3270.27(b)/3270.27(c) · 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. 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.

At the time of the inspection the was no written document of the staff having been trained on the emegency plan, and the plan itself has no written documentation of having been reviewed in over one years time.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. 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 persons #1, #3 and #4 did not have the verification of child care experience, to serve as staff qualifications for the position which the person was observed performing

Corrected Corrected by Jun 21, 2024

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.

At the time of the inspection the record of staff person #2 (having served the facility over one year) was lacking in a performance evaluation.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection in the pre k room the first aid kit was in the cubie and accessible to the children, the first aid kit in the birtch room was lacking gloves and tape.

Corrected Corrected by Jun 7, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At the time of the inspection in the Willow room the cribs of two of the children sleeping were pressed together and neither had two feet of space on the required three sides.

Corrected Corrected by Jun 11, 2024

Category: physical safety. 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 the emergency contact form for child #1 was in in the child care space where they were receiving care.

Corrected Corrected by Jun 7, 2024

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.

At the time of the inspection the record of staff person #4 was lacking a current valid health assesment.

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

3270.181(b)/3270.181(c) · Information in a child's record shall be kept current by the operator. 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 the inspection the record of child #3 had not been kept current with regards to periodic review of emergency contact form and financial agreement.

Corrected Corrected by Jun 14, 2024

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 #2 was lacking the signed consents, for emergency medical care as well as minor first aid required prior to admission.

Corrected Corrected by Jun 10, 2024

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · 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 record of staff person #3 was lacking proof of any educational level.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. 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.

At the time of the inspection the record of staff person #3 and #4was lacking the required two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 3, 2024

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 record of child #4 (enrolled over 60 days) did not have a current valid health assessment.

Corrected Corrected by Jun 21, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

On 7/6/23, at time of unannounced inspection, Staff #1 file did not contain a completed NSOR clearance as required by CPSL.

Corrected Corrected by Jul 6, 2023

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. 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 7/6/23, at time of unannounced inspection, Staff #2 was assigned to Child #1 for the purpose of supervision. Child #1 was observed leaving the classroom unsupervised by a staff person to obtain a utensil in the facility's kitchen.

Corrected Corrected by Jul 7, 2023

Category: supervision. 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.

Continued Non Compliance: On 7/6/23, at time of unannounced inspection, emergency contact information was not present in the childcare spaces where children were receiving care.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Continued Non Compliance: On 7/6/23, at time of unannounced inspection, children in the PK/School age classroom were observed eating lunches containing perishable items such as yogurt and cheese. Staff #2 stated that lunches are kept in the children's cubby with ice packs inside.

Corrected Corrected by Jul 6, 2023

Category: nutrition. Marked corrected in the state record.

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

On 7/6/23, at time of unannounced inspection, a bottle located in the Infant room and the YT classroom refrigerator was not labeled with the child's name.

Corrected Corrected by Jul 6, 2023

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.

On 6/14/23, at time of renewal inspection, Staff #3 and #5 files did not contain evidence of training in the facility's emergency plan.

Corrected Corrected by Jun 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire: Health & Safety Training.

Corrected Corrected by Jun 29, 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 #1, #2 and #3 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, FBI Clearance, NSOR clearance, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2 and #3 may not work in a child care position at the facility.

On 6/14/23, at time of renewal inspection, Staff #1 and Staff #2 files did not contain completed DHS FBI Clearances required by DHS. (Staff #1 and #2 FBI clearances were issued by the Department of Ed) Additionally, Staff #3 was observed being used as a Provisional Hire. Staff #3 file did not contain proof of requests made for DHS FBI Clearance and NSOR Clearance prior to working at the facility as required by CPSL.

Corrected Corrected by Jun 14, 2023

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 6/14/23, at time of renewal inspection, Staff #3 file did not contain verification of education.

Corrected Corrected by Jun 14, 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.

On 6/14/23, at time of renewal inspection, disinfecting spray was observed accessible to children on the diaper changing area located in the YT room. Diaper cream was observed in an unlocked cabinets under the diaper changing tables located in both OT classrooms. Hand sanitizer instructing to "keep out of reach of children" was observed on the diaper changing tables accessible to children in the YT and OT classrooms.

Corrected Corrected by Jun 14, 2023

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

On 6/14/23, at time of renewal inspection, rubber tire playground surfacing with a diameter of less than 1 meter was observed accessible to toddlers on the outdoor play space designated for infants/toddlers.

Corrected Corrected by Aug 15, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On 6/14/23, at time of renewal inspection, unrefrigerated potentially hazardous foods such as cheese and yogurt were observed stored in lunch boxes kept in the facility's classrooms.

Corrected Corrected by Jun 30, 2023

Category: nutrition. 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.

On 6/14/23, at time of renewal, complete emergency contact information was not present in the childcare spaces where children were receiving care.

Corrected Corrected by Jun 30, 2023

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 6/14/23, at time of renewal inspection, Staff #3 file did not contain an initial health assessment, including results of tuberculosis test.

Corrected Corrected by Jun 26, 2023

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

On 6/14/23, at time of renewal, an individual file was not on file for Staff #6.

Corrected Corrected by Jun 15, 2023

Category: recordkeeping. 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 6/14/23, at time of renewal inspection, Staff #3 file did not contain 2 written letters of reference.

Corrected Corrected by Jun 23, 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 6/14/23, at time of renewal inspection, Child #1 has been enrolled at the facility for more than 60 days. Child #1 file did not contain an initial health report. (Immunizations only were on file).

Corrected Corrected by Jun 23, 2023

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

On 2/14/23, at time of initial inspection, Staff #1 and Staff #2 File did not contain Pediatric First Aid/CPR training in an approved curriculum, and with a trainer who has provided documentation that they are PQAS certified in that training topic.

Corrected Corrected by Feb 15, 2023

Category: health medication. 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.

On 2/14/23, at time of initial inspection, the facility's first aid kits did not contain scissors.

Corrected Corrected by Feb 14, 2023

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

3270.82(h)/3270.82(i) · 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. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

On 2/14/23, at time of initial inspection, the facility sinks and diapering areas did not contain a sign requiring hands to be washed after toileting and before eating. Additionally, the facility's bathrooms did not contain lidded waste receptacles.

Corrected Corrected by Feb 14, 2023

Category: health medication. 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.

On 2/14/23, at time of initial inspection, a written emergency transport plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in every childcare space.

Corrected Corrected by Feb 14, 2023

Category: transportation. 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 2/14/23, at time of initial inspection, no proof of purchase or documentation dating the installation of the fire detection system as required by Act 62 Fire and Panic Act was observed on file at the facility.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.