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.

In review of emergency plan documents, staff persons 2 and 3 had not received annual training on the facility's emergency plan at the time of the renewal inspection on Tuesday, 03/18/25.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. 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. 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. 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 not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and safety training. Health and safety training contained in staff files was completed prior to 09/30/16.

Corrected Corrected by Apr 4, 2025

Category: supervision. 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.

In review of children's files, emergency contact form failed to include the designated released person's address.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

In review of children's files, child 1, a young toddler, file failed to include an updated health report. Health report included in file was last completed on 06/10/24.

Corrected Corrected by Apr 4, 2025

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 and health and safety documents, facility's emergency plan failed to include statement addressing continuity of operations and have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Corrected Corrected by Apr 26, 2024

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 1 file failed to include verification of 2 years (2500 hours) of experience working with children.

Corrected Corrected by Apr 26, 2024

Category: supervision. 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 Wednesday, 03/13/24, cert rep observed facility failed to have written hand washing signs posted in bathrooms, at sinks and diapering area, addressing when a staff person and child must wash their hands.

Corrected Corrected by Apr 26, 2024

Category: health medication. 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 Wednesday, 03/13/24, 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 childcare space.

Corrected Corrected by Apr 26, 2024

Category: transportation. 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 3, 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 Apr 26, 2024

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 persons1 and 3 file failed to include current TB results by Mantoux method. Staff person 3, a new hire, TB results included in file was completed more than 12 months of hire.

Corrected Corrected by Apr 26, 2024

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

In review of staff files, staff person 2, a GS, file failed to include college transcripts verifying area of studies.

Corrected Corrected by Apr 26, 2024

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.

In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency.

Corrected Corrected by Apr 26, 2024

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

File record for Staff #1 and staff #2 did not include Pennsylvania Health and Safety Update 2022

Corrected Corrected by Mar 24, 2023

Category: health medication. 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 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 #1may not work in a child care position at the facility.

File record for staff #1 did not include PA State Police Clearance and National Sex Offender Registry

Corrected Corrected by Mar 24, 2023

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

File record for Child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff

Corrected Corrected by Mar 24, 2023

Category: ratio. 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.

FACILTY EMERGENCY PLAN DI NOT INCLUDE ACCOMODATIONS FOR INFANTS,TODDLERS,CHILDREN WITH DISABILITIES, AND CHILDREN WITH MEDICAL CONDITIONS

Corrected Corrected by Mar 7, 2022

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