3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

At the time of the inspection, staff person #2 had acknowledged that written statements giving the formula and feeding schedule for an infant are not obtained from the parent.

Corrected Corrected by Feb 13, 2025

Category: nutrition. Marked corrected in the state record.

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, staff person #8 did not renew the Pediatric First Aid/CPR training until 12/7/24. The previous training date was 7/20/22. This reflects a timeframe of when staff person #8 did not have current Pediatric First Aid/CPR training.

Corrected Corrected by Dec 7, 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)10.

Staff person #14 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training. This is evidenced by the Pediatric First Aid/CPR training on file dated 12/7/24.

Corrected Corrected by Dec 7, 2024

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.

At the time of the inspection, staff person #5 did not have a signed disclosure statement at time of hire (see LIS code sheet for date of hire).

Corrected Corrected by Feb 12, 2025

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

3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

At the time of the inspection, in the Preschool classroom, staff person #3's purse was accessible to children. Inside the purse was a bottle of Benadryl and a bottle lavender oil. In the preschool room, in a closet that was only partially closed off by a curtain, there were cans of paint accessible to children.

Corrected Corrected by Feb 12, 2025

Category: health medication. 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.

At the time of the inspection, the baseboard heaters in the middle right room, the Preschool bathroom and the toddler room exceeded 110° F and were accessible to children. The temperatures they measured were 282° F, 142° F and 145° F, respectively.

Corrected Corrected by Mar 3, 2025

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.

At the time of the inspection, in the toddler room, the heat vent cover was broken and exposed the metal guard edges, posing a hazard to children. In the school age room, a shelf was not secured to a surface and posed a tipping hazard.

Corrected Corrected by Mar 3, 2025

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.

At the time of the inspection, there was peeling paint behind the toilet in the preschool bathroom. There was peeling paint on the blue wall in the toddler room.

Corrected Corrected by Mar 3, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

At the time of the inspection, the 5 gallon receptacles used for water for handwashing in the infant and toddler rooms were filled with water. This is evidence that they are not emptied daily.

Corrected Corrected by Feb 12, 2025

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

3270.171(c)/3270.171(d) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Children shall be picked up and discharged only at locations specified by the facility as safe locations.

At the time of the inspection, written notification of safe routes were not posted in the facility.

Corrected Corrected by Feb 12, 2025

Marked corrected in the state record.

3270.102(a)/3270.135(b) · 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

At the time of the inspection, the changing table pad in the middle-left room was torn, and the inside foam was exposed. This prevents the changing pad from being properly cleaned with a sanitizing solution.

Corrected Corrected by Feb 14, 2025

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At the time of the inspection, the fold down changing tables located in the infant and toddler rooms had a label reading "suitable for child up to 11kg or 12 months." Child #8, a three-year-old, was observed being changed on one of these tables in the toddler room. These changing tables are not appropriate for the children's age and size who were present in care in these spaces.

Corrected Corrected by Mar 3, 2025

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

3270.133(3)/3270.133(5) · 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. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

At the time of the inspection, the Flovent inhaler, which the operator stated was child #7's, was observed inside a plastic bag at the facility. It did not contain a label identifying the name of the child for whom the medication is intended. The medication itself also read to discard after 1/2024.

Corrected Corrected by Feb 12, 2025

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

At the time of the inspection, the trash can used for diapering in the infant and toddler rooms contained used diapers and was not plastic-lined.

Corrected Corrected by Feb 12, 2025

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.

At the time of the inspection, staff person #8 did not have a health assessment conducted every 24 months, as required, on file. This is evidenced by the health assessment on file dated 11/3/22.

Corrected Corrected by Feb 20, 2025

Category: ratio. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

During the inspection, there were 4 mixed aged children in the infant room. The maximum capacity for this room is 3 children.

Corrected Corrected by Feb 12, 2025

Category: ratio. 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.

At the time of the inspection on 2/12/25, the last documented testing of the fire detection system was conducted on 1/10/25 and not every 30 days as required.

Corrected Corrected by Feb 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.33(a) · 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.

At the time of the inspection, staff person #10 had foreign education on file that was not evaluated and translated and therefore, could not qualify for the position she was performing.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The legal entity must print and post the required ratios in each measured child care space. The Legal Entity/ Director will establish a supervision and ratio policy. The policy must address how the facility will maintain appropriate supervision and proper staff:child ratios at all times. The policy must also address situations that might affect staff:child ratios, such as staff late or calling off and children being dropped off outside of their agreed upon care hours or days. The policy must address a plan to either turn children away or keep parents at the facility until extra staff arrive. This policy must be sent to the Northeast Regional Office for review and approval. Once approved, all existing staff and new hires must be trained on the approved procedures, and their signatures will indicate their understanding and ability to implement the policy. This documentation must be maintained at the facility.

On 11/4/24 at approximately 9:23am, 12 children (11 older toddlers and 1 young toddler) were present with staff person #8 and staff person #9. This number and age of children requires there to be three staff people present at all times.

Corrected Corrected by Nov 29, 2024

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

On 11/4/24 at approximately 9:23am, 12 children (11 older toddlers and 1 young toddler) were present with staff person #8 and staff person #9. This number and age of children requires there to be three staff people present at all times.

Corrected Corrected by Nov 4, 2024

Category: ratio. Marked corrected in the state record.

3270.102(g)/3270.119 · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement. 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS-approved in-person training, including technical assistance, regarding "Health and Safety: Infant/Toddler Safe Sleep." This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. All staff who are employed by the date of the training must take the training.

At the time of the inspection, Child #1, a 7-month old (see LIS code sheet for date of birth), as reported by staff and confirmed through enrollment paperwork, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. The child was not placed in the recommended sleeping position, in approved rest equipment, to sleep. In June 2022, the Consumer Product Safety Commission and Fisher-Price issued a warning for consumers about infant deaths in Fisher-Price Infant-to-Toddler and Newborn-to-Toddler Rockers and advised rockers should never be used for sleep, and infants should never be unsupervised.

Corrected Corrected by Dec 20, 2024

Category: supervision. Marked corrected in the state record.

3270.102(g)/3270.119 · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement. 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.

At the time of the inspection, Child #1, a 7-month old (see LIS code sheet for date of birth), as reported by staff and confirmed through enrollment paperwork, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. The child was not placed in the recommended sleeping position, in approved rest equipment, to sleep. In June 2022, the Consumer Product Safety Commission and Fisher-Price issued a warning for consumers about infant deaths in Fisher-Price Infant-to-Toddler and Newborn-to-Toddler Rockers and advised rockers should never be used for sleep, and infants should never be unsupervised.

Corrected Corrected by Nov 4, 2024

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. Children must be supervised at all times.

On 11/4/24 at approximately 9:30am, Child #1, a 7-month old, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. Child #1 was assigned to staff #10, who was observed in the young toddler room at this time, and no other adults were present in the infant room with Child #1.

Corrected Corrected by Nov 4, 2024

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 legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding ratios and supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. All staff who are employed by the date of the training must take the training.

On 11/4/24 at approximately 9:30am, Child #1, a 7-month old, was observed sleeping unsupervised in a Fisher Price Infant-to-Toddler Rocker inside a crib in the infant room. Child #1 was assigned to staff #10, who was observed in the young toddler room at this time, and no other adults were present in the infant room with Child #1.

Corrected Corrected by Dec 20, 2024

Category: supervision. 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. OCDEL Announcement C-22-03 addresses child care providers to develop a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

During the inspection on 10/2/24, the operator acknowledged that she did not have a policy and procedure to identify the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment. Infants and toddlers receive care at this facility.

Corrected Corrected by Oct 4, 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. 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.

During the inspection on 10/2/24, 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: PQAS approved Pediatric First Aid/CPR and Health and Safety training requirements.

Corrected Corrected by Oct 2, 2024

Category: supervision. Marked corrected in the state record.

3270.27(c) · 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.

During the inspection on 10/2/24, the emergency plan was last updated on 2/27/24 with continuity of operations added. Facility and staff persons were not trained at the time of this plan update. This is evidenced by the last date of emergency plan training being conducted on 12/20/23.

Corrected Corrected by Oct 4, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 CPSL was revised to include that clearances are updated every 60 months.

During the inspection on 10/2/24, staff person #1, a provisional hire, did not have a completed FBI clearance on file and was observed working unsupervised in the infant room. Staff person #4 did not update the Child Abuse and FBI clearance every 60 months as required. This is evidenced by the current clearance dates of 7/12/24 and 7/13/24, respectively. The previous dates of the clearances on file are 3/28/19 and 3/29/19, respectively. Staff person #8 did not update the PA State Police, Child Abuse clearance and FBI clearance every 60 months as required. This is evidenced by the current clearances on file dated 11/30/23, 12/26/23 and 11/30/23, respectively. The previous clearance dates on file are 11/26/18, 11/26/18 and 11/29/18, respectively.

Corrected Corrected by Oct 2, 2024

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the inspection on 10/2/24, staff persons #1, #2 and #3 did not have documentation of 2,500 hours of childcare experience on file and therefore, could not qualify as assistant group supervisors.

Corrected Corrected by Oct 11, 2024

Category: supervision. Marked corrected in the state record.

3270.65/3270.76 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. 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 the inspection on 10/2/24, a protective receptacle cover was missing from the outlet in the toddler room. There were two holes in the wall above the wooden vent cover in the young toddler room.

Corrected Corrected by Oct 4, 2024

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

During the inspection on 10/2/24, the two sliding glass doors in the toddler room which lead to the outdoor play space did not have a visual strip or other visual identification on them.

Corrected Corrected by Oct 4, 2024

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

3270.104(a)/3270.135(b) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the inspection on 10/2/24, the changing table pad used for diapering in the toddler room was torn and the inside foam was exposed. This prevents the changing table pad from being properly sanitized after each use.

Corrected Corrected by Oct 9, 2024

Category: health medication. 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.

During the inspection on 10/2/24 at rest time in the preschool room, there was not at least 2 feet of space on three sides of each child's cot.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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.

During the inspection on 10/2/24, the TB screening on file for staff person #1 was conducted on 5/12/23 and not within 12 months of initial hire at the facility (see LIS code sheet for date of hire). Staff person #8 did not update the health assessment on file every 24 months as required. This is evidenced by the most current health assessment on file dated 7/7/22.

Corrected Corrected by Oct 4, 2024

Category: ratio. 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 childcare.

During the inspection on 10/2/24, the health assessment dated 8/18/23 on file for staff person #2 did not include an examination for communicable diseases and the results of that examination or include the physician's or CRNP's assessment of the person's suitability to provide childcare.

Corrected Corrected by Oct 4, 2024

Category: health medication. 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.

During the inspection on 10/2/24, the operator acknowledged that she has never had documentation on file regarding conducting annual emergency drills.

Corrected Corrected by Oct 11, 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)). 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 on 10/2/24, the manual monthly monitoring of the fire detection device was last documented as being conducted on 8/14/24 and not every 30 days as required.

Corrected Corrected by Oct 4, 2024

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.

During the inspection, the operator acknowledged that the parents are not provided Chapter 3270 regulations electronically.

Corrected Corrected by Oct 4, 2024

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.

A renewal inspection was conducted on 2/27/24. At that time, the facility bus used for field trips was inspected. The bus had not been inspected under Title 75 §4705 that requires all school buses be inspected annually by the PSP Commercial Vehicle Safety Division.

Corrected Corrected by Apr 19, 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 person #1 and Staff Person #2 will have until 3/13/24 to complete the required training. Until such time as the required training has been completed, staff person #1 and Staff Person #2 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 and Staff Person #2, then staff person #1 and Staff Person #2 may not work in a child-care position at the facility.

A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. The file for Staff Person #1 contained the six hour health and safety training completed 11/30/18, which is outside of the acceptable date range for the six hour training. The file for Staff Person #2 contained the six hour health and safety training completed 7/1/29, which is outside of the acceptable date range for the six hour training.

Corrected Corrected by Mar 13, 2024

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). 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 #3 may not work in a child care position at the facility until an FBI Clearance is on file at the facility.

A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. The file for Staff Person #3 included an FBI clearance request dated 7/6/23, which was after the staff's date of hire. The file did not include a completed FBI Clearance for Staff Person #3.

Corrected Corrected by Feb 27, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted on 2/27/24. At that time, the staff files were reviewed. Staff Person #3, an assistant group supervisor, did not have verification of any experience working with children on file at the facility.

Corrected Corrected by Mar 12, 2024

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A renewal inspection was conducted on 2/27/24. At that time, Clorox cleaning spray was observed in an unlocked, floor level cabinet under the sink the overflow bathroom and was accessible to the children using the bathroom. The Clorox spray was labeled "keep out of reach of children."

Corrected Corrected by Feb 27, 2024

Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

A renewal inspection was conducted on 2/27/24. At that time, three small windows in the upstairs classroom were used for ventilation but were not equipped with screens.

Corrected Corrected by Mar 5, 2024

Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A renewal inspection was conducted on 2/27/24. At that time, there was no sink or source of running water in the young toddler 2 room or the infant room, where the children's diapers are changed at the changing table.

Corrected Corrected by Mar 5, 2024

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

3270.103 · 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.

A renewal inspection was conducted on 2/27/24. At that time, plastic bags containing diapers and wipes were observed in an unlocked drawer next to the changing table, approximately 18 inches high, where they were accessible to the toddlers in care.

Corrected Corrected by Feb 27, 2024

Category: health medication. 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.

A renewal inspection was conducted on 2/27/24. At that time, the financial agreement for the following children did not include the names of the release persons: Child #1, Child #3, and Child #4,

Corrected Corrected by Mar 5, 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.

A renewal inspection was conducted on 2/27/24. At that time, the emergency contact information for the following children did not include the work address and phone number of the parents: Child #1, Child #2, and Child #4,

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A renewal inspection was conducted on 2/27/24. At that time, the emergency contact information was not located in each child care space.

Corrected Corrected by Feb 27, 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)). 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 2/27/24. At that time, the thirty day testing log for the fire detection system was reviewed. The dates of testing were as follows, showing more than 30 days between testing on occasion: 3/15/23, 4/27/23, 5/16/23, 6/28/23, 7/10/23, 8/18/23, 9/26/23, 10/20/23, 11/9/23, 12/12/23, 1/23/24, 2/22/24.

Corrected Corrected by Feb 27, 2024

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 Staff 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 childcare position at the facility.

Staff #1 hired as a provisional staff does not have a record of a PA State Police Clearance and a NSOR clearance.

Corrected Corrected by Mar 15, 2023

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

3270.106(a)/3270.119 · 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.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.

Per investigation on 9/22/22, staff interviews and observation revealed that on 9/16/22 and as an ongoing practice, child #1 and child #2 had been placed to sleep in infant seats that did not allow them to be in the sleeping position recommended by the American Academy of Pediatrics.

Corrected Corrected by Sep 22, 2022

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