Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the inspection, peeled paint was observed in the school age program room near the white board.

3270.77(a) · Corrected May 12, 2025

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 the time of the inspection, the emergency contact of child #4 did not include the address of the individual designated by the parent to whom the child may be released.

3270.124(b)(7) · Corrected May 12, 2025

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 the inspection, the emergency contact and the financial agreement for child #3 did not include once in a 6-month review.

3270.124(f)/3270.181(c) · Corrected May 12, 2025

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 the inspection, the file of staff person #1 and #2 did not include a staff evaluation.

3270.34(a)(6) · Corrected May 12, 2025

Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

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).

At the time of the inspection, 4 infants and 9 toddlers with 3 staff persons was observed in the toddler room.

3270.52 · Corrected Apr 7, 2025

A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

At the time of the inspection the toilet area in the rear of the building was not equipped with a lidded waste receptacle.

3270.82(i) · Corrected Apr 30, 2024

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2 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.

At the time of the inspection the record of staff person #2, having served the facility in a child care position for over 45 days, was lacking a completed National Sex Offender Clearance Letter.

3270.32(a)/3270.192(4) · Corrected Apr 23, 2024

A first-aid kit shall be in a child care space. When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of the inspection the children were being cared for in the cafeteria and there was no first aid kit in the room, nor was there emergency contact information for children receiving care in the space.

3270.75(a)/3270.124(c) · Corrected May 8, 2024

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 the time of the inspection the emergency contact information of child #1 was lacking health insurance coverage and policy number for that child.

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.

On 4/20/23, at time of inspection, a thermometer was not observed in the refrigerator located in the infant room.

3270.107 · Corrected Apr 24, 2023

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2-- 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. Facility Person #1-- may not work in a child care position at the facility.

On 4/20/23, at time of inspection, Staff #2 file did not contain completed Child Abuse clearance, PA Criminal Clearance or FBI clearance as required by CPSL.

3270.32(a)/3270.192(4) · Corrected Apr 26, 2023

A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

On 4/20/23, at time of inspection, Child #1 and Child #2 have been enrolled at the facility for more than 60 days. An updated immunization record was not on file for Child #1. Additionally, Child #1 and Child #2 files did not contain documentation of an annual influenza vaccine as recommended by the ACIP.

Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

On 6/8/22, the facility did not conduct an annual emergency drill.

3270.27(a)(6) · Corrected Jun 16, 2022

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.

On 6/8/22, Staff #1 file did not contain a completed NSOR clearance required by CPSL.

3270.32(a) · Corrected Jun 8, 2022

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.

On 6/8/22, the safety feature on the second floor window located in the Toddler Room was not engaged, enabling the window to open more than 6".

3270.72(d) · Corrected Jun 8, 2022

Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 6/8/22, Child #1, Child #2 and Child #3 file did not include the health insurance policy number.

3270.124(b)(6) · Corrected Jun 24, 2022

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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

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.

On 11/12/21, during unannounced inspection, Staff #1 was provisionally hired on 10/4/21. At approximately 1:20pm, Staff #1 was observed in the infant/toddler room working alone with children and was not in the vicinity of a permanent employee.

3270.32(a) · Corrected Nov 12, 2021

Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 11/12/21, during unannounced inspection, at approximately 1:15pm, Staff #2 left 6 sleeping PS age children in the second floor PS room unsupervised and unattended for approx. 2 minutes while answering the front door. The front door is located on the first floor.

3270.113(a)/3270.113(a)(1) · Corrected Nov 12, 2021

Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 8/11/21, during complaint investigation at 12:40pm (nap time), certification rep asked Staff #3 (infant/toddler staff) to describe all the steps of diaper changing procedure in detail. Staff #3 stated that after the diaper is changed, the child returns to class activity. Staff #3 stated that gloves are removed at end of diaper changing. Adult and child handwashing after diapering was not included in the diaper changing procedures described by Staff #3.

3270.134(a)/3270.152 · Corrected Aug 16, 2021

A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.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.

On 8/11/21, during complaint investigation, Staff #1 acknowledged that on 6/16/21 Staff #2 transported 5 school age students in the facility van to and from a field trip, unsupervised by a staff person qualified at minimum as an assistant group supervisor. Staff 2 is qualified as an aide.

3270.33(a)/3270.37(c) · Corrected Aug 11, 2021