7TH STREET CHILD DEVELOPMENT CENTER

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Pointy screws were protruding from the wooden, toy refrigerator in room 105, Zebra, posing a risk of skin puncture.

Correction Required: 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator in room 200, Tigers, did not contain an operating thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In room 105, Zebra, sanitizer was found in an unlocked cabinet under the sink and accessible to children. In room 103, Penguin, cleaning supplies were found in an unlocked cupboard and accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In room 100, Panda and room 103, Penguin, there were unlabeled spray bottles containing unidentified cleaning solutions.

Correction Required: 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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: The pedal on the lidded, hands-free trash can in room 101, Elephant, was not functional.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: Staff Person #1 reported that Child #1 was outside Classroom 101 (Elephants) receiving speech services with a therapist. The facility lacked signed parental consent from the parent releasing the child to the service provider. The child was not being supervised by a staff person during speech therapy.

Correction Required: 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:05am Staff Person's #1 and #2 were observed to be caring for 15 preschool age children in Classroom 101 (Elephants). Staff Person #1 identified being responsible for 8 of the children present in Classroom 101 and 1 child who was outside the classroom receiving speech therapy. Staff Person #2 reported being responsible for 6 of the children receiving care in Classroom 101. This resulted in one child, in Classroom 101, not being identified by Staff Person #1 or #2. Child #1, who was receiving speech therapy, was not physically present in the classroom with the staff assigned responsibility for the child. The facility lacked signed parental consent from the parent releasing the child to the therapist.

Correction Required: 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.

Regulation: 3270.51

Description: Similar Age Level

Noncompliance Area: Staff Person #1 reported that Child #1 was outside Classroom 101 (Elephants) receiving speech services with a therapist. The facility lacked signed parental consent from the parent releasing the child to the service provider. The child was not currently present with a staff person to meet the required Staff:Child ratio requirements.

Correction Required: 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.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked toy bin in the Zebra Room.

Correction Required: 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #1 did not include the addresses of the release persons.

Correction Required: 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.

Regulation: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The initial health assessment in the file for Staff Person #5 did not include a tuberculosis screening.

Correction Required: 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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The initial emergency plan training in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

Correction Required: 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.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files for Staff Person #2, #3 and #4 did not include documentation of 12 clock hours of child care training for their most recent years of service. Staff Person #2: 11.25 hours. Staff Person #3: 7 hours. Staff Person #4: 10.5 hours.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire drill/fire system test log documents one occasion when fire system checks exceeded 30 days between testing: 9/26/24-10/29/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.19(b)

Description: Child abuse reporting

Noncompliance Area: During an interview staff person #1 admitted to having reasonable cause to suspect that a child is a victim of child abuse but did not make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Correction Required: A facility person who has reasonable cause to suspect that a child is a victim of child abuse shall immediately make a report of suspected child abuse to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 11/2/2022 while viewing video footage from Friday, October 21, 2022, staff person #1 was observed pulling child #1 by the legs and forcefully dragging him across the carpet. Staff person #1 was also observed grabbing child #2 by her arms and slamming her down in the chair.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: It was observed that the facility lacked a proof of purchase for the interconnected smoke detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file for person #2 lacked initial emergency plan training.

Correction Required: 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, whom was hired on (See LIS CODE SHEET) as an assistant group supervisor, lacked an NSOR that was received prior to the 45 day provisional period. The NSOR in the file is dated 12/10/21.

Correction Required: 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.

Noncompliance Area: In the indoor gym, observed 4 blue and red gymnastic mats with multiple rips on each mat.

Correction Required: 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.

Noncompliance Area: The emergency contact information on file for child #1 lacked the work address and work phone of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The file for staff #1 lacked an initial health assessment 12 months prior to providing initial service in a child care setting. There is a current health assessment on file.

Correction Required: 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.

Noncompliance Area: The file for staff #1 lacked a tuberculosis screening at initial employment. There is now a tuberculosis screening on file.

Correction Required: 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.

Noncompliance Area: The files for staff #2 and 4 lack emergency plan training within one week of hire. Staff #2's hire date is 3/11/2020 and emergency plan training was completed on 9/8/20. Staff #4's hire date is 2/10/20 and emergency plan training was completed on 3/10/20.

Correction Required: 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.

Noncompliance Area: The file for staff #1 lacked 1 hour of child care training for the current year. The file for staff #5 lacked 5 hours of child care training for the current year. Trainings were due in the file prior to regulatory suspension date of 3/6/20.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #2 lacked an NSOR by 7/1/20. There is now an NSOR on file and dated 7/8/20. The file for staff #3, with provisional hire date of 10/14/19, lacked an NSOR on file by provisional hire end date of 1/12/20. There is now an NSOR on file and dated 2/14/20. The file for staff #4, with provisional hire date of 2/10/20, lacked verification of an FBI fingerprint on or before initial date in a child care position. FBI fingerprint on file is dated 2/12/20. There is now an FBI clearance on file and dated 2/14/20.

Correction Required: 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.

Noncompliance Area: Observed that 3 toilets in the boys bathroom and 2 toilets in the Zebra room lacked hand washing signs.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: In the Zebra Room, observed that the green comfy chair had a sticky substance stuck to it. In the outside play space, observed a teeter totter which had a crack on it exposing a pinch and crush point.

Correction Required: 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.

Noncompliance Area: The Zebra room lacked a written plan of daily activities and routines.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: On 9/25/2019, at approximately 3:15 PM, observed 11 preschool age children in the Zebra Room. Staff #2 named 6 children in her supervisory group. Staff #5 named 4 children in her supervisory group. This left one child who was not named in any supervisory group.

Correction Required: 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.

Noncompliance Area: The emergency contact information on file for child #3 lacks a health insurance number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The most current immunization records on file for children #1, 2, 3, and 4 lack verification of a flu shot within the past 12 months. The most current flu shot on file for child #1 was dated 12-29-2016, child #2 was dated 1-31-2017, child #3 was dated 10-19-2016 and there is no record of a flu shot on file for child #4. The most current immunization record on file for child #2, who is 4 years of age, contains verification of one HEP A vaccination which is dated 7-12-2016. Two HEP A vaccinations are recommended by this age. The most current immunization record on file for child #4, who is 3 years of age, contains verification of one HEP A vaccination which is dated 1-31-2019. Two HEP A vaccinations are recommended by this age.

Correction Required: 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.

Noncompliance Area: There was more than 24 month between the previous health assessment and the most current and updated health assessment on file for staff #1.

Correction Required: 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.

Noncompliance Area: The files for staff #3 and 4 lack emergency plan training within the past 12 months. The most current emergency plan training on file for staff 3 and 4 was conducted 8/27/2018. The file for staff #1 and 5 lacked emergency plan training within one week of hire. Staff #1 was hired on 8-5-2019. Emergency plan training was conducted on 9-9-2019 for staff 1. There is no emergency plan training on file for staff #5.

Correction Required: 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.

Noncompliance Area: On 9-25-2019, observed staff #2, who holds the title of aide, alone and providing care at 4:30 PM to two children.

Correction Required: 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.

Noncompliance Area: In the Zebra room observed that the rug near the back door was frayed on two ends. In the gym, observed that the floor where the tricycles are parked was covered in dirt.

Correction Required: 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.

Noncompliance Area: In the hallway outside of the office and the hallway which leads to the main child care space, observed that the baseboards were pulled off exposing peeling paint and damaged plaster.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: In the bathroom of the Zebra Room, observed that the toilet closest to the wall was dirty and the floor around the toilet was dirty.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: Based on review of the fire drill log, a fire drill was conducted on 11-29-2018 and not again until 3-14-2019.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The emergency contact information on file for child #1 lacked a health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Instructions for contacting the appropriate regional day care office were not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The files for staff #1, 2 and 4 lacked initial emergency plan training within one week of hire. Staff #1, 2, and 4 were hired on 08-28-2018 and had initial emergency plan training on 09-10-2018.

Correction Required: 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.

Noncompliance Area: The file for staff #3, with hire date of 09-04-2018 contained a State Police Clearance dated 08-27-2018 that was for volunteer purposes which is not the form required under the CPSL. There is now a State Police Clearance on file and dated 10-18-2018.

Correction Required: 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.

Noncompliance Area: The file for staff #2, who holds the title of assistant group supervisor, lacks 1 year of experience with children. There is a high school diploma and 1 year of experience on file.

Correction Required: 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 prior to service at the facility.

Noncompliance Area: In the indoor gym, observed 2 areas on the bottom right wall where the baseboard was starting to come off causing a hazard to the children in care.

Correction Required: 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.

Noncompliance Area: The hot water temperature at the facility was 118 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: One toilet in the girl's bathroom and one toilet in the Elephant Room were lacking hand washing signs.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.