Kristas Creative Castle

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 form on file for Child #1 did not 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.

Corrected by Nov 14, 2024

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

There was aluminum foil with sharp edge cutter, a vegetable peeler and a pizza cutter on the counter in room 2 and accessible to the children while in care.

Corrected by Dec 1, 2023

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

The receptacle in room 2 near the refrigerator lacked a protective outlet cover and was accessible to children who are 5 years and younger.

Corrected by Dec 1, 2023

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3280.66(d) · Arts and crafts materials shall be nontoxic.

The operator had shaving cream that contains the statement keep out of reach of children that was identified for use as an art or craft material.

Corrected by Dec 1, 2023

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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.

The facility lacked scissors and tweezers in both first aid kits.

Corrected by Dec 1, 2023

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

All child files reviewed contained agreement forms that lacked the release persons designated by a parent on the forms.

Corrected by Dec 1, 2023

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3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

All child files reviewed contained agreement forms that lacked the child's admission date at the facility on the form.

Corrected by Dec 1, 2023

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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.

Staff file #1contained health assessments conducted on 2/9/21 and 5/4/23, which exceeded the 24 months as required.

Corrected by Dec 1, 2023

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3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The facility lacked a copy of the evacuation routes on the first floor of the facility where the parents drop of the children.

Corrected by Dec 1, 2023

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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 facility lacked documentation of testing of the fire detection system every 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)), documentation showed testing conducted on 8/2/23, 9/4/23, 10/9/23, and 11/1/23.

Corrected by Dec 1, 2023

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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 emergency plan on file lacked a continuity of operation plan for the aftermath of a disaster.

Corrected by Jan 18, 2023

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3280.26(c)/3280.192(2)(iii) · 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. 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 #2 lacked emergency plan training within 90 days of hire. This is evidenced by the current emergency plan training being dated 11/10/22. SEE LIS CODE SHEET.

Corrected by Jan 18, 2023

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3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. 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 lacked 12 hours of childcare training from 12/19/20 thru 12/19/21.

Corrected by Jan 18, 2023

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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.

The file for staff #2, who was a provisional hire, lacked an application for the NSOR on or before start date in a child care position. This is evidenced by the current NSOR application on file which is dated 7/14/22. SEE LIS CODE SHEET. There is now an NSOR on file and dated 7/14/22. Additionally, the disclosure statement on file for staff #2 was not the correct disclosure statement required by the CPSL. There was more than 60 months between the previous FBI clearances on file for household member #3. This is evidenced by the previous FBI clearance dated 10/16/17 and the current one dated 11/14/22.

Corrected by Jan 18, 2023

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3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

The following unsafe conditions and areas are accessible to children in the facility's outdoor play space: A driveway that borders the side of the yard on which the fenced in area that contains the dog is located; This driveway leads to the highly travelled main road; There is direct access to the highly travelled main road from the yard near the garage; There is no barrier to prevent access from the yard to the neighboring business; There is a portable fire pit located next to the dog fence which is accessible to the children; There is no barrier to prevent access to the highly travelled main road from the camper in the front of the facility which is located next to the garage as it is not flush against the ground and not flush against the garage.

Corrected by Feb 10, 2023

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3280.131(e)(1)/3280.182(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. A child's record must contain initial and subsequent health reports.

The immunization record on file for child #1 lacked documentation of a flu shot within the past year.

Corrected by Jan 18, 2023

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3280.31(h)/3280.192(2)(iii) · All staff persons shall complete the professional development under subsection(f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet) CPR/FA and Health and Safety training. This is evidenced by the CPR/FA being completed on 10/4/22 and the health and safety training being completed 9/30/22.

Corrected by Jan 18, 2023

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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.

There was more 60 days between fire drills which were conducted on 6/13/22 and then on 8/29/22.

Corrected by Jan 18, 2023

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3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files of staff #1 and #2 lacked documentation of training regarding the emergency plan at the time of initial employment, on an annual basis.

Corrected by Nov 25, 2021

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3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed 3 pack and plays set up for nap time not 2 feet apart on three sides of the equipment.

Corrected by Nov 25, 2021

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3280.124(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 the inspection, there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted conspicuously in every child care space.

Corrected by Nov 25, 2021

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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 lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Nov 25, 2021

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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.

At the time of the inspection, there was not documentation of proof of purchase on file for the type of smoke detection system in place at the Group Child Care Home.

Corrected by Nov 25, 2021

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