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 HVAC vent in the infant room floor did not have a proper cover.

Corrected Corrected by Nov 9, 2024

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

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

At the time of the inspection, peeled paint was present in the infant room, both children's bathrooms and preschool classroom.

Corrected Corrected by Nov 9, 2024

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

3270.36(b)(5)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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.

At the time of the inspection, the file of staff person #1 did not have a high school diploma.

Corrected Corrected by Dec 1, 2024

Category: supervision. 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, bleach, degreaser, all-purpose cleaner, bug spray and backyard bug control spray were accessible to children. Non-compliance was corrected on site.

Corrected Corrected by Nov 1, 2024

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.

At the time of the inspection, staff person #2 exited the preschool classroom to open the main door of the facility and left the children unsupervised.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

At the time of the inspection, the file of child #1 did not have consent for swimming and wading.

Corrected Corrected by Nov 1, 2024

Category: transportation. 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.

During the renewal inspection conducted on 12/1/2023 observed the facility's emergency plan did not address continuity of operations.

Corrected Corrected by Dec 15, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

During the renewal inspection conducted on 12/1/2023 observed staff person #4's pediatric first-aid and CPR training expired. The last one on file is dated 10/31/2021.

Corrected Corrected by Dec 15, 2023

Category: ratio. 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 and #5 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.

During the renewal inspection conducted on 12/1/2023 observed staff person #3's driver's license is current and issued from the state of New York where she last resided. New York clearances for staff person #3 are not on file. Observed staff person #5's file did not include verification of National Sex Offender Registry (NSOR).

Corrected Corrected by Dec 15, 2023

Category: supervision. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

During the renewal inspection conducted on 12/1/2023 observed the outside play space's wooden fence is in disrepair. Observed pieces of wood stacked against the fence. Also observed branches breakage on the trees above the outdoor play space.

Corrected Corrected by Dec 15, 2023

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

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

During the renewal inspection conducted on 12/1/2023 observed peeled paint in room #1 and room #2.

Corrected Corrected by Dec 14, 2023

Category: physical safety. 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 renewal inspection conducted on 12/1/2023 observed room #1 and the school age room did not have hand washing signs posted above the sinks.

Corrected Corrected by Dec 15, 2023

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

During the renewal inspection conducted on 12/1/2023 observed room #2 did not have a daily schedule posted.

Corrected Corrected by Dec 15, 2023

Category: physical safety. 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 conducted on 12/1/2023 observed child #1's agreement did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Dec 15, 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 conducted on 12/1/2023 observed child #2's emergency contact information did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 15, 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 conducted on 12/1/2023 observed child #1 and #4's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Dec 15, 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 conducted on 12/1/2023 observed child #3's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Dec 15, 2023

Category: health medication. 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.

During the renewal inspection conducted on 12/1/2023 observed child #1 and #3's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

During the renewal inspection conducted on 12/1/2023 observed room #2 did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted.

Corrected Corrected by Dec 15, 2023

Category: transportation. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the renewal inspection conducted on 12/1/2023 observed child #4's health report did not include an up-to-date influenza vaccine. Last influenza vaccine on file is dated 11/17/2021.

Corrected Corrected by Dec 15, 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 freedom from communicable tuberculosis.

During the renewal inspection conducted on 12/1/2023 observed staff person #2's health assessment is expired. The last health assessment on file is dated 5/14/2021.

Corrected Corrected by Dec 15, 2023

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

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection conducted on 12/1/2023 observed child #1, #2 and #3's record did not contain signed parental consent for transportation.

Corrected Corrected by Dec 15, 2023

Category: transportation. Marked corrected in the state record.

3270.27(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.

During the renewal inspection conducted on 12/1/2023 observed the facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 15, 2023

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

3270.27(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.

During the renewal inspection conducted on 12/1/2023 observed the operator did not have verification that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 15, 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 conducted on 12/1/2023 observed staff person #1, #2 and #3's file did not include the annual minimum of 12 clock hours of child care training verification. Corrected on 12/7/2023.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. 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.

During the renewal inspection on 12/12/22, it was observed that the sink in the rear hallway was not draining There was peeling paint in the cot room, blue room and purple main room

Corrected Corrected by Jan 12, 2023

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

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

During the renewal inspection on12/12/22, it was observed that the records of child #3 and child #5did not specify the date of the child's admission.

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During the renewal inspection on 12/12/22, it was observed that the facility retained the original agreement for child #2, child #3, child #4, and child #5

Corrected Corrected by Jan 12, 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.

During the renewal inspection on 12/12/22, it was observed that the records of child #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 12, 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.

During the renewal inspection on 12/12/22, it was observed that the emergency contact for child #3 had expired. Document dated 5/18/22

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on12/12/22, it was observed that the records of child #2, child #4, and child #5 did not comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77. Immunizations dated 10/8/20 ,10/29/18, and 5/15/21 respectively with no exemption letters in the record.

Corrected Corrected by Jan 12, 2023

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

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection on 12/12/22, it was observed that the records of staff #2 did not include verification of childcare experience, education prior to service at the facility.

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 12/12/22, it was observed that the records of staff #1 did not include an annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. 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.

During the renewal inspection on12/12/22, it was observed that the records of child #1 and child #3 did not contain an initial health report no later than 60 days following the first day of attendance at the facility.

Corrected Corrected by Jan 12, 2023

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

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

During the renewal inspection on 11/17/21, it was observed that there was peeling paint in the school age room on lower level, at the top of the back stairway ,and in the second entrance area near the doorway.

Corrected Corrected by Dec 23, 2021

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