Frederick Douglass Christian School
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About the Provider
Hours of Operation
- Monday8:15 AM - 6:00 PM
- Tuesday8:15 AM - 6:00 PM
- Wednesday8:15 AM - 6:00 PM
- Thursday8:15 AM - 6:00 PM
- Friday8:15 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 |
|---|---|---|---|
| 2026-03-30 | Allocated Unannounced Monitoring | 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: During unannounced monitoring on 4/8/26, Cert Rep observed the following: Staff # 3 was observed working alone unsupervised and did not have preservice trainings in file 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.) Staff #3 will not serve in any capacity within the childcare program until she has successfully completed the required 6 hours of Health and Safety Pre-Service Training and obtained certification in Pediatric First Aid/CPR. |
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| 2026-03-30 | Allocated Unannounced Monitoring | 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: During unannounced monitoring on 4/8/26, Cert Rep observed the following: Staff # 2's FBI was dated 10.24.2020 Staff # 3 did not have documentation of clearances in file Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # --2 and 3 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. Facility Person #-2 and 3 -- 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.) Staff #2 has obtained her FBI clearance. It was issued on [insert date] and will expire on [insert date]. A copy of the clearance is attached for your review. Staff #3 will no longer work in the childcare program. |
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| 2026-03-30 | Allocated Unannounced Monitoring | 3270.34(b)/3270.34(c) - Director qualifications/Employed and present 30 hrs/wk | Compliant - Finalized |
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Regulation: 3270.34(b)/3270.34(c) Description: Director qualifications/Employed and present 30 hrs/wk Noncompliance Area: During unannounced monitoring on 4/8/26, Cert Rep observed the following: Staff # 2 reported to Cert Rep that they did not satisfy the requirement of a minimum of 30 hours per week in the childcare facility Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #3 will no longer work in the childcare program, as she does not have the required qualifying documentation on file |
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| 2026-03-30 | Allocated Unannounced Monitoring | 3270.36(b)(5)/3270.191 - HS/GED + 2 yrs/Individual Records | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.191 Description: HS/GED + 2 yrs/Individual Records Noncompliance Area: During unannounced monitoring on 4/8/26, Cert Rep observed the following: Staff # 3 was observed in the classroom but did not have documentation of a file in 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. An individual record is required for each facility person. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff #1, who is currently serving as Interim Director, will dedicate 30 hours per week exclusively to the childcare program to ensure proper supervision and oversight. We are actively interviewing qualified candidates and anticipate having a full-time director in place by May 1. |
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| 2025-09-22 | Renewal | 3270.124(b)(6) - Insurance coverage information | Compliant - Finalized |
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Regulation: 3270.124(b)(6) Description: Insurance coverage information Noncompliance Area: During the renewal inspection on 9/22/25, Cert rep observed the following: Child # 3's emergency contact did not include health insurance and policy number 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.) The emergency contact form forms have been updated to include the children's health insurance coverage and policy number. The corrected documentation has been placed in the child's file as of 10/3/2025 |
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| 2025-09-22 | 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: During the renewal inspection on 9/22/25, Cert rep observed the following: Child # 1's emergency contact and agreement was last signed 4/26/24 and again on 8/28/25 Child # 2's emergency contact was last signed 10/7/24 and again on 9/2/25 Child # 4's emergency contact and agreement was last signed on 8/28/24 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.) Frederick Douglass Christian School has ensured that all emergency contact and financial agreement forms for each enrolled child have been reviewed and updated as of October 6, 2025. Each form now reflects current parent signatures and up-to-date contact information. The administrative office has verified that all forms are compliant with the six-month update requirement |
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| 2025-09-22 | 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: During the renewal inspection on 9/22/25, Cert rep observed the following: - The facility's shaken baby syndrome policy did not include prevention and identification of child maltreatment 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.) The Shaken Baby Syndrome Policy was revised on September 24, 2025, to specifically address prevention and identification of child maltreatment. The revisions now include: - Prevention: Language was added outlining caregiver strategies to prevent child maltreatment, including stress-reduction, safe soothing techniques, and use of support systems. - Identification: The policy now lists observable signs and symptoms of child maltreatment, including indicators of shaken baby syndrome, with clear staff responsibilities to respond and report concerns. Corrective Action Taken: -Updated written policy distributed to all staff on September 24, 2025. -All staff signed acknowledgment forms confirming receipt and understand revised policy was incorporated into staff training records and will be reviewed during new hire orientation |
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| 2025-09-22 | Renewal | 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(3)/3270.182(5) Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Noncompliance Area: During the renewal inspection on 9/22/25, Cert rep observed the following: Child # 2, and # 3's emergency contact did not have parental signature for emergency medical care and administration of minor first aid Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) A review of all current children's files has been conducted to ensure that signed consent for emergency medical care and minor first aid is on file for every child enrolled at Frederick Douglass Christian School. Signed parental consent forms for students 1 and 2 were obtained on 10/3/2025 and placed in their files. These documents now provide the required written consent for both emergency medical care and administration of minor first aid by facility staff. |
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| 2025-09-22 | Renewal | 3270.27(a)(5) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(5) Description: Emergency plan Noncompliance Area: During the renewal inspection on 9/22/25, Cert rep observed the following: The facility's emergency plan did not include accommodations for children with disabilities and children with chronic medical conditions 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. |
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Provider Response: (Contact the State Licensing Office for more information.) . Immediate Corrective Action Taken: As of October 6, 2025, Frederick Douglass Christian School (FDCS) has updated and revised the facility's Emergency Action Plan (EAP) to include a detailed section titled "Students and Staff with Chronic Medical Conditions or Disabilities." This section outlines specific procedures for: Developing Individualized Emergency Support Plans (IESPs) for children with disabilities or chronic medical conditions (e.g., asthma, diabetes, seizure disorders, mobility limitations, etc.). Assigning a trained emergency support staff member ("Emergency Partner") to each identified child to ensure safe evacuation, relocation, or shelter-in-place procedures during an emergency Maintaining accessible emergency medical kits (including inhalers, EpiPens, insulin, or seizure medication) to travel with each designated student during any evacuation. Ensuring communication with parents/guardians during and after emergencies related to a child's specific health or medical needs. Providing annual staff training on emergency response procedures for children with disabilities and chronic conditions. |
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| 2025-09-22 | Renewal | 3270.31(e) - Age and Training | Compliant - Finalized |
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Regulation: 3270.31(e) Description: Age and Training Noncompliance Area: During the renewal inspection on 9/22/25, Cert rep observed the following: Staff # 1 and # 3 did not have documentation of 12 clock hours of childcare training in file Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. |
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Provider Response: (Contact the State Licensing Office for more information.) Frederick Douglass Christian School has reviewed staff files and confirmed that both Staff #1 and Staff #3 have participated in professional development training Courses which exceed the required 12 clock hours of annual training. All staff training hours were completed by 10/1//2025. Documentation of completed training hours be maintained in each staff file for review |
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| 2025-01-22 | Allocated Unannounced Monitoring | 3270.111(b) - Posted in group space | Compliant - Finalized |
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Regulation: 3270.111(b) Description: Posted in group space Noncompliance Area: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: Room # 206 did not have a written plan of daily activities posted in the childcare space Correction Required: 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.) A comprehensive daily schedule has been developed and is now prominently displayed in the classroom for both staff and parents to View. The schedule includes age-appropriate activities, designated times for meals, naps, playtime, learning activities, and gross motor play. The schedule clearly outlines all activities for the day, providing consistency and structure for the children. |
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| 2025-01-22 | Allocated Unannounced Monitoring | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: Staff # 1 did not have documentation of 2 nonfamily references in file 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 Person #1 was contacted immediately to inform them of the violation. The required references were collected directly From the Staff Person via email on January 23, 2025 and placed in the staff member's file. |
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| 2025-01-22 | Allocated Unannounced Monitoring | 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: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: Staff # 1 did not have child abuse, NSOR and had the incorrect FBI in file. Staff # 1 had department of justice FBI and not DHS in file 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 childcare 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. Facility Person #---1 may not work in a childcare position at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff # 1 will not be in a childcare position until all clearances are completed and in file |
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| 2025-01-22 | Allocated Unannounced Monitoring | 3270.36(b)(5)/3270.192(2)(ii) - HS/GED + 2 yrs/Exp, educ., training prior to facility | Compliant - Finalized |
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Regulation: 3270.36(b)(5)/3270.192(2)(ii) Description: HS/GED + 2 yrs/Exp, educ., training prior to facility Noncompliance Area: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: Staff # 1 did not have documentation of education and 2 years of childcare experience in file to qualify as AGS 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #1's file was updated on 1/23/2025 with documentation from the Delaware Department of Education, certifying Staff person # 1 is an Early Childhood Assistant Teacher (certification received in July 2012). On 1/23/2025, the file was further updated with a copy of the staff person's high school diploma dated June 1992 |
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| 2025-01-22 | Allocated Unannounced Monitoring | 3270.75(a) - In child care spaces | Compliant - Finalized |
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Regulation: 3270.75(a) Description: In child care spaces Noncompliance Area: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: Room # 206 did not have a first aid kit in the childcare space Correction Required: A first-aid kit shall be in a child care space. |
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Provider Response: (Contact the State Licensing Office for more information.) Upon being informed of the violation, immediate action was taken to ensure compliance with state regulations. A fully stocked first aid kit was procured and placed in classroom #206 on January 22, 2025. The kit is stocked with required items such as bandages, gloves, scissors, thermometer, soap, and other essential items as outlined by state guidelines for childcare facilities. |
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| 2025-01-22 | Allocated Unannounced Monitoring | 3270.76 - Building Surfaces | Compliant - Finalized |
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Regulation: 3270.76 Description: Building Surfaces Noncompliance Area: During Allocated unannounced inspection on 1/22/25, Cert Rep observed the following: The window sill in Room #206 was dirty 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 school custodian cleaned the windowsills, floors, walls, and ceilings with disinfectant as well as other areas throughout classroom 206. Further all surfaces including shelves and chairs were thoroughly cleaned. Toys were sanitized and air dried. The classroom carpet was cleaned and vacuumed. The outdoor play area was cleaned of any debris. |
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| 2024-10-04 | Renewal | 3270.123(a) - Signed | Compliant - Finalized |
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Regulation: 3270.123(a) Description: Signed Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Child # 1, 2, and # 4's agreement was not signed by parent or operator Correction Required: An agreement shall be signed by the operator and the parent. |
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Provider Response: (Contact the State Licensing Office for more information.) All parents of children #1, 2, and 4 were informed on 10/21/2024 of the agreement which is required to be signed by the operator and the parent. The operator has signed all agreements as well as parents of children # 1 and 2 . Child # 4 has been out due to failure to return to fill out documents. Parent was contacted on 11/4/24and informed the teacher document would be completed on 11/5/24upon return |
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| 2024-10-04 | Renewal | 3270.123(a)(3) - Services proceeded | Compliant - Finalized |
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Regulation: 3270.123(a)(3) Description: Services proceeded Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Child # 1-4 did not have current child service reports in file 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). |
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Provider Response: (Contact the State Licensing Office for more information.) An immediate audit of all children's files were completed on 10/22/24. Staff persons completed the child service reports on 10/23/24. The staff have scheduled parent/teacher conferences with the parents/guardians of all children enrolled in the pre-k program at FSCS. During the conferences teachers will discuss the importance of ensuring that all documentation is completed including the child's emergency contact prior tit he first day of attendance. Further the teachers have explained that during the conference period they will have an opportunity to discuss their child's developmental; progress. |
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| 2024-10-04 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Child # 1and 4's agreement did not list release person's information Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) On 10/23/2024 Parents of children #1 and 4 were contacted to inform them of the missing release person's names on the Emergency Contact form. Parent of child # 1 and 4 both updated their Emergency Contact forms on 10/24/2024. |
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| 2024-10-04 | Renewal | 3270.124(c) - Each child care space | Compliant - Finalized |
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Regulation: 3270.124(c) Description: Each child care space Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Emergency contacts were not present in the childcare 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. |
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Provider Response: (Contact the State Licensing Office for more information.) The current procedures regarding the Emergency Contact Binder were analyzed. Spoke with both teachers in the classroom to explain the importance of having the ECB in the child space when children are present in the classroom in the event of unexpected emergencies. The ECB was immediately placed within the child space that afternoon. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following Child # 3's emergency contact and agreement was last signed 9/13/23 and 9/19/23 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.) Parent was informed on 10/23/2024 that child #3's Emergency Contact was expired (9/19/2023) and needed to be updated immediately in order for child #3 to continue to attend. Parent was provided with a new form which was updated on 10/25/2024 and placed in Child #3's file. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following Child # 1's health assessment was dated 10/20/22 Child # 2 did not have a health assessment in file Child # 3's health assessment was dated 9/5/23 Child # 4's health assessment was dated 7/24/23 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.) Child #1, 2, 3, and 4's parents was contacted to inform them of expired or missing child health assessment on 10/22/2024. Parents and guardians were further provided with the regulations regarding a child having a physical within 60 days of enrollment. Child # 1's parent provided an updated copy of child #1's health assessment via email on 10/23/2024. Child #2's family provided an updated copy of the child's health assessment on 10/24/2024. Child 3# has not returned to school since 10/23/2024 due to a family emergency per the parent. Child #4 had a health assessment completed on 11/7/2024 and will return to school on Monday, 11/12/2024. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following: - The facility's emergency plan did not include continuity of operations -The facility's shaken baby syndrome policy did not include the prevention and identification of child maltreatment 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.) The continuity of operations plans, and the prevention and identification of child maltreatment were updated and included in the emergency plan on 11/4/24. The director reviewed existing policies to identify specific deficiencies related to the identification and reporting of child maltreatment. On 11/5/24 staff will participate in an annual prevention and identification of child abuse training by the director |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 1, and # 3 did not have a health assessment in file Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. |
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Provider Response: (Contact the State Licensing Office for more information.) Violation for Staff # 1 was immediately updated by placing a health assessment dated for 3/27/24 on file. On 10/24//24 staff # 3 provided an additional updated health assessment for 2024 |
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| 2024-10-04 | Renewal | 3270.171(a) - Pick-up and drop-off points | Compliant - Finalized |
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Regulation: 3270.171(a) Description: Pick-up and drop-off points Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The facility did not have documentation of notifying local traffic safety authorities annually in writing of the location of the facility 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. |
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Provider Response: (Contact the State Licensing Office for more information.) An immediate review of all documentation was conducted on 10/21/24 to confirm the absence of the annual safety traffic letter. A safety letter has been drafted and has been finalized and submitted to the Department of Public safety License and Inspection on 10/30/24 detailing the following: Designated drop off and pick up zones, and instructions for ensuring safe pedestrian traffic patterns. |
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| 2024-10-04 | Renewal | 3270.182(3)/3270.182(5) - Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission | Compliant - Finalized |
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Regulation: 3270.182(3)/3270.182(5) Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Child # 2's emergency contact did not have parental signature for administering minor first aid and emergency medical care Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. |
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Provider Response: (Contact the State Licensing Office for more information.) Require that all staff documents are placed in staff files prior to first day of working with children. Monitor staff files monthly to ensure that documents have not expired or are in the process of lapsing. Establish a tracking system that allows for notifications as staff are nearing expirations on any documentation in the staff file. All staff will receive a 30 day notification of expiring documents. child # 2 is no longer at the facility |
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| 2024-10-04 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 4 and # 6 did not have documentation of 2 non-family references in file 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.) An immediate review of all documentation was conducted on 10/21/24 to confirm the absence of the annual safety traffic letter. A safety letter has been drafted and has been finalized and submitted to DHS on 10/30/24 detailing the following- designate drop off , pick up zones, and instructions for ensuring safe pedestrian traffic patterns. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following The facility did not have information on how parents are to access the regulations 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 violation was corrected on 10/21/24. The QR code with the Pennsylvania licensing standards has been placed On the PA State and local regulation board for parents to access the licensing regulations |
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| 2024-10-04 | Renewal | 3270.27(b) - Plan reviewed/updated annually | Compliant - Finalized |
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Regulation: 3270.27(b) Description: Plan reviewed/updated annually Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The facility's last documented update of the emergency plan was dated 12/15/2020 Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) On 11/4/24 the review of the existing emergency plan was completed to identify any gaps and areas needing improvement. The emergency plan was updated to include current information that reflects the current needs to provide a safe and effective environment for the children and staff |
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| 2024-10-04 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 1-6 did not have documentation of emergency plan training in file 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 violation was corrected on 10/22/24. Staff person # 1-6 at FDCS were provided with annual emergency plan training |
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| 2024-10-04 | Renewal | 3270.27(f) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(f) Description: Emergency plan Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The facility did not have documentation to show that the emergency plan was sent 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.) On 11/4/24 the emergency plan was hand delivered to the following locations- Chester city, bureau of fire, 320 E, 14th street, Chester PA 19013, and Delaware county Media- for approval. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 4 and # 5 did not have documentation of annual fire safety training in file 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.) Violation was corrected on 10/24/24. Staff # 4 and 5 were informed of the violation on 10/21/24. The director did a review of staff training records to identify any additional staff who lacked the fire safety training. Each staff that completed the fire safety training through the Chester fire department received a fire safety certificate that was immediately place in their staff file in the director's office. |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 3 did not have documentation of FBI, and NSOR in file Staff # 4 listed as facility staff did not have documentation of child abuse and FBI in file Staff # 6 listed as facility staff did not have documentation of FBI in file Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 3,4,6, may not work in a childcare 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. Facility Person #-3,4,6-- 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.) Staff # 3 will not be in a childcare position until all clearances are complete and place in file Staff # 4 and # 6 are facility staff and will not be in childcare space until all clearances are completed and place in file |
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| 2024-10-04 | Renewal | 3270.34(a) - Director responsibilities | Compliant - Finalized |
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Regulation: 3270.34(a) Description: Director responsibilities Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following Staff # 1 's file is incomplete and does not meet the requirements Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). |
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Provider Response: (Contact the State Licensing Office for more information.) An immediate review of Staff # 1's file was conducted on 10/21/24 to identify missing documentation. The specific documents that were incomplete such as health assessment was placed in file on 10/21/24. Additionally, an updated copy of Staff# 1's health assessment dated for 10/24/24 was placed in file |
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| 2024-10-04 | 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: During renewal inspection on 10/21/24, Cert rep observed the following The facility's hot water tested at 122 degrees 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.) Violation was corrected on 10/21/24. An immediate assessment of all hot water sources was conducted on the afternoon of 10/21/24 to identify specific locations where the water temp exceeds a safe limit. The temp of the hot water system was adjusted by the school custodian to ensure it does not exceed 122 degrees. Further the temp has been monitored daily to ensure safety |
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| 2024-10-04 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The first aid kit in room 204 did not have soap 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Violation was corrected on 10/21/24. An immediate inventory of the first aid kit was conducted on 10/21/24 to assess compliance with required items and to ensure that the first aid kit is in compliance. a bar of soap was purchased and added to the first aid kit on 10/21/24. all staff persons were informed about the violation and the importance if maintaining a fully stocked first aid kit on 10/21/24 |
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| 2024-10-04 | Renewal | 3270.76/3270.77(a) - Building Surfaces/No peeling paint or plaster | Compliant - Finalized |
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Regulation: 3270.76/3270.77(a) Description: Building Surfaces/No peeling paint or plaster Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following - There was peeling paint in the gym, and classroom 204 near windows -the gym floor needed to be swept (corrected) - the classroom 204 windowsills were dirty 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. |
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Provider Response: (Contact the State Licensing Office for more information.) A thorough inspection pf the gym, classroom 204 and all windowsills was conducted on 10/21/24 to assess the extent of the peeling paint and dirt accumulation. All dirty windowsills were cleaned on 10/21/24 ensuring a hygienic environment for the children. The school custodian accessed all areas that had chipped paint and painted all areas on 10/25/24 to ensure that all areas are in compliance |
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| 2024-10-04 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The bathroom in room 204 did not have a handwashing sign 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. |
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Provider Response: (Contact the State Licensing Office for more information.) On 10/21/24/a handwashing sign was designed and printed. The sign includes clear instructions on proper handwashing techniques. the handwashing signs were installed in all restrooms throughout FDCS on 10/21/24 ensuring visibility for both staff and children |
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| 2024-10-04 | Renewal | 3270.94(a)(1) - Every 60 days | Compliant - Finalized |
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Regulation: 3270.94(a)(1) Description: Every 60 days Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The facility did not have documentation of conducting fire drills every 60 days Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. |
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Provider Response: (Contact the State Licensing Office for more information.) On 10/21/24 a review of the fire drill records was conducted to locate missing fire drills logs from the previous school year. that would indicate a fire drill took place every 60 days. fire drill log documentation was located covering 1/4/24 of this year and previous years. a fire drill was conducted on 10/30/24 with the assistance of the Chester fire department. The fire drill was documented in the fire drill log with all the staff persons signing the log with their initials to show that they were present and participated in the drill. |
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| 2024-10-04 | Renewal | 3270.95(a) - Devices must be compliant | Compliant - Finalized |
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Regulation: 3270.95(a) Description: Devices must be compliant Noncompliance Area: During renewal inspection on 10/21/24, Cert rep observed the following The facility did not have documentation that the fire detection system is tested every 30 days 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)). |
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Provider Response: (Contact the State Licensing Office for more information.) An immediate assessment of the fire detection system was conducted on 10/21/24 to determine its current operational status. Additionally, on 10/30/24 the fore department was contacted by the FDCS director and conducted an additional test to ensure that all components were operational |
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| 2023-11-28 | Renewal | 3270.113(a) - Supervised at all times | Compliant - Finalized |
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Regulation: 3270.113(a) Description: Supervised at all times Noncompliance Area: During the renewal inspection on 12/01/23, Cert Rep observed children enter into the bathroom space to use the bathroom without being supervised. Cert Rep also observed school age children in room #204 left unsupervised by their assigned teacher. Cert Rep also observed children left unsupervised during lunch with volunteer while staff #2 was observed outside of the cafeteria. Cert Rep also observed staff #3 working unsupervised with children during provisional period. Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff persons will supervise children at all times. |
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| 2023-11-28 | 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: During the renewal inspection on 12/01/23, Cert Rep did not observe a policy for Prevention of shaken baby syndrome and abusive head trauma, and child maltreatment. 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.) Create policy and place in facility file. |
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| 2023-11-28 | 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: During the renewal inspection on 12/01/23, Cert Rep did not observe an Updated 1-hour Health and Safety training in the files of staff persons #1 and #4. Cert Rep did not observe any required Health and Safety Trainings in the file for staff #2 and she was observed working alone with children. 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.) Staff person #2 will not work in childcare position at the facility. Staff persons #1 and #4 will complete Updated 1-hour Health and Safety training. |
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| 2023-11-28 | Renewal | 3270.27(c) - Training regarding plan | Compliant - Finalized |
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Regulation: 3270.27(c) Description: Training regarding plan Noncompliance Area: During the renewal inspection on 12/01/23, Cert Rep did not observe verification of emergency plan training in staff files. 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.) Emergency plan training completed November 28, 2023. |
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| 2023-11-28 | 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: During the renewal inspection on 12/01/23, Cert Rep did not observe verification of fire safety plan training in staff files. 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.) Fire safety training completed October 31, 2023. |
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| 2023-11-28 | 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: During the renewal inspection on 12/01/23, Cert Rep observed that staff person #2 has not completed the required pre-service training within 90 days of their date of hire. 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.) Staff person #2-- has completed the required Health and Safety training. |
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| 2023-11-28 | 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: During the renewal inspection on 12/01/23, Cert Rep observed PA Department of Education FBI clearance dated 09/10/21 in the file of Staff person #2. Cert Rep observed outdated disclosure statements in the files of staff person #1, dated 11/01/16 and staff person #4, dated 05/08/17. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Staff person #2 has submitted all required clearances. Staff person #1 and #4 have both signed and updated disclosure statements and placed inside file. |
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| 2023-11-28 | Renewal | 3270.61(f) - No business simultaneous use | Compliant - Finalized |
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Regulation: 3270.61(f) Description: No business simultaneous use Noncompliance Area: During the renewal inspection on 12/01/23, Cert Rep observed Room #204 on the capacity was not observed as set up as childcare space but used as a storage space. Correction Required: Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered. |
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Provider Response: (Contact the State Licensing Office for more information.) The room has been cleared of storage items, cleaned, and in use as a childcare space. |
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| 2023-11-28 | Renewal | 3270.95(b) - Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(b) Description: Director or designated staff person ensure compliance Noncompliance Area: During the renewal inspection on 12/01/23, Cert Rep did not observe proof of purchase for interconnected fire detection system. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) An attestation form was signed and dated in lieu of proof of purchase of interconnection system. |
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| 2022-09-29 | Renewal | 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: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. DURING THE FACILITY WALKTHROUGH, STAFF PERSON #4 AND STAFF PERSON #5 (IN CLASSROOM #1 PRESCHOOL ROOM) DID NOT HAVE PRIMARY CARE GROUPS ASSIGNED. ALTHOUGH STAFF PERSON #5 WAS IN THE CLASSROOM, STAFF PERSON #4 HAD RESPONSIBILITY FOR ALL 11 CHILDREN PRESENT. 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.) Provider will assign primary care groups to all staff for supervision of children. |
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| 2022-09-29 | Renewal | 3270.123(a)(5) - Designated release persons | Compliant - Finalized |
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Regulation: 3270.123(a)(5) Description: Designated release persons Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FEE AGREEMENT FOR CHILD #1, #3, #4 AND #6 DID NOT INCLUDE PERSONS WHOM THE CHILD MAY BE RELEASED. Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will have parents complete release persons section on the fee agreements. |
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| 2022-09-29 | Renewal | 3270.131(b)(2)/3270.131(c) - Toddler/preschool: updated health report every 12 months/Completed or signed by physician, PA, or CRNP | Compliant - Finalized |
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Regulation: 3270.131(b)(2)/3270.131(c) Description: Toddler/preschool: updated health report every 12 months/Completed or signed by physician, PA, or CRNP Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR CHILD #1, #2 AND #4 DID NOT HAVE AN UPDATED HEALTH ASSESSMENT. 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 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will have parents bring in updated heath assessments for children. |
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| 2022-09-29 | Renewal | 3270.151(a)/3270.151(c)(2) - 12 months prior to service and every 24 months thereafter/Mantoux TB | Compliant - Finalized |
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Regulation: 3270.151(a)/3270.151(c)(2) Description: 12 months prior to service and every 24 months thereafter/Mantoux TB Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR FACILITY PERSON #2 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT OR TUBERCULOSIS SCREENING. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will have staff person bring in updated health assessment for file. |
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| 2022-09-29 | Renewal | 3270.18(a) - On file at facility | Compliant - Finalized |
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Regulation: 3270.18(a) Description: On file at facility Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FACILITY DID NOT PROVIDE UPDATED GENERAL LIABILITY INSURANCE. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will get a copy of updated liability insurance to have at the facility. |
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| 2022-09-29 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR FACILITY PERSON #2 DID NOT INCLUDE TWO WRITTEN 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.) Provider will have staff provide reference letter to add to the file. |
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| 2022-09-29 | Renewal | 3270.27(a)(6) - Emergency plan | Compliant - Finalized |
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Regulation: 3270.27(a)(6) Description: Emergency plan Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FACILITY DID NOT HAVE A COMPLETED EMERGENCY DRILL LOG AVAILIBLE. Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will conduct an Emergency Drill and document the information on a log. |
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| 2022-09-29 | 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: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR FACILITY PERSON #2 AND STAFF PERSON #3 DID NOT INCLUDE AN UPDATED 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will keep updated fire safety training on file at the facility. |
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| 2022-09-29 | 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: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE HEALTH & SAFETY TRAINING. 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.) Provider will have staff person complete health & safety training. |
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| 2022-09-29 | 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: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE A PEDIATRIC CPR FIRST AID TRAINING. 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.) Provider will have staff person complete pediatric first aid training. |
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| 2022-09-29 | 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: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE AN NSOR CLEARANCE OR MANDATED REPORTER TRAINING. THE CHILD ABUSE CLEARANCE AND STATE POLICE CLEARANCE FOR FACILITY PERSON #2 WAS DATED FEBRUARY 2017. THE RECORD FOR FACILITY PERSON #2 ALSO DID NOT INCLUDE AN FBI CLEARANCE. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #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. Facility Person #1 and #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.) Provider will have staff complete all required trainings and clearances. |
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| 2022-09-29 | Renewal | 3270.66(a) - Locked or inaccessible | Compliant - Finalized |
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Regulation: 3270.66(a) Description: Locked or inaccessible Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THERE WAS TOXIC CLEANING SUPPLIES IN AN UN-LOCKED CLOSET LOCATED IN CLASSROOM #1. 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.) Provider will add a lock to the classroom closet doors. |
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| 2022-09-29 | Renewal | 3270.75(c) - Has all items | Compliant - Finalized |
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Regulation: 3270.75(c) Description: Has all items Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRST AID KIT IN ROOM #1 DID NOT CONTAIN GLOVES. (CORRECTED ON SITE). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) At the time of inspection, provider added gloves to the first aid kits. |
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| 2022-09-29 | Renewal | 3270.82(g) - Clean and good repair | Compliant - Finalized |
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Regulation: 3270.82(g) Description: Clean and good repair Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THERE WERE 3 BROKEN SINKS LOCATED IN THE GRILS BATHROOM. IN ADDITION, THE TOILET IN STALL #1 DID NOT FLUSH. Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will have someone come out to repair sinks and toilet. |
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| 2022-09-29 | Renewal | 3270.82(h) - Handwashing signs | Compliant - Finalized |
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Regulation: 3270.82(h) Description: Handwashing signs Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE BATHROOMS THROUGHOUT THE FACILITY DID NOT HAVE HANDWASHING SIGNS POSTED OVER EACH TOILET AND SINK. (CORRECTED ON SITE). 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. |
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Provider Response: (Contact the State Licensing Office for more information.) At the time of inspection, provider posted handwashing signs over sinks and toilets throughout the facility. |
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| 2022-09-29 | Renewal | 3270.95(b) - Director or designated staff person ensure compliance | Compliant - Finalized |
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Regulation: 3270.95(b) Description: Director or designated staff person ensure compliance Noncompliance Area: ON SEPTEMBER 29, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FACILITY DID NOT HAVE DOCUMENTATION OF CHECKING THE FIRE ALARM SYSTEM EVERY 30 DAYS. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will check fire alarm system and complete documentation. |
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| 2021-09-24 | Renewal | 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: ON SEPTEMBER 24TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; STAFF PERSON #2 AND STAFF PERSON #3 (LOCATED IN THE PRESCHOOL CLASSROOM) WERE NOT ASSIGNED THE RESPONSIBILITY FOR SUPERVISION OF SPECIFIC CHILDREN. 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.) Provider will have the classroom list split in half and assign primary caregiving to specific teachers. |
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| 2021-09-24 | Renewal | 3270.134(a) - Child's hands washed | Compliant - Finalized |
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Regulation: 3270.134(a) Description: Child's hands washed Noncompliance Area: ON SEPTEMBER 24th 2021, AFTER PLAY TIME IN THE GYM CHILDREN WERE GIVEN WATER TO DRINK WITHOUT WASHING HANDS FIRST. IN ADDITION, AT LUNCH TIME SEVERAL CHILDREN DID NOT GET THEIR HANDS WASHED BEFORE EATING THEIR MEAL. Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will check daily to make sure that children hands are being washed before meals. |
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| 2021-09-24 | 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: ON SEPTEMBER 24TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #2 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT. 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.) Provider will have staff person #2 make an appointment for a Health Assessment. |
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| 2021-09-24 | Renewal | 3270.152 - Adult Hygiene | Compliant - Finalized |
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Regulation: 3270.152 Description: Adult Hygiene Noncompliance Area: ON SEPTEMBER 24th 2021, DURING LUNCH TIME STAFF PERSON #1 DID NOT WASH THEIR HANDS PRIOR TO HELPING SEVERAL CHILDREN OPEN FOOD PACKET. Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will make sure to wash hands prior to helping children open food packets. |
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| 2021-09-24 | Renewal | 3270.192(5) - Two written references | Compliant - Finalized |
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Regulation: 3270.192(5) Description: Two written references Noncompliance Area: ON SEPTEMBER 24TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT INCLUSED TWO NON FAMILY REFERENCE LETTERS. 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.) Provider will have staff person #2 bring in needed reference letters for staff file. |
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| 2021-09-24 | 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: ON SEPTEMBER 24TH 2021, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #2 DID NOT HAVE A FBI CLEARANCE ON FILE. Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. |
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Provider Response: (Contact the State Licensing Office for more information.) Provider will remove staff person #2 from the classroom until she has her FBI clearance or a weaver on file. |
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| 2021-09-24 | Renewal | 3270.66(c) - Toxic use- no contamination | Compliant - Finalized |
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Regulation: 3270.66(c) Description: Toxic use- no contamination Noncompliance Area: ON SEPTEMBER 24TH 2021, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH; THE UNLOCKED CLOSET LOCATED IN THE PREK CLASSROOM HAD TOXIC CLEANING SUPPLIES IN REACH OF CHILDREN. (CORRECTED ON SITE). Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. |
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Provider Response: (Contact the State Licensing Office for more information.) At the time of inspection, provider moved the toxic cleaning supplies to a higher shelf in the closet. |
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| 2021-09-24 | Renewal | 3270.75(d) - On excursions | Compliant - Finalized |
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Regulation: 3270.75(d) Description: On excursions Noncompliance Area: ON SEPTEMBER 24TH 2021, CERTIFICATION REPRESENTATIVE CHECKED ALL FIRST AID KITS. THE FIRST AID KIT USED FOR EXCURSIONS DID NOT CONTAIN A BOTTLE OF WATER. (CORRECTED ON SITE). 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). |
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Provider Response: (Contact the State Licensing Office for more information.) At the time of inspection provider added water to the first aid kit. |
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| 2021-09-24 | 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: ON SEPTEMBER 24TH 2021, DURING THE RENEWAL INSPECTION, DOCUMENTATION FOR PROOF OF TESTING THE FIRE SYSTEM WAS NOT AVAILIBLE. 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.) Provider will contact the fire department to have them send over a copy of the testing dates and results. |
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