3270.14/3270.21 · 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.

Certification rep reviewed staff #1 record and observed staff #1 was missing in record one hour Health and Safety Update: date of hire: 8/29/2022.

Corrected Corrected by Dec 8, 2023

Category: ratio. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Certification rep reviewed children #1 and #2 record and observed child #1 date of last flu shot in record :10/11/21 and child #2 date of last flu shot in record: 9/28/21.Certification rep did not observe any exemption form in record at the time of the renewal inspection.

Corrected Corrected by Dec 22, 2023

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

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the renewal inspection certification rep observed the fire extinguisher arrow pointed to the left and the fire extinguisher read "needs to be recharged".

Corrected Corrected by Dec 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection provider did not have in record a sent copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · 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.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment was not observed.

Corrected Corrected by Dec 26, 2022

Category: ratio. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of renewal inspection, emergency contact form of child #1, #2, and #3 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

At the time of renewal inspection, first aid kit was not present in the vehicle that is used by facility to transport chidlren.

Corrected Corrected by Dec 12, 2022

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of renewal inspection, record of staff person #1 included diploma/certificate from Dominican Republic in Spanish that was not an acceptable verification of experience.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed. Last letter to the local traffic authorities on file was dated 9/19/19.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a) · 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. 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 the time of the complaint investigation on 1/27/22 observed staff person #1 standing between two rooms at the back of the facility. There were 10 older school-age children in one room and 6 older school-age children in another room. Staff person #2, who was assigned to 6 older school-age children, was leaving them while opening the front door, escorting children to the parents, and letting visitors/parents in. Staff person #2 could not see, hear and assess children while opening the door and was leaving staff person #1 out of ratio.

Corrected Corrected by Feb 1, 2022

Category: supervision. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

At the time of the complaint investigation on 1/21/22, staff person #2 confirmed that heating system stopped working on 1/18/22. Staff person #2 stated that children wear coats and sweaters and are doing activities to keep them warm. At the time of the phone conversation with staff person #2 on 1/21/22, the outside temperature was 25° F.

Corrected Corrected by Jan 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.20(a)(1)/3270.20(b) · 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.The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

At the time of renewal inspection observed that provider did not call, mail or deliver a written incident report to the Office of Child Development and Early Learning-Southeast region after child #1 has received emergency room treatment on 11/23/21.

Corrected Corrected by Feb 14, 2022

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

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of renewal inspection, an emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises, when the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Jan 21, 2022

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

3270.31(f)/3270.31(f)(9) · Staff persons shall complete professional development in the following topics within 90 days of hire:Staff persons shall complete professional development in precautions when transporting children within 90 days of hire.

At the time of renewal inspection, staff person #2 hired on 5/17/21 did not complete professional development in health and safety topics within 90 days of hire.

Corrected Corrected by Feb 14, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 and 3 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 #2 and 3 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #3 hired on 9/27/21 for the position of the director and cannot be hired provisionally, did not include NSOR Certificate. File of staff person #2 hired on 5/17/21 included Child Abuse Clearance for volunteer purpose. Staff person #2 was observed working alone with children in Gym.

Corrected Corrected by Jan 21, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of renewal inspection file of staff person #2 did not include verification of 2 years experience with children required for the position of an assistant group. Staff person #2 was observed working alone with children in Gym.

Corrected Corrected by Jan 14, 2022

Category: supervision. 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.

At the time of renewal inspection observed children leaving gym area and going to the bathroom located around the corner without being supervised.

Corrected Corrected by Jan 14, 2022

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.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 renewal inspection, file of staff person #3 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting

Corrected Corrected by Feb 14, 2022

Category: ratio. Marked corrected in the state record.

3270.182(1) · A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection, file of child #2, admitted on 8/30/21, did not include an initial health assessment.

Corrected Corrected by Feb 14, 2022

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

At the time of renewal inspection, file of staff person #1 hired on 7/27/21 and staff person #2 hired on 5/17/21, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of renewal inspection, provider was not able to provide proof of purchase and date of purchase of an interconnected fire detection system.

Corrected Corrected by Feb 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

At the time of renewal inspection, an emergency plan did not include information about accommodation for shelter of children during lock-down.

Corrected Corrected by Jan 21, 2022

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