3280.16(b) · The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.

Owner reported that she did not allow therapist to provide services to child one time when she was not present at the daycare.

Corrected Corrected by Jun 14, 2024

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

3280.14/3280.20 · 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 on 10/13/23, Cert Rep Supervisor observed staff #2 caring for children unsupervised before completion of required pre-service training.

Corrected Corrected by Oct 13, 2023

Category: supervision. Marked corrected in the state record.

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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 10/16/23, Cert Rep did not observe verification of Pediatric 1st aid/Pediatric CPR training by a PQAS certified trainer in the staff file of staff person #2.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3280.61(c)/3280.61(h)(3)(iii) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

During the renewal inspection on 10/13/23, Cert Rep observed the number of children in the activity room exceeding the measured capacity of the space during lunch, snack, and learning activities.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

During the renewal inspection on 10/13/23, Cert Rep observed a shovel sticking out and a shed bin door laying on the ground both posing a trip hazard. Cert Rep also observed pieces of trash scattered on the ground throughout the play space.

Corrected Corrected by Oct 26, 2023

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

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During the renewal inspection on 10/13/23, Cert Rep observed the toy scooter and bikes dirty with spider webs. Cert Rep also obseved toy cars, trucks, and play tables as dirty.

Corrected Corrected by Oct 26, 2023

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

3280.107(c) · Styrofoam cups and plates may not be used.

During the renewal inspection on 10/13/23, Cert Rep observed that Styrofoam plates were used during lunch.

Corrected Corrected by Oct 26, 2023

Marked corrected in the state record.

3280.113(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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

During the renewal inspection on 10/13/23, Cert Rep observed child #2 enter the bathroom unsupervised, and also staff #1 leave children unattended to go upstairs to test fire detection system.

Corrected Corrected by Oct 13, 2023

Category: supervision. Marked corrected in the state record.

3280.124(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 on 10/13/23, Cert Rep observed the phone number of physician/medical care missing on the emergency contact form for child #3.

Corrected Corrected by Oct 26, 2023

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

3280.124(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 10/13/23, Cert Rep observed the health insurance policy number missing on the emergency contact form for child #3.

Corrected Corrected by Oct 26, 2023

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the renewal inspection on 10/13/23, Cert rep did not observe child #1 wash their hands before snack.

Corrected Corrected by Oct 26, 2023

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

3280.26(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 on 10/13/23, Cert Rep observed that the facility's emergency plan did not provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. when an emergency situation arises.

Corrected Corrected by Oct 26, 2023

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

During the renewal inspection on 10/13/23, Cert Rep observed that the fire detection system at the facility was not the interconnected system required for this facility type.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

During renewal inspection certification rep observed loose outlet cover near the cubby

Corrected Corrected by Dec 21, 2022

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection certification rep observed chipped paint near the cubbies

Corrected Corrected by Feb 3, 2023

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

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

During renewal inspection certification rep reviewed children's file. Child 2 was missing date of the child's admission.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

During renewal inspection certification rep reviewed children's file. Child 3 was missing services which are to be considered as extra.

Corrected Corrected by Feb 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 renewal inspection certification rep reviewed children's file. Child 1 was missing policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jan 11, 2023

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

3280.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

During renewal inspection certification reviewed staff files. Staff 1 and 3 health assessment was typed. It was missing an official signature/ stamp from a physician, physician's assistant or CRNP

Corrected Corrected by Feb 3, 2023

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

3280.192(2)(ii)/3280.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

During renewal inspection certification rep reviewed staff files. Staff 2 was missing education from their file.

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(6)/3280.26(c) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and 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.

During renewal inspection certification rep asked for emergency drill log and emergency drill was not completed.During renewal inspection certification rep reviewed staff files. Staff 1,2 and 3 did not have updated emergency plan in their file

Corrected Corrected by Dec 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During renewal inspection certification rep reviewed fire drill log. Last documented fire was on 10-12-22

Corrected Corrected by Dec 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(a) · Staff persons shall complete professional development in the topics of 3280.31(f) (10) within 90 days of hire. Staff person # 1 and 3--- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person # 1 and 3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jan 21, 2023

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