3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: 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 cannot work in a childcare position at the facility until the required CPSL document (NSOR) have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance document (NSOR) for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. #1hired 2/2/25-no completed NSOR)

Corrected Corrected by Mar 14, 2025

Category: background checks. Marked corrected in the state record.

3280.53(b)/3280.61(h) · The related or foster children of an operator and the children or foster children of a staff person shall be counted in the capacity for the space. The capacity established for an indoor space may not be exceeded. Reduce the number of children in care not to exceed 10 children at any one time in accordance with 3280 regulations and Philadelphia L&I. Develop and submit a written plan to ensure compliance with the established indoor capacity for the facility as specified in these regulations.

On 4/4/25 at approximately 11:30am, 11 children were observed being cared for in the facility that has a capacity for 10 children. Philadelphia L&I limited the number of children to 10.

Corrected Corrected by Apr 4, 2025

Category: ratio. Marked corrected in the state record.

3280.113(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. Children must be supervised at all times. -Correct by 3/14/25 The legal entity must arrange for all facility staff to receive at least 2 hours of DHS approved training in proper supervision of children, including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children. Submit written verification of the completed training for all facility staff persons. Correct by 4/14/25.

On 3/14/25, at approximately 11:00 am, a mixed age group of 5 infants/young toddlers were observed alone and unattended in the infant/toddler room with no staff supervision when a staff person left the room twice to take something to the other child care room.

Corrected Corrected by Apr 14, 2025

Category: supervision. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f). Complete and submit a current up-to-date report on the DHS approved form for child service reports or the use of a research based standardized form approved by DHS to assess children's growth and development. Resubmit a current up-to-date child assessment for the indicted children using the required form.

Several children's records did not contain child service reports completed every 6 months in accordance with this regulation. They were not completed on the DHS approved form, or a research based standardized form approved by DHS to assess children's growth and development.

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child.

One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months.(#5)

Corrected Corrected by Apr 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The legal entity must arrange for all staff persons to be trained in/to receive hands on training in proper hand washing procedures. Submit written verification of the completed training for all facility staff. We ensure that children's hands are washed before meals and snacks, after toileting and after being diapered.

On 3/14/25 at approximately 11:30am, one staff person was observed changing a child's diaper and did not ensure that the child's hands were washed after being diapered.

Corrected Corrected by Apr 14, 2025

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

3280.135(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. All facility staff person must receive DHS approved training in the proper diapering procedures to include the proper disposal of soiled diapers. Submit written verification of the completed training for all facility staff.

On 3/14/25, at approximately 11:30am, a staff person was observed changing a child's diaper and placed the soiled diaper into a plastic tie bag rather than immediately disposing the soiled diaper into a hands-free plastic-lined container.

Corrected Corrected by Apr 14, 2025

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

3280.14/3280.20 · 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. Staff persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

One staff person's record did not contain verification of completed CCDBG training PA Update (1 hour) required prior to working with children unsupervised. (#1, #2 and #3)

Corrected Corrected by May 3, 2024

Category: supervision. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures/ and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

The letter given to parents regarding the emergency plan did not explain the emergency procedure /updates to the plan as required in 3270.27 subsection a.

Corrected Corrected by Jun 3, 2024

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

3280.26(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. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery.

There was no documentation indicating that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Jun 3, 2024

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

3280.32(a)/3280.192(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. 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, #2 and #3 cannot work in a childcare position at the facility until the required CPSL documents (mandated reporter training) have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#1, #2 and #3- mandated reporter training more than 60 months old (#3-FBI, STATE POLICE and CHILD ABUSE clearances more than 60 months old when updated

Corrected Corrected by Apr 19, 2024

Category: background checks. Marked corrected in the state record.

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. Obtain and submit written verification of education for the indicated staff person. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification of education for their primary staff position. (#1)

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.52(b)/3280.52(c) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The required staff:child ratios must be maintained at all times. Ensure that staff:child ratios are maintained at all times.

On 5/3/24, at approximately 11:00am, facility persons #4 was observed caring for a group of 5 mixed-age children (infant-young/older toddlers) in infant toddler classroom (room#1). Staff person #1 verified the ages of the children in care.

Corrected Corrected by May 3, 2024

Category: ratio. Marked corrected in the state record.

3280.52(b)/3280.52(c) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. 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 at §3280.52(b). The facility must arrange for all facility staff to receive training in proper staff/child ratios and revise staffing schedules to ensure that staff/child ratios are maintained at all times. Submit written verification of completed training for all facility staff persons and a copy of the revised staffing schedule.

On 5/3/24, at approximately 11:00am, facility persons #4 was observed caring for a group of 5 mixed-age children (infant-young/older toddlers) in infant toddler classroom (room#1). Staff person #1 verified the ages of the children in care.

Corrected Corrected by Jun 3, 2024

Category: ratio. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement/s.

Two children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Revise the written plan identifying the means of transporting a child to emergency care to include staffing provisions in the event of an emergency. Submit a copy of the revised plan, post it in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

The facility's written plan identifying the means of transporting a child to emergency care did not include staffing provisions in the event of an emergency in accordance with this regulation.

Corrected Corrected by Jun 3, 2024

Category: transportation. Marked corrected in the state record.

3280.124(f)/3280.181(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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child/ren.

Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#1, #2, #3 and #4))

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.171(b)/3280.171(c) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Develop, post and submit written safe routes notification as specified.

Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

Corrected Corrected by Jun 3, 2024

Marked corrected in the state record.

3280.26(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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not include provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 4, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct an emergency drill and ensure that an emergency drill is conducted annually. Submit a copy of the completed emergency drill form to verify compliance.

There was no written record verifying that emergency drills were being conducted annually.

Corrected Corrected by Jun 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Submit a copy of a completed fire drills to verify compliance.

Fire drill records contained the same hypothetical location of the fire for consecutive fire drills.

Corrected Corrected by Jun 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Jun 3, 2024

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides 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. Amend the facility emergency plan to include shelter in place and lock down procedures. Submit a written copy of the amended emergency plan.

The facility's emergency plan did not provide for shelter of children during an emergency including shelter in place and lock down procedures.

Corrected Corrected by Jun 3, 2024

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

3280.31(a) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. The identified person must be removed as a volunteer until they are 16 years of age. Ensure that all volunteers will be at least 16 years of age or older.

One facility person identified as a volunteer was not at least 16 years of age or older. (#4)

Corrected Corrected by Jun 3, 2024

Category: supervision. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Corrected Corrected by Jun 3, 2024

Marked corrected in the state record.

3280.181(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.

During renewal inspection, cert rep observed missing documentation concerning the 6-month review of the emergency contact information and agreement in the file of Child1, Child 2, Child 3, Child 4 and Child 5.

Corrected Corrected by Apr 20, 2023

Category: recordkeeping. Marked corrected in the state record.