3270.31(e)(4)(ii) · 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.

Staff persons #2 and #3 have not had fire safety training within the last 12 months. The most recent fire safety training on file for staff person #2 is dated 8/15/23, and staff person #3 is dated 8/26/23.

Corrected Corrected by Sep 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(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 Game Room, two plastic bins containing children's toys were observed to be cracked with rough edges and were not in good repair.

Corrected Corrected by Sep 6, 2024

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in the Preschool room where children were observed receiving care.

Corrected Corrected by Sep 6, 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.

Staff person #1 has not had a health assessment conducted within the last 24 months. The most recent health assessment on file for staff person #1 is dated 8/26/22.

Corrected Corrected by Sep 6, 2024

Category: ratio. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The heat was on in the Maker Space and Gross Motor classrooms at the time of the inspection. The plastic lattice covering the radiators had large areas where a child could reach through with their fingers or a small hand. Though they had the plastic lattice coving them, the radiators were able to be reached due to spacing in the lattice and the heat from the radiators were unable to be touched as they exceeded 110° F.

Corrected Corrected by Nov 7, 2023

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

3270.74 · 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.

The art room and the desk in the computer room did not contain the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by the telephone.

Corrected Corrected by Nov 7, 2023

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

3270.75(a) · A first-aid kit shall be in a child care space.

The Maker Space and Art classrooms did not contain first aid kits.

Corrected Corrected by Nov 7, 2023

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The backpack containing the first aid kit was on a table, accessible to children who were having snack in the Cafe.

Corrected Corrected by Nov 7, 2023

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

3270.76 · 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 lattice covering the radiator in the Maker Space classroom was broken.

Corrected Corrected by Nov 7, 2023

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The financial agreement of child #1 did not contain their arrival and departure times.

Corrected Corrected by Nov 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(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 of child #1 did not contain the name, address and telephone number of the child's physician.

Corrected Corrected by Nov 7, 2023

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 of child #1 did not contain release addresses for each individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(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 of facility person #1 exceeded 24 months (10/10/2020 and 1/31/2023).

Corrected Corrected by Nov 7, 2023

Category: ratio. Marked corrected in the state record.

3270.15(a) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

Based on the annual inspection of the wired fire detection system for the building completed by ABC Fire Extinguisher on 11/21/2022, it was determined the system was unable to be tested due to faulty parts which are no longer available, which caused noncompliance with the occupancy permit.

Corrected Corrected by Nov 7, 2023

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Documentation of acceptable pediatric first aid and pediatric CPR of facility person #1 was dated 6/5/2023, which is more than 90 days from their start date with children (see coded LIS sheet).

Corrected Corrected by Nov 7, 2023

Category: health medication. 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.

Testing of the wireless interconnected fire detection system exceeded 30 days on multiple occasions (12/2/2022 to 1/6/2023 to 2/13/2023, 3/2/2023 to 4/3/2023, 5/1/2023 to 6/1/2023 to 7/3/2023. The annual inspection of the wired fire detection system from 11/2022 stated the system was inoperable.

Corrected Corrected by Nov 7, 2023

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 did not have documentation continuity of operations included in their emergency plan.

Corrected Corrected by Sep 23, 2022

Category: ratio. Marked corrected in the state record.

3270.124(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 forms of child #1, 2, 3 and 4 did not include the name, address, and telephone number of the child's physician or source of medical care.

Corrected Corrected by Sep 14, 2022

Category: health medication. 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.

The facility had documentation of an emergency drill dated 1/10/2022 but did not have documented between 12/19/2020 and 12/19/2021.

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(9) · The Director 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.

Documentation of fire drills contains the number of facility persons participating in the fire drill but does not include the names of the facility persons participating.

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 of facility person #1 contained 7 hours of child care training in their annual year of 12/19/2020 and 12/19/2021 (see coded LIS sheet) and contained an additional 2 hours (1 hour dated 8/25/2022 and 1 hour dated 9/12/2022) after their annual training year. Facility person #1 still lacks 3 training hours in child care training.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.115(a)(8) · A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

In the swimming pool, facility person #1 was supervising 6 children with documentation of water safety training dated 5/4/2021, which is expired.

Corrected Corrected by Jul 11, 2022

Category: supervision. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Though the facility had signed parental consent for transportation on the emergency contact information, the 43 children at the swimming pool did not have signed parental consent to swim.

Corrected Corrected by Jul 11, 2022

Category: transportation. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- may not work in a child care position at the facility. 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 #1 and #2--- may not work in a child care position at the facility.

The file for facility person #1, with a hire date of 10/6/20, had a signed disclosure statement for 1/25/20 and no documentation of applying for the FBI clearance. The file for facility person #2, with a hire date of 10/6/20, had a signed disclosure statement for 12/6/20 and no documentation of applying for the FBI clearance.

Corrected Corrected by Sep 27, 2021

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #3 and child #4 lacked the arrival and departure times.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The emergency contact form for child #2 lacked the child's birthdate.

Corrected Corrected by Oct 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(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 physician's address.

Corrected Corrected by Oct 1, 2021

Category: health medication. 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 #1 and child #3 lacked the enrolling parent's work phone number.

Corrected Corrected by Oct 1, 2021

Category: recordkeeping. 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 #2 lacked the release person's address. The emergency contact form for child #3 lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(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 facility person #2, with a start date of 10/6/20, lacked a health assessment.

Corrected Corrected by Sep 27, 2021

Category: ratio. Marked corrected in the state record.

3270.151(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 facility person #2, with a start date of 10/6/20, lacked tuberculosis screening.

Corrected Corrected by Sep 27, 2021

Category: health medication. 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 facilities fire drill log listed the hypothetical location of the fire as the church lot.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facilities emergency plan lacked the evacuation routes to the location away from the facility premises.

Corrected Corrected by Sep 27, 2021

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