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

During the renewal inspection on 10/2/24, there was a full unlabeled bottle at the facility.

Corrected Corrected by Oct 2, 2024

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 may not work in a childcare position at the facility.

During the renewal inspection on 10/2/24, staff person #1 did not have National Sex Offender Registry (NSOR) or Child Abuse clearance on file.

Corrected Corrected by Oct 14, 2024

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

3270.102(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 10/2/24, the highchair had a torn cushion and was in poor repair.

Corrected Corrected by Oct 2, 2024

Category: physical safety. 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 10/2/24, child #1 had an agreement dated 3/27/23. Agreements must be updated/reviewed and signed by the provider and the parent every 6 months.

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. 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.

During the renewal inspection on 10/2/24, emergency contact information was not present in the childcare space while the children were receiving care.

Corrected Corrected by Oct 8, 2024

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 12/12/23, the agreement for child #1 was not updated within the last 6-months.

Corrected Corrected by Jan 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f) · 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.

During the renewal inspection on 12/12/23, child #1 had emergency contact information dated 5/20/21, and child #2 dated 5/22/23. Both were not updated in the required 6-month period.

Corrected Corrected by Jan 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 12/12/23, staff person #1 only had 10 hours of annual clock hours of childcare training.

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. 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.

Continued non-compliance was observed on 1/9/23, that the records of staff person #1 did not include acceptable Fire safety training conducted by a fire protection professional. Fire safety training was a verified online only training.

Corrected Corrected by Feb 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

During the unannounced inspection on 1/9/23, it was observed that the records of staff person #2 did not include a health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter.

Corrected Corrected by Feb 16, 2023

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.

During the unannounced inspection on 1/9/23, it was observed that the records of staff person #2 did not include acceptable verification of education for an AGS.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. 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 12/7/22, it was observed that the records of staff person #1 included First Aid training that did not state Pediatric in the title and the trainer could not be verified as an approved trainer. The records of staff person #2 included First Aid training that was completed online only and not an approved course. The records of staff person #3 included First Aid training though the trainer could not be verified as an approved trainer.

Corrected Corrected by Jan 5, 2023

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 12/7/22, it was observed that the records of staff person #1 did not include Fire safety training conducted by a fire protection professional.

Corrected Corrected by Dec 14, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 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, 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 child care position at the facility.

During the renewal inspection on 12/7/22, it was observed that staff person #3, whose provisional hire period had expired, records did not contain the State Police Criminal Record and National Sex Offender Registry (NSOR) clearances and as required by the CPSL

Corrected Corrected by Dec 9, 2022

Category: background checks. 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 on12/7/22, it was observed that staff person #3 was alone with 2 children upon arrival at the program.

Corrected Corrected by Dec 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(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.

During the renewal inspection on 12/7/22, it was observed that a toddler was asleep in the pack n play and staff person #3 was in another childcare space with another child and was unable to see and assess the child in the pack n play due to the barrier separating the childcare spaces.

Corrected Corrected by Dec 7, 2022

Category: supervision. 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 12/7/22, It was observed that the records of child #4 did not include the policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Dec 9, 2022

Category: health medication. 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.

During the renewal inspection on 12/7/22, it was observed that the records of child #3 did not include the release person's address for one of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on 12/7/22, it was observed that the records of child #1, child #3, and child #4 did not include an update influenza vaccine or exemption letter in accordance with the Department of Health regulation in 28 Pa. Code §27.77. Vaccines dated 3/4/2021, 10/28/20, and 10/14/19 respectively.

Corrected Corrected by Jan 6, 2023

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

3270.151(c)(2) · 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.

During the renewal inspection on 12/7/22, it was observed that the records of staff person #3 did not include tuberculosis screening by the Mantoux method at initial employment

Corrected Corrected by Dec 8, 2022

Category: health medication. 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.

During the renewal inspection on 12/7/22, it was observed that the records of child #1 and child #2 did not contain signed parental consent for emergency medical care for the child. The records of child #1 and child #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 8, 2022

Category: ratio. 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.

During the renewal inspection on 12/7/22, it was observed that the records of staff person #3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the inspection on 12/7/22, it was observed that the records of staff person #1 did not include 12 clock hours of childcare training

Corrected Corrected by Jan 6, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- 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, 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 child care position at the facility.

During the renewal inspection the certification representative reviewed staff # 1 files, the file did not have her FBI, state/police, child abuse, and NSOR clearances. During the follow-up for the renewal inspection the certification representative reviewed staff #1 files and the file did not consist of a state/police clearance for employment. The clearance states volunteer. (continued noncompliance)

Corrected Corrected by Nov 17, 2021

Category: background checks. 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 renewal inspection the certification representative observed that none of the cots were labeled. Upon asking staff # 1, they stated they did not know the same cots needed to be used for each child. During the follow-up visit for the renewal inspection the certification representative the some of the cots were now labeled with colors, but there wasn't a coordinating name sheet. When the representative asked staff #2 for the sheet they stated that the provider did not finish the sheet. (continued non-compliance)

Corrected Corrected by Nov 15, 2021

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the renewal inspection the certification representative checked child # 4 file, it did not include a health assessment stating the child was free from communicable diseases. The provider emailed the certification representative and stated that child #4 was going to get an updated physical on 11.13.2021. (continued noncompliance)

Corrected Corrected by Nov 23, 2021

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 # 2- 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, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2-- may not work in a child care position at the facility.

During the renewal inspection the certification representative reviewed staff # 1 files, the file did not have her FBI, state/police, child abuse, and NSOR clearances.

Corrected Corrected by Oct 14, 2021

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

3270.35(b)(4) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

During the renewal inspection the certification representative reviewed the staff #1 file, she was designated as the group supervisor, but she did not qualify.

Corrected Corrected by Oct 14, 2021

Category: supervision. 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.

During the renewal inspection the certification representative observed the soap sitting on the sink in the children's bathroom. The soap instructions read "Keep out of reach of children". (Implemented on site)

Corrected Corrected by Oct 14, 2021

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 renewal inspection the certification representative observed that none of the cots were labeled. Upon asking staff # 1, they stated they did not know the same cots needed to be used for each child.

Corrected Corrected by Oct 14, 2021

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

3270.123(a)(5)/3270.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

During the renewal inspection the certification representative observed child #1 was missing the admission date, child # 3 was missing the admission date, and child #5 was missing release persons information on the childcare agreement.

Corrected Corrected by Oct 15, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During the renewal inspection the certification representative asked staff 3 if the parents received the original copies of the agreement and she replied no. The originals were in the office's file.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection the certification representative checked child # 3 emergency contact form and it did not have the physician's number and it was missing the enrolling parent's work address and phone number. Child # 4 emergency contact form was missing the enrolling work address and phone number.

Corrected Corrected by Oct 14, 2021

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

3270.124(b)(5)/3270.124(b)(6) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.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 the certification representative observed the policy number, insurance name, or information on the disability was missing on child # 2 emergency contact form.

Corrected Corrected by Oct 14, 2021

Category: health medication. 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.

During the renewal inspection the certification representative checked child # 2 file, it did not contain the address of the release persons.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. 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.

During the renewal inspection the certification representative asked for the emergency contact forms for the childcare room. The provider stated they did not have emergency contact information within the childcare room.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

During the renewal inspection the certification representative asked the staff for the children's emergency contact forms, staff #2 stated they did not have emergency contact forms to take with them to the playground.

Corrected Corrected by Oct 15, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7)/3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the renewal inspection the certification representative checked child # 4 file, it did not include a health assessment stating the child was free from communicable diseases.

Corrected Corrected by Oct 25, 2021

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

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During the renewal inspection the certification representative asked staff #3 for the fire drill logs and she did not have any logs.

Corrected Corrected by Oct 26, 2021

Category: recordkeeping. 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 the certification representative requested the proof of purchase for the fire system. Staff #3 stated she did not have proof of purchase. (Implemented on site)

Corrected Corrected by Oct 15, 2021

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