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.

On 8-17-2023, during the Renewal inspection, the file of staff person #1 did not contain two nonfamily written references.

Corrected Corrected by Aug 17, 2023

Category: recordkeeping. 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.

On 8-17-2023, during the Renewal inspection, the thermometer located in the kitchen refrigerator read 55° F.

Corrected Corrected by Nov 20, 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.

On 8-17-2023, during the renewal inspection, staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR training and Mandated Reporter training.

Corrected Corrected by Nov 20, 2023

Category: supervision. 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.

On 8-17-2023, during the Renewal inspection, the facility's emergency plan did not address continuity of operations.

Corrected Corrected by Nov 20, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

On 8-17-2023, during the Renewal inspection, the facility's emergency plan did not address the method in which parents will be notified when an emergency arises and when it has ended.

Corrected Corrected by Nov 20, 2023

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

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

On 8-17-2023, during the Renewal inspection, the emergency plan presented did not show that it had been reviewed annually. Last date shown was 2019 and addressed another location.

Corrected Corrected by Nov 20, 2023

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 8-17-2023, during the Renewal inspection, Johnson and Johnson baby oil was located in an unlocked cabinet in the middle classroom space (pre-school room).

Corrected Corrected by Aug 17, 2023

Category: physical safety. 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 8-17-2023, during the Renewal inspection, ceiling tiles throughout the facility present water stains. The wall in the first classroom, where shool-agers were present, presented dirt and had a wire sticking out on the floor, presenting a tripping hazard. The faucet in the third classroom where young toddlers were present was dirty. The yellow and green bins located in that space presented a lot of dust. Push pins were located on top of the children's kitchen play set in the middle, preschool, classroom. A plastic bag was located under the changing table in the infant room which was accessible to children. The carpet in the playspace was dirty.

Corrected Corrected by Nov 20, 2023

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

On 8-17-2023, during the Renewal inspection, several lights throughout the facility were inoperable causing the facility to be dimly lit.

Corrected Corrected by Nov 20, 2023

Marked corrected in the state record.

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

On 8-17-2023, during the Renewal inspection, the first sink cabinet in the children's bathroom had a broken door with a lock on it causing a hazard and the bathroom walls were dirty.

Corrected Corrected by Nov 20, 2023

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

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

On 8-17-2023, during the Renewal inspection, the emergency plan presented did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 20, 2023

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.

On 8-17-2023, during the Renewal inspection, proof of purchase for the facility's fire detection devices or systems was not presented.

Corrected Corrected by Aug 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

On 8-17-2023, during the Renewal inspection, the facility did not have an emergency plan that addressed that specific location.

Corrected Corrected by Nov 20, 2023

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

On 8-17-2023, during the Renewal inspection, the emergency plan presented did not address evacuation of children to a location away from the facility being inspected.

Corrected Corrected by Nov 20, 2023

Category: physical safety. 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.

On 8-17-2023, during the Renewal inspection, proof that a copy of the emergency plan for this location was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 20, 2023

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. Outdoor play space used by the facility is considered part of the facility premises.

On 8-8-2023, during the complaint investigation, it was confirmed through staff interviews that child #1 was bitten by another child in the classroom; in a separate incident, child #1 endured an eye injury by climbing onto a changing table located in the adjacent infant classroom. Staff person #1 acknowledged although they were physically present in the same space with child #1, during each occurrence, staff person #1 did not see the incidents occur because they were attending to other children in the classroom and their back was turned away from child #1.

Corrected Corrected by Nov 20, 2023

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.

On 8-8-2023, during the complaint investigation, the file for child #1 did not contain an incident report for any of the injuries that child #1 endured while in care at the facility. The facility did not have evidence of an accident file.

Corrected Corrected by Nov 20, 2023

Category: health medication. 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 8-8-2023, during the complaint investigation, toxins labeled bleach and water were on the shelves of the preschool, young toddlers and school age classrooms.

Corrected Corrected by Nov 20, 2023

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

3270.113(a)(1) · 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 8-8-2023, during the complaint investigation, staff person #1 was unable to identify specific children assigned.

Corrected Corrected by Nov 20, 2023

Category: supervision. 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: 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.

The file for staff member #4 did not include the rap sheet(s) for the FBI clearance, dated 12/30/2019; which indicated a record. Facility person #1 was working without clearances or any other documents required under the CPSL, on file at the facility.

Corrected Corrected by Nov 4, 2022

Category: supervision. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan entitled "Fire Evacuation Procedures" doesn't provide a method for staff persons to contact the parents as soon as reasonably possible when an emergency situation arises. Nor does the plan provide a method for staff persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be returned with their children.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility had not documented in writing the annual review or update of the facility's emergency plan.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(ii)/3270.192(2)(iii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff members #4 and #5 did not include verification of completing 12 credit hours of child care training/ professional development.

Corrected Corrected by Nov 4, 2022

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.

Several areas around the facility were in need of repair or cleaning. The floor in the PreK area had missing or broken floor tiles, which were covered with black tape. Water-stained ceiling tiles observed in the indoor play space and other areas of the facility. The air vent in the ceiling of the indoor play space was in disrepair. The back hallway leading to the indoor play space and bathroom was cluttered with discarded furniture and other facility supplies which were possible tilting/ tripping hazards. The area rug in the indoor play space was observed with dirt spots and looked unclean.

Corrected Corrected by Nov 4, 2022

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.

Peeling and chipped paint was observed in the infant area, PreK area and other high traffic areas around the facility.

Corrected Corrected by Nov 4, 2022

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

3270.101(a)/3270.101(b) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

The infant and young toddler areas, on the left set of the facility; lacked play equipment and learning materials which address a child's emotional, cognitive, communicative, perceptual-motor, physical and social development. The childcare area designated for school-age children lacked age-appropriate materials to address a child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

Corrected Corrected by Nov 4, 2022

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

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

The files for child #1, child #2 and child #3 did not include the child's immunization record or status.

Corrected Corrected by Nov 4, 2022

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff #7 indicated that infant room staff don't immediately discard soiled diapers into a plastic-lined, hands-free covered can. Staffer #7 stated soiled diapers are put into a plastic bag and then placed on top of the half wall ledge for the director to come by and take it to the outdoor trash.

Corrected Corrected by Nov 4, 2022

Category: health medication. 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.

Facility person #1 observed working in the kitchen, did not have a health assessment on file at the facility. Staff member #6 's health assessment, dated 2/27/2020; is over 24 months and no longer valid.

Corrected Corrected by Nov 4, 2022

Category: ratio. Marked corrected in the state record.

3270.151(b)/3270.151(c)(2) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. 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.

The health form observed in staff member #3's file did not include a medical professional's signature and did not include TB screening results.

Corrected Corrected by Nov 4, 2022

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

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff member #2's health assessment doesn't include physician's or CRNP's assessment of the person's suitability to provide childcare and it doesn't address medical problems that might threaten the children or prohibit a staff member from providing adequate care to children.

Corrected Corrected by Nov 4, 2022

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

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

Facility person #1 did not have an individual record on file at the facility with the required health assessment, clearances, qualifications and trainings

Corrected Corrected by Nov 4, 2022

Category: background checks. 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)).

The facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Corrected Corrected by Nov 4, 2022

Category: physical safety. 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.

The facility did not have documentation of the director or designated person checking the fire detection system every 30 days.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The emergency plan observed did not include lock down or shelter in place procedures for emergencies situations.

Corrected Corrected by Nov 4, 2022

Category: physical safety. 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.

The facility did not send the updated emergency plan to the Office of Emergency management.

Corrected Corrected by Nov 4, 2022

Category: physical safety. 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 child care facility.

The annual letter to the local traffic safety authority was not sent.

Corrected Corrected by Nov 4, 2022

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 inspection, ceiling tiles in the indoor play area were observed with stains or water marks.

Corrected Corrected by Dec 14, 2021

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

3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

At the time of inspection, the fire extinguishers observed had service tags dated 2018/2019 so operability was unable to be determined.

Corrected Corrected by Dec 14, 2021

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

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of inspection, the emergency plan observed did not include accommodations for infant, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Dec 14, 2021

Category: physical safety. 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 time of inspection, the facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Corrected Corrected by Dec 14, 2021

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

At the time of inspection, the emergency plan observed did not include lock down procedures for non-weather related emergencies such as an unwanted intruder or violence.

Corrected Corrected by Dec 14, 2021

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