Childrens Playhouse Newbold

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: On or about 3/13/25, a child sustained an injury (scratches on face) while in care at the facility and the staff person assigned responsibility for the child's care had no knowledge of how the child was injured.

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. TIERED LIS: Children must be supervised at all times by 4/4/25. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 5/4/25. Submit written verification of the completed training for all facility staff persons.

Regulation: 3270.135(e)

Description: 2 hour diaper check

Noncompliance Area: A staff person failed to change a child's soiled pull up when soiled causing the child to remain in a soiled pull up at least 2 hours until picked up by parent.

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. Ensure that a child's diaper is checked at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. Ensure that staff persons change a child's diaper when the diaper is soiled. Notify staff of this requirement and submit written verification of the staff notification.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: One child's records did not contain a child service report that had been completed within the past 6 months. (#4)

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#1)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.133(2)/3270.133(3)

Description: Written instructions/Name on bottle

Noncompliance Area: A facility staff person administered albuterol to a child and the medication was not in its original container and was not labeled with the child's name (#1)

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. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. . Obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name before administering.

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: Albuterol medication was administered to a child on 11/18/24, 2/5/25, and 2/5/25 and the medication log did not include the name of the medication. The medication log listed the medication as "inhaler". (child #1)

Correction Required: A medication log shall include the name of the medication. Amend the medication log to include the name of the medication. Submit a copy of the revised medication log for verification of compliance. Amend the medication log to include the name of the medication. Submit a copy of the revised medication log for verification of compliance.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: One staff person were observed caring for a child and their record did not contain verification of completed required CCDBG training (1 hr. Pa Update) (#1).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person cannot work unsupervised with children until the PA Update has been completed. Submit written verification of the required CCDBG training (PA Update) for the indicated staff persons.

Regulation: 3270.182(5)

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

Noncompliance Area: One child's record did not contain written verification of signed parental consent for administration of minor first-aid procedures by facility staff prior to admission

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. Obtain and submit written verification of signed parental consent for administration of minor first-aid procedures by facility staff prior to admission for the indicated child. Ensure that this information is in all children's records.

Regulation: 3270.27(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures. Amend the facility emergency plan to include lock down procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Submit a written copy of the amended emergency plan.

Regulation: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills). Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: One staff person's record did not contain written verification of education for their assistant group supervisor position. (2)

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.21/3270.113(a)

Description: General Health and Safety/Supervised at all times

Noncompliance Area: On 12/30/24, a staff observed two children pick up a pill from the floor, placed it in their mouths and spit it out. Staff were unaware of where the pill came from.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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. TIERED LIS: Children must be supervised at all times by 1/13/25. The legal entity must revise policies and procedures regarding medication administration and storage to ensure the safety of children in care by 1/13/25. The legal entity must arrange for all staff person to receive a minimum of two hours of DHS approved training regarding supervision of children. The legal entity must submit written verification of the completed training, by 2/13/25.

Regulation: 3270.70(a)/3270.76

Description: 65º F minimum/Building Surfaces

Noncompliance Area: The heater servicing one part of the building was in disrepair causing a classroom to lack heat. The temperature was below 65° F.

Correction Required: The indoor temperature shall be at least 65° F. 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. Repair or replace the heating unit and ensure that the indoor temperature is at least 65° F throughout the facility. Children cannot return to care in any part of the building where the temperature is not at least 65° F. Submit written verification of the completed repair.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Several children's records did not include services to be provided to the family and child. The area on the agreement forms in which to write this information was blank. (#1, #2, #4 and #5)

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information). Submit an updated agreement for the identified children that contains this information. Ensure that all children's agreements include services to be provided as specified in this regulation.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#1)

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. (#1)

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

Regulation: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Several children's records did not contain the parent's signature indicating written consent for emergency medical care and administration of minor first-aid procedures by facility staff. (#2-both, #3-both and #5-emergency medical care)

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff person's records did not contain the required CPSL hiring documents. (#4-first day working with children 11/27/23-no CHILD ABUSE prior to working with children(11/29/23; no proof of request for NSOR prior to working with children-completed 11/29/23) (#6-hired 11/17/23- no proof of completed CHILD ABUSE and completed STATE POLICE or FBI prior to working with children; no proof of request for NSOR prior to working with children) (#7- first day working with children 5/1/23- no proof of request or completed FBI prior to working with children-completed 2/24/24; mandated reporter training completed more than 90 days after hire 1/9/14)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all new hires and volunteers have the required CPSL clearance documentation prior to working with children and to ensure ongoing compliance with the CPSL.

Regulation: 3270.34(b)(1)

Description: Bachelor's + 1 yr

Noncompliance Area: One staff person's record did not contain written verification that their bachelor's degree was in early childhood education, child development, special education, elementary education or the human services field as it was conferred in a foreign country and required an equivalency. (#2 and #5)

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Obtain and submit written documentation of educational equivalency to verify that the bachelor's degree meets the educational qualifications for group supervisor. Ensure that all staff records have written verification of education and experience for their positions.

Regulation: 3270.35(b)(2)

Description: Bachelor's, 30 credits + 1 yrs

Noncompliance Area: One staff person's record did not contain written verification that their bachelor's degree included 30 credit hours in early childhood education, child development, special education, elementary education or the human services field for their group supervisor position. (#1)

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. Obtain and submit written verification of related credits for the identified staff person. Ensure that all staff records have written verification of education for their positions.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A bucket of standing water observed in the upper-level hallway presented a safety 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. Empty the bucket of water and ensure that all containers of water are immediately emptied after each use. Notify all staff of this requirement and submit written notification of staff notification.

Regulation: 3270.80(a)

Description: Three steps handrail

Noncompliance Area: The stairs leading to the outside play area had more than 3 steps and lacked a handrail.

Correction Required: Inside and outside stairs with three or more steps shall be equipped with a handrail. Install a handrail and submit written verification of the installation.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection, cert rep observed damaged plaster and paint on the blue wall next to the bathroom in the "Butterflies" older toddler room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During renewal inspection, cert rep observed missing handwashing sign at the sink in the "Tadpole" young toddler classroom.

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.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed an out of date physical in the file of Child 1.

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.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed missing parental consent for emergency medical care in the files of Child 2, 3 and 4.

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

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed missing parental consent for administrations of medications, dietary needs, transportation, walking, swimming and wading in the files of Child 3 and 4.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed missing parental consent for minor first aid procedures in the files of Child 2, 3, and 4.

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.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed missing documentation of 6 hours of child care training in the file of Staff 1.

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.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed missing FBI clearance in the files of Staff 2 and Staff 3.

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.

Noncompliance Area: During renewal inspection on 2/19/20, cert rep observed damaged plaster and paint on the sink wall in the Older Toddler classroom, damaged plaster behind on the back wall of the Pre-K room (upstairs), and damaged plaster and paint along the frame of the emergency exit in the adjourning Pre-K room.

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

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed missing financial agreement in the file of Child 9.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed no admission dates in the children's files.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed missing address of the physician on in the emergency contact information of Child 5.

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

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed missing insurance policy number missing from the file of Child 3, Child 6 and Child 9.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed missing signed parental consent for emergency medical care and minor first aid procedures in the file of Child 1 and Child 2.

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

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed missing signed parental consent for administering medications, transportation, swimming and wading in the file of Child 1 and Child 2.

Correction Required: A child's record shall contain signed parental consent for administration of medications or special dietary needs.A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed mandated reporter training documentation missing from the file of Staff 4.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: During renewal inspection on 1/24/19, cert rep observed insufficient lighting during nap time in Pre-K 1 classroom. Sleeping children could not be seen or assessed due to the dark conditions.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Noncompliance Area: Facility did not have an emergency plan available during initial inspection.

Correction Required: The facility shall have an emergency plan prior to issuance of an initial certificate of compliance.

Noncompliance Area: Staff person #1, acting as director, did not have verification of experience in her record.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility prior to issuance of initial certificate of compliance .