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.

While at the facility unannounced on 3/8/24 the inspector observed the file for staff #1 and found that the staff began direct care with children on 3/4/24 and did not obtain a health assessment and TB screening until 3/7/24.

Corrected Corrected by Mar 8, 2024

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.

While at the facility unannounced on 3/8/24 the inspector observed the file for child #1 and found that this child had been enrolled for over 60 days (see LIS Code sheet for admission date) and did not obtain a health assessment on file until 11/29/23

Corrected Corrected by Mar 8, 2024

Category: health medication. 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). Facility Person # 1 may not work in a childcare 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.

While at the facility unannounced on 06/13/23 the inspector observed the file for staff #1 and noted that (see LIS for start date) staff had no proof of having the necessary out of state clearances as this staff resided out of Pa in the last five years. Upon the first day of working in direct childcare a facility person's record shall include a copy of requests for the PA State Police Record check, DHS FBI fingerprint submission, Pa Child Abuse Registry clearance information, the NSOR, a copy of the disclosure statement and any out of state clearances if the facility person resided out of PA in the last five years. Also acceptable are copies of the less than 60 months old, completed clearance information required under the CPSL and mentioned above.

Corrected Corrected by Jul 10, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Child # 1 must be dismissed from care by close of business 3/3/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Mar 3, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

While at the facility unannounced on 3/3/23 the inspector observed the file for child #1 and found that it was missing a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 10, 2023

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

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

While at the facility unannounced on 3/3/23 the inspector observed the file for staff #1 and found that the health assessment was missing the results of the examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Mar 10, 2023

Category: health medication. 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.

While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the files for staff #1, #2, #3, #4, and #5 did not have annual fire safety training as is required.

Corrected Corrected by Mar 21, 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). 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.

While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the files for staff #1 and noted that the staff had an FBI on 9/28/16 and did not update the FBI until 2/19/22. This clearance was not updated every 60 months as required by the CPSL. This clearance needed to be updated by 9/28/21.

Corrected Corrected by Feb 15, 2022

Category: background checks. 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.

While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the fire drill and detection log for the facility and found that the facility fire drills and testing were not done timely nor consistently as of 2/15/22.

Corrected Corrected by Feb 18, 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.

While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the fire drill and detection log for the facility and found that the facility fire drills and testing were not done timely nor consistently as of 2/15/22. The facility was not keeping a log with 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.

Corrected Corrected by Mar 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · 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 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 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing 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 as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 21, 2022

Category: physical safety. 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.

While at the facility unannounced on 2/15/22 for the renewal inspection the inspector observed the emergency plan and found the emergency plan was missing concurrence with the local municipality and to the county emergency management agency as is required.

Corrected Corrected by Mar 21, 2022

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