3280.31(e)(4)(i)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #1 did not renew pediatric first aid and CPR certification on or before its expiration. The previous training was dated 9/22/21 and expired 9/2023. Current training is now on file dated 1/14/24.

Corrected Corrected by May 23, 2024

Category: ratio. 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. Staff #3 may not work in a child care position at the facility.

The file for staff #2 contained a disclosure statement that was not dated; thus compliance could not be determined. The file for staff #3 did not contain a signed disclosure statement and contained a child abuse clearance dated 2/25/24 obtained for the purpose of volunteering.

Corrected Corrected by May 23, 2024

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

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

The agreement for child #2 did not specify the child's arrival and departure times.

Corrected Corrected by May 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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 #3 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by May 23, 2024

Category: recordkeeping. 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 #1 did not contain a current health report. The most recent health report on file was dated over 12 months ago.

Corrected Corrected by May 23, 2024

Category: health medication. 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 file for staff #1 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by May 23, 2024

Category: ratio. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

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 topics 1-9.

Corrected Corrected by May 23, 2024

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

3280.15(b) · (b) The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

The facility's certificate of occupancy (COO) lists the following restrictions: Use of first and second floors as childcare (general) for up to 12 children ages 3 to 12 years. Per observation and staff statements, childcare occurs in the basement (childcare gross motor space), first and second floor of the building. Childcare is provided to children ages 1 to 3 years. Which is not compliant with the COO.

Corrected Corrected by Aug 11, 2023

Category: physical safety. 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 toilet training seat observed attached to the toilet upstairs was cracked. A split seat cover which exposed the inner foam filling was observed on a pink Barbie bike in the outdoor play space.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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 file for child #4, enrolled for over 6 months, did not contain a child service report. The files for children #1 and #5 contained consecutive service reports dated more than 6 months apart, but are now current.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 files for children #1 through #4 contained immunization records which did not include documentation of receiving the influenza vaccine at any time. The file for child #5 did not contain documentation of receiving the influenza vaccine since Jan 2022. Written exemptions were not on file.

Corrected Corrected by Jun 19, 2023

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

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.

Based on the facility's fire drill log, consecutive drills dated 9/14/22 and 11/15/22 were conducted 62 days apart.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes were not posted on the 3 floors of the facility.

Corrected Corrected by May 19, 2023

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. Staff #2 may not work in a child care position at the facility.

The file for staff #2 contained an expired FBI clearance dated 4/27/17. The files for staff #3 and #4 did not contain signed disclosure statements.

Corrected Corrected by Jun 3, 2022

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

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Based on documentation, staff #1 and staff #2 have not updated mandated reporter training within 60 months as required. The documented training dates are as follows; staff #1 - 4/30/17, and staff #2 - 4/28/17.

Corrected Corrected by Jun 2, 2022

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.

A small area of peeling paint was observed in the downstairs play room.

Corrected Corrected by Jun 26, 2022

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

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 facility's refrigerator lacked a thermometer at the time of the inspection.

Corrected Corrected by Jun 1, 2022

Category: nutrition. 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 file for child #1 contained emergency contact information which did not include a health insurance policy number.

Corrected Corrected by Jun 1, 2022

Category: health medication. 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 file for staff #1 lacks a current health assessment. The most recent health assessment on file is dated over 24 months ago.

Corrected Corrected by Jun 9, 2022

Category: ratio. Marked corrected in the state record.

3280.31(g)/3280.192(2)(iii) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #5 contained documentation of completing training topics as referenced in 3280.31(f) prior to September 30, 2016. The training was dated 9/11/16.

Corrected Corrected by Jun 26, 2022

Category: recordkeeping. 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.

Proof of purchase for the interconnected fire alarms was not presented at renewal.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.