Arsenal Family & Childrens Center

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the telephone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the enrolling parents work telephone number.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: Although the files for Staff #2 and #4 contained current Mandated Reporter Training at the time of Renewal Inspection, it was observed that Staff #2 and #4 did not obtain Mandated Reporter Training within 60 months of the previous training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Although the files for Staff #1 and #2 contained current National Sex Offender Certificates at the time of Renewal Inspection, it was observed that Staff #1 and #2 did not obtain National Sex Offender Certificates within 60 months of the previous clearance. Although the file for Staff #3 contained current PA State Police and Child Abuse Clearances at the time of Renewal Inspection, it was observed that Staff #3 did not obtain PA State Police and Child Abuse Clearances within 60 months of the previous clearance. Although the file for Staff #5 contained current PA State Police and FBI Clearances at the time of Renewal Inspection, it was observed that Staff #5 did not obtain PA State Police and FBI Clearances within 60 months of the previous clearance.

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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 10:45 AM Staff #3 identified 5 Preschool Aged children as part of their assigned group. At this time, Staff #5 identified 6 Preschool Aged children as part of their assigned group. Cert Rep observed 12 Preschool Aged children receiving care in the classroom therefore leaving Child #2 not identified as being in an assigned primary 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.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the local municipality that the emergency plan was shared

Correction Required: 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.

Regulation: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: The file for Staff #3 contained Health and Safety Training that was deemed unacceptable due to the date that it was obtained.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files for Staff #1 and #2 contained written evaluations that were conducted in intervals greater than 12 months. The staff file #4 did not contain an evaluation completed within the previous 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The hot water in the 3-year-old storage room right off of the classroom measured at 110.8° F.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: The knob on the third cabinet in the Toddler Classroom had become loose and created a pinching 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the addresses of the people to whom the child may be released.

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: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The file for child #1 who is a preschool aged child contained a health assessment which was missing the fourth dose of the HIB vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1must be dismissed from care by close of business on March 8, 2023, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The file for child #1 who is a preschool aged child contained a health assessment which was missing the fourth dose of the HIB vaccine.

Correction Required: 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 childcare group settings). Child #1must be dismissed from care by close of business on March 8, 2023, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: There was not a handwashing sign posted at one of the toilets in the Senior Preschool's bathroom.

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.

Regulation: 3270.94(a)(2)

Description: Different times of day

Noncompliance Area: Four of the last five fire drills documented on the facility's fire drill log occurred between 10:25 and 10:45 am.

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 different times of the day or night, or both, if applicable.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: The facility's fire drill log did not specify the hypothetical location of the fire.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.102(a)/3270.103

Description: Clean and good repair/Small Toys and Objects

Noncompliance Area: A puppet with a tear which allowed the inner foam filling to be accessible to children was observed in the toddler 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.102(e)/3270.103

Description: Infant/toddler - no material less than 1 inch/Small Toys and Objects

Noncompliance Area: Rubber mulch with a diameter of less than 1 inch was observed in the outdoor toddler play area.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.133(6)

Description: Written consent

Noncompliance Area: Hydrocortisone which lacked written parental consent for administration was observed in the senior preschool room. The medication was intended for child #1.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked means of proving parents with information on how to access the regulations in this chapter electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1, start date 9/07/21, staff #2, start date 8/25/21, and #3, start date 11/08/21, contained disclosure statements which were not dated therefore compliance could not be determined.

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 files for children #1-#5 contained immunization records which lacked documentation of having received the influenza vaccine within the past 12 months.

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: The file for staff #1 contained clearances which were not renewed within the required 60-month time period. The file contained the following; a state police clearance obtained on 6-17-14 and renewed on 11-12-19, a child abuse clearance obtained on 7-1-14 and updated on 11-18-19. and an FBI clearance obtained on 7-3-14 and updated on 11-13-19.

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: Loops were observed in the fraying carpet on the 2nd floor of the loft in the Senior Class. Holes were observed in the area rug in the restroom of the Senior Class. Both the loops and the holes create a tripping hazard.

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: Windows in the Junior Class lacked screens. Based on statements made by staff, the windows are used for ventilation.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: Protruding nail heads were observed on the rear portion of the fence in the toddler playground. The nails are approximately 2 feet from the base of the fence and accessible to children.

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 files for children #1-5 contained original financial agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for staff #2 contained a health assessment which was not updated within a 24-month period. The most recent health assessment on file is current.

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 #3 included only one written reference.

Correction Required: 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

Noncompliance Area: The file for staff #1, with a start date of 01-04-2017, lacked documentation of completing training regarding the emergency plan at the time of initial employment. The file for staff #3, with a start date of 01-21-2016, lacked documentation of completing emergency plan training at initial employment or on an annual basis.

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, with a start date of 01-04-2017, lacked a completed disclosure statement. The file for staff #3, with a start date of 01-21-2016, lacked a completed disclosure statement and lacked documentation of completing mandated reporter training.

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 first-aid kit in the older toddler room did not contain scissors.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Peeling paint was observed in the outdoor play space on the portion of the black fence that faces the street.

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