3270.31(e)(4)(i) · 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.

At the time of the inspection the most recent first aide training certification in the record of staff person #1 expired on 10/22/24, the most recent first aide training certification in the record of staff person #3 expired on 9/10/24, the most recent first aide training certification in the record of staff person #4 expired on 6/15/24

Corrected Corrected by Dec 31, 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.

At the time of the inspection the record of staff person #2 did not contain a current valid mandated reporter training. At the time of the inspection the record of staff person #4 contained an incomplete FBI clearance dated 1/24/18

Corrected Corrected by Dec 31, 2024

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.

At the time of the inspection the record of staff person #1 had a health assessment dated 9/27/22, the record of staff person #4 had a health assessment dated 4/6/22.

Corrected Corrected by Dec 31, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

At the time of the inspection the record of staff person #4 did not contain the current year's 12 hours of child care training.

Corrected Corrected by Dec 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

At the time of the inspection there was no individual record at the facility for staff person #2

Corrected Corrected by Feb 1, 2024

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.

At the time of the inspection in the records of the staff on site at the facility, the following areas of non compliance were observed. Staff records were lacking complete verification of child care experience, education and training prior to service at the facility that would serve as qualifications for the position in which the person is performing at the facility. Specifically: the record of staff person #1 (missing both education and experience) and staff person #3 ( only missing experience only)

Corrected Corrected by Feb 15, 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.

At the time of the inspection the record of child #1 had a emergency contact with no insurance information.

Corrected Corrected by Feb 1, 2024

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

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

On 3/29/23, at time of renewal, Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

On 3/29/23, at time of renewal, Staff #1 file did not contain a PA State Criminal Clearance as required by CPSL. The PA State Criminal Clearance on file was obtained for volunteer purpose.

Corrected Corrected by Mar 31, 2023

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

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 3/29/23, at time of inspection, Child #2, #3, #4 and #5 have been enrolled for more than 60 days. Child #2, #3, #4 and #5 immunization records did not contain an annual influenza vaccine as required by the ACIP.

Corrected Corrected by Apr 15, 2023

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

3270.181(c) · 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.

On 3/29/23, at time of inspection, Child #1, #2, #3 and #5 Finanancial agreements were not updated at least once in a 6-month period.

Corrected Corrected by Apr 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 -- may not work in a child care position at the facility.

On 2/22/22, during renewal inspection, results from the NSOR Clearance as required by CPSL was not observed in the file belonging to Staff #1 (hire date 12/9/19).

Corrected Corrected by Mar 2, 2022

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