3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 child care position at the facility.

At the time of the inspection the record of staff person #1 was lacking a child abuse clearance certificate.

Corrected Corrected by Nov 21, 2024

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 record of staff person #2 was lacking the verification of child care experience, education and training prior to service at the facility to serve as qualifications for the position in which the person was observed performing.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. 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 sole person providing care in the infant room was keeping the other 2 children in the t strap restraints so they could feed the child they were feeding.

Corrected Corrected by Nov 21, 2024

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 #4, # 3 and #2 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 #--- may not work in a child care position at the facility.

At the time of the inspection, it was revealed that staff person #2 has lived in the state of Delaware and does not have a state police clearance for that state. The records of staff person #3 and staff person #5 (both observed caring for children) were both lacking a complete FBI clearance.

Corrected Corrected by Dec 20, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

At the time of the inspection the records of staff persons #1 and #4 did not have evaluations for the current year of service.

Corrected Corrected by Dec 28, 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.

At the time of the inspection the record of child #1, who was in care, did not include signed parental consent for emergency medical care for the child, nor did it contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 21, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · 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.

On 1/5/23, during renewal inspection, Staff #1, #4, #5, #6 and #7 Files did not contain the one-hour Health & Safety Professional Development Update required by OCDEL pertaining with pertinent laws and general health & safety.

Corrected Corrected by Jan 16, 2023

Category: ratio. Marked corrected in the state record.

3270.52/3270.113(a)(1) · 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 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 1/5/23, during renewal inspection, Staff #1 and Staff #2 were observed out of ratio with 12 children, the youngest child was a Young Toddler. Staff #3 was in the kitchen area preparing lunch for the children.

Corrected Corrected by Jan 5, 2023

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.

On 1/5/23, during renewal inspection, hand sanitizer instructing to "keep out of reach of children" was observed accessible to children on a shelf located in the toddler room.

Corrected Corrected by Jan 5, 2023

Marked corrected in the state record.

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

On 1/5/23, during renewal inspection, cigarette butts from the neighboring property were observed on the ground and accessible to children in the outdoor play space.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 1/5/23, during renewal inspection, peeling paint was observed accessible to children in every childcare space. Peeling paint was also observed on the wall located on the outdoor play space. Additionally, weeds, dead leaves, trash and debris were observed on the outdoor play space. The green artificial grass surface was torn and in disrepair.

Corrected Corrected by Jan 9, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On 1/5/23, during renewal inspection, bouncy seats were observed on the floor obstructing the exit door located in the infant/YT room.

Corrected Corrected by Jan 5, 2023

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.

On 1/5/23, during renewal inspection, a tall cubby shelf located in the Older Toddler area was not secured to the wall to prevent it from falling forward on a child. The shelf was easily able to tip forward when pulled.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

On 1/5/23, during renewal inspection, infant feeding schedules written by the parents were not on file at the facility.

Corrected Corrected by Jan 16, 2023

Category: nutrition. 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.

On 1/5/23, during renewal inspection, an annual emergency drill was not conducted and documented at the facility.

Corrected Corrected by Jan 18, 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.

On 1/5/23, during renewal inspection, Child #1 file did not contain an initial health report. Only immunization records were observed in the file.

Corrected Corrected by Feb 5, 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 #2 -- 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--- may not work in a child care position at the facility.

On 7/12/22, Staff #2 file did not contain completed PA Criminal Clearance, FBI, or NSOR required by CPSL. Staff #2 file did not contain a copy of requests made for the criminal history record and FBI clearance information.

Corrected Corrected by Jul 12, 2022

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

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

On 7/12/22, Staff #1 and Staff #2 file did not contain verification of education.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. 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.

On 7/12/22, Staff #1 and Staff #2 file did not contain initial health assessment, including results of TB test.

Corrected Corrected by Jul 22, 2022

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 7/12/22, an unlabeled bottle was observed in the toddler room.

Corrected Corrected by Jul 12, 2022

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

On 7/12/22, Staff #1 file did not contain 2 letters of reference.

Corrected Corrected by Jul 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a)(1) · The Legal Entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children with an emphasis on staff:child ratios through the ELRC. SE Regional Office of OCDEL will make the referral to the Regional Key.

On 6/14/22, at approximately 10:05am, cert rep observed 4 children playing ball on the facility's fenced in play space unsupervised by a staff person. (The youngest child was 9 years old) Additionally, Staff #1, Staff #2 and Staff #3 were observed out of ratio in the Toddler Room with 20 children (youngest were Young Toddlers).

Corrected Corrected by Sep 14, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(1) · 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 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 6/14/22, at approximately 10:05am, cert rep observed 4 children playing ball on the facility's fenced in play space unsupervised by a staff person. (The youngest child was 9 years old) Additionally, Staff #1, Staff #2 and Staff #3 were observed out of ratio in the Toddler Room with 20 children (youngest were Young Toddlers).

Corrected Corrected by Jun 14, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(1) · 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 keeping copies of the documentation at the facility and available for a period of three months after to the form has been approved. The forms will be made available to the regional office of child development and Early Learning Staff for review during unannounced visits. Verification of compliance with ratio and/or supervision will be completed by more than one on site visit at the facility over a 3 month period.

On 6/14/22, at approximately 10:05am, cert rep observed 4 children playing ball on the facility's fenced in play space unsupervised by a staff person. (The youngest child was 9 years old) Additionally, Staff #1, Staff #2 and Staff #3 were observed out of ratio in the Toddler Room with 20 children (youngest were Young Toddlers).

Corrected Corrected by Sep 14, 2022

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(5) · 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.An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

On 1/21/22, during renewal inspection, Staff #1 file did not contain an updated health assessment. The last assessment was dated 9/25/19. Additionally, the health assessment on file for Staff #2 dated 1/27/21 did not include the physician's assessment of Staff #2's suitability to provide child care.

Corrected Corrected by Feb 7, 2022

Category: ratio. 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.

On 1/21/22, during renewal inspection, the facility did not have record of an annual Emergency Drill on file.

Corrected Corrected by Feb 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

On 1/21/22, during renewal inspection, documentation of fire detection system testing every 30 days was not on file at the facility as required by Fire Act 62. The last logged date was 12/21/20. Additionally, proof of purchase/installation of facility's interconnected fire detection system was not on file at the facility as required by Fire Act 62.

Corrected Corrected by Feb 7, 2022

Category: recordkeeping. Marked corrected in the state record.