, 2024

Category: supervision. Marked corrected in the state record.

3270.75(c)/3270.178 · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. 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.

At the time of renewal inspection, a first-aid kit in 2009 Dodge Grand Caravan did not include gauze pads, a first-id kit in 2011 Ford E150 did not include gauze pads, and a soap.

Corrected Corrected by Feb 15, 2024

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

At the time of renewal inspection, a lidded waste receptacle was not observed near the sink in Rooms #7, #9, #12 and in the toilet area in Room #12.

Corrected Corrected by Feb 23, 2024

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.

At the time of renewal inspection, emergency contact form of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 15, 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. Staff Person #1 and #2 must be removed from a child care position at the facility by close of business. Complete PA state police clearance must be provided before staff person #1 and #2 may resume a child care position.

At the time of the unannounced monitoring inspection on 9/14/23, file of staff person #1 and #2 did not contain complete PA state police clearance. Status of PA state police clearance of staff person #1 was "still pending", PA state police clearance of staff person #2 included only receipt, not a certification form.

Corrected Corrected by Sep 27, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At the time of the unannounced monitoring inspection on 9/14/23 observed 6 preschool children being left unsupervised on the preschool playground while staff person #2, who was assigned to the preschoolers, was with another preschool child at the garden playground and was not able to hear, direct and assess children activity due to the distance and metal fence between playgrounds.

Corrected Corrected by Sep 27, 2023

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(iv)/3270.115(a)(8) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

At the time of the complaint investigation, file of staff person #1, #2, #3, and #4, who were counted in the staff:child swimming/wading ratio, did not contain annually completed water safety instructions from a certified lifeguard.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

At the time of the complaint investigation observed that in the message distributed to the parents, whose children were on the trip on 8/9/23 and became wet after splashing in the creek, provider stated that "some children will be coming home damp" because they did not listen and jumped into the deeper parts of the water. All children had extra clothes to change since provider notified parents on 8/8/23 regarding water activities in advance.

Corrected Corrected by Sep 27, 2023

Category: physical safety. 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.

At the time of the complaint investigation, emergency contact form of child #1 through #7 did not contain parental consent for wading. These children participated in a swimming/wading activity on the trip on 8/9/23.

Corrected Corrected by Sep 27, 2023

Category: transportation. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the inspection, it was observed that the sink in the Art room, which had toxins (cleaning supplies) in it, did not have a lock and was accessible to children; in the Art room toxics were in the closet low to the floor, where children could reach them, blocked only by a curtain (this was corrected on site); in the dance room toxics were on a cubbie where children could reach them (this was corrected on site).

Corrected Corrected by Feb 17, 2023

Marked corrected in the state record.

3270.75(c)/3270.178 · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. 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.

During the inspection, it was observed that the "Big Bird" yellow vehicle's first aid kit was missing the gauze, scissors and tape.

Corrected Corrected by Feb 17, 2023

Category: health medication. 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.

It was observed that the fence cross piece was disconnected from the post and just hanging on the fence separating the field play space from the garden area.

Corrected Corrected by Feb 24, 2023

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

During the inspection, it was observed that the Daily Schedule was missing from the all the rooms.

Corrected Corrected by Feb 24, 2023

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

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

There was not written proof of education as required by regulation in the file for staff #2 at the time of inspection.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.64/3270.76 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. 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.

At the time of the facility inspection, there were uneven tiles and various pieces of gravel along the bike path that could pose a hazard to the facility children. There was also uneven areas of dirt patches which could pose a hazard.

Corrected Corrected by Apr 7, 2022

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There were cleaning products, empty plastic packaging and other toxins in cabinets in the facility classrooms that were within the children's reach at the time of inspection on 3/21/22.

Corrected Corrected by Apr 7, 2022

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

In the dance room on the second floor of the facility, there was a window that was not modified to prevent it from opening more than six inches.

Corrected Corrected by Mar 21, 2022

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

3270.77(a)/3270.102(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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.

There is a brown castle/fort with a loose door/drawbridge and peeling paint In the facility classroom, at the time of inspection on 3/21/22.

Corrected Corrected by Apr 7, 2022

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

In the preschool classroom at the time of inspection, there was a door leading to the outdoor area, with a full glass window that did not have a visual strip or any form of identification.

Corrected Corrected by Mar 21, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the time of inspection, during lunch on 3/21/22, facility children were observed gathering for and beginning lunch without washing their hands. Children were observed getting water bottles and opening lunch containers. Upon request from OCDEL staff, the director reminded staff to wash the children's hands.

Corrected Corrected by Mar 21, 2022

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

3270.151(c)(4)/3270.192(3) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. 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.

The health assessment in the file for staff #3, at the time of inspection, was incomplete. The form did not have questions #2 and #3 answered.

Corrected Corrected by Apr 7, 2022

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

3270.174 · The operator of the vehicle shall be 18 years of age or older and shall have a valid operator's license.

During the afternoon, at the time of inspection on 3/21/2022, staff #1 was observed transporting three enrolled children from Buckingham Elementary in the white facility vehicle. Upon request, Staff #1 did not have proof of a valid license in their file. A Temporary Internet Driver's License given which expired on 3/12/2022.

Corrected Corrected by Apr 7, 2022

Category: transportation. Marked corrected in the state record.

3270.176(b) · The doors on a vehicle shall be locked whenever the vehicle is in motion.

The green van at the time of inspection, did not have a lock on the passenger doors and the inside area where a handle would be was covered preventing the door from opening on the inside.

Corrected Corrected by Apr 7, 2022

Category: transportation. 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.

During the inspection on 3/21/22, the first aid kit in the green facility vehicle did not have the seven item as required by regulation. Soap was missing.

Corrected Corrected by Apr 7, 2022

Category: health medication. 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: LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-4 may not work in an unsupervised child care position at the facility. A facility person's record shall include a copy of requests for the FBI, NSOR, 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 #1-4 may not work in an unsupervised child care position at the facility.

During the facility inspection on 10/18/21, staff #1-#4 did not have the required written proof of complying with the CPSL documents on file at the facility. Staff #1-start date 9/15/21; missing FBI. Staff #2, hire date-7/20/19, missing Child Abuse. Staff #3, start date-8/2021, missing Mandated reporter and FBI. Staff #4, van driver-start date-9/13/21, missing Mandated reported and Child Abuse.

Corrected Corrected by Oct 26, 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.

During the facility inspection on 10/18/21, staff #1,-start date 9/15/21 staff #2-start date 7/20/21 and staff #4- start date 9/13/21; did not have the required written proof of a recent physical on file at the facility. .

Corrected Corrected by Oct 26, 2021

Category: ratio. Marked corrected in the state record.

3270.173(c) · When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51.

While outside of the facility between 12:30-1pm, on 10/18/21. Certification staff observed facility staff #4 transporting children in the facility van. Facility staffer #4, did not have a complete file. There was no written proof of a physical, two references, or proof of complying with all CPSL requirements.

Corrected Corrected by Nov 18, 2021

Category: ratio. 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

The files for staff #1 and #4 did not have written proof of two non-family references on file at the facility on 10/18/21.

Corrected Corrected by Oct 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

At the time of the inspection on 10/18/21, 12-Twelve children were observed in a classroom measured for eleven (11) children.

Corrected Corrected by Oct 18, 2021

Category: ratio. Marked corrected in the state record.

3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Between 10-11:30 am on 10/18/21, two CR's and the supervisor visited the program for an unannounced complaint inspection. At which time 12 mixed age children were observed in the care of one staff person. The age of the youngest child in this group was 4-yrs-old. This is continuous non-compliance, on 8/25/21, twenty (26) were observed on the outdoor playground in the care of one staff.

Corrected Corrected by Oct 19, 2021

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS:The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

At the time of the facility inspection on 8/25/21, Twenty-six (26) mixed aged children; between the age of 51/2 - 15 were observed in the care of (1) one staff person between 9:45-10:15 am.

Corrected Corrected by Aug 25, 2021

Category: ratio. Marked corrected in the state record.