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. Until such time as the required pre-service trainings are completed, staff person #1 and #2 must be supervised, when interacting with children by an assistant group supervisor, who has completed the required training related to this citation. If there are no staff person's available to supervise, staff person #1 and #2 may not work in a child-care position at the facility.

At the time of renewal inspection on 10/8/24, staff persons #1 and #2 were observed to be caring for children unsupervised at 9:15AM. Staff #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Health and safety training, mandated reporter trainings, pediatric firs aid/CPR. Staff #3, who came within the next 10 minutes to supervise staff persons #1 and #2 had qualification of an aide.

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

At the time of renewal inspection on 10/8/24 observed provisional hire staff #1 and #2 working alone with children and not being supervised at 9:15 AM. Staff person #3, who came within the next 10 minutes to supervise staff persons #1 and #2 had qualification of an aide.

Corrected Corrected by Oct 24, 2024

Category: supervision. 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.

At the time of renewal inspection on 10/8/24, file of staff person #5 did not include a written staff evaluation required every 12 months.

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of renewal inspection on 10/8/24 observed that staff #3, who had qualification of an aide, was not supervised by at least an assistant group supervisor.

Corrected Corrected by Oct 8, 2024

Category: supervision. 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.

At the time of renewal inspection on 10/8/24 observed pieces of paper, plastic spoons and cups scattered on the facility's outdoor play space.

Corrected Corrected by Oct 24, 2024

Category: physical safety. 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.

At the time of renewal inspection on 10/8/24, agreement of children #1, #2, #3, #4, #5, and #6 were not updated every 6 months as required. Emergency contact form of child #1 was not updated at least once in a 6-months period.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

At the time of renewal inspection on 10/8/24, files of children #3 and #6 did not include an updated health report required at least every 6 months. Child health report on file for child #3 was dated 3/24/23, health report of child #6 was dated 3/8/24.

Corrected Corrected by Nov 8, 2024

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 on 10/8/24, a health assessment on file for staff person #4 did not include an examination for communicable diseases and the physician's or CRNP's assessment of the person's suitability to provide childcare.

Corrected Corrected by Nov 8, 2024

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

At the time of renewal inspection, a written infant meal statements and feeding schedule obtained from the parents were not observed for child #6.

Corrected Corrected by Nov 8, 2024

Category: nutrition. 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 the time of renewal inspection on 10/8/24 observed that emergency information was not updated in each childcare space. Each area had emergency contact forms that were updated by parents more than 6 months ago.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the renewal inspection conducted on 8/30/2023 observed two children asleep in bouncy chair equipment.

Corrected Corrected by Oct 12, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection conducted on 8/30/2023 observed the refrigerator in the child care space did not include an operating thermometer.

Corrected Corrected by Oct 12, 2023

Category: nutrition. 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 conducted on 8/30/2023 observed the facility did not have a Shaken Baby Syndrome policy and the facility's emergency plan did not address continuity of operations.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection conducted on 8/30/2023 observed the facility did not have verification of a current copy of the comprehensive general liability insurance policy. Corrected on-site 8/31/2023.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed staff person #1, #2 and #4's files did not include verification of annual emergency plan training. Observed staff person #3's file did not include verification of emergency plan training at the time of initial employment.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed staff person #2's file did not include up to date fire safety training. The last training completed was dated 1/20/2022.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the renewal inspection conducted on 8/30/2023 observed child #1's agreement did not specify the amount of the fee to be charged peer day or per week.

Corrected Corrected by Oct 12, 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. 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 #3 may not work in a child care position at the facility.

During the renewal inspection conducted on 8/30/2023 observed staff person #3's file did not include verification of the criminal history record and a signed disclosure statement. Corrected on-site 8/31/2023. Observed staff person #3's file did not include verification of FBI clearance.

Corrected Corrected by Oct 12, 2023

Category: supervision. 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.

During the renewal inspection conducted on 8/30/2023 observed staff person #2's file did not include a written evaluation within the minimum time frame of 12 months.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(3)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection conducted on 8/30/2023 observed staff person #4's file did not include verification of education from Africa being evaluated for U.S. equivalency.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the renewal inspection conducted on 8/30/2023 observed staff person #2 and #3 were unsupervised while there were children in care.

Corrected Corrected by Oct 12, 2023

Category: supervision. 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 the renewal inspection conducted on 8/30/2023 observed peeled paint on the yellow wall next to the book shelf in the child care space.

Corrected Corrected by Oct 12, 2023

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

During the renewal inspection conducted on 8/30/2023 observed the high chair activity table was missing safety straps.

Corrected Corrected by Oct 12, 2023

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).

During the renewal inspection conducted on 8/30/2023 observed child #3 and #4's files did not include child service reports to provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/30/2023 observed child #1's agreement did not specify the child's arrival and departure times.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. 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 conducted on 8/30/2023 observed child #1 and #5's agreement did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/30/2023 observed child #5's agreement did not specify the date of the child's admission.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. 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.

During the renewal inspection conducted on 8/30/2023 observed child #2's emergency contact information did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 12, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 8/30/2023 observed child #4 and #5's emergency contact information did not include the work address of the enrolling parent. Observed child #5's emergency contact information did not include the work telephone number of the enrolling parent.

Corrected Corrected by Oct 12, 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 the renewal inspection conducted on 8/30/2023 observed child #2's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Observed child #4 and #5's emergency contact information did not include the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Oct 12, 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 the renewal inspection conducted on 8/30/2023 observed child #2 and #4's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. 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.

During the renewal inspection conducted on 8/30/2023 observed child #3, #4 and #5's emergency contact information and financial agreement were not reviewed and updated within the 6-month period.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the renewal inspection conducted on 8/30/2023 observed child #5's health report statement that the child is able to participate in child care and appears to be free from contagious or communicable disease was not answered.

Corrected Corrected by Oct 12, 2023

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During the renewal inspection conducted on 8/30/2023 observed staff person #3's adult health assessment did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed child #2's record did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed child #1's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

During the renewal inspection conducted on 8/30/2023 observed staff person #5 did not have a record.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed staff person #4's file included a written reference from a family member. Observed staff person #3's file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Corrected on site 8/31/2023.

Corrected Corrected by Oct 12, 2023

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.

During the renewal inspection conducted on 8/30/2023 observed the facility did not have verification that the annual emergency drill was conducted.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 8/30/2023 observed staff person #3's file did not include verification of professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Oct 12, 2023

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the renewal inspection conducted on 8/30/2023 observed the facility did not have verification of fire drills conducted at least once every 60 days.

Corrected Corrected by Oct 12, 2023

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 conducted on 8/30/2023 observed the last fire detection system inspection was on 4/18/2022. The designated person in charge was unable to test the fire detection system on-site. The director was able to test the fire detection system on-site 8/31/2023.

Corrected Corrected by Oct 12, 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 conducted on 8/30/2023 observed the operator did not have verification that the emergency plan and subsequent plan updates were not sent to the local municipality and county emergency management agency.

Corrected Corrected by Oct 12, 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.

During the renewal inspection conducted on 8/30/2023 observed staff person #2's file did not include verification of annual minimum of 12 clock hours of child care training.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. 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 on 11/30/22, it was observed that the water temperature exceeded 110 degrees Fahrenheit. Water temped at 133 degrees Fahrenheit

Corrected Corrected by Dec 27, 2022

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

During the renewal inspection on 11/30/22, it was observed that the records of staff person #1 did not include tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Dec 6, 2022

Category: health medication. 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.

During the renewal inspection on 11/30/22, it was observed that the records of staff person #2 included Pediatric First aid training for whom the trainer could not be verified as approved.

Corrected Corrected by Dec 17, 2022

Category: ratio. 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 the renewal inspection on 11/30/22, it was observed that the records of child #1 did not contain an initial health report.

Corrected Corrected by Dec 6, 2022

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

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding, prior to issuance of certificate of compliance.

On 4/18/2022 when observed, indoor play space could not be used for large muscle activity such as running, jumping or any physical activities due to furniture in space (storage cabinets, deep freezer, tables, and chairs).

Corrected Corrected by May 13, 2022

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

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

On 4/18/2022 when observed The Food Prep area and Bathroom temperatures exceeded the acceptable heating level. The food prep area (Refrigerator and sinks) water temperatures was 119 F, Women's bathroom temperature was 122 F, and Men's bathroom temperature was 116 F.

Corrected Corrected by May 20, 2022

Category: nutrition. 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, prior to issuance of certificate of compliance.

On 4/18/2022 when observed The window on panel 5 in middle pane in the childcare space was damaged, the window glass was covered with tape. Exposed wiring in the ceiling where light fixtures are in the hallway that leads from the play space to the bathrooms were uncovered. The Childcare space and play space baseboard heaters protective covering does not prevent direct contact from children placing their hands or other items inside the heaters. In the men's bathroom stall #2 contains a locking mechanism that children could gain access to piping and meter.

Corrected Corrected by May 20, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs prior to issuance of certificate of compliance.

On 4/18/2022 observed Cubby in the childcare space under the window wall; the top left corner of the wood was damaged and detached from the furniture.

Corrected Corrected by May 11, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children, prior to issuance of certificate of compliance

On 4/18/2022 when observed the indoor play space did not contain a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by May 11, 2022

Category: transportation. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility, prior to issuance of certificate of compliance

On 4/18/2022 when observed the indoor play space did not contain evacuation routes posted.

Corrected Corrected by May 11, 2022

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)), prior to issuance of certificate of compliance.

On 4/18/2022 observed facility failure to provide proof of purchase of interconnected fire detection system.

Corrected Corrected by Apr 18, 2022

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