Kristas Creative Castle

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact form on file for Child #1 did not 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.

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: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: All child files reviewed contained agreement forms that lacked the release persons designated by a parent on the forms.

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

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: All child files reviewed contained agreement forms that lacked the child's admission date at the facility on the form.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Staff file #1contained health assessments conducted on 2/9/21 and 5/4/23, which exceeded the 24 months as required.

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: There was aluminum foil with sharp edge cutter, a vegetable peeler and a pizza cutter on the counter in room 2 and accessible to the children while in care.

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

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The receptacle in room 2 near the refrigerator lacked a protective outlet cover and was accessible to children who are 5 years and younger.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3280.66(d)

Description: Arts and crafts non-toxic

Noncompliance Area: The operator had shaving cream that contains the statement keep out of reach of children that was identified for use as an art or craft material.

Correction Required: Arts and crafts materials shall be nontoxic.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The facility lacked scissors and tweezers in both first aid kits.

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: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility lacked a copy of the evacuation routes on the first floor of the facility where the parents drop of the children.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility lacked documentation of testing of the fire detection system every 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)), documentation showed testing conducted on 8/2/23, 9/4/23, 10/9/23, and 11/1/23.

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: 3280.131(e)(1)/3280.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health assessments

Noncompliance Area: The immunization record on file for child #1 lacked documentation of a flu shot within the past year.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan on file lacked a continuity of operation plan for the aftermath of a disaster.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

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

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

Noncompliance Area: The file for staff #2 lacked emergency plan training within 90 days of hire. This is evidenced by the current emergency plan training being dated 11/10/22. SEE LIS 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

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

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

Noncompliance Area: The file for staff #1 lacked 12 hours of childcare training from 12/19/20 thru 12/19/21.

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

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

Description: Completion of professional development/Exp, educ., training at facility

Noncompliance Area: Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet) CPR/FA and Health and Safety training. This is evidenced by the CPR/FA being completed on 10/4/22 and the health and safety training being completed 9/30/22.

Correction Required: All staff persons shall complete the professional development under subsection(f). 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 staff #2, who was a provisional hire, lacked an application for the NSOR on or before start date in a child care position. This is evidenced by the current NSOR application on file which is dated 7/14/22. SEE LIS CODE SHEET. There is now an NSOR on file and dated 7/14/22. Additionally, the disclosure statement on file for staff #2 was not the correct disclosure statement required by the CPSL. There was more than 60 months between the previous FBI clearances on file for household member #3. This is evidenced by the previous FBI clearance dated 10/16/17 and the current one dated 11/14/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3280.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: The following unsafe conditions and areas are accessible to children in the facility's outdoor play space: A driveway that borders the side of the yard on which the fenced in area that contains the dog is located; This driveway leads to the highly travelled main road; There is direct access to the highly travelled main road from the yard near the garage; There is no barrier to prevent access from the yard to the neighboring business; There is a portable fire pit located next to the dog fence which is accessible to the children; There is no barrier to prevent access to the highly travelled main road from the camper in the front of the facility which is located next to the garage as it is not flush against the ground and not flush against the garage.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was more 60 days between fire drills which were conducted on 6/13/22 and then on 8/29/22.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3280.105(f)

Description: 2 feet apart

Noncompliance Area: Observed 3 pack and plays set up for nap time not 2 feet apart on three sides of the equipment.

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: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted conspicuously in every child care space.

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.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The Emergency Plan lacked 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: 3280.26(c)/3280.192(2)(iii)

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

Noncompliance Area: The files of staff #1 and #2 lacked documentation of training regarding the emergency plan at the time of initial employment, on an annual basis.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of the inspection, there was not documentation of proof of purchase on file for the type of smoke detection system in place at the Group Child Care Home.

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.

Noncompliance Area: The files of children #1 and #2 lacked agreements with the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The files of children #1, #3, #4, and #5 lacked emergency contact information.

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

Noncompliance Area: The file of child #2 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

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

Noncompliance Area: The file of child #2 lacked an emergency contact form with the address 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.

Noncompliance Area: The file of staff #1, lacked a health assessment on file at the facility. Staff #1 is a household member who has regular contact with children in care.

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 on file at the facility.

Noncompliance Area: Observed a stove in the child care space downstairs with knobs on front therefore accessible to children in care.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.