3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 15, 2025

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

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

There was an outlet by the window near the table in the preschool classroom that was missing an outlet cover and was accessible to children.

Corrected Corrected by Dec 16, 2024

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 two most recent health assessments on file for Child #3, who is a preschool age child, are dated 6.16.23 and 7.16.24, more than 12 months apart.

Corrected Corrected by Dec 16, 2024

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

3280.131(d)(5)/3280.131(e)(3) · ·Child #1, #2 must be dismissed from care by close of business on 1/13/25, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 2 years old, includes 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #2, who is 2 years old, includes 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Jan 9, 2025

Category: health medication. 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 most recent 6-month review signature for financial agreement on file for Child #3 is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Dec 16, 2024

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.

Observed a can of disinfectant spray stored on the top shelf of a cabinet above a shelf containing a bag of snack food.

Corrected Corrected by Dec 2, 2022

Category: ratio. 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.

Observed an exposed protruding bolt at the base of the downstairs toilet.

Corrected Corrected by Dec 6, 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 on the outdoor play space a large crack on the top of the small red and blue plastic sliding board.

Corrected Corrected by Dec 7, 2022

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

3280.113(a)(1) · 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.

Observed at approximately 9:30am staff persons #1 and #2 supervising 2 older toddlers and 4 preschoolers. At approximately 10:00am a behavior support person from an outside agency who is not a staff person took child #1 into the adjacent entry room. Staff #1 and #2 were not physically present with child #1 and could not adequately supervise child #1. Child #1 and the behavior support person remained in the entry room for approximately 10 minutes before returning to the child care space. This was repeated 2 additional times during the 3 hour inspection.

Corrected Corrected by Dec 2, 2022

Category: supervision. Marked corrected in the state record.

3280.182(8)/3280.185 · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. A copy of the child's record shall be retained at the facility for at least 1 year after termination of service, unless the entire record is transferred by the operator to the parent or guardian or to another agency at the request of the parent or guardian.

The files for child #1 and child #2 contain current financial agreement and current emergency contact forms but are lacking copies of the initial documents and subsequent updates.

Corrected Corrected by Dec 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff person #3, date of hire (see IS code sheet), is lacking verification of pediatric first aid/pediatric CPR within 90 days of hire. The file does contain current pediatric first aid/pediatric CPR.

Corrected Corrected by Dec 6, 2022

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 alarm test log identified that the fire alarms are tested on the first day of every month. Therefor tests conducted on 6/1, 8/1,9/1, 11/1., 1/1, 2/1and 4/1 all exceeded 30 days due to the previous month having 31 days.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i)/3280.31(h) · Competence is the completion of training by a professional in the field of first-aid and 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.All staff persons shall complete the professional development under subsection(f) Pediatric First Aid and Pediatric CPR.

The staff file for Staff person #1 lacked valid first-aid and CPR training; the first-aid and CPR training certificate on file expired as of 2/9/21.

Corrected Corrected by Jan 28, 2022

Category: ratio. Marked corrected in the state record.

3280.33(c) · One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At time of inspection Staff person #1, who was the only facility person on site with four children in care, did not have a current certificate of pediatric first-aid and CPR.

Corrected Corrected by Jan 28, 2022

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