3270.64/3270.76 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. 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, an over-grown tree with low hanging tree branches was observed in the outdoor play area. The tree limbs protruding from the fence into the play area were a hazard to children. Also, leaves were covering many areas of the outdoor play surface.

Corrected Corrected by Dec 2, 2024

Category: physical safety. 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)).

At the time of inspection, the fire extinguisher observed was not inspected to ensure operability within the last year.

Corrected Corrected by Dec 2, 2024

Category: physical safety. 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.

At the time of inspection, in the second room the light switch cover plate was missing from the light switch on the wall near the exit the door. A water-stained ceiling tile was observed in the child care space. Also, a hole was observed in the wall of the main room. A few surfaces around the facility were in need of cleaning or repair to damaged paint.

Corrected Corrected by Dec 2, 2024

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the inspection, at naptime the names on the sleep equipment did not match the name of the child observed laying on the equipment.

Corrected Corrected by Dec 2, 2024

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

At the time of inspection, the file for child #2 did not contain an emergency contact form to reference who shall be contacted in an emergency.

Corrected Corrected by Dec 2, 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 and child #3 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

Corrected Corrected by Dec 2, 2024

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.

At the time of inspection, the files for staff member 1 did not include verification of completion of the Health & Safety Training 1 Hour Update 2022. All staff members were required to complete the training by the end of December 2022.

Corrected Corrected by Nov 20, 2023

Category: ratio. Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

At the time of inspection, numerous flies were observed flying in the kitchen area of the facility.

Corrected Corrected by Nov 20, 2023

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 wooden fence in the outdoor play space was leaning, not standing straight and was in disrepair. The artificial grass carpet outside in the outdoor play space was lifted from the surface of the ground and buckled/ bunched up in several areas creating a tripping hazard,

Corrected Corrected by Nov 20, 2023

Category: physical safety. 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, a dirty air vent was observed on the ceiling of the main room in front of the kitchen. Dry cereal was observed on the floor of the room behind the director's office area. A broken/ bent electrical outlet cover was observed on the wall in the room next to the kitchen, with the back door to the outside. The flooring at the entrance of the back room, where the door threshold was removed; is in disrepair and missing the transition strip needed for uneven surfaces. Dirty window blinds were observed on the 2nd window located on the wall diagonal of the door, in the back room.

Corrected Corrected by Nov 20, 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.

At the time of inspection, the door frame on the door leading outside to the outdoor play space was observed with peeling paint and plaster.

Corrected Corrected by Nov 20, 2023

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

At the time of inspection, the facility's bathroom was observed with water-stained ceiling tiles and a water-stained plastic light cover on the fluorescent light fixture. Rust and debris were observed on metal air vent cover in the bathroom ceiling. The wall above the bathroom sink was observed with a dirty hand washing sign and the area of the wall around the sign was slashed with the same black dirt observed on the sign.

Corrected Corrected by Nov 20, 2023

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

3270.82(h) · A facility person and an able child shall wash their 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.

At the time of inspection, the facility did not have a hand washing sign indicating that hands must be washed after toileting and before eating, at each toilet, diapering area and sink in the facility.

Corrected Corrected by Nov 20, 2023

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

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

At the time of inspection, an unlidded waste receptacle was observed in the facility bathroom.

Corrected Corrected by Nov 20, 2023

Category: health medication. 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.

At the time of inspection, a black sofa with green and white paint splattered on the surface was observed in the front area of the facility.

Corrected Corrected by Nov 20, 2023

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.

At the time of inspection, the kitchen refrigerator was observed with rust stains on the outside steel surface.

Corrected Corrected by Nov 20, 2023

Category: nutrition. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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 members #1 and #2 did not include the initial health assessment with TB results.

Corrected Corrected by Nov 20, 2023

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

At the time of inspection, the facility did not manually test the fire detection devices or systems at least once every thirty days, demonstrating the system is operable and maintain a written record of the testing with the facility's fire drill logs.

Corrected Corrected by Nov 20, 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.

At the time of inspection, the file for child #1, enrolled 4/07/23; contained vaccine record but did not contain a health assessment completed and signed by a medical professional. The file for child #2, enrolled 7/11/23 did not contain a health assessment. The file for child #3, enrolled 4/31/23; contained vaccine record but did not contain a health assessment completed and signed by a medical professional. The file for child #4, enrolled 4/31/23; did not contain a health assessment.

Corrected Corrected by Nov 20, 2023

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature for the bathroom sink measured 125° F.

Corrected Corrected by Dec 15, 2022

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 22, 2022

Category: ratio. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

Observed the first aid kit, which was accessible to children, on a table in the back room.

Corrected Corrected by Dec 15, 2022

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent emergency plan trainings in the file for Staff Person #2 exceeded 12 months between trainings: 9/21/21-10/18/22.

Corrected Corrected by Dec 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent pediatric first aid/CPR certification in the file for Staff Person #2 was conducted on 11/3/22, which was after the previous certification expired: 8/11/22.

Corrected Corrected by Dec 15, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent annual fire safety trainings in the files for Staff Person's #1, #2 and #3 exceeded 12 months between trainings: 6/5/21-7/26/22.

Corrected Corrected by Dec 15, 2022

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.

The FBI fingerprint receipt/clearance in the file for Staff Person #3 was dated 9/14/2020, which was after the staff person's first day working in child care: (SEE LIS Code Sheet)

Corrected Corrected by Dec 15, 2022

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed an electrical outlet, which lacked a receptacle cover, below the TV in the rear room.

Corrected Corrected by Dec 15, 2022

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.

Observed hand sanitizer, which was accessible to children, on a table in the back room.

Corrected Corrected by Dec 15, 2022

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.

Observed a protruding nail from the door frame near the hallway bathroom. Observed a cracked chair and a grill in the outdoor play area.

Corrected Corrected by Dec 15, 2022

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.

The hallway exit near the rear room was obstructed by wood panels and equipment.

Corrected Corrected by Dec 22, 2022

Category: physical safety. 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 puzzle pieces less than one inch in diameter in the rear room. This presents a possible choking hazard to children who are still placing objects in their mouths.

Corrected Corrected by Dec 15, 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 forms in the files for Child #1 and Child #3 did not include the release person's addresses.

Corrected Corrected by Dec 22, 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 #2 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 23, 2022

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

3270.181(c) · 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.

The emergency contact form and fee agreement for Child #2, who has been enrolled for more than six months, have not been updated by the parent.

Corrected Corrected by Dec 15, 2022

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.

The initial health report in the file for Child #2 was conducted more than 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Dec 15, 2022

Category: health medication. 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.

Rug in the front room was soiled at the time of the renewal inspection on 11/17/21.

Corrected Corrected by Nov 18, 2021

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.

There was peeling paint on the wall behind the toilet in the rear restroom at the time of the renewal inspection.

Corrected Corrected by Nov 18, 2021

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