3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Two kids were play fighting and staff member #1 grabbed one child by the arm, that child slapped the staff person's face. Staff member #1 then grabbed the child's arm tight.

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. 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 #1 did not contain a Child Service Report signed and dated by the child's parent in the last 6 months.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of inspection, the file for staff member #3; hired more than 90 days, was missing verification of completion of the PA Health and Safety Update 1- hour training.

Corrected Corrected by Oct 30, 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). 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 contained an invalid FBI Clearance dated 7/24/2018 and an expired Mandated Reporter training certificate dated 10/02/2018.

Corrected Corrected by Nov 18, 2024

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 #2 did not include verification of a high school diploma or a general educational development certificate (GED) which is necessary to qualify for the position of assistant group supervisor.

Corrected Corrected by Nov 18, 2024

Category: supervision. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

At the time of inspection, the emergency contact form for child #2 did not have the parent signature for consent of emergency medical and minor first-aid.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

9At the time of inspection, the file for child #3 contained a health report dated 9/03/2023.

Corrected Corrected by Nov 18, 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.

At the time of inspection, the file for staff member #4 only contained 1 written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

During the renewal inspection conducted on 9/14/2023 observed the first-aid kit in the Pre-K room was child accessible.

Corrected Corrected by Oct 13, 2023

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.

During the renewal inspection conducted on 9/14/2023 observed the first-aid kit in the Pre-K room did not include gloves. Observed the first-aid kit in the indoor play space did not include medical tape. Corrected on-site 9/14/2023.

Corrected Corrected by Oct 13, 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.

During the renewal inspection conducted on 9/14/2023 observed a staff person in the Pre-K room named five children out of the six she was responsible for supervising.

Corrected Corrected by Oct 13, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection conducted on 9/14/2023 observed child #1's emergency contact information did not include the address and telephone number of the child's physician. Observed child #3's emergency contact information did not include the address of the child's physician. Corrected on site 9/14/2023.

Corrected Corrected by Oct 13, 2023

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

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 on 9/14/2023 observed child #1 and #4's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 on 9/14/2023 observed child #1's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Also observed the emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 13, 2023

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

During the renewal inspection conducted on 9/14/2023 observed child #1 and #2's health reports did not include verification of updated influenza vaccines.

Corrected Corrected by Oct 13, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the renewal inspection conducted on 9/14/2023 observed child #2's health report did not include whether the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 13, 2023

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

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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.

During the renewal inspection conducted on 9/14/2023 observed staff person #1's health assessment did not include an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Oct 13, 2023

Category: health medication. 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.

During the renewal inspection conducted on 9/14/2023 observed child #1's record did not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection conducted on 9/14/2023 observed child #1's record did not contain signed parental consent for transportation.

Corrected Corrected by Oct 13, 2023

Category: transportation. Marked corrected in the state record.