3270.76/3270.102(a) · 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, 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.

On 1/4/24, facility reported that on 1/4/24, child # 1 had their fingertip pinched the door when staff person # 1 closed it behind a parent.

Corrected Corrected by Jan 21, 2024

Category: recordkeeping. 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.

There were 2 water stained ceiling tiles in the indoor play space.

Corrected Corrected by Aug 18, 2023

Category: physical safety. 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.

The outdoor climber has cracked plexiglass that creates a pinch point.

Corrected Corrected by Aug 18, 2023

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 did not include the address for the release person provided.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. 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 is a climber tunnel shaped like a caterpillar in the toddler play space with an exposed bolt on the back.

Corrected Corrected by Aug 28, 2022

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

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child

Certification rep observed photos of children playing in front of the facility in unlicensed play space. Operator confirmed that the children played in the unmeasured play space.

Corrected Corrected by Jun 13, 2022

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

3270.71/3270.76 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. 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 child was playing in the infant room and pulled a cord from a tablet causing a bottle warmer to be knocked over and spill hot water on the child. The child was burned by the water in the bottle warmer when it spilled.

Corrected Corrected by Feb 17, 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 a complaint investigation on 2/28/22, the operator admitted that they have not done monthly fire alarm testing.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Corrected Corrected by Oct 22, 2021

Category: physical safety. 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). Facility Person #5 and 6 may not work in a child care position at the facility. 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 5 DOH - 10-4-21 - and staff 6 - DOH - 10.4.21 have a copy of their state police clearance on file that does not contain the official state seal and is an incomplete clearance. Without the office state seal, clearance is unacceptable.

Corrected Corrected by Nov 9, 2021

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

3270.35(b)(1)/3270.35(b)(2) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Staff 1 is listed as a group supervisor on the staff data sheets. Staff 1 has a bachelors degree on file that does not show what staff 5's bachelors degree is in and inspector is unable to assess if staff qualifies as a group supervisor.

Corrected Corrected by Nov 10, 2021

Category: supervision. Marked corrected in the state record.

3270.36(b)(1)/3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Staff 3 is listed as an assistant group supervisor and has a bachelors degree in Linguistics on file. Staff 3 does not have proof of child care experience on file to qualify as an assistant group supervisor. Staff 4 has a high school diploma and less than 2500 hours of child care experience on file and does not qualify as an assistant group supervisor.

Corrected Corrected by Nov 8, 2021

Category: supervision. 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 time of renewal inspection, in the older toddler bathroom, inspector observed toxics (plumbers putty and locktic) under the sink in the unlocked cabinet that is accessible to children. In the cubbies used for changing, inspector observed in the children cubbies 3 butt pastes and 1 diaper cream that is accessible to children. All toxics are labeled "keep out of reach of children".

Corrected Corrected by Oct 31, 2021

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

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

At time of renewal, inspector observed the sink in the older toddler bathroom was clogged. Provider informed inspector at time of renewal that the sink was scheduled to be fixed that day.

Corrected Corrected by Oct 22, 2021

Marked corrected in the state record.

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

At time of renewal inspection, the daily schedule was not posted in the infant room.

Corrected Corrected by Oct 21, 2021

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child 1's emergency contact form does not include the written consent signed by a parent for emergency medical care. Child 1 has parent initials instead of a signature.

Corrected Corrected by Oct 22, 2021

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.

At time of renewal inspection, in the young toddler room, inspector observed staff 3 heating up food and putting food on trays for the young toddlers while the staff 7 had the children on the other side of the room interacting with them as they played. Inspector observed staff 1 removing children from the one area and putting the children in the highchairs with their food without washing the young toddlers hands. When Inspector questioned staff 3 about washing hands staff 3 grabbed paper towels and wiped the children's hands.

Corrected Corrected by Oct 22, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child 1's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff. Child 1 has initials of parent and not a signature.

Corrected Corrected by Oct 22, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The emergency plan does not provide accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises nor does the emergency plan provide accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected Corrected by Nov 10, 2021

Category: physical safety. 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.

The provider has not sent the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 11, 2021

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