3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 may not work in a child care position at the facility.

The files for Staff #! and 2 both contained two mandated reporter trainings that were more than 60 months apart. The file for Staff #3 contained a PDE FBI clearance.

Corrected Corrected by May 16, 2025

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

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for Child #1, who is a young toddler age child contained two child health report forms that were more than 6 months apart.

Corrected Corrected by May 16, 2025

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

3280.94(a)(1) · The primary staff person 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.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 9-6-23 to 11-11-23.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with disabilities.

Corrected Corrected by Mar 7, 2024

Category: physical safety. 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.

The file for staff person #1, hired within the last year, had an outdated disclosure statement form and lacked the current disclosure statement form. (See LIS CODE SHEET)

Corrected Corrected by Mar 12, 2024

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

3280.124(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 file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The file for child #3, an infant, had a health assessment that exceeded 6 months between assessments.

Corrected Corrected by Mar 7, 2024

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

3280.131(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.

The file for child #2 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 15, 2024

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

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

The file for child #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Mar 7, 2024

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #4 had mandated reporter trainings dated 7-27-17 and 8-16-22 that were over 60 months between trainings.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to comply with 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

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.

Staff person #4, with a start date prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-17-23 that was not completed by 12-30-22 as required. (See LIS CODE SHEET)

Corrected Corrected by Jan 17, 2023

Category: ratio. Marked corrected in the state record.

3280.26(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 lacked documentation of sending a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Mar 7, 2023

Category: physical safety. 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. Houshold Member #5 and #6 may not be in the childcare facility while children are in care.

The file for household member #5 had a volunteer child abuse clearance dated 12-1-19 and lacked a child abuse clearance for reasons other than volunteer. The file for household member #6 had a volunteer state police clearance dated 11-16-21 and lacked a state police clearance for reasons other than volunteer.

Corrected Corrected by Mar 6, 2023

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

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

A pack 'n play was not labeled with the child's name that uses the rest equipment.

Corrected Corrected by Mar 3, 2023

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

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

A veterinarian's certificate of current rabies immunization was not on file for a cat at the facility.

Corrected Corrected by Mar 8, 2023

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

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The file for child #2 had an agreement that lacked the child's date of admission.

Corrected Corrected by Mar 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for child #1, a preschooler, lacked a current health assessment updated within the last 12 months.

Corrected Corrected by Mar 20, 2023

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

3280.131(d)(5)/3280.131(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). Children #2 and #3 must be dismissed from care by close of business on 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.

The file for child #2 &#3, both preschoolers, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Mar 15, 2023

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

The file for child #4 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 6, 2023

Category: ratio. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

According to the fire drill log, a fire drill was not conducted at least once every 60 days on multiple occasions within the last year.

Corrected Corrected by Mar 15, 2023

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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Mar 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(2) · The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

The emergency plan lacked a plan that provides for evacuation of children to a location away from the facility premises.

Corrected Corrected by Mar 3, 2023

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

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-10) within 90 days of hire. Staff person #1, #2, and #3 will have until 3-28-23 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, and #3, staff person #1, #2, and #3 may not work in a child-care position at the facility.

Staff person #1, #2, and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3280.31(f)(1-9).

Corrected Corrected by Mar 6, 2023

Category: supervision. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development in the topics of 3280.31(f) (10) within 90 days of hire. Staff person #1, #2, #3, and #4 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #1, #2, #3, and #4 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Mar 15, 2023

Category: health medication. 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.

The facility was lacking proof of purchase of the interconnected fire detection system that is in place.

Corrected Corrected by Apr 5, 2022

Category: recordkeeping. Marked corrected in the state record.