Little Discoveries Day Care

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Children were observed receiving care in the following areas and emergency contacts were not present in this space per regulation: Toddler Two's, Pre K and Toddler-down.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in a health assessment at least every 24 months. Staff #2 did not participate in a health assessment at least every 24 months (previous 9/28/23).

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

Regulation: 3270.166(3)

Description: Disposable nursers or parents

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Staff stated that infant bottles are being washed at the facility, and the facility does not have a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their clearances at least every 60 months. The following staff did not update their clearance every 60 months as required by regulation: Staff #1 (NSOR previous 11/6/19, current 12/6/24), Staff #2 (NSOR previous 11/6/19, current 2/26/25), Staff #3 (NSOR previous 9/4/19, current 10/28/24), Staff #5 (State Police previous 11/1/19, current 2/26/25; FBI previous 10/30/19, current 3/1/25; NSOR previous 12/10/19, current 1/3/25), Staff #6 (NSOR previous 12/20/19, current 1/3/25) and Staff #7 (NSOR previous 11/6/19, current 1/3/25).

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. TIERED LIS: 1. Facility Person #1, #2, #3, #5, #6 and #7 may not work in a child care position with direct contact with children at the facility. (THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.) 2. The Legal Entity and any Legal Entity Administrator(s) will call the Northeast Daycare Regional Office (800-222-2108) to schedule the legal entity and any legal entity administrator(s) to participate in the next Existing Provider Training. Legal Entity and any Legal Entity Administrator(s) will submit documentation to the Northeast Daycare Regional Office that they have attended the orientation. (THE LEGAL ENTITY WILL PROVIDE A DATE FOR WHEN THIS TRIANING WILL BE COMPLETED.)

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Several windowsills throughout the facility were observed dirty, with bugs and with peeling paint. These areas were discussed with staff during the inspection. Dusty vents were also observed throughout the facility. These vents were discussed with staff during the inspection. The bathroom in Preschool 2 room had peeling paint by the garbage can and a stink that water continually ran. A hole was observed in the Young School Age classroom. The door frame to the Older School Age bathroom contained peeling paint. The Preschool play area contained a section of fencing that had come off from the pole.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of facility's fire drill log was conducted. Regulation requires fire drills occur at least every 60 days. The following drills lapsed occurring at least every 60 days: 10/22/24, 12/20/24, 2/20/25, 4/18/25, 6/23/25 and 8/15/25.

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

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires that the fire safety system is tested at least every 30 days. The following tests did not occur at least every 30 days: 9/1/24, 10/1/24, 11/1/24, 12/2/24, 1/2/25, 2/3/25, 3/3/25, 4/3/25, 5/2/25, 6/2/25, 7/1/25, 8/1/25 and 9/1/25.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A complaint inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire and was not supervised by an appropriate staff person: health and safety training and pediatric first aid/CPR training. Staff person #2 has not completed the following required pre-service training, is within 90 days of their date of hire, but was not supervised by an appropriate staff person: health and safety training and pediatric first aid/CPR training. Staff persons #3 and #4 have not completed the following required pre-service training, are within 90 days of their date of hire, but were not supervised by an appropriate staff person: health and safety training and mandated reporter 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 trainings have been completed, staff persons #1, #2, #3 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3 and #4, staff persons #1, #2, #3 and #4 may not work in a child-care position at the facility.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: A complaint inspection occurred at the facility. A physical site review was conducted. Children's lunches brought from home were observed throughout the facility. Several of these lunches contained items such as meat and dairy that require refrigeration but were found not refrigerated. These items were discussed with staff, were labeled and immediately refrigerated by staff.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A complaint inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff persons #1 and #4 have not completed the following required pre-service training within 90 days of their date of hire and were not supervised by an appropriate staff person: health and safety training and pediatric first aid/CPR training. Staff person # 6 has not completed the following required pre-service training within 90 days of their date of hire and was not supervised by an appropriate staff person: pediatric first aid/CPR training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required trainings have been completed, staff persons #1, #4 and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #4 and #6, staff persons #1, #4 and #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the dates of hire. The following staff were not hired correctly as required by the CPSL and regulation: Staff #2, #3 and #4 were working at the time of this inspection, and the files did not contain signed and dated disclosure statements. Staff #5 was hired using a volunteer state police clearance dated 7/22/24. Staff #5 did not receive a state police clearance until 3/12/25, which was after the date of hire for Staff #5. The CPSL requires staff to apply for the state police clearance prior to working in a child care role within the facility. The file of Staff #5 also did not contain a signed and dated disclosure statement. Staff #6 did not apply or receive an NSOR clearance prior to working in a child care role at the facility as required by the CPSL. Staff #6 has worked at the facility without the NSOR clearance on file. The file of Staff #6 also did not contain a signed and dated disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. TIERED LIS: 1. Facility Person #2, #3, #4, #5 and #6 may not work in a child care position with direct contact with children at the facility. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2. The legal entity will submit complete files to the Northeast Regional Office for any new hires for a period of three months from the date an acceptable plan is received. During that time, new hires may not begin to work in child care until their file has been approved by the Northeast Regional Office. Submitted files will be reviewed within 1 week of submission. THE CORRECTION DATE FOR THIS PORTION OF THE PLAN SHALL BE AT MINIMUM OF 3 MONTHS FROM THE DATE AN ACCEPTABLE PLAN IS SUBMITTED.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: A complaint inspection occurred at the facility. A physical site review was conducted. In the 2's room bathroom, the toilet seat was cracked, and the screws were rusting. Also, at the changing table area, peeling paint was observed. These areas were discussed with staff at the time of the inspection.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were observed working in a child care role at the facility past their 90-days of employment and the staff did not participate in pediatric first aid/CPR training or health and safety topics training: Staff #1 and #2.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were observed working at the facility past their 45-day provisional hire end date and both staff files did not contain the NSOR clearance: Staff #1 and #2.

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 #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files occurred. Regulation requires staff to track a child's growth and development every 6 months. This facility uses the child services report to meet this requirement. Child #5 has not had a child service report completed since 9/5/23. Child # 7 has not a child service report completed since 10/7/23.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files occurred. Regulation requires children's files to contain the arrival and departure times of the child. The file of Child #1 did not contain the child's arrival or departure time.

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

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files occurred. Regulation requires in the child's file the child's health insurance policy number. The file of Child #3 did not contain the child's 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The OCDEL Announcement C-22-06 requires all current child care staff who completed the previous health and safety pre-service training modules prior to October 4, 2022 to complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022, or within 90 days of hire for new employment. Staff #5 did not complete this training until 1/1/23 which occurred after the date of December 30, 2022.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to update their health assessments every 24 months. The following staff did not update their health assessments every 24 months as required: Staff #2 (previous 7/7/22, current 8/30/24), Staff #3 (previous 4/11/22, current 8/29/24, Staff #5 (previous 7/7/21, current 8/16/23) and Staff #8 (previous 4/28/22, current 5/23/24).

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a tuberculosis screening at initial hire. Staff #1 and #9 did not have a valid tuberculosis screening on file and was observed caring for children at the time of this inspection.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to renew their pediatric first aid and CPR certification prior to the expiration of their current. The following staff did not participate in pediatric first aid and CPR prior to their current training expiring: Staff #4 (previous 9/11/21, current 8/29/24) and Staff #5 (previous 12/31/21, current 8/24/24).

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

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

Description: Fire safety - 1 yr.

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. At the time of the inspection, the director was unable to provide documentation that the following staff participated in annual fire safety training: Staff #4 and #5.

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: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #1, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR. Staff #1 and #9 completed the training on 8/24/24. Staff #8 completed the training on 8/29/24. Staff person #1, #6 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topic training. Staff #1 completed this training on 8/6/24. Staff #6 completed this training on 9/5/23. Staff #9 completed this training on 5/21/24.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/30/15. Staff #4 participated in this training again on 9/6/21. Staff #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #6 completed this training on 9/4/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL requires staff to update their clearances every 60 months. The following staff did not update their clearances every 60 months: Staff #4 (previous state police 8/31/16, current 9/9/21 and previous child abuse 16/6/15, current 9/13/21), Staff #7 (previous child abuse 2/14/19, current 3/11/24) and Staff #8 (previous FBI 9/4/19, no current DHS FBI). The CPSL requires staff to have either a completed state police clearance or FBI clearance and to have applied for the missing of the state police and FBI clearance prior to working in child care as a provisional hire. Staff #10 did not apply for the missing state police clearance. Staff #10 was working in child care at the time of this inspection.

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 #8 and #10 may not work in a child care position at the facility.

Regulation: 3270.67(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. During the physical review, garbage cans were observed in all classrooms that were not lidded and observed to contain used items such as tissues, napkins, paper towels. Children were observed receiving care in these classrooms. Garbage cans identified and discussed with the director at the time of the inspection.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: An area rug in the car area of the Pre-K room had a bulge in it that presented a tripping hazard.

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: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: During rest time, cert supervisor visited the classrooms. The staff person in the PS room was seated and not able to see all of the children the way the room was set up for rest time.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: CHILD #1, 2, 3 (see code sheet for start dates) did not have child service reports or other department approved form providing information about the child's growth and development.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: CHILD #1 (see code sheet for dob & start date) is under age 2. CHILD #1 health assessment in file ids dated 2/22/23. This is more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.21/3270.91(a)

Description: General Health and Safety/Stairs, exits, etc. unobstructed

Noncompliance Area: On the lower level, a door in the second room on the right which is an emergency door leading to the outside could not be opened. A small rock was wedged against the door on the outside.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: STAFF #3 & 4 (see code sheet for start dates) have not completed the following required pre-service training within 90 days of their date of hire.: pediatric first aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. STAFF #3 & 4 will have until 10/10/23 to complete the required training. Until such time as the required training has been completed, STAFF #3 & 4 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise STAFF #3 & 4, STAFF #3 & 4 may not work in a childcare position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: STAFF #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/31/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF #2 will have until 10/10/23 to complete the mandated reporter training. Until such time as the required training has been completed, STAFF #2 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff persons available to supervise STAFF #2, STAFF #2 may not work in a childcare position at the facility.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: STAFF #4 (see code sheet) applied for the NSOR on 1/4/23 but does not have the verification letter in file. STAFF # 4 has lived outside of PA within the past 60 months and does not have out-of-state clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a childcare position at the facility until required clearances are obtained.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: STAFF #1 (see code sheet) is an employee who has a PA State Police clearance and a Child Abuse clearance that states "VOLUNTEER".

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

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: Provider gave cert rep a copy of the PWS Compliance Status letter from PA DEP dated 9/25/23 which stated the following violation: Failure to monitor IOC contaminant id 1094. An updated Water Supply Inspection Report dated 9/27/23 stated the following violation: Failure to maintain an appropriately certified operator and failure to submit or revise a comprehensive monitoring plan.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit in the PS room was on a shelf that was accessible to children.

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

Regulation: 3270.78

Description: Lighting

Noncompliance Area: During rest time, the infant room was completely dark and cert supervisor was unable to see the child.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: During renewal inspection on 9/28/22 cert rep reviewed all staff files. STAFF # 3 (see code sheet for start date) does not have a health assessment. STAFF # 3 has verification of negative TB results.

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: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 9/28/22 cert rep reviewed all staff files. STAFF # 3 (see code sheet for start date) does not have verification of child care experience, education and training prior to service at the facility.

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

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During renewal inspection on 9/28/22 cert rep reviewed all staff files. STAFF # 3 (see code sheet for start date) does not have 2 written nonfamily references in file.

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: 3270.31(g)

Description: Professional development certificate

Noncompliance Area: During renewal inspection on 9/28/22 cert rep reviewed all staff files. Staff # 1 completed the health and safety training on 9/12/2016. This training is not acceptable for meeting the requirement of completing the health & safety training because the date is prior to 9/30/16.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on 9/28/22 cert rep reviewed all staff files. STAFF # 2 (see code sheet for start date) State Police clearance was dated 3/24/17. Clearances are valid for 60 months. This clearance is more than 60 months old.

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

Regulation: 3270.121(b)

Description: Given parents in writing

Noncompliance Area: During the renewal inspection, the parent handbook does not contain information regarding the supervision policy. The director acknowledged that it is not given to parents in writing.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection on 9/15/21, child #2, date of admission 4/9/18, does not have a child service completed on a DHS approved form. Director acknowledges that facility uses ASQ which is not approved as a child service report.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection, child #1 does not have complete information for the person to be contacted in an emergency. A phone number is not listed for the person.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, child #1 does not have a phone number for a release person listed on the emergency contact information form.

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: 3270.124(c)

Description: Each child care space

Noncompliance Area: During the renewal inspection, complete emergency contact information is not present for children receiving care in the 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: 3270.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection, the written plan for transporting a child for emergency medical care and related staffing provisions are not posted in the school age, Pre K 1, Cafeteria, Toddler, Toddler 2, PS 2 and Infant room 2 or with information taken on excursions.

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: 3270.151(a)

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

Noncompliance Area: Facility person #1 has health assessments on file dated 9/7/18 and 11/6/20. Facility person #3 has health assessments dated 3/5/19 and 7/7/21. Both facility persons worked in child care with invalid health assessments prior to obtaining updated 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.

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, parents are not given information on how to access the regulations electronically but the regulations are available in print at the facility.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the facility's emergency plan does not include accommodations for infants/toddlers/children with disabilities & 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the facility's emergency plan has not been sent to the local municipality.

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: Facility person #1began working in child care on 10/1/2006 has clearances on file as follows: PSP 6/1/15 & 10/12/20, Child abuse 9/2/16 & 10/15/20, FBI 8/31/16 & 8/23/20 and NSOR 11/16/19. The PSP clearance expired 6/1/20 and was not renewed until 10/12/20. Director acknowledges that Facility person #1 worked in child care during the time the clearance was expired. Facility person #4 began working in child care 7/8/2011 and has clearances on file as follows: PSP 8/2/16 & 8/26/21, child abuse 8/19/16 & 8/26/21, FBI 9/14/19 and NSOR 11/16/19. The PSP and child abuse clearances were more than 60 months old at the time they were renewed. Director acknowledged that facility person #4 working in care between their expiration and renewal dates. Facility person #1, #2, #3 and #4 all renewed mandated reporter training after the previous training had expired in 60 months. The director acknowledged that these staff did work in child care with expired mandated reporter training.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: During the renewal inspection, facility persons #2, #3 & #4 have previous evaluations on file that are dated 9/3/19 and current evaluations dated 11/2/20. The evaluations spanned a time period of over 12 months.

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

Regulation: 3270.69(a)

Description: Running water/ safe drinking water

Noncompliance Area: Per inspection on 1/4/22 , the operator submitted a PWS Compliance Status Letter dated 9/27/21 indicating that the operator has yet to resolve numerous violations related to the facility public water system. On 9/28/21, the operator submitted a PWS Compliance Status Letter dated 9/27/21 indicating that the operator has yet to resolve numerous violations related to the facility public water system.

Correction Required: A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the inspection, the cafeteria and PS 2 rooms are measured child care space and are cluttered with items being stored in these child care spaces. Director reports these spaces are not currently being used for child care activities

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection, Rep observed peeling paint on the blue fence along the patio in the outdoor play space on the side of the building. It is accessible to children.

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

Noncompliance Area: There are no addresses provided for the release persons listed on the emergency contact forms for Children # 1, 2, and 3.

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: There is a nap mat in the toddler room with a torn edge making it unable to be properly sanitized.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: THERE IS NO VERIFICATION THAT STAFF #1 COMPLETED FIRE SAFETY TRAINING SINCE 2015.

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.

Noncompliance Area: ON 7/7/17, A COMPLAINT INVESTIGATION WAS CONDUCTED AT THE FACILITY. AT THE TIME OF THE INSPECTION, IT WAS DETERMINED THAT FACILITY IS NOT PROVIDING REFRIGERATION FOR CHILDREN'S FOOD WHICH REQURES REFRIGERATION OR FOR FOOD THAT CAN BE POTENTIALLY HAZARDOUS.

Correction Required: Potentially hazardous food brought from the child`s home or provided by the facility shall be refrigerated.A facility shall provide a sufficient number of refrigerators to contain foods which require refrigeration.