3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. 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.

At the time of inspection on 12/3/2024, Facility staff #1 was working alone with children and did not have a completed NSOR clearance on file.

Corrected Corrected by Dec 20, 2024

Category: supervision. Marked corrected in the state record.

3270.106(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.

At the time of inspection on 12/3/2024, Certification Representative observed several cots that did not have at least 2 feet of space on three sides while in use by children.

Corrected Corrected by Dec 20, 2024

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

3270.34(b) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4).

At the time of inspection on 4/29/2024, Certification Representative could not determine that the director met the required qualifications to serve as facility director. On 4/29/2024, facility staff #1, who was acting as director of the facility provided Certification Representative two questionable transcripts as proof of education. It was later verified that the transcripts did not belong to facility staff #1.

Corrected Corrected by May 22, 2024

Category: recordkeeping. 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.

There was not acceptable verification of education in the record of facility staff #1. The education documents for facility staff #1 that were on file at the time of inspection consisted of a copy of a college transcript that did not include staff's name or other information. Facility staff #1 was acting as the facility director without having her education credentials verified.

Corrected Corrected by May 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

At the time of inspection on 1/8/2024, Certification Representative observed that food and toxic materials were being stored together in a cabinet next to one another. Certification Representative observed applesauce and lysol together in the lower kitchen cabinet.

Corrected Corrected by Jan 9, 2024

Category: ratio. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including grabbing and/or handling a child in a rough manner.

Based on investigation, it was determined that facility staff #1 grabbed a child's face in a rough manner on 11/17/2023.

Corrected Corrected by Dec 28, 2023

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

At the time of inspection on 11/30/2023, Certification Representative observed cleaning and toxic materials there were not locked or made inaccessible to children. There was a container with lysol cleaner on a desk in the upstairs hallway and hand sanitizer on a cart that was in the upstairs hallway.

Corrected Corrected by Dec 1, 2023

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

At the time of inspection on 11/30/2023, Certification Representative observed classroom 2-2 out of ratio with 12 preschoolers and one staff when facility staff #1 left the classroom to put away cots in another room.

Corrected Corrected by Dec 1, 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. Children must be supervised at all times.

At the time of inspection on 11/30/2023, Certification Representative observed children were not properly supervised during naptime in room 2 - 2. Certification Representative entered the room and there was one staff sitting at a table on the left side of the room with a child and there were multiple children laying on cots who were not in view due to being behind bookshelves or other furniture.

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

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

At the time of inspection, there was not out-of-state clearances or verification clearances were requested for facility staff #2 who lived outside of PA in the last 5 years.

Corrected Corrected by Dec 15, 2023

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

3270.36(b)(5)/3270.192(2)(ii) · The operator will ensure that all staff has documentation of the required education and experience as required for the position they are in and on file at all times.

Facility staff #1 and #4 did not have documentation of childcare experience to verify they qualified as at least an assistant group supervisor (two years/2500 clock hours).

Corrected Corrected by Dec 15, 2023

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

At the time of inspection on 11/20/2023, Certification Representative observed there were several areas throughout the facility in which cleaning supplies and/or toxic materials were not kept locked nor made inaccessible to children. These areas included the janitor's closet by the back exit, upstairs kitchen, furnace room and staff bathroom. *At the time of inspection on 12/18/2023 Certification Representative observed several bottles of hand sanitizer throughout the facility that were not locked or made inaccessible. The upstairs staff bathroom had a bottle of lysol air freshener on a low shelf. The upstairs furnace room was unlocked and had several gallons of easy-off and lysol disinfectant cleaner that was accessible to children. Classroom 2-2 had a container of clorox wipes that was accessible in the bathroom. The upstairs kitchen was propped open and there was an unlocked cabinet that contained 2 gallons of lysol disinfectant on the two lower shelves that was accessible to children. **At the time of inspection on 1/8/2024, Certification Representative observed at least 10 bottles of hand sanitizer throughout the facility that were not stored in an area that was inaccessible to children or locked including in room 7-1, 9-1, 1-2, 2-1 , 8-10 and the upstairs kitchen area. Certification Representative observed disinfectant wipes in classroom 7-1, 9-1 and the lower bathroom that were not stored in an area that was inaccessible to children or locked. Both upstairs and downstairs kitchen area doors were completely open and both had unlocked cabinets that contained several gallons of lysol, carpet cleaner and other cleaning items. In addition, the upstairs kitchen had glue type mouse traps and a metal trap that were not stored in an area that was inaccessible to children or locked. Cert Rep observed 5 glue traps that were on the floor with the kitchen area door open.

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

At the time of inspection on 11/20/2023, Certification Representative observed that the back stairwell well was obstructed by various materials being stored in that location including maintenance supplies, a cart, tile cutter equipment, plastic chair, a construction cone and other items.

Corrected Corrected by Nov 20, 2023

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

3270.106(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.

At the time of inspection on 11/20/2023, Certification Representative observed several classrooms with rest equipment that did not have at least 2 feet of space on three sides while children were napping. *At the time of inspection on 12/18/2023, Certification Representative observed several classrooms with rest equipment that did not have at least 2 feet of space on three sides while children were napping.** At the time of inspection on 1/9/2024, Certification Representative observed several children napping on rest equipment that did not have at least 2 feet of space on three sides in classroom 2-2.

Corrected Corrected by Jan 18, 2024

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

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

At the time of inspection, the most current health assessment in the file for facility child #1, who is a young toddler was dated 1/30/2023.

Corrected Corrected by Dec 15, 2023

Category: health medication. 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.

Based on investigation, it was determined tha staff:child ratios were not in compliance on 9/18/2023 when a facility child #1 was left alone in a classroom.

Corrected Corrected by Sep 26, 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.

Based on investigation, it was determined that children were not properly supervised on 9/18/2023 when facility child #1 was left alone in a classroom.

Corrected Corrected by Sep 26, 2023

Category: supervision. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of inspection on 9/26/2023, Certification Representative observed peeled paint in the stairwell area of the facility.

Corrected Corrected by Oct 24, 2023

Category: physical safety. 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). 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.

During the renewal inspection conducted on 11/22/2022 observed staff person #1's state police clearance purpose is listed as "other".

Corrected Corrected by Dec 2, 2022

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

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 conducted on 11/22/2022 observed rooms #2-2, #2-8, #7-1 and #8-1 had peeled or damaged paint.

Corrected Corrected by Dec 2, 2022

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During the renewal inspection conducted on 11/22/2022 observed staff person #1's health assessment question about communicable diseases was marked off as "yes" the staff person has a communicable disease.

Corrected Corrected by Dec 2, 2022

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During complaint investigation conducted on 6/29/2022 video surveillance was requested from facility and sworn affidavits were received. Affidavits were signed by Senior vice president and Vice president, Human Resources of facility. Both affidavits stated that staff person #1 was observed bouncing a ball off of a child's head. It was observed that the staff person did it five times with no response from child.

Corrected Corrected by Oct 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection conducted on 12/3/2021 observed staff person #2's file did not include fire safety training.

Corrected Corrected by Dec 28, 2021

Category: recordkeeping. 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). 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.

During the renewal inspection conducted on 12/3/2021 observed staff person #1's criminal history record purpose for request stated "other" rather than for employment or childcare purposes.

Corrected Corrected by Dec 28, 2021

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

3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection conducted on 12/3/2021 observed rooms 1, 2, 4, 4-2, 5-2, 6-2, 1-2 and 3-2 did not contain first-aid kits.

Corrected Corrected by Dec 28, 2021

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection conducted on 12/3/2021 observed room 5-6's first aid kit did not contain soap.

Corrected Corrected by Dec 3, 2021

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During the renewal inspection conducted on 12/3/2021 observed room 4-2 did not have hand washing signs above the sink.

Corrected Corrected by Dec 28, 2021

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

During the renewal inspection conducted on 12/3/2021 observed room 4-2 did not have a daily schedule posted.

Corrected Corrected by Dec 28, 2021

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During the renewal inspection conducted on 12/3/2021 observed child #1's fee agreement did not specify the date of the child's admission.

Corrected Corrected by Dec 28, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

During the renewal inspection conducted on 12/3/2021 observed room 1-2 did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted.

Corrected Corrected by Dec 28, 2021

Category: transportation. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During the renewal inspection conducted on 12/3/2021 observed staff person #1's health assessment has "yes" checked off for the staff person having a communicable disease.

Corrected Corrected by Dec 28, 2021

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