3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

During the renewal inspection, the file for Staff #2 contained a PDE FBI clearance, not the DHS FBI clearance as required under the CPSL.

Corrected Corrected by Sep 1, 2023

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

3270.124(f)/3270.181(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.

During the renewal inspection, the emergency contact for Child #1 had not been updated at least once in a 6-month period.

Corrected Corrected by Sep 1, 2023

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, Staff #1 and Staff #2 did not submit a health assessment prior to providing initial service in the childcare facility.

Corrected Corrected by Sep 1, 2023

Category: ratio. 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 provider did not have proof of purchase for fire alarms on file.

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(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.

During the renewal inspection, the operator had not sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Sep 1, 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 120° F at the Pre-K bathroom sink and 119° F at both sinks in the children's bathroom.

Corrected Corrected by Aug 25, 2022

Category: physical safety. 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, peeling paint was observed in the toilet stalls in the children's bathroom.

Corrected Corrected by Aug 26, 2022

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

3270.131(e)(2)(i) · 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.

During the renewal inspection, the immunization record did not include the influenza vaccine for Child #1, Child #2 and Child #3. The file for Child #1, Child #2 and Child #3 did not include a statement of exemption from immunization written, signed and dated from the child's parent or guardian.

Corrected Corrected by Aug 25, 2022

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

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During the inspection on 5/12/22, it was verified that Staff #1, qualified as an aide, opens the facility between 5:15am and 5:30am and is alone with children until the next staff person arrives around 7:00am.

Corrected Corrected by May 16, 2022

Category: supervision. Marked corrected in the state record.

3270.52 · 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 legal entity must arrange for all facility staff to receive a minimum of two hours training regarding ratios and supervision of children through the Regional Key.

During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

Corrected Corrected by Jun 28, 2022

Category: supervision. Marked corrected in the state record.

3270.52 · 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.

During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

Corrected Corrected by Sep 13, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · 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 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 Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

Corrected Corrected by Sep 13, 2022

Category: ratio. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

During the inspection on 5/12/22, Staff #2 was alone in the facility between the hours of 5:00am and 7:00am with a total of four children ages 1 through 4. It was also verified that Staff #1 and Staff #3 are openers for the facility and work alone with children between 5:15am and 7:00am.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

During the inspection on 5/12/22, Staff #2 was on vacation and the files were locked in an office with none of the other staff persons having access. As a result, the staff files were unavailable for review at the time of the inspection.

Corrected Corrected by May 16, 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 inspection on 5/12/22, pre-service training had not been completed within 90 days of hire for Staff #3, #4, #5, #6 and #7.

Corrected Corrected by May 16, 2022

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

3270.36(b)(5)/3270.192(2)(iii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 on 5/12/22, the file for Staff #1, functioning as an assistant group supervisor, did not contain documentation of the required years of experience for the assistant group supervisor position.

Corrected Corrected by May 20, 2022

Category: supervision. Marked corrected in the state record.

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

During the inspection on 5/12/22. Staff #5, who had not completed pre-service training in pediatric first-aid and CPR techniques, was alone providing care for four children ages 1-4.

Corrected Corrected by May 13, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

During the renewal inspection, the mandated reporter training for Staff #1 had not been updated within 60 months as required under the CPSL.

Corrected Corrected by Aug 25, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the renewal inspection, the emergency contact for Child #4 did not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Aug 23, 2021

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.

During the renewal inspection, the emergency contact for Child #2, #3 and #4 did not include health insurance policy number and coverage.

Corrected Corrected by Aug 23, 2021

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

3270.124(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.

During the renewal inspection, the emergency contact for Child #1 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by 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.

During the renewal inspection, the 7/7/21 health assessment for Child #3 listed the last influenza vaccine on 10/29/19. Child #3 did not have a statement of exemption from immunization on file

Corrected Corrected by Aug 23, 2021

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 renewal inspection, the file for Staff #2, hired 8/2/21, did not contain an initial health assessment or results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Aug 23, 2021

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

During the renewal inspection, the emergency contact for Child #4 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 23, 2021

Category: ratio. 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

During the renewal inspection, the file for Staff #2, hired 8/2/21, did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.