Elizabeth Seton Center-childrens Program
Quick Facts
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Contact Information
📞 (412) 561-8400Reviews
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About the Provider
Hours of Operation
- Monday7:00 AM - 6:00 PM
- Tuesday7:00 AM - 6:00 PM
- Wednesday7:00 AM - 6:00 PM
- Thursday7:00 AM - 6:00 PM
- Friday7:00 AM - 6:00 PM
- Saturday Closed
- Sunday Closed
Inspection/Report History
Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.
| Inspection Date | Reason | Description | Status |
|---|---|---|---|
| 2026-07-15 | Swimming | Swimming | Compliant - Finalized |
| 2025-10-17 | Renewal | 3270.123(a)(1) - Amount of fee | Compliant - Finalized |
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Regulation: 3270.123(a)(1) Description: Amount of fee Noncompliance Area: The Agreement, in the files for Child #1, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8, did not specify the amount of the fee to be charged. Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. |
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Provider Response: (Contact the State Licensing Office for more information.) Fees have been added to the children's contract. |
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| 2025-10-17 | Renewal | 3270.123(a)(2) - Date fee to be paid | Compliant - Finalized |
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Regulation: 3270.123(a)(2) Description: Date fee to be paid Noncompliance Area: The Agreement in the file for Child #1, Child #4, Child #5, and Child #6, did not specify the date on which the fee is to be paid. Correction Required: An agreement shall specify the date on which the fee is to be paid. |
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Provider Response: (Contact the State Licensing Office for more information.) The dates that fees are paid has been added to the contracts. |
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| 2025-10-17 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The Agreement in the files for Child #5 and Child #9, did not specify the child's arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) The arrival and departure times have been added to the contracts. |
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| 2025-10-17 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: The Agreement in the file for Child #9, did not specify the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The date of the child's admission has been added to the contract. |
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| 2025-10-17 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(2) Description: Physician name, address, phone Noncompliance Area: The Emergency Contact form, in the file for Child #2, did not include address or phone number of the child's physician or source of medical care. The Emergency Contact form, in the file for Child #6, did not include the address of the child's physician or source of medical care. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact form has been updated to include all of the physician information. |
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| 2025-10-17 | Renewal | 3270.124(b)(3) - Parent home/work address, phone | Compliant - Finalized |
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Regulation: 3270.124(b)(3) Description: Parent home/work address, phone Noncompliance Area: The Emergency Contact form, in the file for Child #8, did not include the work phone number of the enrolling parent. The Emergency Contact form, in the file for Child #9, did not include the work address or work phone number of the enrolling parent. Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. |
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Provider Response: (Contact the State Licensing Office for more information.) These emergency contact forms have been updated to include all of the necessary information. |
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| 2025-10-17 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Compliant - Finalized |
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Regulation: 3270.124(b)(7) Description: Name/address/phone release person Noncompliance Area: The Emergency Contact form, in the file for Child #7, did not include the name of the release person. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact for this child has been updated for this child to include the name of the release person. |
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| 2025-10-17 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The Health Assessment in the file for Child #3, a preschool child, exceeded the 12-month renewal requirement. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This child has handed in a current physical. |
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| 2025-10-17 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The two (2) most recent Health Assessments, in the files for Staff #3 and Staff #5, exceeded the 24-month renewal requirement. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) These staff members have a current physical in their file. |
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| 2025-10-17 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The file for Staff #14 contained documentation of Emergency Plan training on 8.4.24 and 9.8.25, which exceeded the annual requirement. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member has an up-to-date emergency plan sign off in their file. |
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| 2025-10-17 | Renewal | 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for Staff #12 contained documentation of Pediatric First-Aid/CPR training which expired on 5.16.25, and it was not renewed until 7.2.25. The file for Staff #17 contained documentation of Pediatric First-Aid/CPR training which expired on 8.9.24, and it was not renewed until 10.13.24. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member has a current CPR/First Aid training in their file. |
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| 2025-10-17 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: The file for Staff #19 contained documentation of Fire Safety training on 11.7.23 and 12.10.24, which exceeded the annual requirement. Correction Required: Staff persons shall participate, at least annually, in fire safety 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member has a current Fire Safety in their file and is taking their 2025 training this week. |
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| 2025-10-17 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The file for Staff #15 (see IS Code Sheet) contained documentation of Health and Safety training, Part 1 and Part 2, on 10.1.25, which exceeded the 90 days of hire requirement. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member has completed their Health & Safety training, and it is in their file. |
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| 2025-10-17 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for Staff #14 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 2.18.25, which exceeded the 90 days of hire requirement. Correction Required: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member has a current CPR/First Aid in their file. |
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| 2025-10-17 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for Staff #1 contained Child Abuse Clearances dated 1.18.19 and 9.23.24, which exceeded the 60-month renewal requirement. The file for Staff #2 contained State Police Clearances dated 5.18.20 and 7.30.25, and Child Abuse Clearances dated 6.1.20 and 8.7.25, both of which exceeded the 60-month renewal requirement. The file for Staff #4 did not contain a Disclosure Statement. The file for Staff #6 contained NSOR Certificates dated 6.4.20 and 7.3.25, which exceeded the 60-month renewal requirement. The file for Staff #7 contained State Police Clearances dated 3.3.20 and 4.14.25, Child Abuse Clearances dated 3.17.20 and 4.10.25, and NSOR Certificates dated 6.4.20 and 7.30.25, each of which exceeded the 60-month renewal requirement. The file for Staff #8 contained State Police Clearances dated 3.3.20 and 4.14.25, Child Abuse Clearances dated 3.27.20 and 4.11.25, and NSOR Certificates dated 6.4.20 and 7.23.25, each of which exceeded the 60-month renewal requirement. The file for Staff #9 contained valid, FBI Clearances dated 5.21.19 and 7.8.25, which exceeded the 60-month renewal requirement. The file for Staff #10 contained State Police Clearances dated 4.6.20 and 4.7.25, and Child Abuse Clearances dated 5.29.20 and 7.31.25, both of which exceeded the 60-month renewal requirement. The file for Staff #11 contained NSOR Certificates dated 6.4.20 and 7.30.25, which exceeded the 60-month renewal requirement. The file for Staff #13 contained NSOR Certificates dated 6.4.20 and 7.8.25, which exceeded the 60-month renewal requirement. The file for Staff #18 contained State Police Clearances dated 5.18.20 and 7.29.25, and Child Abuse Clearances dated 3.20.20 and 8.5.25, both of which exceeded the 60-month renewal requirement. The file for Staff #19 contained State Police Clearances dated 4.6.20 and 10.1.25, FBI Clearances dated 8.7.15 and 10.20.20 with none thereafter, NSOR Certificates dated 6.3.20 and 10.7.25, each of which exceeded the 60-month renewal requirement, and no Disclosure Statement. The file for Staff #2 contained documentation of Mandated Reporter training on 5.29.20 and 9.15.25, which exceeded the 60-month renewal requirement. The file for Staff #6 contained documentation of Mandated Reporter training on 3.13.20 and 5.15.25, which exceeded the 60-month renewal requirement. The file for Staff #7 contained documentation of Mandated Reporter training on 3.16.20 and 4.10.25, which exceeded the 60-month renewal requirement. The file for Staff #8 contained documentation of Mandated Reporter training on 3.14.20 and 4.9.25, which exceeded the 60-month renewal requirement. The file for Staff #16 contained documentation of Mandated Reporter training on 6.25.20 and 7.25.25, which exceeded the 60-month renewal requirement. The file for Staff #19 contained documentation of Mandated Reporter training on 7.18.20 and 10.3.25, which exceeded the 60-month renewal requirement. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #4 and Staff #19 may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff members all have the updated/current paperwork in their file. |
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| 2025-10-17 | Renewal | 3270.72(d) - Above ground window opening restricted to 6" | Compliant - Finalized |
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Regulation: 3270.72(d) Description: Above ground window opening restricted to 6" Noncompliance Area: In Room 8, which is above the ground floor, had a broken stopper on the window to the far left of the back wall, allowing the window to fully open, which was not limited to six (6) or fewer inches. Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. |
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Provider Response: (Contact the State Licensing Office for more information.) This window was fixed, and the opening is limited to 6 or fewer inches. |
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| 2025-10-17 | Renewal | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The Fire System Testing Log contained documentation of testing on 3.7.25 and 4.13.25, which exceeded the 30-day requirement. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Fire System Testing Log is currently up to date and testing will be done within the next 30 days. |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: Staff #1 placed Child #1 in the back storage room/closet, in the back of Room 5, leaving the door slightly ajar, and walked away from it. Child #1 was not supervised by a staff person. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(a)(1) - Staff assigned to specific children | Compliant - Finalized |
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Regulation: 3270.113(a)(1) Description: Staff assigned to specific children Noncompliance Area: Staff #1 placed Child #1 in the back storage room/closet, in the back of Room 5, leaving the door slightly ajar, and walked away from it. Staff #1 was not physically present with Child #1. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(b) - No physical punishment | Compliant - Finalized |
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Regulation: 3270.113(b) Description: No physical punishment Noncompliance Area: Staff #1 grabbed Child #1 by the arm and head/hair area and dragged the child and aggressively put the child in a chair. Staff #1 then grabbed the child again and dragged the child back to the storage room/closet. Correction Required: A facility person may not use any form of physical punishment, including spanking a child. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(d) - No harsh language | Compliant - Finalized |
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Regulation: 3270.113(d) Description: No harsh language Noncompliance Area: Staff #1 yelled at Child #1 who was crying in the doorway of Room 5. Staff #1 used harsh language towards Child #1. Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-10-16 | Complaints- Legal Location | 3270.113(e) - Restraints prohibited | Compliant - Finalized |
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Regulation: 3270.113(e) Description: Restraints prohibited Noncompliance Area: Staff #1 placed Child #1 in the back storage room/closet, in the back of Room 5, leaving the door slightly ajar, and walked away from it. Staff #1 placed child #1 in a confined space/closet. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-10-16 | Complaints- Legal Location | 3270.51 - Similar Age Level | Compliant - Finalized |
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Regulation: 3270.51 Description: Similar Age Level Noncompliance Area: Staff #1 placed Child #1 in the back storage room/closet, in the back of Room 5, leaving the door slightly ajar, and walked away from it. The Staff:Child ratio was 0:1. Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. |
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Provider Response: (Contact the State Licensing Office for more information.) This incident was investigated, and the staff member involved no longer works at the center. |
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| 2025-08-05 | Complaints- Legal Location | 3270.113(c) - No ridicule or threaten harm | Compliant - Finalized |
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Regulation: 3270.113(c) Description: No ridicule or threaten harm Noncompliance Area: During a complaint investigation conducted on 8/5/25, based on information obtained during staff interviews, it was determined that Staff #1 singled out and expressed a negative attitude towards a specific child in front of other children and staff. On July 30th, when Staff #1 had been given the option to supervise children on a swim outing, Staff person #1 was overheard saying that 'if Child #1 is not going to swim, I will go swimming but if Child #1 is going swimming I do not want to go'. Staff person #1 has also been heard saying things such as, 'have fun with Child #1' or 'watch out for Child #1'. During transition times, Staff person #1 has been heard saying that they 'do not want to deal with Child #1 so [Child #1] can stay in the room'. Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1 was given an improvement plan which was discussed with [Facility Person #2] and [Staff person #3]. Staff #1 was assigned 4 training sessions dealing with behavior management and positive interactions with school age children. There will be another meeting once the training is completed and a staff evaluation will be completed as well. |
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| 2025-07-02 | Swimming | 3270.115(a)(6) - Lifeguard training/supervision | Compliant - Finalized |
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Regulation: 3270.115(a)(6) Description: Lifeguard training/supervision Noncompliance Area: During an unannounced monitoring visit at a swimming activity, it was observed that the LE had children and staff from 2 separate locations at the pool, with only one lifeguard present, supervising swimming activity for 2 locations simultaneously. Correction Required: When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training). |
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Provider Response: (Contact the State Licensing Office for more information.) The appropriate staff who participate in the swimming activity will be retrained on the procedures, including that when 1 lifeguard is present, each location will swim for 1 hour while the other location is in the park outside of the pool area and that only one facility location will be in the pool area at a time. |
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| 2025-07-02 | Swimming | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The file for Staff person #1 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet). 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) The staff member has been trained on the emergency plan and has a current sign off in their file. |
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| 2025-07-02 | Swimming | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: Staff person #1 has 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 protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff member #1 has a current mandated reporter training and will renew this training within the 5-year window. |
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| 2025-07-02 | Swimming | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for Staff person #1 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid; the previous Criminal History clearance is dated 5.8.19, more than 60 months ago. The file for Staff person #1 includes an FBI clearance dated 5.21.19, more than 60 months ago and also included an FBI clearance obtained through the PA Department of Education, dated 7.31.24, which is not valid for employment in a childcare facility. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The police clearance has been reprinted and has the correct dissemination date. Staff person #1 is obtaining a new DHS FBI clearance and will be removed from a childcare position until the clearance is received. |
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| 2025-07-02 | Swimming | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: According to staff statements, children apply sunscreen at the facility prior to going to the pool, but some children take sunscreen to the pool and keep it in their possession, making it accessible to children in care. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff members will keep the sunscreen in a central location locked away from the children while in the building. If the sunscreen is brought to the pool, it will be in a bag and kept with a staff member. |
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| 2025-05-14 | Unannounced Monitoring | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staff person #1 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; the training was completed on 2.18.25. Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) This training has been completed. |
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| 2025-05-14 | Unannounced Monitoring | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: Staff person #2 completed current mandated reporter training on 4.9.25, more than 60 months after the previous training dated 3.14.20. Staff person #3 completed current mandated reporter training on 4.10.25, more than 60 months after the previous training dated 3.16.20. Staff person #4 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 3.13.20. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) These trainings have all been completed and are in the staff's files. |
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| 2025-05-14 | Complaints- Legal Location | 3270.72(b) - Screened | Compliant - Finalized |
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Regulation: 3270.72(b) Description: Screened Noncompliance Area: According to staff statements, on 4.30.25, the front door was propped open for a portion of the day when there was a power outage, due to the security system not working. It was observed, however, that there is no screen on the door that was open for several hours. Correction Required: Windows or doors used for ventilation shall be screened when open. |
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Provider Response: (Contact the State Licensing Office for more information.) The front door will not be propped open at any time. |
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| 2025-05-14 | Complaints- Legal Location | 3270.73 - Telephone | Compliant - Finalized |
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Regulation: 3270.73 Description: Telephone Noncompliance Area: According to staff statements, on 4.30.25, the facility telephone system was not functioning for a portion of the day when there was a power outage. Correction Required: A facility shall have an operable telephone and a published telephone number. |
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Provider Response: (Contact the State Licensing Office for more information.) The telephone system is up and running. |
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| 2024-10-28 | Renewal | 3270.123(a)(3)/3270.124(f) - Services proceeded/Updated every 6 months | Compliant - Finalized |
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Regulation: 3270.123(a)(3)/3270.124(f) Description: Services proceeded/Updated every 6 months Noncompliance Area: The files for Child #8 and Child #9 did not contain Child Service Reports every 6 months. 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). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child Services reports will be done to make sure these children have an updated one in their file. The results will be sent to their parents, and a conference will be offered. |
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| 2024-10-28 | Renewal | 3270.123(a)(4) - Arrival/departure times | Compliant - Finalized |
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Regulation: 3270.123(a)(4) Description: Arrival/departure times Noncompliance Area: The Agreements in the files for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8, Child #9, and Child #10 did not specify the child's arrival and departure times. Correction Required: An agreement shall specify the child's arrival and departure times. |
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Provider Response: (Contact the State Licensing Office for more information.) We will write in and add the children's arrival and departure times to all of the contracts when we renew them in January. |
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| 2024-10-28 | Renewal | 3270.123(a)(6)/3270.182(2) - Admission date/Application, admission, withdrawal dates | Compliant - Finalized |
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Regulation: 3270.123(a)(6)/3270.182(2) Description: Admission date/Application, admission, withdrawal dates Noncompliance Area: The Agreements in the files for Child #5 and Child #9 did not specify the date of the child's admission. Correction Required: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. |
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Provider Response: (Contact the State Licensing Office for more information.) The coordinators will add the children's start date to these contracts. |
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| 2024-10-28 | Renewal | 3270.124(e) - Written emergency plan posted | Compliant - Finalized |
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Regulation: 3270.124(e) Description: Written emergency plan posted Noncompliance Area: In Room 5 and Room 11, an Emergency Transportation Plan was not displayed. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The Emergency Transportation Plan is now displayed in both of these rooms. |
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| 2024-10-28 | Renewal | 3270.124(f)/3270.181(c) - Updated every 6 months/Emergency info/agreement updated 6 mos | Compliant - Finalized |
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Regulation: 3270.124(f)/3270.181(c) Description: Updated every 6 months/Emergency info/agreement updated 6 mos Noncompliance Area: The file for Child #8 did not contain documentation that the Emergency Contact Form and Agreement were reviewed/updated at least every six (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. |
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Provider Response: (Contact the State Licensing Office for more information.) This emergency contact form and contract will be reviewed and signed & dated by the parent. |
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| 2024-10-28 | Renewal | 3270.131(b)(2)/3270.182(1) - Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.182(1) Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports Noncompliance Area: The file for Child #9 contained documentation of a Health Assessment on 5.19.23, and none thereafter, which is required at least every 12 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We will obtain a health assessment for this child and make sure the family knows that it is a requirement to be enrolled at the center. |
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| 2024-10-28 | Renewal | 3270.14/3270.21 - Pertinent Laws & Regulations/General Health and Safety | Compliant - Finalized |
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Regulation: 3270.14/3270.21 Description: Pertinent Laws & Regulations/General Health and Safety Noncompliance Area: The file for Staff #21 did not contain documentation of the Health and Safety 1-Hour Update training. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Matthew is a seasonal employee. He is going to email Better Kid Care and take the update training. (He completed the new, six-hour training.) |
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| 2024-10-28 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The two (2) most recent Health Assessments in the file for Staff #1, Staff #6, Staff #9, Staff #11, Staff #18, Staff #30, and Staff #34 exceeded the 24-month renewal requirement. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) These staff have current physicals in their file. |
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| 2024-10-28 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for Staff #26 contained documentation of Emergency Plan training on 5.17.23 and 10.1.24, which exceeded 12 months. The file for Staff #28 contained documentation of Emergency Plan training on 9.26.23 and 10.9.24, which exceeded 12 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All of the employees have a current emergency plan in their file. |
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| 2024-10-28 | Renewal | 3270.27(e) - Letter to parents | Compliant - Finalized |
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Regulation: 3270.27(e) Description: Letter to parents Noncompliance Area: As confirmed by the operator, a Parent Letter was not provided to explain the emergency procedures. Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. |
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Provider Response: (Contact the State Licensing Office for more information.) I will develop a letter explaining the emergency procedures, using the sample parent letter from the inspector. |
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| 2024-10-28 | Renewal | 3270.31(e)(4)(i)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(i)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The file for Staff #1, Staff #5, Staff #6, Staff #7, Staff #8, Staff #9, Staff #10, Staff #11, Staff #12, Staff #15, Staff #16, Staff #17, Staff #18, Staff #19, Staff #20, Staff #22, Staff #24, Staff #25, Staff #27, Staff #29, Staff #30, Staff #31, Staff #32, Staff #33, Staff #34, and Staff #35 contained Pediatric First-Aid/CPR training which expired on 11.2.23, and it was not renewed until 11.7.23. Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have current CPR and First Aid in their file. |
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| 2024-10-28 | Renewal | 3270.31(e)(4)(ii) - Fire safety - 1 yr. | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii) Description: Fire safety - 1 yr. Noncompliance Area: The file for Staff #13 contained documentation of Fire Safety training on 5.16.23 and 11.13.24, which exceeded 12 months. The file for Staff #14 contained documentation of Fire Safety training on 10.4.23 and 11.7.24, which exceeded 12 months. The file for Staff #21 contained documentation of Fire Safety training on 5.16.23 and 11.13.24, which exceeded 12 months. The file for Staff #23 contained documentation of Fire Safety training on 2.11.23 and 11.7.24, which exceeded 12 months. The file for Staff #26 (see IS Code Sheet) contained documentation of Fire Safety training on 9.10.24, which exceeded 12 months from date of hire. The file for Staff #27 contained documentation of Fire Safety training on 11.7.23 and none thereafter, which exceeded 12 months. The file for Staff #36 contained documentation of Fire Safety training on 2.11.23 and 11.11.24, which exceeded 12 months. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All staff have a current fire safety training in their file. |
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| 2024-10-28 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for Staff #21 (see IS Code Sheet) contained documentation of Health & Safety training 10-hour, on 10.31.22, which exceeded 90 days of hire. The file for Staff #31 (see IS Code Sheet) contained documentation of Health & Safety training 10-hour, on 5.7.21, which exceeded 90 days of hire. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) These staff have the Health & Safety training in their file. |
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| 2024-10-28 | Renewal | 3270.31(f)(10) - Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)(10) Description: Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for Staff #21 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 5.16.23, which exceeded 90 days of hire. The file for Staff #23 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 2.11.23, which exceeded 90 days of hire. The file for Staff #28 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR training on 11.7.23, which exceeded 90 days of hire. Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. |
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Provider Response: (Contact the State Licensing Office for more information.) These staff have a current CPR/First Aid training in their file. |
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| 2024-10-28 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The file for Staff #2 (see IS Code Sheet) contained a State Police Clearance dated 7.29.24, with no application available, which was after the first date caring for children. The file for Staff #3 (see IS Code Sheet), contained a State Police Clearance dated 11.14.24, with no application available, which was after the first date caring for children. The file for Staff #4 contained Child Abuse Clearances dated 11.1.19 and 11.4.24, which exceeded 60 months. The file for Staff #6 contained FBI Clearances dated 8.7.15 and 9.14.20, which exceeded 60 months. The file for Staff #7 contained FBI Clearances dated 8.7.15 and 10.11.20, which exceeded 60 months. The file for Staff #11 contained FBI Clearances dated 10.6.15 and 10.15.20, with an application dated 10.12.20, which exceeded 60 months. The file for Staff #14 (see IS Code Sheet) contained a Child Abuse Clearance dated 11.28.23, which was after the first date caring for children. The file for Staff #16 contained FBI Clearances dated 8.7.15 and 8.19.20, with no application available, which exceeded 60 months. The file for Staff #17 (see IS Code Sheet) contained documentation of Mandated Reporter training dated 8.23.20, which exceeded 90 days after hire. The file for Staff #19 contained Child Abuse Clearances dated 9.2.18 and 9.21.23, which exceeded 60 months. The file for Staff #20 contained FBI Clearances dated 8.7.17 and 10.10.22, with an application dated 10.6.22, which exceeded 60 months. The file for Staff #21 (see IS Code Sheet) contain an NSOR Certificate dated 9.19.22, with no application available, which was after the first date caring for children. The file for Staff #24 (see IS Code Sheet) contained a State Police Clearance dated 1.14.20, with no application available, which exceeded the first date caring for children. The file for Staff #25 contained FBI Clearances dated 8.7.15 and 9.6.20, with no application available, which exceeded 60 months. The file for Staff #27 contained FBI Clearances dated 8.7.15 and 10.20.20, with no application available, which exceeded 60 months. The file for Staff #31, contained documentation of Mandated Reporter training on 3.6.19 and 7.23.24, which exceeded 60 months. The file for Staff #33 contained documentation of Mandated Reporter training on 5.18.15 and 5.29.20, which exceeded 60 months. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) These staff all have current clearances and mandated reporter training in their file. |
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| 2024-06-24 | Unannounced Monitoring | 3270.95(a)/3270.95(b) - Devices must be compliant/Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(a)/3270.95(b) Description: Devices must be compliant/Director or designated staff person ensure compliance Noncompliance Area: The fire alarm 30-day test log includes test dates 1/30/24-3/1/24, more than 30 days apart. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Going forward we will make sure the fire alarm is tested every 30 days. |
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| 2023-10-12 | Renewal | 3270.102(a) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.102(a) Description: Clean and good repair Noncompliance Area: Observed several damaged playground toys on the school age playground. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. |
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Provider Response: (Contact the State Licensing Office for more information.) We rented a dumpster, and all of the damaged equipment was thrown away. |
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| 2023-10-12 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The files for staff #7, #8, #13, #14, #15, and #17 contain health assessments that were initially obtained or renewed late. #7 due 9/16/23 and obtained 9/26/23; #8 due 11/7/22 and obtained 11/30/22; #13 due 10/5/23 and obtained 10/6/23; #14 due 6/2023 and obtained 9/2023; #15 due 1/2023 and obtained 2/2023; #17 due 3/2023 and obtained 9/2023. 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. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The physicals have been completed and are in the staff files. |
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| 2023-10-12 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The file for staff #5 lacks a valid health assessment. The health assessment on file exceeded 12 months old at the time of hire. It was 14 months old. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) This staff member did get a new physical and it is in their file. |
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| 2023-10-12 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The files for staff #7 and #8 contain late TB tests. #7 due 9/16 23 and obtained 9/24/23; #8 due 11/7/22 and obtained 11/30/22. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The TB tests are complete and in the staff files. |
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| 2023-10-12 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The files for staff #5 and #9 lack current TB testing. The TB test on file for staff #5 was 14 months old rather than 12 months and the TB test on file for staff #9 was from 2007 when staff was an employee at the facility in the past. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All of the TB tests are now current and on file. |
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| 2023-10-12 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: The file for staff #9 contains emergency plan training that was obtained late. The training was due 2/2023 and obtained 9/2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency plan training is in the file and will be updated within one year. |
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| 2023-10-12 | Renewal | 3270.31(e)/3270.192(2)(iii) - Age and Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)/3270.192(2)(iii) Description: Age and Training/Exp, educ., training at facility Noncompliance Area: The files for staff #1 and #2 lack 12 hours of annual child care training for the 12/2021 to 12/2022 time period. Both staff completed part of their 12 hours late (after 12/2022) and are both still in need of 1.5 hours of annual child care training hours. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The training hours have now been taken and are in the staff files. |
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| 2023-10-12 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: Staffs persons #8 and #18 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): #8 - first aid and cpr and health and safety training; #18 - health and safety update. Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person2 #8 and #18 will have until December 26, 2023 to complete the required training. Until such time as the required training has been completed, staff persons #8 and #18 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 persons #8 and #18, staff persons #8 and #18 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We had an in-service training for CPR and First Aid on November 7, 2023, so both staff members have now completed the training. Staff #18 also finished their health & safety training. |
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| 2023-10-12 | Renewal | 3270.31(f) - Health and Safety Training | Compliant - Finalized |
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Regulation: 3270.31(f) Description: Health and Safety Training Noncompliance Area: The files for staff #9, #10, #12, #16, and #19 contain health and safety trainings that were obtained late. #9 - FA/CPR due 1/29/23 and obtained 2/11/23, mandated reporter training due 1/29/22 and obtained 10/5/23; #10 FA/CPR and mandated reporter due 7/2023 and obtained 10/2023; #12 health and safety update training due 12/2022 and obtained 10/2023; #16 health and safety update training due 12/2022 and obtained 11/2023; Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. |
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Provider Response: (Contact the State Licensing Office for more information.) These trainings are all completed and in the staff files. |
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| 2023-10-12 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: The files for staff #4 and #9 contain mandated reporter training that was obtained/updated late. #4 due 5/2023 and obtained 9/2023; #9 due 1/29/23 and obtained 10/5/23. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). |
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Provider Response: (Contact the State Licensing Office for more information.) These are complete and the certificates are in the staff files. |
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| 2023-10-12 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #7 indicates that staff #7 was improperly provisionally hired. The NSOR was requested 4 days late (9/21/23) after staff #7 started. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The NSOR was returned and is now in the staff member's file. |
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| 2023-10-12 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #8 lacks a valid NSOR certificate. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #8 may not work in a child care position at the facility until a valid NSOR is on file. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The NSOR was returned and is now in the staff member's file. |
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| 2023-10-12 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The files for staff #3, #4, #6, #11 contain clearances that were obtained or updated late. #3 - FBI obtained 9/2023 and due 7/2023; #4 - state police obtained 9/2023 and due 5/2023, child abuse obtained 9/2023 and due 5/2023, FBI obtained 9/2023 and due 12/2022; #6 - NSOR obtained 2/22/23 and due 2/13/23; #11 - state police obtained 9/2023 and due 8/2023. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) These clearances are all returned and in the staff files. |
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| 2023-10-12 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Observed several damaged areas on the playground surfacing in the school aged playground. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We have done a temporary repair of the surface to assure that it isn't a hazard for the children. |
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| 2023-07-27 | Swimming | Swimming | Compliant - Finalized |
| 2022-10-18 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: The facility has not sent a copy of the most recent emergency plan to the local municipality and to the county emergency management agency. Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. |
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Provider Response: (Contact the State Licensing Office for more information.) I did not have the correct locations so I resent the emergency plan to the two correct addresses. |
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| 2022-10-18 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff #2 has not completed the mandated reporter training within the 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/facility person # 2 will have until 12/20/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility 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 person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) I did finally get a copy of this mandated reporter training and it was completed on 4-8-22, but was not in the staff file. I am scanning a copy to the inspector and have also put it in the staff file. |
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| 2022-10-18 | Renewal | 3270.32(a) - Comply with CPSL | Compliant - Finalized |
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Regulation: 3270.32(a) Description: Comply with CPSL Noncompliance Area: Staff #1 and #3 had not completed the following required pre-service training within the 90 days of their date of hire (see LIS code sheet). The file for staff #1 contained a mandated reporter training dated 10/12/22, which was greater than 90 days after their date of hire (see LIS code sheet). The file for staff #3 contained a mandated reporter training dated 10/11/22, which was greater than 90 days after 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). |
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Provider Response: (Contact the State Licensing Office for more information.) Going forward I am developing a staff training chart that has all mandatory training, the time they are due, and a check box for when it is put in the file. |
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| 2022-10-18 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #1 contains a criminal clearance that was obtained late. The operator indicates that a timely clearance was obtained prior to employment but could not be located at a later time. The clearance that is now on file is acceptable. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) From now on, staff will obtain their clearances on time. The staff members do have their completed clearances in their file. |
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| 2022-10-18 | Renewal | 3270.37(b)(1)/3270.192(2)(ii) - HS/GED/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.37(b)(1)/3270.192(2)(ii) Description: HS/GED/Exp, educ., training prior to facility Noncompliance Area: The file for staff #4 lacks verification of an education (high school diploma). The diploma that is on file needs to be interpretted since it is in another language other than English. Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We have sent this diploma to get translated. If it is not back soon, I will send it to another place. However, Mirella did end up quitting the center. |
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| 2022-07-20 | Swimming | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The file for staff #1 lacks 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We do not know if the lifeguard is coming back for swimming next summer (6/23), but if she decides to then she has been told she needs to have a current physical and TB test before starting at the center. The lifeguard is no longer a staff at the facility. |
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| 2022-07-20 | Swimming | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(c)(2)/3270.192(3) Description: Mantoux TB/Health assessment, TB test Noncompliance Area: The file for staff #1 lacks a current 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 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. |
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Provider Response: (Contact the State Licensing Office for more information.) We do not know if the lifeguard is coming back for swimming next summer (6/23), but if she decides to then she has been told she needs to have a current physical and TB test before starting at the center. The lifeguard is no longer a staff at the facility. |
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| 2022-07-20 | Swimming | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #1 lacks verification of the NSOR clearance. Staff #1 was observed providing lifeguarding duties for children at the pool on 7/20/22 under the supervision of other staff with valid NSOR clearances. Staff #1 was not provisionally hired. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff/ Facility Person #1may not work in a child care / lifeguarding position at the facility until a valid NSOR clearance is on file 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The lifeguard handed in her NSOR clearance, and it is now on file. |
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| 2022-06-22 | Change in Location Capacity | Change in Location Capacity | Compliant - Finalized |
| 2021-10-22 | Renewal | 3270.102(a)/3270.103 - Clean and good repair/Small Toys and Objects | Compliant - Finalized |
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Regulation: 3270.102(a)/3270.103 Description: Clean and good repair/Small Toys and Objects Noncompliance Area: A highchair cover in the young toddler room was cracked with the inner foam filling exposed and accessible. A broken Styrofoam cup was observed in the toddler outdoor play space. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The young toddler staff removed the high chair cover immediately. The foam cup was also removed and thrown away the day of inspection. |
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| 2021-10-22 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.192(3) Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test Noncompliance Area: The files for staff #13, #18, #22, #24, and #26 contained health assessments which were not updated within 24 months as required. The most recent health assessments on file for these staff are now current. The files for staff #25 and #29 did not contain current 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Five of the staff members are now current on their physicals. Staff member #25 had put in her two weeks¿ notice and is moving out of state so she did not hand in a new physical. Our seasonal staff member will have his physical handed in before returning next summer. |
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| 2021-10-22 | Renewal | 3270.25(a) - Availability of certificate of compliance and applicable regulations | Compliant - Finalized |
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Regulation: 3270.25(a) Description: Availability of certificate of compliance and applicable regulations Noncompliance Area: The operator did not provide parents with information on how to access the regulations in this chapter electronically and did not provide them with instructions for contacting the appropriate regional child care office. Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. |
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Provider Response: (Contact the State Licensing Office for more information.) The inspector sent the correct signs. I printed them out and hung them on each floor of the building so they are in locations where parents can see them. |
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| 2021-10-22 | Renewal | 3270.27(c)/3270.192(2)(iii) - Training regarding plan/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.27(c)/3270.192(2)(iii) Description: Training regarding plan/Exp, educ., training at facility Noncompliance Area: The file for staff #37 did not contain documentation of current emergency plan training. The most recent training on file was dated 9/06/19. 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #37 is a seasonal employee, but her emergency plan will be updated before she starts back to work this summer. |
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| 2021-10-22 | Renewal | 3270.31(e)(4)(ii)/3270.192(2)(iii) - Fire safety - 1 yr./Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii) Description: Fire safety - 1 yr./Exp, educ., training at facility Noncompliance Area: Based on documentation at the facility, the following staff members did not participate in fire safety training annually as required. Training was completed in October 2020 and again on 11/2/21; Staff #1 -5, #8 -13, #15 , #16, #18 - 26, and #30 - 36. The files for these staff members now contain documentation of current fire safety training. The files for staff #29 and #37 do not contain documentation of current fire safety training. The most recent training on file for both staff occurred 11/5/19. 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) We just had our fire safety on November 8, 2021 at our in-service so everyone is currently up to date. Seasonal staff will take fire safety before returning next summer. |
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| 2021-10-22 | Renewal | 3270.31(f)/3270.192(2)(iii) - Health and Safety Training/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.31(f)/3270.192(2)(iii) Description: Health and Safety Training/Exp, educ., training at facility Noncompliance Area: The files for staff #14, #16, #24, all employed for over 90 days, did not contain documentation of completing health and safety training topics 1 through 9 as described in 3270.31f. Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) All three staff members are in the process of taking this training. |
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| 2021-10-22 | Renewal | 3270.31(f)/3270.31(f)(10) - Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR | Compliant - Finalized |
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Regulation: 3270.31(f)/3270.31(f)(10) Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR Noncompliance Area: The file for staff #27 contained documentation of receiving Pediatric CPR and first aid training more than 90 days after their start date of 5/26/21. The files for the following staff, hired prior to 12/19/20, contained documentation of receiving Pediatric CPR and First Aid after the deadline of 6/17/21; #7 -11, #17, #19, #23, #25, #28, #35, and #36. Staff received the training on 11/02/21. Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:Pediatric first aid and pediatric cardiopulmonary resuscitation. |
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Provider Response: (Contact the State Licensing Office for more information.) We just had our Pediatric CPR & First Aid on November 8, 2021 at our in-service so everyone is currently up to date. |
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| 2021-10-22 | Renewal | 3270.32(a)/3270.192(2)(iii) - Comply with CPSL/Exp, educ., training at facility | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(2)(iii) Description: Comply with CPSL/Exp, educ., training at facility Noncompliance Area: Based on documentation at the facility, staff #15 and #30 did not update mandated reporter training within 60 months as required. Staff #15 previously completed the training on 8/08/16 and updated it on 9/21/21. Staff #30 previously completed the training on 4/7/15. The updated training completed by staff #30 on 8/28/21 was not from an approved source. Based on documentation, staff #17 did not complete mandated reporter training within 90 days of hire as required. Staff #17 was hired on 11/02/20 and completed the training on 10/26/21. Both staff #15 and #17 now have documentation of current training 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 verification of child care experience, education and training following the outset of service at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Both staff members are now current on their mandated reporter training. |
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| 2021-10-22 | Renewal | 3270.32(a)/3270.192(4) - Comply with CPSL/CPSL information | Compliant - Finalized |
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Regulation: 3270.32(a)/3270.192(4) Description: Comply with CPSL/CPSL information Noncompliance Area: The file for staff #16 did not contain a valid state police clearance. The clearance on file lacked the date it was disseminated from the system. The date requested was 10/5/18. The file for staff #30, with a start date of 12/29/07, did not contain a completed NSOR certificate. Staff #16 and #30 may not work in a child care position at the facility. 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. Staff # and # may not work in a child care position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Both staff will have these clearances before returning to a child care position. The police clearance did come back and is now in the staff's file and up to date. We are still waiting for the NSOR and have called to check that the address is correct and that it is being mailed multiple times. |
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| 2021-10-22 | Renewal | 3270.34(a)(6) - Staff evaluations | Compliant - Finalized |
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Regulation: 3270.34(a)(6) Description: Staff evaluations Noncompliance Area: The files for staff #22, #26, #29, and #37 did not contain written evaluations completed within the last 12 months. Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. |
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Provider Response: (Contact the State Licensing Office for more information.) All current staff members have an up to date evaluation in their file. The two staff who may return for summer will be evaluated within their first week of returning. |
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| 2021-10-22 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: The following toxics were observed to be accessible to children on 10/22/21; Lysol in an unlocked storage room in the outdoor play space and hand sanitizer in a cabinet drawer in the hallway on the lower level. Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. |
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Provider Response: (Contact the State Licensing Office for more information.) Toxics substances were removed and/or locked up the day they were discovered. |
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| 2021-10-22 | Renewal | 3270.69(b) - 110º F or less | Compliant - Finalized |
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Regulation: 3270.69(b) Description: 110º F or less Noncompliance Area: The water temperature in the 2 sinks in the school age restroom at the end of the hall measured 118° F on 10/22/21. Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F. |
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Provider Response: (Contact the State Licensing Office for more information.) The temperature was adjusted the day of inspection so that it does not exceed 110°F. |
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| 2021-10-22 | Renewal | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: Protruding sharp wires were observed on the bottom of the gate and fence of the outdoor toddler play area. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The maintenance crew wrapped up the wires so they are not hanging down anymore. |
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| 2020-10-26 | Renewal | 3270.102(a) - Clean and good repair | Needs Verification |
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Noncompliance Area: A sharp piece of plastic trim was observed on a play kitchen set in room 14. Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. |
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Provider Response: (Contact the State Licensing Office for more information.) The piece was covered with tape and made inaccessible. Going forward we will be more diligent about checking the toys and equipment. We will utilize the health and safety checklist. |
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| 2020-10-26 | Renewal | 3270.111(a)/3270.111(b) - Written plan/Posted in group space | Needs Verification |
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Noncompliance Area: Rooms 13, 14, and 15 lacked posted schedules that reflected the new full day schedules for the school age children currently attending. Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space. |
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Provider Response: (Contact the State Licensing Office for more information.) Schedules were made to reflect each schools schedule for the day. Going forward, if our schedule changes in any room or department we will make sure to update our classroom schedules. |
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| 2020-10-26 | Renewal | 3270.124(b)(2) - Physician name, address, phone | Needs Verification |
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Noncompliance Area: The file for child #4 contained emergency contact information which did not include the address of the child's physician. Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. |
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Provider Response: (Contact the State Licensing Office for more information.) The emergency contact form for child #4 was updated.Going forward we will double check to make sure all information is included when they forms are turned in. |
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| 2020-10-26 | Renewal | 3270.124(b)(6) - Insurance coverage information | Needs Verification |
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Noncompliance Area: The files for children #1, #2, #3, and #4 contained emergency contact information which did not include health insurance policy numbers. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) All four forms were updated with the children's health insurance policy numbers. Going forward we will double check to make sure all information is included when they forms are turned in. |
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| 2020-10-26 | Renewal | 3270.124(b)(7) - Name/address/phone release person | Needs Verification |
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Noncompliance Area: The file for child #4 contained emergency contact information which did not include the addresses on the individuals to 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Child #4s emergency contact form was updated to include the addresses. Going forward we will double check to make sure all information is included when they forms are turned in. |
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| 2020-10-26 | Renewal | 3270.133(3) - Name on bottle | Needs Verification |
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Noncompliance Area: Triamcinolone observed in room 9 and intended for child #8 was not labeled with the child's name. Correction Required: 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Medication was labeled with the child's name. Going forward we will make sure all medication is correctly labeled. |
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| 2020-10-26 | Renewal | 3270.133(5) - Original label | Needs Verification |
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Noncompliance Area: The following expired medications were observed in room 5; a Ventolin inhaler (exp 8/2020) intended for child #5, an Auvi Q injector (exp 8/2020) and benadryl (exp 3/2020) intended for child #6, and an Auvi Q injector (exp 8/2020) intended for child #7. Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. |
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Provider Response: (Contact the State Licensing Office for more information.) All expired medications were sent home. Going forward staff will check expiration dates monthly when they check first aid kits. |
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| 2020-10-26 | Renewal | 3270.133(6) - Written consent | Needs Verification |
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Noncompliance Area: Benadryl which lacked written parental consent for administration was observed in room 5. The medication was intended for child #7. Correction Required: A parent shall provide written consent for administration of medication or a special diet. |
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Provider Response: (Contact the State Licensing Office for more information.) The benadryl was sent home because it was expired. If a new one is sent in we will have the parent fill out a medicine log and consent for it. |
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| 2020-10-26 | Renewal | 3270.133(7)(iv)/3270.133(7)(v) - Amount to administer/Date of administration | Needs Verification |
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Noncompliance Area: The medication log for liquid hydroyzine , intended for child #8, included administration details for a separate medication, triamcinolone. The log was observed in room 9. Correction Required: A medication log shall include the amount of medication administered. A medication log shall include the date of administration. |
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Provider Response: (Contact the State Licensing Office for more information.) New medication logs were filed out and signed by parent. Going forward we will make sure the medicine matches the medicine name on the log. A separate log will be filled out for each type of medicine. |
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| 2020-10-26 | Renewal | 3270.151(a)/3270.192(3) - 12 months prior to service and every 24 months thereafter/Health assessment, TB test | Needs Verification |
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Noncompliance Area: The files for staff #3,#5, #6, #9, #13, #15, #19, #20, and #21 contained health assessments which were not updated within 24 months as required. The most recent health assessments on file for staff #3, #5, #6, #9 are now current. The files for staff #7, #16, #24, and #25 contained initial health assessments conducted after their first day in child care positions. Staff #13, #15, #19, #20, and #21 did not have current health assessments on file at the time of the inspection. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 13 and 21 have turned in physicals. Staff 19 is no longer employed at the facility. Staff 20 and 15 are in the process of getting physicals. Going forward our new staff form will make sure staff have physicals handed in before starting at Seton Center. SA chart is being made to ensure staff update their physicals every 2 years. |
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| 2020-10-26 | Renewal | 3270.151(c)(2)/3270.192(3) - Mantoux TB/Health assessment, TB test | Needs Verification |
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Noncompliance Area: The file for staff #4 contained results from a TB screening which were more than 12 months old at the time of initial employment. The file for staff #24 did not contain the results of a TB 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff 24 went for her TB screening and received her results Staff 4 is in the process of getting her TB screening. Going forward, we will ensure staff have a TB screening at initial hire and if they leave and return we know they need a new TB screening. . |
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| 2020-10-26 | Renewal | 3270.151(c)(3)/3270.151(c)(5) - Exam communicable disease/Physician/CRNP assessment | Needs Verification |
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Noncompliance Area: The file for staff #3 contained a health assessment which did not include the results of an examination for communicable diseases or the physician's assessment of the person's suitability to provide child care. 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 the physician's or CRNP's assessment of the person's suitability to provide child care. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 has an appointment scheduled to bring in the correct form. Going forward we will make sure we have the correct form and that employees understand we need a specific form. We also now know that if an employee leaves the center and is rehired later, they need a new TB test. |
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| 2020-10-26 | Renewal | 3270.192(5) - Two written references | Needs Verification |
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Noncompliance Area: The file for staff #10 contained only 1 reference. The file for staff #24 did not contain any references. 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 |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #10 had another reference but in was not in her file. Staff #25 was able to get references from nonfamily members. Going forward we will use our new staff checklist form to ensure references are in the files. |
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