3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation and the CPSL require clearances to be updated at least every 60 months. Staff #2 had a state police clearance dated 1/22/20 and an updated one dated 1/23/25. Staff #2 had an FBI clearance dated 2/13/20 and an updated one dated for 2/20/25. Staff #2 did not update their state police and FBI clearance every 60 months as required. Staff #2 also had a child abuse clearance dated 1/29/20 and this clearance has not yet been updated. Regulation and the CPSL require staff to participate in mandated reporter training at least every 60 months. Staff #3 has not yet updated their mandated reporter training that was last taken on 6/12/19 which this training expired on 6/12/24. Staff #3 was working unsupervised at the time of this inspection. Staff #3 was not hired correctly as a provisional hire. Staff #3 was observed working in a child care role at the time of this inspection. Staff #3 did not have documentation of applying for the state police clearance and the FBI clearance. The CPSL requires either the state police clearance or the FBI clearance to obtained and the remaining clearance to be applied for before a staff can work in a child care role. As a provisional hire, Staff #3 was also required to be supervised by a qualified staff, but this staff was working unsupervised in a child care role. Lastly, Staff #3 had a child abuse clearance that expired on 1/23/25 (clearance dated 1/23/20).

Corrected Corrected by Jan 23, 2025

Category: supervision. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessment at least every 24 months. the following staff did not update their health assessments at least every 24 months: Staff #1 (previous 11/2/21, current 1/8/24), Staff #2 (previous 11/25/22, current 1/3/25) and Staff #4 (pervious 4/6/22, current 12/13/24).

Corrected Corrected by Jan 23, 2025

Category: ratio. 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.

There was no documentation on file which showed that a fire drill had been conducted every 60 days. The last documented fire drill was 12/8/23 and there should have been another fire drill conducted by February 6, 2024.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

No thermometer was observed in the refrigerator for Room 206.

Corrected Corrected by Jan 9, 2024

Category: nutrition. 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.

Room 203, which had toddler aged children, was missing a protective receptacle cover for their electrical outlet that was located on the left side of the back wall, next to a shelf.

Corrected Corrected by Jan 30, 2024

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.

Staff person #1 (see code sheet for date of hire) did not have documentation on file which showed that they completed the Health and Safety Update. The Health and Safety update was required to be completed by 12/30/22.

Corrected Corrected by Jan 13, 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.

During the inspection, there was no written policy on file which addressed the following: recognizing the potential signs/ symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and the prevention and identification of child maltreatment.

Corrected Corrected by Jan 13, 2024

Category: ratio. 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 # 3 may not work in a child care position at the facility.

Staff person #3 (see code sheet for date of hire) does not have documentation on file which shows that they have a completed NSOR Certificate on file.

Corrected Corrected by Jan 5, 2024

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

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

The women's restroom had an Envirox Concentrate 118 cleaner, labeled "keep out of reach of children", that was observed to be about waist height at the sink area. Febreze Air disinfectant sprays were also observed in the women's restroom to be about waist height at the sink and toilet area. Sharpies were found in the women's restroom in an unlocked, low "changing cabinet" about knee height. The Janitor's Closet, by the Women's Restroom, was unlocked and had shelves, about waist height, that contained Clorox Clean-up, Glass and Mirror Cleaner, 409 Cleaner Degreaser, Lysol, and other chemical cleaners that were accessible to children. A toxic plant was observed, about waist height, in the Foyer Area of the facility.

Corrected Corrected by Jan 15, 2024

Category: physical safety. 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.

The "Foyer Area" had an unlidded trash can and the "Nap Room" (Rooms 205, 207, 208) had two unlidded trash cans which were observed to be filled with trash that contained human secretions.

Corrected Corrected by Jan 30, 2024

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 number for the nearest hospital was observed to be missing from the list of emergency telephone numbers in the Foyer Area, Room 201, Room 203, the "Nap Room" (Rooms 205, 207, 208), and Room 206.

Corrected Corrected by Jan 10, 2024

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

3270.75(a) · A first-aid kit shall be in a child care space.

No first aid kit was observed in Room 201, Room 203, the "Nap Room" (Rooms 205, 207, 208), and Room 206.

Corrected Corrected by Jan 20, 2024

Category: health medication. 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.

The "nap room" labeled room #205, #207, and #208 had a baseboard radiator with its cover partially off, which resulted in exposed sharp metal coils. This radiator is on the left-hand side of the children's rest equipment shelf. The outdoor play space had a wooden boat shaped area whose right-hand side wall was observed to be chipped and splintered.

Corrected Corrected by Jan 26, 2024

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

3270.102(e)/3270.104(a) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The outdoor toddler play space contained mulch that had a diameter of less than one inch. In the outdoor play space, a wooden picnic bench next to the "Christian Life Assembly" sign was observed to be chipped and splintered.

Corrected Corrected by Jan 26, 2024

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

3270.121(a)/3270.121(b) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Parent Handbook was reviewed during the inspection and did not contain policies regarding supervision of children.

Corrected Corrected by Jan 15, 2024

Category: supervision. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child #1, child #2, child #3, child #4, and child #5 (see code sheet for date of birth) did not have any documentation on file which provided health insurance/ Medical Assistance coverage and health insurance/ Medical Assistance policy number information.

Corrected Corrected by Jan 18, 2024

Category: health medication. 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.

No plan for transporting a child to emergency care and staffing provisions in the event of an emergency was observed in Room 203, Room 206, and the "Nap Room" (Rooms 205, 207, and 208).

Corrected Corrected by Jan 12, 2024

Category: transportation. 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.

Child #4 (see code sheet for date of birth) did not have an updated health assessment on file. Child #4's last health assessment was dated for 4/19/2021.

Corrected Corrected by Feb 1, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Excedrin Migraine medication was found in a bookbag, that was hung about knee height, on a low shelf in the hallway near room 201.

Corrected Corrected by Jan 15, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff person #1 and staff person #2 (see code sheet for date of hire) do not have an updated health assessment on file. The last health assessment for staff person #1 was dated 9/21/2021 and should have been completed by 9/30/2023. The last health assessment for staff #2 was dated 11/2/2021 and should have been completed by 11/30/2023.

Corrected Corrected by Jan 19, 2024

Category: ratio. 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.

During the inspection, the emergency plan on file was reviewed and did not contain any information about accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 15, 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 did not have any documentation on file which indicated that they had conducted annual emergency drills.

Corrected Corrected by Jan 30, 2024

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)). Child care facilities in a commercial space (center and group) must manually test its alarm at least once every 30 days and shall maintain a written record of testing with the facility's fire drill logs in accordance with 62 P.S. § 1016(c)(1). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Fire detection system logs were not completed every 30 days as indicated by the following fire detection system logs that were on file: 1/17/23 to 2/20/23, 2/20/23 to 3/30/23, 6/14/23 to 7/24/23, 8/23/23 to 9/29/23, and 11/17/23 to 12/19/23.

Corrected Corrected by Jan 10, 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.

Staff person #1 (see code sheet for date of hire) did not have 12 hours of annual child care training completed and documented on file for 9/20/2022 to 9/20/2023. Staff person #2 (see code sheet for date of hire) did not have 12 hours of annual child care training completed and documented on file for 8/1/2022 to 8/1/2023.

Corrected Corrected by Jan 26, 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.

During the inspection, no documentation was on file which showed that the facility had sent an annual written notification to their local safety authorities about the location of the facility and the program's use of pedestrian and vehicular routes around the facility.

Corrected Corrected by Jan 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff persons #--1-2 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 persons #-1-2- have 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 Jan 26, 2023

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff person #-3-4 must receive pediatric first aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #-3- 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 # 3-4-, staff person #-3-4 may not work in a child-care position at the facility.

Staff persons #-3-4 have 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 Jan 26, 2023

Category: supervision. 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.

Inspection on 2/15/22 revealed that evacuation routes are not posted.

Corrected Corrected by Mar 15, 2022

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.

Inspection on 2/1522 revealed that the parents have not been provided information on how to access the regulations and how to contact the NE regional office.

Corrected Corrected by Feb 15, 2022

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). AS of July, 1 2020 the CPDL was changed to including a requirement of facility persons and household members who have lived outside of Pennsylvania within the past five years. These persons are required to provide background checks for the State (s) they have resided in within the past five years. 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 Person #--1- may not work in a child care position at the facility.

Staff number 1 hired as a provisional staff who has lived in New Jersey within the last five years, has not applied for or received a New Jersey child abuse clearance and FBI clearance.

Corrected Corrected by Apr 6, 2022

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 inspection on 2/16/22 observed folding chairs stacked up against walls within the indoor play space area. Chairs are a visible hazard per bumping into chairs during activities could result in all the stacked chairs following down.

Corrected Corrected by Mar 1, 2022

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

3270.113(a)/3270.113(a)(1) · 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.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.

During inspection on 2/15/22 observed child number 1 within the indoor play space area without a staff person located within the space.

Corrected Corrected by Feb 15, 2022

Category: supervision. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Inspection on 2/15/22 revealed that drop off and pick up safe routes procedures are not posted.

Corrected Corrected by Feb 15, 2022

Marked corrected in the state record.

3270.27(a)(5)/3270.27(d) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The operator shall post the emergency plan in the facility at a conspicuous location.

Review of emergency plan revealed that the plan did not provide accommodations for infants, toddlers and children with disabilities. Also plan not posted.

Corrected Corrected by Feb 15, 2022

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