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.

There were two loose screws observed on a climber in the on the outdoor play space.

Corrected Corrected by Sep 9, 2024

Category: physical safety. 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 does not have a written shaken baby policy that addresses recognizing symptoms, strategies for coping with a crying or fussing child, and the prevention and identification of child maltreatment.

Corrected Corrected by Sep 12, 2024

Category: ratio. Marked corrected in the state record.

3280.26(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.

There is no written documentation that staff person # 1 (see code sheet for DOH) received emergency plan training at their initial employment or at the time of the 2023 update.

Corrected Corrected by Sep 19, 2024

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. Facility Persons may not work in a child care position at the facility without valid clearances.

The state police, child line, and FBI clearances for staff # 1 were not updated within 60 months as required by CPSL. This is evidenced by state police clearances dated 2/10/19 and 4/22/24, child line clearances dated 2/15/19 and 4/22/24, and FBI clearances dated 2/12/19 and 4/22/24.

Corrected Corrected by Sep 19, 2024

Category: background checks. 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.

Water stained ceiling tiles were observed in both classrooms.

Corrected Corrected by Sep 19, 2024

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint observed on a shelf in the large classrooms.

Corrected Corrected by Sep 9, 2024

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).

Child # 1 and 3 were enrolled longer than 6 months and there is no child service report on file. The most recent child service report on file for child # 2 is dated 10/11/23, and therefore no longer valid.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. 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.

The emergency contact form on file for child # 3 does not have the release person's address.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

The most recent health assessment on file for child # 1, a young toddler, is dated 11/14/23; therefore, no longer valid.

Corrected Corrected by Oct 11, 2024

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The most recent health assessment on file for child # 2, a preschool child, is dated 6/17/23; therefore no longer valid.

Corrected Corrected by Oct 4, 2024

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

3280.151(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.

More than 24 months passed since the last health assessment that is on file for staff person # 1. The health assessment on file is dated 11/13/21, which is no longer valid.

Corrected Corrected by Oct 4, 2024

Category: ratio. Marked corrected in the state record.

3280.181(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.

The financial agreements on file for children 1-5 were not updated at least once in a 6-month period. The agreements on file for children # 1-4 were last updated in February 2024 and the agreement on file for child # 5 was last updated in October 2023.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 emergency contact form on file for child # 3 does not have written consent for emergency medical care and the administration of minor first aid.

Corrected Corrected by Sep 10, 2024

Category: ratio. 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. Until such time as the required trainings are completed, staff persons # 1 and 2 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #1 and 2, staff persons # 1 and 2 may not work in a child-care position at the facility. Facility only has two staff; therefore, facility must close until such time the required mandated reporter training is completed by one or both staff.

Staff persons # 1 and 2 were observed to be caring for children together. Staff persons # 1 and 2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/7/19 for staff # 1 and 12/16/18 for staff # 2.

Corrected Corrected by Aug 13, 2024

Category: supervision. 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.

More than 30 days passed between fire alarm tests as evidenced by the fire alarm tests logged 6/26/24 and 8/2/24.

Corrected Corrected by Aug 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.52(b) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. The required staff:child ratios must be maintained at all times.

A complaint investigation was conducted on 12/8/23. At that time, Staff Person #1 was alone at the facility with one infant, one young toddler, and three preschool children from 12:45pm-1:20pm.

Corrected Corrected by Dec 8, 2023

Category: ratio. Marked corrected in the state record.

3280.52(b) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. The required staff:child ratios must be maintained at all times. The required staff:child ratios must be posted in each room of the facility.

A complaint investigation was conducted on 12/8/23. At that time, Staff Person #1 was alone at the facility with one infant, one young toddler, and three preschool children from 12:45pm-1:20pm.

Corrected Corrected by Dec 14, 2023

Category: ratio. Marked corrected in the state record.

3280.113(a)/3280.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

A complaint investigation was conducted on 12/8/23. At that time, Child #3, an infant, was observed sleeping in a pack-n-play in the room upon the main entrance. No other person was present in the room. Staff Person #1 was mopping the floor in the next room, where three preschool children and one young toddler were napping. Staff Person #1 said that they would go back and forth between the two rooms to check on the children as there were no other staff at the facility from 12:45pm-1:20pm.

Corrected Corrected by Dec 8, 2023

Category: supervision. Marked corrected in the state record.

3280.113(a)/3280.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The policy must address how the staff will maintain compliance with subsections 3270.113a, 3270.113b, 3270.113c, 3270.113d, and 3270.113e. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy.

A complaint investigation was conducted on 12/8/23. At that time, Child #3, an infant, was observed sleeping in a pack-n-play in the room upon the main entrance. No other person was present in the room. Staff Person #1 was mopping the floor in the next room, where three preschool children and one young toddler were napping. Staff Person #1 said that they would go back and forth between the two rooms to check on the children as there were no other staff at the facility from 12:45pm-1:20pm.

Corrected Corrected by Dec 14, 2023

Category: supervision. Marked corrected in the state record.

3280.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

A complaint investigation was conducted on 12/8/23. At that time, Staff Person #1 stated that during the summer, Child #1 was buckled into a low highchair for a period of about ten minutes to prevent the child from throwing toys at other children and injuring them.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(7) · A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

A complaint investigation was conducted on 12/8/23. At that time, it was found that the parents of Child #2 did not receive an incident report for an injury received at the facility. It was also found that the facility does not complete incident reports when children are injured.

Corrected Corrected by Dec 14, 2023

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

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

A renewal inspection was conducted 9/27/23. At that time, the emergency plan hung in the main classroom was last updated 5/25/21.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(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.

A renewal inspection was conducted 9/27/23. At that time, Staff Person #2 did not have documented emergency plan training in their file.

Corrected Corrected by Oct 4, 2023

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 Person #2 may not work in a child care position at the facility until a DHS FBI Clearance, a Maryland SOR, and a Maryland CARI is on file.

A renewal inspection was conducted 9/27/23. At that time, the staff files were reviewed. The file for Staff Person #2 included a PDE FBI Clearance, which is not acceptable. Staff Person #2 stated that they have lived in Maryland in the past five years. The file for Staff Person #2 did not include Maryland clearances.

Corrected Corrected by Sep 27, 2023

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

3280.35(1)/3280.192(2)(ii) · A secondary staff person shall have obtained a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 9/27/23. At that time, the staff files were reviewed. The file for Staff Person #2 did not include verification of experience or education prior to working at the facility.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. 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 renewal inspection was conducted 9/27/23. At that time, Clorox wipes were observed on a shelf approximately two feet high inside an unlocked closet.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3280.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

A renewal inspection was conducted 9/27/23. At that time, the playground surfacing was observed to be small pieces of gravel, less than one inch in diameter. Staff Person #1 stated that an infant had been on the playground that morning.

Corrected Corrected by Oct 26, 2023

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.

A renewal inspection was conducted 9/27/23. At that time, the certificate of compliance posted at the facility expired 2/23/22.

Corrected Corrected by Oct 4, 2023

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).

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The files did not contain child service reports for the following children, who have been enrolled longer than 60 days: Child #1, Child #2, Child #4

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include who should be contacted in an emergency.

Corrected Corrected by Oct 4, 2023

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.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The emergency contact form for Child #5 did not include health insurance coverage and policy number.

Corrected Corrected by Oct 4, 2023

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.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the address of the release person.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The emergency contact forms for the following children had not been reviewed by the parent in the past 6 months: Child #1: 2/7/23, Child #2: 2/7/23, Child #4: 2/6/23. The financial agreements for the following children had not been reviewed by the parent in the past 6 months: Child #1: 3/2/23, Child #2: 3/2/23, Child #4: 2/6/23.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The most recent health report on file for Child #4, an infant, was dated 1/26/23.

Corrected Corrected by Oct 4, 2023

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

3280.131(d)(5)/3280.131(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 child care group settings). Child #1 must be dismissed from care by close of business 9/27/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #1 did not include administration of the flu vaccine or a letter of exemption.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A renewal inspection was conducted 9/27/23. At that time, the trash can used for diapering was not hands-free.

Corrected Corrected by Sep 27, 2023

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

3280.151(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.

A renewal inspection was conducted 9/27/23. At that time, the staff files were reviewed. The most recent health report on file for Staff Person #1 was dated 7/29/21.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

A renewal inspection was conducted 9/27/23. At that time, the fire drill log was reviewed. The fire drills were not conducted every 60 days. The dates of the fire drills were: 1/9/23, 3/20/23, 5/19/23, 7/19/23, 9/19/23.

Corrected Corrected by Sep 27, 2023

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.

A renewal inspection was conducted 9/27/23. At that time, the thirty day testing log was reviewed. The fire detection system had not been tested every 30 days. The days of the testing were: 1/9/23, 2/9/23, 3/9/23, 4/11/23, 5/19/23, 6/19/23, 7/19/23, 8/18/23, 9/19/23.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. 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 10/12/23 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 a primary 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.

A renewal inspection was conducted 9/27/23. At that time, Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

A renewal inspection was conducted 10/11/22. At that time, Staff Person #1 did not have documentation of any training completed within the past year of employment at the facility.

Corrected Corrected by Oct 25, 2022

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.

A renewal inspection was conducted 10/11/22. At that time, room dividers, posing crushing hazards, were observed in the larger room of the facility.

Corrected Corrected by Oct 25, 2022

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

3280.92(d) · A fixed space heater shall be approved for use by a local firesafety professional. Written approval of the installation and written approval for use shall be on file at the facility.

A renewal inspection was conducted 10/11/22. At that time, a fixed space heater was observed in the large room of the child care. The operator did not have written approval of the installation and approval for use from a firesafety professional.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. 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.

A renewal inspection was conducted 10/11/22. At that time, the operator stated that an emergency drill had not been conducted in the past year when children had been enrolled.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

A renewal inspection was conducted 10/11/22. At that time, the fire drill log was reviewed showing that fire drills had not been conducted every 60 days during the past year. The dates of the fire drills were: 9/21/21, 12/13/21, 3/25/22, 6/24/22. There were no children enrolled at the facility as of 9/19/22.

Corrected Corrected by Oct 11, 2022

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.

A renewal inspection was conducted 10/11/22. At that time, the thirty day testing log for the fire detection system was reviewed showing that the system had not been tested every 30 days during the past year. The dates of the testing were: 8/30/21, 9/29/21, 10/29/21, 11/29/21, 12/30/21, 1/28/22, 2/25/22, 3/25/22, 4/29/22, 5/27/22, 6/24/22, 7/29/22, 8/30/22. There were no children enrolled at the facility as of 9/19/22.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.52(b) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. IF USING TIERED LIS: 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 -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

A renewal inspection was conducted on 11/5/21. At that time, Staff Person #2 identified three infants and two young toddlers in her group. In order to maintain proper staff:child ratio, Staff Person #2 may not have more than four children in her group.

Corrected Corrected by Nov 5, 2021

Category: ratio. Marked corrected in the state record.

3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

A renewal inspection was conducted on 11/5/21. At that time, the water temperature in the bathroom used by the children reached 116° F.

Corrected Corrected by Nov 5, 2021

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

3280.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

A renewal inspection was conducted on 11/5/21. At that time, the emergency numbers were not posted by the telephone in the facility.

Corrected Corrected by Nov 12, 2021

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

3280.75(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.

A renewal inspection was conducted on 11/5/21. At that time, the first aid kit did not contain soap.

Corrected Corrected by Nov 5, 2021

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

3280.105(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.

A renewal inspection was conducted on 11/5/21. At that time, an infant was observed in a crib that was not labeled with the child's name.

Corrected Corrected by Nov 5, 2021

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

3280.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

A renewal inspection was conducted on 11/5/21. At that time, the daily schedule was not posted in the facility.

Corrected Corrected by Nov 12, 2021

Marked corrected in the state record.

3280.119 · 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.

A renewal inspection was conducted on 11/5/21. At that time, an infant was observed sleeping in a swing.

Corrected Corrected by Nov 5, 2021

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

3280.124(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.

A renewal inspection was conducted on 11/5/21. At that time, the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Nov 12, 2021

Category: transportation. Marked corrected in the state record.

3280.134(a)/3280.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

A renewal inspection was conducted on 11/5/21. At that time, Staff Person #2 was observed changing an infant's diaper in the infant area. The sink located in the room is outside of the gated infant area. Staff Person #2 was not observed washing the infant's hands or their own.

Corrected Corrected by Nov 8, 2021

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

3280.151(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.

A renewal inspection was conducted on 11/5/21. At that time, Staff Person #1 did not have a health assessment on file that had been conducted in the past 24 months. The date of the last health assessment for Staff Person #1 is dated 10/9/19.

Corrected Corrected by Dec 5, 2021

Category: ratio. Marked corrected in the state record.

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection was conducted on 11/5/21. At that time, the three infants in care at the facility did not have a written statement giving their feeding schedule.

Corrected Corrected by Nov 12, 2021

Category: nutrition. Marked corrected in the state record.

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

A renewal inspection was conducted on 11/5/21. At that time, the file for Child #1 and Child #2 were observed. Neither file contained signed parental consent for emergency medical care or administration of minor first-aid.

Corrected Corrected by Nov 12, 2021

Category: ratio. Marked corrected in the state record.

3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

A renewal inspection was conducted on 11/5/21. At that time, the file for Child #1 was observed. The file did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Nov 12, 2021

Category: transportation. 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.

A renewal inspection was conducted on 11/5/21. At that time, the emergency plan did not include accommodations for infants and toddlers who are in care at the facility.

Corrected Corrected by Nov 19, 2021

Category: physical safety. 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.

A renewal inspection was conducted on 11/5/21. At that time, the evacuation routes were not posted in the facility.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. 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.

A renewal inspection was conducted on 11/5/21. At that time, the facility did not have a letter notifying the local traffic authorities of the location of the child care.

Corrected Corrected by Nov 12, 2021

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 Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) verification certificate effective 9/30/2019, requiring anyone hired after 9/30/19 or living in the facility to have the NSOR verification certificate. Staff Person #1 may not work in a child care position at the facility until completed clearances are on file. Facility not permitted to open until required clearances for Facility Person #2 are on file.

An initial inspection was conducted on 8/2/2021. At that time, the file for Staff Person #1, a secondary staff person, contained the request for a PA State Police Clearance dated 1/7/2020, but did not contain the completed clearance. The file contained a volunteer PA Child Abuse Clearance dated 7/26/2018. Facility Person #2, a household member, did not have any clearances, the requests for the clearances, or a disclosure statement on file.

Corrected Corrected by Aug 13, 2021

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

3280.192(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

An initial inspection was conducted on 8/2/2021. At that time, the file for Staff Person #1 did not contain two written letters of reference.

Corrected Corrected by Aug 9, 2021

Category: recordkeeping. Marked corrected in the state record.