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 # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

At the time of inspection, the file for staff member #2 included a PA State Police Clearance dated 3/27/23 which was incomplete without a dissemination date and indicated the status was still pending.

Corrected Corrected by Jul 31, 2024

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.37(b)(1) · 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. An aide shall have a high school diploma or a general educational development certificate.

At the time of inspection, the file for staff member #1, hired as an aide; included a foreign diploma and/or degree which was not translated and/or evaluated to determine its equivalence to United States Department of Education standards.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

At the time of inspection, dust was observed on the air vents in two of the bathrooms inside the facility. Also, the holes were observed in the screen of the window in the classroom at the rear of the building.

Corrected Corrected by Jul 31, 2024

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

3270.124(f) · 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.

At the time of inspection, the emergency contact information for child #1 was dated 1/4/24 indicating it had not been reviewed and/or updated in the last 6 months.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

At the time of inspection, a staffer was observed cross contaminating surfaces, during a diaper change; when the staffer used their unclean gloved hand to open the lid of the waste receptacle to discard a soiled diaper instead of using the hands-free mechanism to open the lid.

Corrected Corrected by Jul 31, 2024

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

3270.14/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

During the renewal inspection on 5/11/23 the file for staff persons #1 #6 #7 #11 did not include the 1-hour health and safety update. Staff person #8 did not have the required health and safety training.

Corrected Corrected by Jun 11, 2023

Category: ratio. 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.

During renewal inspection on 5/11/23 the file for staff person # 12 did not include fire safety training.

Corrected Corrected by Jun 11, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons # 1 #2 #4 #9 # 10 #13 #14 #16 -- 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 Staff Persons # 1 #2 #4 #9 # 10 #13 #14 #16 -- may not work in a childcare position at the facility..

During the renewal inspection on 5/11/2023 the file for staff persons #1 #2 #13 #14 and #16 did not include a PA Child Abuse Clearance .Staff person #4 did not have a PA Criminal Clearance. Staff persons #9 and #13did not have the DHS FBI clearance. Staff person #10 did not have the NSOR clearance.

Corrected Corrected by May 11, 2023

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

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

During the renewal inspection on 5/11/2023 staff person # 11 was observed working alone at nap time with 16 older toddlers.

Corrected Corrected by May 11, 2023

Category: ratio. Marked corrected in the state record.

3270.135(c) · The diapering area may not be used for food preparation or food service.

During the renewal inspection on 5/11/0223 sippy cups were observed on the changing table in the hummingbird's classroom.

Corrected Corrected by May 11, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 5/11/2023 the file for staff person #15 did not include TB testing dates for initial employment.

Corrected Corrected by Jun 11, 2023

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

During the renewal inspection on 5/11/2023 the health assessment for staff person #5 and #17 did not include examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide childcare.

Corrected Corrected by Jun 11, 2023

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

3270.181(c)/3270.181(e) · 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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

During the renewal inspection on 5/11/2023 a random sample of emergency contact forms in the classrooms revealed that several forms have not been updated for over a six-month period.

Corrected Corrected by Jun 11, 2023

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 5/11/2023 the file for staff persons # 8 and #11 did not include verification of education.

Corrected Corrected by Jun 11, 2023

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 5/11/2023 the file for staff persons#3 #8 and #13 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 11, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2. #3, AND #5 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.

AT TIME OF RENEWAL INSPECTION, THE FILES FOR STAFF PERSON #2, #3 AND #5 DID NOT CONTAIN COMPLETE CRIMINAL HISTORY INFORMATION AS REQUIRED UNDER CPSL. THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE A CHILD ABUSE CLEARANCE, OR A RECEIPT FOR THE CLEARANCE. ALSO, THE FILE FOR STAFF PERSON #2 DID NOT INCLUDE A NSOR VERIFICATION CERTIFICATE, OR A FBI CLEARANCE. THE FILE FOR STAFF PERSON #3 DID NOT INCLUDE A NSOR VERIFICATION CERTIFICATE, OR A FBI CLEARANCE - ONLY A RECEIPT FOR A FBI CLEARANCE DATED 10/13/21. THE FILE FOR STAFF PERSON #5 DID NOT INCLUDE A NSOR VERIFICATION CERTIFICATE, OR A FBI CLEARANCE - ONLY A RECEIPT FOR A PDE FBI CLEARANCE DATED 4/18/22.

Corrected Corrected by Jul 8, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

AT TIME OF RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION THAT STAFF PERSON #4 AND #6 HAD RECEIVED A STAFF EVALUATION WITHIN THE PAST 12 MONTHS. LAST EVALUATIONS WERE COMPLETED IN 2020.

Corrected Corrected by Aug 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

AT TIME OF RENEWAL INSPECTION, TWO TOXIC PLANTS WERE OBSERVED IN THE SQUIRRELS ROOM (RROM 3)

Corrected Corrected by Jul 8, 2022

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

AT TIME OF RENEWAL INSPECTION, STAINED CEILING TILES WERE OBSERVED IN ROOM #2, ROOM #4, ROOM #5, AND ROOM #2 (BLUE ROOM).

Corrected Corrected by Aug 1, 2022

Category: physical safety. 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.

AT TIME OF RENEWAL INSPECTION, STAFF PERSON #2 AND #3 DID NOT HAVE DOCUMENTATION OF AN INITIAL HEALTH ASSESSMENT AND TB TEST RESULTS

Corrected Corrected by Aug 1, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

AT TIME OF RENEWAL INSPECTION, THE HEALTH ASSESSMENT FOR STAFF PERSON #7 DID NOT HAVE REQUIRED QUESTIONS #2 AND #3 ANSWERED BY THE DOCTOR.

Corrected Corrected by Aug 1, 2022

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

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #5 DID NOT INCLUDE TWO WRITTEN, NON-FAMILY REFERENCES.

Corrected Corrected by Jul 25, 2022

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.

AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #1 DID NOT INCLUDE A TOTAL OF 12 HOURS OF ANNUAL CHILD CARE TRAINING.

Corrected Corrected by Aug 1, 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. Facility Person #1 may not work at the facility.

The file for staff member #1 contained an expired FBI background screening dated 02/21/2016 and child abuse history check dated 06/01/2016.

Corrected Corrected by Aug 13, 2021

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During a renewal inspection on 08/05/2021, the play climber in the Hummingbird room had tears in the seems; Underneath the mat on the changing table in the Monarchs room was dirty.

Corrected Corrected by Aug 5, 2021

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

3270.27(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.

The facility's emergency plan did not contain accommodations for infants and toddlers.

Corrected Corrected by Aug 5, 2021

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations 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 §3270.94 (relating to fire drills).

During a renewal inspection on 08/05/2021, the emergency plan did not contain evacuation routes to the evacuation location away from the facility.

Corrected Corrected by Aug 5, 2021

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