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 child care.

An unannounced inspection was conducted on 12/12/24. Staff #1's health assessment does not indicate if staff person has communicable diseases and may work in childcare setting.

Corrected Corrected by Dec 13, 2024

Category: health medication. 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.

An unannounced inspection was conducted on 12/12/24. The facility's emergency plan did not address continuity of operations in the event of an emergency.

Corrected Corrected by Dec 17, 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 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 be present in a childcare position at the facility.

An unannounced inspection was conducted on 12/12/24. Staff person #1 has a child abuse clearance for volunteer purposes listed instead of employment. All other required clearances are on file.

Corrected Corrected by Dec 12, 2024

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

3270.66(a)/3270.103 · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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.

An unannounced inspection was conducted on 12/12/24. In the large classroom in the basement cert rep observed a glade plug in plugged in the wall and hand sanitizer on a cabinet that is within of reach of children. Both items are toxics and are labeled keep out of reach of children.

Corrected Corrected by Dec 12, 2024

Marked corrected in the state record.

3270.192(2)(ii)/3270.192(5) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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.

An unannounced inspection was conducted on 12/12/24. Staff person #2 was observed providing childcare (see code sheet for DOH). The staff file does not contain educational experience, childcare experience, and two non-family references. Staff person #3's file does not contain two non-family references.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

An unannounced inspection was conducted on 12/12/24. The fire drill log did not list hypothetical locations of the fire that are rotated around the facility for each drill. The hypothetical locations were all listed with "kids, staff, and alarm tested".

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · 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.

An unannounced inspection was conducted on 12/12/24. The facility's emergency plan does not provide accommodations for children during an emergency for shelter in place in at the facility.

Corrected Corrected by Dec 17, 2024

Category: physical safety. 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 #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Feb 27, 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, Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person # 2 will have until 3/22/24 to complete the required training. Until such time as the required training has been completed, staff person # 1 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 2, staff person # 2 may not work in a child-care position at the facility.

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Mar 22, 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. Facility Person # 1 may not work in a childcare position at the facility.

File for Staff # 1 was not in compliance with CPSL regulations. File contained an incomplete state police clearance. State police clearance dated 8/28/23 was in pending status.

Corrected Corrected by Feb 28, 2024

Category: background checks. 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.

Facility does not have a supervision policy that is given to parents at time of application.

Corrected Corrected by Mar 28, 2024

Category: supervision. 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.

Facility did not test the fire alarm every 30 days. last two testing dates were 8/28/23 and 10/12/23.

Corrected Corrected by Feb 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. Director will develop a Discipline Policy that addresses what disciple they use and discipline that is prohibited. Policy must be approved by Regional Office. All current and new staff must be trained on policy, and verification of training must be in staff file.

Staff # 1 admitted to putting hands on and being verbally aggressive towards a child when she lost her temper.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children. Staff # 1 must take a PQAS approved training related to managing anger and stress. It does not matter if the PQAS approved training is done through ELRC. The Legal Entity must receive DHS approval of the training content prior to scheduling the training. Training may not be counted to the annual training requirement.

Staff # 1 admitted to putting hands on and being verbally aggressive towards a child when she lost her temper.

Corrected Corrected by Jul 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(b)/3270.113(d) · A facility person may not use any form of physical punishment, including spanking a child. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Staff # 1 admitted to putting hands on and being verbally aggressive towards a child when she lost her temper.

Corrected Corrected by Jun 22, 2023

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

First-aid kit in the Preschool Room was missing scissors, tape, rubber gloves and tweezers.

Corrected Corrected by May 10, 2023

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. # 2 and # 4 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided. The legal entity must develop a hiring checklist which includes all items required for staff files and time frames to obtain them. The hiring checklist must be submitted to the Northeast Regional Office for approval. Once approved, the director will use the hiring checklist whenever a new staff is hired.

Files for Staff # 1, # 2 and # 4 were not in compliance with CPSL regulations. File for Staff # 1 did not contain an FBI Clearance. File for Staff # 2 did not contain the NSOR Clearance. File for Staff # 4 did not contain out of state clearances, staff resided in another state within the past 5 years.

Corrected Corrected by Jun 29, 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). 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 and # 2 may not work in a childcare position at the facility. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Files for Staff # 1, # 2 and # 4 were not in compliance with CPSL regulations. File for Staff # 1 did not contain an FBI Clearance. File for Staff # 2 did not contain the NSOR Clearance. File for Staff # 4 did not contain out of state clearances, staff resided in another state within the past 5 years.

Corrected Corrected by May 10, 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. Facility will not use area until barriers are installed, and the area is measured.

Facility admitted to using an upper play area that is not measured play space. Play area is alongside the parking lot with a split fence railing serving as a barrier. On the opposite side of the area is a stream, accessible to children.

Corrected Corrected by May 10, 2023

Category: physical safety. 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.

Facility admitted to using an upper play area that is not measured play space. Play area is alongside the parking lot with a split fence railing serving as a barrier. On the opposite side of the area is a stream, accessible to children.

Corrected Corrected by Jul 27, 2023

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.

Outside play area, a hole was observed in the building siding. Doors leading to the facility from the outside play area were observed to have peeling paint on the door frames. Shed door in the outside play area was observed to have several areas of peeling paint, splintering wood and exposed nails. Bottom of the shed door was observed to have a broken hinge, causing a sharp edge. Front walkway railing was observed to have areas of peeling paint and rust.

Corrected Corrected by Jul 27, 2023

Category: physical safety. 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.

Children age 2 years old were observed in the outside play area where they have access to mulch. Some of the mulch were less than 1 inch in diameter.

Corrected Corrected by Jul 27, 2023

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.

Pack n' play in the Go-go room was observed to be unstable. Second pack n' play was observed to have a rip in the netting.

Corrected Corrected by Jul 27, 2023

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.

Facility does not have a supervision policy, dismissal and a health policy to review and give to parents at time of application.

Corrected Corrected by Jun 29, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Fee Agreements for Children # 1 - # 9 did not contain operators' signature and child's date of admission.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. 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.

Fee Agreements for children # 1 - # 9 did not contain release persons.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency Contact Form for child # 9 did not contain address of child's physician.

Corrected Corrected by Jun 29, 2023

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

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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.

Emergency Contact Form for child # 6 did not contain health insurance policy number. Emergency Contact Form for children # 2, # 3, # 5, # 6 and # 8 did not contain address and phone number for release persons.

Corrected Corrected by Jun 29, 2023

Category: health medication. 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.

Emergency Contact Forms were located by the main entrance for all children. They were not located in the area child is receiving care.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. 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.

Preschool Room did not have the Emergency Transportation Plan posted.

Corrected Corrected by May 10, 2023

Category: transportation. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

File for child # 6, young toddler did not contain an updated health assessment every 6-months. Child # 6 required a health assessment December 2022; health assessment was not received until 4/19/23.

Corrected Corrected by May 10, 2023

Category: health medication. 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 childcare group settings). Child #1, Child #2, Child #4, Child #5, Child #7 and Child # 8 must be dismissed from care by close of business 5/10/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Immunization records for Child # 1, Child # 2, Child # 4, Child # 5. Child # 7 and Child # 8 did not contain verification of the flu shot. Children were in care during flu season.

Corrected Corrected by May 10, 2023

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

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Neosporin cream was observed in the Preschool Room first-aid kit. Staff admitted that they use the cream on children when they get a scape. There was not a medication log for Neosporin.

Corrected Corrected by May 10, 2023

Category: ratio. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Children in the Go-go Room were observed sitting down to lunch without washing their hands. Staff admitted that this is their usual routine.

Corrected Corrected by May 11, 2023

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

3270.135(b) · 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.

Diaper changing pads in the Infant and Go-Go room were observed to have a rip in the surface, rendering them unable to be sanitized.

Corrected Corrected by Jul 27, 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.

Fee Agreements for children # 1. # 2, # 3, # 6, # 7, # 8 and # 9 were not reviewed by parents every 6-months. Fee Agreements last updated for child # 1, 7/1/22, # 2, 7/16/22, # 3, 7/6/22, # 6, 7/12/22, # 7, 7/10/22, # 8, 7/30/22 and # 9, 8/17/22.

Corrected Corrected by Jun 29, 2023

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.

Files for Staff # 1, # 3 and # 4 did not contain 2 non-family references. File for Staff # 1 contains 2 references from family members. File for Staff # 3 contains 1 reference from a family member. File for Staff # 4 contained a reference from a family member.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric First aid/CPR. Staff person # 1 will have until 6/15/22 to complete the required training. Until such time as the required training has been 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 available to supervise staff person # 1, staff person # 1 may not work in a child-care position at the facility.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric First aid/CPR .

Corrected Corrected by Jun 15, 2022

Category: supervision. 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.

Refrigerator in the Go -Go room did not have a working thermometer.

Corrected Corrected by Jun 10, 2022

Category: nutrition. 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.

Facility does not have a plan on the means of transporting a child to an emergency care and staffing provisions posted and in evacuation bags.

Corrected Corrected by Jun 10, 2022

Category: transportation. 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.

Emergency Contact Form and Fee Agreement for Child # 1 and # 2 were not updated every 6 months.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5)/3270.27(f) · 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 send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Emergency plan did not have a plan that provides for the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Emergency Plan was not updated and sent to EMA and local police.

Corrected Corrected by Jun 10, 2022

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Staff # 6 left her purse on a shelf accessible to children. A pill bottle was observed in the purse.

Corrected Corrected by Aug 20, 2021

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in child care. Current staff must have the NSOR clearance no later 7/1/20.

Files for Staff # 1 and # 2 did not comply with CPSL regulations. File for Staff # 1 contained Child Abuse Clearances dated 11/9/15 and 3/8/21, FBI clearances dated 11/19/15 and 3/23/21. The NSOR clearance for Staff # 1 was dated 3/15/21. File for Staff # 2 contains Mandated Reporter Training dated 5/5/15 and 7/12/21.

Corrected Corrected by Aug 20, 2021

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

3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

File for Staff # 1 did not contain an updated health assessment, last one in file is dated 5/8/19. File for Staff # 3 did not contain an updated health assessment, only a return to work note from an Urgent Care, dated 4/20/21. Health assessment for Staff # 4 is not dated or signed by a doctor, staff began child care on 3/12/21.

Corrected Corrected by Sep 17, 2021

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Files for Staff # 3 and # 5 did not contain verification of education.

Corrected Corrected by Sep 17, 2021

Category: recordkeeping. Marked corrected in the state record.