3270.106(a) · 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.

During the inspection, the infant room cribs and pack-n-plays were not labeled for use of a specific child.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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 #1 and Staff #2 will have until 8/31/24 to complete the required training.

During the inspection, Staff #1 and Staff #2 had not completed the following required pre-service training within 90 days of hire: (1) Pediatric First Aid/CPR training (2) Health and Safety Training.

Corrected Corrected by Aug 28, 2024

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

3270.32(a)/3270.192(4) · The legal entity must arrange for the director to attend Existing Provider Orientation on October 10, 2024. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 and Staff #2 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Staff #1 and Staff #2 may not work in a childcare position at the facility.

During the inspection, the file for Staff #1, who was past the provisional hire period, did not contain completed child abuse and NSOR clearances required under the CPSL and did not contain a copy of a request for the child abuse or NSOR clearances. The file for Staff #2, who was past the provisional hire period, did not contain completed state police or NSOR clearances and did not contain a copy of a request for the state police or NSOR clearances. Staff #1 was observed working alone/unsupervised with four infants. Staff #2 was observed working alone with 5 young toddlers.

Corrected Corrected by Aug 14, 2024

Category: supervision. Marked corrected in the state record.

3270.119 · 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.

During the inspection, upon arrival, Child #1 was observed sleeping in a swing. It was verified by Staff #1 that Child #1 had been sleeping for approximately 30 minutes and the child was always allowed to remain in the swing to sleep. There was no medical reason documented by a physician, physician's assistant or CRNP on file.

Corrected Corrected by Aug 14, 2024

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

3270.151(a)/3270.192(3) · 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 facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the inspection, the file for Staff #1 contained a health assessment received 4 months after Staff #1 began providing service in the childcare facility. The file for Staff #2, providing service in the childcare facility for six months, did not contain a health assessment or tuberculin skin tests.

Corrected Corrected by Aug 14, 2024

Category: ratio. Marked corrected in the state record.

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

During the inspection, the file for Staff #1, who was working alone with four infants, did not contain proof of experience to qualify as an Assistant Group Supervisor. The file for Staff #2, who was caring for five toddlers, did not have proof of education or experience on file to qualify as an Assistant Group Supervisor or Aide.

Corrected Corrected by Aug 14, 2024

Category: supervision. 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, the interconnected fire alarm system had been disconnected and was not operable.

Corrected Corrected by Aug 14, 2024

Category: recordkeeping. 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 renewal inspection, the facility did not have documentation of the annual emergency drill on file.

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During the renewal inspection, the facility did not have the required proof of purchase on file for the interconnected fire detection system.

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. 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.

During the renewal inspection, glue/tape remover was accessible to children in the open cabinet near the sink in the Preschool room. Also, hand sanitizer was accessible to children on top of the 3-drawer storage unit in the Preschool room.

Corrected Corrected by Jan 31, 2023

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the renewal inspection, the water temperature was between 119° F and 120° F in the Infants, Ones, Threes and Preschool rooms.

Corrected Corrected by Jan 31, 2023

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the renewal inspection the hot water temperature was at 119° F at the sinks in the Infant and Two Year Old Rooms.

Corrected Corrected by Feb 15, 2022

Category: physical safety. 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 renewal inspection, the file did not contain emergency plan training at the time of initial employment for Staff #1- hired 5/27/21, Staff #2 - hired 3/29/21, and Staff #3 - hired 8/27/21.

Corrected Corrected by Feb 15, 2022

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:

During the renewal inspection, the file for Staff #3, hired 8/27/21, did not contain documentation of the required health and safety training.

Corrected Corrected by Feb 15, 2022

Category: health medication. 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.

During the renewal inspection, the file for Staff #5, hired 12/29/15, did not contain an annual staff evaluation.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. 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.

During the renewal inspection, peeled or damaged paint was observed on blue and brown walls in PreK room, blue and rust walls in Two Year Old room, wooden panel wall in the Three Year Old room, green wooden wall in the Infant room, tan wooden wall in the One Year Old room.

Corrected Corrected by Feb 15, 2022

Category: physical safety. 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.

During the renewal inspection, emergency contact information was not present with the preschool children in the outside play space.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. 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.

During the renewal inspection, the file for Staff #1, hired 5/27/21, contained a health assessment dated 10/18/21 which was not prior to providing initial service in the child care setting. The file for Staff #2, hired 3/29/21, contained a health assessment dated 7/7/21 which was not prior to providing initial service in the child care setting .

Corrected Corrected by Feb 15, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

During the renewal inspection, the file for Staff #3, #4, and #5 did not contain a health assessment. The file for Staff #3 did not contain a tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Feb 15, 2022

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

3270.192(4) · 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 #3 may not work in a child care position at the facility.

During the renewal inspection, the file for Staff #1, #2, #3 and #4 did not contain a disclosure statement. The mandated reporter training was dated 1/13/22 for Staff #1 hired 5/27/21. The file for Staff #3, hired 8/27/21, did not contain NSOR verification or mandated reporter training: LE does not have an approved waiver to hire provisionally. The file for Staff #6 contained a criminal history clearance, child abuse clearance and mandated reporter training that were not updated within 60 months as required under the CPSL.

Corrected Corrected by Feb 15, 2022

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

3270.27(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.

During the renewal inspection, the emergency plan did not include provisions for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 15, 2022

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

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

During the renewal inspection, the thirty day manual fire alarm testing/documentation was not being conducted by the provider.

Corrected Corrected by Feb 15, 2022

Category: physical safety. 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 renewal inspection, the parent of each child enrolled had not been provided with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Feb 15, 2022

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection, the file for Staff #6, hired 4/15/11, did not contain the annual minimum of 12 clock hours of child care training.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. Marked corrected in the state record.