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.

During the time of inspection, it was observed that sensory bottles with unglued lids that contained beads and other materials less that 1 inch, were accessible to children in the Giraffe and Lion Cubs classrooms. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

Marked corrected in the state record.

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

During the time of inspection, it was observed that a written plan of daily activities was not posted in the Giraffe classroom. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the time of inspection, it was observed that there was an unlabeled bottle in the refrigerator in the infant classroom. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

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.

During the time of inspection, it was observed that sanitizing spray in the Bunny classroom was on the changing table within reach of children. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the time of inspection, it was observed that the first aid kit in the school age classroom did not include gauze. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

Category: health medication. 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.

During the time of inspection, it was observed that the door on the young toddler classroom that leads into the Bunnies classroom was cracked and had sharp edges. On the older toddler playground, there was a wire hanging off of the side of the building causing a choking hazard. Both the door and the wire were corrected during the inspection.

Corrected Corrected by Feb 7, 2025

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.

During the time of inspection, it was observed that the paint on the door leading into the Giraffe classroom on the older toddler playground was peeling. This was corrected during the inspection.

Corrected Corrected by Feb 7, 2025

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

3270.182(5) · 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.

Documentation of the record on file for child 1, did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 12, 2025

Category: ratio. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

While conducting a correction verification visit, it was observed that the inspection summaries for SIN: 00254530 and SIN: 00253740 were not posted in a conspicuous location used by parents.

Corrected Corrected by Dec 17, 2024

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.

Documentation on file for staff member 1, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 17, 2024

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Documentation of the disclosure statement on file for staff member 1 did not include a witness signature. This was corrected during the inspection.

Corrected Corrected by Nov 6, 2024

Category: supervision. Marked corrected in the state record.

3270.151(c)(1)/3270.151(c)(3) · An adult health assessment must include a physical examination. An adult health assessment must include an examination for communicable diseases and the results of that examination.

Documentation of the health assessment on file for staff member 1 did not include a physical examination or an examination for communicable diseases and the results of that examination.

Corrected Corrected by Nov 6, 2024

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

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

The facility self-reported to certification representative that child 1 left the playground, unsupervised and went to the main door of the facility.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During an allocated unannounced monitoring visit, it was observed that medication was stored in a first aid kit in the ducky classroom that was within reach of children. The first aid kit/medication was put out of reach of children during the visit.

Corrected Corrected by Sep 6, 2024

Category: health medication. 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.

Documentation of the child abuse clearance on file for staff member 1, staff member 2, staff member 3 and staff member 4 was obtained after their first day working with children. Staff member 1's child abuse clearance was obtained on 9/19/23. Staff member 2's child abuse clearance was obtained on 5/16/23. Staff member 3's child abuse clearance was obtained on 9/13/23 and staff member 4's child abuse clearance was obtained on 12/20/23.

Corrected Corrected by Feb 23, 2024

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the time of inspection, it was observed that the first aid kit in the 4's and 5's classroom was missing soap. Soap was added to the first aid kit during the inspection.

Corrected Corrected by Feb 15, 2024

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Documentation of the agreement on file for child 1 and child 2 did not include a date on which the fee is to be paid. The date on which the fee is to be paid was added to the agreement of child 1 and child 2 during the inspection.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. 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 parent letter that outlines the emergency evacuation plan on file did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions was added to the parent letter during the inspection.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. 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 did not have documentation of an annual emergency drill on file.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(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.

The facility did not have documentation of sending the emergency plan to the local municipality office.

Corrected Corrected by Feb 21, 2024

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the time of inspection, it was observed that outlet covers were missing in the Infant 1 and Infant 2 room.

Corrected Corrected by Feb 15, 2023

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.

During the time of inspection, it was observed that there was a container of lysol wipes and an aersol can of air freshener within reach of the children in the young toddler room. These were placed out of reach of children during the inspection.

Corrected Corrected by Feb 15, 2023

Marked corrected in the state record.

3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the time of inspection, it was observed that the first aid kit was in a bookbag that was kept on a hook within reach of the children in the 4's and 5's room. The epi-pen for child 2 was located in the book bag that was within reach of the children. The book bag was moved to a location that was kept out of reach of children during the inspection.

Corrected Corrected by Feb 22, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the time of inspection, it was observed that the first aid kit in the 2's and 3's room was missing scissors and tweezers. Tweezers and scissors were added to the first aid kit during the inspection. It was also observed that a bottle of soap/water mix was in the first aid kit in the older toddler classroom.

Corrected Corrected by Feb 22, 2023

Category: health medication. 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.

During the time of inspection, it was observed that the siding in the 2's and 3's classroom was cracked and had sharp edges that could cause a cut. A piece of tape was placed over the siding to cover the sharp edges during the inspection. During the time of inspection, a drain cover located on the floor in the school age classroom was loose and able to be moved. When the cover was moved, a large hole was observed that could cause a child's foot to fit in it.

Corrected Corrected by Feb 25, 2023

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

During the time of inspection, the medication log for child 1 was missing written instructions on how to administer the medication.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Child number 1 and child number 2 had a prescription medication of Auvi-Q but no medication log was present.

Corrected Corrected by Feb 17, 2022

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

In the infant room, 5 infants were observed in care. Staff number 5 was observed providing care and being counted in ratio but staff number 5 did not qualify as an aide or higher. Staff number 5 cannot be counted in ratio. As a result, there was one staff with 5 infants.

Corrected Corrected by Feb 14, 2022

Category: ratio. 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.

Staff number 5 did not have a complete State Police clearance on file. State police clearance for staff number 5 was obtained on the day of inspection.

Corrected Corrected by Feb 14, 2022

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.

In the infant room, water damage was observed on multiple ceiling tiles. In the Preschool 3 room, dust and dirt was observed on the window blinds, window sills, toy shelves and toy bins. In the Preschool 4 room, dust was observed on the toy kitchen set, window sills, and window blinds. In the Preschool 5 room dust was observed on the window sills, toy shelves, toy bins, and on the toy kitchen and sink.

Corrected Corrected by Feb 19, 2022

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

In the preschool 5 room, there was a list of primary care groups on the wall. When asked, staff person number 1 did not know the primary care group assigned to them. In the Older Toddler room, Staff person 2 did not know the primary care group assigned to them. A list of primary care groups was on the wall but was not utilized by staff person number 2.

Corrected Corrected by Feb 21, 2022

Category: supervision. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Medication for child number 2 was not in the original container.

Corrected Corrected by Feb 17, 2022

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

The medication for child number 2 did not have any written instructions from the individual who prescribed the medication.

Corrected Corrected by Feb 17, 2022

Category: ratio. Marked corrected in the state record.

3270.133(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.

The medication for child number 2 was not in the original container and did not have the name of the child who the medication was intended for.

Corrected Corrected by Feb 17, 2022

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.

Medication for child number 2 did not have record of an expiration date as the original container was missing.

Corrected Corrected by Feb 17, 2022

Category: ratio. 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.

Health Assessment for staff number 3, hire date 6/16/21 was not completed before working with children. Health Assessment for staff number 3 dated 6/22/21. Staff number 3 does not have a TB screening completed.

Corrected Corrected by Feb 18, 2022

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The Health Assessment for staff 1 indicated that the staff had a communicable disease but did not include the results of the communicable disease. The Health Assessment for Staff number 6 did not include an examination for communicable diseases and the results of that examination. The box asking about Communicable diseases was left blank for staff number 6

Corrected Corrected by Feb 18, 2022

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The Health Assessment for Staff number 6 did not indicate the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 23, 2022

Category: health medication. 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 number 1 had 1 non family reference on file but was missing a second reference. Staff number 7 did not have any written nonfamily references on file.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. 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 Emergency Plan on file did not list any accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. 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.

Fire detection testing was greater than 30 days on multiple occasions. Conducted 3/2/21 and again on 4/19/21, conducted 4/19/21 and again on 5/20/21, conducted on 6/15/21 and again on 7/19/21, conducted on 8/3/21 and again on 9/27/21, conducted on 10/13/21 and again on 11/18/21, conducted on 11/18/21 and again on 12/20/21. These Fire detection tests were completed greater than 30 days.

Corrected Corrected by Feb 14, 2022

Category: recordkeeping. Marked corrected in the state record.