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

At the time of the inspection the record of staff person #1, having served the facility in a child care position for over 7 months, did not include the verification of them having completed the required training described in 3270.31 (f) 1-10

Corrected Corrected by Dec 13, 2024

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

3270.31(f)/3270.32(a) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

At the time of the inspection staff person #2, having served the facility for less than 90 days and not having yet fulfilled the training requirements to qualify as a AGS level staff persons, was observed caring for a group of children on their own without the supervision of any other staff person.

Corrected Corrected by Nov 15, 2024

Category: supervision. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

At the time of the inspection the provider did not have the proof of the current comprehensive general liability insurance to cover the persons who are on the premises, there was no current copy of the insurance policy on file at the facility.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · 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.

At the time of the inspection the record of staff person #1, #2 , #3, #4, #5, #7 was lacking in the required documentation of training regarding the emergency plan at the time of initial employment, as well as on an annual basis and at the time of each plan update.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

At the time of the inspection the record of staff person #5, having served the facility over one year, was lacking in the proof of completion of fire safety training conducted by a fire protection professional, including in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Corrected Corrected by Jan 4, 2024

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). Facility Person # 1 , # 2 , # , -- may not work in a child care position at the facility. 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.

At the time of the inspection the record of staff person #1 was lacking in a complete PA state police clearance. The record of staff person #2 was lacking in the FBI clearance,

Corrected Corrected by Dec 22, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

At the time of the inspection staff person #2 was observed as the only staff person caring for infants in the infant room.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of the inspection the record of staff person #1, #2, #3, #4, #5, #7 did not include the verification of child care experience, education and training prior to service at the facility in order to provide qualifications for the position in which the person was observed performing..

Corrected Corrected by Jan 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the inspection the record of staff person #5, having served the facility over one year) was lacking in the written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Corrected Corrected by Jan 3, 2024

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.

At the time of the inspection the record of staff person #3 was lacking in the both the certification of their health assessment conducted within 12 months prior to providing initial service in a child care setting, as well as the 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.

Corrected Corrected by Jan 3, 2024

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of the inspection there was no individual record at the facility for staff/facility person #6

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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.

At the time of the inspection the record of staff person #1, #2, #3, #4, #7 (needs translation) was lacking acceptable verification of education, such as a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Corrected Corrected by Jan 12, 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.

At the time of the inspection the record of staff person #1, #2, #3, #4, was lacking the required two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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.

At the time of the inspection the record of staff person #1 was lacking in the proof of the completion of the professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Jan 11, 2024

Category: health medication. 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.

At the time of the inspection provider did not have proof of the annual inspection of the fire detection system to verify the operability of the system.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 2/24/23, Staff #1 stated that Child #1 hit their cheek on the classroom chair leaving a mark on Child #1 cheek to chin. An incident/injury report was not completed and was not on file at the facility.

Corrected Corrected by Feb 27, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 2/1/23, bottles in the infant room were not labeled with the child's names.

Corrected Corrected by Feb 6, 2023

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.

On 2/1/23, Staff person #3 was observed to be caring for children unsupervised. Staff person #-3 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety Training and Pediatric First Aid/CPR.

Corrected Corrected by Feb 1, 2023

Category: supervision. Marked corrected in the state record.

3270.27(c) · 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.

Continued Non-Compliance: On 2/1/23, documentation of training in the facility's emergency plan was not observed in the files belonging to Staff #1, #2, #3

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Continued Non-Compliance: On 2/1/23, Staff #3 was observed working alone in the Infant Room. Staff #3 does not have a completed NSOR clearance required by CPSL.

Corrected Corrected by Feb 2, 2023

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(iv) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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.

Continued Non-Compliance: On 2/1/23, Staff #2 and #3 file did not contain verification of education/experience in order to qualify them for the position in which they were performing.

Corrected Corrected by Feb 15, 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.

Continued Non-Compliance: On 2/1/23, the crib located in the main childcare space was not labeled for the use of the specific child for which it was being used.

Corrected Corrected by Feb 15, 2023

Category: physical safety. 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.

Continued Non-Compliance: On 2/1/23, Child #1 and #2 emergency contact information did not contain the addresses of designated release persons.

Corrected Corrected by Feb 14, 2023

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.

Continued Non-Compliance: On 2/1/23, emergency contact information was not present in the childcare space where 4 infants were receiving care.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. 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.

Continued Non-Compliance: On 2/1/23, written infant feeding statements were not observed for 3 infants.

Corrected Corrected by Feb 15, 2023

Category: nutrition. 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.

Continued Non- Compliance: On 2/1/23, Staff #2 and Staff #3 files did not contain 2 letters of written references.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

On 1/6/23 ,during renewal inspection, Staff #1, #4 and #5 file did not contain verification of age.

Corrected Corrected by Jan 13, 2023

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.

On 1/6/23, during renewal inspection, Staff #3, #5 and #6 files did not contain the one-hour Update to the Health and Safety Professional Training required by OCDEL.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · 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.

On 1/6/23, during renewal inspection, Staff #1, #2, #3, #4 and #5 Files did not contain evidence of training in the facility plan at time of initial hire.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On 1/6/23, Staff person #3 and Staff #5 have not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Jan 21, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #4 -- may not work in a child care position at the facility.

On 1/6/23, during renewal inspection, Staff #3 file did not contain results of NSOR clearance. Staff #4 file did not contain results of PA Criminal, FBI and NSOR clearances.

Corrected Corrected by Jan 6, 2023

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

3270.33(a)/3270.192(2)(iv) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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.

On 1/6/23, during renewal inspection, Staff #2, #4 and #5 Files did not obtain verification of education/experience to ensure staff qualifications are met.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · 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 stored away from food, food preparation areas and child care spaces.

On 1/6/23, during renewal inspection, a spray bottle containing bleach & water located in the infant room was not labeled with the contents.

Corrected Corrected by Jan 6, 2023

Category: ratio. 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.

On 1/6/23, during renewal inspection, a handwashing sign was not posted at the diapering area located in the Infant Room.

Corrected Corrected by Jan 6, 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.

On 1/6/23, during renewal inspection, a ladder was observed obstructing the steps serving as an alternate egress from the lower level.

Corrected Corrected by Jan 6, 2023

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.

On 1/6/23, during renewal inspection, an infant was observed asleep in a crib and a PS child was observed asleep on a cot that were not labeled for the specific us of the children.

Corrected Corrected by Jan 6, 2023

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

3270.113(a)(1) · 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.

On 1/6/23, during renewal inspection, Staff #1, #2, and #4 were observed caring for 14 children in the main childcare space. The youngest children were infants. Staff #1, #2, #3 and #4 could not name the children assigned to their group for the purpose of supervision.

Corrected Corrected by Jan 6, 2023

Category: supervision. 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.

On 1/6/23, during renewal inspection, Child #1 file did not contain health insurance coverage and policy number.

Corrected Corrected by Jan 16, 2023

Category: health medication. 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.

On 1/6/23, during renewal inspection, Child #2 and Child #3 emergency contact form did not include the address of the release persons designated by the parents.

Corrected Corrected by Jan 16, 2023

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.

On 1/6/23, during renewal inspection, emergency contact information was not present in the front childcare space where children were receiving care.

Corrected Corrected by Jan 9, 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.

On 1/6/23, during renewal inspection, Staff #1 and Staff #4 files did not contain initial health assessment and results of tuberculosis test by Mantoux method.

Corrected Corrected by Jan 16, 2023

Category: ratio. 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.

On 1/6/23, during renewal inspection, written feeding schedules obtained by the parent were not on file for infants at the facility.

Corrected Corrected by Jan 16, 2023

Category: nutrition. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

On 1/6/23, during renewal inspection, Child #1 File did not contain signed consent for emergency medical care and for the administration of minor first aid.

Corrected Corrected by Jan 9, 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.

On 1/6/23, during renewal inspection, Staff #1, #2, #4, #5 Files did not contain 2 written letters of references. (Staff #2 contained 1 letter).

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. 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.

On 1/6/23, during renewal inspection, Child #1 file did not contain a health report (only Immunization record was on file).

Corrected Corrected by Jan 23, 2023

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

3270.32(a) · 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.

On 8/11/22, a complete FBI clearance was not observed in the file belonging to Staff #1.

Corrected Corrected by Aug 15, 2022

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

On 8/12/22, step stools were not observed by toilets and sinks to ensure children can easily access them.

Corrected Corrected by Aug 12, 2022

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.

On 8/11/22, Staff #1 file did not contain initial health assessment, including results of TB test.

Corrected Corrected by Aug 15, 2022

Category: ratio. 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.

On 8/11/22, verification of education was not observed in the file belonging to Staff #1.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

On 8/11/22, proof of installation of the facility's fire detection system required by Panic Fire Safety Act of Nov 2020 was not on file at the facility.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

On 8/11/22, the facility's emergency plan did not provide accommodations for children during a lockdown.

Corrected Corrected by Aug 12, 2022

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