3270.92(a) · Portable space heaters are not permitted.

At the time of the Unannounced Visit on 12/16/2024, there were 2 portable space heaters in use in the office area of the childcare facility.

Corrected Corrected by Dec 16, 2024

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.

At the time of the Renewal Inspection on 07/25/2024 Staff person #3 was observed working in a summer camp classroom alone; however, during the record review the individual record for Staff Person #3 did not contain verification of the completion of the required Health and Safety training.

Corrected Corrected by Aug 2, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of the Renewal Inspection on 07/25/2024 the facility's emergency plan did not contain a method for contacting parents as soon as possible during an emergency or when an emergency ends and how parents can safely unite with their children.

Corrected Corrected by Aug 2, 2024

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

3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the Renewal Inspection on 07/25/2024 the individual records for Staff Person #1, #3, and #4 did not contain verification of Pediatric First Aid and Cardiopulmonary Resuscitation Certification.

Corrected Corrected by Aug 2, 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's # 2 and #5 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 Persons # 2 and #5 may not work in a child care position at the facility.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Staff Person #2 did not contain a completed National Sex Offender Registry Verification Certification and the individual record for Staff Person #5 did not contain completed State Police Clearance, Child Abuse Clearence, DHS FBI Clearence and National Sex Offender Registry Verification.

Corrected Corrected by Aug 2, 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 07/25/2024 the individual record for Staff Person #4 did not contain a written staff evaluation.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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.

At the time of the Renewal Inspection on 07/25/2024 the Infant room contained stained ceiling tiles.

Corrected Corrected by Aug 2, 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.

At the time of the Renewal Inspection on 07/25/2024 Staff Person #5 was unable to name and identify the children in their assigned primary care group.

Corrected Corrected by Aug 2, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

At the time of the Renewal Inspection on 07/25/2024 the Agreement form contained in the individual records for Children #3, #4 and #5 did not contain the fee amount or the date the fee is to be paid.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

At the time of the Renewal Inspection on 07/25/2024 individual records for Children #1, #2, #3, #4 and #5 did not contain documentation regarding the child's growth and development.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Child #4 did not specify a date of admission.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Child #2 did not contain an agreement form.

Corrected Corrected by Aug 2, 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.

At the time of the Renewal Inspection on 07/25/2024 the individual records for Children #2, #3, and #5 did not include the name, address or telephone number of the child's physician or source of medical care.

Corrected Corrected by Aug 2, 2024

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

At the time of the Renewal Inspection on 07/25/2024 the individual records for Children #2, #3, #4 and #5 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Aug 2, 2024

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.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Children #2, #3, and #5 did not contain the health insurance coverage information or policy number for the child.

Corrected Corrected by Aug 2, 2024

Category: health medication. 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 07/25/2024 the individual record for Child #5 did not contain the name, address and phone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · 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. 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.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Children #1 and #3 contained emergency contact forms and agreement forms that have not been reviewed, updated and signed within the last 6-month period.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. 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.

At the time of the Renewal Inspection on 07/26/2024 the individual records for Staff Person's # 3 and #5 did not contain a Health Assessment.

Corrected Corrected by Aug 2, 2024

Category: health medication. 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.

At the time of the Renewal Inspection on 07/25/2024 the individual record for Children #2, #3, #4 and #5 did not contain signed parental consent for administering minor first-aid for the child.

Corrected Corrected by Aug 2, 2024

Category: ratio. 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.

At the time of the Renewal Inspection on 07/25/2024 the individual records for Staff Person #4 and #5 did not contain two written references.

Corrected Corrected by Aug 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.

At the time of the Renewal Inspection on 07/25/2024 the facility's emergency plan did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 2, 2024

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.

At the time of the Renewal Inspection on 07/25/2024 the most recent Fire Inspection report dated 07/10/2023 listed deficiencies that needed to be addressed.

Corrected Corrected by Aug 2, 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.

At the time of the Renewal Inspection on 07/25/2024 a copy of the facility's emergency plan had not been sent to the County Emergency Management Agency.

Corrected Corrected by Aug 2, 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.

At the time of the Renewal Inspection on 07/25/2024 the individual records for Staff #1, #4, and #5 did not contain verification of 12clock hours of childcare professional development training.

Corrected Corrected by Aug 2, 2024

Category: recordkeeping. 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 a renewal inspection on 10/13/2023, the file for staff person #1 did not contain a record of the Pennsylvania Health and Safety update 2022 training.

Corrected Corrected by Oct 6, 2023

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 2, 3, 4, 5, 6, and 7 may not work in a child care position at the facility.

During a renewal inspection on 10/13/2023, the file for staff person #2 did not contain out of state clearances for the state lived in prior to living in PA; the file for staff person #3 Did not contain a National Sex Offender Registry Clearance; the file for staff person #4 did not contain a national Sex Offender Registry clearance; the file for staff person #5 did not contain a state police clearance; the file for staff person #6 did not contain a record of FBI clearance; the file for staff person #7 did not contain a record of a National Sex Offender Clearance.

Corrected Corrected by Nov 3, 2023

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During a renewal inspection on 10/13/2023, the file for child #1 contained a health assessment that was not signed by a doctor.

Corrected Corrected by Oct 13, 2023

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

During a renewal inspection on 10/13/2023, the file for staff persons #1, 2, 5 and 7 contained health assessments that were not signed by a doctor.

Corrected Corrected by Oct 13, 2023

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 a renewal inspection on 10/13/2023, the file for staff person #8 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · 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.

on 9-21-22 during renewal Certification Representative noticed that in the bathroom ceiling their is a hole.

Corrected Corrected by Sep 21, 2022

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

On September 21, 2022 during renewal inspection Certification Representative noticed that their was no infant feeding schedule posted in the classroom.

Corrected Corrected by Oct 12, 2022

Category: nutrition. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 9-21-22 during renewal inspection Certification Representative noticed that an infants bottle was not labeled.

Corrected Corrected by Oct 12, 2022

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.

On September 7, 2021 during renewal inspection Certification Representative noticed that child # 2 emergency contact form was missing parents/guardian business name and telephone number.

Corrected Corrected by Sep 7, 2021

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 September 7, 2021 during renewal inspection certification representative noticed that child #1 medical policy number was missing from his emergency contact form.

Corrected Corrected by Sep 8, 2021

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