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.

During the renewal inspection on 10/12/23 there were missing items observed in first aid kits. The first aid kit located in the (3y-4y) classroom was missing soap. The first aid kit located in the (2y-3y) classroom was missing tape and soap.

Corrected Corrected by Oct 12, 2023

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

During the renewal inspection on 10/12/23 CR observed children's lunch boxes sitting out unrefrigerated in all classrooms.

Corrected Corrected by Oct 12, 2023

Category: nutrition. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During the complaint visit on 09/12/23 the file reviewed for child #1 was missing incident report for accident/injury on 08/16/23.

Corrected Corrected by Sep 14, 2023

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). 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: 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 #1 may not work in a child care position at the facility. Facility Person #1 cannot work in a childcare position at the facility until the required out of state CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required , completed out of state CPSL clearance documents for the identified staff person. Ensure that all staff persons who reside out of state within the past 5 years have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One facility person's record did not contain the required CPSL hiring documents. (#1- observed working with children and lacked the required clearance documents for a staff person who has lived outside of PA in the past 5 years.

Corrected Corrected by Dec 2, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Ensure that children are supervised at all times.

On 11/16/22, two children were observed unattended in the facility hallway with no staff person present. Child #1 was observed napping alone on a cot in the hallway Child #2 was observed leaving the bathroom alone and walking in the hall to her classroom.

Corrected Corrected by Nov 16, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must also submit a plan for supervision to put practices in place to ensure that children are supervised at all times. Submit written verification of the completed training for all facility staff persons as well as the supervision plan.

On 11/16/22, two children were observed unattended in the facility hallway with no staff person present. Child #1 was observed napping alone on a cot in the hallway Child #2 was observed leaving the bathroom alone and walking in the hall to her classroom.

Corrected Corrected by Dec 16, 2022

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Ensure that parents are provided the original report on the day of the incident. Revise and submit written policies and procedures to ensure that parents are provided the original incident report on the date of the incident.

On 7/19/22, a child sustained an accident while in care and the provider failed to provide the parent an original report of the incident on the day of the incident. (child #1)

Corrected Corrected by Sep 12, 2022

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