3270.115(a)(6)/3270.115(b) · When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training). Wading.

At the time of the inspection the facility had a wading pool in the front yard of the facility, children were wading in approximately 18 inches of water; The facility has no lifeguard.

Corrected Corrected by Aug 2, 2023

Category: supervision. 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). Facility Person # 1 may not work alone with children in a child care position at the facility. 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 the inspection the record of staff person #1, having served the facility in a childcare position over 90 days, was lacking in the proof of the required first aid training. The records of staff person # 5 and # 4 ,who were observed providing care for children, were both lacking FBI fingerprint clearance information. The record of staff person # 5 did not have a current Mandated reporter training in their staff record.

Corrected Corrected by Jul 21, 2023

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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 the inspection the records of staff person # 1, # 2, and # 3, were lacking the verification of previous childcare experience to qualify them for the position they hold and were observed performing at the facility.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

At the time of the inspection the toxic cleaning materials in the infant room were being stored in the unlocked cabinet beneath the sink. The Bathroom in the preschool room on the second-floor room did also have toxic cleaning materials on the floor of the bathroom and accessible to the children in care.

Corrected Corrected by Jul 21, 2023

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

At the time of the inspection the children were in the outdoor playspace and there was no first aid kit in the area where they were playing.

Corrected Corrected by Jul 7, 2023

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

3270.113(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.

During the use of the water slide at the time of the inspection there was a single staff proving care and they could not see the area where children were going to enter the slide.

Corrected Corrected by Jul 7, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

At the time of the inspection the agreement of child # 5 was not signed.

Corrected Corrected by Jul 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

At the time of the inspection the emergency contact information for child # 2 was lacking in their date of birth.

Corrected Corrected by Jul 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.

At the time of the inspection the emergency contact form for child # 3 was lacking the child's insurance policy information.

Corrected Corrected by Jul 7, 2023

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of the inspection in the younger toddler room the emergency contact information for child #5 was not present in the room.

Corrected Corrected by Jul 7, 2023

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.

At the time of the inspection the emergency contact forms for the following children had not been updated in over 6 months.

Corrected Corrected by Jul 7, 2023

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.

The emergency contact form for child #4, who was in care at the time of the inspection, was lacking both of the written parental consents required prior to admission.

Corrected Corrected by Jul 7, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the inspection staff person # 1 was proving care to children (unsupervised) and had been working at the facility for over 90 days, they did not have proof of the completion of the required first aid training.

Corrected Corrected by Jul 3, 2023

Category: supervision. 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.

At the time of the inspection the record of staff person # 5 was lacking in the proof of the current annual minimum of 12 hours childcare training.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. 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 the inspection the records of child # 1 # 2 # 3 were lacking in current valid health assessments.

Corrected Corrected by Jul 7, 2023

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

3270.17(a)/3270.17(b) · The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws. The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.

On October 12, 2022 @ 12:18pm A parent texted staff person #1 asking if it would be allowed for the child's therapists to attend the daycare to conduct their session with the child, to which they responded: "We will only do one day a week at daycare because we do not want too many people coming into the building especially with the winter season and cold and flu." On another occasion, a professional social worker called the facility and spoke to staff person #2 to ask about the child receiving ABA therapy and was it possible for him to receive it at the daycare center staff person #2 responded on February 20, 2023 at 3:44pm Stating "I got in contact with staff person #1, they informed me that it is not possible to have a therapist in everyday for six hours because it is a distraction to the other children and can throw off our daily schedule."

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a) · 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 in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. 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.

Ongoing non-compliance: On the date of the inspection there were two facility staff providing care for a total of 14 children, including at least one infant.

Corrected Corrected by Jan 6, 2023

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · 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 in § 3270.51 (relating to similar age level). 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On going non-compliance: On the date of the inspection there were two facility staff providing care for a total of 14 children, including at least one infant.

Corrected Corrected by Apr 10, 2023

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · 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 in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Southeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Children must be supervised at all times.

Ongoing non-compliance: On the date of the inspection there were two facility staff providing care for a total of 14 children, including at least one infant.

Corrected Corrected by Apr 10, 2023

Category: supervision. 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.

At the time of the inspection the facility did not have proof of the comprehensive general liability insurance to cover the persons who are on the premises.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

At the time of the inspection the facility did not have proof of the continuity of care, allowing for access of records in the event of the inability to access the building, included in the emergency plan

Corrected Corrected by Nov 21, 2022

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). Facility Person # 1 may not work in a childcare position at the facility. 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 # 1 may not work in a childcare position at the facility.

At the time of the inspection the record of staff person #1 (having served the facility over 90 days) did not have out of state police clearance for the state they have relocated from. Staff member #1 (having served the facility over 90 days) did verbalize that she moved to PA in 2019. Staff member #1 was providing care unsupervised at the time of the inspection. The record of staff person #2 was lacking a child abuse clearance.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

At the time of the inspection 3 of the 5 staff at the facility were designated as aides.

Corrected Corrected by Nov 18, 2022

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

At the time of the inspection all 3 of the staff in the building were designated as aides.

Corrected Corrected by Nov 21, 2022

Category: supervision. Marked corrected in the state record.

3270.52 · 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 in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

At the time of the inspection staff member #2 was observed providing care for 6 children including one infant.

Corrected Corrected by Nov 14, 2022

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

At the time of the inspection, in the bathroom adjacent to the kitchen had a can of Lysol on the sink and the cabinet beneath had other cleaning supplies was unlocked.

Corrected Corrected by Nov 14, 2022

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 the inspection the trim on the second-floor steps between levels was sagging and presenting a tripping hazard.

Corrected Corrected by Dec 9, 2022

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

At the time of the inspection the 5 one year old children in care were in high chairs for over one hour.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At the time of the inspection the infant in care had fallen asleep in the swing and was left there for 15 minuets to sleep.

Corrected Corrected by Nov 14, 2022

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.

At the time of the inspection the records of children #1 and #2 were both lacking the consents required prior to admission.

Corrected Corrected by Nov 15, 2022

Category: ratio. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.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 the inspection the records of staff persons #1 and #2 were lacking in proof of completion of the minimum of High School or equivalency. Both were identified to be AGS level staff.

Corrected Corrected by Dec 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of the inspection the operator was not yet utilizing the most current version of the fire drill log. There was no proof of the operability of the fire detection system at the facility at the time of the inspection.

Corrected Corrected by Dec 22, 2021

Category: recordkeeping. Marked corrected in the state record.