3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

At the time of inspection, dust and debris were observed on the air vents in room 2 and room 4. Rust was observed on metal fixtures in the bathroom of room 4. The bathroom tile in room 5 was cracked and disrepair.

Corrected Corrected by Oct 25, 2024

Category: physical safety. 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 #3 did not have signed parental consent for emergency medical care.

Corrected Corrected by Oct 25, 2024

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.

At the time of inspection, the agreement form for child #1 was not signed by the parent in the last 6 months. The emergency contact and agreement forms were not signed by the parent in the last 6 months. The emergency contact form for child #3 was not signed by the parent in the last 6 months and there was not an agreement form present in the child's facility file. The file for child #4 did not contain an agreement form.

Corrected Corrected by Oct 25, 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.

At the time of inspection, the file for child #1 did not contain an updated health assessment dated in the lasty 12 months.

Corrected Corrected by Oct 29, 2024

Category: health medication. 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 4/ 15 /24, a preschool child left from their assigned classroom on the second floor unsupervised, went down the stairs and out of the facility's front door, where the child was discovered by a parent arriving to the facility. Preschool staff members #1 and #2 were unaware where the child was and did not know the child was no longer present in the classroom.

Corrected Corrected by Jun 27, 2024

Category: supervision. Marked corrected in the state record.

3270.21/3270.192(2)(iii) · Conditions at the facility may not pose a threat to the health or safety of the children. 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 #2, hired 10/22/01; did not include verification of completion of the Health & Safety Training 1 Hour Update. All staff members were required to complete the training by the end of December 2022.

Corrected Corrected by Oct 20, 2023

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, hired 9/5/23; did not include a receipt of request for a PA State Police Criminal Clearance nor the completed PA State Police Criminal Clearance, as required CPSL.

Corrected Corrected by Oct 20, 2023

Category: supervision. 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, dirt was observed on the air vent in room 2 near the reading area. The air vent, near the sink in classroom 3 was observed dusty and/ or discolored. The trash can in the room 3 had dirt on the outside. The air vent, near the fire extinguisher; in room 4 was observed with dust on the surface. The fan on the wall in classroom 4 was observed with dust on the on the surface.

Corrected Corrected by Oct 20, 2023

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

At the time of inspection, a trash receptacle observed in the bathroom located in room #4, was not equipped with a lid..

Corrected Corrected by Oct 20, 2023

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

At the time of inspection, the agreement forms for child #2 and child #3 did not include enrollment dates.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · 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.

At the time of inspection, the emergency contact forms for child #5 was missing the addresses of the release person(s).

Corrected Corrected by Oct 20, 2023

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.

At the time of inspection, the emergency contact and/or financial agreement forms for children #1, #2, 3 and #4 had not been updated or reviewed by the parents of the children in the last 6 months. The emergency contact and financial agreement forms for child #1 were both dated 9/1/22. Child #2's emergency contact form was dated 3/12/23 and the financial agreement was undated. Child #3's emergency contact form for was dated 5/15/22 and the financial agreement form was undated. Child's #4's emergency contact and financial agreement forms were both dated 8/19/22.

Corrected Corrected by Oct 20, 2023

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.

At the time of inspection, the file for child #1, D.O.B. 12/27/18 & enrolled 9/6/22; included a health assessment dated 4/6/22 which hadn't been updated within the last 12 months.

Corrected Corrected by Oct 27, 2023

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

3270.131(c)/3270.131(d)(7) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. 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.

At the time of inspection, the file for child #2, D.O.B. 6/10/19 & enrolled 9/6/22; did not include a Child Health Assessment but a Summary of Visit documentation with vaccination information. The Summary of Visit document did not include the medical providers' signature, nor did it include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The last health assessment observed in child #3's file was dated 9/17/21.

Corrected Corrected by Oct 20, 2023

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.

At the time of inspection, the file for staff member #1 did not include an initial health nor the TB results required for an initial health assessment.

Corrected Corrected by Oct 20, 2023

Category: ratio. Marked corrected in the state record.

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

On May 10, 2023, certification representative conducted a complaint investigation. According to witnesses, staff person #1 picked a child up by the arm and moved them to another seat in a harsh manner.

Corrected Corrected by Jun 10, 2023

Category: recordkeeping. 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 November 15, 2022 during the renewal inspection, staff #1 did not know the name of the children in their responsibility group.

Corrected Corrected by Nov 17, 2022

Category: supervision. Marked corrected in the state record.