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.

During renewal inspection, it was observed that Staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was also observed that the facility's emergency plan did not have a continuity of operations policy.

Corrected Corrected by Jun 30, 2025

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 12 hours received will only be counted towards the correct, not for next renewal inspection.

During renewal inspection, it was observed that Staff #1 did not have documentation of completing 12 hours of annual childcare training.

Corrected Corrected by May 25, 2025

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.

During renewal inspection, it was observed that Staff #1's previous State Police Clearance is dated for 2/23/20. An updated clearance was not obtained until 3/30/25. Staff #1's previous Child Abuse Clearance is dated for 3/25/20. An updated clearance was not obtained until 3/30/25. These dates indicate that an updated clearance was not obtained within the 60-month requirement. Staff #2's previous State Police Clearance is dated for 2/22/20. An updated clearance was not obtained until 3/27/25. Staff #2's previous Child Abuse Clearance is dated for 3/5/20. An updated clearance was not obtained until 3/27/25. These dates also indicate that an updated clearance was not obtained within the 60-month requirement.

Corrected Corrected by May 12, 2025

Category: background checks. 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).

During renewal inspection it was observed that child #1, #2, and #3 did not have an updated child service report on file.

Corrected Corrected by May 2, 2025

Category: recordkeeping. 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.

During renewal inspection, it was observed that child #1 did not have a financial agreement on file at all. Child #2's emergency contact sheet was last dated for 8/10/24. Child #3's emergency contact sheet was last dated for 3/25/24. For both child #2 and #3, their emergency contact sheets were not updated within the 6-month requirement.

Corrected Corrected by May 2, 2025

Category: recordkeeping. 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.

During renewal inspection it was observed that Staff #2's most recent health assessment on file is dated for 3/14/22. There was not an additional assessment on file. Staff #2 did not obtain a new health assessment within the 24-month requirement.

Corrected Corrected by May 2, 2025

Category: ratio. 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.

During renewal inspection, it was observed that the facility did not have any documentation of completing an annual emergency drill on file.

Corrected Corrected by May 12, 2025

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.

During renewal inspection, it was observed that the following dates indicate that fire alarm testing was not done within the 30-day requirement: 6/19/24, 7/22/24, 8/26/24, 9/26/24, 10/15/24, 11/20/24, 12/20/24, 1/24/25, 2/24/25.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 4/25/24.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. .

Corrected Corrected by Apr 17, 2024

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

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

Staff person #1 (see LIS code sheet for DOH) has not completed the required annual 12 clock hours of childcare training.

Corrected Corrected by Apr 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22." The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

While at the facility unannounced for the renewal the inspector reviewed the emergency plan and found that it did not address continuity of operations as was required to be part of the emergency plan by 7/1/22.

Corrected Corrected by May 15, 2024

Category: ratio. 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).

While at the facility unannounced on 4/10/24 for the renewal the inspector found that both child # 1 and child #5 had been in care for over six months and did not have child service reports on file as are required.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

While at the facility unannounced on 4/10/24 for the renewal the inspector found that child files #2 and #5 did not have specified persons designated by a parent to whom the child may be released as are required.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. 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.

While at the facility unannounced on 4/10/24 for the renewal the inspector found that child files #1, #3, and #5 were not updated once in a 6-month period or as soon as there is a change in the information as is required.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.151(c)(2) · 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. 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.

Staff person #3 (see LIS code sheet for DOH) did not have a health assessment and TB screening on file at the facility and has been working in direct care with children since hire.

Corrected Corrected by May 17, 2024

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.

Staff person #3 (see LIS code sheet for DOH) only had one of the two required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 within 90 days of hire. Staff person #3 will have until 4/29/24 to complete the pediatric first aid/CPR training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a Primary Staff who has completed the required training related to this citation. If there are no staff available to supervise staff #3, staff #3 may not work in a child-care position at the facility.

Staff person #3 (see LIS code sheet for DOH) has not completed the following required pre-service training within 90 days of their hire: Pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Apr 17, 2024

Category: supervision. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

While at the facility unannounced for the renewal the inspector asked to view the annual local traffic authority letter and the primary staff was not able to locate the required document.

Corrected Corrected by Apr 16, 2024

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.

While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the Emergency Plan and found that it was missing the necessary method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and 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.

Corrected Corrected by Apr 28, 2023

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

3280.52(c) · 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 at §3280.52(b). The required staff: child ratios must be maintained at all times.

When the inspector arrived at the facility on 4/5/23 for the unannounced renewal inspection the inspector observed staff #2, alone at the facility, with nine mixed age children with an infant in care, two young toddlers, and seven preschool aged children.

Corrected Corrected by Apr 5, 2023

Category: ratio. Marked corrected in the state record.

3280.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

When the inspector arrived at the facility on 4/5/23 for the unannounced renewal inspection the inspector observed that child #4, who is defined as an infant (see Facility/Child Code Sheet for DOB), in a bounce seat asleep. When staff #2 was asked if the child was allowed to sleep in the bounce seat it was indicated that the infant was allowed to as the parent requested this. It was discussed that the bounce chair is not an approved American Academy of Pediatrics sleeping position.

Corrected Corrected by Apr 5, 2023

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the file for child #2, a preschool aged child, and found that the child last had a health assessment on file dated 12/16/20.

Corrected Corrected by Apr 28, 2023

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

3280.131(d)(5)/3280.131(e) · 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 health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #3 and noted that the child has been enrolled over sixty days and as of 4/5/23 there was no proof of any vaccinations on file at the facility.

Corrected Corrected by Apr 28, 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.

While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #1 that the emergency contact form and agreement form were last updated on 4/14/22 and 10/1/21 respectively,

Corrected Corrected by Apr 21, 2023

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.

While at the facility unannounced on 4/5/23 for the renewal inspection the inspector observed the file for child #5 and that it was missing the necessary signature for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Apr 28, 2023

Category: ratio. 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.

While at the facility on 4/5/23 for the unannounced renewal inspection the inspector reviewed the Emergency Plan and found that it was missing the necessary accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Apr 28, 2023

Category: physical safety. 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.

While at the facility unannounced on 4/22/22 for the renewal inspection the inspector reviewed the emergency plan and noted that there was not any accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions as is required.

Corrected Corrected by Apr 29, 2022

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