3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the renewal inspection on 1/24/23 there was peeling plaster observed on the wall located in infant 2 classroom.

Corrected Corrected by Feb 25, 2023

Category: physical safety. 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 on 1/24/23, the training record reviewed for staff person #1, staff person #2 and staff person #3 was missing 10hr Health and Safety professional development training.

Corrected Corrected by Mar 1, 2023

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 on 1/24/23, the training record reviewed for staff person #2 contained expired first aid/cpr certification. Current certification expired on 10/31/22.

Corrected Corrected by Feb 8, 2023

Category: ratio. 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 on 1/24/23 the emergency form reviewed for child #1 and child #5 was missing health insurance policy number.

Corrected Corrected by Feb 8, 2023

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection on 1/24/23 the file reviewed for child #2 was missing updated health report.

Corrected Corrected by Mar 1, 2023

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the renewal inspection on 1/24/23, the immunization records for child #2, child #3 and child #4 were missing influenza vaccine.

Corrected Corrected by Mar 1, 2023

Category: health medication. 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 renewal inspection on 3/10/22, staff persons in OT rooms, first room and rear room, and Pre K 4 room on second floor were unable to clearly identify primary care groups within the classrooms.

Corrected Corrected by Mar 17, 2022

Category: supervision. Marked corrected in the state record.

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

During renewal inspection on 3/10/22, agreement forms on file for child #5, #6 and #7 were not signed by the operator.

Corrected Corrected by Mar 17, 2022

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 renewal inspection on 3/10/22, emergency contact forms on file for child #1, #2, #3, #4, #5, #6, and #8 did not contain addresses of release persons designated on emergency contact form; emergency contact form on file for child #7 did not contain release person's phone number.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.131(d)(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 health report shall include a review of the child's health history.

During renewal inspection on 3/10/22, file of child #4 did not contain an updated health assessment.

Corrected Corrected by Mar 31, 2022

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

3270.151(a)/3270.151(c)(1) · 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 a physical examination.

During renewal inspection on 3/10/22, files of staff persons #1, #2, #4, #6 and #7 did not contain staff health assessment that was completed within the last 24 months. Health assessments on file were dated as follows: staff #1: 03/05/2020; staff #3:07/30/2019; staff #4:12/02/2019; staff #6:01/03/2020; staff #7: 02/11/2020

Corrected Corrected by Mar 31, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During renewal inspection on 3/10/22, health assessment on file for staff person #10 did not confirm staff person was free from communicable disease and suitable to provide child care.

Corrected Corrected by Mar 31, 2022

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.

During renewal inspection on 3/10/22, agreement forms on file for child #1, #2. #3, #4, #5, #6, #8 and #9 had not been reviewed and/or updated in required six (6) month interval.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. 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.

During renewal inspection on 3/10/22, emergency contact forms on file for child #1, #2, #3, #4, #5, #6 and #8 did not contain required parental consent for minor first aid procedures.

Corrected Corrected by Mar 31, 2022

Category: ratio. Marked corrected in the state record.

3270.95(a) · 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 renewal inspection on 3/10/22, annual certification for fire alarm system was more than 1 year old. Annual certification report was dated 01/26/2021.

Corrected Corrected by Mar 17, 2022

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

During renewal inspection on 03/10/22, emergency plan did not contain the routes for evacuation of children from the facility building.

Corrected Corrected by Mar 21, 2022

Category: physical safety. 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 renewal inspection on 3/10/22, files of staff persons #1, #3, #5, #6, #8 and #9 did not contain 12 hours of annual child care training. File of staff persons #1, #6, #8 and #9 contained 4.5 hours; file of staff person #3 contained 11.5 hours; file of staff person #5 contained 8.5 hours.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.