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 12/15/23, Cert Rep observed that emergency plan on file did not include continuity of operations planning. Cert Rep also did not observe a policy for Prevention of shaken baby syndrome and abusive head trauma, and child maltreatment.

Corrected Corrected by Jan 5, 2024

Category: ratio. 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 the renewal inspection on 12/15/23, Cert Rep did not observe verification of emergency plan training in the file of staff person #4.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection on 12/15/23, Cert Rep observed staff #1, #2, and #3 completed the pre-service PA Health and Safety Update 2022 1-hour training after the required due date of 12/30/22. The training was completed 02/21/23.

Corrected Corrected by Jan 5, 2024

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

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During the renewal inspection on 12/15/23, Cert Rep did not observe a bottle of water in the first aid kit the facility takes on excursions.

Corrected Corrected by Jan 5, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 12/15/23, Cert Rep observed the health assessment in the file of staff person #1 dated 09/20/21, the subsequent health assessment was not observed.

Corrected Corrected by Jan 5, 2024

Category: health medication. 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 12/15/23, Cert Rep observed that the facility's emergency plan did not provide lockdown and accommodations for children with disabilities and children with chronic medical conditions when an emergency situation arises.

Corrected Corrected by Jan 5, 2024

Category: physical safety. 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.

While reviewing the staff's files I observed that staff 2, did not have emergency plan training.

Corrected Corrected by Mar 9, 2023

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.

While reviewing the staff's files I observed that staff 1, did not have fire safety training.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

While reviewing the staff's files I observed that staff 2-4, did not have their written annual evaluation.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. 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 my inspection I observed that the paint was peeling on the wall by the bathroom door in the main room.

Corrected Corrected by Mar 9, 2023

Category: physical safety. 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.

While reviewing the children's files I observed that child 6, did not have the address, or phone number of the person they could be released to on the emergency contact sheet.

Corrected Corrected by Mar 9, 2023

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.

While reviewing the children's files I observed that child 1, 5, 6, did not have an updated health report.

Corrected Corrected by Mar 9, 2023

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

During my inspection I observed that the child 7 did not have a medication log.

Corrected Corrected by Mar 9, 2023

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

While reviewing the children's files I observed that child 1, 3-5, did not have signed parental consent for emergency medical care for the child.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

While reviewing the children's files I observed that child 1, 3-5, did not have signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Mar 9, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

While reviewing the children's files I observed that child 1, 3-5, did not have the signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Mar 9, 2023

Category: transportation. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

While reviewing the children's files I observed that child 2 did not have an agreement form.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

While reviewing the staff's files I observed that staff 5 did not include verification of child care experience.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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.

While reviewing the staff's files I observed that staff 5, did not have a health assessment, or a PPD.

Corrected Corrected by Mar 9, 2023

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

3270.192(4) · 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 # 4 may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 4 hired on September 2021, did not contain a child abuse clearance.

Corrected Corrected by Mar 9, 2023

Category: background checks. 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 my inspection I observed that the facility had no tad their fire extinguishers inspected in the last year.

Corrected Corrected by Mar 9, 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 my inspection I observed that the facility had not sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Mar 9, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

While reviewing the staff's files I observed that staff 1-5, did not obtain their minimum of 12 clock hours of childcare training.

Corrected Corrected by Mar 9, 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.

While conducting my inspection I observed that the facility did not have their annual written letter to the local authorities about their pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Mar 9, 2023

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.

While reviewing the children's files I observed that child 1-6 did not have the information for who they could be released to on their agreement form.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

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

While reviewing the children's files I observed that child 1-6 did not have the admission date on their agreement form.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

While reviewing the children's files I observed that child 1 - 6 did not have their health insurance information on their emergency contact sheet.

Corrected Corrected by Apr 7, 2022

Category: health medication. 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.

While reviewing the children's files I observed that child 1, 3, 4, did not have the information for whom they could be released to on their emergency contact sheet.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

While conducting my inspection I observed that the facility did not have any hands-free trash cans to dispose of diapers.

Corrected Corrected by Apr 7, 2022

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

3270.192(4) · 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 # 1, 2, 3, may not work in a child care position at the facility.

While reviewing the staff's files I observed that staff 1, hired on December 2021, does not contain a FBI clearance, & staff 2 hired on March 2022, does not contain a FBI clearance, or a NOSR certification, & staff 3 hired on October 2022, does not contain any of her out-of-state clearances.

Corrected Corrected by Apr 7, 2022

Category: background checks. 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

While reviewing the staff's files I observed that staff 1 did not have two written nonfamily references.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. 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.

While conducting my inspection I observed that the facility did not have an emergency drill log.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

While conducting my inspection I observed that the facility did not have a compete emergency plan.

Corrected Corrected by Sep 30, 2021

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

While reviewing the staff's files I observed that staff 1 & 2 did not have a current fire safety training.

Corrected Corrected by Sep 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

While conducting my inspection I observed that the water temperature in the bath room exceed 110 degrees.

Corrected Corrected by Sep 30, 2021

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

3270.192(3) · 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.

While reviewing the staff's files I observed that both staff 1 & 2 did not have a correct physical in their file.

Corrected Corrected by Sep 30, 2021

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

While reviewing the staff's files I observed that staff 1 & 2 did not have 12 hours of training.

Corrected Corrected by Sep 30, 2021

Category: recordkeeping. Marked corrected in the state record.