Trice Day Care Centers Llc

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection the facility's current certificate of compliance was not posted in a conspicuous location used by 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: At the time of the inspection in the basement there were 9 children, including several 2-year old's, in the care of a single staff person

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At the time of the inspection the staff person in the one-year-old room left the children unsupervised for approximately less than one minute, so they could answer the door.

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. Children must be supervised at all times.

Regulation: 3270.106(f)

Description: 2 feet apart

Noncompliance Area: At the time of inspection, serval children were observed resting on cots that did not have at least 2 feet of space on three sides.

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

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: At the time of inspection, the file for child #1 did not include initial health assessment. Child #1 has been enrolled beyond 60 days.

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

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At the time of inspection, facility did not have hands-free covered can to dispose soiled disposable diapers.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, facility did not have policy developed for 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: 3270.152

Description: Adult Hygiene

Noncompliance Area: At the time of inspection, after diapering, staff person #1 did not immediately wash hands.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.163(a)(1)/3270.163(a)(4)

Description: Dairy/Grain

Noncompliance Area: At the time of inspection, the lunch provided by the facility did not include a dairy and a grain.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

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: At the time of inspection, the emergency contact form for child #1 did not provide parental consent for emergency care and minor first aid treatment.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of inspection, facility had not conducted annual emergency drill and could not provide documentation of annual emergency drill.

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

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: At the time of the inspection the record of child #1 had not been signed as updated in over 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.33(b)/3270.37(c)

Description: No more than 50% aides/Aides supervised all times

Noncompliance Area: At the time of the inspection in the rear classroom on the lower level staff person #1 was supervising staff person #2 both were identified as aides in the staff record. At the time of the inspection there were 5 of the 6 staff identified as aide in the staff record.

Correction Required: At least 50% of the staff persons in a facility shall be individuals qualified and functioning as directors, group supervisors and assistant group supervisors. No more than 50% of the staff persons may be of aide qualification level. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: On 10/28/22, Staff #1 file did not contain an updated Health Assessment. The last health assessment was dated 9/24/20.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: On 10/28/22, Staff #1, #2, #3 and #4 file did not contain annual fire safety training. The last fire safety training was dated 8/28/21.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: On 10/28/22, Staff persons # 1, #2, #3 and #4 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 within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: On 10/28/22, a wet ceiling tile was observed in the back childcare space located on the first floor of the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 11/2/21, during renewal inspection, completed PA Criminal, Child Abuse and FBI clearances were not observed in the file belonging to Facility Person #1. Additionally, completed DHS FBI clearances as required by CPSL, were not observed in the file belonging to Staff #2, hired 3/23/21. (The FBI clearances on file were issued by a department other than DHS)

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 at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance, FBI, NSOR information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1--- may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: On 11/2/21, during renewal inspection, proof of purchase/installation of the facility's fire detection system was not on file as required by Fire and Panic Act 62 of 2020.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: On 11/12/20, during renewal inspection, results of DHS FBI and NSOR clearance was not observed in the file belonging to Staff #1 (hired 9/10/20). (The FBI clearance on file for Staff #1 was issued by an agency other than DHS)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 -- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, fbi fingerprints, NSOR application, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1--- may not work in a child care position at the facility.

Noncompliance Area: On 3/5/2020, during complaint investigation, Staff #2 acknowledged that on 2/21/2020, Child #1 was left on the facility's lower level unsupervised. Staff #2 stated that at approximately 4:30pm, Child #1 was having behavior difficulties and was seated at the table drinking juice. Staff #2 left Child #1 at the table unsupervised while Staff #2 brought the rest of the children upstairs to combine with another classroom.

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. Children must be supervised at all times.

Noncompliance Area: Staff #1 is listed as the Director of the facility. Certification representative has conducted visits to the facility on 11/8/19, 12/17/18 and 3/5/20. Staff #1 has not been present at the facility during any of the referenced inspection visits. Staff present at the facility on 3/5/20 were not able to confirm director presence or schedule at the facility.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: On 3/5/2020, at approximately 11:30am, Staff #1 was observed out of ratio with 8 children (the youngest children were young toddlers) while staff #2 answered the front door located down the hall. Additionally, Staff #3 was observed out of ratio with 7 children on the lower level (the youngest child was 2 yrs old).

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: On 12/17/19, at approximately 12:15pm, Staff #1 was observed out of ratio with 15 children (the youngest children were Young Toddlers) while Staff #2 was answering the front door. Staff #1 and Staff #2 were observed out of ratio with 15 children (the youngest children were Young Toddlers) while Staff #3 was in the lower level making lunch.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

Noncompliance Area: On 11/8/19, Child #2 was observed unsupervised in the bathroom located down the hall from the basement level Older Toddler/PS room. Staff #2 was observed sitting in the classroom and not able to supervise Child #2 from where the classroom is located.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: On 11/8/19, a date of exam was not observed on the health assessment on file for Child #1

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: On 11/8/19, no evidence of accident/injury reports was observed on file at the facility.

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

Noncompliance Area: On 11/8/19, loose electrical cords attached to a DVD player hanging from a high shelf were observed in the Older Tod/PS room located in the basement. The electrical cords pose a threat to the safety of the children if a child were to pull on the cords possibly causing the DVD to fall on a child.

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

Noncompliance Area: On 11/8/19, an updated FBI clearance was not observed in the file belonging to Staff #1. The FBI clearance on file was dated 6/16/14.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility.

Noncompliance Area: On 11/8/19, Staff #2 was observed working alone as an AGS in the Older Toddler/PS room. Verification of education and experience was not observed in the file belonging to Staff #2.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: On 11/8/19, a cigarette butt was observed on the outdoor play space.

Correction Required: Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Noncompliance Area: ON 11/1/18, AT APPROXIMATELY 11:20AM, FIVE YOUNG TODDLERS WERE OBSERVED UNSUPERVISED IN THE YOUNG TODDLER ROOM FOR APPROXIMATELY 1 MINUTE WHILE STAFF #1 LEFT THE ROOM TO OBTAIN AN ITEM IN THE CLOSET. THE CLOSET WAS LOCATED AROUND A CORNER AND DOWN THE HALL FROM THE CLASSROOM WHERE CHILDREN COULD NOT BE SUPERVISED.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: ON 11/1/18, THE HEALTH REPORT BELONGING TO CHILD #1 INDICATED THAT IMMUNIZATIOINS ARE NOT UP TO DATE IN ACCORDANCE WITH THE SCHEDULE RECOMMENDED BY THE ACIP. DOCUMENTATION FROM THE PHYSICIAN REGARDING ONGOING VACCINE SCHEDULE WAS NOT ON FILE.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: ON 11/1/18, AN EPIPEN WAS OBSERVED IN THE MEDICINE CONTAINER LOCATED IN THE OFFICE. THE EPIPEN WAS NOT IN THE ORIGINAL CONTAINER AND DID NOT IDENTIFY THE NAME OF THE CHILD FORM WHOM THE MEDICATION WAS INTENDED. THE EPIPEN EXPIRED 8/2018.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: ON 11/1/18, ONLY ONE LETTER OF REFERENCE WAS OBSERVED IN THE FILE BELONGING TO STAFF #2.

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

Noncompliance Area: ON 11/1/18, EVIDENCE OF STAFF EVALUATIONS WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #1, #3, #4 AND #5.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: ON 11/1/18, EXPOSED BOLTS FACING TOWARD THE PLAY AREA WERE OBSERVED ON THE FENCE LOCATED ON THE OUTDOOR PLAY SPACE CAUSING A POTENTIAL HAZARD. ADDITIONALLY, A BOOKSHELF THAT WAS NOT SECURED TO THE WALL WAS LOCATED IN THE LOWER LEVEL OLDER TODDLER ROOM CAUSING A POTENTIAL HAZARD IF PULLED FORWARD.

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

Noncompliance Area: The emergency contact information in the file for facility child #1 did not have signed permission for minor first-aid.

Correction Required: 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.

Noncompliance Area: There was no written proof of staff #1 complying with the CPSL requirements at the time of inspection on 12/28/17. . There was no receipt proving the FBI was requested as required by the DHS regulations. This is continuous non-compliance from the inspection on 11/17/17

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 #1 may not work in an unsupervised 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.

Noncompliance Area: Staff #1 was observed working unsupervised at the time of inspection on 11/17/17. Staff #1 was a provisional hire, there was no written proof of a request for the FBI or state police.

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 # 1 may not work in an unsupervised 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 FBI 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.

Noncompliance Area: Eight toddlers were observed in the care of staff #1 was at the time of inspection on 11/17/17. Staff #1 was a provisional hire, not in the vicinity of an AGS or group supervisor.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: During the inspection on 11/17/17, seventeen toddlers was observed in the care of two staff.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.