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.

In review of staff files, staff person 1, who resided out of the state within 5 years, failed to have out of state child abuse, criminal history checks and sex offender registry check,

Corrected Corrected by Oct 11, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During renewal inspection on Friday, 10/11/24, cert rep observed handwashing signs located in the bathrooms and by the sinks on the first floor failed to address when a staff and child must wash their hands.

Corrected Corrected by Oct 11, 2024

Category: health medication. 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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations. This is continued noncompliance from renewal inspection on Tuesday, 09/26/23.

Corrected Corrected by Dec 18, 2023

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 persons 1 and 2 file failed to include verification of 2 years (2500 hours) of experience working with children. Staff person 3 file fail to include verification of education and 2 years (2500 hours) of experience working with children. This is continued noncompliance from renewal inspection on Tuesday, 09/26/23.

Corrected Corrected by Dec 18, 2023

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a)(2) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

During unannounced inspection on Friday, 11/03/23, cert rep observed preschool group out of ratio. There was 1 staff member with 13 preschool children. This is continued noncompliance from an unannounced inspection on Friday, 10/13/23.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

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

During unannounced inspection on Friday, 11/03/23, cert rep observed a first aid kit missing from 2nd floor, back room use for school age care. This is continued noncompliance from renewal inspection on Tuesday, 09/26/23.

Corrected Corrected by Dec 18, 2023

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 unannounced inspection on Friday, 11/03/23, cert rep observed in school age classroom on the 2nd floor a hole in the wall and the outdoor play space equipment use for children was uncleaned. This is continued noncompliance from renewal inspection on Tuesday, 09/26/23.

Corrected Corrected by Dec 18, 2023

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

3270.113(a)/3270.113(a)(1) · 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. 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 unannounced inspection on Friday, 11/03/23, cert rep observed a preschool age child in the bathroom unsupervised.

Corrected Corrected by Nov 3, 2023

Category: supervision. 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, staff person 2, a new hire, file failed to include a current health assessment. Health assessment included in file was completed more than 12 months of hire.

Corrected Corrected by Dec 18, 2023

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, staff person 2 file failed to include TB results.

Corrected Corrected by Dec 18, 2023

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, staff person 1 file failed to include two written non-family letters. File only included 1 written non-family letter. This is continued noncompliance from renewal inspection on Tuesday, 09/26/23.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days or have verification that the smoke detection system was inspected annual by a fire safety professional.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a)(2) · 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 requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced inspection on Friday, 10/13/23, cert rep observed infant room out of ratio. There was 3 infants and 3 young toddlers with 1 staff member.

Corrected Corrected by Oct 13, 2023

Category: supervision. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During unannounced inspections on Friday, 10/13/23, cert rep observed mats in the older toddler group and playpen in the infant room failed to have 2 feet of space on 3 sides while in use.

Corrected Corrected by Oct 13, 2023

Category: physical safety. 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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Oct 26, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Staff person 1 will have until 10/21/23 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 a (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.

In review of staff files, staff person 1 has not completed the following required pre-service training within 90 days of their date of hire: health and safety topics including pediatric First Aid/CPR, from a PQAS-approved trainer and PQAS-approved curriculum. Staff person 1 file included the 1-hour health and safety update and first-aid and CPR that did not meet PQAS requirements.

Corrected Corrected by Oct 21, 2023

Category: supervision. 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 persons 1, 2, 3 and 4 file failed to include verification of 2 years (2500 hours) of experience working with children.

Corrected Corrected by Oct 26, 2023

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on Tuesday, 09/26/23, cert rep observed a first aid kit missing from 2nd floor, back room use for school age care.

Corrected Corrected by Oct 26, 2023

Category: health medication. 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 Tuesday, 09/26/23, cert rep observed several first aid kits located in 1st floor front child care space missing tape, tweezer, gloves and tape.

Corrected Corrected by Sep 26, 2023

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, 09/26/23, cert rep observed on 1st floor, in front child care space and bathroom located near back child care space, had damaged floor tiles. On 2nd floor, cert rep observed in the school age room there was damaged/broken cabinet draws. Cert rep observed outdoor play space was unclean with trash and other debris and had overgrown weeds.

Corrected Corrected by Oct 26, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During renewal inspection on Tuesday, 09/26/23, cert rep observed facility failed to have written hand washing signs posted in bathrooms, sinks and diapering area addressing when a staff person and child must wash their hands.

Corrected Corrected by Oct 26, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During renewal inspection on Tuesday, 09/26/23, cert rep observed back exits used as a means of egress was obstructed with high weeds, trash and debris.

Corrected Corrected by Oct 26, 2023

Marked corrected in the state record.

3270.107 · 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.

During renewal inspection on Tuesday, 09/26/23, cert rep observed refrigerator on 1st floor and 2nd floor failed to have a thermometer.

Corrected Corrected by Oct 26, 2023

Category: nutrition. 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 on Tuesday, 09/26/23, cert rep observed facility failed to have a written daily schedule outlining daily activities and routines, posted in each childcare space.

Corrected Corrected by Sep 26, 2023

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 on Tuesday 09/26/23, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, posted in each child care space.

Corrected Corrected by Sep 26, 2023

Category: transportation. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During renewal inspection on Tuesday, 09/26/23, cert rep observed a staff and child failed to wash their hands after a diaper change.

Corrected Corrected by Oct 26, 2023

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, staff person 2 file failed to include two written non-family letters. File only included 1 written non-family letter.

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

In review of facility's emergency plan, emergency plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 26, 2023

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

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.

In review of children files, child 1, enrolled more than 60 days, file failed to include a health report.

Corrected Corrected by Oct 26, 2023

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