Georgiana Myers

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The plastic bucket holding toys in the infant/toddler area was observed to be cracked.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan does not address continuity of operations and specify the role of a volunteer, if applicable.

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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 did not have documentation of a disclosure statement.

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.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the facility's entrance way, it was observed peeling paint on the wall in the stairway.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Children #2, #3 & #4 were observed to lack the Department's approved form (Child Service Report) which had been completed in accordance with the updates regarding emergency contact information at § 3280.124(f). This was evidenced by a Child Service Report dated December 1, 2023, in the file of child #2, & a Child Service Report dated December 9, 2023 in the file of child #3, documenting a period of 8 months from date of enrollment. The file of child #4 did not contain a child service report.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 was observed to contain an emergency contact form that failed to include the home and 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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for children #2, #3 & #4 were observed to contain emergency contact forms that had not been updated in a 6-month period. Specifically, the files for Child #2, #3 contained emergency contact forms dated April 1, 2023, a period of 8 months. Child #4's file contained an emergency contact form without dates.

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: 3280.131(d)(2)

Description: Child's allergies

Noncompliance Area: The file for child #2 was observed to contain a health report that failed to include a list of the child's allergies if any.

Correction Required: A health report shall include a list of the child's allergies.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to lack a policy and procedure addressing shaken baby syndrome, 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.

Regulation: 3280.26(a)(4)

Description: Contact when ended

Noncompliance Area: The facility was observed to have an emergency plan that lacked a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safety be reunited with their children

Correction Required: 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.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that provides the accommodations for children with disabilities and children with chronic medical conditions but failed to provide the 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: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The files for Staff person #1 and #2 were observed to lack documentation of renewal of their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the previous certification, as evidence by only a current certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) present in their files.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: Second citation. Previously cited on 4/28/23. The file for staff #1 lacks 12 hours of child care training between 12/19/21 and 12/19/22. The file for staff #2 lacks 11 hours of child care training between 4/27/22 and 4/27/23. The file for staff #3 lacks 7 hours of child care training between 12/19/21 and 12/19/22.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.137

Description: Children with Symptoms of Disease

Noncompliance Area: In June of 2023, 3 children who had a communicable disease were not excluded from attendance until the operator received notification from a physician or CRNP that the children were able to return to childcare as they were no longer considered a threat to the health and safety of others.

Correction Required: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: The wooden outdoor play house had multiple areas where the wood was starting to splinter causing rough edges and sharp points.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: In the infant/toddler room, observed a pack n play which lacked a label with the child's name.

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: 3280.108(a)

Description: Clean, good repair, proper size

Noncompliance Area: In the infant/toddler room, observed a shelving unit which wobbled when touched.

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

Regulation: 3280.118(c)

Description: Vet's certificate required

Noncompliance Area: The facility file for the cat named Socks contained a rabies immunization which expired on 1/2/23.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #1, 2, 3, 4, and 5 lack an acceptable child service report within the past 6 months.

Correction Required: An agreement shall specify 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 at § 3280.124(f).

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: There was more than 12 months between the previous and most current and updated health report on file for child #3, who is of preschool age. Dates are as follows: 3/4/22 and 4/2/23.

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 must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #5 lacks verification of a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP.

Correction Required: Child #5 must be dismissed from care by close of business on 6/21/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #7 did not complete the one hour health and safety update by 12/30/22. Training is now on file and dated 4/26/23.

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: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff # 5 lacked a health assessment within 12 months prior to providing service in a child care position. SEE IS CODE SHEET. There is now a current health assessment on file and dated 4/19/23.

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: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The file for staff #4 lacked a TB screening within 12 months prior to providing initial service in a child care position. SEE IS CODE SHEET. There is now a current TB screening with results on file and dated 4/6/23. The file for staff #5 lacked a TB screening within 12 months prior to providing service in a child care position. SEE IS CODE SHEET. There is now a current TB screening on file and dated 4/19/23.

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.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the previous children's paper files were disposed of. Therefore, there were no six month updates on file for children # 2, 3, 4 and 5.

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: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no initial health assessments on file for children #1, 2, 3, 4 and 5.

Correction Required: A child's record must contain initial and subsequent health reports.

Regulation: 3280.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no dates of application and initial dates of admission on file for children #1, 2, 3, 4 and 5.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.182(3)/3280.182(5)

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

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there was no written consent for emergency medical care or minor first-aid on file for children #1, 2, 3, 4 and 5 which was obtained prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3280.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no reports of accidents, injuries and illnesses involving a child at the facility in the children's files prior to staff #1 acquiring the app.

Correction Required: A child's record must 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.

Regulation: 3280.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Staff #1 obtained a new app to manage child files. Children were given new dates of admission and the children's previous paper files were disposed of. Therefore, there were no copies of the initial agreements on file for children #1, 2, 3, 4 and 5.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents and instructions for contacting the appropriate regional child care office were not provided to parents.

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.

Regulation: 3280.26(c)/3280.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: There was more than 12 months between the previous and most current emergency plan trainings on file for staff #1, 2 and 7. The file for staff #5 lacked emergency plan training within 90 days of hire. There is now current emergency plan training on file for staff #1, 2 7 and 5.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff #2 lacks 12 hours of child care training between 12/19/21 and 12/19/22. The file for staff #5 lacks 11 hours of child care training between 4/27/22 and 4/27/23. The file for staff #7 lacks 7 hours of child care training between 12/19/21 and 12/19/22.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #3, 4, 5 and 6 lack a signature date on the disclosure statements. The file for staff #3 lacked a Child Abuse Clearance on or before initial start date in a child care position. See IS code sheet. There is now a Child Abuse Clearance on file and dated 4/26/23.

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.

Regulation: 3280.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the children's bathroom was located under the sink in an unlocked drawer which was accessible to the children.

Correction Required: A first-aid kit shall be inaccessible to children.

Regulation: 3280.123(a)(4)/3280.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: The fee agreement on file for child #2 lacked the child's arrival and departure times and the persons designated by the parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was located in the kitchen and not present in the child care spaces where children were receiving care.

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.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact information and fee agreements on file for children #1, 3 and 4 were not updated within the past 6 month period. Last review/updates are as follows: Child #1 -8/4/21, #3-4/11/21 and child #4 - 9/3/21.

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: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The parent of each child enrolled was not provided the information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility file lacked documentation of an emergency drill which was conducted within the past year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff #2 contained 4 of the required 12 hours of child care training from 12/19/20 thru 12/19/21.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #1, 2, 5, and 7--- have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: : Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #1, 2, 5 and 7--- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff persons #3 and 4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Staff #3 and 4 - pediatric first aid/CPR training in an approved curriculum with a PQAS trainer certified in that training topic.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff persons #3 and 4 will have until 7/15/22 to complete the required training. Until such time as the required training has been completed, staff persons #3 and 4--- must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and 4--, staff persons #3 and 4-- may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #6 lacked an NSOR on or before initial start date in a child care position. ( SEE IS CODE SHEET) There is now an NSOR on file and dated 3/21/22. The file for staff #8, lacks an NSOR on or before initial start date in a child care position. There is no NSOR on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 8-- may not work 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 #--- may not work in a child care position at the facility.

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location of the fire was the same for consecutive drills which were conducted on 1/4/22 and 2/3/22.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: An evacuation route was not posted in the top floor of the facility.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility file lacked proof of purchase of the interconnected fire detection devices.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met Proof of purchase of the facilities interconnected fire detection system/devices shall be on file at the facility.