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 11/26/2024, the emergency contact reviewed for child #2 did not include the work addresses and work telephone numbers of the enrolling parent.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. 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 11/26/2024, the emergency contact reviewed for child #1 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection conducted 11/26/2024, there were no electrical receptacle covers placed in two of the electrical outlets in the infant room.

Corrected Corrected by Dec 12, 2024

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the renewal inspection conducted 11/26/2024, Lysol wipes were observed on a low shelf accessible to the children in the infant and toddler space.

Corrected Corrected by Dec 12, 2024

Category: physical safety. 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 11/26/2024, the agreement reviewed for child #1, #2 and #3 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. 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.

During the renewal inspection conducted 11/26/2024, the agreement reviewed for child #1, #2 and #3 did not include the dates of application, admission of the child.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

During the renewal inspection conducted 11/26/2024, the emergency contact reviewed for child #2 did not include signed parental consent for administration of medications or special dietary needs.

Corrected Corrected by Dec 12, 2024

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

During the renewal inspection conducted 11/26/24, the record reviewed for child #3 enrollment date (see code sheet) did not include a health assessment within 60 days of the child being enrolled.

Corrected Corrected by Dec 12, 2024

Category: health medication. 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 childcare facility.

During the renewal inspection conducted 11/26/2024, upon request there was no verification available for review verifying that the operator notified 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 childcare facility.

Corrected Corrected by Dec 12, 2024

Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

During the complaint investigation conducted November 4, 2024, it was found that the facility did not notify the Southeast regional office within 24 hours of child #1 receiving emergency room treatment on two different occasions from an incident that occurred at the facility on July 11, 2024, and October 21, 2024.

Corrected Corrected by Nov 27, 2024

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children.

During the complaint investigation conducted November 4, 2024, it was found that child #1 was not supervised by a staff person when the child hit their head on a bathroom sink. It was also found that child #1 on a different occasion hit their mouth on the floor and required emergency room visits for both incidents.

Corrected Corrected by Nov 27, 2024

Category: supervision. 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.

During the complaint investigation conducted November 4, 2024, upon review of the incident accident file and child file it was found that the facility did not retain an incident report for child # 1, for the incident that occurred in July of 2024 which resulted in the child receiving emergency care treatment.

Corrected Corrected by Dec 12, 2024

Category: health medication. 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.

During the allocated unannounced inspection conducted on August 9, 2024, the ceiling and wall in the indoor play space bathroom was observed leaking water. A bucket was placed to catch the water.

Corrected Corrected by Aug 30, 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.

During the allocated unannounced inspection conducted on August 9, 2024, upon request, there was no evidence verifying Staff person #1 and #2 completed emergency plan training at the time of their initial employment (See code sheet for hire date). Staff person #5 emergency plan training was not updated within a 12month period (last dated 7/5/23).

Corrected Corrected by Aug 30, 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 allocated unannounced inspection conducted on August 9, 2024, there was no evidence verifying Staff person #2 (see code sheet for hire date) completed the required 10hr Health and Safety Training.

Corrected Corrected by Aug 30, 2024

Category: health medication. 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 allocated unannounced inspection conducted on August 9, 2024, the evaluation reviewed for staff person #4 and #5 was not updated within a 12-month period (The last date noted was 6/6/23 for staff #4 and 5/1/23 for staff #5).

Corrected Corrected by Aug 30, 2024

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).

During the allocated unannounced inspection conducted on August 9, 2024, Staff person #4 was observed working alone in the main preschool childcare space with 12 children. The youngest child in the group was a three-year-old preschool age child.

Corrected Corrected by Aug 21, 2024

Category: ratio. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the allocated unannounced inspection conducted on August 9, 2024, the outlet in the preschool main childcare space and indoor play space was missing protective covers.

Corrected Corrected by Aug 21, 2024

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During the allocated unannounced inspection conducted on August 9, 2024, Lysol wipes were observed on a low shelf inside the preschool main childcare space. The closet in the indoor play space was observed unlocked with defend hand cleaner and Alex plus molding caulk on the floor. The back closet in the toddler main childcare space was also observed unlocked with bleach, Lysol and Fabulosos cleaner on the floor accessible to children.

Corrected Corrected by Aug 21, 2024

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.

During the allocated unannounced inspection conducted on August 9, 2024, chip paint was observed in the circle time area and center wall block inside of the preschool main childcare space. Chip paint was also observed on the yellow wall in the indoor play space and toddler main childcare space on the wall across from the kitchen area.

Corrected Corrected by Aug 21, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the allocated unannounced inspection conducted on August 9, 2024, the changing table observed in the toddler main childcare space was stained and dirty.

Corrected Corrected by Aug 21, 2024

Category: physical safety. 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.

During the allocated unannounced inspection conducted on August 9, 2024, the record reviewed for staff person #2 did not contain an initial health assessment.

Corrected Corrected by Aug 30, 2024

Category: ratio. 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 allocated unannounced inspection conducted on August 9, 2024, the record reviewed for staff person #1 did not contain Mantoux tuberculosis test results.

Corrected Corrected by Aug 30, 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.

During the allocated unannounced inspection conducted on August 9, 2024, the record reviewed for staff person #1 only contained one nonfamily reference letter.

Corrected Corrected by Aug 30, 2024

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 allocated unannounced inspection conducted on August 9, 2024, there was no evidence verifying Staff person #1 (see code sheet for hire date) Completed Pediatric First Aid and CPR.

Corrected Corrected by Aug 30, 2024

Category: health medication. 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 the allocated unannounced inspection conducted on August 9, 2024, the fire detection log reviewed was not updated within a 30day period. (The last day noted was 1/17/2024).

Corrected Corrected by Aug 21, 2024

Category: physical safety. 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.

There was not documentation that facility staff #3, #4 and #5 completed the required pre-service health and safety training topics. The files of facility staff #3, #4 and #5 contained questionable training certificates that appeared to be altered.

Corrected Corrected by Feb 23, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At the time of inspection on 2/6/2023, Certification Representative observed several cots in use by children at nap that did not have at least 2 feet of space on three full sides.

Corrected Corrected by Feb 12, 2024

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

3270.151(a) · 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.

There was not verification that facility staff #4 had a health assessment conducted witin 12 months prior to initial service. There was a questionable health assessment in the record that appeared to be a photocopy of another health assessment with the name and date changed.

Corrected Corrected by Feb 23, 2024

Category: ratio. 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.

At the time of inspection on 2/6/2024, Certification Representative observed that their were no evacuation route diagrams posted in the facility.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. 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.

During the renewal inspection the glass door located in Room 4 was cracked.

Corrected Corrected by Mar 9, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the initial inspection the means of egress through both rear exits were obstructed by excessive debris and hazardous items including leaves, bricks, a paint can, a ceiling tile, a bucket, a toilet brush, a weed whacker, broken fixtures and other trash and debris.

Corrected Corrected by Feb 16, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the initial inspection the edges of the rug by the front entrance was curled up causing a tripping hazard. The Certification rep tripped on the rug after entering the facility. The doorknob on the far children's bathroom was loose. The white cabinet in children's bathroom was unstable. The gray cabinet across from the kitchen area was unstable.

Corrected Corrected by Feb 9, 2022

Category: physical safety. 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 initial inspection the provider did not have a proof of purchase for the fire detection system.

Corrected Corrected by Feb 9, 2022

Category: recordkeeping. Marked corrected in the state record.