3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

During the renewal inspection conducted on 10/13/2023 observed the sinks in the Preschool room did not have hand washing signs posted that state a facility person and an able child shall wash his hands after toileting and before eating. Corrected on site 10/13/2023.

Corrected Corrected by Oct 25, 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.

During the renewal inspection conducted on 10/13/2023 observed the climbing gym mats in the Older Toddler 2 room were not in good repair.

Corrected Corrected by Oct 25, 2023

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

During the renewal inspection conducted on 10/13/2023 observed child #1, #2, #3 and #4's agreement did not specify the date of the child's admission.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

During the renewal inspection conducted on 10/13/2023 observed child #4's emergency contact information did not include the birth date of the child.

Corrected Corrected by Oct 25, 2023

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.

During the renewal inspection conducted on 10/13/2023 observed child #1 and #4's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

During the renewal inspection conducted on 10/13/2023 observed child #3 and #4's health reports did not include verification of a current influenza vaccine.

Corrected Corrected by Oct 25, 2023

Category: health medication. 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.

During the renewal inspection conducted on 10/13/2023 observed staff person #2 and #3's files did not include health assessments conducted within the 24-month time frame.

Corrected Corrected by Oct 25, 2023

Category: ratio. 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.

During the renewal inspection conducted on 10/13/2023 observed staff person #1's health assessment did not include an 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 Oct 25, 2023

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

3270.192(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.

During the renewal inspection conducted on 10/13/2023 observed staff person #4's file did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. 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.

During the renewal inspection conducted on 10/13/2023 observed staff person #3's file did not include verification of annual minimum of 12 clock hours of child care training.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

During the renewal inspection on 11/17/22, it was observed that the records of staff person #1 did not include training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR).

Corrected Corrected by Dec 16, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and 3 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.

During the renewal on 11/17/22, it was observed that the records of staff person #2 did not include the Federal Bureau of Investigations clearances required by the CPSL. The records of staff person #3 did not include updated State Police Criminal and Child Abuse clearances as required by the CPSL. Records dated 4/4/2017 and 4/6/2017 respectively

Corrected Corrected by Nov 17, 2022

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

3270.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

During the renewal inspection on 11/17/22, it was observed that the records of child #2 did not comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77 and had no influenza vaccine or exemption letter on file within the last 12 months. Document dated 9/29/21.

Corrected Corrected by Dec 6, 2022

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

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 11/17/22, it was observed that the records of staff person # 1 and staff person #2 did not include acceptable verification of education, is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Corrected Corrected by Nov 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

During the renewal inspection on 11/9/21, it was observed that the records of facility person #2 did not include Health and Safety training as required by the CCDBG.

Corrected Corrected by Nov 19, 2021

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 and #6 -- 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.

During the renewal inspection on 11/9/21, it was observed that - the records of facility person #4 did not include the Federal Bureau of Investigations(FBI) clearance as required by the CPSL -the records of facility person #6 did not include the National Sex Offender Registry Certificate (NSOR) as required by the CPSL

Corrected Corrected by Nov 19, 2021

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During the renewal inspection on 11/9/21, it was observed that there was a trashcan with no lid in the young toddler classroom

Corrected Corrected by Nov 12, 2021

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

During the renewal inspection on 11/9/21, it was observed that there were trashcans with no lids in the kindergarten and Pre-school bathrooms

Corrected Corrected by Nov 12, 2021

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

During the renewal inspection on 11/9/21, it was observed that the records of child #1 did not include the child's immunized status according to recommendations of the ACIP

Corrected Corrected by Nov 19, 2021

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

3270.151(a)/3270.151(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.

During the renewal inspection on 11/9/21 the records of facility person #7 and facility person #8 did not include an updated health record -health records submitted dated 7/22/19 and 11/6/19 respectively -The records of facility person #8 did not include tuberculosis screening by the Mantoux method at initial employment

Corrected Corrected by Nov 19, 2021

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the renewal inspection on 11/9/21, it was observed that the records of facility person #1, #3, #4, and #5, did not include verification of child care experience

Corrected Corrected by Nov 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During the renewal inspection on 11/9/21, it was observed that the records of facility persons #1did not include acceptable verification of education -the records of facility person # 3, and #4 did not include verification of education for an Aide and AGS respectively.

Corrected Corrected by Dec 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(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

During the renewal inspection on 11/9/21, it was observed that the records of facility person #6 did not include two written, nonfamily references -1 reference submitted

Corrected Corrected by Nov 19, 2021

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.

It was observed on 11/9/21 during the renewal Inspection, that there was no updated fire drill log at least once every 60 days. Fire drill log submitted dated 9/8/21

Corrected Corrected by Nov 10, 2021

Category: recordkeeping. Marked corrected in the state record.