3280.76 · 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.

Observed loose siding to the right of the deck in the outdoor play space.

Corrected Corrected by Feb 26, 2025

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

3280.92(a) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

The facility did not have documentation that portable space heaters are allowed by local ordinance to be used while children are in care.

Corrected Corrected by Feb 27, 2025

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

3280.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

The file of Child #2 lacked child service reports completed at least every 6 months. Child #2, with an admission date of 12/4/23, contained child service reports dated 7/10/24 and 1/25.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Emergency contact information for Child #2 did not include the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Feb 26, 2025

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

3280.124(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.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.76 · 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.

The chain link fence in the facility's outdoor play yard was observed to have several areas where the fence has detached from the designated fasteners and posts and presents with sharp and/or protruding edges. These areas were at the bottom of the yard where the shed is located and on the right side of the yard where the gazebo is located.

Corrected Corrected by May 22, 2024

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility was observed to have a fire detection testing log that indicated that the Fire Detection system was not tested once in every 30-day period. This was evidenced by a testing log that documented tests occurring on 05/18/23 and 6/20/23 a period of 33 days, testing on 07/11/23 and 08/29/23 a period of 49 days, and 08/29/23 and 09/30/23 a period of 32 days.

Corrected Corrected by May 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

Observed a pair of adult scissors, in a cup, on a supply cart, in the main childcare space, which were therefore, accessible to children.

Corrected Corrected by Feb 2, 2023

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

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility was observed to lack documentation that the operator provided a letter explaining the emergency procedures to the parent of each enrolled child.

Corrected Corrected by Mar 3, 2023

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

3280.26(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.

The facility was observed to lack documentation of the operator sending a copy of the emergency plan and subsequent plan updates to the local municipality.

Corrected Corrected by Mar 3, 2023

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

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

The facility was observed to have a grey plastic bin filled with toy cars and trucks with a cracked lid, on the handle groove area.

Corrected Corrected by Feb 2, 2023

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

3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1 was observed to lack an immunization report in which the child's immunized status is compliant with the recommendations of the ACIP.

Corrected Corrected by Feb 2, 2023

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

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2 will have until March 15, 2023, to complete the required training. Until such time as the required training has been completed, 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 not staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 had not completed the following pre-service training within 90 days of their date of hire (See LIS code sheet): Valid Pediatric First-Aid training and Pediatric Cardiopulmonary Resuscitation (CPR).

Corrected Corrected by Feb 3, 2023

Category: supervision. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #1 lacked documentation of completing the required 12 hours of training annually; 7 hours were on file.

Corrected Corrected by Mar 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(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.

The file of staff #1 had late FBI clearances due to the fact the documents on file were dated 1-2-16 and 1-13-21; which is more than 60 months apart.

Corrected Corrected by Mar 4, 2022

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

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files of children #1 and #2 lacked agreements with the dates on which the fees are to be paid.

Corrected Corrected by Mar 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files of children #1 and #2 lacked persons designated by a parents to whom the children may be released.

Corrected Corrected by Mar 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of child #4 lacked an emergency contact form with the written consent signed by a parent for emergency medical care; written consent is required prior to admission.

Corrected Corrected by Mar 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The health report on file for children #3 and #5 were observed not to have on file documentation or a valid exemption letter of a influenza vaccination in accordance with the recommendations of the ACIP.

Corrected Corrected by Feb 4, 2022

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

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file of child #4 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Mar 4, 2022

Category: ratio. Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

At the time of the inspection, upon review of the Emergency Plan, there was not accommodations for infants and toddlers. The plan is required regardless if the facility enrolls said age groups.

Corrected Corrected by Feb 4, 2022

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

3280.24(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.

At the time of the inspection, how to access the regulations in this chapter electronically was not posted in a conspicuous location used by parents.

Corrected Corrected by Feb 4, 2022

Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

At the time of the inspection, the provider reported a letter to notify local traffic safety authorities describing the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility was not sent.

Corrected Corrected by Feb 4, 2022

Marked corrected in the state record.