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.

Certification rep reviewed emergency plan delivery document and observed emergency plan and subsequent plan updates was not sent to the local municipality.

Corrected Corrected by Dec 11, 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.

Certification rep reviewed staff #1 record and observed completion of 10 Hour Health and Safety Training for Center was not in record.

Corrected Corrected by Dec 11, 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.

Certification rep reviewed staff #6 record and observed fire safety training in record is expired, date of certificate in record: 11/27/23.

Corrected Corrected by Dec 2, 2024

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). 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.

Certification rep reviewed staff #3, #4, #5 and #7 record and observed NSOR clearances in record are expired; date of expiration 11/6/19.Staff # 8 mandated reporter training in record is expired: date of expiration: 11/12/19.

Corrected Corrected by Dec 5, 2024

Category: supervision. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Certification rep reviewed child #2 record and observed emergency contact form did not include name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 2, 2024

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

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

Certification rep reviewed child #1 record and observed physical examination report in record is expired; date of physical exam in record:9/11/23.

Corrected Corrected by Dec 2, 2024

Category: health medication. 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.

Certification rep reviewed staff #2 record and observed one written nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not in record.

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Certification rep reviewed child #1 record and observed a copy of the incident report was not in the child #1 record.

Corrected Corrected by Mar 25, 2024

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.

Volunteer had no record of emergency plan training.

Corrected Corrected by Mar 25, 2024

Category: ratio. 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.

Operator did not have a record for classroom volunteer, Child Abuse, FBI, State Police Criminal, NSOR clearance and a signed non-disclosure statement were not obtained and in record at the time of investigation.

Corrected Corrected by Mar 25, 2024

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a) · 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.

At the time of investigation certification rep observed staff #1 out of ratio with a total of 20 children in the PreK 1 and 3 classrooms. Staff # 1 was observed alone with a volunteer. The child youngest of age at the time of investigation was 3 years of age, while staff #2 went to grab something in another classroom.

Corrected Corrected by Mar 25, 2024

Category: supervision. 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.

Physical examination and including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis was not in volunteer record.

Corrected Corrected by Mar 25, 2024

Category: health medication. 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.

Volunteer record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Certification rep reviewed child #1 record and observed documentation from the child's primary physician or CRNP that the child can return to school missing in record at the time of investigation.

Corrected Corrected by Dec 27, 2023

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 certification rep reviewed emergency plan and observed continuity of operation missing in the emergency plan.

Corrected Corrected by Nov 29, 2023

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.

Certification rep reviewed Staff #3, #4 and #5 record and observed Staff #3 has not competed Fire Safety Training, staff #4 Fire Safety Certificate on record is expired, date of certificate: 3/21/22, Staff #5 Fire safety Certificate on record is expired date of certificate: 6/6/22.

Corrected Corrected by Nov 29, 2023

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). 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.

Certification rep reviewed staff #3 record and observed staff #3 did not complete Mandated Reporter training. Staff #4 Mandated reporter certificate is expired, date of certificate in record: 4/22/2018.Certification rep reviewed staff #3 record and observed NSOR clearance was not in record date of application in record: 9/27/23.

Corrected Corrected by Nov 29, 2023

Category: supervision. Marked corrected in the state record.

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

During the renewal inspection certification rep read water temperature in the infant room at 111 F.

Corrected Corrected by Nov 27, 2023

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 the renewal inspection certification rep observed handwashing signs missing in the boys second floor bathroom.

Corrected Corrected by Nov 29, 2023

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Certification rep reviewed child #3 record and observed date of the child's admission missing on financial agreement form.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Certification rep reviewed children #1 #2 #3 #4 and #5 record and observed the facility children enrolled more than 60 days at the facility, did not contain current documentation of the flu vaccine based on the child's age as per the ACIP recommended schedule.

Corrected Corrected by Nov 28, 2023

Category: health medication. 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.

Certification rep reviewed staff #1, #2, #3, #4 and #5 and observed verification of employment missing in record.

Corrected Corrected by Nov 29, 2023

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.

Certification rep reviewed staff #3 record and observed two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person missing in record.

Corrected Corrected by Nov 29, 2023

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.

During the renewal inspection emergency plan delivery document form was not in record with receipt that it was delivered to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. 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 unannounced monitoring inspection, document that staff person #2 received training regarding the emergency plan on an annual basis was not observed. Last emergency plan training on file was from 4/14/22.

Corrected Corrected by Jun 29, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 1-- may not work in a child care position at the facility. 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. Staff Person # 1 must be removed from child care position by close of business. PA State police or DHS required FBI clearance must be obtained before staff person #1 may resume a child care position.

At the time of unannounced monitoring inspection, file of staff person #1 did not include verification that staff applied for PA State police and NSOR certificate. File of staff person #1 did not a complete DHS required FBI or PA State police that will allow staff #1 to be hired on a provisional basis.

Corrected Corrected by Jun 26, 2023

Category: background checks. 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 unannounced monitoring inspection, file of staff person #1 did not include a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jun 26, 2023

Category: ratio. 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 the time of unannounced monitoring inspection, file of staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 26, 2023

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.

At the time of renewal inspection, a policy and procedure to identify and prevent child maltreatment was not observed.

Corrected Corrected by Dec 20, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of renewal inspection, file of staff person #1 did not included acceptable pediatric First Aid / CPR training. Standard First Aid training was from American CPR Care Foundation which is not a PQAS approved curriculum and was not conducted by a PQAS-approved trainer.

Corrected Corrected by Dec 5, 2022

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

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

At the time of renewal inspection observed evidence of infestation of gnats in Room 9 and bathroom located in near Room 9.

Corrected Corrected by Dec 1, 2022

Marked corrected in the state record.

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

At the time of renewal inspection, hot water temperature in Room 1 was 120° F, hot water temperature in Room 4 and 9 was 118° F. These areas were accessible to chidlren.

Corrected Corrected by Nov 29, 2022

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

3270.131(b)(2)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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 the time of renewal inspection, file of child #1 did not include an updated child heath report. Health report on file was from 8/5/21.

Corrected Corrected by Dec 20, 2022

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection a health assessment of staff person #2 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 5, 2022

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At the time of renewal inspection, a health assessment of staff person #1 did not include an examination for communicable diseases and the results of that examination, and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 10, 2021

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of renewal inspection, documentation of proof of purchase and date of purchase of an interconnected fire detection system was absent.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

At the time of unannounced monitoring inspection, the opening of three accessible to children windows in Room 6 located on the above ground floor was 11.5 inches. Windows were not adapted to limit the opening to 6 or fewer inches.

Corrected Corrected by Sep 10, 2021

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