3270.33(a) · 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.

Facility Person #2, who lacks both a high school diploma and lacks childcare experience and qualifies only as a volunteer, was observed supervising two children alone. Therefore, Facility Person #2 was performing duties beyond which she was qualified.

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

3270.33(c) · A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Facility Person #2, who qualifies as a volunteer, was observed supervising children without themselves being supervised by a staff qualified as an AGS or higher.

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Staff #1 was observed alone during Renewal Inspection on December 9, 2024, with 18 school age children including both younger school age and older school age. Therefore, during the inspection ratio was 1:18. Also, Facility person #2, who qualifies only as a volunteer, was observed supervising one YSA and one OSA during a trip to the restroom. Because Facility Person #2 does not qualify as staff, the ratio was 0:2.

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Facility person #2, who qualifies only as a volunteer, was observed accompanying one YSA and one OSA during a trip to the restroom which was not located in the childcare space. Because Staff #1 was not present, the children were not supervised by a staff person at all times.

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Facility person #2, who qualifies as a volunteer, was observed supervising one YSA and one OSA during a trip to the restroom which was not located in the childcare space. Since Staff #1 was not present, no staff was physically present with those two children.

Corrected Corrected by Dec 2, 2024

Category: supervision. 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 lacked the phone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.241(c)(3)(ii) · In a program in which 45 or fewer school-age children are enrolled, one assistant group supervisor is required to be present at a facility site for each group of 12 young school-age or 15 older school-age children in attendance.

During the Renewal Inspection 18 school aged children were observed in care. During that time, only one assistant group supervisor was present at the facility for this group of 18 school aged children.

Corrected Corrected by Jan 2, 1925

Category: supervision. 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.

Based on Fire Drill documentation, there was a gap in the documentation exceeding 60 days where a fire drill was not conducted, 2/12/24 and 9/5/24. Based on conversation with the director, school was out for the summer at the end of May, although school was still operating during the time another fire drill should have occurred.

Corrected Corrected by Dec 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(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 and kept on file at the facility.

The two most recent emergency plan trainings for staff person #1 are dated more than 12 months apart: 8/22/22 and 10/3/23. The file for staff person #2 had documentation of emergency plan training on 10/3/23, which was not at the time of initial employment.

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #2 completed the required pre-service Health and Safety training on 11/26/23 but did not complete the training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Nov 26, 2023

Category: health medication. 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 and financial agreement forms for children #1 and #3 have not been updated in writing by the parent within the last 6 months. Child #1's forms were last updated on 5/30/23, and child #3's forms were last updated on 2/16/23. The emergency contact form for child #2 has not been updated in writing by the parent within the last 6 months: 5/30/23.

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

A medication log for an Epinephrine Injection medication was not established for a child receiving care.

Corrected Corrected by Dec 19, 2023

Category: health medication. 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.

A determination could not be made if fire drills were conducted at least once every 60 days as the director did not have documentation on file of conducting fire drills within the last 12 months. The only fire drill documented at the facility was dated 10/17/23.

Corrected Corrected by Dec 5, 2023

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.

The operator did not have documentation on file of sending a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.181(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. An operator shall establish and maintain an individual record for each child enrolled in the facility.

The file for child #1 lacks an initial health report within 60 days following the first day of attendance at the facility.

Corrected Corrected by Dec 11, 2023

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.

In the cafeteria, a blue toy bin containing Jenga blocks was observed to be cracked with sharp corners.

Corrected Corrected by Dec 12, 2022

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

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility.

Corrected Corrected by Dec 14, 2022

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #2 lacked an annual minimum of 12 clock hours of child care training for the year December 19, 2020 - December 19, 2021.

Corrected Corrected by Apr 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The two most recent fire safety trainings in the file for staff person #2 are dated more than one year apart: 8/29/21 and 9/14/22.

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. 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).

The two most recent PA Child Abuse Clearances in the file for staff person #1 are dated more than 60 months apart: 1/1/17 and 1/7/22.

Corrected Corrected by Jan 7, 2022

Category: background checks. 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 person #2, with a hire date of 8/24/21 does not include completed pediatric First Aid/CPR, which was due to be completed within 90 days of hire, by 11/22/21.

Corrected Corrected by Mar 2, 2022

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 most recent fire safety training on file for Staff person #3, dated 8/29/21 is dated more than 1 year after the previous training, dated 7/18/20.

Corrected Corrected by Aug 29, 2021

Category: recordkeeping. 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 may not work in a child care position at the facility.

The file for Staff person #1, with a hire date of 9/21/21, does not include a child abuse, or sex offender clearance, or proof of application prior to working with children, from New York, where she resided within the previous 5 years.

Corrected Corrected by Dec 16, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent mandated reporter training on file for Staff person #3, dated 3/8/20, is dated more than 60 months after the previous training, dated 2/21/15.

Corrected Corrected by Dec 15, 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 emergency contact form on file for Child #2 does not include the telephone number for the enrolling parent's employer.

Corrected Corrected by Jan 12, 2022

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 on file for Child #1 does not include the name of the health insurance coverage for the child's health insurance.

Corrected Corrected by Jan 12, 2022

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for Child #1, with an enrollment date of 9/7/21, more than 60 days ago, does not include an immunization record.

Corrected Corrected by Jan 13, 2022

Category: health medication. 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 2 most recent health assessments on file for Staff person #3 are dated 5/29/20 and 5/8/18, are dated more than 24 months apart.

Corrected Corrected by May 29, 2020

Category: ratio. 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 file for Child #1, with an enrollment date of 9/7/21, does not include a health assessment, which was due by 12/6/21, as per Announcement C-20-04.

Corrected Corrected by Jan 24, 2022

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