3270.111(b) · The written plan of daily activities shall be posted in the group space.

During the renewal inspection conducted 11/4/2024 there were no daily activity schedules posed in the group space.

Corrected Corrected by Nov 8, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

During the renewal inspection conducted 11/4/2024 the emergency contact reviewed for child #1, #2, #3, #4 and #5 did not include the operator's signature.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. 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 conducted 11/4/2024 the file reviewed for child #4 did not include the physicians name, address and telephone number

Corrected Corrected by Nov 6, 2024

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 conducted 11/4/2024 the emergency contact reviewed for child #1, #2, #3, #4 and #5 did not include work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Nov 6, 2024

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 conducted 11/4/2024 the emergency contact reviewed for child #1, #2, #3, #4 and #5 did not include the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. 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 childcare space and shall accompany a staff person who leaves on an excursion with children.

During the renewal inspection conducted 11/4/2024 there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every childcare space.

Corrected Corrected by Nov 8, 2024

Category: transportation. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection conducted 11/4/2024 the health assessments reviewed for child #5 did not include a copy of the child's immunized records.

Corrected Corrected by Nov 12, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

During the renewal inspection conducted 11/4/2024 the health assessments reviewed for child #1, #2 and #5 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 11, 2024

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection conducted 11/4/2024 upon request there was no emergency drill documents available for review to verify that the facility was conducting annual emergency drills.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. 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 conducted 11/4/2024 upon request there was no fire drill log available for review to verify fire drills were being conducted every 60days.

Corrected Corrected by Nov 8, 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.

During the renewal inspection conducted 11/4/2024 upon request there was no verification available for review to verify that the facility sent their emergency plan subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 8, 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.

During the unannounced inspection conducted September 16, 2024, there was no evidence verifying Staff #2 (see code sheet for hire date) completed the required 10hr Health and Safety Training. (Continued non-compliance from the allocated unannounced inspection conducted July 16, 2024)

Corrected Corrected by Oct 7, 2024

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of childcare training.

During the unannounced inspection conducted September 16, 2024, upon request, 12 clock hours of childcare training was not produced for staff #1 (see hire dates on code sheet). (Continued non-compliance from the allocated unannounced inspection conducted July 16, 2024)

Corrected Corrected by Oct 7, 2024

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.

During the allocated unannounced inspection conducted on 7/16/2024, the record reviewed for staff #2 did not include updated fire safety training within a 12-month period.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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.

During the allocated unannounced inspection conducted on 7/16/2024, there was no evidence verifying Staff #2 (see code sheet for hire date) completed the required 10hr Health and Safety Training.

Corrected Corrected by Sep 13, 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.

During the allocated unannounced inspection conducted on July 16, 2024, staff #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 were observed working with children throughout the inspection. There was no evidence verifying staff completed pediatric first aid and CPR, mandated reporter training or the required 10hr health and safety training. Staff was not working with any qualified staff that had completed pediatric first aid and CPR, mandated reporter training or the 10hr Health and Safety Training.

Corrected Corrected by Aug 8, 2024

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: Facility Person #1, #7, #3, #5, #6 and #14-- 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. Facility Person #8, #9, #10, #11, #12 and #13--- may not work alone in a childcare position at the facility.

During the allocated unannounced inspection conducted on July 16, 2024, the record reviewed for staff #1 contained a child abuse Clerance that was not updated within a 60-month period. The record reviewed for Staff #7 did not contain a Child Abuse Clerance or a National Sex Offenders Clearance. The record reviewed for staff #3 did not contain required out of state clearances. The record reviewed for staff #5 and #6 did not contain required out of state clearances., National Sex Offenders Clerance, or mandated reporter training. The record reviewed for Staff #14 did not contain a Child abuse clearance, DHS FBI fingerprint clearance, National Sex offenders' clearance or Mandated reporter Training. The records reviewed for staff #8, #9, #10, #11 did not contain a National Sex Offenders Clerance. The records reviewed for staff #12 did not included mandated reporter training or a National Sex Offenders Clerance. Staff #5, #6, #7, #8, #9, #10, #11, 12, #13 and #14 were all observed working with children throughout the inspection and was not working with a qualified staff. (See code sheet for all staff hire dates).

Corrected Corrected by Sep 13, 2024

Category: supervision. Marked corrected in the state record.

3270.33(b) · At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level.

During the allocated unannounced inspection conducted on 7/16/2024 the staff records reviewed did not contain documentation verifying that more than 50% of the staff were qualified as a director, group supervisor or assistant group supervisors. (Three out of fourteen staff qualified as an Assistant Group Supervisor) The records reviewed for Staff #3, #6, #7, #9, and #14 did not contain verification of childcare experience. The records reviewed for Staff #5, #8, #10, #11, #12 and #13 did not include verification of childcare experience or education.

Corrected Corrected by Sep 13, 2024

Category: supervision. 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.

During the allocated unannounced inspection conducted on 7/16/2024 there was no evidence presented verifying that staff #1 and #4 received a written evaluation within a 12-month period.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(2)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of 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 the allocated unannounced inspection conducted on 7/16/2024 the staff records reviewed for staff person #2 did not contain verification of education to qualify them for the positions performing (Director).

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the allocated unannounced inspection conducted on 7/16/2024, the record reviewed for staff person #2 who was identified as the Director did not include verification of education to qualify the staff person, therefore, a director is not employed at the facility.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(1)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the allocated unannounced inspection conducted on 7/16/2024 the records reviewed for staff persons #3, #6, #7, #9, and #14 did not contain verification of childcare experience to qualify the staff person for the position performing. ( Assistant Group Supervisor) The records reviewed for staff persons #5, #8, #10, #11, #12 and #13 did not include verification of childcare experience or education to qualify the staff for the position performing (Assistant Group Supervisor)

Corrected Corrected by Sep 13, 2024

Category: supervision. 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.

During the allocated unannounced inspection conducted on 7/16/2024 upon request for staff to name children in their assigned groups, all staff stated they were not responsible for specific assigned children but were able to name all of the children present in the childcare space, all Staff informed the certification representative to go see staff #1 for all questions concerning, how many children were in the groups and who they were each responsible for.

Corrected Corrected by Sep 13, 2024

Category: supervision. 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.

During the allocated unannounced inspection conducted on 7/16/2024 the record reviewed for Staff #2, #5, #6, #7, #8, #9, #10, #11, #12, and #13 did not include a health assessment.

Corrected Corrected by Sep 13, 2024

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.

During the allocated unannounced inspection conducted on 7/16/2024 the record reviewed for Staff #5, #6, #7, #8, #10, #11, #12, #13 and #14 did not contain proof of two written nonfamily references.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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 allocated unannounced inspection conducted on 7/16/2024 the fire drill log presented and reviewed was not updated within a 60day time period. The last fire drill that was noted was 11/27/23.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the allocated unannounced inspection conducted on July 16, 2024, upon request, 12 clock hours of childcare training was not produced for staff #1, #2 and #4. (see hire dates on code sheet).

Corrected Corrected by Sep 13, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility.

Staff 1 did not have proof of mandated reporter training on file. Staff 2 did not have proof of their NSOR on file. This is an ongoing violation from the renewal inspection on 11/30/23.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

Staff 1 did not have proof of a physical and TB results on file. Ongoing violation from renewal inspection on 11/30/23.

Corrected Corrected by Feb 20, 2024

Category: ratio. 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.

During the review of the files, at the renewal inspection, it was observed that Staff 2 and staff 6 did not have proof of the required 10 hour health and safety training (subsections (f)1-9) and they are pasted their 90 days.

Corrected Corrected by Jan 2, 2024

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) 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 # 4, 5 and 7-- may not work in a child care position at the facility.

During the review of the files, it was observed that Staff 4 had a Department of Education FBI Clearance, not the required DHS FBI clearance and Staff 4 was also missing their Mandated Reporter training, and Staff 5 and 7 were missing their NSOR and were past their 45 day provisional hire period.

Corrected Corrected by Jan 2, 2024

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

3270.151(a)/3270.151(c)(2) · 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. 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.

Upon review of the files, it was observed that staff 1, staff 3 and staff 4 did not have proof of a physical nor the tb test results; Staff 7 did not have a physical that was less than 24 months old on file.

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Upon review of the files, Staff 1 and Staff 3 were missing proof of education.

Corrected Corrected by Jan 2, 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.

Upon review of the files, it was observed that Staff 1 and Staff 3 were missing 2 nonfamily references and Staff 4 was missing 1 reference.

Corrected Corrected by Jan 2, 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.

During the renewal inspection the facility did not have an emergency plan that provides for accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Dec 16, 2021

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.

During the renewal inspection the provider did not have a copy of the proof of purchase for the fire detection system.

Corrected Corrected by Dec 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

During the renewal inspection the Provider did not have documentation of how parents are provided information on how to access the regulations electronically.

Corrected Corrected by Dec 16, 2021

Marked corrected in the state record.