Amias Childcare Service Llc

3280.67(a) · Trash shall be removed from the facility at least once per day.

There was a garbage can with trash from previous days in the upstairs room #2.

Corrected by Jul 18, 2025

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3280.14/3280.20 · 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.

The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement. The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

Corrected by Jul 21, 2025

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3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The emergency plan was not reviewed annually.

Corrected by Jul 21, 2025

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3280.26(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.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected by Jul 19, 2025

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3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for staff # 1 lacked 11 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24. The file for staff # 2 lacked 12 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

Corrected by Aug 1, 2025

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There was an Aquaphor cream in a cubby label " keep out of reach of children". accessible to children in the main room.

Corrected by Jul 18, 2025

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3280.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The garbage can in the upstairs bathroom that has been contaminated by human secretions or excrement did not have a lid. The garbage can in the main room that has been contaminated by human secretions trash lacked a plastic lined.

Corrected by Aug 1, 2025

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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.

The plastic mesh fence in the backyard was ripped.

Corrected by Jul 20, 2025

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3280.102(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.

There was a ripped princess dress in the dramatic play area.

Corrected by Jul 17, 2025

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

The file for child #1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected by Jul 30, 2025

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child # 3 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected by Jul 28, 2025

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child # 1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Jul 23, 2025

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3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child # 3 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

Corrected by Jul 30, 2025

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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.

The file for children # 3 lacked the health insurance policy number on the emergency contact form.

Corrected by Jul 21, 2025

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3280.124(f)/3280.181(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.

The file for child #1 has an emergency contact and agreement form that were not updated in a 6 month period.10/22/24-7/2/25. The file for child # 2 has an emergency contact and agreement form that has not been updated in a 6-month period. Last review was conducted in 5/3/24. The file for child # 3 has an emergency contact and agreement form that has not been updated in a 6-month period. Last review was conducted in 6/7/23. The file for child # 4 has an emergency contact and agreement form that has not been updated in a 6-month period. Last review was conducted in 6/1/23.

Corrected by Jul 21, 2025

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3280.131(b)(1)/3280.131(e)(3) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 1 must be dismissed from care by close of business 7/18/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 1 a young toddler lacked an updated health report. The previous report was dated 10/22/24.

Corrected by Jul 18, 2025

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3280.131(b)(2)/3280.131(e)(3) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 2,3 and 4 must be dismissed from care by close of business 7/18/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 9/13/23. The file for child # 4 a preschooler lacked an updated health report. The previous report was dated 7/16/24.

Corrected by Jul 18, 2025

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3280.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

There was an EPI -Pen without the original container or child's name.

Corrected by Aug 4, 2025

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3280.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The provider was not maintaining a medication log for a prescription EPI-pen medication.

Corrected by Jul 22, 2025

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3280.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff # 2 contained a health assessment that lacked mantoux test read result date.

Corrected by Jul 21, 2025

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3280.26(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.

The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jul 23, 2025

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation of the annual emergency drills.

Corrected by Jul 22, 2025

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3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child # 3 lacked an initial health report. The child has been in care longer than 60 days.

Corrected by Jul 24, 2025

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3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The operator did not notify the local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility

Corrected by Jul 21, 2025

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3280.94(a)(1) · The primary staff person 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 facility lacked documentation showing that the fire drills are conducted at least once every 60 days

Corrected by Feb 7, 2025

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3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

There were two loos screws on porch floor accessible to children.

Corrected by Feb 5, 2025

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There was an unable bottle with an unknow cream in a cubby. The bottle had a note Pittsburgh Paste 30g for external use only, accessible to children.

Corrected by Feb 5, 2025

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3280.102(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.

There were two cracked bins and a ripped fabric bag in the main room.

Corrected by Feb 5, 2025

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The operator was not maintaining a written log for testing the fire detection system every 30 days.

Corrected by Feb 7, 2025

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3280.102(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.

There was a cracked toy plastic bat in the pay yard.

Corrected by Jul 16, 2024

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation of the emergency drill.

Corrected by Jul 17, 2024

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

There was damage plaster on the wall by the window in room #1 on the second floor.

Corrected by Jul 17, 2024

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3280.14/3280.20 · 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.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

Corrected by Jul 22, 2024

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3280.26(a)(3) · 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 emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected by Jul 19, 2024

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3280.26(a)(4) · 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.

The facility emergency plan lacked 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.

Corrected by Jul 17, 2024

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3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The facility emergency plan was last reviewed on 4/28/22.

Corrected by Jul 17, 2024

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3280.26(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.

A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected by Jul 22, 2024

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3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The file for staff # 2 lacked 12 out of 12 required hours of annual childcare training from 6/1/23 to 6/1/24.

Corrected by Jul 22, 2024

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3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

The file for staff # 2 lacked and updated Pediatric First Aid and Pediatric CPR certificate. The previous certificate is dated 2/13/22.

Corrected by Jul 25, 2024

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

There was a Shine 'n Jam Gel, and petroleum jelly skin protectant labeled, "keep out of reach of children," in the children cubie drawers in the main room accessible to children. There was a gallon of Clorox labeled, "keep out of reach of children," in the second-floor bathroom accessible to children.

Corrected by Jul 16, 2024

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3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The temperature in the main room refrigerator was 50 degrees. The refrigerator in room # 2 on the second floor lacked a thermometer.

Corrected by Jul 16, 2024

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files for child # 1,2 and 3 lacked a child service report to provide information to the family about the child's growth and development.

Corrected by Jul 22, 2024

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child # 3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Jul 16, 2024

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3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child # 2 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

Corrected by Jul 16, 2024

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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.

The file for child # 3 a toddler contained a current health report date 5/16/24 that was not updated within 6 months from the previous report was dated 8/16/23.

Corrected by Jul 22, 2024

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3280.151(a) · 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.

The file for staff # 1 contained a current health report dated 7/12/24 that was not obtained within 24 months from the previous health report dated 2/21/22. The file for staff # 2 lacked and updated health report. The previous health report was dated 12/1/21. The file for staff # 3 lacked a health report.

Corrected by Jul 23, 2024

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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.

The facility lacked a menu plan.

Corrected by Jul 22, 2024

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3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child # 2 a preschooler lacked initial health report. The child has been in care longer than 60 days. Start date 6/1/23.

Corrected by Jul 16, 2024

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3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The facility did not notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Corrected by Jul 22, 2024

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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.

SECOND CITATION: The window in Upstairs Room 2 had a large crack that ran the length of the window. This crack could be felt when touched and allowed for some water droplets to enter the inside of the window. In the outdoor play space, there were weeds coming up all throughout the kitchen area play space that created a tripping hazard for the children in care. In the Main Classroom toward the middle of the room was a cord that ran from the ceiling to the floor that had become loose creating a choking hazard for the children in care. In Upstairs Room 1 there was a cord that ran from the middle of the wall to the floor and created a tripping hazard to the children in care. PREVIOUSLY CITED 8/15/23

Corrected by Oct 2, 2023

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

In the Main Classroom on the blue wall behind the bookshelf was peeling paint.

Corrected by Aug 19, 2023

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3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The files for Staff #1 and #2 did not contain documentation of receiving training regarding the emergency plan.

Corrected by Aug 18, 2023

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3280.26(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.

The Emergency Plan documentation the facility provided at inspection contained verification of notifying the local municipality but lacked notification of the county emergency management agency.

Corrected by Sep 16, 2023

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3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Upstairs Room 1 and 2 lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected by Aug 15, 2023

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #3 may not work at the facility.

The file for Staff #3 lacked a signed disclosure statement, Child Abuse Clearance, and FBI Clearance or request, and therefore was incorrectly provisionally hired.

Corrected by Aug 16, 2023

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the Main Classroom, there was white out hanging low underneath the adult desk in a mesh bag and accessible to the children in care.

Corrected by Aug 15, 2023

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3280.72(c) · Screens shall be in good repair.

In both Upstairs Room 1 and 2 there were open windows that had holes in the screen.

Corrected by Aug 15, 2023

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3280.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed an open window on the second floor that was accessible to children and was not modified to limit the opening to 6 inches or fewer.

Corrected by Aug 18, 2023

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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.

The first aid kit located in the facility lacked tweezers.

Corrected by Aug 15, 2023

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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.

The window in Upstairs Room 2 had a large crack that ran the length of the window. This crack could be felt when touched and allowed for some water droplets to enter the inside of the window. In the outdoor play space, there were weeds coming up all throughout the kitchen area play space that created a tripping hazard for the children in care. In the Main Classroom toward the middle of the room was a cord that ran from the ceiling to the floor that had become loose creating a choking hazard for the children in care. In Upstairs Room 1 there was a cord that ran from the middle of the wall to the floor and created a tripping hazard to the children in care.

Corrected by Sep 29, 2023

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3280.102(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.

In the Main Classroom was a toy clock that had a cracked plastic face plate creating a pinching hazard to the children in care. In the outdoor play space were broken hula hoops, cracked bat, and cracked plastic green chair that created a pinching hazard to the child in care.

Corrected by Aug 15, 2023

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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.

In the Main Classroom there were foam shapes for art, small cookie cutters, and a blue plastic stopper that was less than one inch in diameter creating a choking hazard and accessible to the children in care who are still placing items in their mouths. In the Main Classroom, there were staples hanging low underneath the adult desk in a mesh bag creating a choking hazard and accessible to children still placing items in their mouths. The rest mats located in the Main Classroom had name tags that were covered in plastic tape. The tape was peeling off into small pieces that created a choking hazard to the children in care and were accessible at nap time to children still placing items in their mouths.

Corrected by Aug 15, 2023

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3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In Upstairs Room 2 there was a small refrigerator that was balanced on top of a cement block that was wobbly and a tipping hazard to the children in care. In Upstairs Room 2 there was also a bookshelf on wheels that was wobbly and created a tipping hazard to the children in care.

Corrected by Aug 16, 2023

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact Form for Child #3 lacked the phone number of the child's physician.

Corrected by Aug 15, 2023

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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.

The Emergency Contact Form for Child #3 lacked the health insurance coverage policy number for the child. The Emergency Contact Form for Child #4 lacked the health insurance coverage and policy number for the child.

Corrected by Aug 15, 2023

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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.

The Emergency Contact Form for child #2 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected by Aug 15, 2023

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3280.131(b)(2)/3280.182(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 child's record must contain initial and subsequent health reports.

The file for Child #2, an Older Toddler, did not contain any health reports.

Corrected by Aug 30, 2023

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The Health Report for Child #1 lacked a statement indicating the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Aug 15, 2023

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3280.151(a)/3280.192(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.

The file for Staff #3 lacked a Health Assessment.

Corrected by Aug 18, 2023

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3280.151(c)(2)/3280.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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.

The file for Staff #3 lacked tuberculosis screening by the Mantoux method.

Corrected by Aug 18, 2023

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3280.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

Corrected by Aug 18, 2023

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed two electrical outlets that were missing the protective receptacle covers in the Main Room. These outlets were accessible to the children in care.

Corrected by Nov 28, 2022

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #5 contained an agreement which did not specify the child's arrival and departure times.

Corrected by Nov 28, 2022

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

The Agreement for Child #2 lacked the persons designated by a parent to whom the child may be released.

Corrected by Nov 28, 2022

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3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

Located in the Main Room was a large industrial stapler that was accessible to the children in care. In the corner of the Main Room two sticky mice traps were observed and accessible to the children in care.

Corrected by Nov 28, 2022

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact Form for Child #1 lacked the telephone number of the child's physician.

Corrected by Nov 28, 2022

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3280.124(f)/3280.181(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.

The file for Child #5 contained an emergency contact form that had not been updated within the last 6 months.

Corrected by Nov 28, 2022

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #2 may not work in a child care position at the facility.

The file for Staff #2 lacked a signed disclosure statement.

Corrected by Nov 28, 2022

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3280.14/3280.21 · 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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

The facility lacked a written policy on the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Nov 28, 2022

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3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed various cleaning materials labeled keep out of reach of children that were accessible to children on a low shelf and under the unlocked sink in the upstairs bathroom.

Corrected by Nov 28, 2022

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3280.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed four windows in both of the second-floor rooms that were accessible to children and were not modified to limit the opening to 6 inches or fewer.

Corrected by Nov 28, 2022

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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.

Located in the Main Classroom in the middle of the room, there were two screws sticking out of the wall and two sticking out of the metal floorboard, creating a protrusion hazard. In the outdoor play space, there was a cracked section of the fence creating a jagged edge. In the lower play space there was a rock located in the middle of the grass area and a hole along the fence, both creating tripping hazards.

Corrected by Nov 28, 2022

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3280.102(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.

In the Main Room there was a cracked plastic toy bin and in the outdoor play space there were four cracked dish pans used to store outside toys that were cracked, creating a pinching hazard for the children.

Corrected by Nov 28, 2022

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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.

In the Main Classroom there were puzzles and games with small pieces, labeled for children ages 3+. These games and puzzles were accessible to children under 3 that were in care.

Corrected by Nov 28, 2022

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3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the outdoor play space, there were four child size chairs that had chipping paint along the legs and on the fabric portion of the chairs.

Corrected by Nov 28, 2022

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3280.123(a) · An agreement shall be signed by the operator and the parent.

The file for Child #1 lacked an Agreement.

Corrected by Nov 28, 2022

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3280.131(b)(2)/3280.182(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 child's record must contain initial and subsequent health reports.

The files for Child #3 and #4, both Older Toddlers, lacked updated Health Reports within the last 12 months.

Corrected by Dec 13, 2022

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3280.131(e)(1) · 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.

The Health Reports for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The Report for Child #2 lacked a 4th dose of DTAP, 4th dose of Pneumococcal, 1st dose of MMR, 1st dose of Varicella, and 1st dose of Hepatitis A. The Reports for Child #3 and #4 lacked a 4th dose of Pneumococcal vaccination.

Corrected by Dec 13, 2022

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3280.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Observed a prescription medication container in a staff's bag on the floor that was accessible to the children in care.

Corrected by Nov 28, 2022

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3280.162(c) · Food may not be withheld from a child for purposes of discipline.

At approximately 12:00 PM, Staff #3 was overheard telling a child that they had been saying their name a lot during the day to correct them and that if the child didn't start to listen, they would not be getting any snacks when they came inside from playing. At approximately 1:10 PM, Staff #2 was overheard telling a child to, "Eat, eat, eat it, or you won't get a snack, you won't get a cupcake."

Corrected by Nov 28, 2022

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3280.182(1) · A child's record must contain initial and subsequent health reports.

The file for Child #2 lacked an initial health report within 60 days of attendance.

Corrected by Dec 13, 2022

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

At the time of inspection, the interconnected smoke detectors on each floor of the facility were observed to be operable, there was an individual smoke detector in the hallway on the first floor that was not operable. Operator did change the batteries during the inspection and was able to demonstrate operability of this individual smoke detector.

Corrected by Nov 28, 2022

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3280.24(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 operator did not provide the parents of each child enrolled with information on how to electronically access the regulations or and with instructions for contacting the appropriate regional child care office.

Corrected by Nov 28, 2022

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3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-10) within 90 days of hire. Staff person #2 will have until 11/14/22 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an (primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basic Training).

Corrected by Nov 28, 2022

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3280.131(a)/3280.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for Child #2 lacked an initial health report within 60 days of attendance.

Corrected by Dec 13, 2022

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