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.

The file for staff person #1, #2 and #3 included pediatric first aid and CPR which was not updated on or before the expiration date of the previous training; the current training on file was completed on 12/11/2023 with the previous training completed on 11/15/2021 which expired 11/2023.

Corrected Corrected by Oct 10, 2024

Category: ratio. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for child #1 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. 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.

The file for child #2 included a health report which was not updated within 12 months of the previous health assessment for an older toddler or preschool child. The current health report on file was dated 09/26/2024 with the previous health assessment dated 08/29/2023.

Corrected Corrected by Oct 3, 2024

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

3280.14/3280.20 · 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.

The emergency plan did not include a Continuity of Operation plan.

Corrected Corrected by Nov 11, 2023

Category: ratio. 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 a variety of cleaning products including Clorox spray cleaner and Spic N Span, stored in a cabinet above the kitchen sink which were stored with sugar, flour, chicken noodle soup mix and other food items. *Cleaning products were removed at the time of the inspection.

Corrected Corrected by Nov 11, 2023

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 a drawer on the play hutch located in the home living center had a front panel which was detaching and exposing small nails, creating sharp points. *Drawer was removed at the time of the inspection.

Corrected Corrected by Nov 11, 2023

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).

Child service reports providing information to the family about the child's growth and development were not completed at least once every 6 months. The file for child #1 included a current child service report completed on 05/06/2023 with no previous child service report on file since enrollment (see LIS code sheet). The file for child #2 included a current child service report completed on 05/06/2023 with the previous child service report completed on 09/15/2022. The file for child #3 included a child service report completed on 02/08/2023 with no subsequent child service report completed within 6 months.

Corrected Corrected by Nov 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #2 did not include the complete home address of the enrolling parent.

Corrected Corrected by Nov 11, 2023

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.

The emergency contact information for child #2 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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.

A review and update of the emergency contact information and financial agreement is completed by a parent on an annual basis in lieu of every 6 months. The emergency contact information and financial agreement for child #1 was reviewed on 08/28/2023 with the previous review completed on 06/24/2022. The emergency contact information and financial agreement for child #2 was reviewed on 08/28/2023 with the previous review completed on 08/29/2022. The emergency contact information and financial agreement for child #3 was reviewed on 08/29/2023 with the previous review completed on 09/12/2022.

Corrected Corrected by Nov 11, 2023

Category: recordkeeping. 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.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Corrected Corrected by Oct 18, 2023

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

3280.26(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 did not include accommodations for infants, toddlers, children with disabilities or children with chronic medical conditions.

Corrected Corrected by Nov 11, 2023

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

3280.95(b) · 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 primary staff person did not ensure a test of the fire detection system was completed at least once every 30 days. The following months exceeded 30 days: 01/01/2023 - 02/01/2023, 03/01/2023 - 04 01/2023, 05/01/2023 - 06/01/2023, 07/01/2023 - 08/01/2023 - 09/01/2023 - 10/02/2023.

Corrected Corrected by Nov 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until 11/23/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: "Get Started with Center-Based Care". The file for staff person #1 included the 6-hour "Health and Safety Basics: Requirements for Certification" which was completed on 05/04/2019 and does not count toward the new Health and Safety Professional Development (PD) requirement.

Corrected Corrected by Nov 11, 2023

Category: supervision. Marked corrected in the state record.

3280.52(c)/3280.53(a) · 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). The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements.

On 12/05/2022 at 12:30 pm, observed staff person #1 at the end of the driveway putting a school age child on the bus. Staff person #2 was inside with a mixed age group of 1 young toddler, 1 older toddler, and 6 preschool age children exceeding the ratio requirements in 3280.52(b) . The staff:child ratio with a young toddler in care is 1:5.

Corrected Corrected by Dec 5, 2022

Category: ratio. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

Observed the agreement form for child #1 did not specify the date of the child's admission.

Corrected Corrected by Oct 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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.

The file for staff person #1 and #2 did not have a signed disclosure statement at the time of hire (see LIS code sheet). The file for staff person #1 did not include the results of the Child Abuse Clearance at the time of initial hire. The file for staff person #3 included a child abuse clearance which was not updated within 60 months of the previous clearance; the current child abuse clearance was dated 12/01/2021 with the previous one dated 10/26/2016.

Corrected Corrected by Nov 2, 2022

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

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed a young toddler napping in a Pack N Play which was not labeled for use by the child.

Corrected Corrected by Oct 30, 2022

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

3280.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Observed children on rest equipment which had less than 2 feet of space on three sides while the equipment was in use.

Corrected Corrected by Oct 30, 2022

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed a refrigerator in the kitchen area which did not have a thermometer.

Corrected Corrected by Oct 30, 2022

Category: nutrition. 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.

The file for child #1, (see LIS code sheet), included a record of the child's immunization status which lacked an influenza immunization. The file for child #2, (see LIS code sheet), included a record of the child's immunization status which lacked an influenza immunization.

Corrected Corrected by Oct 30, 2022

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

3280.26(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 did not provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 30, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

An annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Oct 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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 primary staff person or designated staff person did not ensure fire drill were conducted at least once every 60 days. Fire drills exceeding 60 days were documented on: 11/03/2021 - 01/10/2022 - 03/14/2022; 05/09/2022 - 07/11/2022 -09/10/2022.

Corrected Corrected by Oct 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(b) · 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 primary staff person or designated staff person did not ensure a manual test of the fire detection system was completed every 30 days. A test of the fire detection system exceeding 30 days were documented on 10/04/2021 - 11/04/2021; 12/04/2021 - 01/13/2022; 07/07/2022 - 08/08/2022 - 09/08/2022.

Corrected Corrected by Oct 30, 2022

Category: recordkeeping. 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.

The operator does not provide the parent of each child enrolled with information on how to access the regulations in Chapter 3280 electronically and with instructions for contacting the central regional child care office.

Corrected Corrected by Nov 30, 2022

Marked corrected in the state record.

3280.32(a)/3280.192(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. Facility Person #4 may not work in a child care position at the facility.

On 12/02/2021, the file for staff person #1 and #2 included a Child Abuse Clearance which was not updated at least once every 60 months. The file for staff person #1 included a current Child Abuse Clearance dated 11/07/2021 and the previous clearance dated 10/25/2016. The file for staff person #2 included a Child Abuse Clearance dated 12/01/2021, and the previous clearance dated 10/26/2016. The file for staff person #4 included an FBI clearance which was not updated at least once every 60 months. The file for staff person #4 included a current FBI clearance dated 07/30/2021 and the previous clearance dated 11/24/2015.

Corrected Corrected by Dec 3, 2021

Category: background checks. 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.

On 12/02/2021, the file for staff person #4 included mandated reporter training which was not updated at least once every 60 months; the most recent mandated reporter training on file was dated 11/24/2015.

Corrected Corrected by Dec 2, 2021

Category: recordkeeping. 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.

On 11/02/2021, observed Clorox Hydrogen Peroxide Spray and a bottle of hand sanitizer labeled "Keep out of Reach of Children" which were on the desk accessible to children.

Corrected Corrected by Nov 2, 2021

Category: ratio. 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.

On 11/02/2021, a copy of the emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in a conspicuous location in every child care space.

Corrected Corrected by Dec 3, 2021

Category: transportation. Marked corrected in the state record.

3280.131(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.

On 12/02/2021, the health report on file for child #3 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 Dec 4, 2021

Category: health medication. 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.

On 12/02/2021, the file for child #1, a 5 year old, included a record of the child's immunization status which lacked a current influenza immunization. The file for child #2, a 22-month-old, included a record of the child's immunization status which lacked a 2nd dose of Rotavirus and a influenza immunization.

Corrected Corrected by Dec 4, 2021

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 11/02/2021, the infants in care did not have a written statement giving the formula and feeding schedule from the parent.

Corrected Corrected by Dec 3, 2021

Category: nutrition. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

On 11/02/2021, a copy of the pick-up and drop-off procedures with written notification of safe routes was not posted at a conspicuous location in the child care facility.

Corrected Corrected by Dec 3, 2021

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.

On 12/02/2021, a test of the Fire Detection Devices were not completed at least once every 30 days; documented tests were conducted late between 04/02/2021 - 05/08/2021 and 06/02/2021 - 07/08/2021 - 08/10/2021.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.31(f)/3280.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire.Pediatric first aid and pediatric cardiopulmonary resuscitation.

On 12/02/2021, observed staff person #3 (hire date 07/10/2021) did not complete Pediatric first aid and pediatric CPR within 90 days of hire; training was completed on 10/27/2021.

Corrected Corrected by Oct 27, 2021

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