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.

At the time of inspection, the file for staff member #1 included an incomplete PA State Police Clearance requested 12/07/21 which did not indicate record or no record and did not have dissemination date. The file for staff member #2 included a volunteer PA Child State Police clearance which is not valid for staff members working in a child care facility.

Corrected Corrected by Mar 18, 2024

Category: supervision. Marked corrected in the state record.

3270.35(b)(1)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of inspection, the file for staff member #3 contain a degree from an educational institution from outside of the United States which is not accredited in the United States. Staff member #3's file did not include an equivalence evaluation from an evaluating agency determining if the foreign degree is equivalent to U.S. standards.

Corrected Corrected by Mar 18, 2024

Category: supervision. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of inspection, dust was observed on the fan in room 3. Dust was observed on the air vent in room 4. The fire extinguishers observed around the facility had a layer of dust or dirt on the surface. The outdoor play area was observed with artificial grass rugs layered on top of each other which had lumps and uneven surfaces which are tripping hazards.

Corrected Corrected by Mar 18, 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).

At the time of inspection, the file for child #4 and child #5 did not include a Child Service Report or developmental progress report signed by the parents of the children in the last 6 months.

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. 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.

At the time of inspection, the financial agreement forms for child #2, child #4, and child #5 were not dated with the parent's signature in the last 6 months.

Corrected Corrected by Mar 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

At the time of inspection, the emergency contact form for child #1 did not have the parent signature for consent of emergency medical and minor first-aid. The parent of the child used initial instead signing their signature.

Corrected Corrected by Mar 18, 2024

Category: ratio. Marked corrected in the state record.

3270.192(3) · 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.

At the time of inspection, the file for staff member #4, hired 12/30/16; did not include an initial health assessment with TB required prior to employment.

Corrected Corrected by Mar 18, 2024

Category: health medication. 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.

At the time of inspection, the file for child #3, enrolled 8/30/23; with D.O.B of 3/4/23; did not contain an initial health assessment completed by a medical professional. Child #3 had been enrolled more than 60 days without a completed health assessment submitted to the child's file at the facility.

Corrected Corrected by Mar 18, 2024

Category: health medication. 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).

On February 23, 2023, certification representative conducted a renewal inspection. The record for staff #1 did not include an updated FBI clearance.

Corrected Corrected by Mar 23, 2023

Category: background checks. 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 February 23, 2023, certification representative conducted a renewal inspection. During the facility walkthrough, staff person #3 did not know the names of the children in care and had not been given responsibility for specific children in the classrooms.

Corrected Corrected by Feb 24, 2023

Category: supervision. 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 February 23, 2023, certification representative conducted a renewal inspection. The fee agreement for child #2 did not include release persons.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

On February 23, 2023, certification representative conducted a renewal inspection. The record for child #1 did not include an updated health report.

Corrected Corrected by Mar 23, 2023

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

On February 23, 2023, certification representative conducted a renewal inspection. After diaper changing, staff person #2 did not wash the child's hands. (Corrected on site).

Corrected Corrected by Feb 23, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On February 23, 2023, certification representative conducted a renewal inspection. There were unlabeled bottles and sippy cups located in the toddler classroom. (Corrected on site).

Corrected Corrected by Feb 23, 2023

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. 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.

Staff #1 did not have the required clearances for review -FBI; State Criminal and Child Abuse at the time of the renewal inspection.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.