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 file for staff person #1 who was hired as a primary staff person on (See LIS Code Sheet) lacked a state police clearance and child abuse clearance that was completed 60 months from the previous clearances. The state police clearances in the file are dated 9/12/19 and 12/29/24. the child abuse clearances in the file are dated 9/25/19 and 12/31/24. The file for staff person #2 who was hired as a primary staff person on (See LIS Code Sheet) lacked a state police clearance and child abuse clearance that was completed 60 months from the previous clearances. The state police clearances in the file are dated 9/12/19 and 12/29/24. the child abuse clearances in the file are dated 9/25/19 and 12/31/24.

Corrected Corrected by Dec 24, 2024

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

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

In the file for child #1 lacked emergency contact information that included the telephone number of the child's physician or source of medical care.

Corrected Corrected by Feb 7, 2025

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

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The files for children #2 and #3 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Feb 7, 2025

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

3280.131(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.

The file for Child #1, a young toddler, lacked a current health report that had been completed within the last 6 months. The most recent health report on file was dated 5.9.23.

Corrected Corrected by Feb 26, 2024

Category: health medication. 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 child care group settings). Child #1 will be dismissed from care at the close of business on 1.24.24.

The most recent immunization record on file for Child #1, a young toddler, lacked verification that the child had received their 15-18 month DTAP vaccination as recommended by the ACIP.

Corrected Corrected by Jan 24, 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.

The health assessments on file for Staff Person #1 exceeded 24 months between examinations on 8.23.21 and 10.19.23.

Corrected Corrected by Jan 24, 2024

Category: ratio. Marked corrected in the state record.

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.

The emergency plan lacked continuity of operations as required by Federal Regulation. The files for Staff Person's #1 and #2 lacked the required 1-hour health and safety update prior to 12.30.22 as required by Federal Regulation.

Corrected Corrected by Feb 6, 2023

Category: ratio. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for Child #3 lacked the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Feb 6, 2023

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.

The emergency contact form for Child #3 lacked the address for two of the release persons listed.

Corrected Corrected by Feb 6, 2023

Category: recordkeeping. 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.

The file for Child #1 lacked documentation that the child had received a recommended influenza vaccination in 2022. The last documented influenza vaccination occurred in 2021.

Corrected Corrected by Feb 6, 2023

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

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The files for Staff Person's #1 and #2 lacked completion of the required 1-hour health and safety training update prior to 12.30.22 as required by Federal Regulation.

Corrected Corrected by Jan 6, 2023

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

3280.131(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.

The file for Child #2 lacked an initial health assessment within 60 days following the first day of attendance at the facility. The health assessment was dated 143 days after starting.

Corrected Corrected by Jan 6, 2023

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

3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

A copy of the facility emergency plan was not sent to the local municipality and to the county emergency management agency at the time it was updated.

Corrected Corrected by Feb 2, 2022

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for staff person #1 and staff person #2 contains 6 hours of the required 12 hours of annual child care training.

Corrected Corrected by Feb 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed several exposed bolts on the fence in the far left and far right corners in the outside gross motor space.

Corrected Corrected by Feb 11, 2022

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

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

A review of the fire drill log revealed that during the dates of 12/22/20-02/22/21, 4/22/21-6/22/21, 6/22/21-8/23/21, and 10/22/21-12/22/21, a fire drill was conducted in an interval more than 60 days.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. 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.

A review of the fire detection system testing log revealed that testing was conducted in an interval greater than 30 days during the following intervals: 12/04/20-01/04/21, 03/26/21-04/26/21, 7/23/21-8/23/21, 8/23/21-9/23/21, and 10/22/21-11/23/21.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.