3270.19(a) · An operator or a staff person who has reason to believe that a child enrolled in the facility has been abused is required to report suspected child abuse to ChildLine as mandated by the CPSL.

During the complaint inspection, the facility provided documentation of an internal investigation involving the 2022 complaint however indicated it wasn't reported to ChildLine or the OCDEL Regional Office.

Corrected Corrected by Sep 18, 2024

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

3270.14/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of inspection, the file for staff member #4 did not include verification of completion of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff member #4, untrained in pediatric firs aid/ pediatric CPR; was observed working unsupervised by a trained, qualified child care staff member who is at minimum an assistant group supervisor.

Corrected Corrected by Aug 19, 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 # -- 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.

At the time of inspection, the file for staff member #1 contained a volunteer PA Child Abuse clearance which isn't acceptable for staff, under the CPSL. The file for staff member #2, hired over the 45-day provisional hire period; did not include a completed FBI clearance, as required by CPSL.

Corrected Corrected by Aug 19, 2024

Category: supervision. 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.

At the time of inspection, dust and debris was observed on the air vents in classroom #103 and classroom #107. Also, a water-stained ceiling tile was observed in classroom #110.

Corrected Corrected by Aug 19, 2024

Category: physical safety. 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, the file staff member #3 included TB results dated 10/04/22 which were more than 12 months prior to the staffer's hire date.

Corrected Corrected by Aug 19, 2024

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.

At the time of inspection, the file for staff member #5 only included one reference letter from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 19, 2024

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.

During the renewal inspection on 5/17/2023 staff person #1 did not have pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #4 did not have the one-hour health and safety training.

Corrected Corrected by Jun 23, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #5 and #6- may not work in a childcare 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. staff Persons #5 and #6 may not work in a childcare position at the facility.

During the renewal inspection on 5/18/2023 the file for staff person #6 did not include an NSOR clearance. Staff person #5 has lived outside of PA in the past five years and did not have the out of state clearances on file.

Corrected Corrected by May 17, 2023

Category: background checks. 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.

During the renewal inspection on 5/18/2023 the file for staff person #2 has a college degree obtained outside of the untiled states and does not have an evaluation for US equivalency.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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 renewal inspection on 5/18/2023 the file for staff person #3 did noy have dates for TB testing or results.

Corrected Corrected by Jun 9, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, #4, #5 AND #6 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. Facility Person #--- may not work in a child care position at the facility.

AT TIME OF RENEWAL INSPECTION, NOT ALL STAFF HAD COMPLETE CRIMINAL HISTORY INFORMATION ON FILE AS REQUIRED BY THE CPSL. THE FILE FOR STAFF PERSON #2 DID NOT CONTAIN A COMPLETE PA CRIMINAL CLEARANCE, COMPLETE CHILD ABUSE CLEARANCE, OR COMPLETE FBI CLEARANCE AND THERE WERE NO APPLICATIONS/RECEIPTS FOR THESE CLEARANCES. THE FILE FOR STAFF PERSON #4 CONTAINED A VOLUNTEER CHILD ABUSE CLEARANCE DATED 10/21/20, NOT A COMPLETE CLEARANCE FOR EMPLOYMENT. THE FILE FOR STAFF PERSON #5 DID NOT CONTAIN A COMPLETE FBI CLEARANCE-ONLY A RECEIPT DATED 4/7/22. THE FILE FOR STAFF PERSON #6 DID NOT INCLUDE A RECEIPT FOR THE FBI CLEARANCE OR A COMPLETE CLEARANCE.

Corrected Corrected by Jul 15, 2022

Category: background checks. 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.

AT TIME OF RENEWAL INSPECTION, AN INFANT WAS OBSERVED IN A CRIB AND THERE WAS NOT 2FT OF SPACE ON THREE SIDES OF THE CRIB.

Corrected Corrected by Jul 15, 2022

Category: physical safety. 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.

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #3 CONTAINED AN EXPIRED HEALTH ASSESSMENT DATED 6/10/19. THE FILE FOR STAFF PERSON #1 CONTAINED A HEALTH FORM THAT DID NOT INCLUDE ALL REQUIRED QUESTIONS THAT NEED TO BE ANSWERED BY THE PHYSICIAN UNDER 3270.151(c)(1), 3270.151 (c)(3) AND 3270-151 (c)(4).

Corrected Corrected by Aug 10, 2022

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

AT TIME OF RENEWAL INSPECTION, CHILDREN'S LUNCHES BROUGHT FROM HOME CONTAINING ITEMS SUCH AS CHICKEN NUGGETS, CHEESE, MILK, AND YOGURT, WERE OBSERVED IN THE CHILDREN'S CUBBIES THROUGHOUT THE FACILITY AND WERE NOT REFRIGERATED.

Corrected Corrected by Jul 15, 2022

Category: nutrition. 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 TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE TWO WRITTEN REFERENCES, AND THE FILE FOR STAFF PERSON #6 ONLY INCLUDED ONE WRITTEN REFERENCE.

Corrected Corrected by Jul 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health and Safety Training.

During a renewal inspection on 08/20/2021, the file for staff person #3, hired 3/8/2021, was missing Health and Safety Training.

Corrected Corrected by Aug 16, 2021

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

During a renewal inspection on 08/20/21, the file for staff person #3 was missing first aid and CPR training.

Corrected Corrected by Sep 3, 2021

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). 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 Persons #1, and 4 may not work in a child care position at the facility.

During a renewal inspection on 08/20/2021, the files for the following staff persons are missing the following CPSL documents: Staff person #1-FBI clearance and Mandated Reporter training Staff person #4- National Sex Offender Registry Clearance

Corrected Corrected by Sep 13, 2021

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

During a renewal inspection on 08/20/2021, the files for child # 3, #6 and #10 were missing an updated health report.

Corrected Corrected by Sep 15, 2021

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the 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.

During a renewal inspection on 08/20/2021, the file for child #4 is missing a current influenza vaccine.

Corrected Corrected by Sep 3, 2021

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

3270.151(c)(2)/3270.192(3) · 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. 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 a renewal inspection on 08/20/2021, the file for staff person #2 is missing a tuberculosis screening.

Corrected Corrected by Sep 4, 2021

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During a renewal inspection on 08/20/2021, the fire detection system report showed the following deficiencies: Room 126-One painted pendant Room 121-two loaded pendants Room 118-one loaded pendant Room 114-three loaded pendants

Corrected Corrected by Oct 5, 2021

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

At the time of renewal inspection on 08/20/2021, the emergency plan did not contain an evacuation route to its off site location.

Corrected Corrected by Sep 1, 2021

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