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.

The child care providers did not have a policy with procedures to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Corrected Corrected by Nov 22, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The current Pediatric First Aid and Pediatric CPR training certificates observed in staff members' #1, #2, and #3 filles were not provided by approved PQAS training professional.

Corrected Corrected by Nov 21, 2022

Category: ratio. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

A damaged fence with loose wooden panels and exposed nails was observed in the outdoor play space. The damaged fence separates the play space from the facility's waste receptacles, so repairs are necessary to restrict children from the unsafe conditions.

Corrected Corrected by Nov 21, 2022

Category: physical safety. 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.

A few areas of the facility were observed needing repairs. In the older toddler room, the wooden frame under the sink was in disrepair and hazardous due splintering wooden. A damaged ceiling tile was observed in the PreK classroom and in the hallway near the PreK classroom.

Corrected Corrected by Nov 22, 2022

Category: physical safety. 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.

The wall in the main hall near the entrance was observed with loose chalky plaster which flaked at the touch. Chipped or peeling paint was observed in other areas of the main hall and other small areas around the facility.

Corrected Corrected by Nov 22, 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.

Hand washing signs indicating that "A facility person and able child shall wash his/her hands after toileting and before eating was not posted at the toilet stalls in bathrooms located at the front of the facility. The school-age children's classroom bathroom was missing hand washing signs indicating hands are to be washed before eating and after toileting. The sink in the Preschool classroom did not have a hand washing. The older toddler classroom bathroom did not have a hand washing sign indicating "a facility person and an able child shall wash his hands after toileting and before eating".

Corrected Corrected by Nov 21, 2022

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

The emergency contact form for child #1 was dated 3/3/2022 which indicates that parent had not reviewed the form in over 6 months.

Corrected Corrected by Nov 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency plan did not include evacuation accommodations for infants and toddlers.

Corrected Corrected by Nov 21, 2022

Category: physical safety. 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)).

The facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Corrected Corrected by Nov 21, 2022

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.

At the time of inspection, the file for staff member #2 hire 10/18/21, did not include a document verifying receipt of initial emergency plan training at the time of employment.

Corrected Corrected by Dec 6, 2021

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

At the time of inspection, the file for staff member #1 included a Mandated Reporter Training certificate dated more than 60 months (5yrs.) from completion, which is invalid under the Child Protective Service Law (CPSL).

Corrected Corrected by Dec 3, 2021

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.

At the time of inspection, the file for staff member #3, hired 9/1/21; included an initial health assessment dated 10/5/21 which indicated the staffer started employment a month prior to submitting the required completed initial health assessment. The file for staff member #4, hired 10/16/19, included an initial health assessment dated 6/30/2020 which indicated the staffer started employment 8 months prior to submitting a health assessment with TB results.

Corrected Corrected by Dec 3, 2021

Category: ratio. 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)).

At time of inspection, the facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Corrected Corrected by Dec 3, 2021

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