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.

Staff members numbers 2 and 3 did not have Health Assessments and TB tests included in their file at the time of the Renewal Inspection.

Corrected Corrected by Oct 7, 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.

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: The emergency plan did not address the Continuity of Operations.

Corrected Corrected by Oct 28, 2024

Category: ratio. 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.

CONTINUED NONCOMPLAINCE FROM RENEWAL INSPECTION: There was no liability Insurance on file during the time of the Renewal Inspection.

Corrected Corrected by Oct 28, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, 3, and 4 may not work in a child care position at the facility. a copy of the disclosure statement required under the CPSL. Facility Person # 2, 3 and 4 may not work in a child care position at the facility.

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: Staff members numbers 2, 3 and 4 did not have signed and dated Disclosure Statements in their file at the time of the Renewal Inspection. Staff members numbers 2 and 3 also did not have Mandated Reporter Training on file at the time of the Renewal Inspection.

Corrected Corrected by Oct 28, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There were uncovered outlets observed near front exit behind the unplugged fan, and another below the mounted television.

Corrected Corrected by Oct 7, 2024

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The water access in the bathroom measured approximately 145 degrees.

Corrected Corrected by Oct 7, 2024

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The blue first aid kit near the front Main Room did not contain nonporous gloves.

Corrected Corrected by Oct 2, 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.

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: Child number one emergency contact form was not reviewed in a 6- month period.

Corrected Corrected by Oct 28, 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.

Staff member numbers one and two did not have any references included in file.

Corrected Corrected by Oct 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.

The fire drill log posted was not current and was dated from 2023.

Corrected Corrected by Oct 7, 2024

Category: recordkeeping. 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)).

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: Facility did not have documentation of annual testing of the fire alarm system on file during the Renewal Inspection and the system could not be tested due to the location.

Corrected Corrected by Nov 15, 2024

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.

The facility did not have a current certificate of compliance posted or access to OCDEL's regulations.

Corrected Corrected by Oct 7, 2024

Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: The operator did not notify local traffic authorities of program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Oct 28, 2024

Marked corrected in the state record.

3270.31(f)(1) · Staff persons shall complete professional development in the prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements within 90 days of hire.

CONTINUED NONCOMPLIANCE FROM RENEWAL INSPECTION: Staff member number 4 did not have Health and Safety Training on file at the time of the Renewal Inspection.

Corrected Corrected by Oct 28, 2024

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

3270.192(3) · 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 an inspection it was observed staff person#1 file did not include up to date health assessment.

Corrected Corrected by Apr 3, 2024

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

3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During an unannounced inspection on 1/3/24 ongoing noncompliance was observed child # 2 cup was stored in the refrigerator with no name label.

Corrected Corrected by Jan 12, 2024

Marked corrected in the state record.

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During an unannounced inspection on 1/3/24 it was observed child #1 did not have a file at the facility .

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During an unannounced inspection on 1/3/24 ongoing noncompliance was observed the bathroom hot water measured at 118° F.

Corrected Corrected by Jan 12, 2024

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

3280.105(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.

During an unannounced inspection on 1/3/24 it was observed child #1 was napping in another child's rest equipment.

Corrected Corrected by Jan 12, 2024

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

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

During an unannounced inspection on 1/3/24 it was observed child#1 agreement form did not include a specific date on which the fee is to be paid.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During an unannounced inspection on 1/3/24 it was observed child #1 agreement form did not include specified persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

During an unannounced inspection on 1/3/24 it was observed child #1 agreement form did not include a specify the date of the child's admission.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 an unannounced inspection on 1/3/24 it was observed child #2 emergency contact did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Jan 12, 2024

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

3280.124(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 an unannounced inspection on 1/3/24 it was observed child #2 emergency contact did not include address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(b) · 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. Information in a child's record shall be kept current by the operator.

During an unannounced inspection on 1/3/24 it was observed child#2 emergency contact form and agreement form was signature date 11/18/22.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During an unannounced inspection on 1/3/24 it was observed child #2 included an expired child health report dated for 11/9/22 and child#3 file include an expired child health report dated 11/18/2022.

Corrected Corrected by Jan 12, 2024

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

3280.131(d)(1) · A health report shall include a review of the child's health history.

During an unannounced visit on 1/3/24 it was observed child#1 file did not include initial child health report or immunization record.

Corrected Corrected by Jan 12, 2024

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

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During an unannounced inspection on 1/3/24 ongoing noncompliance was observed child #1 file did not include A written statement giving the formula and feeding schedule.

Corrected Corrected by Jan 19, 2024

Category: nutrition. Marked corrected in the state record.

3280.192(3) · 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 an unannounced inspection on 1/3/24 ongoing noncompliance was observed staff person#1 file did not include verification of 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 12, 2024

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

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person# 2 and 3 shall complete the professional development in health and safety and pediatric first aid/CPR training with in 90 days of hire. Staff person#2 and 3 will have until 1/18/24 to complete the required training. Until such times as the required training has been completed, staff persons # 2 and 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to his citation. If there are no staff available to supervise staff persons# 2 and 3 may not work in a child care position at the facility.

During an unannounced inspection on 1/3/24 ongoing noncompliance was observed staff person# 2 file did not include verification of completion of the following required health and safety training with in 90 days of their date of hire. Staff person# 3 file did not include verification of the required completed health and safety training or Pediatric first aid/CPR training within 90 days of their hire date.

Corrected Corrected by Jan 18, 2024

Category: supervision. Marked corrected in the state record.

3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

While conducting the renewal inspection on 11/27/23 it was observed child#2 cup was not labeled.

Corrected Corrected by Dec 11, 2023

Marked corrected in the state record.

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

While conducting the renewal inspection on 11/27/23 it was observed that child#1 did not have a feeding schedule for an infant shall be obtained from the parent at the facility.

Corrected Corrected by Dec 11, 2023

Category: nutrition. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 may not work in a child care position at the facility. A facility person's #1 record shall include a copy of requests for the state police, Child abuse, FBI, and NSOR staff person#2 file needs state police, child abuse, criminal history record and child abuse registry clearance information, required under the CPSL. Staff Persons #1 and 2 may not work in a child care position at the facility.

While conducting a renewal inspection on 11/27/23 it was observed that staff persons# 1 file did not include state police, child abuse, FBI, NSOR clearances or mandated reporter training; staff person#2 file did not include state police, child abuse or mandated reporter training.

Corrected Corrected by Dec 11, 2023

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

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

While conducting the renewal inspection on 11/27/23 it was observed the bathroom located in classroom 3 water temperature measured at 120° F.

Corrected Corrected by Dec 11, 2023

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

3280.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

While conducting the renewal inspection on 11/27/23 it was observed classroom#3 first aid kit was missing tape and soap.

Corrected Corrected by Dec 11, 2023

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

While conducting the renewal inspection on 11/27/23 it was observed a small toy inside an infants crib.

Corrected Corrected by Dec 11, 2023

Marked corrected in the state record.

3280.163(a)(1)/3280.164 · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. Food servings shall be portioned suitably for the size and age of the children in care. Additional food in reasonable amounts shall be made available to children upon the request of the parent or child.

While conducting the renewal inspection on 11/27/23 it was observed the planed lunch for the children did not include diary. Also the fruit portions was not suitable for the size and age of the children in care.

Corrected Corrected by Dec 11, 2023

Category: nutrition. Marked corrected in the state record.

3280.165 · The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

While conducting the renewal inspection on 11/27/23 it was observed the facility did not have a monthly menu available.

Corrected Corrected by Dec 11, 2023

Category: nutrition. Marked corrected in the state record.

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

While conducting the renewal inspection on 11/27/23 it was observed that Provider did not maintain an individual record for each child enrolled in the facility.

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.191 · An individual record is required for each facility person.

While conducting the renewal inspection on 11/27/23 it was observed that Provider did not maintain an individual record for each staff person in the facility.

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.192(3) · 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.

While conducting the renewal inspection on 11/27/23 it was observed staff persons# 1 file did not 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.

Corrected Corrected by Dec 11, 2023

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

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons # 2 shall complete health and safety training within 90 days of hire. Staff person #2 will have until 12/15/23. to complete the required health and safety training. Staff persons# 2 and 3 shall complete pediatric first aid/CPR training within 90 days of hire. Staff persons# 2 and 3 will have until 12/15/23 to complete pediatric first aid /CPR training. Until such time as the required trainings has been completed, staff persons# 2 and 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons# 2 and 3 may not work in a child care position at the facility.

While conducting the renewal inspection on 11/27/23 it was observed staff persons# 2 and 3 has not completed the health and safety training within 90 days of hire. Staff person# 2 and 3 has not completed pediatric first aid/CPR training with in 90 days of hire.

Corrected Corrected by Dec 15, 2023

Category: supervision. Marked corrected in the state record.

3280.76 · 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.

Observed outdoor play space unclean.

Corrected Corrected by Dec 9, 2022

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed chipped paint in the bathroom.

Corrected Corrected by Dec 9, 2022

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