Sweet Hearts Daycare Inc

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: Children 1 and 2 did not have dates of admission on file.

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

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: In the infant room, it was observed that the bottle of one child was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: During the renewal inspection, it was observed that staff 1 did not have 12 hours of annual training between December of 2023 and December of 2024. Please see LIS for date of hire.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the men's bathroom, a ceiling tile was hanging down. Also in the men's bathroom, the sink was loose and becoming detached from the wall.

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: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During an allocated unannounced inspection on 1/16/2025, it was observed that fire alarm testing was completed on 10/7/2024, 11/25/2024 and 12/30/2024. There was more than 30 days between each test.

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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: It was observed that a child's hands were not washed after diapering.

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: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: During initial inspection conducted 12/27/2023, facility's parent handbook did not include facility's general daily schedule.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During initial inspection conducted 12/27/2023, work addresses and work phone numbers for both mother and father were missing on emergency contact form of child #2.

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

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During initial inspection conducted 12/27/2023, there was no immunization records or acceptable exemption in file for child #2. Child #2 is a young toddler (see LIS code sheet for date of birth).

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). Child #2 must be dismissed from care by close of business 12/27/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During initial inspection conducted 12/27/2023, health assessments for staff person #2 were dated 9/1/2021 and 12/11/2023.

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.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: During initial inspection conducted 12/27/2023, there was no feeding schedule on file for child #1 (see LIS code sheet for date of birth and date of admission).

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: During initial inspection conducted 12/27/2023, staff persons informed certification representative that bottles are washed at the facility. Facility does not have a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During initial inspection conducted 12/27/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 8/1/2023-9/1/2023; 10/27/2023-11/28/2023.

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.

Noncompliance Area: Child 1 did not have a date of admission documented in her file.

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

Noncompliance Area: Child 2 had an outdated influenza shot. Child 2's last influenza shot was documented to be on 10/30/2017.

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 facility did not have the regional day care office information posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: There was a serrated knife in the back classroom that was on a shelf. Although the classroom door was closed, it was still unlocked, making the knife accessible to children who could reach the shelf.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: Staff 1 had emergency plan training that was last dated 10/1/2017. New ownership officially took over the facility on 6/15/2018 and staff 1 did not have emergency plan training conducted since during that time.

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.

Noncompliance Area: The older toddler room was out of ratio 1 staff to 7 children. The youngest child in the room was 2 years old.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).

Noncompliance Area: In the infant room, there was a light fixture that had the plastic covering hanging from it.

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 an unannounced visit on 9/26/2018, there was peeling paint in the front room on the left wall of the third cubby.

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

Noncompliance Area: Upon inspection, it was observed that the cot lists in the child care rooms were inaccurate.

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.

Noncompliance Area: Provider did not have the home addresses for the mother and father on file on the emergency contact form.

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

Noncompliance Area: Upon entering the facility, it was observed that there was rat X in the kitchen. The kitchen door was open, making it accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: Molding was falling off of the wall in the rotation room and infant room. There was also rust observed on the front door.

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: It was observed that there was peeling paint on the front porch of the facility.

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