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

Staff persons #1, 2 & 3 did not complete pediatric first aid and cpr within 90 days of hire.

Corrected Corrected by May 9, 2024

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.

The facility does not have a emergency plan to address continuity of operations.

Corrected Corrected by May 9, 2024

Category: ratio. 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 #1 & 2 did not complete the required health and safety training within 90 days of hire.

Corrected Corrected by May 9, 2024

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.

Staff person #3 did not have an NSOR clearance on file within 45 days of provisional hire. NSOR clearance on file is dated 4/23/24.

Corrected Corrected by May 9, 2024

Category: background checks. 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.

The facility admitted to not conducting annual emergency drills.

Corrected Corrected by May 13, 2024

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). Facility Person #1 may not work in a child care position at the facility until all appropriate clearances are obtained. Facility Person #1 may not work in a child care position at the facility until all appropriate clearances are obtained.

During the renewal inspection on 5/15/2023, staff 1 did not obtain the child abuse clearance until after 45 days from date of hire. She also did not have the FBI and NSOR clearance on file within 45 days of hire, which is out of compliance with the provisional hire requirements.

Corrected Corrected by May 15, 2023

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.

In the facility's upstairs bathroom used by the children, there was rust on the heater in the last stall to the right.

Corrected Corrected by May 29, 2023

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

3270.131(b)(1)/3270.131(e)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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.

During the paperwork review portion of the annual renewal inspection on 5/9/2023, child 1, who was a young toddler, had a health report dated 5/23/2022. An updated health report was not obtained by 11/23/2023. Child 2 did not have an updated flu shot on file for the year of 2022.

Corrected Corrected by May 15, 2023

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

3270.131(e)(2)(i)/3270.131(e)(2)(ii) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Child 3 did not have any flu shots or exemption letters on file.

Corrected Corrected by May 15, 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.

Facility admitted to not testing the fire alarm system every 30 days.

Corrected Corrected by May 15, 2023

Category: recordkeeping. 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.

Upon entering the outside play area, there is an orange climbing mechanism to the left. It has peeling paint all throughout it.

Corrected Corrected by Jun 14, 2022

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Staff 4 did not have proof of experience to be an assistant group supervisor on file.

Corrected Corrected by Jun 1, 2022

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).. 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 1's FBI, state police and child abuse clearances expired in 2021. Staff 1's mandated reporter training needed to be retaken by 10/28/2020. Staff 2 and 3's FBI, child abuse and state police clearances expired in 2020. Staff 2 did not have a mandated reporter training on file and staff 3's mandated reporter training needed to be updated by 2/14/2020.

Corrected Corrected by Jun 1, 2022

Category: background checks. 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 #1, 2 and 3 may not work in a child care position at the facility until all clearances and the mandated reporter trainings are obtained and updated. 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 # 1, 2 and 3 may not work in a child care position at the facility until all clearances are updated and the mandated reporter trainings are updated or obtained.

Staff 1's FBI, state police and child abuse clearances expired in 2021. Staff 1's mandated reporter training needed to be retaken by 10/28/2020. Staff 2 and 3's FBI, child abuse and state police clearances expired in 2020. Staff 2 did not have a mandated reporter training on file and staff 3's mandated reporter training needed to be updated by 2/14/2020.

Corrected Corrected by May 5, 2022

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During the renewal inspection on 6/8/2022, certification representative observed staff 5 changing a diaper. Staff 5 did not wash her hands or the hands of the child after diapering.

Corrected Corrected by Jun 8, 2022

Category: health medication. 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.

The facility did not have a section on how to accommodate infant, toddler, children with disabilities and children with chronic medical conditions during an emergency.

Corrected Corrected by Jun 8, 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 6/8/2022, facility admitted to not being aware of not having to test the fire alarm system every 30 days. As a result, they were not able to produce documentation of the alarm system being tested every 30 days.

Corrected Corrected by Jun 8, 2022

Category: recordkeeping. Marked corrected in the state record.