3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

At the time of the inspection the facility did not have the proof of the annual review of the emergency plan.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

At the time of the inspection the record of staff person #1 had not participated in the required fire safety training in over one year.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(5) · 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. 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.

At the time of the inspection the record of staff person #2 contained only 1 non-family reference letter.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

At the time of the inspection the record of staff person #1 was lacking a current evaluation of their performance. Their last one was dated 11/11/21.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.121(b)/3270.123(a) · 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. An agreement shall be signed by the operator and the parent.

At the time of the inspection the financial agreement of child # 6 was lacking in proof of parents receiving the information required, nor was it signed.

Corrected Corrected by Mar 6, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

At the time of the inspection the records of the following children had financial agreements that did not specify the child's date of admission to the program. Child #1, #3, #4, #5, #6

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection the record of child # 2 was lacking in their health coverage policy number.

Corrected Corrected by Mar 6, 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.

At the time of the inspection there was no emergency contact information present in the "multi-purpose" room for any of the children in care in that space.

Corrected Corrected by Mar 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

At the time of the inspection there were multiple unlabled bottles and disposable nursers in the 1 year old room

Corrected Corrected by Mar 9, 2023

Marked corrected in the state record.

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At the time of the inspection the record of staff person #1 was lacking in the required 1 hour update to the health and safety training.

Corrected Corrected by Mar 9, 2023

Category: health medication. 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 provider did not have proof of the annual professional inspection of the fire detection system.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.113(a) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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.

At the time of the inspection the record of staff person #1 did not contain the child abuse clearance, nor did they have the proof of having completed pediatric first aid and health and safety training. At the time of the inspection staff person #1 had a group of 5 2-year-old children in care. Staff person #1 was the only staff person present in the room at the time of the inspection.

Corrected Corrected by Feb 3, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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. Facility Person # 1 may not work in a child care position at the facility.

At the time of the inspection the record of staff person #1 did not contain the child abuse clearance. At the time of the inspection staff person #1 had a group of 5 2-year-old children in care. Staff person #1 was the only staff person present in the room at the time of the inspection.

Corrected Corrected by Feb 3, 2023

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

3270.52/3270.113(a) · 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.. 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. Children must be supervised at all times.

On the morning of the inspection the large muscle play space had a total of 14 children in care including at least a single one year old. There were two staff persons caring for those children.

Corrected Corrected by Nov 8, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · 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.Outdoor play space used by the facility is considered part of the facility. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On the morning of the inspection the large muscle play space had a total of 14 children in care including at least a single one year old. There were two staff persons caring for those children.

Corrected Corrected by Feb 2, 2023

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · 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.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Southeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

On the morning of the inspection the large muscle play space had a total of 14 children in care including at least a single one year old. There were two staff persons caring for those children.

Corrected Corrected by Feb 2, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

At the time of the inspection the emergency contact form for child #1 was not signed by a parent.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

On the day of the inspection in the childcare space where staff member #1 was providing care for children, certification representative did ask staff person #1 to point out where the first aid kit was in the room and they replied "honestly I don't know"

Corrected Corrected by Oct 17, 2022

Category: health medication. 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.

At the time of the inspection the first aid kit in the infant room had no tweezers

Corrected Corrected by Oct 17, 2022

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.

on the date of the inspection in the room where staff member #2 was providing care the rest equipment of at least two of the children were less than two feet apart and also next to a wall or cubby. There was not 2 feet of space on three sides while the children were resting. Staff member #2 was asked if they were aware of the regulation requirement of space between rest equipment while in use to which they replied" "I did not now that."

Corrected Corrected by Oct 17, 2022

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

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

At the time of the inspection the fire drill's that were occurring at the center were not all documented.

Corrected Corrected by Oct 17, 2022

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). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1 may not work in a child care position at the facility.

At the time of the inspection the record of staff person #1 (having served the facility over 45 days) was lacking the NSOR clearance information.

Corrected Corrected by Nov 18, 2021

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

3270.33(a)/3270.192(2)(iv) · 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.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.

At the time of the inspection the record's of staff person #4 and #5 were lacking in educational certification to qualify them for the position they are serving the facility as.

Corrected Corrected by Dec 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

At the time of the inspection the records of staff persons #2 and # 3 were lacking the two letters required and described below.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.