3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

During the renewal inspection cert rep observed staff #1 and 2 did not have staff evaluations on file.

Corrected Corrected by Jan 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the renewal inspection cert rep observed the water in the bathroom sink was 111 degrees.

Corrected Corrected by Feb 14, 2025

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During the renewal inspection cert rep observed child #1 fee agreement did not include the fee amount and the date the fee is to be paid.

Corrected Corrected by Feb 14, 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.

During the renewal inspection cert rep observed the Shaken Baby Syndrome policy did not include the prevention and identification of child maltreatment.

Corrected Corrected by Feb 14, 2025

Category: ratio. 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 the renewal inspection cert rep observed the emergency plan did not include the continuity of operations.

Corrected Corrected by Feb 14, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

During the renewal inspection cert rep observed staff #1 and 2 did not have pediatric first aid and CPR on file.

Corrected Corrected by Feb 14, 2025

Category: ratio. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection cert rep observed child #1 and 3 emergency contact did not have the physicians address on file.

Corrected Corrected by Feb 14, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection cert rep observed the emergency contact for child #1, 3 and 4 did not include the parents work address and phone number.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

During the renewal inspection cert rep observed the emergency contact for child #3 did not include the release persons address or phone number.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

During the renewal inspection cert rep observed staff #2 did not have a health assessment with TB on file.

Corrected Corrected by Feb 14, 2025

Category: ratio. 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 cert rep observed child #5 did not have a fee agreement on file.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection cert rep observed the emergency contact for child #2 did not have signed parental consent for transportation and walking excursions on file.

Corrected Corrected by Feb 14, 2025

Category: transportation. Marked corrected in the state record.

3270.94(a)(1)/3270.95(a) · 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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During the renewal inspection cert rep observed the fire drill was not done every 60 days. The last fire drill was conducted on 11/15/2024. The fire detection system was not conducted every 30 days. The last time the system was tested on 12/16/2024.

Corrected Corrected by Feb 14, 2025

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.

During the renewal inspection cert rep observed the fire system when tested by the provider only worked in the front part of the facility. It did not work in the child care space and the kitchen area.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During the renewal inspection cert rep observed the emergency plan delivery was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 14, 2025

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

3270.61(f) · Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

On 03/06/2024, during a follow-up visit to the facility, Certification representative observed two individuals (non-facility staff) making repairs in the bathroom that is located directly in the childcare space while children were in care. Certification representative observed one of the individuals carry a long metal object through the child care space where children were being cared for in the child care space.

Corrected Corrected by Mar 6, 2024

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the renewal inspection cert rep rang the doorbell, no one answered. Staff #3 walked up and used a key to open the facility door. Once inside cert rep observed 1 staff person #2 present in the facility with 8 children ranging in age from infant to preschool.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the renewal inspection cert rep observed the sink in the 1st bathroom was clogged with standing water.

Corrected Corrected by Feb 12, 2024

Category: physical safety. 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 the renewal inspection the cert rep observed while the children were napping the cots were not at least 2 feet of space on three sides.

Corrected Corrected by Feb 12, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection the emergency contact for child #1 did not include the parents work address and phone number.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

During the renewal inspection the emergency contact for child #1 did not include the information for special needs or disability on file.

Corrected Corrected by Feb 12, 2024

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During the renewal inspection the emergency contact for child #1 did not have the health insurance policy number on file.

Corrected Corrected by Feb 12, 2024

Category: health medication. 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 was not present in the childcare space while children were receiving care in that space.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. 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 staff #1 did not have a TB screening on file.

Corrected Corrected by Feb 12, 2024

Category: health medication. 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 the renewal inspection cert rep observed a written statement giving the formula and feeding schedule for infants was not on file.

Corrected Corrected by Feb 12, 2024

Category: nutrition. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the renewal inspection the emergency contact for child #1 did not contain signed parental consent for swimming and wading on file.

Corrected Corrected by Feb 12, 2024

Category: transportation. 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 last fire drill was done on 10/20/23.

Corrected Corrected by Feb 12, 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.

During the renewal inspection staff #3 only had 11 hours of child care training on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During the renewal inspection a letter notifying the local traffic safety authorities annually of the location of the facility was not on file.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

During renewal inspection on 1/12/23, while reviewing staff files, Cert Rep observed the following: - Staff # 4 did not have Pediatric First Aid/CPR in file

Corrected Corrected by Jan 12, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # --2, 4, 5 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. Staff Person #--2,4,5- may not work in a child care position at the facility.

During renewal inspection on 1/12/23, while reviewing staff files, Cert Rep observed the following: - Staff # 2 's FBI clearance was dated 9/17/17 - Staff # 4's file had receipts for FBI and NSOR, but had exceeded the 45-day provisional hire to have all completed clearances in file -Staff # 5 had an incomplete PA State police clearance dated 12/29/22, and did not have NSOR clearance to meet the requirements per CPSL for staff working out of state - Upon reviewing paperwork, Cert rep also realize that a DE Child Abuse clearance was never observed in the record of staff# 5. Cert rep requested for it, and provider reported that it hadn't been requested. Provider forwarded verification (receipt) that the clearance has been requested. The receipt was dated 3/3/23, well after staff#5 45 provisional employment, which ended 2/25/23.

Corrected Corrected by Jan 12, 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.

During renewal inspection on 1/12/23, while reviewing staff files, Cert Rep observed the following: - Staff # 5 did not have verification of experience- 2500 childcare hours in file to qualify as an AGS

Corrected Corrected by Jan 12, 2023

Category: supervision. 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 1/12/23, while reviewing staff files, Cert Rep observed the following: the facility's outdoor play space had debris and needed cleaning.

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.106(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.

During renewal inspection on 1/12/23, while reviewing staff files, Cert Rep observed the following: -an infant placed in a pack and play that was not labelled for the use of the specific child that was using it.

Corrected Corrected by Jan 12, 2023

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 renewal inspection on 1/12/23, while reviewing staff files, Cert Rep observed the following: - Staff # 5 did not have a health assessment and TB in file - Staff # 6 had a health assessment completed on 6/6/22. Staff # 6's health form was incorrect and did not have the required 3 questions answered in relation to suitability of working in a childcare setting.

Corrected Corrected by Jan 12, 2023

Category: ratio. 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 on 1/12/23, while reviewing staff files, Cert Rep observed the following: - Staff # 5 did not have 2 nonfamily references in file

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.