Kids World Daycare Center

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #1 had Mandated Reporter training completed on 6/30/21 and updated 7/13/26, which is greater than 60 months.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection, the Cafe refrigerator did not contain a thermometer.

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

Regulation: 3270.131(b)(2)/3270.182(1)

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

Noncompliance Area: During the renewal inspection, the most recent health report on file for Child #1 was dated 1/3/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, the facility's posted certificate of compliance had expired 11/1/23. A current certificate of compliance was not posted.

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: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection, the emergency contact for Child #1 had not been updated at least once in 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: 3270.151(a)

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

Noncompliance Area: During the renewal inspection, Staff #1 and Staff #2 did not submit a health assessment prior to providing initial service in the childcare facility.

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

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the operator had not sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, the file for Staff #2 contained a PDE FBI clearance, not the DHS FBI clearance as required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: During the renewal inspection, the provider did not have proof of purchase for fire alarms on file.

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)).

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection, the immunization record did not include the influenza vaccine for Child #1, Child #2 and Child #3. The file for Child #1, Child #2 and Child #3 did not include a statement of exemption from immunization written, signed and dated from the child's parent or guardian.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection, the hot water temperature was 120° F at the Pre-K bathroom sink and 119° F at both sinks in the children's bathroom.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, peeling paint was observed in the toilet stalls in the children's bathroom.

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

Regulation: 3270.24(a)

Description: Immediate access

Noncompliance Area: During the inspection on 5/12/22, Staff #2 was on vacation and the files were locked in an office with none of the other staff persons having access. As a result, the staff files were unavailable for review at the time of the inspection.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: During the inspection on 5/12/22, pre-service training had not been completed within 90 days of hire for Staff #3, #4, #5, #6 and #7.

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

Regulation: 3270.33(d)

Description: General requirements for facility persons

Noncompliance Area: During the inspection on 5/12/22. Staff #5, who had not completed pre-service training in pediatric first-aid and CPR techniques, was alone providing care for four children ages 1-4.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

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

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

Noncompliance Area: During the inspection on 5/12/22, the file for Staff #1, functioning as an assistant group supervisor, did not contain documentation of the required years of experience for the assistant group supervisor position.

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

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: During the inspection on 5/12/22, it was verified that Staff #1, qualified as an aide, opens the facility between 5:15am and 5:30am and is alone with children until the next staff person arrives around 7:00am.

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

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

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 legal entity must arrange for all facility staff to receive a minimum of two hours training regarding ratios and supervision of children through the Regional Key.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

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.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: During the inspection on 5/12/22, it was verified that both Staff #1 and Staff #3 have opened the facility alone and have exceeded the staff:child ratio with mixed age levels between the hours of 5:15am and 7:00am.

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 legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: During the inspection on 5/12/22, Staff #2 was alone in the facility between the hours of 5:00am and 7:00am with a total of four children ages 1 through 4. It was also verified that Staff #1 and Staff #3 are openers for the facility and work alone with children between 5:15am and 7:00am.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: During the inspection, the legal entity did not have a current copy of the general liability insurance on file at the facility.

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

Noncompliance Area: During the renewal inspection, a written plan of activities was not posted in the Preschool, Toddler or Infant rooms.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: During the renewal inspection, the emergency contact for Child #1 was not present in the Preschool room where the child was 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.

Noncompliance Area: During the renewal inspection, Staff #1 took nine children on a walking excursion and did not take along their emergency contact information.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: During the renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the Preschool or Infant rooms.

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: During the renewal inspection the file for Child #4, enrolled 6/10/19, did not contain any initial or subsequent health reports.

Correction Required: A health report shall include a review of the child's health history. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During the renewal inspection, the immunization record for Child #5, enrolled 2/13/18, did not include the influenza vaccine nor a written, signed and dated statement from the child's parent or guardian.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Noncompliance Area: During the renewal inspection, it was observed that the fire detection system was not operable because the alarms on the 2nd and 3rd floors had been removed and were not present on these floors.

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

Noncompliance Area: During the renewal inspection, the posted certificate of compliance expired on 11/1/19 and the current certificate was not posted.

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: During the renewal inspection, the NSOR verification certificate for Staff #2, #3, #4 and #5 was received on 8/5/20 which was after the 7/1/20 deadline for existing staff under the CPSL. The file for Staff #2 contained an invoice but did not contain the criminal record check certification as required under the CPSL.

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.

Noncompliance Area: During the renewal inspection, the file for Staff #1 and Staff # 2 did not contain proof of experience to qualify for the Assistant Group Supervisor position they were performing.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: During the renewal inspection, Staff #1, an aide, was alone providing care for 9 preschool children; Staff #2, an aide, was alone providing care for 1 toddler.

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

Noncompliance Area: During the renewal inspection, Staff #1 took nine children on a walking excursion and did not take along a first aid kit.

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

Noncompliance Area: During the renewal inspection, a hole was observed in the carpet on the corner wall in the Toddler Room.

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

Noncompliance Area: During the renewal inspection, peeling paint was observed on the walls in the Preschool room.

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

Noncompliance Area: During the renewal inspection, the required handwashing sign was not posted in the girls bathroom.

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

Noncompliance Area: During the renewal inspection the last documented fire drill was held on 7/15/19.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: During the inspection, the mulch under the playground equipment had been displaced and was not adequate to meet the recommendations of the United States Consumer Product Safety Commission.

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

Noncompliance Area: During the inspection, the emergency contact information and the financial agreement were not updated at least once in a 6-month period for Child #1 and Child #2.

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.

Noncompliance Area: During the inspection, the immunization record for Child #1 did not include any of the rotavirus vaccines.

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.

Noncompliance Area: During the inspection, Staff # 2, hired 6/21/18, and Staff #4, hired 2/18/19, did not receive training regarding the emergency plan at the time of initial employment.

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

Noncompliance Area: During the inspection, the first aid certification, dated 2/25/16, had expired for Staff #1 and Staff #3.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: During the inspection, the water temperature was 115 F in the boys bathroom and 120 F in the girls bathroom at the hand-washing sinks.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: Observed soiled toy truck in the toddler care space and dirty Lego in the infant care space.

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: Child #1 had an immunization record dated 4/27/18 but did not have a completed health assessment on file. Child #2 had an immunization record dated 3/15/18 but did not have a completed health assessment on file.

Correction Required: 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: Observed cold and flu medication unlabeled in the box where medications are kept at the facility.

Correction Required: 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: Staff #1, who is qualified as an aide, was left alone with 5 preschool age children

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