3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On 3-26-2025 during a Renewal inspection, the file of staff person #1 had an expired Pediatric first-aid/CPR training dated 3-13-2023.

Corrected Corrected by Apr 19, 2025

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.

On 3-26-2025 during a Renewal inspection, the file of staff person #2 had an expired Child Abuse clearance dated 3-11-2020 and FBI clearance dated 3-2-2020.

Corrected Corrected by Apr 19, 2025

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.

On 3-26-2025 during a Renewal inspection, the file of staff person #2 did not include a written evaluation of the staff person.

Corrected Corrected by Apr 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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

On 3-26-2025 during a Renewal inspection, the water temperature in the upstairs and downstairs children's bathrooms were 130° F.

Corrected Corrected by Mar 26, 2025

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

On 3-26-2025 during a Renewal inspection, the first-aid kit in the large upstairs room was missing adhesive bandages.

Corrected Corrected by Mar 26, 2025

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.

On 3-26-2025 during a Renewal inspection, the Sesame Street and Minnie Mouse toys in the large downstairs room were dirty. The orange and blue playhouse in the outdoor play space was broken inside and presented sharp edges.

Corrected Corrected by Apr 23, 2025

Category: physical safety. 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).

On 3-26-2025 during a Renewal inspection, the agreement form of child #1 did not include a child service report.

Corrected Corrected by Apr 19, 2025

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.

On 3-26-2025 during a Renewal inspection, the agreement form of child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

On 3-26-2025 during a Renewal inspection, the emergency contact form of child #1 did not include written consent signed by a parent for emergency medical care.

Corrected Corrected by Apr 19, 2025

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.

On 3-26-2025 during a Renewal inspection, the emergency contact and agreement forms of child #1 had not been updated within a 6-month period.

Corrected Corrected by Apr 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

On 3-26-2025 during a Renewal inspection, the file of staff person #3 had an expired health assessment dated 3-9-2023.

Corrected Corrected by Apr 19, 2025

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.

On 3-26-2025 during a Renewal inspection, the emergency contact form of child #1 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Apr 19, 2025

Category: recordkeeping. 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.

On 2-7-2025 during an unannounced visit, a wallflower was plugged in behind the blue children's sofa chair in the rear room on the 2nd floor.

Corrected Corrected by Feb 7, 2025

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.

On 2-7-2025 during an unannounced visit, a pipe was sticking up from the floor in the corner by the cubbies of the rear room on the 2nd floor. The outdoor play space contained trash and had a lot of bird poop on the children's playhouse and water table bin.

Corrected Corrected by Feb 17, 2025

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

On 2-7-2025 during an unannounced visit, the wood on the side of the sink in the children's bathroom on the 1st floor was chipping. The toilet in the first stall in the children's bathroom on the 2nd floor was out of order, not containing any water.

Corrected Corrected by Feb 21, 2025

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

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

On 2-7-2025 during an unannounced visit, a current fire drill log was not on file at the facility. The last date shown was 11-9-2017.

Corrected Corrected by Feb 17, 2025

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). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

On 5-22-2024 during an unannounced visit, staff persons #1 and #2 had 21 children in care, the youngest being an infant.

Corrected Corrected by Jun 3, 2024

Category: ratio. 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.

On 5-22-2024 during an unannounced visit, the blinds by the window in the front room on the 2nd floor were not in good repair.

Corrected Corrected by Jun 3, 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.

On 5-22-2024 during an unannounced visit, the toy kitchen sink in the front room on the 2nd floor was broken. Continued noncompliance from Renewal inspection on 4-24-2024.

Corrected Corrected by Jun 3, 2024

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

3270.61(h) · The capacity established for an indoor space may not be exceeded.

On 5-22-2024 during an unannounced visit, the main room on the first floor exceeded the capacity of 17 children by having 20 children. Continued noncompliance from Renewal inspection on 4-24-2024.

Corrected Corrected by Jun 3, 2024

Category: ratio. 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.

On 4-24-2024 during the Renewal inspection, staff persons #1 and #2 did not have written staff evaluations in files.

Corrected Corrected by May 20, 2024

Category: recordkeeping. 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.

On 4-24-2024 during the Renewal inspection, sharp metal weaving in the fence of the outdoor play space was sticking out. The carpet used for the outdoor play space was not lying flat on the ground, causing a tripping hazard.

Corrected Corrected by May 20, 2024

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

3270.61(h) · The capacity established for an indoor space may not be exceeded.

On 4-24-2024 during the Renewal inspection, the front classroom on the 2nd floor exceeded the capacity of 9 in the childcare space.

Corrected Corrected by May 20, 2024

Category: ratio. 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.

On 4-24-2024 during the Renewal inspection, the second stall in the upstairs bathroom had bleach, ammonia and disinfectant spray on a shelf next to the toilet.

Corrected Corrected by May 20, 2024

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 4-24-2024 during the Renewal inspection, emergency numbers were not posted by the facility's telephone.

Corrected Corrected by Apr 24, 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.

On 4-24-2024 during the Renewal inspection, the toy kitchen sink in the front room on the 2nd floor was broken.

Corrected Corrected by May 20, 2024

Category: physical safety. 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.

On 4-24-2024 during the Renewal inspection, rest equipment on the first and second floor were not properly labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Apr 24, 2024

Category: physical safety. 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).

On 4-24-2024 during the Renewal inspection, children #1, #2, #3, #4 and #6 did not have child service reports in files.

Corrected Corrected by May 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

On 4-24-2024 during the Renewal inspection, staff person #2 did not sanitize the changing pad in between diaper changes.

Corrected Corrected by May 20, 2024

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

3270.181(c) · 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.

On 4-24-2024 during the Renewal inspection, child #3 did not have an updated financial agreement form.

Corrected Corrected by May 20, 2024

Category: recordkeeping. 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.

On 4-24-2024 during the Renewal inspection, child #5 did not have a health assessment.

Corrected Corrected by May 20, 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.

At the time of the renewal inspection the certification representative observed that the facility had an emergency plan that did not include all facility persons and their duties during an emergency.

Corrected Corrected by May 1, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · 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.

At the time of the renewal inspection the certification representative observed that staff #3 had an FBI clearance that was more than 60 months old. The clearance expired on 2/7/2018.

Corrected Corrected by May 1, 2023

Category: supervision. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of the renewal inspection the certification representative observed that child #1 and#2 did not have an influenza immunization in the year 2022 or 2023. Also, there were no exemption letters on file.

Corrected Corrected by May 1, 2023

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

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

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT FACILITY PERSON #1 DID NOT HAVE VERIFICATION OF MANDATED REPORTER TRAINING.

Corrected Corrected by May 27, 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)).

AT THE TIMEOF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE SYSTEM.

Corrected Corrected by May 17, 2022

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