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, certification representative observed the wall not kept clean, two broken outlet covers and the radiator surface not in good repair in the main child care space.

Corrected Corrected by Jan 28, 2025

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

3270.94(a)(4) · The Director 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.

At the time of inspection, the written record for the fire drills did not include the hypothetical location of the fires.

Corrected Corrected by Feb 27, 2025

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.

At the time of inspection, certification representative observed surfaces of the refrigerator were not clean.

Corrected Corrected by Feb 27, 2024

Category: nutrition. 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 information for children #1 and 2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director 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.

At the time of inspection, the fire drills did not consist of hypothetical locations of the fire rotated around the facility for each drill.

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection on 03/08/23, the liability insurance provided expired on 08/05/22.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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 on 03/08/23 the emergency contact form reviewed for child #3 and child #4 was missing PCP telephone number.

Corrected Corrected by Apr 7, 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 on 03/08/23 the emergency contact form reviewed for child #2 and child #4 was missing parent's telephone number.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. 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 #3 -- may not work in a childcare position at the facility.

During the renewal inspection on 03/08/23, the staff file reviewed for facility person #3 hired (see code sheet) did not contain completed FBI clearance or NSOR certificate. PSP and child abuse clearances were present however no requests for remaining clearances were in file.

Corrected Corrected by Mar 8, 2023

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

3270.112 · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

During the renewal inspection on 03/08/23, infant was observed crying for approximately 10 minutes without being provided stimulation.

Corrected Corrected by Apr 3, 2023

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During the renewal inspection on 03/08/23 the fee agreement reviewed for child #4 was missing fee amount to be charged per day or per week.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

During the renewal inspection on 03/08/23 the fee agreement reviewed for child #1 was missing date on which fee is to be paid.

Corrected Corrected by Apr 7, 2023

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).

During the renewal inspection on 03/08/23 the file reviewed for child #1 was missing required child service report.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During the renewal inspection on 03/08/23 the fee agreement reviewed for child #4 was missing arrival and departure times.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection on 03/08/23 the emergency contact form reviewed for child #3 was missing health insurance coverage and policy number. Emergency contact form for child #4 was missing policy number.

Corrected Corrected by Apr 7, 2023

Category: health medication. 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.

During the renewal inspection on 03/08/23 the emergency contact form and fee agreement reviewed for child #1, child #3, child #4 and child #5 were not reviewed/updated within 6-month period. Child #1 dated 03/28/22, child #3 dated 03/21/22, child #4 dated 08/10/22 and child #5 dated 12/2021.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection on 03/08/23, the health assessment reviewed for child #1 was not updated within 6 months. Health assessment reviewed was dated 01/26/22.

Corrected Corrected by Apr 20, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 free from communicable tuberculosis.

During the renewal inspection on 03/08/23, the file reviewed electronically for staff #3 did not include a physical examination. There was also no medical documentation to confirm that staff #3 was free from communicable diseases.

Corrected Corrected by Mar 8, 2023

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

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

During the renewal inspection on 03/08/23, staff files were not available on site for review.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. 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.

During the renewal inspection on 03/08/23, the file reviewed for staff #3 did not include two written nonfamily references.

Corrected Corrected by Mar 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection on 03/08/23, there was no documentation provided of annual emergency drills.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. 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)).

During the renewal inspection on 03/08/23, there was no current documentation provided of annual testing from fire safety professional. Fire detection testing documentation provided expired on 3/11/22.

Corrected Corrected by Apr 7, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 03/08/23 the electric file reviewed for staff #1 was missing required 12 hours of annual childcare training. Staff #1 provided documentation for 1hr.

Corrected Corrected by Apr 15, 2023

Category: recordkeeping. 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). Child Protective Services Law requires that staff that do not reside in PA obtain state police, child abuse, and sex abuse registry clearances from both PA and the state in which they currently reside, or have resided in the previous 5 year period. 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. Child Protective Services Law requires that disclosure forms be completed every five years. Both staff persons #2 and 3 have disclosure forms that are more than 6 years old..

Staff persons number 1, 2, and 3 either currently reside out of the state of PA, or resided out of the state of PA during the last five years. Required clearances were not submitted for review by the operator. Additionally staff persons number 2, and 3, had disclosure forms that were dated 5/12/2016, and 5/16/2016 respectively. Disclosure forms are required to be updated every 5 years.

Corrected Corrected by Apr 5, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During the onsite inspection on 3/29/2022 a handwashing sign instructing children to wash their hands before meals, and after toileting was not present in the bathroom assigned for use by the children.

Corrected Corrected by Apr 4, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

During the onsite inspection on 3/29/2022 a cubby in the main childcare area was found to be free moving creating a potential safety hazard for children receiving care in that space.

Corrected Corrected by Apr 4, 2022

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

3270.106(a) · The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the onsite inspection on 3/29/2022 a pack and play and cots were observed that were not labeled for individual use by the children receiving care in the program.

Corrected Corrected by Apr 1, 2022

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

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

Agreements submitted for child # 1, 4, and 5 did not include a date of admission

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. 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.

Emergency Contact information for child numbers 1,2,3,4, and 5 did not include work addresses and work phone numbers for the enrolling parent.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information submitted for child #3 did not indicate whether or not the child had any type of special needs.

Corrected Corrected by Apr 4, 2022

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

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During the onsite inspection on 3/29/2022 it was noted that complete emergency contact information was not being taken for enrolled children when they left the facility for walking excursions.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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

Emergency contact information for child #4 was not dated.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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 Staff Health Assessment was not submitted for staff persons #1, and 4

Corrected Corrected by Apr 4, 2022

Category: ratio. Marked corrected in the state record.

3270.131(a) · 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.

The information submitted for child #5 did not include a completed health report

Corrected Corrected by Apr 4, 2022

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