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 soap was missing in the first aid kit in room 4. This was corrected during the inspection.

Corrected Corrected by Oct 22, 2024

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Documentation of the first aid/CPR certification on file for staff member 1 and staff member 2 was renewed after the expiration of the most current certification.

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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.

Documentation of the health assessment on file for staff member 2 was updated more than 24 months of the original health assessment date.

Corrected Corrected by Oct 22, 2024

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.

Documentation of the emergency plan on file didn't include the continuity of operations plan.

Corrected Corrected by Nov 20, 2023

Category: ratio. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the time of inspection, it was observed that the emergency plan wasn't posted in a conspicuous location.

Corrected Corrected by Nov 20, 2023

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 facility does not provide the parents of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Nov 20, 2023

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

3270.124(f)/3270.181(c) · 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. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Documentation of the emergency contact form and financial agreement on file for child 1, child 2, child 3, child 4 and child 5 was not updated within the past 6 months.

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. 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).

Documentation of immunizations on file for child 4 didn't include the recommended doses at 4 months of the PCV13 vaccine, a current flu vaccine and both doses of the Hep A vaccine.

Corrected Corrected by Nov 20, 2023

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

3270.151(a)/3270.192(3) · 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. 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.

Documentation of the health assessment on file for staff member 1 has not been updated since the initial health assessment more than 24 months ago.

Corrected Corrected by Dec 5, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Documentation of the emergency plan and the parent letter on file didn't include accommodations for infant, toddler, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #5 and 6 will have until 11/25/22 to complete the required training. Until such time as the required training has been completed, staff person #5 and 6 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #6 may not work in a child-care position at the facility.

Facility Person number 4 did not pediatric CPR/First Aide training within 24 months, training dated 3/7/20 and renewed on 8/17/22 Facility person #5 did not have pediatric CPR/First Aid from an approved PQAS trainer on file Facility person #6 did not have pediatric CPR/First Aid from an approved PQAS trainer on file Until such time as the required training has been completed, staff person #5 and 6 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #6 may not work in a child-care position at the facility.

Corrected Corrected by Nov 17, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person number 7 did not have health and safety training on file.

Corrected Corrected by Nov 12, 2022

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). Facility Person # 1, 2, 3, and 7 may not work in a child care position at the facility. 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 #-1, 2, 3, and 7 may not work in a child care position at the facility.

Facility person number 1 had an FBI purpose for department of education on file, which is not accepted. No valid FBI clearance was on file for staff number 1. Out of state clearances for staff number 1 were not on file. Staff number 1 did not have a DHS disclosure statement on file. Staff number 1 may not work in a childcare position until all clearances are obtained. Staff person number 2 had an NSOR clearance dated 10/17/22, which was after the first day working with children. Out of state clearances were not on file for staff number 2. Staff number 2 did not have a DHS disclosure statement on file. Staff number 2 may not work in a child care position until clearances are obtained. Staff number 3 had an FBI clearance for the purpose of Department of Education, which is not accepted. An accepted FBI clearance was not on file for staff number 3. Staff number 3 had an NSO clearance dated 9/21/22, which was completed after the start date. Out of state clearances are not on file for staff number 3. Staff number 3 did not have a DHS disclosure statement on file. Staff number 3 may not work in a childcare position until clearances are obtained. Staff number 6 did not have a DHS disclosure statement on file. Staff number 7 did not have a valid FBI clearance or NSOR clearance on file. Staff number 7 did not have a DHS disclosure statement on file. Staff number 7 may not work in a child care position until clearances are obtained.

Corrected Corrected by Dec 9, 2022

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.

The first Aid Kit in rooms 1, 2, 3, and 4 were missing soap.

Corrected Corrected by Nov 14, 2022

Category: health medication. 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.

Emergency contact form for child 1 did not include the phone number of the physician. Emergency Contact form for child number 5 did not include the name, address, or phone number of the child's physician.

Corrected Corrected by Nov 14, 2022

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.

Emergency contact form for child number 1, 2, 3, 4, and 5 did not include the parent's work address.

Corrected Corrected by Nov 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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.

Staff person number 2 did not have a health assessment on file. Staff person number 3 had a health assessment dated 10/14/22, which was not completed before the first day working with children Staff number 5 had a health assessment dated 8/26/19 and updated on 11/2/21, which is greater than 24 months. Staff number 7 did not have a health assessment on file

Corrected Corrected by Nov 17, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

Staff number 2 did not have a TB screening on file. Staff number 3 did not have a TB screening on file. Staff number 7 did not have a TB screening on file.

Corrected Corrected by Nov 22, 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 person number 7 did not have 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The PreK 3 room, PreK 4 room, and the Little Angles room were missing emergency telephone numbers.

Corrected Corrected by Nov 1, 2021

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.

In the PreK 4 classroom, peeling paint was observed along the doorway to the bathroom.

Corrected Corrected by Jan 8, 2022

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

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff person number 1, 2, 3, 4, 5, 6, 7, and 8 did not complete health and safety topics.

Corrected Corrected by Jan 8, 2022

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

A permanent marker that was labeled "Keep out of reach of children" was observed in an area where children could access it. This was corrected on site.

Corrected Corrected by Nov 1, 2021

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

There was no lidded trash can in the bathroom attached to the PreK3 classroom. There was no lidded trashcan in the bathroom attached to the PreK 4 classroom.

Corrected Corrected by Nov 20, 2021

Category: health medication. 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.

Staff in the PreK3 classroom and PreK 4 classroom did not have an assigned primary care group. Staff knew the whereabouts of all children but did not have an assigned group for each staff.

Corrected Corrected by Oct 19, 2021

Category: supervision. 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 agreement form for child number 1, 2, 3, 4, and 5 did not list persons the child may be released to.

Corrected Corrected by Nov 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement form for child number 1, 2, 3, 4, and 5 did not list the child's date of admission

Corrected Corrected by Nov 2, 2021

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.

The emergency contract form for child number 2 did not include the address for release persons.

Corrected Corrected by Nov 23, 2021

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.

The PreK 3 room, PreK 4 room, and the Little Angles room were missing an emergency transportation plan.

Corrected Corrected by Dec 8, 2021

Category: transportation. Marked corrected in the state record.

3270.131(d)(7) · 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.

The health report for child number 1, 2, 3, 4, and 5 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 9, 2021

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

3270.151(a)/3270.192(3) · 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.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.

Staff number 1 did not have a health assessment or TB screening on record. Staff number 2, hire date 8/25/21, did not receive a health assessment before hire, health assessment dated 10/1/21. Staff number 2 does not have a completed TB test on record. Staff number 3 did not update health assessment within 24 months, previous health assessment dated 8/26/19. Staff number 5 did not update health assessment within 24 months, previous health assessment dated 3/22/19. Staff person number 6 (start date of 9/7/21) did not complete initial health assessment or TB screening prior to starting work with children. Staff number 7 did not update health assessment within 24 months, previous health assessment dated 5/30/19 and renewed on 10/5/21. Staff number 8 did not complete health assessment within 24 months, previous health assessment dated 6/19/19.

Corrected Corrected by Jan 8, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

Staff number 1, 2, and 6 did not have a tuberculosis screening on record.

Corrected Corrected by Jan 8, 2022

Category: health medication. 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.

The file for child number 1, 2, 3, 4, and 5 did not have signed parental consent for facility staff to administer minor first-aid procedures.

Corrected Corrected by Jan 8, 2022

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 person number 1 did not have 2 written, nonfamily references on file.

Corrected Corrected by Jan 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.95(b) · The Director 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.The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Fire drill was not completed within 60 days. Fire drill completed on 1/11/21 and completed next on 4/13/21, which is greater than 60 days.

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.