3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

At the time of inspection, the file for staff member #1 included an expired PA Child Abuse Clearance dated 3/7/2019 and an expired Mandated Reporter Training certificate dated 7/9/2019.

Corrected Corrected by Nov 29, 2024

Category: supervision. 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).

At the time of inspection, the file for child #2 did not contain Child Service Reports signed and dated by the parent within the last 6 months.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. 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 inspection, the emergency contact form for child #1 did not have the parent signature for consent of emergency medical and minor first-aid.

Corrected Corrected by Nov 29, 2024

Category: ratio. 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.

At the time of inspection, the emergency contact and financial agreement form for child #1 had not been updated or reviewed by the parents of the children in the last 6 months.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

At the time of inspection, the facility had not documented in writing the annual review or update of the facility's emergency plan.

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. 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 inspection, the gate door to the metal chain-linked fence surrounding the outdoor play area was observed in disrepair causing it not to work properly. An air vent in the facility was observed with dust. The inside of the front door was observed with dirt smudges on the surface and around the door frame. A children's bookshelf was observed with dirty tape residue on the surface.

Corrected Corrected by Nov 27, 2023

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

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

At the time of inspection, a preschool child was observed cutting with a pair of pointy tip adult size scissors due to the lack of blunt tip kid scissors available for the 6 children participating in the activity.

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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.

At the time of inspection, the file for child #1, D.O.B. 4/23/20; enrolled 10/3/2022; did not included a current health assessment dated less than 12 months from the date of signature. The health assessment observed in the file for child #1 was dated 10/20/23.

Corrected Corrected by Nov 27, 2023

Category: health medication. 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.

At the time of inspection, the file for staff member #1, hired 6/21/21; did not contain the initial health assessment with TB results. Staff member #1's file only contained one health assessment dated 3/20/23 with TB results dated 3/20/23.

Corrected Corrected by Nov 27, 2023

Category: ratio. 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 inspection, the emergency contact form for child #2 did not have the parent signature for consent of emergency medical and minor first-aid. The parent put their initials, instead of signing their signature.

Corrected Corrected by Nov 24, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

At the time of inspection, the emergency plan observed did not include lock-down procedures at the facility.

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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.

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

Corrected Corrected by Dec 14, 2022

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). 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.

The most recent State Police and Child Abuse clearances in the file for Staff Person #1 exceeded 60 months between clearances: State Police: 7/7/17-11/9/22. Child Abuse: 8/5/17-10/14/22.

Corrected Corrected by Dec 14, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed staples hanging loosely from the bottom of the wall in the circle time/art activity area. Observed teeth marks in the foam blocks in the main area. Each of these presents a potential choking hazard for children who are still placing objects in their mouths.

Corrected Corrected by Dec 14, 2022

Category: physical safety. 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.

The emergency contact form in the file for Child #1 did not include the address of the release person.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The most recent immunization record in the file for Child #1 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Corrected Corrected by Dec 14, 2022

Category: health medication. 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.

The initial health assessment in the file for Staff Person #2 was conducted after the staff person's first day working with children.

Corrected Corrected by Dec 14, 2022

Category: ratio. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have a posting for accessing the regulations electronically or instructions for contacting the appropriate regional child care office.

Corrected Corrected by Dec 14, 2022

Marked corrected in the state record.