EMILIE ROAD DAY CARE CENTER BLDG 3

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: At the time of the inspection, the brown square carpet in preschool #2 room and the 5 carpets in the prekindergarten room needed cleaning.

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

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At the time of the inspection, the crib of child #1 did not have 2 feet of space on three sides. Non-compliance was corrected on site.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, the emergency transportation plan was not observed in preschool #1, #2 and the prekindergarten room.

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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: At the time of the inspection, the health assessment of child #2 was dated 8/9/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

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

Noncompliance Area: At the time of the inspection, the health assessment of child #3 was dated 10/4/24.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the inspection, peeled paint was observed in preschool room #1 under the television and the hallway in front of the preschool rooms.

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

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the inspection, the files of staff person #3 and #4 did not include the emergency plan 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.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of the inspection, the file of staff person #1 did not include a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: At the time of the inspection, the files of staff #2, #3 and #4 did not include the fire safety training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, the file of staff person #4 did not include the DHS FBI and an NSOR clearances and staff person #3 did not include an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of renewal inspection observed one child leaving Pre-K room and going to the bathroom located at the end of the hallway. Staff was not supervising a child when he left a room to wash his hands.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the identification of child maltreatment were not observed.

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.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: At the time of renewal inspection, verification that local traffic safety authorities are notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was not observed.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of renewal inspection, an agreement of child #1 was not updated at least every 6 months. Last time agreement was signed by parents on 8/20/23.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.181(e)

Description: Emergency master file updated

Noncompliance Area: At the time of renewal inspection observed that emergency information was not updated in each child care space. Each classroom had emergency contact forms that were updated by parents more than 6 months ago.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency plan did not include information about accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #2 did not include PA state police and NSOR certificates. Provisional hire period for staff person #2 ended on 11/19/24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 Person #2 may not work in a child care position at the facility.

Regulation: 3270.37(b)(3)/3270.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: At the time of renewal inspection, file of staff persons #1 and #2 did not include verification that staff has a minimum of an 8th grade education and 2 years of experience with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of renewal inspection observed staff person #1, who has a position of an aide, working alone with children in Pre-K room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.94(a)(9)

Description: Written record

Noncompliance Area: At the time of renewal inspection observed that fire drill log did not include the evacuation time.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3270.105

Description: High Chairs

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed missing straps on the highchair activity table in the Infant room.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed the pack and plays located in the Infant room were not labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #2's file did not contain an agreement signed by the operator and the parent.

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

Regulation: 3270.123(a)(1)/3270.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #3 and #4's agreement did not specify the amount of the fee to be charged per day or per week. Observed child #4's agreement did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #5's emergency contact information did not include the telephone number 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.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #4's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #5's emergency contact information did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #1's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #1's emergency contact information and financial agreement were not reviewed/updated within the 6-month time frame.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #2's file did not include an initial health report.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #5's health report did not include up to date immunizations according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed the facility's emergency plan did not address continuity of operations. Observed staff person #2's file did not include verification of Health and Safety (CCDBG) training update.

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.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed the general liability insurance on premises was expired.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed child #3's record did not contain signed parent consent for transportation.

Correction Required: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed staff person #1, #2 and #3's files did not include verification of emergency plan training.

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed staff person #1's file did not include out of state clearances from Florida.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

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

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

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed staff person #1 and #3's record did not include verification of child care experience prior to service at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed an electrical outlet without a protective receptacle cover in the Infant room.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed diaper rash creams child accessible in the Infant room.

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

Regulation: 3270.75(d)

Description: On excursions

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed the travel first-aid kit in the bus did not include a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed a broken electrical outlet base in the Pre K room, a hole in the wall behind the book case and two loose air vent covers on the ceiling in the Toddler room, water damage on the ceiling and broken tiles in the 3 Year Old's room.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: During the renewal inspection conducted on 11/2/2023 observed the girl's bathroom located in the Toddler room did not have a handwashing sign posted.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.151(a)/3270.151(c)(2)

Description: 12 months prior to service and every 24 months thereafter/Mantoux TB

Noncompliance Area: During the unannounced inspection on 2/16/23, it was observed that the records of staff person #1 did not include a health assessment conducted within 12 months prior to providing initial service in a childcare setting and tuberculosis screening by the Mantoux method at initial employment.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the unannounced inspection on 2/16/23, it was observed that the records of staff person #1 did not include verification of childcare experience, and education prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During the unannounced inspection on 2/16/23, it was observed that the records of staff person #2 did not contain documentation to verification that staff person #2 received training regarding the emergency plan at the time of initial employment,

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.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the unannounced inspection on 2/16/23, it was observed that staff person #2 was observed working unsupervised and had no documentation in staff's file of training in Pediatric First Aid & CPR.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the unannounced inspection on 2/16/23 it was observed that the records of staff person #2 did not contain the National Sex Offender Registry clearance as required by the CPSL. Staff person #1 was observed working alone with children unsupervised and had no record of the National Sex Offender Registry clearance on file as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. each facility person receives training regarding the emergency plan at the time of initial employment,

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: During the complaint investigation 2/10/23-2/16/23, it was determined that physical punishment was used with a child. Staff person #1 appeared on the video to handle a child roughly..

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.111(a)/3270.111(b)

Description: Written plan/Posted in group space

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the infant room did not have a written plan of daily activities and routines, including a time for free play for infants in attendance

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.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the records of child #1 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the records of child #3 and child #4 did not include an initial health report no later than 60 days following the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(e)(4)

Description: Annual immunization reporting to DOH

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the records of child #1, child #3 and child #4 did not contain an influenza vaccine or exemption letter in accordance with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3270.151(a)

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

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the records for staff person #1 and staff person #2 did not include an updated Health assessment. Documents dated 11/18/20 20 and 11/9/2020 respectively.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal on 12/6/22, it was observed that the records of child #2 did not include and updated financial agreement at least once in a 6-month period or as soon as there is a change in the information. Document dated 10/20/2019.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that the records of staff person #3 did not include training by a professional in the field of Pediatric first-aid and cardiopulmonary resuscitation (CPR

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.

Regulation: 3270.65/3270.76

Description: Protective Outlet Covers 5 yrs. or less /Building Surfaces

Noncompliance Area: During the renewal inspection on 12/6/22, it was observed that an outlet in the reading area of the Pre-school room did not have a receptacle cover and the outlet was broken on the bottom exposing the area in the back of the outlet cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.115(a)(5)

Description: Staff:child ratios while swimming

Noncompliance Area: During the inspection on 8/3/22, it was observed that there were 12 children in the pool with one staff person

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8

Regulation: 3270.115(a)(7)

Description: Lifeguard not included in ratio

Noncompliance Area: During the inspection on 8/3/22, it was observed that staff #1 identified as the lifeguard was the only staff person at the pool with the 12 children initially.

Correction Required: When children are swimming, the person certified in lifeguard training may not be included in the staff-child ratio.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that there was no written affirmation on a form stating that the facility is in compliance with this requirement for cribs according to the United States Consumer Product Safety Commission

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that the records of child #1 did not include the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that -the records of facility person #3 did not include verification of education for an AGS -the records of facility person #4 did not include acceptable verification of education for a Director

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.21/3270.95(a)

Description: General Health and Safety/Devices must be compliant

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that there was no Fire Detection system inspection within the last year at least annually-submitted inspection dated 10/5/2020

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that the records of facility person #1 did not include Health and Safety training as required by the CCDBG

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that the records of facility person #2 did not include the National Sex offender Registry Certificate(NSOR) as required by the CPSL

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position 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.

Regulation: 3270.95(b)

Description: Director or designated staff person ensure compliance

Noncompliance Area: During the renewal inspection on 11/10/21, it was observed that the requirements for the annual inspection of the fire detection system according to ACT 62 was not met.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: During the renewal inspection on 11/24/20, it was observed that there was no thermometer in the refrigerator, where food was stored, in the school age room next to the Pre-K room

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During the renewal inspection on 11/24/20,it was observed that the trashcans in the School Age rooms and Pre-K rooms had no covers

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: During the renewal inspection on 11/24/20, it was observed that the walls around the trashcan in the school age room next to the Pre-K room appeared dirty and stained

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT GROWTH AND DEVELOPMENT INFORMATION WAS COMPLETED FOR CHILD # 4, 5 AND 6 WITHIN A 6-MONTH PERIOD.

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).

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE FINANCIAL AGREEMENT REVIEWED FOR CHILD # 3 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION WAS NOT PRESENT IN THE PRESCHOOL CLASSROOM FOR CHILD # 7, 8, 9, 10, 11 AND 12, WHO WERE PRESENT AND RECEIVING CARE IN THE SPACE.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, AN EMERGENCY TRANSPORTATION PLAN WAS NOT POSTED IN THE PRE-K CLASSROOM, THE FRONT PRESCHOOL CLASSROOM AND THE BACK PRESCHOOL CLASSROOM.

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.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE HEALTH REPORT REVIEWED FOR CHILD # 5 DID NOT INCLUDE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT AND FINANCIAL AGREEMENT INFORMATION REVIEWED FOR CHILD # 2, 4 AND # 5 WAS NOT UPDATED WITHIN A 6-MONTH PERIOD.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT INFORMATION REVIEWED IN THE PRESCHOOL CLASSROOM WERE EXPIRED/INCOMPLETE.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, AN ACCIDENT, INJURY AND ILLNESS FILE WAS NOT RETAINED AT THE FACILITY.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMEREGENCY PLAN REVIEWED AT THE FACILTIY DID NOT PROVIDE FOR SHELTER OF CHILDREN DURING AN EMERGENCY INCLUDING SHELTER IN PLACE AT THE FACILITY AND SHELTER AT LOCATIONS AWAY FROM THE FACILITY PREMISES.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMERGENCY PALN REVIEWED DID NOT PROVIDE FOR EVACUATION OF CHILDREN FROM THE FACILITY BUILDING AND EVACUATION OF CHILDREN TO A LOCATION AWAY FROM THE FACILITY PREMISES.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EMERGENCY PLAN REVIEWED DID NOT PROVIDE A METHOD FOR A FACILITY PERSON TO CONTACT PARENTS AS SOON AS REASONABLY POSSIBLE WHEN AN EMERGENCY SITUATION ARISES AND A METHOD FOR A FACILITY PERSON TO INFORM PARENTS THAT THE EMERGENCY HAS ENDED AND TO PROVIDE INSTRUCTION AS TO HOW PARENTS CAN SAFELY BE REUNITED WITH THEIR CHILDREN.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 OBTAINED AN ANNUAL MINIMUM OF 6 CLOCK HOURS OF CHILD CARE TRAINING WITHIN A 12-MONTH PERIOD.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT STAFF PERSON # 1 PARTICIPATED IN FIRE SAFETY TRAINING WITHIN A 12-MONTH PERIOD.

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.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE PA CRIMINAL HISTORY CLEARANCE REVIEWED FOR STAFF PERSON # 1 WAS NOT AN ACCEPTABLE CLEARANCE. ( THE DOB ON THE STAFF PERSON'S ID READ 08/09/1956 AND THE DOB ON THE PA CRIMINAL HISTORY CLEARANCE READ 08/08/1956)

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.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE EDUCATION DOCUMENTS (BACHELOR DEGREE TRANSCRIPTS) REVIEWED FOR STAFF PERSON # 1 ( WHO WAS IDENTIFIED AS THE DIRECTOR) WAS NOT AN ACCEPTABLE DOCUMENT. THE DOB ON THE STAFF PERSON'S ID READ "08/09/1956" AND THE DOB ON THE EDUCATION TRANSCRIPTS READ " 08/08/1957"

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, AT APPROXIMATELY 09:34 AM THE CERTIFICATION REPRESENTATIVE OBSEVRED STAFF PERSON # 2 ALONE IN THE YOUNG TODDLER CLASSROOM WITH SEVEN CHILDREN. ( THE YOUNGEST CHILD IN THE GROUP WAS A ONE YEAR OLD CHILD) AT APPROXIMATELY 10:02 AM THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 2 ALONE IN THE OLDER TODDLER CLASSROOM WITH SEVEN CHILDREN. ( THE YOUNGEST CHILD WAS A TWO YEAR OLD CHILD) AT APPROXIMATELY 11:28 AM THE CERTIFICATION REPRESENTATIVE OBSERVED STAFF PERSON # 1 ALONE WITH NINE CHILDREN IN THE PRESCHOOL CLASSROOM. ( THE YOUNGEST CHILD WAS A TWO YEAR OLD CHILD)

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

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE FIRST-AID KIT IN THE FRONT AND BACK PRESCHOOL CLASSROOM WAS MISSING GLOVES.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THERE WAS CHIPPING PAINT ON THE PEACH WALL ACROSS FROM THE PRESCHOOL CLASSROOM OVER THE WINNIE THE POOH CHAIRS.

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

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE HANDWASHING SIGNS OVER THE SINK IN THE BATHROOM DID NOT SPECIFY "BEFORE EATING" THE HANDWASHING SIGNS NEAR THE DIAPERING STATION DID NOT INCLUDE THE WRITTEN REQUIREMENTS. " AFTER TOILETING AND BEFORE EATING"

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: ON JANUARY 08, 2020 DURING THE RENEWAL INSPECTION, THE TOILET AREA NEAR THE FRONT TODDLER CLASSROOM AND THE BACK PRESCHOOL CLASSROOM WAS NOT EQUIPPED WITH A LIDDED WASTE RECEPTACLE.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: THERE WERE NO VISIBLE WOODCHIPS OR SURFACE COVERING UNDER THE SWING SETS ON BOTH PLAYGROUNDS OR THE CLIMBER.

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

Noncompliance Area: CHILD 1 DID NOT HAVE THE RELEASE PERSON'S ADDRESS ON THEIR EMERGENCY CONTACT FORM.

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.

Noncompliance Area: CHILD 1'S HEALTH REPORT WAS NOT SIGNED BY A PHYSICIAN, PHYSICAIN'S ASSISSTANT OR A CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF A HEALTH ASSESSMENT NOT THE RESULTS OF A TB TEST IN THEIR FILE.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: STAFF 1 DID NOT HAVE PROOF OF EXPERIENCE IN THEIR FILE.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: STAFF 1 DID NOT HAVE RECEIPT OF FINGERPRINTING IN THEIR FILE AT THE TIME OF INSPECTION.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: NONE OF THE STAFF HAD PROOF THAT THEY ATTENDED A FIRESAFETY TRAINING.

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

Noncompliance Area: STAFF 2 WAS IN A ROOM ALONE WITH THE CHILDREN AND DID NOT HAVE ALL OF THEIR CLEARANCES AND WAS A PROVISIONAL HIRE.

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

Noncompliance Area: THERE WAS CHIPPED AND PEELING PAINT/PLASTER IN THE BOYS ROOM WITH THE DINOSAURS, SNAOW WHITE BATHROOM, AND ALL THE BATHROOMS IN THE YOUNG TODDLER AREA. THE SINK IN THE GIRLS ROOM IN THE YOUNG TODDLER AREA WAS COMING OFF THE WALL AND THE SINK BASE HAD PEELING PAINT.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: Observed a child hitting another child while the staff person was doing an activity with other children. Certification representative advised her of child hitting the other child. Also observed a child running into the hallway unsupervised to go to the bathroom who was advised to go back into the room by the director.

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.

Noncompliance Area: Observed staff in toddler room did not know which children they were responsible for. When asked how many children were in the child care space staff stated there were 12. There were 10 children counted. On 8/17/2018 during follow-up observed staff in the toddler room did not know which children they were responsible for.

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.

Noncompliance Area: Observed staff person step out of the room leaving 1 staff to 10 children with the youngest in the room being 2 years old.

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