3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

One pair of adult scissors was observed in a bin in the Gollier Classroom and two pairs of adult scissors were observed in a bin in the Citron Classroom. The bins could be accessible to school age children receiving care in the space.

Corrected Corrected by Oct 9, 2024

Category: health medication. 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.

One cracked bin with a potential pinch point was observed in the Citron Classroom.

Corrected Corrected by Oct 9, 2024

Category: physical safety. 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 on file for Staff Person #1 exceeded 24 months between examinations on 6.26.21 and 10.16.23.

Corrected Corrected by Oct 16, 2023

Category: ratio. 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 exceeded monthly fire system testing between 4.18.24 and 5.21.24, 6.7.24 and 8.30.24, and 8.30.24 and 10.1.24.

Corrected Corrected by Oct 1, 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 last two evaulations in the file for staff person #3 were dated 12/8/21 and 1/6/23.

Corrected Corrected by Nov 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement in the file for child #1 through #7 were not signed by the operator.

Corrected Corrected by Nov 2, 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. Until such time as the required pre-service trainings are completed, staff person #4, #5, #9 and #12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, #5, #9 and #12, staff person #4, #5, #9 and #12 may not work in a child-care position at the facility.

Staff person #5, #9 and #12 were observed to be caring for children unsupervised. Staff person #5, #9 and #12 have not completed the following pre-service training required prior to caring for children unsupervised: 10 hour Health and Safety training. Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Acceptable first-aid/CPR training.

Corrected Corrected by Nov 2, 2023

Category: supervision. 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. Facility Person ##1, 2, 5-8 and 10-13 may not work in a child care position at the facility.

The dicslosure statement in the file for staff person #1, 2, 4-6 and 9-12 was not the most current version of the form.

Corrected Corrected by Nov 2, 2023

Category: background checks. 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 last two health assessments in the file for staff person #3 were dated 8/26/21 and 10/3/23. The last health assessment in the file for staff person #8 was dated 6/26/21.

Corrected Corrected by Nov 2, 2023

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 TB screening in the file for staff person #7 was more than 12 months old at the time of employment.

Corrected Corrected by Nov 2, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Based on conversation with the operator, 3rd copies of accidents, injuries and illnesses involving children were not being retained in an accident file.

Corrected Corrected by Nov 2, 2023

Category: health medication. 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.

A copy of the updates to the facility's emergency plan was sent to an incorrect address for the county emergency management agency.

Corrected Corrected by Nov 2, 2023

Category: physical safety. 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 information for child #1 included an incomplete address for the child's physician as it did not include the street number, only the street name.

Corrected Corrected by Jan 6, 2023

Category: health medication. 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 shaken baby syndrome policy did not include information on the identification and prevention of child maltreatment.

Corrected Corrected by Jan 6, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 through #4 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 through #4 may not work in a child care position at the facility.

The disclosure statement in the file for staff person #1 through #4 was not the current version.

Corrected Corrected by Jan 6, 2023

Category: background checks. 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 only evaluation in the file for staff person #6, employed more than a year, was dated 9/20/22.

Corrected Corrected by Jan 6, 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 last two health assessments in the file for staff person #5 were dated 11/7/19 and 11/10/21.

Corrected Corrected by Jan 6, 2023

Category: ratio. Marked corrected in the state record.

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health assessment in the file for staff person #1 was signed by an individual whose title was listed as "FP."

Corrected Corrected by Jan 6, 2023

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 only emergency drill documented at the facility was dated 5/31/22. Based on conversation with the operator, an emergency drill was conducted in 2021 but not documented.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director 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.

There were two times since October 2021 that fire drills were conducted more than 60 days apart: 10/18/21 and 12/20/21; 12/20/21 and 3/30/22.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files for Child #1, #2, #3, #4 and #5 contained agreements which lacked release persons.

Corrected Corrected by Nov 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for Child #3 contained an emergency contact form which lacked a reference to whom shall be contacted in an emergency.

Corrected Corrected by Nov 24, 2021

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 files for Child #1 and #3 contained emergency contact forms which lacked the work telephone numbers of the enrolling parents. The file for Child #5 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.

Corrected Corrected by Nov 24, 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 files for Child #3 and #5 contained emergency contact forms which lacked the names, addresses and telephone numbers of release persons.

Corrected Corrected by Nov 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted in a conspicuous location in the child care facility.

Corrected Corrected by Oct 21, 2021

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.

Proof of purchase of the interconnected fire detection system was not available at the time of the inspection.

Corrected Corrected by Nov 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.25(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 observed posted regulations were not current. The information on how to access the current regulations electronically and the contact information for the Western Region Office was not provided to parents, according to operator report.

Corrected Corrected by Nov 10, 2021

Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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 observed emergency plan lacked accommodations for the shelter of children during lock-down.

Corrected Corrected by Dec 6, 2021

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