Jens Group Day Care

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for Child #1 and Child #2 was lacking the persons designated by a parent to 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.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form on file for Child #1 was lacking the name, address and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #1, Child #3 and Child #4 was lacking 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(b)(4)/3280.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form on file for Child #1 was lacking written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form on file for Child #1 and Child #4 was lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #1 and Child #4 was lacking health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and Child #3 was lacking addresses and telephone numbers of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The two most recent updates for the emergency contact form and fee agreement for Child #3 are dated 8/21/24 and 4/3/25 which are more than 6 months apart.

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: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The emergency contact form on file for Child #1 was lacking signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4, was observed not to have completed 12 hours of annual training between 12/2023-12/2024.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #3 contained a NSOR certificate dated 9/17/20, which is more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #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.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file at the facility included dates of fire drill 9/24/24-1/14/25, 3/13/25-5/21/25, with the last drill dated 7/10/25, which are all more than 60 days between testings.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The 30-day fire detection log on file contained dates of testing 9/6/24-10/8/24, 10/8/24-11/12/24, 11/12/24-12/24/24, 12/24/24-1/28/25, 5/27/25-6/30/25, which are all more than 30 days between testing.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for Child #2 and Child #3 was lacking information to the family about the child's growth and development in the context of the services being provided.

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: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for Child #1 and Child #2 is lacking the persons designated by a parent to 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.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency form on file for Child #1 is lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #4 is lacking the address and telephone number of the individual designated by the parent to whom the child may be released.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The emergency contact form and fee agreement on file for Child #2 and Child #3 lacked a signed update within a 6 month period.

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(b)(2)/3280.182(1)

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

Noncompliance Area: The most current health assessment on file for Child #1, who is an older toddler, is dated 8/21/23.

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: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The facility was lacking documentation of written notification to local traffic safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an emergency drill being conducted within the last year.

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

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation that the emergency plan was updated and reviewed within the last year. The date of the last review was on 8/28/23.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The most recent emergency plan training on file for Staff Person #1, Staff Person #2, Staff Person #3 and Staff Person #4 is dated 8/28/23.

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.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The 30 day fire detection log on file contained dates of testing 1/2/24-2/27/24 and the most recent testing on file is dated 7/22/24 all more than 30 days apart.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: It was observed that there were not emergency contact forms located with the children when they were outside within the child care play 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.

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

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

Noncompliance Area: The most recent health assessment on file for child #1, who is a preschool aged child, is dated 2/11/22, more than 12 months prior.

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: 3280.76/3280.103

Description: Building Surfaces/Small Toys and Objects

Noncompliance Area: It was observed in the outdoor toddler play space that there was a support wire that was covered with a foam pool noodle, the foam was crumbling causing pieces of the foam to fall into the play space.

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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire detection system testing log contained dates of 10-10-22 to 11-10-22, 12-9-22 to 1-10-23, 1-10-23 to 2-10-23, and 7-10-23 to 8-10-23 which is more than 30 days apart with the most current testing date of 8-10-23.

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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed two rest mats in use by children which were town along the outer seam, exposing the foam pad.

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: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child #1, child #2, and child #3 contains an agreement which lacks the child's date of admission.

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

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: A review of the child files revealed that the original agreements were on file.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for child #2 lacks emergency contact information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Regulation: 3280.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: The file for child #1 contains emergency contact information which lacks the child's birthdate.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #5 contains emergency contact information which lacks the name. address, and phone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 contains emergency contact information which lacks 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #1 contains emergency contact information which lacks the address of the parent-designated release person(s). The file for child #5 contains emergency contact information which lacks the name. address, and telephone number of the parent-designated release person(s).

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: Observed the toddler and preschool rooms lack the emergency contact information for the children receiving care in the spaces. Emergency contact information was not present for the children observed receiving care in the outdoor play 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.

Regulation: 3280.131(a)/3280.131(e)

Description: Health Information/ACIP recommended immunization record

Noncompliance Area: The file for child #2, who has been in attendance at the facility more than 60 days lacks an initial health report and written verification of administered immunizations in accordance with the recommendations of the ACIP. Child #5, who has been in attendance at the facility more than 60 days, lacks an initial health report and written verification of immunizations administered to the child in accordance with the recommendations of the ACIP.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for child #2 lacks verification of a current influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1 staff person #1 may not work in a child-care position at the facility.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan was not updated by 07/01/22 to include volunteer training, a plan for practice drills, and a plan for continuity of operations

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)

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

Noncompliance Area: The most recent health assessment on file for staff person #3 is dated more than 24 months ago. The two most recent health assessments on file for staff person #4 are dated more than 24 months apart.

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

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: Written feeding statements for the two infants observed to be receiving care were not present at the time of the inspection.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3280.17

Description: Liability Insurance

Noncompliance Area: The insurance overage currently held by the legal entity does not include comprehensive general liability insurance.

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

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The annual notification to local safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the facility was not present at the time of inspection.

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

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The updates to the emergency contact information and agreement on file for child #2 and #3 were dated in an interval which exceeds 6 months. The update to the emergency contact information and agreement on file for child #5 are unable to be determined.

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: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #4 lacks two written, non-family 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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted in 2021.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The most recently documented emergency plan training on file for staff persons #1-#3 is dated 2020. The file for staff person #4 lacks verification of initial emergency plan training (see IS code sheet).

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The file for staff person #2 lacks verification of 5 hours of child care training completed within the most recent service year. The file for staff persons #3 and #4 lacks verification of 12 hours of child care training completed within the most recent service year.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #1 lacks verification of current Health and Safety training (see IS code sheet). Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety. (see IS code sheet)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 person #1 and staff person #3 will have until 10/22/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #3 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 person #1 and #3, staff person #1 and staff person #3 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 persons #2 and #3 lacks a current child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 and #3 may not work at the facility until a valid child abuse clearance is on file for each staff person.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

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

Noncompliance Area: The file for staff person #4 lacks verification of education to qualify for a primary staff person, which is the role that staff person #4 was observed performing.

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

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: Observed the exit from the back right room which opens the to the storage area adjacent to the room and which leads to an exit to the outside of the facility, was obstructed by a rocking chair and equipment.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: A review of the fire drill log revealed that during the intervals of 11/26/21-1/20/22 and 1/20/22-3/24/22, fire drills were held in an interval which exceeds 60 days.

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 fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: A review of the fore detection system testing log revealed that during the following intervals, the testing occurred in an interval greater than 30 days: 11/4/21-12/31/21, 12/31/21-1/31/22, 2/11/22-3/16/22. 5/11/22-6/16/22, 6/16/22-7/17/22.

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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space a red lawn mower had a visible sharp crack on the right side and a shovel had a broken handle. A red two wheeled bicycle had a broken seat. A red two wheeled bicycle and two blue two wheeled bicycles were not in good repair due to missing hand grips which exposed the metal edges of the handle bars.

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: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: In the infant room, an emergency contact for one infant was visibly missing and in the art room, the emergency contact for three older toddlers were visibly missing.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Regulation: 3280.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The file of child #3 contained a health assessment that was not signed by a physician, physician's assistant, or a CRNP.

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

Regulation: 3280.131(d)(5)/3280.131(e)(4)

Description: Immunization record/Annual immunization reporting to DOH

Noncompliance Area: The file of child #2 contained an influenza vaccine with a date of 12-18-19 and did not contain an updated influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Based on an investigation, the health assessment dates for staff #1 which were 10-4-17 and 8-19-20 were not valid. Therefore, staff person #1 did not have a valid health assessment on file since 8-19-19. The file will only contain original health assessments and not copies of health assessments.

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

Regulation: 3280.20

Description: General Health and Safety

Noncompliance Area: In the outdoor playspace, a blue Little Tykes playhouse had a cubby which was located below the window that contained standing water.

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

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan did not contain accommodations for infants, toddlers, 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.

Regulation: 3280.32(a)/3280.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for staff #1 contained one Mandated Training with a date of 8-8-15 exceeding the 60 month allowable provision for renewal for an employee. The file of staff #2 contained a Mandated Reporter Training of 6-22-15 and 10-13-20 which exceeded the allowable 60 month provision for an employee.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for household member #3 did not contain the PA Child Abuse Clearance, the Pa State Police Criminal Background Check, the FBI Clearance or the NSOR Clearance. Household member #3 is over the age of 18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective service 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. Household member#3 may not be present in the child care spaces where children are present at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the outdoor playspace, four gasoline cans were to the left of the grill and were accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: In the infant room, a first aid kit was missing scissors and 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.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the preschool room, a green pipe extending down from the ceiling had a sharp metal clamp protruding outward. The outdoor play space had multiple loose sharp metal ties on the bottom and top of the fence and were accessible to children. On the left side of the fence located at the top a silver sharp hook shaped tie was protruding outward. The fence area on the right side of the play space and located adjacent to the swimming pool had four posts with sharp exposed surfaces at the top that were not covered. The corner of the fence near the swimming pool had a bent/leaning post that was separated from the rest of the fence which allowed access to the swimming pool in the gap created by the separation.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: There was no evidence of a log to establish that the fire detection system at the facility had been tested at least every 30 days per the requirement.

Correction Required: (a) Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).(b) 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.

Noncompliance Area: In the rear-right room, a large plastic toy bin was observed to be cracked, posing scratching/ pinching hazards. Among the play kitchen toys in the same room, a hard-plastic play fruit container was observed to have cracks in the corners, posing scratch hazards.

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.

Noncompliance Area: The last Child Service Report for Child #1 was dated more than six months prior to the statewide emergency declaration and associated regulation suspensions and prior to the child being enrolled in kindergarten. A prior Child Service Report for Child #3 was not completed, as an older CSR was re-dated with note at the bottom that everything was the same. The most current Child Service Report prior is dated more than six months ago and was due just prior to prior to the statewide emergency declaration and associated regulation suspensions.

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).

Noncompliance Area: The agreement for Child #1 lacks the names of persons designated by a parent to 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.

Noncompliance Area: Emergency contact information for Child #1 lacks a complete address of the child's physician or source of medical care, as only a building is listed and the forms for Child #2 & 3 lack the phone numbers of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Emergency contact information for Child #3 lacks a complete home addresses of the enrolling parent. Emergency contact information for Child #1 lacks the work telephone numbers of the enrolling parent, even though a job is listed. Emergency contact information for Child #4 lacks the work address & telephone numbers of the enrolling parent, even though a job is listed.

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

Noncompliance Area: Emergency contact information for Child #1 lacks the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: Emergency contact information for Child #1, 2 & 3 lacks complete addresses of individuals designated by the parent to whom the child may be released. The form for Child #1 is also missing a phone number.

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

Noncompliance Area: The last two health assessments for Child #1, a preschooler at the time were dated more than 12 months apart, with the most recent health assessment was due prior to the child enrolling in kindergarten and prior to the statewide emergency declaration and associated suspended regulations.

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.

Noncompliance Area: The health report for Child #1 lacks the professional title of the medical provider who completed it.

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

Noncompliance Area: Operator statements in email and on the Child Service Report(s) documents that times of care for Child #1 had changed from full-day to B/A preschool to full-time to Kindergarten. This information was not updated on either of the last two Agreements. The last signed parental review of the Agreement for Child #3 was more than six months prior to the statewide emergency declaration and associated suspended regulations.

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

Noncompliance Area: The emergency contact information for Child #3 lacks written parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Correction Required: 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.

Noncompliance Area: Facility files lack verification of the prior year's Emergency Plan training.

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

Noncompliance Area: The facility COVID Health & Safety plan lacks a description of COVID-specific pick-up procedures.

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

Noncompliance Area: The facility lacked a posting of the most recent Certificate of Compliance.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The NSOR certification for Staff #1, a current staff member when the requirement went into effect, was obtained after 7/1/20. The most recent Mandated Reporter Training for Staff #1, 2, 3 was taken over 60 months ago. The file for Staff #2, a veteran staff, lacks a NSOR clearance. In addition, a household member over the age of 18 was stated by the operator to have moved back into the household in July, prior to obtaining required clearances for a household member.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #2 is excluded from providing child care.

Noncompliance Area: The facility first-aid kit lacked scissors.

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

Noncompliance Area: The pathway through the storage area behind two rooms of the facility, which includes an exit to the outside of the facility, was obstructed by household items and equipment.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: Upon arrival at the facility, it was observed that eight children were present in the main child care space- five children were present in the immediate area with Staff #1 and 3 children sat at a table in the child care space with an outside service provider. Staff #1 was asked to identify her group members and she named the five children in her immediate area, which included a toddler. She then added, "oh, and those 3", indicating the children at the table. It was determined that the outside service provider is not a staff or facility person at the facility. Children & facility files lacked specific written consent to release the children to the outside service provider while at the facility, and the outside service provider had not been listed as an individual designated in writing by the enrolling parent to whom the children can be released on the emergency contact form. Therefore, ratio was determined to be exceeded by at least two.

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 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12. A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Noncompliance Area: In the outdoor play space, one "Little Tykes"-style playhouse was observed to have cracks in the roof as well as a door hinge hole that has widened to expose rough edges, as the door was no longer attached. The large, wooden embedded structure in the mulched area of the play yard was observed to splinter and crack on several of the wood beams.

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.

Noncompliance Area: The child-lock used on the gate leading from the outdoor play space to the uncovered aboveground family pool was observed to be broken. The gate was able to be opened with little force. In addition, the pool's ladder was down.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: The Agreement for Child #5 lacked the operator's signature.

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

Noncompliance Area: The last two most recent Child Service Reports for Child #1 & 4 were completed nine months apart. In addition, the file for Child #4, enrolled since 11/5/17, lacked service reports prior to 1/31/19. The first Child Service Report for Child #3 was completed 9 months after initial enrollment.

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).

Noncompliance Area: The Agreement for Child #2 lacked names of persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the names of persons designated by a parent to whom the child may be released.

Noncompliance Area: The Agreement for Child #5 lacked the date of the child's admission.

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

Noncompliance Area: The Emergency contact information for Child #2 lacked the address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Emergency contact information for Child #2 lacks the health insurance 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.

Noncompliance Area: Emergency Contact Forms for Child #2 & 4 lacked the address(es) of the individuals designated by the parent to whom the child may be released.

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

Noncompliance Area: The Art room lacked a posting of the Emergency Transportation Plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Agreements and Emergency Contact Forms for Child #3, enrolled on 1/3/19 lacks documentation that forms have been updated/ reviewed by the parent.

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

Noncompliance Area: The health assessment for Child #3, re-enrolled on 1/24/18, was not submitted until after the 90th day of enrollment. A prior health assessment during a previous enrollment period was more than one year old.

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.The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: The health reports for the following children lack the indicated vaccines: Child #1- current influenza & one dose of Hep A; Child #2- current influenza; Child #4- no influenza and 1 dose of Hep A. Those files also lacked exemptions letters of any kind.

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