3270.27(c) · 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 and kept on file at the facility.

During an unannounced inspection on 7/25/25 there was no documentation available to review to support that Staff 5 had completed emergency plan training in 2024 or 2025. Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25.

Corrected Corrected by Jul 30, 2025

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 5 may not work in a child care position or have direct contact with any children at the facility until such time as all required clearances related to this citation are received and in the Staff file at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff 5 may not work in a child care position or have direct contact with any children at the facility until such time as all required clearances related to this citation are received and in the Staff file at the facility. This portion of the plan shall have an immediate correction date. 2. The Legal Entity Representative, and Director will be required to attend Existing Provider Orientation conducted by the Northeast Regional Office. This training is next offered on August 6, 2025 or November 12, 2025 at the Scranton Office Building. The legal entity representative must contact the Regional Office at 1-800-222-2108 in order to schedule this training. The provider shall provide a date when this portion of the plan shall be completed by. 3.The legal entity will submit complete files for any newly hired staff, volunteers or other facility persons, and any staff volunteers or other facility persons who are returning from an extended leave until Existing Provider Orientation has been completed to the NE Regional Office. During that time, staff, volunteers or other facility persons, may not begin to work or volunteer in child care until their file has been approved by the NE Regional Office. Submitted files will be reviewed by the NE regional office within 1 week of submission. The provider shall provide a date when this portion of the plan shall be completed by.

Continued Non-Compliance: During a swimming inspection on 7/17/25 Staff 2 did not have their NSOR certificate on file. Staff 2 was observed providing care for children. There was a NSOR request form on file dated 6/3/25, however it was reported the request was not submitted. See LIS code sheet for Staff 2's 1st day working with children. The facility's acceptable plan of correction indicated the correction would be implemented by 7/21/25. On 7/25/25 an unannounced inspection was conducted. Cert rep observed Staff 5 providing care during the inspection. It was noted that Staff 5's DHS FBI clearance, Child Abuse Clearance and NSOR clearance were older than 60 months. This is evidenced by previously documented clearances in the Staff file dated as follows: DHS FBI (2/26/20), Child Abuse(4/3/20), and NSOR clearance(3/13/20). Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25. Staff 2 resigned and is no longer working at the facility.

Corrected Corrected by Nov 12, 2025

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During an unannounced inspection on 7/25/25 Cert rep observed Staff 5 alone in a room with 4 children, while the supervising staff was in the kitchen. Staff 5 was reported to be working as an aide.

Corrected Corrected by Jul 25, 2025

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. 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. TIERED LIS: 1. 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 their assigned group. The facility may not take the children swimming or wading until such time as the accepted plan of correction has been verified as implemented by the Department. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for the legal entity, the director and all staff to receive a minimum of three hours of training regarding Supervision and Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when this training will be completed.

Continued Non-Compliance: During a swimming inspection on 7/17/25 Cert rep observed the following: 8 children enrolled in child care were swimming in the pool with children who attend summer camp and were not enrolled at the child care .Staff #1 named and identified 4 children as being in their assigned supervision group. Staff #2 named and identified 6 children as being in their assigned supervision group. When Cert rep questioned this, it was determined that 4 of the children named and identified by Staff 2 are not enrolled in child care and attend summer camp only. 2 children present and enrolled in child care were not named by either staff and were supposed to be assigned to staff 2. The facility's acceptable plan of correction indicated the correction regrading supervision of children and children being assigned to specific staff would be implemented by 7/17/25. On 7/25/25 an unannounced inspection was conducted. Cert rep observed the following incidents regarding supervision: Staff 5 was observed alone with 4 children. Staff 5 named and identified 2 of the children present. When Cert rep questioned this is was determined the other children were in Staff 6's assigned group, however Staff 6 was in the kitchen and not physically present with her assigned group. When Staff 6 returned both Staff 5 and 6 were asked to name and identify their groups. Both Staff 5 and 6 named and identified the same 2 children as being in their assigned group. When cert rep questioned this It was determined the groups had changed and Staff 5 had not made note of the change for themself. Cert rep also noted that Staff 3 reported they were not able to name their group and did not know who they were assigned when Cert rep asked. Staff 3 reported not having a list of their assigned children. All staff present during inspection had reviewed and signed off acknowledgement of the facility's acceptable supervision policy on 7/23/25.

3270.151(a)/3270.151(c)(2) · 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Continued Non-Compliance: During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have an initial health assessment or TB test results on file. The facility's acceptable plan of correction indicated the correction would be implemented by 7/25/25. On 7/25/25-7/28/25 an unannounced inspection was conducted. It was reported that Facility person 4 had not completed their health assessment and TB test. It was reported the appointment Facility Person had scheduled was 7/28/25, which is after the correction date. It was also noted that Staff 5 had a health assessment dated 10/10/22 which is more than 24 months ago. Staff 5 was documented as being on leave and not working in a Child care position or having direct contact with children from 1/31/25-7/24/25. Cert rep observed Staff 5 providing care during the inspection on 7/25/25.

Corrected Corrected by Aug 1, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(iv)/3270.115(a)(8) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

On 7/17/25 when Cert rep arrived Staff 2 and 3 were in staff:child ratios during swimming activities. Shortly after arrival Staff 1 replaced Staff 3 in staff:child ratios. It was reported staff completed water safety training around 6/9/25 but their was no documentation to review that this training was presented by a certified life guard, or which staff completed this training. Documentation was not available to review that Staff 1-3 completed water safety training from a certified lifeguard in 2024 or 2025.

Corrected Corrected by Jul 18, 2025

Category: ratio. 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 2 may not work in a child care position or have direct contact with any children at the facility.

During a swimming inspection on 7/17/25 Staff 2 did not have their NSOR certificate on file. Staff 2 was observed providing care for children. There was a NSOR request form on file dated 6/3/25, however it was reported the request was not submitted. See LIS code sheet for Staff 2's 1st day working with children.

Corrected Corrected by Jul 21, 2025

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

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During a swimming inspection on 7/17/25 Staff 2 had over 12 years of child care experience documented in the file. There was no proof of education on file for Staff 2. Staff 2 reported having graduated from high school. Staff 2 has been working as an aide.

Corrected Corrected by Jul 21, 2025

Category: recordkeeping. 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. 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. TIERED LIS: 1. 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 their assigned group. The facility may not take the children swimming or wading until such time as the accepted plan of correction has been verified as implemented by the Department. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a supervision policy which includes requirements for supervision during water activities such as swimming and wading. This policy will ensure that all children are properly assigned to a specific staff person and supervised at all times. This policy must address how groups will be assigned to specific staff and how staff will be made aware of their assigned group. This policy should address how supervision, including supervision during water activity, will be maintained during transitions such as staff breaks, and changes in staff's group assignments. 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 staff and have staff sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when this portion of the plan will be completed.

During a swimming inspection on 7/17/25 Cert rep observed the following: 8 children enrolled in child care were swimming in the pool with children who attend summer camp and were not enrolled at the child care .Staff #1 named and identified 4 children as being in their assigned supervision group. Staff #2 named and identified 6 children as being in their assigned supervision group. When Cert rep questioned this, it was determined that 4 of the children named and identified by Staff 2 are not enrolled in child care and attend summer camp only. 2 children present and enrolled in child care were not named by either staff and were supposed to be assigned to staff 2.

Corrected Corrected by Jul 31, 2025

Category: supervision. Marked corrected in the state record.

3270.124(c)/3270.124(d) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During a swimming inspection on 7/17/25 Children were observed receiving care at the pool which is not located within the facility but is elsewhere on the property. There were no emergency contact forms present for the children observed at the pool.

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have an initial health assessment or TB test results on file.

Corrected Corrected by Jul 25, 2025

Category: ratio. 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.

During a swimming inspection on 7/17/25 it was noted that Facility person 4 did not have 2 references attesting to their suitability to serve as a facility person.

Corrected Corrected by Jul 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(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.

During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 1's Fee agreement was most recently reviewed by the parent on 4/11/24, which is more than 6 months ago.

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During a renewal inspection 4/3/25-4/11/25 Cert rep noted more than 12 months between fire safety training for Staff 2 (5/19/23 & 6/1/24), Staff 3 (5/24/23 & 6/1/24), and Staff 4 (5/24/23 & 6/1/24).

Corrected Corrected by Apr 11, 2025

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.

During a renewal inspection on 4/11/25 Cert rep noted Staff 2 and 3 had more than 60 months between their NSOR certificates. This is evidenced by Staff 2 and Staff 3's NSOR certificates dated 3/13/20, and 4/3/25.

Corrected Corrected by Apr 11, 2025

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

3270.34(b)(3) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

During a renewal inspection on 4/3/25 Staff 1 has a diploma for an associate's degree which does not indicate the course of study and does not have any experience with children documented in the file. Staff 1 reports the degree is in ECE. Staff 1 has been working as director.

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(4) · A group supervisor shall have an associate'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 3 years of experience with children.

During a renewal inspection 4/11/25 Cert rep noted Staff 4 had a high school diploma and 0 years of childcare experience on file. The director reports that Staff 4 has been working as a GS.

Corrected Corrected by Apr 11, 2025

Category: supervision. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During a renewal inspection on 4/3/25 Cert rep observed the refrigerator in the kitchen used for childcare food and meals did not have a thermometer.

Corrected Corrected by Apr 11, 2025

Category: nutrition. Marked corrected in the state record.

3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

During a renewal inspection on 4/3/25-4/11/25 Cert rep noted that parents were not being provided information regarding the facility's supervision policies.

Corrected Corrected by Apr 11, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)/3270.123(a)(5) · An agreement shall be signed by the operator and the parent. An agreement shall specify the persons designated by a parent to whom the child may be released.

During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 1's fee agreement was not signed by the operator. Child 2's fee agreement did not list persons to whom the child may be released.

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a)/3270.124(b)(3) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During a renewal inspection on 4/3/25-4/11/25 Child 1's emergency contact form did not have the emergency contact name and phone number, or the parent's work address and work phone number. Child 2's emergency contact form did not have the parent's work phone number.

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During a renewal inspection on 4/3/25-4/11/25 Child 3's emergency contact form did not have the phone number for the child's source of medical care.

Corrected Corrected by Apr 14, 2025

Category: health medication. 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.

During a renewal inspection on 4/3/25-4/7/25 Child 1 and Child 3's emergency contact forms did not have the release persons' addresses.

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

During a renewal inspection on 4/3/25 Cert rep observed the facility's emergency medical transportation plan was not posted in the Main room and the small room.

Corrected Corrected by Apr 3, 2025

Category: transportation. 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.

During a renewal inspection on 4/3/25 Cert rep observed various diaper creams and a bottle of Tums which were labeled "Keep out of reach of children" in an accessible drawer in the right bathroom. On 4/11/25 Cert rep observed Aveeno lotion labeled "Keep out of reach of children" on a TV in the small room. This would be accessible to school aged children who use this room.

Corrected Corrected by Apr 11, 2025

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

3270.192(4) · 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.

During a renewal inspection on 4/3/25 Cert rep noted Staff 1 did not have a signed disclosure statement available to review in their file. A disclosure statement was signed dated and witnessed for Staff 1 on 4/3/25, however this is after the Staff's date of hire. Staff 1 was not provisionally hired.

Corrected Corrected by Apr 3, 2025

Category: background checks. 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.

During a renewal inspection on 4/3/25-4/11/25 Cert rep observed the operator did not have a means for the parents to access the 3270 regulations electronically.

Corrected Corrected by Apr 14, 2025

Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

During a renewal inspection on 4/3/25-4/11/25 Cert rep noted Child 4's initial health assessment was dated 2/18/25, this is more than 60 days after their date of enrollment (See code sheet for date of enrollment).

Corrected Corrected by Apr 11, 2025

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

On 4/24/2024, The emergency contact information for Child #3 and Child #4 had not been updated in writing by the parent within previous 6 months. The financial agreement for Child #4 also had not been updated by the parent within the previous 6 months. See LIS code sheet.

Corrected Corrected by Apr 26, 2024

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 childcare group settings). Child #1 and Child #2 must be dismissed from care by close of business on 4/24/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During the Renewal Inspection on 4/24/2024, Child #1 and Child #2 did not have did not have any immunization documentation on file as recommended by the ACIP. The files for Child #1 and Child #2 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent. See LIS code sheet.

Corrected Corrected by Apr 24, 2024

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

On 4/24/2024, the emergency contact information for Child #3 and Child #4 did not include signed written parental consent for emergency medical for the child. The record also did not contain signed written parental consent for administration of minor first-aid procedures by facility staff for Child #4.

Corrected Corrected by Apr 26, 2024

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 and Child #2 must be dismissed from care by close of business on 4/24/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

On 4/24/2024, Child #1 and Child #2 did not have an initial health report or immunization record as recommended by the ACIP on file. See LIS code sheet.

Corrected Corrected by May 10, 2024

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

3270.69(a)/3270.82(h) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The director verified that the facility did not have any running water from 6:30 AM until 1:00 PM on 8/15/2023 due to needing to get a new well pump installed. During this period, hand sanitizer supervised by staff was used for handwashing.

Corrected Corrected by Aug 15, 2023

Category: supervision. 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)1-9. Staff person #1 will have until 9//2023 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

Corrected Corrected by Aug 20, 2023

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). Staff #1 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a childcare position at the facility until the completed NSOR clearance is on file.

On 8/16/2023, Staff #1 did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

Corrected Corrected by Aug 17, 2023

Category: background checks. 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.

On 8/16/2023, Facility Person #1 did not have any written, nonfamily references on file. See LIS code sheet.

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(iv)/3270.115(a)(8) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

On 8/16/2023, none of the staff at the at the facility had documentation of completion of basic instruction in water safety from a certified lifeguard on file. The director verified that children at the facility have been swimming at the pool that is on site throughout this summer.

Corrected Corrected by Aug 17, 2023

Category: ratio. 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 childcare 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. Facility Person #1 may not work in a childcare position at the facility until the completed NSOR clearance is on file.

On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

Corrected Corrected by Aug 17, 2023

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). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 may not work in a childcare position at the facility. The legal entity and the person responsible for maintaining staff paperwork will schedule and attend Existing Provider Orientation through the Northeast Regional Office to be held in November 2023.

On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer when they took children swimming did not have the completed National Sex Offender Registry (NSOR) clearance or the request for this clearance on file. See LIS code sheet.

Corrected Corrected by Nov 29, 2023

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

3270.151(a)/3270.151(c)(2) · 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 childcare 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

On 8/16/2023, Facility Person #1, the person that the director verified as the lifeguard throughout this summer did not have a health assessment or a tuberculosis screening on file. See LIS code sheet.

Corrected Corrected by Sep 29, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the Renewal Inspection on 4/11/2023, the files showed that Staff #1, Staff #2 and Staff #3 had not completed annual fire safety training within the previous 12 months.

Corrected Corrected by May 24, 2023

Category: recordkeeping. 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)1-9. Staff persons #1, #2 and #3 shall complete the required one-hour 2022 update to the health and safety training by 5/9/2023.

Staff persons #1, #2 and #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 19, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 will have until 5/9/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person#2, staff person #2 may not work in a child-care position at the facility.

Staff #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/10/2018.

Corrected Corrected by May 15, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

On 4/11/2023, Child #4 did not have a financial agreement on file signed by the operator and the parent. See LIS code sheet.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

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

On 4/11/2023, the most recent health reports on file were dated 2/15/2022 for Child #1 and 1/20/2022 for Child #2. Both Child #1 and Child #2 are young toddlers. Child #3 and Child #4, also young toddlers did not have any health reports on file.

Corrected Corrected by May 17, 2023

Category: health medication. 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 childcare group settings). Child #1, Child #2, Child #3 and Child # 5 must be dismissed from care by close of business 4/11/2023 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

On 4/11/2023, the files for Child #1 and Child #2 did not have did not have documentation of the following up-to-date immunizations on file: MMR, Varicella, Hepatitis A and annual influenza immunization as recommended by the ACIP. Child #3 did not documentation of any of the recommended immunizations as recommended by the ACIP. Child #5 did not have documentation of the annual influenza immunization as recommended by the ACIP. The files for Child #1, Child #2, Child #3 and Child #5 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

Corrected Corrected by Apr 11, 2023

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

3270.27(a)(5)/3270.27(a)(6) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the Renewal Inspection on 4/11/2023, the emergency plan did not show that it provides accommodations for infants and toddlers. Toddlers were present on 4/11/2023. The facility also did not have documented that an annual emergency drill had been conducted within the previous 12 months.

Corrected Corrected by May 26, 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.

The operator tested the interconnected fire alarm system during the Renewal Inspection on 4/11/2023. However, the fire alarm did not sound. The fire detection log also showed that the system has not been manually tested at least once every 30 days during the previous 12 months.

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 4/11/2023, the files for Child #3 and Child #4 did not have an initial health report on file. Child #3 did not have any immunizations on file as recommended by the ACIP. See LIS code sheet.

Corrected Corrected by May 17, 2023

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

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.

During the Renewal Inspection on 4/13/2022, cracked wood with sharp edges, holes in the wood where fingers could get stuck in, and a broken spindle was observed on the playset in the outdoor play area.

Corrected Corrected by Apr 30, 2022

Category: physical safety. 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.

During the Renewal Inspection on 4/13/2022, the emergency contact information for Child #1 and Child #3 did not include the health insurance coverage and policy number for the child.

Corrected Corrected by Apr 22, 2022

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

3270.151(a) · 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.

During the Renewal Inspection on 4/13/2022, the most recent health assessment on file for Staff #2 was dated 9/30/2019. See code sheet for date of hire.

Corrected Corrected by Apr 22, 2022

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

During the Renewal Inspection on 4/13/2022, the emergency contact information for Child #1 and Child #2 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 22, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the Renewal Inspection on 4/13/2022, the staff files showed that Staff #1, Staff #2, Staff #3 and Staff #4 have not completed the annual minimum of 12 clock hours of child care training. See code sheet for dates of hire.

Corrected Corrected by Apr 30, 2022

Category: recordkeeping. Marked corrected in the state record.