3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff persons # 1 and 2 did not participate at least annually in fire safety training. This is evidenced by the fire training held on 6/10/23 and 8/17/24 for both staff.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Baseboard molding was observed to be peeling from the wall in the art room. Two ceiling tiles in the art room were observed with holes in them.

Corrected Corrected by Sep 18, 2024

Category: physical safety. 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.

Peeling paint was observed on the ceiling in the large preschool room. Peeling plaster was observed on the upper corner of the room in the art room. Peeling paint was observed on the door frame in the art room.

Corrected Corrected by Oct 31, 2024

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

3270.91(c) · If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

The door to the basement stairs was unlocked and was in an area accessible to children.

Corrected Corrected by Sep 23, 2024

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.

There were sharp edges observed on the chain link fence in the outdoor play area. There was a play car with exposed bolts observed in the outdoor play area. There was splintered wood observed on the outside of the wooden stairway down to the outdoor play area.

Corrected Corrected by Oct 31, 2024

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement on file for child # 3 did not specify the date in which the fee is to be paid.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. 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 emergency contact form on file for child # 2 did not have the parent work address and phone number.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. 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.

The emergency contact information on file for child # 1 did not have the health insurance policy number.

Corrected Corrected by Sep 18, 2024

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During a renewal inspection on 9/18/24, there were no written references on file for staff person # 1.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. 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).

A renewal inspection was conducted on 9/19/23. During the inspection, the child files were reviewed. The child service reports on file for Child #1 and Child #2 was not completed using an approved assessment tool.

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. 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.

A renewal inspection was conducted on 9/19/23. During the inspection, the child files were reviewed. The emergency contact information Child #3 did not include the health insurance policy number.

Corrected Corrected by Sep 28, 2023

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.

A renewal inspection was conducted on 9/19/23. During the inspection, the child files were reviewed. The emergency contact information for Child #1 and Child #3 did not include the addresses of the release persons.

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. 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). Child #2 must be dismissed from care by close of business 9/19/23 and may only return to care when the immunization record is on file or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 9/19/23. During the inspection, the child files were reviewed. The file for Child #2, who has been enrolled longer than 60 days, did not include an immunization record.

Corrected Corrected by Sep 19, 2023

Category: health medication. 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 renewal inspection was conducted on 9/19/23. During the inspection, the thirty day testing log was reviewed. The dates of the testing were: 1/30/23, 2/28/23, 3/31/23, 4/28/23, 5/31/23, 6/20/23, 7/31/23, 8/16/23, with a lapse of more than 30 days on four occasions.

Corrected Corrected by Sep 19, 2023

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.

A renewal inspection was conducted on 9/13/22. At that time, the director stated that the emergency drill had been conducted the previous year but had not been documented.

Corrected Corrected by Sep 13, 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 renewal inspection was conducted on 9/13/22. At that time, the facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Sep 23, 2022

Category: ratio. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

A renewal inspection was conducted on 9/13/22. At that time, the emergency plan was not posted at the facility.

Corrected Corrected by Sep 19, 2022

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

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

A renewal inspection was conducted on 9/13/22. At that time, water damaged ceiling tile were observed in the art room. The wooden side of the railing leading to the playground was observed to be chipping and disintegrating.

Corrected Corrected by Sep 30, 2022

Category: physical safety. 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.

A renewal inspection was conducted on 9/13/22. At that time, the last health report on file for Child #1, a preschool child, was dated 6/7/21.

Corrected Corrected by Sep 15, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

A renewal inspection was conducted on 9/13/22. At that time, the emergency contact form for Child #2 did not contain signed parental consent for emergency medical care or for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 15, 2022

Category: ratio. 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.

A renewal inspection was conducted on 9/13/22. At that time, the evacuation routes were not posted at the facility.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection was conducted on 9/28/21. At that time, a yellow jacket nest was observed on the playground.

Corrected Corrected by Sep 28, 2021

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.

A renewal inspection was conducted on 9/28/21. At that time, three exposed bolts were observed on the playground fence.

Corrected Corrected by Sep 28, 2021

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

3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

A renewal inspection was conducted on 9/28/21. At that time, the file for Child #1 was reviewed. The file contained a form letter for exemption from immunizations. The letter was not written by the parent and did not identify the reason for exemption, whether it was for religious or personal reasons.

Corrected Corrected by Oct 5, 2021

Category: health medication. 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 renewal inspection was conducted on 9/28/2021. At that time, provider had not completed manual 30 day testing of the fire detection system. The dates of the testing on file were 1/8/21, 2/22/21, 3/19/21, 4/12/21, 5/28/21, 6/14/21, 7/26/21, 8/30/21, and 9/3/21.

Corrected Corrected by Sep 28, 2021

Category: recordkeeping. Marked corrected in the state record.