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.

During the renewal inspection child #4 did not have a current health assessment on file.

3270.131(a) · Corrected Nov 6, 2024

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.

During the renewal inspection cert rep observed the emergency plan did not include the continuity of operations.

3270.14/3270.21 · Corrected Nov 6, 2024

The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection there was no comprehensive general liability insurance on file.

3270.18(a) · Corrected Nov 6, 2024

Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the renewal inspection the water in the first-floor girl's bathroom water temperature was 112 degrees and the boy's bathroom temperature was 117 degrees. The second-floor girl's bathroom was 120 degrees and the boy's bathroom temperature was 125 degrees.

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.

A child fell out of a chair and hit the left side of her head on a plastic bin. The parents were not notified when the incident occurred or when the parent picked the child up at the end of the day. The director was not notified of the incident when it happened.

3270.20(a)(1) · Corrected Jan 31, 2024

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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

It was reported that a child was sitting in a chair on their knees and fell over into a plastic bin and hit the left side of their head.

3270.113(a) · Corrected Jan 30, 2024

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.

During the renewal inspection staff #7 did not have the FBI clearance on file. Staff #16-18 did not have the NSOR clearance on file.

3270.32(a)/3270.192(4) · Corrected Jan 5, 2024

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.

During the renewal inspection staff #1-3, 5, 6, 10, 12 and 13 did not Health and Safety training on file.

3270.14/3270.21 · Corrected Dec 29, 2023

The facility shall have an emergency plan.

During the renewal inspection there was no emergency plan on file.

3270.27(a) · Corrected Jan 5, 2024

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).

The file of child #1, enrolled more than 60 days at the facility, did not contain documentation of HepA 2vaccinations, as required based on the child's age as per the ACIP recommended schedule.

3270.131(d)(5)/3270.131(e)(3) · Corrected Mar 21, 2023

Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During a renewal inspection conducted on 11/8/2022, Certification Representative observed that the windows in the 3rd floor child care space and the girls and boys bathrooms. did not have stoppers to prevent the windows from opening to 6 or few inches.

3270.72(d) · Corrected Nov 8, 2022

An agreement shall specify the amount of the fee to be charged per day or per week.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 file contained a fee agreement that did not specify the amount of the fee to be charged per day or per week.

3270.123(a)(1) · Corrected Nov 17, 2022

An agreement shall specify the child's arrival and departure times.

During a renewal inspection conducted on 11/8/2022, 50 child files were reviewed. Child # 6 and 44 files contained a fee agreement that did not specify the child's arrival and departure times.

3270.123(a)(4) · Corrected Nov 17, 2022

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 a renewal inspection conducted on 11/8/2022, Certification Representative observed peeling paint in the girls and boys bathroom stall on the 3rd floor of the facility.

3270.76 · Corrected Nov 9, 2022

An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes acceptable training topics referenced in §3270.31(e)(2).An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if the curriculum includes a minimum total of 600 clock hours

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation to show that staff was enrolled in an approved training curriculum or the minimum total 600 clock hours

3270.31(c)(2)/3270.31(c)(3) · Corrected Apr 28, 2022

A staff person shall be 18 years of age or older.

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 file did not have documentation to show staff was 18 years of age

3270.31(b) · Corrected Apr 28, 2022

Staff persons shall complete professional development in the following topics within 90 days of hire:

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1 did not have documentation of health and safety training in file

3270.31(f) · Corrected Apr 28, 2022

A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During unannounced monitoring on 4/28/22 while reviewing files, Staff # 1did not have documentation of child care experience in file

3270.192(2)(ii) · Corrected Apr 28, 2022

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.

On 4/5/22 the facility was notified via telephone call by a parent of a suspected child abuse that may have occurred at the facility. Facility owner did not make a report to the proper Departments.

3270.19(b) · Corrected Jun 16, 2022