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.

At the time of the Renewal Inspection on 10/04/2024, the Facility's Emergency Plan did not contain a plan for addressing Volunteer Emergency Plan training, and a plan for Continuity of Operations.

Corrected Corrected by Nov 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of the Renewal Inspection on 10/04/2024, the Facility's Emergency Plan did not include a method for contacting parents at the onset of an emergency and at the conclusion of an emergency to provide reunification instructions.

Corrected Corrected by Nov 1, 2024

Category: physical safety. 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.

At the time of the Renewal Inspection on 10/04/2024, the outdoor play space had rusty debris on the steps and large weeds throughout the Outdoor PlaySpace.

Corrected Corrected by Nov 1, 2024

Category: physical safety. 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.

At the time of the Renewal Inspection on 10/04/2024, the Emergency Contact form on file for Child #3 did not contain the Health Insurance Coverage and policy number for the child.

Corrected Corrected by Nov 1, 2024

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of the Renewal Inspection on 10/04/2024, the last review and update to the Emergency Contact form on file for Child #3 was 08/09/2023

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

At the time of the Renewal Inspection on 10/04/2024, the files for Child #2 and Child #3 did not contain an updated Health Assessment.

Corrected Corrected by Nov 1, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 Renewal Inspection on 10/04/2024, the most recent Health Assessment on file for Staff Person #1 was dated 08/15/2022.

Corrected Corrected by Nov 1, 2024

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

At the time of the Renewal Inspection on 10/04/2024, the file for Child #3 contained an Agreement Form that was last reviewed and updated 1/10/2023 and the file for Child #4 contained an Agreement Form that was las reviewed and updated on 09/01/2022.

Corrected Corrected by Nov 1, 2024

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.

At the time of the Renewal Inspection on 10/04/2024, the facility's Emergency plan did not include accommodations for Infants, toddlers, children with disabilities and chronic medical conditions.

Corrected Corrected by Nov 1, 2024

Category: physical safety. 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 Renewal Inspection on 10/04/2024, the fire drill log did not contain documentation stating that the system was tested every 30 days.

Corrected Corrected by Nov 1, 2024

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.

At the time of the Renewal Inspection on 10/04/2024, the facility's Emergency Plan did not identify shelter locations away from the facility.

Corrected Corrected by Nov 1, 2024

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.

At the time of the Renewal Inspection on 10/04/2024, the file for Child #1 did not contain an Initial Health Assessment.

Corrected Corrected by Nov 1, 2024

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

During a renewal inspection on 12/6/2023, the files for child #1, 2, 3 and 4 did not contain the Departments approved for to provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Jan 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

During a renewal inspection on 12/6/23, the files for child #3 and 4 did not contain a health report updated in the previous 12 months.

Corrected Corrected by Jan 15, 2024

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

3270.181(b)/3270.181(c) · Information in a child's record shall be kept current by the operator. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

During a renewal inspection on 12/6/2023, the files for child #3 and 4 did not contain an updated Emergency Contact form and financial agreement.

Corrected Corrected by Jan 15, 2024

Category: recordkeeping. Marked corrected in the state record.