3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The fee agreement on file for child # 3 does not have the child's arrival and departure times.

Corrected Corrected by Oct 22, 2024

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 emergency contact forms on file for children # 1 and # 2 were missing the release persons' addresses.

Corrected Corrected by Oct 22, 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.

There was a missing ceiling tile in the basement preschool classroom.

Corrected Corrected by Oct 22, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The fee agreement on file for child # 3 is not signed by the operator.

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The agreement on file for child # 3 does not have the fee amount and the date in which the fee is to be paid.

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. 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The health assessment on file for staff person # 1 is dated 6/24/22, therefore it is no longer valid.

Corrected Corrected by Oct 21, 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 # 1 may not work in a childcare position at the facility. The director will develop a policy/procedure that will ensure all staff files are properly maintained. This policy/procedure will ensure that all required clearance updates remain in compliance with the required every 60 months timeframe per CPSL. The director will submit the policy/procedure to DHS for review prior to implementation.

While at the facility unannounced on 12/14/23 for the renewal inspection the inspector reviewed the file for staff person #1 and found that the staff last updated their FBI on 7/10/18. In order to be compliant with the CPSL all clearances are required to be updated every 60 months.

Corrected Corrected by Jan 8, 2024

Category: background checks. 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 # 1may not work in a childcare position at the facility.

While at the facility unannounced on 12/14/23 for the renewal inspection the inspector reviewed the file for staff person #1 and found that the staff last updated their FBI on 7/10/18. In order to be compliant with the CPSL all clearances are required to be updated every 60 months.

Corrected Corrected by Dec 15, 2023

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

3270.31(f) · Staff person #2 and #3 shall complete the required one-hour 2022 update to the health and safety training by 8/9/23.

Staff persons #2, #3, did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jul 23, 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). In order to demonstrate compliance in this area, the legal entity/human resource person or director shall send all the clearance requests, completed clearances, disclosure statements health assessments and TB screenings (as noted in other violation description) to the Northeast Regional Office for all new hires for the next three months. If staff are going to be hired under the 45-day provisional hire basis, the legal entity/director shall submit the proof of fingerprinting, disclosure statement, requests for the state police, child abuse clearance, NSOR and any out of state clearances (if applicable) to the Northeast Regional Office prior to allowing the staff person to work in direct care with children.

While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Corrected Corrected by Nov 16, 2023

Category: background checks. 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). Facility Persons #5 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The director will register for and attend the entire Existing Provider Training at the Northeast Regional Office scheduled for 8/23/23.

While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Corrected Corrected by Aug 23, 2023

Category: background checks. 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). Facility Person #5 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

While reviewing the staff files the inspector observed the file for staff #5 and noted that this staff was hired with a PA Department of Education FBI clearances versus the required DHS FBI clearances.

Corrected Corrected by Jun 29, 2023

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

3270.62(b)/3270.63 · Outdoor or indoor play space shall be measured at 65 square feet per child. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed a large covered outdoor area that was not fenced in. When asked, the inspector was told by staff that this unlicensed space is used for the children, for outdoor play. This space is on the side of the building, close to the roadway.

Corrected Corrected by Jun 28, 2023

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed that the community center's kitchen area was being used for storage of the children's lunch bags. The kitchen area has a stove located right where the bags were being stored.

Corrected Corrected by Jun 29, 2023

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.

While at the facility unannounced on 6/28/23 for the renewal inspection at roughly 9am and the inspector observed 82 children in care. The children were not yet assigned to specific staff. The inspector observed staff making attempts to place children in groups to then be assigned to staff.

Corrected Corrected by Jun 29, 2023

Category: supervision. 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. The facility director will develop and implement a supervision policy that will ensure staff fully understand the need to supervise children at all times. This policy will provide methods that will outline specifically how staff are ensuring that all children are assigned to a specific staff upon entry each day. The policy will ensure staff will be able to see, hear, access, and direct all children, at all times. This policy must be submitted to DHS prior to implementation for approval. Once this policy is accepted by DHS the director will ensure all current staff and facility persons sign off on this policy and all new hires moving forward.

While at the facility unannounced on 6/28/23 for the renewal inspection at roughly 9am and the inspector observed 82 children in care. The children were not yet assigned to specific staff. The inspector observed staff making attempts to place children in groups to then be assigned to staff.

Corrected Corrected by Sep 29, 2023

Category: supervision. 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.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the files for child #1 and #3 and noted that both were missing signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Corrected Corrected by Jul 3, 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.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the file for child #2 and noted that it was missing the necessary health insurance coverage and policy number as is required.

Corrected Corrected by Jul 3, 2023

Category: health medication. 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.

While reviewing the staff files the inspector observed the files for staff #1, #2, #7, 8, and #9 and all health assessments to be out of date as well as TB screenings over a year old.

Corrected Corrected by Aug 28, 2023

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed several lunchboxes left unrefrigerated containing potentially hazardous food brought from home.

Corrected Corrected by Jun 29, 2023

Category: nutrition. 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.

While at the facility unannounced on 6/28/23 for the renewal inspection the inspector observed the child files and found that the files for child #1 and #3 and found both were lacking the necessary signature for the administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Jul 3, 2023

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 #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022 as was required.

Corrected Corrected by Jan 25, 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), 3280.31(f) (10), or 3290.31(g) (10) within 90 days of hire. Staff persons #2, #3, #4, #5, #6, #7, #8, #9 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 persons ##2, #3, #4, #5, #6, #7, #8, #9 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 persons #2, #3, #4, #5, #6, #7, #8, #9 staff persons #2, #3, #4, #5, #6, #7, #8, #9 may not work in a child-care position at the facility.

Staff persons #2, #3, #4, #5, #6, #7, #8, #9 all 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 22, 2023

Category: supervision. 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). In order to demonstrate compliance in this area, the legal entity/human resource person or director shall send all the clearance requests, completed clearances, disclosure statements health assessments and TB screenings (as noted above) for all new hires for the next two months. If staff are going to be hired under the 45 day provisional hire basis, the legal entity/director shall submit the proof of fingerprinting, disclosure statement, requests for the state police, child abuse clearance, NSOR and any out of state clearances (if applicable) to the Northeast Regional Office prior to allowing the staff person to work in direct care with children.

While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Corrected Corrected by Apr 9, 2023

Category: background checks. 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). The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The director and human resource person will register for and attend Existing Provider Training at the Northeast Regional Office scheduled for 5/4/23.

While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Corrected Corrected by May 4, 2023

Category: background checks. 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). Facility Person # 2 and #3 may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

While reviewing the staff files the inspector observed the file for staff #1 and noted that the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining all four clearances. Staff #2 did not obtain an NSOR clearance until 11/17/22 which was several months after direct care with children and a Pa Department of Education FBI not a DHS FBI as is required (see Staff/Child Code Sheet for start date). Staff #3 last had a PA State Police clearance 10/2/17 and did not update it until 12/7/22, a mandated reporter training dated 1/18/16 and did not update it until 11/17/22, and last had a Pa Child Abuse dated 10/25/17 and no updated Pa Child Abuse on file. Staff #4 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/11/22. Staff #5 had a Pa State Police clearance which was dated for 10/2/17 and did not update it until 11/14/22, a Pa Child Abuse Clearance dated 10/15/17 and not updated until 11/8/22, and a Mandated Reporter training dated 6/6/16 and not updated until 11/18/22. Staff #7 had a Pa State Police clearance on 10/12/17 and did not update it until 12/7/22, a Pa Child Abuse Clearance dated 10/19/17 and did not update it until 12/9/22, an FBI dated 11/18/17 and did not update it until 12/9/22, and a Mandated Reporter training dated 12/4/17 and did not update it until 12/10/22. Staff #8 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a PA State Police clearance until 12/4/19, an Pa Child Abuse dated 12/9/19 all months out of date. Staff #9 began direct care with children (see Staff/Child Code Sheet for start date) and did not obtain a Pa State Police clearance until 05/20/22.

Corrected Corrected by Jan 25, 2023

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

While reviewing the staff files the inspector observed the file for staff #2, staff #4, staff #6, and staff #10 and noted that all the staff began direct care with children (see Staff/Child Code Sheet for start date) before obtaining a health assessment and TB screening as is required.

Corrected Corrected by Jan 30, 2023

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.

During the inspection the inspector observed the fire drill logs and noted that fire drills to have occurred on 12/1/21, 3/1/22, 6-6-22 and 9-5-22, not every 60 days as is required.

Corrected Corrected by Jan 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During the inspection the inspector observed the fire drill logs and noted that fire alarm testing to have occurred on 11/3/22 not every 30 days as is required.

Corrected Corrected by Jan 17, 2023

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.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan was not updated annually with the last update being noted on the cover as 1/29/13.

Corrected Corrected by Dec 9, 2021

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). Facility Person # 1 and #2 may not work in a child care position at the facility.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #1 and staff #2 it was observed that both staff had volunteer child abuse clearances on file and not employment child abuse clearances as is required.

Corrected Corrected by Nov 3, 2021

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #1 and noted a first day of working in direct care as 10/12/20. The tuberculosis screening was dated 1/9/19 which is over 12 months old from the initial employment.

Corrected Corrected by Nov 3, 2021

Category: health medication. 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.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the file for staff #3 and noted that there was no proof of education in the file as is required.

Corrected Corrected by Nov 3, 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

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the files for staff #3 and staff #2 and observed that neither had the required two written, nonfamily references on file.

Corrected Corrected by Nov 15, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the fire drill/detection log and found that the facility was not conducting the required every 30 manual testing of the fire alarm system.

Corrected Corrected by Nov 3, 1921

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · 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 shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan did not have a lock-down procedure nor were there any accommodations for children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 24, 2021

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

While at the facility unannounced on 11/3/21 for the renewal inspection the inspector reviewed the emergency plan and found that this plan did not have concurrence with the local municipality and to the county emergency management agency as is required.

Corrected Corrected by Dec 24, 2021

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