3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During an allocated unannounced visit on 2/4/25, certification rep observed an open trash can in the young toddler room containing food waste.

Corrected Corrected by Feb 6, 2025

Category: nutrition. 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.

Staff person # 1 did not complete the Pediatric CPR/First Aid course prior to the expiration of the current certificate. This is evidenced by the Pediatric CPR/First Aid certificate, valid for 2 years, dated 1/31/22. Staff # 1 renewed the Pediatric CPR/First Aid on 3/25/24.

Corrected Corrected by Aug 22, 2024

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.

There was a broken piece, creating a sharp edge, on the grocery store in the preschool classroom. There were floor mats with torn edges observed in the infant room. The torn edges make them unable to be properly sanitized.

Corrected Corrected by Aug 22, 2024

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

3270.124(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 # 1 that does not have the address listed for one of the release persons.

Corrected Corrected by Aug 22, 2024

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.

A renewal inspection was conducted 8/18/23. During the inspection, the child files were reviewed. The emergency contact form for Child #1 did not include the health insurance information and policy number.

Corrected Corrected by Sep 1, 2023

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection was conducted 8/18/23. During the inspection, wet paper towels and a trash bag were observed under the pavilion on the playground. The wall to the right of the front door was observed to be crumbling right above the ground.

Corrected Corrected by Sep 8, 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.

A renewal inspection was conducted 8/18/23. During the inspection, peeling paint and chipping wood was observed on the back of the pavilion wall that is part of the toddler playground. Peeling paint was observed on the back of the door leading to the playground. Peeling paint and damaged plaster was observed on the wall next to the gate leading to the bathroom in the older toddler room.

Corrected Corrected by Sep 8, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted 8/18/23. During the inspection, the child files were reviewed. The emergency contact information for Child #1 was missing the business address and business phone numbers for the parents. The following emergency contact forms were missing the work addresses of the child's parents: Child #2, Child #3, Child #4, and Child #5.

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted 8/18/23. During the inspection, the emergency contact forms for the children were not present in the child care rooms.

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #4 and Child #5 must be dismissed from care by close of business 8/18/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 8/18/23. During the inspection, the immunization records of the children were reviewed. The immunization records for Child #4 and Child #5 did not include administration of the flu vaccine or a letter of exemption.

Corrected Corrected by Aug 18, 2023

Category: ratio. 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.

A renewal inspection was conducted 8/18/23. During the inspection, the file for Staff Person #1 was reviewed. The file did not include verification of education or experience prior to the onset of employment at the facility.

Corrected Corrected by Aug 22, 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.

A renewal inspection was conducted 8/18/23. During the inspection, the file for Staff Person #1 was reviewed. The file did not include two written, nonfamily letters of reference.

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(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.

A renewal inspection was conducted 8/18/23. During the inspection, it was found that parents had not been provided electronic means of accessing the regulations.

Corrected Corrected by Aug 25, 2023

Marked corrected in the state record.

3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.

A complaint investigation was conducted 7/28/23. During the investigation it was found that the facility director notified the parents of the classrooms effected by hand, foot, and mouth disease on 7/21/23, but did not notify the parents of all enrolled children at the facility until 7/24/23 when hand, foot, and mouth disease had spread to another classroom.

Corrected Corrected by Jul 28, 2023

Category: health medication. 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.

An unannounced inspection was conducted on 4/3/23. At that time, the thirty day testing log for the fire detection system was reviewed. The last documented testing of the fire detection system was dated 2/14/23.

Corrected Corrected by Apr 4, 2023

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.

An unannounced inspection was conducted on 1/27/23. At that time, the thirty day testing log for the fire detection system was reviewed. The last documented testing of the fire detection system was dated 10/14/22.

Corrected Corrected by Feb 10, 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.

An unannounced inspection was conducted on 1/27/23. At that time, the fire drill log was reviewed. The last documented fire drill was dated 9/9/22.

Corrected Corrected by Feb 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility until a PA Child Abuse Clearance for employment is on file.

A renewal inspection was conducted on 8/8/22. At that time, the file for Staff Person #1 was reviewed. The file contained a volunteer Child Abuse clearance dated 6/14/19, but did not contain a Child Abuse clearance for employment.

Corrected Corrected by Aug 8, 2022

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection was conducted on 8/8/22. At that time, a water damaged ceiling tile was observed in the young toddler room.

Corrected Corrected by Aug 22, 2022

Category: physical safety. 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.

A renewal inspection was conducted on 8/8/22. At that time, the emergency plan did not include accommodations for the toddlers enrolled at the facility.

Corrected Corrected by Aug 8, 2022

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

3270.113(a)/3270.113(d) · 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for Staff Person #1 to receive a minimum of two hours of training regarding supervision of children. The training must be PQAS approved, in-person or live webinar. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must arrange for Staff Person #1 to complete Building Relationships with Children and Youth Who Challenge Us through Better Kid Care. These trainings may not be counted towards the 12 hours of training required by regulation.

A complaint investigation was conducted on 2/28/22. At that time, investigations found that on 2/16/22, Child #1 was left unsupervised in the foyer for approximately 30 seconds by Staff Person #1. Investigations also found that Staff Person #1 has made the following comments to children: "Are you even thinking right now?" "You're giving me a headache" "You're being bad," and "I can't deal with you today."

Corrected Corrected by Apr 14, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

A complaint investigation was conducted on 2/28/22. At that time, investigations found that on 2/16/22, Child #1 was left unsupervised in the foyer for approximately 30 seconds by Staff Person #1.

Corrected Corrected by Feb 28, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and all new staff at time of hire and have staff sign off that the understand and will follow the supervision policy.

A complaint investigation was conducted on 2/28/22. At that time, investigations found that on 2/16/22, Child #1 was left unsupervised in the foyer for approximately 30 seconds by Staff Person #1.

Corrected Corrected by Mar 30, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

A complaint inspection was conducted on 1/31/22. At that time, the investigation found that a preschool child had been left on the playground by Staff Person #1 for a period of less than one minute in December 2021. Two other staff were present on the playground with their primary groups when this occurred.

Corrected Corrected by Feb 1, 2022

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

A complaint inspection was conducted on 1/31/22. At that time, the investigation found that the facility does not keep a copy of the incident reports in a facility accident file.

Corrected Corrected by Feb 1, 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). 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 Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) verification certificate effective 9/30/2019, requiring anyone hired after 9/30/19 to have the NSOR verification certificate to work in child care. The CPSL revision also includes the removal of the provisional hire period as of 12/31/2019. Effective December 31, 2019, the 90-day provisional hire period was obsolete and has been replaced by a 45-day provisional hire period. The new 45-day provisional hire period is only permitted once the certified child care facility applies for a provisional hire waiver and it is granted by OCDEL. Staff Person #1 may not work in a child care position at the facility until the FBI Clearance is on file at the facility.

A renewal inspection was conducted on 8/13/2021. At that time, the file for Staff Person #1, date of hire 2/24/2021, did not contain an FBI Clearance. The request for the FBI Clearance was dated 2/18/21. Staff Person #1 applied for NSOR Certificate on 2/15/2021 and again on 5/18/21, when the NSOR was never received after the initial request. The NSOR is dated 5/18/21. Facility has provisional hire waiver granted 2/25/2020. The provisional hire period for Staff Person #1 ended 4/9/2021.

Corrected Corrected by Aug 13, 2021

Category: background checks. 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.

A renewal inspection was conducted on 8/13/2021. At that time, a large storage closet was observed on the playground. The storage cabinet is not located on a flat area of the macadam and was in danger of being tipped over posing a crushing hazard. The Little Tikes rock climbing equipment on the toddler playground was observed to have many hand holds cracking and breaking off due to sun damage.

Corrected Corrected by Aug 23, 2021

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A renewal inspection was conducted on 8/13/2021. At that time, a container of diaper creams, over-the-counter medication, were observed on the bottom, floor level, shelf of the changing table in the older toddler bathroom. These diaper creams were accessible to the children.

Corrected Corrected by Aug 13, 2021

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted on 8/13/2021. At that time, ripped changing pads that cannot be properly sanitized were observed in the older toddler bathroom and in the infant room.

Corrected Corrected by Aug 13, 2021

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