Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › PA › South Park › Tshc Wonder Of Llc
4108 Brownsville Rd, South Park PA 15129 · License #CER-00252753 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff # 3 contains pediatric first aid and cpr training that was renewed late. It was due 3/2025 and obtained 2/2026.
Corrected Corrected by Mar 3, 2026
Category: ratio. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff #1 contains mandated reporter training that was renewed late. It was due 10/2025 and renewed 1/2026.
Corrected Corrected by Mar 3, 2026
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.
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
The file for staff #2 contains a child abuse clearance that was renewed late. It was due 4/2024 and renewed 2/2025.
Corrected Corrected by Mar 3, 2026
Category: background checks. Marked corrected in the state record.
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.
The file for staff #3 contains a health assessment that was renewed late. It was due 12/2025 and renewed 1/2026.
Corrected Corrected by Mar 3, 2026
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff person #2 shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person completed the remainder of the pre service health and safety training late on 1/6/2025. The training was due on 11/22/2024.
Corrected Corrected by Mar 18, 2025
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). 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 #1 contains clearances that were updated late. criminal due 11/27/24 and obtained 1/8/25; child abuse due 12/4/24 and obtained 1/9/25; fbi due 12/3/24 and obtained 1/10/25; nsor due 11/14/24 and obtained 1/8/25.
Corrected Corrected by Mar 18, 2025
Category: background checks. Marked corrected in the state record.
3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff #1 contains annual training hours that were obtained late. 4 of the 12 training hours were obtained in 12/2024 for the 4/2023 - 4/2024 window.
Corrected Corrected by Mar 18, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · 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. 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.
The file for staff #1 contains a TB test that is too old. the TB test on file is dated 2/2023 and is only acceptable for up to 12 months. A new TB test was due upon hire (8/2024).
Corrected Corrected by Nov 30, 2024
Category: health medication. Marked corrected in the state record.
3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire and upon expiration of the training.
The file for staff #2 lacks updated first aid training. Staff #2's training expired 10/17/2024. Staff #2 was providing child care services.
Corrected Corrected by Nov 30, 2024
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · 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's Emergency Plan lacked Continuity of Operations and Volunteer Emergency Preparedness Training.
Corrected Corrected by Feb 23, 2024
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff #1 had not completed the following required pre-service training within 90 days of their date of hire: Pediatric First-Aid/CPR Training (Dated 12/1/23). (SEE LIS CODE SHEET)
Corrected Corrected by Dec 1, 2023
Category: health medication. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Two outlet covers were missing in the extension cord next to the television.
Corrected Corrected by Feb 20, 2024
Marked corrected in the state record.
3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Teeth marks were observed in a foam puzzle and a plastic toy fence that were accessible to children who are still placing objects in their mouths.
Corrected Corrected by Feb 20, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The Financial Agreement for Child #4 lacked persons whom the child can be released to.
Corrected Corrected by Feb 23, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The Emergency Contact form for Child #4 lacked written parental permission to administer minor first aid procedures.
Corrected Corrected by Mar 1, 2024
Category: ratio. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The Emergency Contact form for Child #4 lacked written parental consent for "Emergency Medical Care".
Corrected Corrected by Mar 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
The Emergency Contact forms for Child #3 and Child #4 lacked information on the disability or special needs.
Corrected Corrected by Mar 1, 2024
Category: health medication. 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.
The file for Child #2 and Child #5 lacked complete addresses for all listed release persons on the Emergency Contact form.
Corrected Corrected by Mar 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every childcare space and accompany a staff person who leaves on an excursion with children.
Corrected Corrected by Feb 23, 2024
Category: transportation. Marked corrected in the state record.
3270.131(b)(1)/3270.182(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 shall contain initial and subsequent health reports.
The file for Child #5 (YT-18 mo) contained an updated health assessment dated 11/16/23, which is more than 6 months after the initial health assessment submitted at enrollment. (SEE LIS CODE SHEET).
Corrected Corrected by Feb 20, 2024
Category: health medication. Marked corrected in the state record.
3270.131(b)(2)/3270.182(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 shall contain initial and subsequent health reports.
The updated Child Health Assessment for Child #4 (OT) was lacking from the Child's file.
Corrected Corrected by Feb 20, 2024
Category: health medication. 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).
The immunization record on file for Child #1 (PSA) contained 3 of 4 doses of HIB and 3 of 4 doses of Pneumococcal with no Letter of Exemption in the file. The immunization record on file for Child #3 (YT-17 mo) contained 2 of 4 doses of HIB, 3 of 4 doses of Pneumococcal, and 0 of 1 dose of MMR and Varicella with no Letter of Exemption on file. The immunization record on file for Child #4 (OT) contained 2 of 3 doses of Hepatitis B with no Letter of Exemption on file. Child #1, Child #3, and Child #4 must be dismissed from care by close of business on 2/20/24 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 Feb 20, 2024
Category: health medication. Marked corrected in the state record.
3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.
A Little Remedies Saline Drop medication was observed with an expiration date of 01/2024 in the Infant Room for Child #6.
Corrected Corrected by Feb 20, 2024
Category: ratio. Marked corrected in the state record.
3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.
The Initial Health Assessment on file for Staff #1 is dated 8/28/23, which is after date of hire. (SEE LIS CODE SHEET). The most recent health assessment on file for Staff #2 is dated 11/15/21, more than 24 months ago.
Corrected Corrected by Feb 26, 2024
Category: health medication. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
In the Infant Room, a bottle in the refrigerator lacked the child's name labeled for use.
Corrected Corrected by Feb 20, 2024
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.
The file for Staff #1 lacked two written non-family references attesting to the staff person's suitability to work in child care.
Corrected Corrected by Mar 9, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
The facility lacked documentation of an annual Emergency Drill.
Corrected Corrected by Mar 1, 2024
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.
The file for Staff #2 did not contain 12 hours of annual child care training.
Corrected Corrected by Mar 15, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The facility lacked annual written notification to local traffic safety authorities of location of facilities and vehicular routes around the facility.
Corrected Corrected by Feb 23, 2024
Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Observed adult scissors, which were accessible to children, in the unlocked cabinet drawer next to the refrigerator in the kitchen.
Corrected Corrected by May 22, 2023
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
The health and safety training in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day in child care (See LIS Code Sheet).
Corrected Corrected by May 22, 2023
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). 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 NSOR Certificate in the file for Staff Person #1 was acquired more than 45 days after the staff person's start date (See LIS Code Sheet). The file for Staff Person #1 lacked a DHS FBI Clearance.
Corrected Corrected by May 22, 2023
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.
Observed two trash cans, which were not lidded and contained soiled tissues, next to the water fountain.
Corrected Corrected by May 26, 2023
Category: physical safety. 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.
The white play stove and the tall wooden toy shelf were wobbly, which creates a potential toppling hazard.
Corrected Corrected by May 26, 2023
Category: physical safety. Marked corrected in the state record.
3270.131(e)(1) · 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.
The file for Child #1, who has been enrolled for more than 60 days, lacked an immunization record.
Corrected Corrected by May 23, 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.
The health assessment in the file for Staff Person #1 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by May 22, 2023
Category: health medication. Marked corrected in the state record.
3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
Observed Staff Person #2 did not wash hands after changing a child's diaper. Discussion revealed that Staff Person #2 does not wash hands after diaper changes because staff person believed that gloves sufficed in lieu of handwashing.
Corrected Corrected by May 23, 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.
The file for Staff Person #1 included only one letter of reference.
Corrected Corrected by May 26, 2023
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.
The fire drill/fire system check log, documented two times when fire drills were conducted more than 60 days apart: 9/6/22-12/2/22 and 12/3/22-2/2/23.
Corrected Corrected by May 22, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(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 shall contain initial and subsequent health reports.
The file for Child #1, who has been enrolled for more than 60 days, lacked an initial health assessment.
Corrected Corrected by May 23, 2023
Category: health medication. Marked corrected in the state record.
3270.113(a) · The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.
On April 6, 2023, at approximately 09:05, CR and CRS observed a child in the kitchen area unsupervised. Staff present in the area were unaware of the child being in the kitchen area.
Corrected Corrected by Apr 13, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.
On April 6, 2023, at approximately 09:05, CR and CRS observed a child in the kitchen area unsupervised. Staff present in the area were unaware of the child being in the kitchen area.
Corrected Corrected by Apr 14, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
Staff Person #2 was asked to name her supervision group and successfully named 10 Pre-School children. Staff Person #1 was asked to name the children in her supervision group and named two but actually had three children. CR gave Staff Person #1 a second attempt and was unsuccessful. CR and CRS counted the total number of children and 13 were present. Staff Person #2 was asked to name her group again and again was successful and Staff Person #1 again named two of three children in her supervision group. CR explained there was a total of 13 Pre-School children and one child was left unidentified. After Staff Person #1 and #2 discussed their respective groups, they realized the unidentified child was assigned to Staff Person #1.
Corrected Corrected by Apr 10, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · The childcare facility will create face-to-name cards which will be used, by all staff, to assist with maintaining supervision of children. These cards will be placed on carabiners or lanyards and the staff will add and/or remove the child's card when they enter or leave their supervision group.
Staff Person #2 was asked to name her supervision group and successfully named 10 Pre-School children. Staff Person #1 was asked to name the children in her supervision group and named two but actually had three children. CR gave Staff Person #1 a second attempt and was unsuccessful. CR and CRS counted the total number of children and 13 were present. Staff Person #2 was asked to name her group again and again was successful and Staff Person #1 again named two of three children in her supervision group. CR explained there was a total of 13 Pre-School children and one child was left unidentified. After Staff Person #1 and #2 discussed their respective groups, they realized the unidentified child was assigned to Staff Person #1.
Corrected Corrected by Apr 10, 2023
Category: supervision. Marked corrected in the state record.
3270.192(4) · 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 #3 lacked the following: PA State Police, FBI and Child Abuse clearances, NSOR, and Disclosure Statement.
Corrected Corrected by Apr 7, 2023
Category: background checks. Marked corrected in the state record.
3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.
2nd CITATION: Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation. PREVIOUSLY CITED: 09/27/2022
Corrected Corrected by Mar 16, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
2nd CITATION: The file for Staff #4 lacked documentation of fire safety training. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 20, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person #3-- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Health and Safety Training. The facility's acceptable plan of correction indicated the correction would be implemented by 07/22/2022. On 09/27/2022 an unannounced inspection was conducted. Staff person #3 -- still has not completed the following required pre-service training: Pediatric First Aid/Pediatric CPR and Health and Safety Training.
3rd CITATION: Staff Person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR training, health and safety training. Staff Person #2 has not completed the following required pre-service training with 90 days of their date of hire (see LIS code sheet): Health and Safety. PREVIOUSLY CITED 07/07/2022 and 09/27/2022.
Corrected Corrected by Mar 17, 2023
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 #3 -- may not work in a childcare position at the facility.
2nd CITATION: After multiple requests for the documentation, no clearance information was submitted at the time of inspection for Staff #3. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 17, 2023
Category: background checks. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 12/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.
2nd CITATION: Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 17, 2023
Category: supervision. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.
Upon arrival at the facility at 09:25, CR and CRS observed Staff Person #2 speaking with a gentleman outside of the facility leaving Staff Person #1 out of ratio with 13 PS Children. Because the maximum ratio for a group with PS Children is 1:10; ratio was exceeded by three children. While performing supervision and ratio in the PS Area at 09:28, Staff Person #2 was observed in the kitchen area with her back to the children leaving Staff Person #1 out of ratio with 13 PS Children. Because the maximum ratio for a group with PS children is 1:10; ratio was exceeded by three children.
Corrected Corrected by Mar 20, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
While performing supervision and ratio in the PS Area at 09:28, Staff Person #1 was supervising 13 PS Children. Staff Person #1 was asked to identify her supervision group. Staff Person #1 incorrectly identified the number of PS children in her group. She stated she had seven children, but only named six. Staff Person #1 was afforded a second opportunity to identify her supervision group and identified seven children when, in fact, she was supervising nine children. At 09:30, Staff Person #2 returned to the PS Area. She was asked to identify the number of children she was supervising. Staff Person #2 incorrectly identified the number of children in her group. She stated she had five children and only named four. Staff Person #2 was afforded a second opportunity to identify her supervision group and then identified four, but only with assistance from Staff Person #1.
Corrected Corrected by Mar 17, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
While performing supervision and ratio in the PS Area at 09:28, Staff Person #1 was supervising 13 PS Children. Staff Person #1 was asked to identify her supervision group. Staff Person #1 incorrectly identified the number of PS children in her group. She stated she had seven children, but only named six. Staff Person #1 was afforded a second opportunity to identify her supervision group and identified seven children when, in fact, she was supervising nine children. At 09:30, Staff Person #2 returned to the PS Area. She was asked to identify the number of children she was supervising. Staff Person #2 incorrectly identified the number of children in her group. She stated she had five children and only named four. Staff Person #2 was afforded a second opportunity to identify her supervision group and then identified four, but only with assistance from Staff Person #1.
Corrected Corrected by Mar 17, 2023
Category: supervision. Marked corrected in the state record.
3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.
2rd CITATION: Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Sep 27, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
2nd CITATION: The file for Staff #4 lacked documentation of fire safety training. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 3, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · On July 7, 2022, a complaint was conducted at the facility. Staff person #1, #2 and #3-- had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Health and Safety Training. The facility's acceptable plan of correction indicated the correction would be implemented by (DATE). On (DATE) an unannounced inspection was conducted. Staff person #-- still has not completed the following required pre-service training: (list specific training missing when issuing the citation)
3rd Citation: Staff persons #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): pediatric first aid/CPR training, health and safety training. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR training. PREVIOUSLY CITED 07/07/2022 and 09/27/2022.
Corrected Corrected by Mar 3, 2023
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 #3 and #5 -- may not work in a childcare position at the facility.
2nd Citation: After multiple requests for the documentation, no clearance information was submitted at the time of inspection for Staff #3 and #5. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 3, 2023
Category: background checks. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #1 and #3 will have until 12/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and #3, staff persons #1 and #3 may not work in a child-care position at the facility.
2nd Citation: Staff persons #1 and #3 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 3, 2023
Category: supervision. Marked corrected in the state record.
3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.
2nd Citation: The file for Child #3 lacked updates to the emergency contact and agreement forms. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 3, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
There was no file provided for Staff #3 at the time of inspection, after multiple requests were made to obtain the information. PREVIOUSLY CITED 09/27/2022.
Corrected Corrected by Mar 3, 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.
2nd Citation: The file for Staff #4 lacked two written, nonfamily references. PREVIOUSLY CITED 09/27/2022
Corrected Corrected by Mar 3, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
SECOND VIOLATION. A crib in the Infant Room was observed to lack 2 feet on 3 sides while an infant was sleeping in the crib. as one side was against a wall, and another side was closer than 2 feet to another crib. Previously cited on SIN-00210734 on 7/22/22.
Corrected Corrected by Nov 9, 2022
Category: physical safety. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Two loose crib sheets were observed on cribs in the Infant Room, causing the risk of suffocation.
Corrected Corrected by Nov 9, 2022
Category: health medication. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
SECOND VIOLATION. The files for Staff #1, #3 and #4 lacked documentation of initial emergency plan training. Previously cited on SIN-00210734 on 7/22/22.
Corrected Corrected by Nov 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #3 and #4 will have until 12/1/22 to complete the required training. Until such time as the required training has been completed, staff person #3 and #4- must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3 and #4, staff person #3 and #4 may not work in a child-care position at the facility.
Continued Non-Compliance: On 7/22/22 a complaint investigation was conducted at the facility. Staff person #3 and #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR, health and safety training. The facility's acceptable plan of correction indicated the correction would be implemented by 9/30/22. On 11/9/22 an unannounced inspection was conducted. Staff person #3 and #4 still have not completed the following required pre-service training: pediatric first aid and CPR, health and safety training
Corrected Corrected by Nov 30, 2022
Category: supervision. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
*SECOND VIOLATION. Upon assessment of ratio and supervision on 11/9/22 at 9:55 AM, Staff #1, in the Infant Room, was observed sitting in a rocking chair, with her eyes closed, while holding an infant. Three other infants were sleeping in cribs in the room with Staff #1. Previously cited on SIN-00210734 on 7/22/22.
Corrected Corrected by Nov 30, 2022
Category: supervision. Marked corrected in the state record.
3270.113(a) · Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.
**SECOND VIOLATION. Upon assessment of ratio and supervision on 11/9/22 at 9:55 AM, Staff #1, in the Infant Room, was observed sitting in a rocking chair, with her eyes closed, while holding an infant. Three other infants were sleeping in cribs in the room with Staff #1. Previously cited on SIN-00210734 on 7/22/22.
Corrected Corrected by Nov 30, 2022
Category: supervision. Marked corrected in the state record.
3270.119 · 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.
An infant in the Infant Room was observed sleeping on his belly. When asked how the child was placed in the crib, the staff reported he was placed in the crib on his belly.
Corrected Corrected by Nov 10, 2022
Category: health medication. Marked corrected in the state record.
3270.182(5) · A child's record shall 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 #2 lacked an emergency contact form, and therefore lacked singed parental consent for administration of first-aid.
Corrected Corrected by Dec 29, 2022
Category: ratio. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
There were no files provided for Staff #1, #2, #3 and #5 at the time of inspection, after multiple requests were made to obtain the information.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The file for Child #2 lacked an agreement.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · 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.
A Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was not available at the time of the inspection.
Corrected Corrected by Sep 28, 2022
Category: ratio. Marked corrected in the state record.
3270.14 · 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first-aid/CPR training, health and safety training.
Corrected Corrected by Sep 28, 2022
Category: supervision. Marked corrected in the state record.
3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.
Multiple requests were made to obtain renewal documentation, which is kept offsite in an office not at the facility location. Untimely responses to the requests resulted in a delay to the inspection process and violations for lack of documentation.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
The observed emergency plan had not been updated in the past 12 months.
Corrected Corrected by Sep 28, 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, #2, #3, #4, and #5 may not work in a child care position at the facility.
After multiple requests for the documentation, no clearance information was submitted at the time of inspection for Staff #1, #2, #3, #4, and #5.
Corrected Corrected by Dec 29, 2022
Category: background checks. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for Staff #4 lacked documentation of emergency plan training.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for Staff #4 lacked documentation of fire safety training.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #2, #3 and #6 will have until 12/17/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, and #6, staff person #1, #2, #3 and #6 may not work in a child-care position at the facility.
Staff person #1, #2, #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training, health and safety training. Staff person #4 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training (dated 10/17/22), health and safety training (dated 10/8/22). Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid/CPR training.
Corrected Corrected by Dec 17, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1, #2, #3 and #6 will have until 12/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1, #2, #3, and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person#1, #2, #3 and #6, staff person #1, #2, #3, and #6 may not work in a child-care position at the facility.
Staff person #1, #2, #3 and #6 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #4 had not completed the mandated reporter training (dated 1/30/22) within 90 days of their date of hire (see LIS code sheet).
Corrected Corrected by Dec 17, 2022
Category: supervision. Marked corrected in the state record.
3270.182(2) · A child's record shall contain the dates of application, admission and withdrawal of the child.
The file for Child #2 lacked an agreement, making it unable to be determined the date of application and admission of the child.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff #4 lacked documentation of education and previous child care experience, making it unable to be determined if the individual qualified as a staff person.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. 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.
The file for Staff #4 lacked a staff evaluation.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
The emergency telephone numbers in the Main Room were observed to be posted on the other side of the room from the telephone.
Corrected Corrected by Sep 28, 2022
Category: physical safety. Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
A first-aid kit was not present in the Gym and staff did not bring a first-aid kit with them into the Gym when children were present in that space.
Corrected Corrected by Sep 27, 2022
Category: physical safety. Marked corrected in the state record.
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.
Handwashing signs were not posted at the sink in the kitchen area, the changing station or the sink in the infant area.
Corrected Corrected by Sep 28, 2022
Category: health medication. Marked corrected in the state record.
3270.106(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.
The cribs in the Infant area were observed to lack labels. The wall behind the cribs was labeled with a child's name.
Corrected Corrected by Sep 28, 2022
Category: physical safety. Marked corrected in the state record.
3270.114 · Weather permitting, children shall be taken out doors daily.
According to staff report, infants are not being taken out doors daily.
Corrected Corrected by Dec 9, 2022
Category: physical safety. Marked corrected in the state record.
3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).
The files for Child #1 and #3 lacked current child service reports.
Corrected Corrected by Dec 9, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.
The file for Child #2 lacked an emergency contact form.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file for Child #1 contained an emergency contact form which lacked the address of the child's medical provider.
Corrected Corrected by Dec 14, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file for Child #1 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.
Corrected Corrected by Dec 29, 2022
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.
The file for Child #1 contained an emergency contact form which lacked the addresses and telephone numbers of the release persons.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(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.
The file for Child #4 contained a most recent health report dated more than 12 months in the past.
Corrected Corrected by Dec 29, 2022
Category: health medication. Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The file for Child #2 lacked an emergency contact form, and therefore lacked signed parental consent for emergency care.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(e)(1) · 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.
The files for Child #1, #3 and #5 lacked records of immunization history. The file for Child #4 contained a record of immunization history which lacked a current influenza vaccination.
Corrected Corrected by Jan 15, 2023
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
Unlabeled cough and cold medicine, cough syrup, gym soother, and Orejel were observed in the Main Room.
Corrected Corrected by Sep 27, 2022
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
Two expired cough syrups and an expired Benadryl were observed in the Main Room.
Corrected Corrected by Sep 27, 2022
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
An Auvi-Q labeled for Child #6 was observed to lack written parental consent for administration. An unlabeled Orajel, reported to be intended for Child #7 was observed to lack written parental consent for administration. A Vicks Baby Rub labeled for Child #8 was observed to lack written parental consent for administration. A Zyrtec labeled for Child #9 was observed to lack written parental consent for administration. A Motrin and Acetaminophen labeled for Child #10 was observed to lack written parental consent for administration. A cough syrup labeled for Child #11 was observed to lack written parental consent for administration.
Corrected Corrected by Dec 29, 2022
Category: ratio. 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.
The file for Staff #4 contained an initial health assessment dated after the date of hire.
Corrected Corrected by Dec 1, 2022
Category: ratio. Marked corrected in the state record.
3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.
The files for Child #1, #3, #4 and #5 lacked updates to the emergency contact and agreement forms.
Corrected Corrected by Dec 29, 2022
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.
The file for Staff #4 lacked two written, nonfamily references.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the time of the inspection.
Documentation of an emergency drill held in the past 12 months was not available at the facility.
Corrected Corrected by Dec 12, 2022
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.
The observed fire drill log contained consecutive drills held more than 60 days apart.
Corrected Corrected by Dec 12, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.
An evacuation route was not posted in the facility.
Corrected Corrected by Sep 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
An annual fire test conducted by a fire professional was not available at the time of inspection, nor was a log of the fire detection system being tested every 30 days.
Corrected Corrected by Dec 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(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 shall contain initial and subsequent health reports.
The files for Child #1, #3, and #5 lacked health reports.
Corrected Corrected by Dec 29, 2022
Category: health medication. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
Upon assessment of supervision and ratio in the Gym on 7/22/22 , Staff #1 and #2 were present with 15 PS. At 10:45 AM, Staff #2 left the Gym to take a phone call and was gone approximately three minutes, leaving Staff #1 alone with 15 PS children.
Corrected Corrected by Jul 25, 2022
Category: supervision. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for Staff #1, #3 and #4 lacked documentation of initial emergency plan training.
Corrected Corrected by Jul 25, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3 and #4 will have until 10/12/22 to complete the required training. Until such time as the required training has been completed, staff person #3 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3 and #4, staff person #3 and #4 may not work in a child-care position at the facility.
Staff person #3 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS sheet): pediatric first-aid and CPR, health and safety training.
Corrected Corrected by Sep 30, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Staff person #3 had not completed the mandated reporter training within 90 days of their date of hire (completed late) (see LIS code sheet).
Corrected Corrected by Jul 25, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
A crib in the Infant Room was observed to lack 2 feet on 3 sides, as one side was against a wall, and a mattress was leaning up against the crib, while an infant was sleeping in the crib.
Corrected Corrected by Jul 25, 2022
Category: physical safety. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
Staff #3, in the Infant Room, was observed sitting on a chair in the room, with her back to the cribs. A sleeping infant was in a crib behind Staff #3. Staff #3 was not able to see or properly supervise the sleeping infant from her seated position. Staff #3 was also observed on her cell phone, looking down at the phone while feeding an infant in her lap.
Corrected Corrected by Jul 25, 2022
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
Upon assessment of supervision and ratio in the Main Room on 7/22/22 at 10:40 AM, Staff # 4 and Staff #5 were observed with 9 OT children. Staff #4 named all 9 OT children. Staff #5 could not name one of the children. When asked to attempt to name them for a second time, she could still not do so and Staff #4 told her the name of the child. Upon assessment of supervision and ratio in the Gym on 7/22/22 at 10:45 AM, Staff #1 and Staff #2 were present with 15 PS children. Staff #1 named all of the children. Staff #2 could not name one of the children. When asked to attempt to name them for a second time, she could still not do so.
Corrected Corrected by Jul 25, 2022
Category: supervision. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for Staff #1 contained First-Aid training on 12.17.19, but it was not Pediatric. The file for Staff #1 did not contain verification of Pediatric CPR.
Corrected Corrected by Dec 31, 2021
Category: ratio. Marked corrected in the state record.
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.
There were no handwashing signs posted near either of the two toilets in the front restroom or back restroom.
Corrected Corrected by Dec 17, 2021
Category: health medication. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file for Child #3 did not contain the address of the physician
Corrected Corrected by Dec 31, 2021
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file for Child #1 did not contain the enrolling parent's work address or work phone number. The file for Child #2 did not contain the enrolling parent's work phone number. The file for Child #3 did not contain the enrolling parent's work address or work phone number.
Corrected Corrected by Dec 31, 2021
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.
The files for Child #2 and Child #3 did not contain the release person's address.
Corrected Corrected by Dec 31, 2021
Category: recordkeeping. 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.
The file for Staff #2 did not contain proof of qualifications.
Corrected Corrected by Dec 31, 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.
The file for Staff #2 did not contain verification of experience or education.
Corrected Corrected by Dec 31, 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
The file for Staff #2 did not contain two written, nonfamily references.
Corrected Corrected by Dec 31, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
A Proof of Purchase was not provided for the fire detection system.
Corrected Corrected by Dec 31, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
There was no notice provided to parents on how to access the regulations electronically or how to contact the appropriate regional child care office.
Corrected Corrected by Oct 22, 2021
Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The 4 first-aid kits in the facility lacked soap.
Corrected Corrected by Jul 16, 2021
Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
There was damaged plaster on the wall in the play space caused by the back of a chair rubbing against the wall.
Corrected Corrected by Jul 16, 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 lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Jul 16, 2021
Category: physical safety. Marked corrected in the state record.
3270.27(a)(1) · 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's emergency plan lacked lock-down accommodations for shelter of children during an emergency.
Corrected Corrected by Jul 16, 2021
Category: physical safety. Marked corrected in the state record.