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.

The file for Staff person #1 does not include a current signed disclosure statement. The disclosure on file is dated 8/9/22, (see LIS code sheet for hire date).

Corrected Corrected by Nov 20, 2024

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

3270.82(h) · 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.

It was observed that there was not a handwashing sign above the sink in the girl's and boy's restroom.

Corrected Corrected by Nov 15, 2024

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

3270.151(c)(2)/3270.192(3) · 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. 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.

The file for Staff Person #1 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (see LIS code sheet). The Tuberculosis test result on file for Staff Person #1 was dated 6/1/22.

Corrected Corrected by Nov 20, 2024

Category: health medication. 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.

The two most recent fire safety trainings on file for Staff person #1 are dated 6/30/22 and 7/12/23 which are more than 12 months apart.

Corrected Corrected by Jul 12, 2023

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.

The file for Staff person #2 does not include a current signed disclosure statement. The disclosure on file is dated 8/11/22, (see LIS code sheet for hire date).

Corrected Corrected by Nov 14, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The most recent staff evaluation on file for Staff person #1 is dated 12/13/21.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

It was observed that the emergency evacuation bag which contained a first-aid kit was on a low shelf in the infant/young toddler area making it accessible to the children.

Corrected Corrected by Nov 13, 2023

Category: physical safety. 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 child care group settings).

The file for Child #1, who is an infant aged child, did not contain the updated immunization record which was lacking record of receiving the following vaccinations which are required for children in child care in a group setting, 2nd dose of Hep B, 2 doses of Rotavirus, 2 doses of DTaP, 2 doses of Hib, 2 doses of PCV, and 2 doses of IVP.

Corrected Corrected by Nov 13, 2023

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water at the sink in the classroom bathroom sink used by children measured at 114° F.

Corrected Corrected by Jan 3, 2023

Category: physical safety. 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.

The two most recently documented fire safety training on file for staff person #1 are dated 2/4/21 and 6/30/22, an interval which exceeds 12 months.

Corrected Corrected by Dec 1, 2022

Category: recordkeeping. 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.

Observed accessible deodorant and toothpaste both labeled 'keep out of reach of children' in an unlocked drawer in the classroom bathroom.

Corrected Corrected by Jan 11, 2023

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.

Observed a small area of chipping and peeling paint in the right front corner of the indoor gross motor space.

Corrected Corrected by Jan 20, 2023

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

3270.82(h) · 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 sink and toilet in the hallway boys' bathroom both lacked a handwashing sign.

Corrected Corrected by Jan 13, 2023

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

3270.102(a)/3270.103 · 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. 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.

Observed a rest mat used by toddlers which was torn along the seam, exposing the foam cushion inside the mat.

Corrected Corrected by Dec 1, 2022

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

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

The file for child #4 contains an agreement which lacks the parent's signature.

Corrected Corrected by Jan 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for child #2, child #3, and child #4 lacks the child's arrival and departure times.

Corrected Corrected by Jan 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 contains an agreement which lacks the name of the parent-designated release person(s).

Corrected Corrected by Jan 16, 2023

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.

The file for child #4 contains emergency contact information which lacks the complete address of the child's physician.

Corrected Corrected by Jan 16, 2023

Category: health medication. 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.

The file for child #3 contains emergency contact information which lacks the child's health insurance policy number.

Corrected Corrected by Dec 1, 2022

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.

The file for child #1 contains emergency contact information which lacks the complete address of the parent-designated release person.

Corrected Corrected by Dec 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #4 lacks 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 #4 has been in attendance at the facility for more than 60 days.

Corrected Corrected by Jan 20, 2023

Category: health medication. 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.

Observed accessible Infant Tylenol in a diaper bag in a child's cubby.

Corrected Corrected by Dec 1, 2022

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.

Observed staff person #1 diaper a child and proceed to open the gate separating the infant area from the rest of the room and walk into the infant area to dispose of the diaper into the hands-free can. Observed staff person #2 change an infant's diaper and then manually lift the lid of the trash can to dispose of the soiled diaper. The trash can was observed to operate in a hands-free manner.

Corrected Corrected by Dec 1, 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.

The two most recent health assessments on file for staff person #1 are dated in an interval which exceeds 24 months.

Corrected Corrected by Dec 1, 2022

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.182(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 shall contain initial and subsequent health reports.

The file for child #3 and child #4 lacks an initial health report. Child #3 and child #4 have been in attendance at the facility more than 60 days.

Corrected Corrected by Jan 20, 2023

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.

The letter of testing of the fire detection system by a fire safety professional, presented at the inspection, was dated more than 12 months ago. The facility did not have proof of purchase for the building's fire detection system.

Corrected Corrected by Aug 4, 2022

Category: recordkeeping. Marked corrected in the state record.