Buds And Blossoms Childcare Llc

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: On 7/8/25 during the renewal inspection, Staff Person #1 did not have an PA NSOR clearance in their file.

Correction Required: 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.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the DOH complaint investigation it was determined that Child #1 and Child#2 did not have updated immunizations records located in their file.

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).

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE A CHILD SERVICE REPORT.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3280.124(f).

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

Correction Required: 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 5 (ENROLLED 5/13/19) DID NOT INCLUDE A HEALTH REPORT.

Correction Required: 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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 DID NOT INCLUDE A CURRENT HEALTH ASSESSMENT.

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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 (ENROLLED 2/6/19), CHILD 3 (ENROLLED 10/1/18), CHILD 4 (ENROLLED 10/15/18) AND CHILD 5 (ENROLLED 5/13/19) DID NOT INCLUDE A 6 MONTH REVIEW AND UPDATE OF THE FINANCIAL AGREEMENT FORM.

Correction Required: 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 (HIRED 8/15/18) AND THE FILE OF STAFF 2 (HIRED 8/16/18) DID NOT INCLUDE A HIGH SCHOOL DIPLOMA.

Correction Required: A primary shall have attained one of the following qualification levels specified at 3280.34(b)(1) - (5).A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE MULTIPLE UNUSED OUTLETS THAT DID NOT HAVE PROTECTIVE COVERS.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE MULTIPLE TOXIC CLEANING PRODUCTS (INCLUDING SPIC & SPAN, LYSOL SPRAY, LYSOL TOILET BOWL CLEANER, CLOROX AIR FRESHENER SPRAY AND A CAN OF PAINT) ACCESSIBLE TO CHILDREN. THE PRODUCTS WERE STORED IN AN UNLOCKED CABINET UNDER THE SINK IN THE BATHROOM.

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 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE HOT WATER TEMPERATURE IN THE BATHROOM MEASURED 118 DEGREES.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION THE RUGS IN THE CHILD CARE SPACE WERE SOILED.

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: DURING THE RENEWAL INSPECTION THE FIRE DRILL LOG INDICATED THAT FIRE DRILLS WERE CONDUCTED EVERY 90 DAYS.

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

Noncompliance Area: Observed staff person #2's health assessment did not include an examination for communicable diseases and the results of that examination. It also did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: Observed staff person #1's file did not include age verification.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: Observed the bathroom's electrical outlet did not have a protective receptacle cover placed on it.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the inspection on 5/24/18 the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: During the inspection on 5/24/18 the file record for staff person #2 did not include.

Correction Required: A facility person's record shall include verification of age.

Noncompliance Area: During the inspection on 5/24/18 the file records for staff persons #1 and 2 did not include verification of child care experience, education and training.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During the inspection on 5/24/18 the file records for staff person #2 did not include a health assessment.

Correction Required: 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: During the inspection on 5/24/18 the file records for staff person #1 and 2 did not include two written, non family references from individuals attesting to the person's suitability to serve as a facility person.

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: During the inspection on 5/24 /18 the facility did not have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: During the inspection on 5/24/18 the facility did not have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: During the inspection on 5/24/18 the file record for staff person #2 did not include mandated reporter training and disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 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.

Noncompliance Area: During the inspection on 5/24/18 the outdoor play was observing have sticks and hazardous materials.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Noncompliance Area: During the inspection on 5/24/18 the hot water temperature measured 120 F.

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

Noncompliance Area: During the inspection on 5/24/18 the first-aid kit was missing soap.

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: During the inspection on 5/24/18 the ceiling in the child care space was observed missing tiles.

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.