3270.63/3270.76 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. 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.

At time of inspection, hazardous areas were observed in the outdoor play area used by the children. The area was attempted to be restricted by several plastic toy chest. However, the toy chest did not prevent children from being able to climb over the chest and into the area that could be restricted and is a falling hazard to children.

Corrected Corrected by Nov 29, 2024

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.

At time of inspection, room #1 had chipped paint on the window ceil.

Corrected Corrected by Nov 29, 2024

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

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 parents of child # 1 did not provide the health insurance, health insurance policy number and address of release person documented on their child's emergency contact form.

Corrected Corrected by Nov 29, 2024

Category: health medication. 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.

The parents of child #1 did not have a reviewed and/or updated emergency contact and agreement form documented in their file within the last 6 months.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(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 shall contain initial and subsequent health reports.

At time of inspection, child #1 did not have a current health assessment documented in their file.

Corrected Corrected by Nov 29, 2024

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

At time of inspection, staff # 1 along with volunteers #2 and #3 did not receive training regarding the facility emergency plan.

Corrected Corrected by Aug 9, 2024

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.

At time of inspection, there were two volunteers (# 2 and #3) in the building and working with children who did not have required clearances (state police, child abuse, FBI and NSOR certificate) on files at facility.

Corrected Corrected by Aug 9, 2024

Category: supervision. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the childcare facility.

At time of inspection, the window ceils in room # 3, room #8 and the ceiling in room #9 had chipped paint and in need of repair/repainting.

Corrected Corrected by Aug 9, 2024

Category: physical safety. 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.

At time of inspection, volunteers #2 and #3 did not have the required health assessment and negative TB screening documented in their records.

Corrected Corrected by Aug 16, 2024

Category: health medication. 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.

At time of inspection, staff person #1 identified as assistant group supervisor at facility did not have required proof of 2 years of experience working with children to qualify her for position at facility.

Corrected Corrected by Aug 16, 2024

Category: supervision. 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 time of inspection, staff person #1 did not have two non-family references documented in their record.

Corrected Corrected by Aug 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During inspection, the electrical outlet protective plate and covers were missing in room#7.

Corrected Corrected by Dec 8, 2023

Marked corrected in the state record.

3270.76 · 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.

During time of inspection, it was observed that the cubbies location in the hallways outside of the classrooms on the upper and lower levels of facility were in need of mounted to ensure safety of not tipping over.

Corrected Corrected by Dec 8, 2023

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 time of inspection, peeling paint and/or plaster was observed on the window ledge in room# 6, and the walls, doorway and ceiling in room #9.

Corrected Corrected by Dec 8, 2023

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

3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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.

At time of inspection, during review of child #3 emergency contact form it was noticed that the health insurance provider and policy number was not documented on form. It was also observed that child # 1,2 and 3 did not have the address of release person documented on their emergency contact forms.

Corrected Corrected by Dec 8, 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.

During inspection, the emergency contact forms were no present in room #1 for the children in care.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(8)/3270.131(e)(2)(i) · 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. 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.

At time of inspection, it was observed that child #1 and child #4 did not have required influenza immunization or exemption letter documented in their files.

Corrected Corrected by Dec 8, 2023

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

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

During inspection, the bottles and/or sippy cups being used in room #3 and room #6 did not have all of the children's names labeled.

Corrected Corrected by Dec 8, 2023

Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

During time of inspection, the bus being used to transport children was missing tweezers, soap, and water.

Corrected Corrected by Dec 8, 2023

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

3270.131(d)(5)/3270.131(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).

In review of children's files, child 1, enrolled more than 60 days, file failed to include documentation of DTAP 3, IPV 3 and PCV 3 vaccinations, as required based on the child's age, per the ACIP recommended schedule.

Corrected Corrected by Apr 13, 2023

Category: health medication. 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 renewal inspection on Friday, 12/02/22, cert rep observed peeled paint near sink in Gumdrops classroom, peeled paint near window in Peanut Chews classroom and peeled paint on wall in Jelly Beans classroom.

Corrected Corrected by Jan 13, 2023

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

3270.14/3270.21 · 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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons 1 and 2 will have until 12/30/22 to complete the required training. Until such time as the required training has been completed, staff persons 1 and 2 must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff available to supervise staff persons 1 and 2, staff persons 1 and 2 may not work in a child-care position at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

In review of health and safety documents, staff persons 1 and 2 had not completed professional development training in the required health and safety topics. Staff person 1 completed Health and Safety Basics: Requirements for Certification after 06/30/18, which is no longer counted towards the new Health and Safety Professional development requirements.

Corrected Corrected by Jan 13, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 3 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 #--- may not work in a child care position at the facility.

In review of staff files, staff person 3, a provisional hire, file failed to include receipt or request for PA state police clearance.

Corrected Corrected by Dec 2, 2022

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

3270.76 · 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.

During renewal inspection on Friday, 12/02/22, cert rep observed the bathroom doorknob in Now and Laters classroom was broken.

Corrected Corrected by Jan 13, 2023

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 renewal inspection on Friday, 12/02/22, cert rep observed emergency contact information missing for two children receiving care in the Now and Laters classroom.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

In review of children's files, child 1, enrolled more than 60 days, initial health report included in file was completed more than 1 year from enrollment date. Health report included in file was last completed on 08/04/21.

Corrected Corrected by Jan 13, 2023

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.

In review of staff files, staff person 3 file failed to include an initial health assessment.

Corrected Corrected by Jan 13, 2023

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.

In review of staff files, staff person 3 file failed to include TB results by the Mantoux method.

Corrected Corrected by Jan 13, 2023

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.

During unannounced inspection on Wednesday, 10/12/22, cert rep observed cribs in the infant room (Beenie Babies), failed to have 2 feet of space on 3 sides while in use.

Corrected Corrected by Nov 11, 2022

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

3270.51/3270.113(a)(2) · 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 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced inspection on Wednesday, 10/12/22, cert rep observed a facility staff leave a class/group out of ratio. The class/group was left with 1 staff and 10 children (1 young toddler and 9 older toddlers).

Corrected Corrected by Oct 12, 2022

Category: supervision. Marked corrected in the state record.

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 unannounced inspection on Wednesday, 10/12/22, cert rep observed children in the infant room sleeping in non-age-appropriate rest equipment such as baby swings and bouncy chairs.

Corrected Corrected by Nov 11, 2022

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

3270.113(a)(1) · 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.

During unannounced inspection on Wednesday, 10/12/22, cert rep observed a facility staff in the toddler room (Peanut Chews) leave their care group unsupervised.

Corrected Corrected by Nov 11, 2022

Category: supervision. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Tuesday, 01/25/22.

Corrected Corrected by Jan 25, 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). 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.

In review of staff files, staff person 2 file failed to include updated mandated reporter training. Mandated reporter training included in file was last completed on 12/09/16.

Corrected Corrected by Feb 21, 2022

Category: background checks. 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.

During renewal inspection on Tuesday, 01/25/22, cert rep observed first aid kit located in Jolly Ranchers room failed to contain scissors and tweezers.

Corrected Corrected by Jan 25, 2022

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.

In review of staff files, staff persons 2 and 3 file failed to contain required health assessment.

Corrected Corrected by Feb 21, 2022

Category: ratio. Marked corrected in the state record.

3270.52/3270.113(a)(2) · 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 The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During unannounced inspection on Tuesday, 10/19/21, cert rep observed a classroom (Peanut Chews) out of ratio. There was a total of 13 children (2 Young Toddlers and 11 Older Toddlers) present with 2 staff members.

Corrected Corrected by Oct 19, 2021

Category: supervision. Marked corrected in the state record.