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 12/04/2024, the file for Staff Person #1 did not contain verification of the completion of the required CCDBG 10-Hour Health and Safety Training completed within 90 days of hire. Staff Person #2 was observed working alone and the file for Staff Person #2 did not contain verification of the completion of the required CCDBG 10-Hour Health and Safety Training prior to working alone.

Corrected Corrected by Dec 7, 2024

Category: ratio. 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.

At the time of the Renewal Inspection on 12/04/2024, the facility did not have a written policy to address recognizing signs and symptoms of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment; Strategies for coping with a crying, fussing or distraught child; the Prevention and identification of Child Maltreatment.

Corrected Corrected by Dec 4, 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). Facility Person # 1 may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

At the time of the Renewal Inspection on 12/04/2024, the file for Staff Person #1 did not contain a Pennsylvania State Police Criminal Background Clearance.

Corrected Corrected by Dec 13, 2024

Category: background checks. 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 Renewal Inspection on 12/04/2024, the file for Staff Person #1 did not contain an annual, written staff evaluation.

Corrected Corrected by Dec 4, 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.

At the time of the Renewal Inspection on 12/04/2024, the emergency contact form on file for Child #2 did not contain the address and phone numbers for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

At the time of the Renewal Inspection on 12/04/2024, the vehicular and pedestrian safe routes were not posted in a conspicuous location in the facility.

Corrected Corrected by Dec 17, 2024

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.

At the time of the Renewal Inspection on 12/04/2024, the emergency contact forms on file for Child #1 and Child #3 did not contain signed parental consent to receive emergency medical care or consent for minor first aid by a facility person.

Corrected Corrected by Dec 4, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

At the time of the Renewal Inspection on 12/04/2024, the emergency contact form on file for Child #1 and Child #3 did not contain signed parental consent for walking excursions.

Corrected Corrected by Dec 4, 2024

Category: transportation. 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.

At the time of the Renewal Inspection on 12/04/2024, the file for Staff Person #1 did not contain verification of the completion of 12 clock hours of childcare training.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During renewal inspection 02/01/2024, operator did not have method to show emergency plan is reviewed annually and/or as needed.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

During renewal inspection 02/01/2024, operator did not have verification of letter provided to parents of enrolled children explaining facility's emergency procedures.

Corrected Corrected by Feb 16, 2024

Category: physical safety. 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 renewal inspection 02/01/2024, file of staff person #2- did not contain verification that fire safety training had been completed in the last year. Certificate on file showed fire safety training had last been completed 01/27/2022.

Corrected Corrected by Feb 19, 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 renewal inspection 02/01/2024, fire safety training certificates on file for staff persons #1, #3, #4, #5, #6 and #7 were not from an acceptable training provider.

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. All staff persons shall complete the professional development under subsection (f).

During renewal inspection 02/01/2024, files of staff persons #1, #2, #3 did not contain verification that Pennsylvania 1 hour Health and Safety update had been completed; files of staff persons #4 and #5 did not contain verification that 10 hour Health and Safety training had been completed.

Corrected Corrected by Feb 16, 2024

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). THE REQUIRED STAFF:CHILD RATIOS MUST BE MAINTAINED AT ALL TIMES.

During renewal inspection 02/01/2024, toddler classroom contained 17 children, ranging in age from 1.5 years to 4 years old, with 2 staff . Correct staff:child ratio was 1:5. Additional staff person was preparing lunch for children and was not present in the child care space.

Corrected Corrected by Feb 16, 2024

Category: ratio. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

During renewal inspection 02/01/2024, changing pad located on changing table in infant area was peeling and in disrepair.

Corrected Corrected by Feb 16, 2024

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

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

During renewal inspection 02/01/2024, written plan of daily activities was not posted in the pre school child care space (first room upon entry).

Corrected Corrected by Feb 16, 2024

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.

During renewal inspection 02/01/2024, staff person #4 was unable to name specific child care group that staff person had responsibility for in child care space.

Corrected Corrected by Feb 16, 2024

Category: supervision. 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.

During renewal inspection 02/01/2024. files of staff persons #1, #2, #3 did not contain a current health assessment; health assessments on file for staff persons #1, #2 and #3 contained health assessments more than 24 months old.

Corrected Corrected by Feb 19, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2)(ii) · 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 record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

During renewal inspection 02/01/2024, file of staff person #4 did not contain a health assessment completed within the last 12 months including results from staff person's chest X-Ray.

Corrected Corrected by Feb 16, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

During renewal inspection 02/01/2024, file of staff person #6 contained a health assessment that did not state if staff person was free from communicable disease and able to work with children.

Corrected Corrected by Feb 24, 2024

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

3270.192(4) · 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.

During renewal inspection 02/01/2024, file of staff person #5 did not contain complete attachments (DISPOSITION) for clearances present on file.

Corrected Corrected by Feb 19, 2024

Category: background checks. 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 renewal inspection 02/01/2024, operator was unable to provide verification that copy of emergency plan had been submitted to the local emergency management agency.

Corrected Corrected by Feb 16, 2024

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 02/01/2024, files of staff persons #1, #2, #3, and #4 did not contain verification that 12 hours of annual child care training had been completed in the last year.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Center Director did not separate cribs 2 feet apart while laying the infants down for naptime.

Corrected Corrected by Mar 7, 2023

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

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

On December 13, 2022, during renewal inspection Certification Representative noticed that a wall was missing a patch of paint.

Corrected Corrected by Dec 27, 2022

Category: physical safety. 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.

On 2/15/22 during renewal inspection Certification Representative noticed that staff # 1 and staff # 2 were missing fire safety training certificate.

Corrected Corrected by Mar 1, 2022

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). 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 # 1 may not work in a child care 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.

On 2/15/22 during renewal inspection Certification Representative noticed that staff # 1 was missing FBI clearance.

Corrected Corrected by Mar 1, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection on 2/15/22 Certification Representative noticed that child # 2 emergency contact form is missing an address for release person.

Corrected Corrected by Mar 1, 2022

Category: recordkeeping. 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 2/15/22 during renewal inspection Certification Representative noticed that child # 1 was missing a MA policy # on the emergency contact form.

Corrected Corrected by Mar 1, 2022

Category: health medication. 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.

On 2/15/22 during renewal inspection Certification Representative noticed that staff # 1 was missing first aid and CPR training.

Corrected Corrected by Feb 1, 2022

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