3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

During the renewal inspection on 2/20/25 the operator did not have a parent letter explaining the emergency procedures.

Corrected Corrected by Mar 13, 2025

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). 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 on 2/20/24 the file for staff person #3 did not contain a Child Abuse Clearance or an NSOR clearance.

Corrected Corrected by Mar 13, 2025

Category: supervision. Marked corrected in the state record.

3270.115(a)(6) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

During the renewal inspection on 2/20/25 the operator indicated that the children at the facility went swimming during the summer months of 2024. The operator did not have a file for the certified lifeguard.

Corrected Corrected by Mar 13, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the renewal inspection on 2/20/25 the agreement for child #3 and #4 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

During the renewal inspection on 2/20/25 the emergency contact form for child #1 #2 and #3 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. 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.

During the renewal inspection on 2/20/25 the file for staff person #2 did not contain a current health assessment.

Corrected Corrected by Mar 13, 2025

Category: ratio. Marked corrected in the state record.

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

During the renewal inspection on 2/20/25 the emergency contact forms in the classrooms had not been updated/reviewed for over six months.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · 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. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the renewal inspection on 2/20/25 the emergency plan did not include accommodations for infants, toddlers and children with chronic medical conditions. The emergency plan did not include lock down procedures.

Corrected Corrected by Mar 13, 2025

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

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

During the renewal inspection on 2/20/25 the file for child #5 did not contain a current health assessment.

Corrected Corrected by Mar 13, 2025

Category: health medication. 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.

During the renewal inspection on 2/23/24 the provider did not have a written policy that included Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and Strategies for coping with a crying, fussing, or distraught child; and a policy that addresses the prevention and identification of child maltreatment. During the renewal inspection on 2/23/24 the emergency plan did not address "continuity of operations".

Corrected Corrected by Mar 29, 2024

Category: ratio. 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 on 2/23/24 staff persons #1 #2 and #3 did not have verification of fire safety training for the past year.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(d)/3270.178 · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. 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.

During the renewal inspection on 2/23/24 the van used to transport children did not have a first aid kit or emergency contact information for the children being transported.

Corrected Corrected by Mar 29, 2024

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

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

During the renewal inspection on 2/23/24 the operator could not locate current motor vehicle insurance for the van used to transport the children.

Corrected Corrected by Mar 29, 2024

Category: transportation. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection on 2/23/24 the operator did not have verification that an emergency plan drill was conducted in the past year.

Corrected Corrected by Mar 29, 2024

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.

During the renewal inspection on 2/23/24 the operator did not have a current fire inspection report from a fire safety professional.

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

During the renewal inspection on 2/23/24 child #1 #2 #3 #4 and #5 did not have a current health assessment as required.

Corrected Corrected by Mar 29, 2024

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

3270.131(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.

During a renewal inspection on 01/18/2023, the files for children # 4 and 5 contained a health assessment more than 12-months old.

Corrected Corrected by Feb 17, 2023

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 01/18/2023, the files for children #1, 2, and 4 contained a record on influenza vaccination more than one-year-old; the files for children # 3 and 5 did not contain record of an influenza vaccination.

Corrected Corrected by Feb 17, 2023

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

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During a renewal inspection on 01/18/2023, the file for child #1 contained a signature without a date.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During a renewal inspection on 01/18/2023, the fire inspection on record was dated more than one year ago.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During a renewal inspection on 01/18/2023, the emergency plan did not contain the evacuation route to the off-site location.

Corrected Corrected by Feb 17, 2023

Category: physical safety. 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 a renewal inspection on 01/18/2023, the emergency plan did not contain verification that it was sent to the local emergency management department.

Corrected Corrected by Feb 17, 2023

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

3270.131(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.

During a renewal inspection on 01/18/2023, the files for children # 1 and 2 did not contain a health assessment.

Corrected Corrected by Feb 17, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

During a renewal inspection on 01/14/2022, the file for child #2 did not contain a financial agreement.

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(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.

During a renewal inspection on 01/14/2022, the file or child #3 contained a health assessment dated 12/19/2018.

Corrected Corrected by Feb 18, 2022

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During a renewal inspection on 1/14/2022, the files for staff persons #2 and #3 did not contain documentation of emergency plan training.

Corrected Corrected by Feb 18, 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 a renewal inspection on 1/14/2022, the files for staff persons #1, #2, and #3 did not contain documentation of Fire Safety training conducted in the past 12 months.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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 on 1/14/2022, the electric fuse box cover was missing, causing there to be exposed wires; the playground was being used as a storage area and was not able to be used for outdoor play.

Corrected Corrected by Jan 28, 2022

Category: physical safety. 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 a renewal inspection on 01/14/2022, the sign telling children to wash hands before eating and after toileting was missing from the bathroom sink and the sink in the infant room.

Corrected Corrected by Jan 28, 2022

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

3270.131(e)/3270.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During a renewal inspection on 01/14/2022, the file for child #1 contained an Influenza vaccine more than one year old, dated 09/23/2019; the files for children #3 and #4 did not contain documentation of an influenza vaccination.

Corrected Corrected by Feb 18, 2022

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

3270.181(c) · 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.

During a renewal inspection on 01/14/2022, the file for children #1 did not contain a financial agreement that has not been updated in the past 6 months, dated 08/30/2020; the file for child # 3 did not contain a financial agreement or emergency contact form that has been updated in the past 6 months, dated 09/03/2020.

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.