3280.14/3280.20 · 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.

A renewal Inspection was conducted on 6/26/24. The facility's emergency plan did not address continuity of operations in the event of an emergency.

Corrected Corrected by Jul 1, 2024

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(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. Facility Person #2 may not be present in a childcare position at the facility.

A renewal inspection was conducted on 6/26/24. Facility person #1 did not update the following clearances within 60 months as required by the CPSL: PSP clearance dated 3/18/19 and updated on 5/28/24; Child Abuse clearance dated 3/4/18 and updated on 4/26/24; FBI clearance dated 3/29/19 and updated on 5/1/24. Cert rep observed facility person #2 caring for children. Facility person #2 is a new hire and has a department of education FBI clearance, no NSOR on file, and no receipt of request on file. Facility person #2 has a current PSP and Child Abuse clearance on file. Facility person #3 is a household member and does not have a signed disclosure statement on file.

Corrected Corrected by Jul 12, 2024

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

3280.32(a)/3280.192(4) · The legal entity must arrange for the legal entity and anyone responsible for hiring staff to register for and attend the existing provider orientation conducted by the NE Regional Office on 11/20/24.

A renewal inspection was conducted on 6/26/24. Facility person #1 did not update the following clearances within 60 months as required by the CPSL: PSP clearance dated 3/18/19 and updated on 5/28/24; Child Abuse clearance dated 3/4/18 and updated on 4/26/24; FBI clearance dated 3/29/19 and updated on 5/1/24. Cert rep observed facility person #2 caring for children. Facility person #2 is a new hire and has a department of education FBI clearance, no NSOR on file, and no receipt of request on file. Facility person #2 has a current PSP and Child Abuse clearance on file. Facility person #3 is a household member and does not have a signed disclosure statement on file.

Corrected Corrected by Nov 20, 2024

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

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

A renewal inspection was conducted on 6/26/24. In classroom #1 & #2, the cots and cribs were not labeled with the specific child's names.

Corrected Corrected by Jun 26, 2024

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

3280.121(a) · The operator shall review with the parent, at the time of application, 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.

A renewal inspection was conducted on 6/26/24. The parent handbook did not contain a supervision policy.

Corrected Corrected by Jul 1, 2024

Category: supervision. Marked corrected in the state record.

3280.124(b)(2)/3280.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted on 6/26/24. Child #2's emergency contact form did not include the address of the child's physician. Child(ren) #1-5's emergency contact form did not include the parent's work address. Child(ren) #2 & #3's emergency contact form did not include the parents work phone number.

Corrected Corrected by Jul 12, 2024

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

3280.124(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.

A renewal Inspection was conducted on 6/26/24. Child(ren) #2 & 5's emergency contact form does not list the release person's address.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(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 #3 will be removed from care by close of business on 6/26/24 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

A renewal Inspection was conducted on 6/26/24. Child #3's immunization record indicates the child does not have Hepatitis A vaccines and no exemption letter is in child's file. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by Jul 23, 2024

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

3280.151(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.

A renewal Inspection was conducted on 6/26/24. Facility person #1 did not update their health assessment every 24 months as required by regulation: current assessment dated 5/3/24, previous dated 4/16/22.

Corrected Corrected by Jun 26, 2024

Category: ratio. Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides 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.

A renewal Inspection was conducted on 6/26/24. The facility's emergency plan does not address lockdown procedures in the event of an emergency.

Corrected Corrected by Jul 1, 2024

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

3280.131(a)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

A renewal Inspection was conducted on 6/26/24. The operator has a current health assessment on file for child #4 and did not have the initial health assessment.

Corrected Corrected by Jun 26, 2024

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

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

A renewal Inspection was conducted on 6/26/24. The facility did not notify the local traffic safety authority of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

3280.32(a)/3280.192(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. Facility Person # 5 may not work in a childcare position at the facility. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

File for Staff # 5 was not in compliance with CPSL regulations. File for Staff # 5 does not contain New York Clearances.

Corrected Corrected by Jun 28, 2023

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

3280.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Antibacterial cream was observed in the Preschool Room's first-aid kit. Cream was not for a specific child and there was no medication log for this medication.

Corrected Corrected by Jun 28, 2023

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

3280.31(h) · All staff persons shall complete the professional development under subsection(f). Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Staff persons #1, #2, #3 and #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jun 28, 2023

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

3280.32(a)/3280.192(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 CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months.

Files for Staff # 1 and facility person # 2 who is a household member, were not in compliance with CPSL regulations. Staff # 1 was fingerprinted for the DHS FBI Clearance on 10/23/19, however there is not a full clearance on file. File for facility person # 2 does not contain a State Police Clearance, Child Abuse Clearance and a DHS FBI Clearance.

Corrected Corrected by Jul 22, 2022

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

3280.32(a)/3280.192(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 CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. Facility person # 2, who is a household member will not be allowed on premises during child care hours.

File for facility person # 2, who is a household member, was not in compliance with CPSL regulations. File for facility person # 2 does not contain a State Police Clearance, Child Abuse Clearance and a DHS FBI Clearance.

Corrected Corrected by Jun 22, 2022

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

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

Hot water in the Preschool Room, accessible to children measured at 138 degrees.

Corrected Corrected by Jun 24, 2022

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

3280.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Facility did not have emergency telephone numbers posted by each telephone.

Corrected Corrected by Jun 24, 2022

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

3280.124(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.

Emergency Contact Forms for children # 1, # 2, # 3 and # 5 did not contain address and phone number for release persons. Child # 4 did not contain release person's address.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Emergency contact forms were not present in the Infant/Toddler room for the children receiving care.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Facility does not have a written emergency transportation plan posted in child care space.

Corrected Corrected by Jun 24, 2022

Category: transportation. Marked corrected in the state record.

3280.131(e)(1) · 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.

Immunization records for child # 3 did not include immunizations according to recommendations of the ACIP. Records indicates, no doses of Hep A. Immunization record for child # 3 indicates 1 dose of Hep B. This is not in accordance of the ACIP recommendations for children this age.

Corrected Corrected by Jul 22, 2022

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

3280.182(7) · A child's record must 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.

Children's files do not contain incident reports and parents have not received the original incident report.

Corrected Corrected by Jun 22, 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.

Facility has not been testing the fire system every 30 days.

Corrected Corrected by Jun 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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 CPSL requires all clearances and mandated reporter training to be updated every 60 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had mandated reporter training dated for 1/13/15 and this training was not updated until 8/11/21. This training was not updated every 60 months as required by the CPSL.

Corrected Corrected by Aug 12, 2021

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