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 file for Staff #1 lacked the Pennsylvania Health and Safety Update by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

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

The file for Staff #1, lacked documentation for 3 hours of the required 12 hours of annual childcare training.

Corrected Corrected by Oct 21, 2023

Category: recordkeeping. 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.

Observed a surge protector plugged in the dining room that was missing an outlet protective receptacle cover. This outlet was accessible to children 5 years of age and younger.

Corrected Corrected by Oct 10, 2023

Marked corrected in the state record.

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 files for Child #1 and #2 contained an emergency contact forms that had not been updated within the last 6 months.

Corrected Corrected by Oct 11, 2023

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, a preschooler, lacked an updated health report within the last 12 months.

Corrected Corrected by Oct 11, 2023

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

3280.181(c) · 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 files for Child #1 and #2 contained agreements that had not been updated within the last 6 months.

Corrected Corrected by Oct 11, 2023

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 file for Staff #1, lacked documentation of the annual 12 clock hours of child care training.

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. 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.

Located on the front porch of the facility was a sharp hand held garden spade, creating a protruding hazard for the children in care. Observed on the back porch a large, sharp, garden jagged blade, creating a cutting hazard for the children in care.

Corrected Corrected by Oct 3, 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.

The file for Staff #1 and Household Member #2 lacked a signed disclosure statement.

Corrected Corrected by Oct 17, 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.

Located on the Living Room there was a surge protector that was missing a protective receptacle cover. Observed In both the Dining Room and Hallway there was an electrical outlet that was missing a protective receptacle outlet cover. The outlets were accessible to children 5 years of age and younger.

Corrected Corrected by Oct 11, 2022

Marked corrected in the state record.

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.

Located on the front porch there was Rainex. Four Cycle Engine Oil was located on the back porch. Both of these items were labeled "keep out of the reach of children" and accessible to the children in care. In the upstairs facility restroom, there was hand sanitizer, scrubbing bubbles, and glade air freshener all labeled keep out of reach of children and were accessible to the children in care.

Corrected Corrected by Oct 4, 2022

Category: ratio. 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 at the facility lacked adhesive bandages.

Corrected Corrected by Oct 4, 2022

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

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.

Observed deer feces in multiple areas of the back yard place space.

Corrected Corrected by Oct 3, 2022

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

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The facility lacked a current rabies immunization for the cat in the facility.

Corrected Corrected by Oct 23, 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 #1, a preschool aged child, lacked a Updated Health Report within the last year.

Corrected Corrected by Nov 9, 2022

Category: health medication. 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 child care facility.

Corrected Corrected by Oct 22, 2022

Marked corrected in the state record.

3280.178 · A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The transportation first aid kit in vehicle #1 lacked soap. The transportation first aid kit in vehicle #2 lacked, scissors, soap, and water.

Corrected Corrected by Oct 10, 2022

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

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

Corrected Corrected by Oct 13, 2022

Category: physical safety. 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.

The Basement, Main Floor, and Second Floor, lacked posted evacuation routes.

Corrected Corrected by Oct 8, 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.

Based on Smoke Detection Log Testing documentation, smoke detectors are not being tested at least every 30 days; 1/4/22, 2/16/22, 3/12/22, 4/18/22, 5/20/22, 7/11/22, and 8/16/22.

Corrected Corrected by Oct 10, 2022

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.

The facility did not have current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Oct 11, 2022

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan did not provide details for shelter of children during an emergency lock down.

Corrected Corrected by Oct 13, 2022

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

3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

A copy of the facility's current Emergency Plan was not posted in a conspicuous place.

Corrected Corrected by Nov 20, 2021

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

3280.26(a)(3)/3280.26(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

A method for facility persons to contact parents when an emergency arises and ends was lacking from the Emergency Plan.

Corrected Corrected by Nov 21, 2021

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

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 Emergency Plan has not been updated to include: how parents will be reunited with their children when the emergency ends

Corrected Corrected by Nov 22, 2021

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

3280.31(e)(4)(i)/3280.33(c) · 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.One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

The file for Staff #1 was lacking Pediatric CPR Training.

Corrected Corrected by Nov 20, 2021

Category: ratio. 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).

The most current Mandated Reporter Training in the file for Staff #1 is dated more than 60 months ago.

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. 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.

Uncovered electrical outlets were accessible to children 5 years and younger in the following areas: In the dining room near the wooden buffet, and in the power strip on the floor by the table. In the living room, in the power strip that was under the TV table and under the living room window.

Corrected Corrected by Oct 18, 2021

Marked corrected in the state record.

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.

A small bottle of hand sanitizer, hand lotion and bug spray labeled, "Keep out of the reach of children" was on the computer stand at a level accessible to children. Under the covered porch was a bottle of hand sanitizer labeled, "Keep out of the Reach of Children," was accessible to children. In the upstairs bathroom, used by the children, the following toxics, Under Arm Deodorant, Suntan Lotion, Shoe Polish and Conditioning Gel with the label "Keep Out of the Reach of Children," were accessible to children.

Corrected Corrected by Nov 18, 2021

Category: ratio. Marked corrected in the state record.

3280.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

A copy of the facility's Emergency Telephone Numbers were not posted by the facility's phone located in the living room.

Corrected Corrected by Nov 22, 2021

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

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.

A broken white tile was observed under the tv stand, in front of the non-working fireplace which poses a cutting hazard. The following was observed in the outdoor play space: railroad spikes, Sharp pieces of metal, Tree sticks, rusted metal pipe, pieces of cut wood, a 1/2" piece of PVC pipe with jagged edges and a cordless screw driver, which may cause a cutting or impalement hazard.

Corrected Corrected by Nov 28, 2021

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

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.

A Styrofoam pipe insulation tube, if torn, could produce pieces that are less than 1 inch in diameter and could pose a choking hazard to the children in the room who are still placing objects in their mouths.

Corrected Corrected by Nov 28, 2021

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

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Child File #1 lacked the Fee Agreement Form.

Corrected Corrected by Nov 28, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Child File #1 lacked an Emergency Contact Information form.

Corrected Corrected by Nov 28, 2021

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 Form for Child #2 lacked Address of the Physician or Medical Care Provider.

Corrected Corrected by Nov 28, 2021

Category: health medication. 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 #2 and #3 lacked the Enrolling Parent's Work Address and Work Number.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. 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 #2 and #3 lacked the address of the listed release person.

Corrected Corrected by Nov 26, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

The facility lacked a posted Transportation Plan in the Child Care Space.

Corrected Corrected by Nov 27, 2021

Category: transportation. Marked corrected in the state record.

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Through a conversation with the operator, soiled diapers are not discarded immediately or placed into a plastic-lined, hands-free covered can.

Corrected Corrected by Nov 28, 2021

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 person #1 contained a health assessment that was older than 24 months.

Corrected Corrected by Dec 23, 2021

Category: ratio. Marked corrected in the state record.

3280.171(b) · Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing.

The drop-off and pick-up procedures were not posted in a conspicuous place.

Corrected Corrected by Nov 25, 2021

Marked corrected in the state record.

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 Emergency Plan has not been updated to include: Accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 20, 2021

Category: physical safety. 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.

Written documentation of fire drills being conducted at least once every 60 days was not on file.

Corrected Corrected by Nov 20, 2021

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.

The facility lacked posted evacuation routes on each floor.

Corrected Corrected by Nov 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(9) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

A written record of fire drills were lacking from the facility's file.

Corrected Corrected by Nov 28, 2021

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.

The facility's fire detection system tests were conducted more than 30 days apart.

Corrected Corrected by Nov 28, 2021

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.

The operator had outdated regulations posted and had not provided parents with the information on how to access the regulations electronically.

Corrected Corrected by Nov 20, 2021

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The Emergency Plan in place has not been updated to include: lock-down, shelter in place and shelter at locations away from the facility premises.

Corrected Corrected by Nov 21, 2021

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