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 04/02/25 provider was unable to produce current liability insurance upon request.

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. 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.

During the renewal inspection on 04/02/25 the file reviewed for staff person #2 did not include updated written evaluation. Evaluation reviewed was dated 09/2023.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. 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).

During the renewal inspection on 04/02/25 upon arrival at approximately 8am, CR observed staff person #1 alone caring for (4) children. Children continued to arrive resulting in staff person #1 being alone caring for (8) children, youngest child being an infant.

Corrected Corrected by Apr 2, 2025

Category: ratio. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the renewal inspection on 04/02/25 upon arrival at approximately 8am, CR observed staff person #1 in the facility alone with (4) children.

Corrected Corrected by Apr 2, 2025

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 04/02/25 the file reviewed for child #1 and child #2 did not include a child service report.

Corrected Corrected by Apr 7, 2025

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.

During the renewal inspection on 04/02/25 the emergency contact form and fee agreement reviewed for child #1 was not reviewed/updated within 6-month time period.

Corrected Corrected by Apr 7, 2025

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 04/02/25 there was no documentation that emergency drills was conducted annually. Last documented annual emergency drill was dated 01/08/24.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. 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.

During the renewal inspection on 04/02/25 the file reviewed for staff person #3 did not include pediatric first and CPR training.

Corrected Corrected by Apr 12, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the unannounced monitoring inspection on 02/25/25 the director was not present at the facility. Director has not been working minimum of 30 hours per week. Continued noncompliance from unannounced monitoring on 11/14/24 and 01/21/25.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

3270.32(a)/3270.192(4) · 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.

During the unannounced monitoring on 01/21/25 the file for staff person #1 hired (see code sheet) contained a DHS FBI clearance that was more than 60 months old. DHS FBI clearance reviewed was dated 07/15/17. Continued noncompliance from renewal inspection on 09/04/24.

Corrected Corrected by Jan 29, 2024

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the unannounced monitoring inspection, on 01/21/25, the record reviewed for staff person #1(who was identified as the director) did not include an updated FBI fingerprint clearance. The FBI fingerprint clearance in the record was dated 07/15/2017, which is more than 60-months old. Therefore, a director is not employed at the facility. Continued noncompliance from unannounced monitoring on 11/14/24.

Corrected Corrected by Jan 29, 2024

Category: background checks. 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). 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.

During the unannounced monitoring on 11/14/24 the file for staff person #1 hired (see code sheet) contained a DHS FBI clearance that was more than 60 months old. DHS FBI clearance reviewed was dated 07/15/17. Continued noncompliance from renewal inspection on 09/04/24.

Corrected Corrected by Nov 29, 2024

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the unannounced monitoring inspection, on 11/14/24, the record reviewed for staff person #1(who was identified as the director) did not include an updated FBI fingerprint clearance. The FBI fingerprint clearance in the record was dated 07/15/2017, which is more than 60-months old. Therefore, a director is not employed at the facility.

Corrected Corrected by Nov 22, 2024

Category: background checks. 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 unannounced monitoring on 11/14/24 the file reviewed for staff person #2 did not contain an updated health assessment. Continued noncompliance from renewal inspection on 09/04/24.

Corrected Corrected by Dec 9, 2024

Category: health medication. 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 on 9/4/24 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain certificate for pediatric first aid/ cpr from a PQAS certified instructor.

Corrected Corrected by Sep 28, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection on 9/4/24 the file reviewed for staff person #1, staff person #2, and staff person #3 did not contain updated annual fire safety training.

Corrected Corrected by Oct 26, 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). 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 and facility person #3 may not work in a childcare position at the facility.

During the renewal inspection on 9/4/24 the file reviewed for staff person #3 hired (see code sheet) contained a PSP criminal clearance and DHS FBI clearance that was more than 60 months old. Staff person #3 was also observed caring for (2) children alone. The file for staff person #1 hired (see code sheet) contained a DHS FBI clearance that was more than 60 months old.

Corrected Corrected by Oct 7, 2024

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection on 9/4/24 the first aid kit observed in childcare space did not contain gloves.

Corrected Corrected by Sep 4, 2024

Category: health medication. 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 9/4/24 the emergency contact form reviewed for child #1, child #2 and child #3 did not include policy number for health insurance coverage.

Corrected Corrected by Oct 7, 2024

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 on 9/4/24 the file reviewed for staff person #2 did not contain an updated health assessment.

Corrected Corrected by Nov 7, 2024

Category: health medication. 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 9/4/24 provider was unable to demonstrate fire detection and unable to confirm if system was interconnected.

Corrected Corrected by Oct 7, 2024

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

During the renewal inspection on 09/27/23 the file reviewed for staff person #3 did not contain emergency plan training at the time of initial employment.

Corrected Corrected by Oct 24, 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). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. Facility Person 3 may not work in a childcare 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 # 3 may not work in a childcare position at the facility.

During the renewal inspection on 09/27/23 the file reviewed for staff person #1 and staff person #2 contained expired mandated reporter training. The file reviewed for staff person #3 did not contain child abuse clearance. The file reviewed for staff person #2 did not contain disclosure statement.

Corrected Corrected by Oct 24, 2023

Category: supervision. Marked corrected in the state record.

3270.124(a)/3270.181(c) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. 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 09/27/23 the fee agreement reviewed for child #1 was expired and there was no emergency contact form in the file.

Corrected Corrected by Oct 24, 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.

During the renewal inspection on 09/27/23 the health assessment reviewed for child #1 was expired, dated 06/28/22.

Corrected Corrected by Oct 24, 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 on 09/27/23 the file reviewed for staff person #2 and staff person #3 did not contain health assessment.

Corrected Corrected by Oct 24, 2023

Category: health medication. 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. Submit annual written documentation from a fire safety professional indicating that the fire detection system has been tested and is operable. Ensure that this is done annually and retained with the fire drill log.

The facility fire detection system was not able to be tested as it is not accessible and there was no annual written documentation from a fire safety professional indicating that the fire detection system has been tested and is operable.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.