Building Blocks For Tots

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of inspection, the bottom area of the refrigerator was not clean.

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: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of inspection, staff person #1 did not have verification of valid health assessments.

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.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the inspection period, the operator did not maintain a written record of testing all fire detection devices at least once every thirty days.

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)).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, the emergency contact information for children #1 and 2 did not include the address of the individual designated by the parent 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: At the time of inspection, certification representative observed a child's hands not washed after being diapered.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.135(b)

Description: Surfaces cleaned

Noncompliance Area: At the time of inspection, certification representative observed a staff member not clean the diaper changing surface after changing a child.

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: 3270.192(5)

Description: Two written references

Noncompliance Area: At the time of inspection, the records for staff person #2 did not include two written, nonfamily references from individuals attesting to the persons' suitability to serve as a staff 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff person #1 doh (see lis code sheet), did not include a copy for Child abuse history information as required under the CPSL. The file of staff person #2 doh (see lis code sheet), did not include a copy for Child abuse history information as required under the CPSL. The file of staff person #3, did not include an updated copy of mandated reporter training as required under the CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of inspection, staff person #2 did not have verification of child care experience and education.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection, certification representative observed several damaged ceiling tiles in the infant and toddler rooms.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of inspection, the rest equipment was not labeled for the use of a specific child.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, the emergency contact information for children #1,2 and 3 did not include the address of the individual designated by the parent 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: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of inspection, staff persons #1,2 and 3 did not have verification of an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 4/20/23, during naptime child #6 was observed laying on rest equipment labeled for the use of another child.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection on 4/20/23 the fee agreement reviewed for child #1, child #2, child #3, child #4 and child #5 were missing release person(s).

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 4/20/23 the emergency contact form reviewed for child #3 and child #6 was missing release person's name, address and phone number. The emergency contact form reviewed for child #4 was missing release person's address and phone number.

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(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 4/20/23 the file reviewed for child #5 was missing initial health assessment within 60 days of enrollment.

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 shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 4/20/23 the health assessment reviewed for child #2 was not updated within 12 months. Health assessment reviewed was dated 2/9/22.

Correction Required: 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.

Regulation: 3270.192(2)(iii)/3270.192(2)(iv)

Description: Exp, educ., training at facility/Transcript, diploma and letters

Noncompliance Area: During the renewal inspection on 4/20/23 the file reviewed for staff person #2 did not contain verification of education.

Correction Required: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. 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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 4/20/23 the training record reviewed for staff person #1 did not contain fire safety training,

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection on 4/20/23 the file reviewed for staff person #1 did not contain annual written evaluation.

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: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 4/20/23 there were missing outlet covers observed in bathroom #1 and bathroom #2.

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

Regulation: 3270.113(a)(2)

Description: Supervision on and facility premises

Noncompliance Area: While conducting my complaint investigation I observed that their were only 2 staff and 23 children ranging from infants to preschoolers.

Correction Required: The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: While conducting my complaint investigation I observed that a child was strapped in a high chair during nap time because he would not sit still, or take a nap.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A heavy free standing cubby in the front section of the child care area was not anchored creating a safety hazard for children receiving care.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During the onsite inspection on two separate occasions during the AM preschool children being cared for in the front of the building were observed leaving the classroom and going to the bathroom with no staff person present.

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: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: A review of agreements in records for child #2 and 5 showed that persons to whom the child could be released had not been entered on the form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: A review of the records for child #2,3,4,and 5 showed that either the parent's work address, and or work phone number was not entered on the emergency contact form.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A review of the file for staff person number 1 did not show proof of an up to date 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.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: A review of the record for staff person #2 did not show proof of a negative TB test.

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 written results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: A review of the staff records for staff persons #1, and 3 ( see coding sheet for dates of hire) did not show proof of 12 hours of annual child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the record review on 3/29/2022 the file for staff person #2 ( see coding sheet for date of hire) did not contain proof of current mandated child abuse reporting training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's file shall include a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility. until the Mandated Child Abuse Reporter training has been completed

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the record review on 3/29/2022 the file for staff person #3 (see coding sheet for date of hire) did not contain a completed state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: Staff person #3 is a provisional employee and may not be permitted to work alone with children and must work within the vicinity of a permanent employee until such time that a completed state police clearance is obtained.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Two of the firstaid kits present in the child care space did not contain gloves.

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.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The operator was not able to show proof that the interconnected fire detection system had been certified annually bt a firesafety professional.

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)).

Noncompliance Area: During the initial inspection on May 30, 2019, Child #2 did not have an initial health assessment on file after being enrolled more that 60 days at the facility.

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.

Noncompliance Area: During the initial inspection on May 30, 2019, the financial agreement for child #1 and child #2 was not updated at least once in a 6-month period as required. The last update was signed on 9/17/18 by enrolling parent.

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: On May 30, 2019, at the initial inspection, children were present and in care. Eight (Preschool) children were observed occupying the indoor play space in which the play space room's capacity was determined to be 5.

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child