3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures specfied in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency plan did not include information regarding the plan for a lockdown or accommodations to be made in the event of an emergency.

Corrected Corrected by Dec 17, 2024

Category: physical safety. 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.

The current staff evaluation completed by the director and on file for Facility Person #1 was completed more than 12 months after the previous staff evaluation on file. The only staff evaluation on file for Facility Person #2, employed at the facility for more than 2 years, was dated 4/10/24.

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

According to the statement of the operator, the facility's director is present at the facility approximately 10 of the approximately 20 weekly hours the program is in operation.

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #1 is classified and was serving as an assistant group supervisor. There was no documentation of any child care experience on file for Facility Person #1.

Corrected Corrected by Dec 18, 2024

Category: supervision. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the girls' restroom used by the program, there were no handwashing signs at 4 toilets and one sink. In the boys' restroom used by the program, there were no handwashing signs at 2 urinals, 1 toilet and 2 sinks.

Corrected Corrected by Dec 17, 2024

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

There was no lidded trash can at the sink area in the classroom.

Corrected Corrected by Dec 17, 2024

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreements on file for children #1-#5 were the originals.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. 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.

The facility is located in a school building and does not have access to the fire alarm system to demonstrate operability at the renewal inspection or test the smoke detectors at least every 30 days. The most recent fire alarm/smoke detector professional inspection report on file was dated 7/31/23.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. 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.

The facility is located in a school building and does not have access to the fire alarm system to demonstrate operability at the renewal inspection or test the smoke detectors at least every 30 days. The most recent fire alarm/smoke detector professional inspection report on file was dated 7/31/23.

Corrected Corrected by Dec 18, 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.

There was no documentation that the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 19, 2024

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

3270.131(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 health assessment on file for child #1 was dated more than 60 days after their first day of attendance at the facility.

Corrected Corrected by Dec 17, 2024

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

One electrical outlet, accessible to children 5 years of age or younger, lacked a protective cover.

Corrected Corrected by Feb 27, 2024

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.

An original proof of purchase or installation for the building's fire alarm system was not available.

Corrected Corrected by Feb 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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 and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Documentation of current training on the emergency plan for staff #2 and #3 was not presented for review at the inspection. Staff #2 last signed the plan on 11/01/22. Staff #3 last signed the plan on 10/04/22.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. 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 #1 did not contain current certification in Pediatric CPR and First Aid. The certification on file was dated 9/22/21 and was expired.

Corrected Corrected by Jan 14, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files or staff #1, #2, #3 and #5 did not include current fire safety training documentation.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The disclosure statement on file for staff #4 was not dated.

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. 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.

The files for staff #2, #3, and #5 did not include staff evaluations.

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for child #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. 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.

The emergency contact form for child #2 did not include the work addresses and work telephone number of the enrolling parent.

Corrected Corrected by Jan 4, 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.

The emergency contact form for child #1 did not include a health insurance policy number.

Corrected Corrected by Jan 4, 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.

The emergency contact form for child #1 did not include the addresses of the individuals designated by the parent to whom the child may be released

Corrected Corrected by Jan 4, 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.

The emergency contact form and agreement for child #3 were last updated on 6/13/23.

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(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 files for staff #1 and #3 did not include current health assessments. The most recent health assessments on file for both staff were conducted over 24 months ago.

Corrected Corrected by Jan 4, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of an emergency drill conducted in the past 12 months was not presented for review during the inspection.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Documentation on the facility's fire drill log indicated consecutive drills were conducted with the same hypothetical location listed as "classroom". The 2 most recent drills are compliant.

Corrected Corrected by Jan 4, 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.

The facility's emergency plan did not include details regarding continuity of business operations as required by Announcement C-22-04.

Corrected Corrected by Jan 5, 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). 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 #1 and #2 may not work in a child care position at the facility.

When reviewed onsite, the file for staff #1 did not contain the results of the FBI clearance or a completed NSOR clearance. Applications for both were on file and dated as follows: FBI application 5/18/22, NSOR application 5/26/22.(SEE LIS CODE SHEET) When reviewed onsite, the file for staff #2 did not contain a completed NSOR clearance. The application was on file and was dated 5/16/22.(SEE LIS CODE SHEET). When reviewed onsite, the file for staff #3 contained a disclosure statement that was not dated.

Corrected Corrected by Jan 5, 2023

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, designated as an AGS on the staff data sheet, did not contain documentation of the hours of experience required for the position.

Corrected Corrected by Jan 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Diazepam was observed in an unlocked bottom drawer of a plastic storage unit. The medication was accessible.

Corrected Corrected by Jan 5, 2023

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

3270.183(a)/3270.193(a) · Child records are confidential and shall be stored in a locked cabinet. Facility persons' records are confidential and shall be stored in a locked cabinet.

Child and adult records were not stored in a locked cabinet. Files were stored on an open shelf in the classroom. Based on statements made by staff, the door to the classroom is not locked throughout the day.

Corrected Corrected by Jan 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical location of the fire for 2 consecutive drills was documented as "classroom". The drills occurred 9/05/22 and 10/20/22.

Corrected Corrected by Jan 5, 2023

Category: recordkeeping. Marked corrected in the state record.