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

At time of renewal inspection on 11/26/24, chipped or damaged paint was observed in the downstair classroom by the kitchen in the following areas: Yellow paint on the baseboard trim, blue trim around the door, white paint on the heater, and green paint on the top of the half door.

Corrected Corrected by Dec 20, 2024

Category: physical safety. 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 time of renewal inspection on 11/26/24, staff person #1 and #2 did not have documentation of completing the 1-hour PA Health and Safety update within the required time frame.

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not include documentation of training in the facility's emergency plan.

Corrected Corrected by Dec 3, 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.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not have documentation of completing the 10-hour Health and Safety Training within 90 days of employment.

Corrected Corrected by Dec 13, 2024

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

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At time of renewal inspection on 11/26/24, the upstairs Pre-School classroom which has a capacity of 7 children, was observed to have 9 children receiving care.

Corrected Corrected by Nov 27, 2024

Category: ratio. Marked corrected in the state record.

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

At time of renewal inspection on 11/26/24, the hot water temperature in the upstairs bathroom measured at 119 degrees Fahrenheit when using a thermometer.

Corrected Corrected by Nov 29, 2024

Category: physical safety. 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.

At time of renewal inspection on 11/26/24, the emergency information for child #2 and #3 did not include the policy number and/or health insurance information for the child.

Corrected Corrected by Dec 6, 2024

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.

At time of renewal inspection on 11/26/24, the emergency information for child #4 did not include the addresses of the persons to whom the child may be released.

Corrected Corrected by Dec 6, 2024

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.

At time of renewal inspection on 11/26/24, the file for child #1 contained a health assessment that was more than 12 months old with a date of 7/24/23.

Corrected Corrected by Dec 20, 2024

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.

At time of renewal inspection on 11/26/24, the emergency information and agreement for child #1 had not been reviewed/updated with a signature and a date within the past 6 month. The most recent review/updated was dated 9/5/23 and 9/6/23.

Corrected Corrected by Dec 3, 2024

Category: recordkeeping. 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.

At time of renewal inspection on 11/26/24, 5 of the emergency contacts located in the downstairs classroom had not been updated with a signature and date within the past 6 months.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not include an ID for verification of age.

Corrected Corrected by Dec 3, 2024

Category: recordkeeping. 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 #--- may not work in a child care position at the facility.

At time of renewal inspection on 11/26/24, the file for staff person #3 did not include a signed and dated disclosure statement.

Corrected Corrected by Dec 2, 2024

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.

At time of renewal inspection on 11/26/24, the file for staff person #3 only had one written reference.

Corrected Corrected by Dec 10, 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.

At time of renewal inspection on 11/26/24, fire safety documentation did not show the fire system was being tested every 30 days as required.

Corrected Corrected by Dec 16, 2024

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.

At time of renewal inspection on 11/26/24, provider did not have documentation to show the emergency plan was sent to Philadelphia County.

Corrected Corrected by Dec 9, 2024

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.

At time of renewal inspection on 11/26/24, staff person #2 did not have documentation of completing 12 hours of annual child care training.

Corrected Corrected by Dec 20, 2024

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.

During paperwork review at renewal inspection, the facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations

Corrected Corrected by Dec 26, 2023

Category: ratio. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During file review at renewal inspection, the agreement for child #4 did not include the arrival and departure times for the child.

Corrected Corrected by Dec 11, 2023

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.

During file review at renewal inspection, the emergency information for children #1 and #5 did not include the policy number of the insurance coverage for the child.

Corrected Corrected by Dec 18, 2023

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.

During file review at renewal inspection, the emergency information for child #1, #2, #3, and #4 did not include complete address and phone information for all of the release persons as required.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

During file review at renewal inspection, it was observed the immunization report for child #1, #2, and #3 (enrolled more than 60 days) did not include updated influenza vaccines.

Corrected Corrected by Nov 30, 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 #2 may not work in a child care position at the facility.

During file review at renewal inspection, the file for staff person #2 did not include a signed and dated disclosure statement as required by the CPSL.

Corrected Corrected by Dec 1, 2023

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.

During file review at renewal inspection, the file for facility persons #1 and #2 did not include two written non-family references.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

At time of complaint investigation on 8/10/23, staff person #1 left the classroom to answer the door at the back of the facility, and then went to get the director, leaving staff person #2 alone with three Young Toddlers and thirteen Pre-School Children.

Corrected Corrected by Aug 11, 2023

Category: ratio. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

There was not developmental assessment at least every six months in the file for facility child #3.

Corrected Corrected by Jan 6, 2023

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.

The emergency contact form for facility child #2 did not include the health insurance policy information.

Corrected Corrected by Jan 6, 2023

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.

The emergency contact forms for facility children #1, #2 and #4 did not list the addresses of all release persons.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Certification Representative could not verify a health assessment was completed as required for facility child #3. The document in the child's file did not indicate a health assessment was completed as the form indicated that a vision screening was completed.

Corrected Corrected by Jan 6, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The Certification Representative could not verify facility child #4's health assessment as the report was not written by the health care provider.

Corrected Corrected by Jan 6, 2023

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

3270.131(e) · 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.

There was not documentation in the file that facility child #2 received all immunizations as recommended by the ACIP. The child's file had verification of only on series of immunizations from 10/8/2021 and there were not any form of exemptions letters/statements from a health provider or the child's parent in the child's record.

Corrected Corrected by Jan 6, 2023

Category: health medication. 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.

Certification Representative observed several children's emergency contact forms in the classroom were not updated at least every 6 months as required.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. 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 # 1 may not work in a child care position at the facility.

The file for facility staff #1 did not include all required clearance information. The State Police clearance in the file was still under review and the FBI clearance did not include the rap sheet.

Corrected Corrected by Feb 11, 2022

Category: background checks. 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.

There was not documentation in the file for facility staff #1 of emergency plan training at the time of initial employment.

Corrected Corrected by Mar 11, 2022

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.

There was not verification of education or experience in the staff file for facility staff #1.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. 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

There was not two written, nonfamily references in the file for facility staff #1.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(a) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

Certification Representative observed facility persons #2 and #3 who are volunteers, working alone in the upstairs pre-school classroom with 6 children and without supervision of another qualified staff person.

Corrected Corrected by Feb 14, 2022

Category: supervision. Marked corrected in the state record.