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 facility lacked documentation that the emergency plan was updated and reviewed within the last year. The date of the last review was on 8/28/23.

Corrected Corrected by Sep 20, 2024

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.

The most recent emergency plan training on file for Staff Person #1, Staff Person #2, Staff Person #3 and Staff Person #4 is dated 8/28/23.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. 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 file for Child #2 and Child #3 was lacking information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Sep 20, 2024

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.

The fee agreement on file for Child #1 and Child #2 is lacking the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 20, 2024

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 form on file for Child #1 is lacking 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.

Corrected Corrected by Sep 20, 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 form on file for Child #4 is lacking the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · 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. 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.

The emergency contact form and fee agreement on file for Child #2 and Child #3 lacked a signed update within a 6 month period.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The most current health assessment on file for Child #1, who is an older toddler, is dated 8/21/23.

Corrected Corrected by Sep 20, 2024

Category: health medication. 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 lacked documentation of an emergency drill being conducted within the last year.

Corrected Corrected by Sep 20, 2024

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.

The 30 day fire detection log on file contained dates of testing 1/2/24-2/27/24 and the most recent testing on file is dated 7/22/24 all more than 30 days apart.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The facility was lacking documentation of written notification to local traffic safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Corrected Corrected by Sep 6, 2024

Marked corrected in the state record.

3280.76/3280.103 · 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. 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.

It was observed in the outdoor toddler play space that there was a support wire that was covered with a foam pool noodle, the foam was crumbling causing pieces of the foam to fall into the play space.

Corrected Corrected by Sep 19, 2023

Category: physical safety. 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.

It was observed that there were not emergency contact forms located with the children when they were outside within the child care play space.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The most recent health assessment on file for child #1, who is a preschool aged child, is dated 2/11/22, more than 12 months prior.

Corrected Corrected by Sep 21, 2023

Category: health medication. 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.

The fire detection system testing log contained dates of 10-10-22 to 11-10-22, 12-9-22 to 1-10-23, 1-10-23 to 2-10-23, and 7-10-23 to 8-10-23 which is more than 30 days apart with the most current testing date of 8-10-23.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1 staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

3280.14/3280.20 · 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.

The facility's emergency plan was not updated by 07/01/22 to include volunteer training, a plan for practice drills, and a plan for continuity of operations

Corrected Corrected by Nov 11, 2022

Category: ratio. Marked corrected in the state record.

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The insurance overage currently held by the legal entity does not include comprehensive general liability insurance.

Corrected Corrected by Nov 14, 2022

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.

The most recently documented emergency plan training on file for staff persons #1-#3 is dated 2020. The file for staff person #4 lacks verification of initial emergency plan training (see IS code sheet).

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for staff person #2 lacks verification of 5 hours of child care training completed within the most recent service year. The file for staff persons #3 and #4 lacks verification of 12 hours of child care training completed within the most recent service year.

Corrected Corrected by Nov 15, 2022

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 and #3 may not work at the facility until a valid child abuse clearance is on file for each staff person.

The file for staff persons #2 and #3 lacks a current child abuse clearance.

Corrected Corrected by Sep 27, 2022

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

3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years 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.

The file for staff person #4 lacks verification of education to qualify for a primary staff person, which is the role that staff person #4 was observed performing.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed the exit from the back right room which opens the to the storage area adjacent to the room and which leads to an exit to the outside of the facility, was obstructed by a rocking chair and equipment.

Corrected Corrected by Nov 11, 2022

Category: physical safety. 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.

Observed two rest mats in use by children which were town along the outer seam, exposing the foam pad.

Corrected Corrected by Sep 28, 2022

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

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The file for child #1, child #2, and child #3 contains an agreement which lacks the child's date of admission.

Corrected Corrected by Nov 11, 2022

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.

A review of the child files revealed that the original agreements were on file.

Corrected Corrected by Sep 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

The file for child #2 lacks emergency contact information.

Corrected Corrected by Sep 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child #1 contains emergency contact information which lacks the child's birthdate.

Corrected Corrected by Oct 4, 2022

Category: recordkeeping. 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.

The file for child #5 contains emergency contact information which lacks the name. address, and phone number of the child's physician.

Corrected Corrected by Sep 20, 2022

Category: health medication. 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 file for child #4 contains emergency contact information which lacks the home and work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Sep 26, 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.

The file for child #1 contains emergency contact information which lacks the address of the parent-designated release person(s). The file for child #5 contains emergency contact information which lacks the name. address, and telephone number of the parent-designated release person(s).

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. 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.

Observed the toddler and preschool rooms lack the emergency contact information for the children receiving care in the spaces. Emergency contact information was not present for the children observed receiving care in the outdoor play space.

Corrected Corrected by Oct 22, 2022

Category: recordkeeping. 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.

The file for child #2 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 27, 2022

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

3280.151(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.

The most recent health assessment on file for staff person #3 is dated more than 24 months ago. The two most recent health assessments on file for staff person #4 are dated more than 24 months apart.

Corrected Corrected by Oct 22, 2022

Category: ratio. 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.

Written feeding statements for the two infants observed to be receiving care were not present at the time of the inspection.

Corrected Corrected by Oct 19, 2022

Category: nutrition. Marked corrected in the state record.

3280.181(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.

The updates to the emergency contact information and agreement on file for child #2 and #3 were dated in an interval which exceeds 6 months. The update to the emergency contact information and agreement on file for child #5 are unable to be determined.

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. 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 person #4 lacks two written, non-family references.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. 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.

An emergency drill was not conducted in 2021.

Corrected Corrected by Oct 22, 2022

Category: recordkeeping. 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.

A review of the fire drill log revealed that during the intervals of 11/26/21-1/20/22 and 1/20/22-3/24/22, fire drills were held in an interval which exceeds 60 days.

Corrected Corrected by Nov 11, 2022

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.

A review of the fore detection system testing log revealed that during the following intervals, the testing occurred in an interval greater than 30 days: 11/4/21-12/31/21, 12/31/21-1/31/22, 2/11/22-3/16/22. 5/11/22-6/16/22, 6/16/22-7/17/22.

Corrected Corrected by Nov 11, 2022

Category: recordkeeping. 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(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 and staff person #3 will have until 10/22/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, staff person #1 and staff person #3 may not work in a child-care position at the facility.

The file for staff person #1 lacks verification of current Health and Safety training (see IS code sheet). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety. (see IS code sheet)

Corrected Corrected by Nov 18, 2022

Category: supervision. Marked corrected in the state record.

3280.131(a)/3280.131(e) · 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. 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.

The file for child #2, who has been in attendance at the facility more than 60 days lacks an initial health report and written verification of administered immunizations in accordance with the recommendations of the ACIP. Child #5, who has been in attendance at the facility more than 60 days, lacks an initial health report and written verification of immunizations administered to the child in accordance with the recommendations of the ACIP.

Corrected Corrected by Oct 15, 2022

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

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The annual notification to local safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the facility was not present at the time of inspection.

Corrected Corrected by Nov 15, 2022

Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the outdoor playspace, a blue Little Tykes playhouse had a cubby which was located below the window that contained standing water.

Corrected Corrected by Oct 4, 2021

Category: health medication. 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 service 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. Household member#3 may not be present in the child care spaces where children are present at the facility.

The file for household member #3 did not contain the PA Child Abuse Clearance, the Pa State Police Criminal Background Check, the FBI Clearance or the NSOR Clearance. Household member #3 is over the age of 18.

Corrected Corrected by Oct 4, 2021

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

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained one Mandated Training with a date of 8-8-15 exceeding the 60 month allowable provision for renewal for an employee. The file of staff #2 contained a Mandated Reporter Training of 6-22-15 and 10-13-20 which exceeded the allowable 60 month provision for an employee.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the outdoor playspace, four gasoline cans were to the left of the grill and were accessible to children.

Corrected Corrected by Sep 7, 2021

Category: ratio. Marked corrected in the state record.

3280.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

In the infant room, a first aid kit was missing scissors and soap.

Corrected Corrected by Oct 4, 2021

Category: health medication. 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.

In the preschool room, a green pipe extending down from the ceiling had a sharp metal clamp protruding outward. The outdoor play space had multiple loose sharp metal ties on the bottom and top of the fence and were accessible to children. On the left side of the fence located at the top a silver sharp hook shaped tie was protruding outward. The fence area on the right side of the play space and located adjacent to the swimming pool had four posts with sharp exposed surfaces at the top that were not covered. The corner of the fence near the swimming pool had a bent/leaning post that was separated from the rest of the fence which allowed access to the swimming pool in the gap created by the separation.

Corrected Corrected by Sep 7, 2021

Category: ratio. 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.

In the outdoor play space a red lawn mower had a visible sharp crack on the right side and a shovel had a broken handle. A red two wheeled bicycle had a broken seat. A red two wheeled bicycle and two blue two wheeled bicycles were not in good repair due to missing hand grips which exposed the metal edges of the handle bars.

Corrected Corrected by Sep 7, 2021

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

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

In the infant room, an emergency contact for one infant was visibly missing and in the art room, the emergency contact for three older toddlers were visibly missing.

Corrected Corrected by Sep 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The file of child #3 contained a health assessment that was not signed by a physician, physician's assistant, or a CRNP.

Corrected Corrected by Oct 6, 2021

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

3280.131(d)(5)/3280.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

The file of child #2 contained an influenza vaccine with a date of 12-18-19 and did not contain an updated influenza vaccine.

Corrected Corrected by Oct 11, 2021

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

3280.151(a)/3280.192(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.

Based on an investigation, the health assessment dates for staff #1 which were 10-4-17 and 8-19-20 were not valid. Therefore, staff person #1 did not have a valid health assessment on file since 8-19-19. The file will only contain original health assessments and not copies of health assessments.

Corrected Corrected by Sep 8, 2021

Category: ratio. 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 did not contain accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 4, 2021

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

3280.95(a)/3280.95(b) · (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)).(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 evidence of a log to establish that the fire detection system at the facility had been tested at least every 30 days per the requirement.

Corrected Corrected by Sep 7, 2021

Category: recordkeeping. Marked corrected in the state record.