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 an initial inspection on 11/12/24 it was noted that: Staff 1 did not have an acceptable DHS FBI clearance on file. Staff 2's child abuse clearance (renewed 8/31/24) and DHS FBI clearance (renewed (8/27/24) were not renewed with 60 months of their previous clearances on file. Previous clearances were obtained on 8/26/19 and 8/23/19 respectfully.

Corrected Corrected by Nov 13, 2024

Category: background checks. 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.

During an initial inspection on 11/12/24 there was a hole in the arm of a couch in Room 4.

Corrected Corrected by Nov 12, 2024

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

3270.106(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.

During a initial inspection on 11/12/24 Cert rep observed a hole in the nap mat of Child 10.

Corrected Corrected by Nov 12, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

During an initial inspection on 11/12/24 a daily schedule of activities was not posted in room 9.

Corrected Corrected by Nov 12, 2024

Category: physical safety. 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 an initial inspection on 11/12/24 cert rep noted that parents were not being provided in writing information regarding the facilities supervision policies.

Corrected Corrected by Nov 13, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During an initial inspection on 11/13/24 Child 6 did not have an arrival time or departure time present on the updated fee agreement.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During an initial inspection on 11/13 /24 the following children did not have dates of admission on their fee agreements: Child 1(missing on all fee agreements), Child 2, 3, 4, 5, 6, 7, and 8 (missing on updated fee agreement).

Corrected Corrected by Nov 18, 2024

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 an initial inspection on 11/13/24 the address for Child 7's physician or source of medical care was not present on the child's updated emergency contact form.

Corrected Corrected by Nov 13, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During a initial inspection on 11/13/24 the work address and phone number for Child 7's father was not present on the child's emergency contact form.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child 3 and Child 8 must be dismissed from care by close of business 11/13/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During an initial inspection on 11/6/24 Child 3, a older toddler child,(See data sheet for DOB) was missing both doses Hepatitis A vaccine. Child 8, an infant child, was missing the following vaccine doses: DTAP/DTP/TD dose 3, and Pneumococcal dose 3. At time of inspection there was no documentation on file for Child 3 or Child 8 that the child is exempt from these vaccines due to strongly held personal beliefs, religious beliefs, or medical reasons. This is not in accordance with the ACIP recommended schedule of immunizations.

Corrected Corrected by Nov 13, 2024

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

3270.131(d)(7)/3270.131(d)(8) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During an initial inspection on 11/13/24 Child 8 had a health assessment that was signed and dated 8/2/24 on file that did not have answers to the following questions: "Is the Child able to participate in child care and does the child appear to be free from contagious or communicable diseases?" and "Has the child received all age-appropriate screenings listed in the routine preventative health care services currently recommended by the American Academy of Pediatrics?"

Corrected Corrected by Nov 18, 2024

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

During an initial inspection on 11/13/24 cert rep observed Child 9's target brand Children's Allergy relief expired on 9/2024.

Corrected Corrected by Nov 13, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During an initial inspection on 11/12/24 Cert rep observed that there was not a hands-free trash can in Room 5 for the disposal of soiled diapers.

Corrected Corrected by Nov 12, 2024

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.

During an initial inspection on 11/12/24 the facility did not have a proof of purchase of the interconnected fire detection system. Certification Rep also noted the there was one incidence of more than 30 days between testing of the Smoke detection testing system: 10/11/24-11/11/24.

Corrected Corrected by Nov 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During a initial inspection on 11/12/24 cert rep noted that the annual notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was sent on 8/2/24. This was sent more than 1 year after the previous year's notification (previous notification sent 7/26/23).

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.