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 renewal inspection on 8/27/24, it was observed that there was peeling paint in the pre-school bathroom.

Corrected Corrected by Sep 19, 2024

Category: physical safety. 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 renewal inspection on 8/27/24, it was observed that the vents in the pre-school room appeared dusty and grey. Walls in the older toddler bathroom near sink appeared to have water damage.

Corrected Corrected by Sep 19, 2024

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

3270.131(e)(2)(i)/3270.131(e)(4) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on 8/22/23, it was observed that the records of child #1 and child #2 did not comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77 to include the influenza vaccine or an exemption letter.

Corrected Corrected by Sep 8, 2023

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

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Legal entity did not notify OCDEL of a child receiving emergency room treatment within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Corrected Corrected by May 24, 2023

Category: physical safety. 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.

At the time of investigation, it was verified by the video and interviews that the ratio was out of compliance when the child was injured.

Corrected Corrected by May 24, 2023

Category: ratio. Marked corrected in the state record.

3270.113(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.

Proper supervision by facility persons 1 and 2 was not provided to child during incident.

Corrected Corrected by May 24, 2023

Category: supervision. Marked corrected in the state record.

3270.132(a)/3270.132(b) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent. A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent assumes responsibility for the child's care.

At the time of investigation, it was confirmed that child #1 was injured and did not receive emergency care.

Corrected Corrected by May 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Parent did not receive an incident report of child #1 being injured. At the time of investigation child # 1, 2 and 3 did not have incident report of injuries in their files. At the time of investigation staff reported not completing incident reports as required.

Corrected Corrected by May 24, 2023

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

3270.19(b) · A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

At the time of investigation, it was verified that facility person 5 & 6 advised the staff to not contact Childline and did not contact Childline themselves.

Corrected Corrected by Jul 29, 2022

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

At the time of inspection facility person #3 had a falsified health assessment on file.

Corrected Corrected by Jan 20, 2022

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