3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of inspection facility did not have safe routes posted

Corrected Corrected by Apr 15, 2025

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.

At the time of inspection, the preschool bathroom had Lysol cleaning liquid on the sink in reach of the children.

Corrected Corrected by Apr 15, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a childcare space.

At the time of inspection, the preschool class first aid kit did not have soap and gloves, and the Older Toddler class did not have soap in the first aid kit

Corrected Corrected by Apr 15, 2025

Category: health medication. 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 inspection facility did not have written policy to address the following: 1.Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma. 2. Strategies for coping with a crying, fussing, or distraught child. 3. The prevention and identification of child maltreatment Also, their emergency plan addresses continuity of operations and specifies the role of all facility persons including volunteers. Facility did not have an emergency plan that addressed continuity of operations.

Corrected Corrected by Apr 15, 2025

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

At the time of inspection facility did not have fire drill testing every 30 days and facility did not have proof of purchase of the interconnected system on file at the facility.

Corrected Corrected by Apr 15, 2025

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

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

At the time of inspection staff ran from the door and hid in the classroom when agent knocked on the door. Agent had to enter facility through church entrance which was not locked or secured from the public.

Corrected Corrected by Apr 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(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.

At the time of inspection facility's emergency plan did not address the method to inform parents emergency has ended and instruments for how to safely be reunited with their children not on file.

Corrected Corrected by Apr 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

At the time of inspection emergency plan was not posted at the facility.

Corrected Corrected by Apr 15, 2025

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

3270.61(f) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

At the time of inspection infant room measured for childcare was being used for storage.

Corrected Corrected by Apr 15, 2025

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

At the time of inspection, the sink in the older toddler class where diaper changes were happening were not operating properly (no water).

Corrected Corrected by Apr 15, 2025

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

At the time of inspection none of the bathrooms had the proper regulated hand washing signs posted.

Corrected Corrected by Apr 8, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

At the time of inspection preschool bathrooms exit was blocked by trash can, mop and bucket.

Corrected Corrected by Apr 15, 2025

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

At the time of inspection refrigerator was not clean in preschool classroom.

Corrected Corrected by Apr 15, 2025

Category: nutrition. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

At the time of inspection, the Preschool classroom did not have the daily schedule posted.

Corrected Corrected by Apr 15, 2025

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

3270.124(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.

At the time of inspection none of the classroom, which children were observed, had emergency contact forms in the classrooms.

Corrected Corrected by Apr 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of inspection none of the childcare place where children were receiving care have emergency transportation plans posted.

Corrected Corrected by Apr 15, 2025

Category: transportation. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

At the time of inspection facility did not have the menu posted.

Corrected Corrected by Apr 15, 2025

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 inspection children1, 2, 3, and 4 files did not have updated financial agreement and child 2 did not have updated emergency contact form on file.

Corrected Corrected by Apr 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(1) · A child's record shall contain initial and subsequent health reports.

At the time of inspection child 2 did not have an updated health report on file.

Corrected Corrected by Apr 15, 2025

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

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

At the time of inspection facility persons 3 and 4 did not have a file at the facility.

Corrected Corrected by Apr 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(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.

At the time of inspection facility did not have accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions in their emergency plan.

Corrected Corrected by Apr 16, 2025

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of inspection annual emergency drill log on file.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director 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.

At the time of inspection facility did not have any fire drill logs.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. 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.

At the time of inspection facility did not have proof that emergency plan and subsequent plan updates were sent to the local municipality and county emergency management agency.

Corrected Corrected by Apr 16, 2025

Category: physical safety. 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 inspection facility person 1 did not have 12 hours of annual training on file.

Corrected Corrected by Apr 15, 2025

Category: recordkeeping. 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.

At the time of inspection facility did not have annual written notification to local traffic safety authorities of location of facility and program's use of pedestrian and vehicular routes around facility on file.

Corrected Corrected by Apr 17, 2025

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 inspection facility persons# 2, 3 and 5 did not have emergency plan training on file.

Corrected Corrected by Aug 25, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

At the time of inspection facility could not provide proof of liability insurance.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of inspection facility person 2 did not have valid pediatric first aid CPR on file.

Corrected Corrected by Aug 25, 2024

Category: ratio. 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.

At the time of inspection facility person #3 did not have valid annual Fire Safety Training on file.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iv) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, 3, and 6 may not work in a childcare position at the facility.

At the time of inspection facility persons # 2 &, 3 did not have valid State Police Clearances, and 6 had no clearances on file at the facility.

Corrected Corrected by Aug 25, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

At the time of inspection facility persons# 2 and 3 did not have mandated reporter training on file.

Corrected Corrected by Aug 25, 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.

At the time of inspection facility persons #1, 3, 4 and 5 did not have annual staff evaluation on file at the facility.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(2)(iv) · An adult health assessment must include a physical examination. 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.

At the time of inspection facility persons# 2 and 5 did not have bi-annual health assessment on file.

Corrected Corrected by Aug 25, 2024

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

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

At the time of annual inspection there were no child files accessible for review.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of annual inspection facility person #6 did not have a staff file at the facility.

Corrected Corrected by Aug 25, 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 facility did not have verified education and experience on file for facility person # 1 through 5

Corrected Corrected by Aug 25, 2024

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.

At the time of inspection facility person 2 did not have a Mantoux test read / results on file

Corrected Corrected by Aug 25, 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.

At the time of inspection facility persons # 2, 3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection facility did not have an annual fire detection inspection nor could set the system off during their onsite inspection.

Corrected Corrected by Aug 25, 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 childcare training.

At the time of inspection facility persons # 1, 3, 4 and 5 did not have 12 hours of annual professional development on file at the facility.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(1)/3270.31(g) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

At the time of inspection facility person #2,4 and 5 did not have Health and Safety training on file.

Corrected Corrected by Aug 25, 2024

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

3270.31(e)(4)(i) · 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.

At the time of inspection facility person 2 did not have valid pediatric first aid CPR on file.

Corrected Corrected by Oct 20, 2024

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection facility did not have an annual fire detection inspection nor could set the system off during their onsite inspection.

Corrected Corrected by Oct 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

At the time of inspection facility persons# 2, 3 and 5 did not have emergency plan training on file.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

At the time of inspection facility could not provide proof of liability insurance.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

At the time of inspection facility person 2 did not have valid pediatric first aid CPR on file.

Corrected Corrected by Sep 17, 2024

Category: ratio. 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.

At the time of inspection facility person 2 did not have a Mantoux test read / results on file

Corrected Corrected by Sep 17, 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.

At the time of inspection facility persons # 2, 3 and 5 did not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person on file.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection facility did not have an annual fire detection inspection nor could set the system off during their onsite inspection.

Corrected Corrected by Sep 17, 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 inspection facility persons # 1, 3, 4 and 5 did not have 12 hours of annual professional development on file at the facility.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

While conducting the renewal inspection on 8/10/23 it was observed the facility could not provide an emergency plan which includes all required 1 through 5 scenarios.

Corrected Corrected by Aug 24, 2023

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.

While conducting the renewal inspection on 8/10/23 it was observed staff persons# 1 through 5 files did not include documentation of emergency plan training.

Corrected Corrected by Aug 24, 2023

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.

While conducting the renewal inspection on 8/10/23 it was observed staff persons # 1 through 5 files did not include documentation of completed current fire safety training.

Corrected Corrected by Aug 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person#3 shall complete health and safety training or Pediatric First Aid/CPR training professional development within 90 days of hire. Staff persons# 3 will have until 8/25/23 to complete health and safety training, staff person#3 must be supervised, when interacting with children by, AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person#3, staff person# 3 may not work in a child care position at the facility.

While conducting the renewal inspection on 8/10/23 it was observed staff person# 3 has not completed the required health and safety training or Pediatric First Aid /CPR training within 90 days of their date of hire.

Corrected Corrected by Aug 25, 2023

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: Staff person #5 -- may not work in a child care position at the facility. Staff person#5 must obtain verification of State police clearances, child abuse, and NSOR clearance required under the CPSL. Facility person#5 may not work in the child care facility position at the facility.

While conducting the renewal inspection it was observed staff person#5 file did not include documentation current state police, FBI clearance or NSOR clearances.

Corrected Corrected by Aug 24, 2023

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.

While conducting the renewal inspection on 8/10/23 it was observed that staff persons# 1 through 4 files did not include an annual evaluation.

Corrected Corrected by Aug 24, 2023

Category: recordkeeping. 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.

While conducting the renewal inspection on 8/10/23 it was observed staff person# 1file did not include 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.

Corrected Corrected by Aug 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director 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.

While conducting the renewal inspection on 8/10/23 it was observed the facility did not have completed documentation of fire drill conducted in the last 60 days.

Corrected Corrected by Aug 24, 2023

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.

While conducting the renewal inspection on 8/10/23 it was observed that staff persons# 1,2,4 and 5 file did not include documentation of completed 12 hours annual professional development.

Corrected Corrected by Aug 24, 2023

Category: recordkeeping. 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).

While conducting a compliant investigation on 4/20/23 Cert Rep was informed by staff person# 1 that on 4/18/23 the facility was having an issue staffing and classrooms had to be combined with mixed ages in result caused a ratio issue.

Corrected Corrected by Apr 30, 2023

Category: ratio. Marked corrected in the state record.

3270.102(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.

While conducting a complaint inspection on 4/20/23 it was observed the outside play area was not safe toddlers for children to play. The equipment is not age appropriate and the height does not have the required protective covering.

Corrected Corrected by Apr 30, 2023

Category: physical safety. 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. Children must be supervised at all times.

While conducting a complaint inspection on 4/20/23 Cert Rep was informed by staff person#1 that on 4/18/23 due to staffing issues; staff person#2 was supervising classroom# 1 and 2 from the hallway. Children were asleep in the dark in an unsupervised classroom.

Corrected Corrected by Apr 30, 2023

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

While conducting a complaint investigation on 4/20/23 a child sleeping in a bouncy chair was observed due to combining the infant and younger toddlers in one classroom. Cert Rep was also informed by staff person#1 that on 4/18/23 was sleeping in a bouncy chair due to combining ages during nap time.

Corrected Corrected by Apr 30, 2023

Category: health medication. 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.

Ongoing noncompliance, staff person # 1 file did not include verification of emergency plan training.

Corrected Corrected by Mar 16, 2023

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.

Ongoing noncompliance staff person # 2 file did not include annual evaluations.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Ongoing noncompliance at the facility, there is no indoor or outdoor play space for children to use for large muscle activity which includes running, jumping, climbing, and riding.

Corrected Corrected by Mar 16, 2023

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Ongoing noncompliance child # 1 agreement did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Ongoing noncompliance, child # 2 and 3 emergency contact did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Mar 16, 2023

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

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Ongoing noncompliance, child# 4 and 5 emergency contact information was not updated within a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. 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.

Ongoing noncompliance, staff person# 1 was observed changing an infant and did not wash or wipe a child's hands once changing was completed. Plan of correction was given on1/20/23 as of 3/6/23 verification of this training has not been provided.

Corrected Corrected by Mar 27, 2023

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Ongoing noncompliance, a plan of correction to conduct an annual emergency drill was given and due on 1/20/23. As of 3/6/23 no verification has been provided that an emergency drill has been conducted.

Corrected Corrected by Mar 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the renewal inspection conducted on 1/9/23 it was observed child #4 agreement form did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection conducted on 1/9/23 it was observed the facilities liability insurances expired 4/1/21.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. 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.

During the renewal inspection conducted on 1/9/23 it was observed child #8 did not have a labeled cot

Corrected Corrected by Jan 20, 2023

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.

During the renewal inspection conducted on 1/9/23 it was observed staff persons # 2 through 8 files did not include verification of completed emergency plan training.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection conducted on 1/9/23 it was observed staff person# 4 file did not include verification of completed pediatric first aid/ CPR training within 90 days of hire. Also, staff person # 5 file did not include verification of pediatric first aid/CPR training.

Corrected Corrected by Jan 24, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 must obtain verification of state police and NSOR clearances as required under CPSL. Staff person #4 may not work in a child care position at the facility.

During the renewal inspection conducted on 1/9/23 it was observed staff person#4 file did not include verification of state police, NSOR clearances, and mandated reporter training completed.

Corrected Corrected by Jan 20, 2023

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.

During the renewal inspection conducted on 1/9/23 it was observed staff persons# 1 through 6 and 8 files did not include verification of completed annual evaluations.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(b) · Indoor child care space may not be used simultaneously as play space.

During the renewal inspection conducted on 1/9/23 it was observed classroom#4 was unoccupied this room was being used as an office and storage room for children's toys and furniture.

Corrected Corrected by Jan 20, 2023

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

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

During the renewal inspection conducted on 1/9/23 it was observed the facility did not provide indoor or outdoor play space for enrolled children to utilize.

Corrected Corrected by Jan 20, 2023

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

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

During the renewal inspection conducted on 1/9/23 it was observed classroom# 1 wall boarders were missing, and wallpaper peeling behind the main door. Classroom #2 has chipped blue paint on the back wall located in the reading area of the room.

Corrected Corrected by Jan 20, 2023

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection conducted on 1/9/23 it was observed child # 6 and 7 emergency contact form did not include insurance policy number.

Corrected Corrected by Jan 20, 2023

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

3270.124(f) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

During the renewal inspection conducted on 1/9/23 it was observed child # 1,2,3, and 5 files did not include verification of 6-month review by the parent.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. 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.

During the renewal inspection conducted on 1/9/23 it was observed staff person# 6 was changing an infant and did not wash or wipe a child's hands once changing was completed.

Corrected Corrected by Jan 20, 2023

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

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

During the renewal inspection conducted on 1/9/23 it was observed staff persons #1,2, and 3 files did not include verification of education.

Corrected Corrected by Jan 20, 2023

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.

During the renewal inspection conducted on 1/9/23 it was observed staff persons # 1,3,4 and 6 files did not include two nonfamily references.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Provider conducted an emergency dill on 2/21//23 and verification will be forwarded to inspector.

During the renewal inspection conducted on 1/9/23 it was observed the facility did not provide verification of annual emergency drill completed.

Corrected Corrected by Jan 20, 2023

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

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

During the renewal inspection on 2/23/2022 the following staff persons ( #1 #2 #3 #4 and #5) have been employed beyond 90 days and have not taken the Health and Safety required training.

Corrected Corrected by Apr 5, 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). LACKING REQUIRED HIRING DOCUMENTS: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 #4 and #5 may not work in a child care position at the facility.

During the renewal inspection on 2/23/2022 the file for staff person #1, hired on 9/18/19, did not have verification of Child Abuse Mandated Reporter's Training. The file for staff person #4, hired 8/2021 did not have a PA State Police Clearance. The file for staff person #5, hired on 11/10/19 did not have an FBI clearance or an NSOR clearance on file. The file for staff person #7, hired on 11/29/21 did not have verification of Child Abuse Mandated Reporter's Training.

Corrected Corrected by Mar 1, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

During the renewal inspection on 2/23/2022 emergency medication was observed at the facility for child #3. The operator did not have the parent provide written consent for administration of medication.

Corrected Corrected by Mar 1, 2022

Category: ratio. 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 renewal inspection on 2/23/2022 the file for staff person #4 and #7 did not have a health assessment as required by regulation.

Corrected Corrected by Apr 5, 2022

Category: ratio. Marked corrected in the state record.

3270.15(a)/3270.15(b) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

During the renewal inspection on 2/23/2022 the operator did not provide a current certificate of occupancy as required.

Corrected Corrected by Apr 5, 2022

Marked corrected in the state record.

3270.27(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.

During the renewal inspection on 2/23/2022 the emergency plan did not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 5, 2022

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

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the renewal inspection on 2/23/2022 the operator did not have proof of purchase of the fire detection system as required.

Corrected Corrected by Apr 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

During the renewal inspection on 2/23/2022 the file for child #1 and #2 did not have a current health assessment on file as required.

Corrected Corrected by Apr 5, 2022

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