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 30-day fire detection log contained dates of tests conducted on 8/2/24 and 9/3/24, which is more than 30 days apart.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b). The required staff:child ratios must be maintained at all times.

*2ND CITATION: At approximately 12:25PM Staff Person #1 was observed caring for a mixed group of 6 children (1 Infant, 2 young toddlers, and 3 older toddlers), resulting in a staff:child ratio of 1:6. PREVIOUSLY CITED ON 7/30/24.

Corrected Corrected by Dec 11, 2024

Category: ratio. Marked corrected in the state record.

3280.52(c) · The Legal Entity will arrange for all staff to obtain a minimum of 2 hours of on-line training on maintaining ratios. The training will be submitted to the regional office for approval prior to completion. Proof of training will be submitted upon completion.

**2ND CITATION: At approximately 12:25PM Staff Person #1 was observed caring for a mixed group of 6 children (1 Infant, 2 young toddlers, and 3 older toddlers), resulting in a staff:child ratio of 1:6. PREVIOUSLY CITED ON 7/30/24.

Corrected Corrected by Dec 11, 2024

Category: ratio. Marked corrected in the state record.

3280.52(c) · 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 at §3280.52(b).

In the Main Space, at approximately 10:20am, Staff person #1 was observed caring for 5 children of mixed ages (1 preschool age child, 3 older toddlers, and 1 infant) resulting in a staff: child ratio of 1:5.

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

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

The emergency contact form for Child #4 did not contain the enrolling parent's phone number.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff Person #2 does not contain a signed disclosure statement.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. 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.

It was observed that the first aid kit in the facility did not include scissor and only had one glove.

Corrected Corrected by Jul 8, 2024

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

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 #5 does not contain name of the child's physician or source of medical care.

Corrected Corrected by Jul 8, 2024

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

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact for for Child #1 was lacking the written consent signed by a parent for emergency medical care.

Corrected Corrected by Jul 8, 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.

The emergency contact form Child #4 did not contain information about the child's health insurance coverage for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jul 8, 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.

The emergency contact form for Child #1, Child #2, Child #3, Child #4 and Child #5, did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.134(c) · Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

It was observed that there were no paper towels or hand towels in the bathroom that the children were able to use after using the bathroom.

Corrected Corrected by Jul 8, 2024

Marked corrected in the state record.

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 two most recent health assessments on file for Staff Person #1 are dated 4/26/22 and 5/18/24, which are more than 24 months apart.

Corrected Corrected by Jul 8, 2024

Category: ratio. Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact form for Child #1 was lacking signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 9, 2024

Category: ratio. Marked corrected in the state record.

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 30-day smoke detection test log included test dates 6/30/23-7/31/23, 7/31/23-8/31/23, 9/30/23-10/31/23, 11/30/23-1/30/24, 3/29/24-4/30/24, 4/30/24-5/31/24, all more than 30 days apart.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

It was observed that the certificate of compliance that was posted had the expiration date of 9/22/23.

Corrected Corrected by Jul 8, 2024

Category: ratio. Marked corrected in the state record.

3280.131(a)/3280.182(1) · 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. A child's record must contain initial and subsequent health reports.

The file for Child #1 and Child #2, who have been enrolled for more than 60 days, (see LIS code sheet) does not contain a health assessment.

Corrected Corrected by Jul 8, 2024

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

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 files for Staff #1 and #2 lacked the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection and by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

Corrected Corrected by Jun 20, 2023

Category: ratio. Marked corrected in the state record.

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

The sliding basement glass door leading to the outside play space had a large crack that ran three quarters of the door width and created a cutting hazard for the children in care.

Corrected Corrected by Jun 19, 2023

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

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.

Based on conversations with the operator, the operator did not send a copy of the emergency plan to the local or county municipalities.

Corrected Corrected by Jun 29, 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.

The first aid kit located lacked soap and tweezers.

Corrected Corrected by Jun 29, 2023

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

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.

The stackable play washer and dryer in the basement both had exposed metal hinges on the circular part of the equipment that created a scratching hazard for the children in care.

Corrected Corrected by Jun 10, 2023

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

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

The file for Child #1 lacked an Agreement.

Corrected Corrected by Jun 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The Agreement in the file for Child #2 lacked the child's date of admission.

Corrected Corrected by Jun 10, 2023

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.

The Emergency Contact Form for Child #1 lacked the health insurance coverage and policy number for the child.

Corrected Corrected by Jun 10, 2023

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

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 #2 contained a health assessment that was conducted more than 24 months after the previous assessment.

Corrected Corrected by Jun 19, 2023

Category: ratio. 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.

Based upon conversations with the operator, the menu has not been discussed with the parents.

Corrected Corrected by Jun 19, 2023

Category: nutrition. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Observed the facility did not have written notification of safe routes shall be posted by the operator at a conspicuous location in the childcare facility.

Corrected Corrected by Jun 19, 2023

Marked corrected in the state record.

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.

Based on Smoke Detection Log Testing documentation, smoke detectors are not being tested at least every 30 days; 7/26/22, 8/29/22, 9/28/22, 10/31/22, 12/27/22, 1/30/23.

Corrected Corrected by Jun 19, 2023

Category: recordkeeping. 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.

The door in the Basement leading to the Outdoor Play Space had peeling and damaged paint.

Corrected Corrected by Jul 5, 2022

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

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.

Staff #1 and Staff#2 were observed to be caring for children unsupervised. Staff person #1 and #2 do not have current pediatric first-aid/CPR training. (See LIS Code Sheet).

Corrected Corrected by Jun 2, 2022

Category: supervision. Marked corrected in the state record.

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 file for Staff #3 lacked Emergency Plan Training within the previous 12 months. (See LIS Code Sheet).

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for Staff #1 and Staff #3 lacked verification of the annual 12 clock hours of child care training. (See LIS Code Sheet).

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidence by the previously documented mandated reporter training on file being (10/1/16).

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. 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). 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 in at the facility.

The file for Staff #3 contained State Police Clearances and Child Abuse Clearances that have not been updated within the last 60 months. The file for Staff #3 contained FBI Clearances that were updated in a interval greater than 60 months. (See LIS Code Sheet).

Corrected Corrected by Jun 2, 2022

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

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

Three outlets in the Infant Room were lacking protective receptacle covers. An outlet in the Basement next to the changing table was missing a protective outlet cover.

Corrected Corrected by Jun 17, 2022

Marked corrected in the state record.

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

The trash can located in the Basement next to the changing table was observed to be missing a plastic-liner.

Corrected Corrected by Jun 17, 2022

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.

The first aid kit located in the Main Room was lacking scissors and gauze.

Corrected Corrected by Jun 17, 2022

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

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

The small black leather child size chair in the Infant room was broken and had exposed wood and screws.

Corrected Corrected by Jun 17, 2022

Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The Agreement for Child #1 lacked the date of the child's admission.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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 for Child #4 lacked the address and telephone number of the child's physician.

Corrected Corrected by Jun 17, 2022

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

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, a Toddler, contained health reports updated in an interval greater than 12 months.

Corrected Corrected by Jun 1, 2022

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

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 #3 lacked a statement indicating the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jun 29, 2022

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

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 Report for the following children lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The Report for Child #1 lacked a 3rd dose of DTAP, a 2nd dose of HIB, and a 3rd dose of Pneumococcal vaccine.

Corrected Corrected by Jun 28, 2022

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

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 Health Assessments in the file for Staff #3 were updated in an interval greater than 2 years. (See LIS Code Sheet).

Corrected Corrected by Jun 2, 2022

Category: ratio. 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.

The files for Child #1 and #4, infants , lacked written formula and feeding schedules obtained from the parent.

Corrected Corrected by Jun 28, 2022

Category: nutrition. Marked corrected in the state record.

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 conducting an annual emergency drill.

Corrected Corrected by Jun 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric First Aid/CPR.

Staff person #1, #2, and #3 had not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3280.31(f)(10).

Corrected Corrected by Jun 2, 2022

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

3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Staff person #1 and #2 had not completed the following required pre-service training within 90 days of their date of hire. (See LIS code sheet). (3280.31(f)(1-9).

Corrected Corrected by Jun 2, 2022

Category: ratio. Marked corrected in the state record.

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 #1 lacked a Health report within 60 days of enrollment.

Corrected Corrected by Jun 2, 2022

Category: health medication. 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). 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.

2nd citation: The last state police clearance and FBI fingerprinting clearance in the file for staff person #1, on site during the inspection and also a household member, was more than 60 months old and the individual continued working with children. Previously cited on 6/29/21.

Corrected Corrected by Sep 22, 2021

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