3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The most recent mandated reporter training on file for Staff Person #1 is dated 8/14/19 which is more than 60 months old.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

The electrical outlets in the two childcare spaces were lacking protective receptacle covers.

Corrected Corrected by Aug 19, 2024

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.

It was observed that there was a bottle of hand sanitizer on the porch and a bottle of hand sanitizer on the bottom shelf of the cubbies that were both accessible to the children in care. Both bottles were labeled keep out of the reach of children.

Corrected Corrected by Aug 19, 2024

Category: ratio. 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.

The first aid was lacking tape and an assortment of adhesive bandages.

Corrected Corrected by Aug 19, 2024

Category: health medication. 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 several cracked and broken tiles on the floor in the kitchen.

Corrected Corrected by Aug 19, 2024

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

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1 are dated 10/27/22 and 6/12/24, making them more than 12 months apart. The most recent health assessment dated on file for Child #2 is dated 11/2/22.

Corrected Corrected by Sep 10, 2024

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

3280.151(a)/3280.192(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.

The most current health assessment on file for Staff Person #2 is dated 6/3/22.

Corrected Corrected by Aug 19, 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.

The file for staff #1 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

Corrected Corrected by Aug 7, 2023

Category: ratio. 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.

There was a Lysol bottle and disinfecting wipes labeled " Keep out of reach of children" on top of the kitchen table accessible to children.

Corrected Corrected by Aug 3, 2023

Category: ratio. 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 was a white cracked floor tile in the kitchen.

Corrected Corrected by Aug 3, 2023

Category: physical safety. 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.

There was a cracked white plastic bin on the porch. There was a round table with the rubber border pulled off exposing splinter in the front room.

Corrected Corrected by Aug 3, 2023

Category: physical safety. 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 file for child # 2 a young toddler lacked a current health report the report was not updated within 6 months. The previous report was dated 12/2/22.

Corrected Corrected by Aug 7, 2023

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 file for child # 3 a preschooler contained a current health report dated 9/16/22. The report was obtained after 12 months, the prior report was dated 5/25/21.

Corrected Corrected by Aug 7, 2023

Category: health medication. 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.

The file for Staff #2, contained the 1-hr, Pennsylvania Health and Safety Update 2022 certificate dated 3/16/23. The update was required to be completed by 12/30/22, per Announcement C-22-06.

Corrected Corrected by Aug 7, 2023

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

3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child # 1 contained a current health report that was provided after 60 days. The child was in care longer that 60 days without initial health report.

Corrected Corrected by Aug 7, 2023

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

3280.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child #4 lacked the birth day of the child on the emergency plan form.

Corrected Corrected by Aug 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child #1 lacked the phone number of the child's physician or source of medical care.

Corrected Corrected by Aug 1, 2022

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

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There were 2 uncovered electrical outlets accessible to children 5 years of age or younger in the left front room.

Corrected Corrected by Aug 1, 2022

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.

There were a Aveno moisturizing cream labeled "keep out of reach of children" accessible to children in the left front room.

Corrected Corrected by Aug 1, 2022

Category: ratio. 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 was a heater vent in the front left room that was pulling of the wall exposing a screw.

Corrected Corrected by Aug 1, 2022

Category: physical safety. 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.

There were a white cracked sink creating sharp edges in the kitchen area in the back rear room .

Corrected Corrected by Aug 1, 2022

Category: physical safety. 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.

The sleeping mats in the front room were not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Aug 1, 2022

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 lacked work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child #3 lacked the work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 1, 2022

Category: recordkeeping. 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 file for child # 2, a school-aged child, lacked an initial health report..

Corrected Corrected by Aug 1, 2022

Category: health medication. 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.

The facility lacked documentation of an annual emergency drill.

Corrected Corrected by Aug 2, 2022

Category: recordkeeping. 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 emergency contact information for child #1 did not include written parental consent for minor first-aid staff.

Corrected Corrected by Oct 8, 2021

Category: ratio. 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). 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.

All four clearances in the file for individual #1, a volunteer and relative of the provider, were dated after the individual began working with children.

Corrected Corrected by Aug 25, 2021

Category: background checks. 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.

There was a tube of Hydrating lip oil sitting on a recliner in the rear room, making it accessible to the older toddlers in care in that room at the time. The directions included instructions to keep out of the reach of children.

Corrected Corrected by Aug 25, 2021

Category: ratio. Marked corrected in the state record.

3280.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Staff person #2 took two children in the kitchen to wash their hands while individual #1 was cooking lunch on the gas stove. There was no barrier between the children and the stove.

Corrected Corrected by Oct 8, 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 emergency contact information for child #1 did not include written parental consent for emergency medical care.

Corrected Corrected by Oct 8, 2021

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 in the file for child #3 did not include addresses for two release persons on the form.

Corrected Corrected by Aug 25, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health report in the file for child #2 did not include a statement that age-appropriate screenings were conducted as the box next to the statement was empty.

Corrected Corrected by Oct 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.

The file for individual #1, a volunteer and relative of the operator, did not include a health assessment.

Corrected Corrected by Oct 8, 2021

Category: ratio. Marked corrected in the state record.

3280.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The most recent health assessment in the file for staff person #2 was signed by an individual whose title was "NP."

Corrected Corrected by Oct 18, 2021

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

3280.151(c)(2) · 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.

The file for individual #1, a volunteer and relative of the operator, did not include a TB screening.

Corrected Corrected by Oct 8, 2021

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

3280.95(a)/3280.95(b) · (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)).(b) 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.

Two of the last three testing of the facility's fire detection system were dated 6/15/21 and 7/20/21, which is more than 30 days apart.

Corrected Corrected by Aug 25, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #3, enrolled more than 90 days, did not include a health report as required by the suspended COVID regulations.

Corrected Corrected by Aug 25, 2021

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