3280.14 · 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.

The Emergency Plan did not address Continuity of Operations as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for volunteer emergency preparedness training, practice drills and continuity of operations included in their emergency plan.

Corrected Corrected by Jul 19, 2024

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.

Staff person #1 lacked 3.5 training hours of professional development for the review period December 19, 2022 to December 19, 2023.

Corrected Corrected by Jun 20, 2024

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.

In the outdoor play space, there was peeling paint on a cement window ledge on the exterior of the house and on an exterior basement window trim.

Corrected Corrected by Jul 19, 2024

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.

There were empty plastic bags and disposable gloves located on the shelves under the changing table in the bathroom. The items were accessible to children still placing objects in their mouths.

Corrected Corrected by Jul 1, 2024

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 the name of the child's physician or source of medical care.

Corrected Corrected by Jun 13, 2024

Category: health medication. 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 file for Child #2 lacked an updated emergency contact form and financial agreement. The previous forms were dated September 2023 and the update was due on March 2024.

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The file for Child #1 lacked an updated health report. Child #1 was a young toddler at the time the report was due. The initial report was completed in November 2023 and the updated report was due May 2024.

Corrected Corrected by Jul 3, 2024

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

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 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 for staff #1 contained 2 hours of annual training completed between 12/19/21 and 12/19/22. Ten additional hours were completed after 12/19/22. Staff #1 has now completed all 12 required hours of annual training.

Corrected Corrected by Jul 12, 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.

The file for facility person #2 did not contain a completed disclosure statement.

Corrected Corrected by Jul 12, 2023

Category: background checks. 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.

Two sharp protruding screws were observed on the wall behind the door of the restroom used by the children .

Corrected Corrected by Jul 13, 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.

A tear which left the inner foam filling accessible was observed on a green vinyl pillow in the child care space. A broken section on the platform of a red scooter was observed in the outdoor play space.

Corrected Corrected by Jul 12, 2023

Category: physical safety. 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 #1 did not contain a service report completed in the past 6 months.

Corrected Corrected by Jul 18, 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 #2 contained consecutive health reports dates more than 12 months apart. The most recent health report on file is now current.

Corrected Corrected by Jul 12, 2023

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 conducted more than 24 months apart. The most recent heath assessment on file is now current. The file for facility person #2 did not contain a health assessment.

Corrected Corrected by Jul 19, 2023

Category: ratio. Marked corrected in the state record.

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for facility person #2 did not contain written references.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. 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.

Documentation of emergency drills conducted at the facility was limited to the date of the drill and did not include other required details as stated in Announcement C-22-04.

Corrected Corrected by Aug 19, 2023

Category: recordkeeping. 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.

Fire drills have been conducted on the same day every two months for the last year resulting in multiple consecutive drills dated more than 60 days apart. A current drill is documented.

Corrected Corrected by Aug 19, 2023

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 required 30 day tests of the smoke detectors have been conducted on the same day every month for the last year resulting in multiple consecutive tests dated more than 30 days apart. The last 2 documented tests were completed on schedule.

Corrected Corrected by Aug 19, 2023

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's current certificate was not posted on the day of the inspection.

Corrected Corrected by Jul 12, 2023

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.

It was observed during the renewal inspection, that the gate between the main room and kitchen was left open, allowing the children access to the stove.

Corrected Corrected by Jun 10, 2022

Category: health medication. 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.

Staff person #1--Completed emergency plan training on 2/5/21 and 3/1/22, which is not annually.

Corrected Corrected by Mar 1, 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.

Staff person #1 lacked 12 annual training hours from 12/19/20-12/19/21.

Corrected Corrected by Jun 17, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/1/16.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

In the main room the 1st doorway was blocked with a couch and computer table.

Corrected Corrected by Jun 10, 2022

Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The file for child #3 contained the original agreement.

Corrected Corrected by Jun 10, 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 form for child #3 lacked the physician's address and phone number.

Corrected Corrected by Jul 10, 2022

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 #1 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by Jul 10, 2022

Category: recordkeeping. 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 form for child #2 lacked written consent for emergency medical care prior to admission.

Corrected Corrected by Jul 10, 2022

Category: recordkeeping. 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 #2 lacked written consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Jul 10, 2022

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.

Facility lacked proof of purchase or an attestation letter for the inter-connected smoke alarms.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.