Adventurous Kids Toddlers

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In room C13, the preschool room, a cot was torn and the metal bar was exposed.

Correction Required: 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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator in the young toddler room, room C17-C19 and Infant room read above 45° F. the temperatures were 50° F, 50° F and 54° F, respectively.

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: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form for child #3 was dated 2/1/24. The previous date of review was conducted on 6/5/23. This timeframe reflects longer than the required 6 month parent review.

Correction Required: 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.

Regulation: 3270.131(a)(1)

Description: Initial health report for infant dated no more than 3 months

Noncompliance Area: The initial health assessment for child #2 was dated 12/6/23. This health assessment was not dated within 3 months prior to the child's first day of attendance at the facility (see LIS code sheet for date of admission).

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: In the Infant and young toddler rooms, a cloth cover was on top of the changing table and prevented the table from being cleaned after each use with a sanitizing solution.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: In both infant rooms, the diapering logs for the children in care were not completed, therefore, this shows no indication that diapers are being checked every 2 hours.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3270.165

Description: Menus

Noncompliance Area: There was no menu posted in the facility.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: In the infant rooms, a written statement giving the formula and feeding schedule for an infant was not obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: Staff person #1 and staff person #2 did not obtain an annual minimum of 12 clock hours of child care training during the 12/22-12/23 training period. The hours obtained were 8.5 and 4.5, respectively.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In room B10-12, older toddler room, a microwave was stored on top of a mini fridge. The microwave was not secured to a surface and was able to be tipped over. In room C16 and Infant room, the changing tables were not secured to a surface and were wobbly.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Chipped paint was observed in the bathroom on the third floor.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: During the inspection, a child was observed in a pack and play that was surrounded by other pack and plays and did not have the required 2 feet of space on three sides of it.

Correction Required: 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the inspection, eight classrooms were observed. Seven of those eight classrooms were missing emergency contact forms for the children that were present in the room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the inspection, staff person #1 did not have a completed health assessment on file at initial employment (See LIS code sheet for date of hire).

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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the inspection, staff person #2 did not have tuberculosis screening at initial employment (see LIS code sheet for date of hire).

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.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: During the inspection, staff person #3 was observed to be feeding an infant a bottle. The bottle was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #1 did not have a dissemination date on the PA State Police clearance. The FBI clearance for staff person #1 did not contain a rap sheet (see LIS code sheet for date of hire) and the clearance showed a record. Staff person #2 did not have a witness signature or a date on the disclosure statement at time of hire (see LIS Code sheet for date of hire).

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. Staff Person #1 may not work in a child care position at the facility.

Regulation: 3270.37(b)/3270.192(2)(iv)

Description: Aide qualifications/Transcript, diploma and letters

Noncompliance Area: During the inspection, staff person #1 did not have education on file to be qualified as an aide.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: During the inspection, the poles, handrails and the door leading to the new outdoor playground contained rust and peeling paint.

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

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: During the inspection, the sink in the older toddler room which is used for handwashing after diapering was not operable.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the inspection, the last fire drill being conducted was done on 7/25/23 and not within the 60 day requirement.

Correction Required: The Director 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the inspection, the manual monthly monitoring log of the fire detection system was last conducted on 7/25/23 and not within the 30 day requirement. The facility is not in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c).

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: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal, child #1 did not have an annual influenza vaccination on file. Child #4 was missing Hep A #2 vaccine and was not immunized according to recommendations of the ACIP.

Correction Required: 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(ren) #1 and #4 must be dismissed from care by close of business 7/7/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.133(1)/3270.133(2)

Description: Original container/Written instructions

Noncompliance Area: During the renewal inspection, the Epi Pen at the facility for child #6 did not contain the original container or a prescription label specifying it was to be used by child #6.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the renewal inspection, staff person #1 had a Tb test on file dated 2/2/22. Staff person #7 had a Tb test on file dated 4/14/22. These dates reflect more than a 12 month timeframe of when initial service was provided in a child care setting by these staff people (see LIS code sheet for date of hire).

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. 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.

Regulation: 3270.171(b)/3270.171(c)

Description: Safe pick-up and drop-off in writing/Safe routes posted

Noncompliance Area: During the renewal, pick up and drop off points and safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the inspection, staff person #2, staff person #4, staff person #5 and staff person #8 did not obtain 12 clock hours of child care training during their 12/21-12/22 training year. The hours obtained were 6.5, 0 hours, 1 hour, 0 hours, respectively. Staff person #6 only obtained 10 clock hours of child care training during the 8/21-8/22 training year. Staff person #9 did not complete any hours of child care training during the 5/22-5/23 training year.

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

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During the inspection, in the infant room, the mauve shelf was not secured to a surface and was able to be tipped over. In the A3 classroom, the white radiator cover was not secured to a surface and was able to be tipped over. In the C16 classroom, the mauve shelf was not secured to a surface and was able to be tipped over.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the inspection, the water temperature in the C13, A3, B9, B8, and C16 classroom measured above 110° F. The temperatures were 111° F, 112° F, 114° F, 114° F and 114° F, respectively.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the initial inspection, in the C15 classroom, the ceiling grid which holds the drop ceiling tiles in place was falling down.

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.