Busy Little Beavers

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 was hired provisionally and had a volunteer PA State Police on file and not employment clearances as are required and was working in direct care with children since hire (See LIS Code Sheet for DOH).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Staff #1may not work in a childcare position with direct contact and routine interaction with children

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The director did not conduct manual testing of the fire system every 30 calendar days as evidenced by manual tests documented on the facility fire drill/detection log having occurred on 4/9/25 and not again until 5/16/25 and from 5/16/25 to 7/11/25.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the renewal inspection the inspector observed the file for staff #2 and found that this staff did not obtain a TB screening until after providing direct care to children (see LIS Code Sheet for DOH).

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection the inspector observed the file for staff #1 and found that this staff did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 5/12/19 and a current dated 06/13/24, a Pa Child Abuse previously dated 5/16/19 and a current dated 6/23/24, a previous FBI dated 5/11/19 and a current dated 06/17/24.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 2 was working in child care and the file did not contain documentation of 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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff # 1 was hired correctly as a provisional hire but worked past their 45-provisional hire window without an NSOR clearance on file.

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

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's date of admission/enrollment. Child file # 3 had an emergency contact form that has not been updated since 6/23/21 and an agreement form since 9/7/21. This child's forms have not been updated every 6 months.

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(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of admission and dates of birth. Child # 2 is a 1-year-old child that has not had an updated health report and an immunization record since 5/25/22. Child # 3 is a 1-year-old child that has not had an updated health report and an immunization record since 8/9/21.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of admission and dates of birth. Child # 5 is a 2-year-old child that has not had an updated health report and an immunization record since 7/1/22. Child # 6 is a 2-year-old child that has not had an updated health report and an immunization record since 11/12/21. Child # 9 is a 4-year-old child that has not had an updated health report and an immunization record since 11/8/21.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 3 did not receive a health assessment and tuberculosis screening until 1/25/22. Staff # 4 did not receive a health assessment and tuberculosis screening until 3/2/22. Staff # 5 does not have a current tuberculosis screening on file Staff # 7 did not receive a health assessment until 8/30/22. Staff # 8 did not receive a health assessment and tuberculosis screening until 11/3/22. Staff # 9 did not receive a health assessment and tuberculosis screening until 8/22/22. Staff # 11 did not receive a health assessment and tuberculosis screening until 11/8/22. Staff # 12 did not receive a health assessment until 9/29/22. Staff # 12 did not have a current tuberculosis screening on file. These staff have worked in childcare without having the appropriate health assessment and tuberculosis completed prior to working in childcare.

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 renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 3 did not receive a health assessment and tuberculosis screening until 1/25/22. Staff # 4 did not receive a health assessment and tuberculosis screening until 3/2/22. Staff # 5 does not have a current tuberculosis screening on file Staff # 7 did not receive a health assessment until 8/30/22. Staff # 8 did not receive a health assessment and tuberculosis screening until 11/3/22. Staff # 9 did not receive a health assessment and tuberculosis screening until 8/22/22. Staff # 11 did not receive a health assessment and tuberculosis screening until 11/8/22. Staff # 12 did not receive a health assessment until 9/29/22. Staff # 12 did not have a current tuberculosis screening on file. These staff have worked in childcare without having the appropriate health assessment and tuberculosis completed prior to working in childcare.

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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire on the following staff. Staff # 12 had worked at the facility for over a year and this staff has not yet participated in 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: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1 and # 12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics and pediatric first aid/CPR. Staff person # 3 and # 6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1, # 3, # 4, # 6 and # 12 will have until 12/14/22 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 3, # 4, # 6 and # 12 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, # 3, # 4, # 6 and # 12, Staff person # 1, # 3, # 4, # 6 and # 12 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 2 had 6-hour health and safety topic training dated 1/7/19. As of 6/30/18, this 6-hour training no longer met the requirements for training of this regulation.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10). Any 6-hour health and safety training taken after 6/30/18 is no longer acceptable. Staff person # 2 will have until 12/14/22 to complete the required training. Until such time as the required training has been completed, staff person # 2 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person # 2, staff person # 2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1, # 4, and # 12 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person # 1, # 4, and # 12 will have until 12/14/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person # 1, # 4, and # 12 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1, # 4, and # 12, staff person # 1, # 4, and # 12 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the hire dates of the following staff. Staff # 1 was hired incorrectly as a provisional hire. Staff # 1 did not receive their NSOR clearance until 11/8/21, which was not within 90 days of the staff's hire date. Staff # 1 worked in child care prior to receiving this clearance. Staff # 3 was hired incorrectly as a provisional hire. Staff # 3 did not submit their fingerprints for the FBI clearance until 1/20/22 which was after this staff began working in childcare. Staff # 3 did not receive their FBI clearance until 1/20/22. Staff # 4 was hired incorrectly as a provisional hire. Staff # 4 did not apply for the NSOR clearance until 2/4/22 which was after this staff began working in childcare. Staff # 4 did not receive their NSOR clearance until 2/10/22. Staff # 8 was hired incorrectly as a provisional hire. Staff # 8 did not receive their FBI clearance until 11/1/22 which was after this staff began working in childcare. The file did not contain documentation of when this staff submitted their fingerprints for this clearance. Staff # 9 was hired incorrectly as a provisional hire. Staff # 9 did not receive their FBI clearance until 9/26/22 and the NSOR clearance until 9/29/22 which was after this staff began working in child care. The file did not contain documentation of when this staff submitted their fingerprints for the FBI clearance or when this staff applied for their NSOR clearance. Staff # 10 was hired incorrectly as a provisional hire. Staff # 10 did not receive their FBI clearance until 8/31/22 which was after this staff began working in child care. The file did not contain documentation of when this staff submitted their fingerprints for their FBI clearance. Staff # 12 was hired incorrectly as a provisional hire. Staff # 12 did not receive an NSOR clearance until 10/5/22 which was after this staff began working in childcare. The file did not contain documentation of when this staff applied for their NSOR 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. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire of Staff # 12. Staff # 12 has been employed with the facility for more than 1-year and this file did not contain a 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: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: Self-reported non-compliance was reported on 5/3/22. On 5/3/22 an older toddler wandered out of their classroom unnoticed, made it into the hallway and found by another staff. This child was gone from the classroom less than 1 minute, as viewed on video. Staff # 1 and Staff # 2 admitted to not seeing the child leave the classroom and were unaware the child had left the classroom until the child was brought back to the class.

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. Children must be supervised at all times. 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 8 had a date of hire of 9/1/21 and was hired using a physical that was not dated within 12 months prior to the staff's hire date. The date of the health assessment and the tuberculosis screening the staff presented for hire was dated for 7/14/20. Staff # 8 was working in child care without having a current health assessment and tuberculosis screening 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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had mandated reporter training dated for 2/13/15 and this training was not updated until 5/19/20. Staff # 2 had mandated reporter training dated for 4/6/15 and this training was not updated until 5/17/20. Staff # 3 had mandated reporter training dated for 2/11/15 and this training was not updated until 5/20/20. Staff # 4 had mandated reporter training dated for 4/7/15 and this training was not updated until 5/26/20. Staff # 5 had mandated reporter training dated for 4/8/15 and this training was not updated until 7/28/21. Staff # 6 had mandated reporter training dated for 1/19/15 and this training was not updated until 1/25/20. Staff # 7 had mandated reporter training dated for 8/29/16 and this training was not updated until 9/23/21. These staff did not update their mandated reporter training every 60 months as required by the CPSL. Staff # 3 had a child abuse clearance dated for 1/2/16 and this clearance was not updated until 1/6/21. Staff # 7 had a state police clearance dated for 1/15/16 and this clearance was not updated until 1/26/21, a child abuse clearance dated for 1/21/16 and this clearance was not updated until 1/28/21, and an FBI clearance dated for 1/16/16 and this clearance was not updated until 2/13/21. These clearances were not updated every 60 months as required by the CPSL.

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. The CPSL requires clearances and mandated reporter training to be updated every 60 months.

Noncompliance Area: Facility persons #1 and 2 have FBI clearances on file that were requested from the Department of Education. The FBI clearances must be request from DHS.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and 2 may not work in a child care position at the facility until FBI clearances have been received from DHS.

Noncompliance Area: Facility person #6 has a TB test on file that is over a year old from her 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.

Noncompliance Area: Facility person #4 does not have the required 2500 hours of child care experience documented in the file to qualify for her current position.

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: Facility persons #1, 2 and 5 have PA Child Abuse Clearances on file for a volunteer and not an employee. They are all employed as staff at the facility. Facility person #3 has a start date listed as 10/23/17 and had to apply for clearances at time of hire. Facility person #3 does not have verification on file that the PA State Police Clearance was sent for on or before the date of hire. Facility person #3 currently has all clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person may not work in a child care position at the facility until all required clearance requests and finger prints are on file unless the facility person has acceptable clearances and a signed disclosure statement at time of hire.

Noncompliance Area: There is a box of Borax located in the unlocked cabinet under the sink in the Pre-K Room

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

Noncompliance Area: The outdoor embedded equipment does not have nine inches of loose-fill underneath it.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: In the young toddler/ infant room there are two drawers that contain batteries, paper clips, keys, rubber bands and small metal pieces of hardware that are accessible to children. In the young toddler room there are crayons that are less than an inch in diameter that are accessible.

Correction Required: 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.

Noncompliance Area: The to and from dates are missing on the medication log for child #1 and #2.

Correction Required: A medication log shall include the date of administration.

Noncompliance Area: OBSERVED VILES OF ALBUTEROL IN THE GUMMI BEAR ROOM THAT DO NOT HAVE WRITTEN INSTRUCTIONS FROM PRESCRIBER.

Correction Required: 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.

Noncompliance Area: OBSERVED CLEANING SPRAY ON THE KITCHEN COUNTER THAT IS ACCESSIBLE TO CHILDREN. ALSO OBSERVED CLEANING MATERIALS ON THE CHANGING TABLES IN THE BIT O' HONOEY AND TWEENIES ROOMS. THESE ARE ACCESIBLE TO CHILDREN WHO ARE ON THE CHANGING TABLES.

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.