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.

The operator disclosed that they had reviewed the emergency plan annually however that review was not documented in writing as evidence by the last documented review was dated 2/2/23.

Corrected Corrected by Jan 9, 2025

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 child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 10/29/24 which was conducted more than 12 months from the previously dated 9/13/23 health report on file

Corrected Corrected by Jan 9, 2025

Category: health medication. 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.

The child file for Child #2, contained an initial health report that is dated more than 60 days after initial enrollment.

Corrected Corrected by Jan 9, 2025

Category: health medication. 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.

In the Main Room, a container of disinfex multipurpose wipes labeled 'Keep Out of Reach of Children' was observed on a ledge accessible to the preschool age children in care. Purell hand sanitizer labeled 'Keep Out of Reach of Children' was observed on a desk accessible to the children in care.

Corrected Corrected by Jan 18, 2024

Category: ratio. 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 child file for Child #1 and Child #2 contained a current emergency contact information form that lacked the addresses for three of the designated release persons listed.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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 conducted on 6/30/23 lacked the time it took to complete drill, special accommodations the facility used for any category of children, and any problems encountered that is required to be documented when conducting the emergency drill, per announcement C-22-04.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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.

The child file for Child #2, contained an initial health report that is dated 3/9/23 which is more than 60 days after initial enrollment. The child file for Child #3, contained an initial health report that is dated 12/21/22 which is more than 60 days after initial enrollment.

Corrected Corrected by Jan 18, 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 facility emergency plan lacked information regarding volunteer emergency preparedness as well as a plan for continuity of operations in their emergency plan.

Corrected Corrected by Feb 3, 2023

Category: ratio. 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. Until such time as the required pre-service trainings is completed, Staff person #1 and Staff person #2-- must be supervised, when interacting with children, by a primary staff person, who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff person #1 and Staff person #2, Staff person #1 and Staff person #2, may not work in a child-care position at the facility.

Staff person #1 and Staff person #2 were observed to be caring for children unsupervised. Staff person #1 and Staff person #2 had not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training; the health and safety training on file was completed prior to 9/30/16 and is not considered an acceptable training.

Corrected Corrected by Jan 28, 2023

Category: supervision. 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.

At approximately 11:30am during nap time in the Main Room, five children were observed to be sleeping inside sleeping bags that were covering their face and head thus causing staff to not be able to see their faces in order to properly supervise and assess the needs of those children.

Corrected Corrected by Jan 26, 2023

Category: supervision. Marked corrected in the state record.

3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 7/7/22 which was conducted more than 6 months from the previously dated 10/12/21 health report on file.

Corrected Corrected by Jan 26, 2023

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.

Upon review of the facility's 30-day fire alarm testing log the following tests were observed to have been conducted more than 30 days apart: 6/8/22 - 7/11/22 (33 days), 7/11/22 - 8/12/22 (32 days), 9/8/22 - 10/10/22 (32 days), 11/9/22 - 12/12/22 (33 days), 12/22/22 -1/26/22 (45 days).

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f)(1 -- 10) within 90 days of hire. Staff person #1, Staff person #2, and Staff person #3- will have until 2/12/23 to complete the required training. Until such time as the required training has been completed, Staff person #1, Staff person #2, and Staff person #3--- must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise Staff person #1, Staff person #2, and Staff person #3 may not work in a child-care position at the facility.

Staff person #1, Staff person #2, and Staff person #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; the health and safety training on file was completed prior to 9/30/16 and is not considered an acceptable training.

Corrected Corrected by Jan 28, 2023

Category: supervision. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact Forms for Child #1 and #2 lacked enrolling parent's home address.

Corrected Corrected by Jan 10, 2022

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