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.

In review of staff files, staff person 1 failed to have completed pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) by a PQAS-approved trainer and PQAS-approved curriculum.

Corrected Corrected by Mar 17, 2025

Category: ratio. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

In review of staff files, staff person 2 file failed to have verification of 2 years (2500 hours) of experience working with children prior to employment at the facility.

Corrected Corrected by Mar 5, 2025

Category: supervision. 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.

During renewal inspection on Wednesday. 03/05/25, cert rep observed chip paint on the wall in the PK1 and PK2 rooms.

Corrected Corrected by Mar 10, 2025

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Staff person 1 has completed Pediatric first aid and CPR training, however the training was not completed by a PQAS-approved trainer/instructor.

Corrected Corrected by Mar 17, 2025

Category: supervision. 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 and 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 3 may not work in a child care position at the facility.

In review of staff files at compliant inspection on Friday, 12/13/24, staff persons 1, a provisional hire, file failed to contain completed child abuse clearance, one completed criminal clearance and proof of request for the other remaining criminal clearance. Staff person 1 file only contained the request for the NSOR certificate. Staff person 2, employed more than 90 days, file failed to contain completed PA state police and child abuse clearances and NSOR certificate and mandated reporter training. Staff person 3 file failed to contain updated PA state police, child abuse and FBI clearances. PA state police clearance contained in file was last completed on 05/07/19, child abuse clearance contained in file was last completed on 05/14/19 and FBI clearance contained in file was last completed on 05/26/19.

Corrected Corrected by Dec 13, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

In review of staff files at compliant inspection on Friday, 12/13/24, staff person 2 file failed to contain 2 years (2500 hours) of experience working with children prior to employment at the facility.

Corrected Corrected by Jan 13, 2025

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(iii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of staff files at compliant inspection on Friday, 12/13/24, staff person 1 file failed to contain proof of education.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. 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 compliant inspection on Friday, 12/13/24, cert rep observed evidence of rodent droppings located cubbies used by children.

Corrected Corrected by Jan 13, 2025

Category: physical safety. 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.

In review of staff files at compliant inspection on Friday, 12/13/24, staff person 1 file failed to contain a staff health assessment.

Corrected Corrected by Jan 13, 2025

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.

In review of staff files at compliant inspection on Friday, 12/13/24, staff persons 1 and 2 file failed to contain TB results by the Mantoux method.

Corrected Corrected by Jan 13, 2025

Category: health medication. 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.

In review of staff files at compliant inspection on Friday, 12/13/24, staff person 1 file failed to contain two nonfamily letters of references.

Corrected Corrected by Jan 13, 2025

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. Until such time as the required pre-service trainings are completed, staff person 1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics and mandated reporter training.

Corrected Corrected by Jan 13, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person 1 will have until 12/28/24 to complete the required training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Staff person 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

Corrected Corrected by Dec 28, 2024

Category: supervision. Marked corrected in the state record.

3270.94(a)(1)/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 fire drills are conducted at least once every 60 days. 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 unannounced inspection on Friday, 12/13/24, facility failed to have documentation that a fire drill was conducted at least once every 60 days. Last documented fire drill was dated 01/15/24.

Corrected Corrected by Jan 13, 2025

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. Facility Person 2 may not work in a child care position at the facility.

In review of staff files, staff person 2 file failed to include PA state police clearance. Document contained in file was the request for the PA state police clearance.

Corrected Corrected by Feb 20, 2024

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

3270.75(c)/3270.178 · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During renewal inspection on Tuesday, 02/20/24, cert rep observed first-aid kit located in the PK2 room failed to contain an assortment of band-aids, first-aid kit located in the PK1 room failed to contained tape, first-aid kit located in the infant room failed to contain tape and an assortment of band-aids and the first-aid kit located on the facility's bus failed to contained soap and tweezers.

Corrected Corrected by Mar 22, 2024

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.

During renewal inspection on Tuesday, 02/20/24, cert rep observed a hole in the wall in the older toddler 1 classroom, in the older toddler 2 classroom, a water damaged ceiling and in the school age classroom, a damaged floorboard.

Corrected Corrected by Mar 22, 2024

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.

During renewal inspection on Tuesday, 02/20/34, cert rep observed chip paint on the walls in the PK2 classroom and the school age classroom.

Corrected Corrected by Mar 22, 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).

In review of children's files, child 1, enrolled 6 months or more, failed to have a service report proving information about the child's growth and development.

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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.

In review of children's files, child 1's emergency contact and fee agreement failed to be updated by parent/guardian within six months.

Corrected Corrected by Mar 22, 2024

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.

In review of staff files, staff person 3 file failed to include 2 letters of references. File only contained 1 letter of reference.

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development. Staff person 1 file contained 10 hours of annual PD training.

Corrected Corrected by Mar 22, 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 unannounced inspection on Wednesday, 01/17/24, cert rep observed children receiving care failed to have their emergency contact information present in the childcare space care was provided.

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. 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). The required staff:child ratios must be maintained at all times.

Certification Representative observed facility person with eight children youngest child being 7 months old

Corrected Corrected by Apr 24, 2023

Category: ratio. Marked corrected in the state record.

3270.17(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/DIRECTOR DID NOT ALLOW THERAPIST TO ENTER FACILITY TO PROVIDE SPECIALIZED SERVICES TO CHILDREN WITH SPECIAL NEEDS

Corrected Corrected by Oct 28, 2022

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