3280.52(b)/3280.52(c) · The required staff: child ratios must be maintained at all times. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio in accordance with the requirements at §3280.52(b).

During the allocated unannounced inspection on July 15, 2024 Staff #1 was observed with 8 children alone in the main childcare space. (The youngest child being a one-year).

Corrected Corrected by Jul 15, 2024

Category: ratio. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

During the allocated unannounced inspection on July 15, 2024 hand sanitizer was observed on a low table accessible to children.

Corrected Corrected by Jul 15, 2024

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 allocated unannounced inspection on July 15, 2024 the ceiling tile was observed with water stains. The outdoor play yard was observed with old leaves, branches and acorns everywhere.

Corrected Corrected by Jul 19, 2024

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

During the allocated unannounced inspection on July 15, 2024 plastic bags were observed in the children's cubbies.

Corrected Corrected by Jul 15, 2024

Marked corrected in the state record.

3280.104 · High chairs shall have a wide base and a T-shaped safety strap.

During the allocated unannounced inspection on July 15, 2024 the highchair was observed broken.

Corrected Corrected by Jul 19, 2024

Marked corrected in the state record.

3280.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

During the allocated unannounced inspection on July 15, 2024 staff person # 1 was observed grabbing child # 1, # 2 and # 3 by the arm. When child # 1, # 2, and # 3 stated "ouch, you're hurting me" staff person # 1 was heard saying " I' m not cutting my nails so y'all can forget that I'm not hurting you".

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.162(c) · Food may not be withheld from a child for purposes of discipline.

During the allocated unannounced inspection on July 15, 2024 staff #1 was observed providing a snack to all of the children except child #1, #2 and #3. Staff #1 stated that once they behaved, she would give them a snack.

Corrected Corrected by Jul 15, 2024

Category: nutrition. Marked corrected in the state record.

3280.52(a)(2) · At least two facility persons shall accompany any number of children on an excursion away from a facility.

Observed 1/31/2024 Staff #2 was observed taking child #5,6 and 7 on an exclusion alone away from the facility without an additional staff member present.

Corrected Corrected by Jan 31, 2024

Marked corrected in the state record.

3280.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3280.75(c).

Observed 1/31/2024 staff #2 was observed taking child #5,6, and 7 on an excursion from the facility and did not contain a first aid kit.

Corrected Corrected by Jan 31, 2024

Category: health medication. 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.

Observed 1/31/2024 in the orange bathroom the toilet was inoperable for use due to not being able to flush and overflowing the toilet with water.

Corrected Corrected by Feb 8, 2024

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

3280.124(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.

Observed 1/31/2024 child file #1 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Observed 1/31/2024 emergency contact information was not located in the childcare space where children receive care.

Corrected Corrected by Feb 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Observed 1/31/2024 staff #2 was observed leaving the facility and going on an excursion with children #5,6 and 7 without emergency contact information.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed 1/31/2024 children files #1-4 did not contain an updated health report on file. The current health report on file dated for Child # 1 is (9/17/202)1, Child #2 (5-31-2022), Child #3 (4-25-22) and Child #4 (1-18-2023).

Corrected Corrected by Mar 2, 2024

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

3280.151(a)/3280.192(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.

Observed 1/31/2024 staff # 1 and 2 files were missing health assessments. Staff # 1 medical assessment dated for 7/24/2021, the medical assessment exceeded the 24-month of the signature date.

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

3280.178 · A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Observed 1/31/2024 observed in the transportation vehicle it did not contain a first aid kit.

Corrected Corrected by Jan 31, 2024

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.

On 2/3/23 during the Renewal Inspection, the children did not wash their hands prior to sitting down and eating their lunch.

Corrected Corrected by Mar 3, 2023

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

3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

On 2/3/23 during the Renewal Inspection, located in the outdoor play space, the door to the fence was broken and missing the latch to keep it locked.

Corrected Corrected by Mar 3, 2023

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

On 2/3/23 during the Renewal Inspection, there was a can of disinfectant spray, hand sanitizer and Lysol Disinfectant wipes located on top of the cubbies located in the main childcare space and is accessible to children.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3280.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

On 2/3/23 during the Renewal Inspection in the main childcare space there was a heating vent that did not have a protective guard that completely protects and prevent the children from direct contact from the heat. When the Certification Representative measured the heating temperature, it exceeded 220° F and is accessible to the children.

Corrected Corrected by Mar 3, 2023

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

3280.75(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.

On 2/3/23 during the Renewal Inspection there was soap missing from the first aid kit located in the main childcare space.

Corrected Corrected by Mar 3, 2023

Category: health medication. 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.

On 2/3/23 during the Renewal Inspection located in the main childcare space - - There were floor tiles that are not sealed and are in need of repair. - There were stained ceiling tiles located on the ceiling near the kitchen area by the back door exit. - The outdoor play space area was covered with leaves.

Corrected Corrected by Mar 3, 2023

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

3280.101(a)/3280.101(b) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3280.101(c)(1) - (6).

On 2/3/23 during the Renewal Inspection there was a limited amount of play and developmental toys and materials that were accessible and available for the children's use located in the main childcare space.

Corrected Corrected by Mar 3, 2023

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

3280.102(a)/3280.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On 2/3/23 during the Renewal Inspection in the main childcare space located in the toy storage bins, there were toy cars with small wheel parts that were accessible to the young toddler aged children. - In the main childcare space, there were broken dolls, broken toys, and missing puzzle pieces that were located in the shelving bins that are used for play by the children.

Corrected Corrected by Mar 3, 2023

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

3280.105(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.

On 2/3/23 during the Renewal Inspection, the rest equipment was not labeled for the use of each individual child in care.

Corrected Corrected by Mar 3, 2023

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On 2/3/23 during the Renewal Inspection, when Certification Representative measured the temperature of the refrigerator used to store food for the children in the facility, the thermometer read at 50 ° F.

Corrected Corrected by Mar 3, 2023

Category: nutrition. Marked corrected in the state record.

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

On 2/3/23 during the Renewal Inspection the written plan of daily activities and routines were not posted in the traffic area used by parents.

Corrected Corrected by Mar 3, 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.

On 2/3/23 during the Renewal Inspection, the childcare facility allowed the children to independently use the bathroom by themselves with the door closed and they were not being supervised by a staff person.

Corrected Corrected by Mar 3, 2023

Category: supervision. Marked corrected in the state record.

3280.163(a)(1)/3280.163(a)(2) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

On 2/3/23 during the Renewal Inspection, the childcare facility provided each child an individual lunch that did not cover all of the food components needed.

Corrected Corrected by Mar 3, 2023

Category: nutrition. Marked corrected in the state record.

3280.163(a)(3) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

On 2/3/23 during the Renewal Inspection, the childcare facility provided each child an individual lunch that did not cover all of the food components needed. - a fruit or vegetable was not served to the children with their meal.

Corrected Corrected by Mar 3, 2023

Category: nutrition. Marked corrected in the state record.

3280.165 · The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

On February 3, 2023, during the renewal inspection, the operator did not have a menu of the daily meals prepared available for the families.

Corrected Corrected by Mar 3, 2023

Category: nutrition. Marked corrected in the state record.

3280.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

On 2/3/23 during the Renewal Inspection, the facility did not have available car seats for the use of transporting children in the facility's childcare van. (Staff person #1 acknowledged transporting enrolled children as young as 1 year of age on day of the inspection and did not have appropriate care seats for the children.)

Corrected Corrected by Mar 3, 2023

Category: transportation. Marked corrected in the state record.

3280.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

The Operator acknowledged that Staff 1 admitted to grabbing the child lightly and giving him two pats. Staff 1 denied hitting to harm.

Corrected Corrected by Jun 27, 2022

Marked corrected in the state record.

3280.64/3280.91(a) · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the Initial inspection the rear outside walkway along the path of egress was strewn with multiple hazards including barbed wire, weeds and excessive trash and debris.

Corrected Corrected by Aug 5, 2021

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

3280.95(a)/3280.95(b) · (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)).(b) 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 initial inspection the Provider did not have proof of purchase of the fire detection system.

Corrected Corrected by Jul 29, 2021

Category: recordkeeping. Marked corrected in the state record.