3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed the following electrical outlets did not have protective receptacle covers, the cord to the Christmas tree lights, three outlets on the outdoor garland and wreaths, and an outlet next to the door in the outdoor play area.

Corrected Corrected by Jan 6, 2025

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed diaper cream, labeled "Keep out of the reach of children", accessible to children on the downstairs changing table.

Corrected Corrected by Jan 6, 2025

Category: ratio. 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 2 toy bin lids in the outdoor play area which were broken with rough edges.

Corrected Corrected by Jan 6, 2025

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed child file #1 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment.

Corrected Corrected by Jan 6, 2025

Category: health medication. 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.

Observed the fire alarm testing log revealed that one time in the previous twelve months the fire alarm testing was completed more than 30 days apart (5/2/24-6/3/24).

Corrected Corrected by Jan 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Observed staff file #1, whose annual training period was 7/28/22-7/28/23, did not contain documentation of the required 12 clock hours of child care training.

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.103 · 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.

Observed small foam blocks in the upstairs room, where young toddlers were receiving care, which had multiple teeth marks on several blocks and 2 blocks with corners bitten off.

Corrected Corrected by Dec 4, 2023

Marked corrected in the state record.

3280.124(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.

Observed the facility did not have a copy of the emergency transportation plan in the emergency contact binder in the outdoor play area or the upstairs room.

Corrected Corrected by Dec 4, 2023

Category: transportation. 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.

Observed child file #1 and #3 contained updated health assessments which were dated more than 6 months after the previous valid health assessment.

Corrected Corrected by Dec 4, 2023

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

3280.24(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 childcare office.

Observed the facility did not have documentation of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Dec 4, 2023

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.

Observed child file #2 contained an initial health assessment which was dated more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Dec 4, 2023

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1- may not work in a childcare position at the facility until a valid NSOR verification letter is obtained.

Observed staff file #1, a provisional hire, worked beyond 45 days without a valid NSOR verification letter on file at the facility.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.52(c) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Observed three young toddlers and one infant asleep in the downstairs childcare space with no staff present in the childcare space. Regulation would require one staff to be present with the 4 mixed age level children. Staff #2 and #3 were both in the upstairs childcare space when certification representative went to the downstairs room to conduct a ratio check.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3280.113(a) · 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.

Observed three young toddlers and one infant asleep in the downstairs childcare space with no staff present in the childcare space to supervise the children. Staff #1 and #2 were both in the upstairs childcare space when certification representative went to the downstairs room to conduct a supervision check.

Corrected Corrected by Oct 16, 2023

Category: supervision. Marked corrected in the state record.

3280.113(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.

Observed three young toddlers and one infant asleep in the downstairs childcare space with no staff present in the childcare space to supervise the children. Staff #1 and #2 were both in the upstairs childcare space when certification representative went to the downstairs room to conduct a supervision check.

Corrected Corrected by Oct 16, 2023

Category: supervision. Marked corrected in the state record.

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Observed the facility did not have documentation of the annual review of the emergency plan. The previously documented review was dated 13 months ago.

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed rest mats and mini chairs stored on a landing in the stairs leading to the downstairs childcare space. Observed pack n plays stacked in the walkway leading to the downstairs emergency exit.

Corrected Corrected by Dec 23, 2022

Category: physical safety. 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 a damaged window sill in a plastic play house creating a pinch point and rough edge. Observed a baby gate in the infant area which had a twisted bottom panel creating a pinch point.

Corrected Corrected by Dec 23, 2022

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

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Observed child file #1, who has been in attendance for more than 6 months, did not contain an updated child service report.

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. 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.

Observed child file #2 did not contain the complete address for the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. 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.

Observed child file #1, a young toddler, contained an updated health assessment which was obtained 10 months after the previous valid health assessment.

Corrected Corrected by Dec 23, 2022

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

3280.133(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.

Observed a tube of Bacitracin cream, which was not labeled with the name for whom they cream was intended, in the first aid kit.

Corrected Corrected by Dec 23, 2022

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

3280.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed three expired epi pens in a high medicine cabinet.

Corrected Corrected by Dec 23, 2022

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

3280.24(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.

Observed the operator did not post for the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Dec 23, 2022

Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire.

Staff #4 lacked documentation of completing the health and safety training within 90 days of hire. Staff #4 had a start date of 1/20/21 with documentation of completing health and safety training on 11/17/21.

Corrected Corrected by Jan 24, 2022

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

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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 #1 lacked documentation of renewing certification in pediatric first-aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #1 had documentation of completing pediatric first aid and CPR training on 4/20/21 with previous training completed on 2/19/19. Staff #3 and #4 lacked documentation of valid pediatric first aid and pediatric cardiopulmonary resuscitation on file. Staff #3 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed online only on 9/30/21. Staff #4 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed online only on 10/12/21.

Corrected Corrected by Jan 24, 2022

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #2 and #5 lacked documentation of mandated reporter training completed within 90 days of start. Staff #2 had a start date of 5/1/19 with documentation of mandated reporter training completed on 8/2/19. Staff #5 had a start date of 3/16/20 with documentation of mandated reporter training completed on 10/16/20.

Corrected Corrected by Jan 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #3, who was designated as a primary staff person, lacked documentation of a high school diploma or a general educational development certificate.

Corrected Corrected by Jan 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.76 · 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.

On 12/9/21 observed loose plastic weed barrier by the climber creating a potential tripping hazard in the Preschool Outdoor Play Space.

Corrected Corrected by Jan 24, 2022

Category: physical safety. 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.

On 12/9/21 observed a Step 2 Playhouse in the Toddler Outdoor Play Space with approximately a 6 inch crack and approximately a 1 inch crack on the roof creating pinch points and rough edges.

Corrected Corrected by Jan 24, 2022

Category: physical safety. 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.

Child #1, a 7 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations in accordance with the schedule recommended by the ACIP. Child #1 had documentation of 1 Rotavirus immunization, 1 DTP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. Child #2, a 7 1/2 month old, lacked DTAP/DTP/TD and Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.

Corrected Corrected by Jan 24, 2022

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

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

On 12/9/21 the facility did not have written statements giving the formula and feeding schedule for infants obtained from the parents.

Corrected Corrected by Jan 24, 2022

Category: nutrition. Marked corrected in the state record.

3280.31(f)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation.

Staff #3 and #4 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #3 had a hire date of 8/4/21 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed online only on 9/30/21. Staff #4 had a hire date of 1/20/21 with documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed online only on 10/12/21.

Corrected Corrected by Jan 24, 2022

Category: health medication. 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.

The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/24/21 with the next manual test completed on 10/25/21. The facility was unable to provide proof of purchase of the interconnected smoke detectors.

Corrected Corrected by Jan 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(1)/3280.26(a)(5) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

From 12/19/20 until updated on 11/1/21 the facility's emergency plan did not provide for shelter of children during an emergency including lockdown and did not provide for accommodations for children with chronic medical conditions.

Corrected Corrected by Jan 24, 2022

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