3280.75(c)/3280.178 · 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 §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During the time of inspection, the transportation vehicle was missing tweezers, tape, and scissors from the first aid kit. Corrected on site.

Corrected Corrected by Jan 29, 2025

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

3280.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3280.75(c).

During the time of inspection, the transportation vehicle was missing a bottle of water. Corrected on site.

Corrected Corrected by Jan 29, 2025

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

3280.102(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.

During the time of inspection, it was observed that there was visible dirt on the infant saucer. Corrected on site.

Corrected Corrected by Jan 29, 2025

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

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Documentation shows that fire drills were not completed every 60 days. The last fire drill was completed on 6.20.2024.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Documentation shows that the fire detection system was not tested every 30 days. The last fire detection test was completed on 7.15.2024.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The operator admitted that staff person #1 was working while their FBI clearance was expired. Staff person #1 FBI clearance expired 7.10.24 and was renewed 7.31.24.

Corrected Corrected by Jul 31, 2024

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

3280.76 · 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.

During the time of inspection, it was observed that there was visible dirt under the changing pad. Corrected on site.

Corrected Corrected by Aug 8, 2024

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

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Child #1 did not have documentation of the physician's phone number included in their emergency contact information. Corrected on site.

Corrected Corrected by Aug 8, 2024

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

3280.124(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.

The emergency contact for child #1 did not include the address for the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

Emergency plan was not renewed within the year. Last plan was renewed 7/26/22 and current plan was reviewed on 8/1/23.

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The NSOR clearance for staff #1 was not received timely, dated 7/14/23. The Child Abuse clearance for staff #2 was not on file at the time of inspection. Corrected on site.

Corrected Corrected by Aug 14, 2023

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

3280.103 · 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.

In the bathroom, the first cabinet lock was broken, allowing children to have access to diapers in plastic wrap in the cabinet. Corrected on site.

Corrected Corrected by Aug 14, 2023

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files for child #1, #2, #4 and #5 did not contain child service reports..

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #1 and child #2 did not specify arrival and departure times.

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact for child #3 did not include the work address of the enrolling parent.

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

The emergency contact for child #5 did not have signed parental consent for swimming and wading.

Corrected Corrected by Aug 22, 2023

Category: transportation. Marked corrected in the state record.

3280.192(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 file for staff #1 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #2 only included one written, nonfamily reference.

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #3's agreement did not specify the child's arrival and departure times.

Corrected Corrected by Aug 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The parents of the enrolled children were not given, in writing, the facility's clothing, supervision, and dismissal policies.

Corrected Corrected by Aug 22, 2022

Category: supervision. Marked corrected in the state record.

3280.26(a)(3)/3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility does not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when it has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Aug 22, 2022

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

3280.26(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.

The parent letter explaining emergency procedures does not include a method to contact parents when the emergency starts and when it ends, accommodations for infants and toddlers, and emergency drills will be conducted annually.

Corrected Corrected by Aug 22, 2022

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

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

It was observed that the water temperature at the kitchen sink was 116 degrees F (corrected during inspection).

Corrected Corrected by Aug 3, 2022

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

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Children #1 through #5's records contained the original signature and date, on the agreement, from the most recent required 6 month parent review/update.

Corrected Corrected by Aug 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #5's emergency contact information did not include the enrolling parent's work telephone number.

Corrected Corrected by Aug 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Child #4's emergency contact information did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Child #4's record did not include a current updated health reported within the accepted 12 month period (most recent dated 7/28/21).

Corrected Corrected by Aug 22, 2022

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

3280.131(e) · 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.

Child #3 and #5's records do not contain proof of receiving any Influenza immunizations.

Corrected Corrected by Aug 4, 2022

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

3280.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Child #4's record did not contain proof of current Influenza immunization (most recent 12/29/20).

Corrected Corrected by Aug 22, 2022

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

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility (corrected during inspection).

Corrected Corrected by Aug 3, 2022

Marked corrected in the state record.

3280.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Child #5's record did not contain a copy of the initial agreement.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan does not provide for accommodations for infants and toddlers.

Corrected Corrected by Aug 4, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility has not been conducting and documenting annual emergency drills.

Corrected Corrected by Aug 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan does not provide for shelter of children during an emergency lock-down situation.

Corrected Corrected by Aug 4, 2022

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

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #1 did not complete Pediatric First-Aid and CPR training within 90 days of hire.

Corrected Corrected by Aug 4, 2022

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

3280.107(c) · Styrofoam cups and plates may not be used.

Styrofoam bowls are being utilized for meals at times.

Corrected Corrected by Aug 19, 2021

Category: nutrition. Marked corrected in the state record.

3280.20/3280.61(e) · Conditions at the facility may not pose a threat to the health or safety of the children. Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

It was observed that the oven/stove was accessible to children and being utilized while children were in care.

Corrected Corrected by Sep 1, 2021

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

3280.51 · No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

It was observed upon arrival that 13 children, unrelated to the operator were receiving care at this location. This was corrected immediately during the inspection.

Corrected Corrected by Aug 18, 2021

Marked corrected in the state record.

3280.26(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility does not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Sep 13, 2021

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

3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility does not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Sep 13, 2021

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

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The emergency plan has not been reviewed annually with staff. The only emergency plan training has been upon initial hire.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

The parent letter explaining the emergency procedures did not contain: lock-down procedures; a method to contact parents when the emergency situation arises and ends; accommodations for infants/toddlers or children with disabilities/chronic medical conditions; and a statement that emergency drills will be conducted annually.

Corrected Corrected by Sep 13, 2021

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1,2,3,4 may not work in a child care position at the facility.

Staff members #1,2,3,and 4's files did not contain Disclosure statements. All staff members had expired CPSL clearances (beyond 60 month period). Staff #1: Child Abuse clearance most recent 9/11/15. FBI clearance most recent 5/26/15. Staff #2: Child Abuse clearance most recent 3/2/16. FBI clearance most recent 5/18/16. Staff #3: Child abuse clearance most recent 3/4/16. Staff #4: SPC most recent 7/23/16. Child Abuse clearance 9/15/15. FBI clearance most recent 8/17/16. Mandated Reporter training most recent 7/23/16.

Corrected Corrected by Sep 13, 2021

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

3280.113(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.

It was observed that a pre-school child went into the bathroom and closed the door entirely, making it impossible for staff to properly supervise this child.

Corrected Corrected by Aug 18, 2021

Category: supervision. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for Child #1 did not specify the date on which the fee is to be paid.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #4's agreement does not contain an arrival and departure time.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #3's agreement did not contain any information in the Release Persons section.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

Children's files #1-5 did not contain any information in the Extra Services section.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Children's files #1 through #5 all contained the original agreement.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact forms for children #1 through #5 did not include information on special needs.

Corrected Corrected by Sep 13, 2021

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

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The emergency contact information was not present in the child care space.

Corrected Corrected by Sep 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed that, after changing the diaper of a toddler, a staff member cleaned the child's hand with a wipe rather than soap and water.

Corrected Corrected by Aug 18, 2021

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

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no written statement giving formula and feeding schedule, from the parent, for the infant receiving care.

Corrected Corrected by Aug 23, 2021

Category: nutrition. Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 13, 2021

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

3280.95(b) · (b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

There was not proof of purchase of the fire detection system on file at the facility.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.95(b) · (b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

There was no written record of monthly testing of the smoke detectors since 12/19/20 other than 7/27/21.

Corrected Corrected by Aug 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Parents of each child enrolled were not provided the information on how to access the regulations in this chapter electronically.

Corrected Corrected by Sep 14, 2021

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The emergency plan does not contain procedures for sheltering of children during lock-down.

Corrected Corrected by Sep 13, 2021

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