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. 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 childcare position at the facility.

During the renewal inspection on 9/20/23, staff person #1 did not have an NSOR (National Sex Offender Registry) completed.

Corrected Corrected by Sep 26, 2023

Category: background checks. 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.

During the renewal inspection on 9/20/23, the provider did not have soap in the first-aid kit.

Corrected Corrected by Sep 26, 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.

During the renewal inspection on 9/20/23: 1. There was an unwound hose near the entrance of the outside play area. 2. Signage in the outside play area was falling down and in poor repair. 3. The wall on the left of the main childcare space had peeling paint/plaster.

Corrected Corrected by Sep 26, 2023

Category: physical safety. 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 renewal inspection 10/04/2022, file of staff person #1 did not contain 12 hours of annual child care training; file of staff person #1 contained four (4) hours of annual child care training.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. 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.

During renewal inspection 10/04/2022, facility had not developed a policy on shaken baby syndrome, child maltreatment and abusive head trauma in accordance with federal requirements 45 CFR 98.41(a)(1)(vi)

Corrected Corrected by Oct 8, 2022

Category: ratio. 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.

During renewal inspection 10/04/2022, emergency plan did not have documentation verifying that plan had been reviewed and/or updated annually.

Corrected Corrected by Oct 8, 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.

During renewal inspection 10/04/22, file of staff person #2 contained Mandated Reporter training more than 60 months old; Mandated Reporter training on file for staff person #2 was dated 08/19/2017

Corrected Corrected by Oct 6, 2022

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

During renewal inspection 10/04/2022, written plan of daily activities was not posted in Older Toddler group space.

Corrected Corrected by Oct 5, 2022

Category: physical safety. 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.

During renewal inspection 10/04/2022, written plan identifying means of transporting child to emergency care and staffing provisions, if necessary, were not posted in Older Toddler group space.

Corrected Corrected by Oct 8, 2022

Category: transportation. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During renewal inspection 10/04/2022, health assessment on file for staff person #3 did not contain answer to question #3 assessing staff person's suitability to provide child care.

Corrected Corrected by Oct 6, 2022

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

3270.164 · Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child.

During renewal inspection 10/04/2022, meals served to infants and young toddlers had not been cut in smaller portions for children to suitably eat.

Corrected Corrected by Oct 6, 2022

Category: nutrition. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During renewal inspection 10/04/2022, written statements giving infants feeding schedules had not been obtained from parents for children present in the infant room.

Corrected Corrected by Oct 8, 2022

Category: nutrition. 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.

During renewal inspection 10/04/2022, financial agreement form on file for child #1 had not been updated in required six (6) month interval; financial agreement form on file for child #1 was dated 06/08/2021.

Corrected Corrected by Oct 5, 2022

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

During renewal inspection 10/04/2022, file of staff person #2 did not contain two (2) written non family references attesting to staff person's suitability as a facility person.

Corrected Corrected by Oct 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.17(a) · The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

During a complaint investigation conducted on 5/3/2022 , staff member # 1 admitted to telling the parents of an enrolled child that the child's behavior could not be handled by the staff so the admission contract was terminated after one (1) day of attendance. This is not in accordance with the facility's dismissal policy.

Corrected Corrected by May 16, 2022

Marked corrected in the state record.

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

During a complaint investigation conducted on 5/3/2022, the operator admitted to dismissing a child after one(1) day of attending the child care facility because the staff was not able to address the needs of the child.

Corrected Corrected by May 16, 2022

Category: supervision. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During a complaint investigation conducted on 5/3/2022, 1 child file was reviewed. The file was found in a shopping bag in the director's office.

Corrected Corrected by May 4, 2022

Category: recordkeeping. 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.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1, 2, & 3 DID NOT HAVE WRITTEN VERIFICATION THAT THEY WERE TRAINED IN THE EMERGENCY PLAN.

Corrected Corrected by Mar 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE A NATIONAL SEX OFFENDER REGISTRY CLEARANCE ON FILE AT THE FACILITY. THE CERT REP ALSO OBSERVED THAT STAFF #2 DID NOT HAVE A STATE POLICE CLEARANCE OR NATIONAL SEX OFFENDER REGISTRY CLEARANCE ON FILE AT THE FACILITY. STAFF #3 WAS EMPLOYED FOR MORE THAT 45 DAYS AT THE FACILITY.

Corrected Corrected by Mar 25, 2022

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE 1-2 YEAR OLD ROOM WAS OUT OF RATIO WITH 6 CHILDREN TO 1 STAFF PERSON.

Corrected Corrected by Feb 25, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · 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 RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #2 DID NOT HAVE VERIFICATION OF EXPERIENCE ON FILE.

Corrected Corrected by Mar 25, 2022

Category: recordkeeping. 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 RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #2 DID NOT HAVE VERIFICATION OF THEIR EDUCATION ON FILE.

Corrected Corrected by Mar 25, 2022

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)).

AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE PROOF OF PURCHASE FOR THEIR FIRE SYSTEM AND DID NOT CONDUCT TESTING AT LEAST ONCE EVERY 30 DAYS ON THE SYSTEM.

Corrected Corrected by Mar 25, 2022

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