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.

During unannounced inspection on 12/5/23, while reviewing children's files, Cert Rep observed the following: - Child # 3 and # 5 did not have documentation of health assessment in file.

Corrected Corrected by Jan 12, 2024

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

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During renewal inspection on 11/2/23, while doing a walkthrough of the facility, Cert Rep observed the following - The facility did not have the emergency plan posted.

Corrected Corrected by Nov 2, 2023

Category: physical safety. 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 renewal inspection on 11/2/23, while doing a walkthrough of the facility, Cert Rep observed the following: The facility's first aid kit was missing scissors.

Corrected Corrected by Nov 2, 2023

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

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

During renewal inspection on 11/2/23, while reviewing children's files, Cert Rep observed the following: - Child # 3-5 did not have documentation of health assessment in file.

Corrected Corrected by Nov 2, 2023

Category: health medication. 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.

During renewal inspection on 11/2/23, while reviewing staff files, Cert Rep observed the following: Staff # 2's health assessment was dated 10/12/21.

Corrected Corrected by Nov 9, 2023

Category: ratio. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During renewal inspection on 11/2/23, while doing a walkthrough of the facility, Cert Rep observed the following: The facility did not have the evacuation route posted.

Corrected Corrected by Nov 2, 2023

Category: recordkeeping. 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.

At time of inspection, Staff person #1 did not have proof of training regarding the facility emergency plan.

Corrected Corrected by Apr 21, 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). 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 # 1- may not work in a child care position at the facility. . Facility Person #-1 may not work in a child care position at the facility.

At time of inspection, staff person #1 did not have proof of state police clearance documented in their record.

Corrected Corrected by Apr 14, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child # 1-5 did not have the names of release person documented on their agreement forms as required.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6)/3270.192(2)(iii) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At time of inspection, the parents of child # 1, 2 and 5 did not have the health insurance provider and number documented on their child's emergency contact from.

Corrected Corrected by Apr 14, 2023

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

3270.151(b)/3270.192(3) · 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. 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 time of inspection, staff person #2 did not have required health assessment documented in their record. Negative TB screening was provided but the health assessment was not included in file.

Corrected Corrected by Apr 14, 2023

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

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At time of inspection, staff person #3 had expired pediatric first aid/CPR documented in their record.

Corrected Corrected by Apr 14, 2023

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

3270.75(a) · A first-aid kit shall be in a child care space.

During the renewal inspection, a first-aid kit was not in the Room 4 child care space.

Corrected Corrected by Nov 19, 2021

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

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection, the provider did not have a copy of the insurance policy on file at the facility.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the renewal inspection, the provider did not have the emergency plan posted.

Corrected Corrected by Nov 19, 2021

Category: physical safety. 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.

During the renewal inspection the file of Staff 1 (Hired 6/23/14) contained Pediatric first aid and pediatric CPR certification that expired on 8/31/21.

Corrected Corrected by Nov 19, 2021

Category: ratio. 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 the renewal inspection, the file of Staff 2 (Hired 10/4/21) did not include a signed disclosure statement required by the Child Protective Services Law.

Corrected Corrected by Nov 19, 2021

Category: background checks. 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.

During the renewal inspection, the file of Staff 1 (Hired 6/23/14) did not include verification of education to meet the applicable qualifications for the position in which the person is performing.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. 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.

During the renewal inspection Staff 3 did not know the names of any of the 11 YSA children assigned.

Corrected Corrected by Nov 19, 2021

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.

During the renewal inspection the emergency contact information in the child care space of Rooms 2, 3 and 4 was incomplete and did not include all of the required information.

Corrected Corrected by Nov 19, 2021

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.

During the renewal inspection the file of Staff 2 (Hired 10/4/21) did not include a health assessment.

Corrected Corrected by Nov 19, 2021

Category: ratio. 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.

During the renewal inspection, the file of Staff 1 (Hired 6/23/14) did not include the results of initial tuberculin skin test or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Nov 19, 2021

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

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During the renewal inspection, none of the 40 YSA children in attendance had a file.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection Staff 3 and Staff 4 did not have a file.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director 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 the renewal inspection the fire drill log was blank and the Director did not have documentation that fire drills have been conducted every 60 days.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During the renewal inspection, the provider did not have a current certificate of compliance posted and did not have documentation of information provided to parents on how to access the regulations electronically or instructions for contacting the regional child care office.

Corrected Corrected by Nov 19, 2021

Marked corrected in the state record.