3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility.

Staff person #2's record contained a PA State Police Clearance without the results (still pending). This was corrected during the inspection. Staff person #3's record did not contain an NSOR verification.

Corrected Corrected by Aug 30, 2024

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.

It was observed, in the Toddler classroom, that there were 5 water-stained ceiling tiles in the front/left side of the room. Also observed in the Toddler classroom was that the air vent on the ceiling (right side of room) was filled with dust. In the Preschool classroom, it was observed that there was a water-stained ceiling tile near the back door.

Corrected Corrected by Aug 30, 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.

It was observed that an infant was resting in a Pack-N-Play that was not labeled for the use of a specified child (corrected during inspection),

Corrected Corrected by Aug 30, 2024

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

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

It was observed, in the Toddler classroom, that staff person #1 did not wash a 3-year-old child's hands with soap and water after a diaper change. A wipe was used instead of soap and water. (Corrected during inspection)

Corrected Corrected by Aug 30, 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.

Child #1's emergency contact information did not contain signed parental consent for emergency medical care and for the administration of minor first-aid for the child, prior to admission.

Corrected Corrected by Aug 30, 2024

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.

Staff persons #1 and 2's records do not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.22 · 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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

The Continuity Of Operations plan (in the emergency plan) did not include a reference of backing up staff files.

Corrected Corrected by Sep 4, 2023

Category: ratio. Marked corrected in the state record.

3270.27(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 parent letter explaining the emergency procedures does not include lock-down emergency procedures.

Corrected Corrected by Aug 25, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Staff person #1 has worked at the facility for more than 45 days without proof of applying for NSOR and receiving NSOR clearance results. SEE CODE SHEET

Corrected Corrected by Aug 25, 2023

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

It was observed, in the Toddler classroom (2 & 3 yrs) that Febreze air spray was accessible to children near the changing table (corrected during inspection). In the hall bathroom which children use, Febreze air spray was accessible to children in the cabinet under the sink. (corrected during inspection).

Corrected Corrected by Aug 3, 2023

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.

It was observed in the Toddler room (2 & 3 yrs, 1st room on left) that all of the children's toys had a film of visible dirt on them. The dirt came off on finger when rubbed a finger across the toys.

Corrected Corrected by Aug 28, 2023

Category: physical safety. 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.

It was observed in the 2-3 yr classroom (first room on left) that the white rocking chair in the front child care space has dispersed peeling paint. In the back area of this same classroom, it was observed that there are 5-6 areas of peeling paint on the wall on the left side of the room.

Corrected Corrected by Aug 25, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed in the Toddler room (2 & 3 yrs) that in the gray plastic drawers, items less than 1 inch diameter were accessible to children: ziploc bags with small pom poms, a jar with glitter, several bags with small pieces of paper (corrected during inspection).

Corrected Corrected by Aug 3, 2023

Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Child #1 through #5's records did not contain an acceptable completed assessment form to provide information to the family about the child's growth and development in the context of the services being provided, within the last 6 months. SEE CODE SHEET

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. 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.

Child #1's emergency contact information did not include the enrolling parent's work address.

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. 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.

Staff person #2 does not have a health assessment on record. SEE CODE SHEET

Corrected Corrected by Aug 25, 2023

Category: ratio. 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's emergency plan did not contain a Continuity Of Operations plan. The facility does not have policy and procedure to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Sep 7, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan does not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when it ends to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Sep 7, 2022

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

3270.27(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 parent letter explaining the emergency procedures did not include evacuation from the facility building (on premises) emergency procedures, accommodations for infants, toddlers and children with medical conditions, and that annual emergency drills will be conducted.

Corrected Corrected by Sep 8, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

Staff person #1's State Police, Child Abuse and FBI clearances, and NSOR certificate were received after the first day working with children (5/13/22, 5/13/22, 5/12/22, 6/23/22 respectively). Staff person #2's Child Abuse clearance, FBI clearance and NSOR certificate were received after the first day working with children (5/12/22, 5/11/22, 5/23/22 respectively). Facility person #3's file did not contain a Child Abuse clearance.

Corrected Corrected by Sep 8, 2022

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

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

It was observed in the YT Room (1st room on right) that the sanitizing solution for the diaper pad was in a container which did not specify the content.

Corrected Corrected by Sep 8, 2022

Category: ratio. 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.

It was observed in the Infant room, in front of the wooden platform, near the entrance, that there were several vinyl floor squares which were peeling and broken.

Corrected Corrected by Sep 8, 2022

Category: physical safety. 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.

It was observed, In the front section of the first room on left (2-4 yrs), that all of the legs of the white bench had several areas of peeling paint. In the back section of this same room (1-2 yrs), on the back wall between the first two windows (starting from the left), it was observed that there was peeling paint about one foot above the outlet.

Corrected Corrected by Sep 8, 2022

Category: physical safety. 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.

It was observed in the first room on the left (from front entrance), in the back section of the room (1 and 2 yr old), that the diaper changing pad cover had a 1 inch tear and several punctures. The front section of this room (2-4 yrs) also had a purple and tan play kitchen with white flakes/residue all around the play sink and there was dirt and crumbs under the diaper changing pad.

Corrected Corrected by Sep 8, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed in the back section of the first room on the left (1 and 2 yrs) that staples, paper clips, and craft googly eyes (all with a diameter of less than 1") were accessible to children in the black and white plastic storage drawers (corrected during inspection).

Corrected Corrected by Sep 8, 2022

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

It was observed that two of the seats which are mounted into openings in the children's table, were missing safety straps, in the back section of the first room on the left (1 and 2 yr old section). Due to these missing safety straps, they are not being utilized according to manufacturer's instructions.

Corrected Corrected by Sep 8, 2022

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.

It was observed in the Young Toddler room (first room on right) and in the front section of the first room on the left, that rest equipment was not labeled for the use of a specified child (corrected during inspection).

Corrected Corrected by Sep 8, 2022

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

It was observed, in the Infant room, that there was not 2 feet of space on three sides of the Pack-And-Play that was in use (corrected during inspection).

Corrected Corrected by Sep 8, 2022

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

It was observed, in the Infant room, that the teacher who was seated in the first section of the room (upon entering the door) was not able to see the infants who were sleeping in the Pack-And-Plays in the other section of the room (corrected during inspection).

Corrected Corrected by Sep 8, 2022

Category: supervision. 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.

At the time of enrollment, parents did not receive in writing the facility's supervision and dismissal policies.

Corrected Corrected by Sep 8, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements of child #1 through #5 did not specify the services which are to be considered as extra.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The parents of child #1 through #5 did not receive the original agreements. The original agreements were in the children's files.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. 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.

Child #2's emergency contact information contained a partial address (no city or state) of the individual designated by the parent to whom the child may be released (corrected during inspection). Child #5's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released (one of three release people missing this info).

Corrected Corrected by Sep 8, 2022

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.

It was observed that, in the Young Toddler room and the Infant room, there was no written plan posted identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Sep 8, 2022

Category: transportation. Marked corrected in the state record.

3270.124(f) · 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

Child #1's emergency contact information was not signed when it was updated (was dated only).

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(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.

Child #1's immunization record did not include any documentation of receiving the Influenza vaccination.

Corrected Corrected by Sep 8, 2022

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

It was observed, in the YT Room (first room on right) and in the Infant room, that the diaper changing pad had a material cover over it which was not changed after each diaper change (corrected during inspection by removing the cover).

Corrected Corrected by Sep 8, 2022

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

In the Infant room, three of the four infant feeding schedules were neither signed nor dated. One did not list the amount of formula to be provided to the child.

Corrected Corrected by Sep 8, 2022

Category: nutrition. Marked corrected in the state record.

3270.192(3) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Facility person #3's record did not include a written report of the initial health assessment and initial tuberculin skin test and results.

Corrected Corrected by Sep 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's emergency plan does not provide for accommodations for infants and toddlers.

Corrected Corrected by Sep 8, 2022

Category: physical safety. 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 has no documented annual emergency drills on record.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's smoke detectors were not consistently tested at least every 30 days (4/5/22, 5/10/22), (7/5/22, 8/12/22).

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. 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.

The operator did not provide the parent of each child enrolled with information on how to access the regulation in this chapter electronically (corrected during inspection).

Corrected Corrected by Sep 8, 2022

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

It was observed during the inspection that a staff person's purse was on the floor and a box of cigarettes was observed inside the purse and accessible to children.

Corrected Corrected by Sep 10, 2021

Category: recordkeeping. 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.

It was observed during the inspection that there was not information on how to access the regulations in this chapter electronically available for parents.

Corrected Corrected by Sep 10, 2021

Marked corrected in the state record.