3280.14/3280.20 · 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.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention and identification of child maltreatment, required as per Announcement C-22-03.

Corrected Corrected by Nov 22, 2024

Category: ratio. Marked corrected in the state record.

3280.66(c) · Toxic plants are not permitted in a child care space.

A ZZ plant and a Draceana plant, identified as toxic to humans, were observed in the main room.

Corrected Corrected by Nov 22, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Annual emergency drills were not documented and on file at the facility.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. 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 fire detection system was not tested at least once every 30 days during the time period between 5/30 to 6/30/2024.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03

Corrected Corrected by Dec 6, 2023

Category: ratio. 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's parent letter did not explain the subsequent updates to the emergency plan.

Corrected Corrected by Dec 6, 2023

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

A dispenser containing hand sanitizer was mounted on the wall at the bottom of the stairs in the main room, accessible to children in care.

Corrected Corrected by Dec 6, 2023

Category: ratio. Marked corrected in the state record.

3280.131(a)(4)/3280.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record must contain initial and subsequent health reports.

The record for child #1, a school-age child, lacked an initial health report dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Dec 6, 2023

Category: health medication. 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.

A pair of sharp adult scissors were observed in an unlocked desk drawer in the main room, posing a potential threat to the health and safety of the children in care.

Corrected Corrected by Dec 2, 2022

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to the children in care: A can of hospital germicide was observed on a shelf in an unlocked storage cabinet by the stairs; and disinfectant wipes and (2) bottles of hand sanitizer were observed on a cart by the desk in the main room.

Corrected Corrected by Dec 2, 2022

Category: ratio. Marked corrected in the state record.

3280.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Trash that had possibly been contaminated by human secretions (nasal tissues) or excrement was contained in a receptacle that was not closed, plastic-lined in the bathroom.

Corrected Corrected by Dec 2, 2022

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.

There were two metal stakes protruding from the edging border around the garden in the outdoor play space, posing a potential hazard for children in care.

Corrected Corrected by Dec 3, 2022

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

An annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted on the second floor of the facility.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. 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.

The facility's current certificate of compliance was not posted.

Corrected Corrected by Dec 3, 2022

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.

At the time of the inspection, the operator did not have a letter for parents explaining the emergency procedures.

Corrected Corrected by Dec 3, 2021

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.

Based on statements made by the operator, the emergency plan has been updated but a copy has not been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 3, 2021

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

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Based on documentation at the facility, staff #1 has not updated mandated reporter training within 60 months as required. The previous training was completed on 9/24/16. The training completed on 9/14/19 was not from an approved source.

Corrected Corrected by Dec 3, 2021

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. Staff #1 may not work in a child care position at the facility.

The file for staff #1 did not contain a current DHS FBI clearance. The file contained an expired DHS FBI clearance dated 9/13/16 and an invalid DOE FBI clearance dated 6/4/20.

Corrected Corrected by Dec 3, 2021

Category: background checks. 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.

A broken handle with sharp edges and a hole were observed on the plastic brown toy box in the outdoor play space near the sandbox.

Corrected Corrected by Dec 3, 2021

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

3280.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #1 contained an agreement which was not signed by the operator.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #1 contained an agreement which did not specify the amount of the fee to be charged.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

The file for child #1 contained an agreement which did not specify the date of the child's admission.

Corrected Corrected by Dec 3, 2021

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 for child #1 contained emergency contact information which did not include written consent signed by a parent for emergency medical care

Corrected Corrected by Dec 3, 2021

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.

The file for child #1 contained emergency contact information which did not include the health insurance policy number for the child.

Corrected Corrected by Dec 3, 2021

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 for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 4, 2021

Category: ratio. Marked corrected in the state record.

3280.31(f)(10)/3280.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation. 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 for staff #1, employed since 1/26/17, did not contain documentation of Pediatric CPR and first aid training.

Corrected Corrected by Dec 3, 2021

Category: health medication. 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.

At the time of the inspection, the operator was unable to provide proof of purchase or installation for the interconnected hardwired fire alarm system at the facility.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.