Malaika Felts

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information of child #1 did not include their health insurance provider.

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 information of child #2 did not include their release persons addresses.

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: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: Provider did not have written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff person #1 did not have 12 hours of PD training on file at the time of renewal inspection.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Childcare space had door open that led to garage. Garage had shelves of disinfectant that 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: 3280.16(b)

Description: Permit specialized services

Noncompliance Area: Owner reported that she did not allow therapist to provide services to child one time when she was not present at the daycare.

Correction Required: The operator shall permit an adult individual who provides specialized services to a child with special needs to provide those services on the facility premises as specified in the child's IEP, IFSP or written behavioral plan.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed the toy scooter and bikes dirty with spider webs. Cert Rep also obseved toy cars, trucks, and play tables as dirty.

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: 3280.107(c)

Description: No styrofoam

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed that Styrofoam plates were used during lunch.

Correction Required: Styrofoam cups and plates may not be used.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed child #2 enter the bathroom unsupervised, and also staff #1 leave children unattended to go upstairs to test fire detection system.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed the phone number of physician/medical care missing on the emergency contact form for child #3.

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)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed the health insurance policy number missing on the emergency contact form for child #3.

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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: During the renewal inspection on 10/13/23, Cert rep did not observe child #1 wash their hands before snack.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep Supervisor observed staff #2 caring for children unsupervised before completion of required pre-service 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.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed that the facility's emergency plan did not provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. when an emergency situation arises.

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: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: During the renewal inspection on 10/16/23, Cert Rep did not observe verification of Pediatric 1st aid/Pediatric CPR training by a PQAS certified trainer in the staff file of staff person #2.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.61(c)/3280.61(h)(3)(iii)

Description: 40 square feet wall-to-wall/No more than twice measured space

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed the number of children in the activity room exceeding the measured capacity of the space during lunch, snack, and learning activities.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40. When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed a shovel sticking out and a shed bin door laying on the ground both posing a trip hazard. Cert Rep also observed pieces of trash scattered on the ground throughout 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.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: During the renewal inspection on 10/13/23, Cert Rep observed that the fire detection system at the facility was not the interconnected system required for this facility type.

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)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 2 was missing date of the child's admission.

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: 3280.123(a)(7)

Description: Services considered extra

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 3 was missing services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Child 1 was missing 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: 3280.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: During renewal inspection certification reviewed staff files. Staff 1 and 3 health assessment was typed. It was missing an official signature/ stamp from a physician, physician's assistant or CRNP

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

Regulation: 3280.192(2)(ii)/3280.192(2)(iv)

Description: Exp, educ., training prior to facility/Transcript, diploma and letters

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 2 was missing education from their file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.20

Description: General Health and Safety

Noncompliance Area: During renewal inspection certification rep observed loose outlet cover near the cubby

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

Regulation: 3280.26(a)(6)/3280.26(c)

Description: Emergency plan/Training regarding plan

Noncompliance Area: During renewal inspection certification rep asked for emergency drill log and emergency drill was not completed.During renewal inspection certification rep reviewed staff files. Staff 1,2 and 3 did not have updated emergency plan in their file

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

Description: Age and training

Noncompliance Area: Staff person # 1 and 3 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3280.31(f) (10) within 90 days of hire. Staff person # 1 and 3--- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection certification rep observed chipped paint near the cubbies

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection certification rep reviewed fire drill log. Last documented fire was on 10-12-22

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.

Noncompliance Area: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #2 WAS NOT SIGNED BY THE OPERATOR

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

Noncompliance Area: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE FEE AGREEMENT OF CHILD #3 DID NOT CONTAIN RELEASE PERSONS NAMES

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

Noncompliance Area: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #2 AND CHILD #3 DID NOT CONTAIN 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: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 DID NIT CONTAIN RELEASE PERSON ADDRESS

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: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE OF THE FACILITY EMERGENCY PLAN BEING REVIEWED AND UPDATED ANNUALLY, THERE WAS NO DATE ON THE POSTED PLAN

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

Noncompliance Area: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 AND STAFF #2 DID NOT CONTAIN EVIDENCE OF BEING TRAINED ON THE FACILITY EMERGENCY PLAN, THE FILE OF STAFF #1 CONTAINED A TRAINING FROM 11/13/18, THE FILE OF STAFF #2 CONTAINED A TRAINING FORM WITH NO DATE

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.

Noncompliance Area: ON NOVEMBER 14, 2019 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF AT LEAST 6 HOURS OF CHILD CARE TRAINING

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: ON 11/09/18 DURING THE RENEWAL INSPECTION, CHILD # 2 ,3, 4, 5 FILES DID NOT CONTAIN THE CHILD SERVICE REPORT FORM.

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: ON 11/09/18 DURING THE RENEWAL INSPECTION, CHILD # 1 FILE DID NOT CONTAIN AN UPDATED HEALTH REPORT.

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

Noncompliance Area: ON 11/09/18 DURING THE RENEWAL INSPECTION STAFF PERSON # 1 AND 2 DID AND HAVE EMERGENCY PLAN TRAINING.

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.

Noncompliance Area: During the renewal inspection child #1,2 and 5 did not have a current complete health assessment on file.

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: During the renewal inspection when certification representative came into the center there was a child asleep on the floor in the front classroom area. Staff person #3 was in the kitchen classroom with the other children in the center and was not able to see the child asleep on the floor in the front classroom area. Staff #3 was in the bathroom washing hands with some of the children while other children were in the front classroom area around the wall waiting to wash their hands. Staff #3 was not able to see the children in the front classroom area while in the bathroom.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: During the renewal inspection child #4 did not have the release persons address completed on the emergency contact.

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: During the renewal inspection child #1,2 and 5 did not have a current health assessment on file.

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: During the renewal inspection child #4 emergency contact and fee agreement was not update at least once in a 6-month period.

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: During the renewal inspection staff #3 did not have verification of education on file.

Correction Required: A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: During the renewal inspection there was a glue trap visible in the kitchen area around the table area of the children.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: During the renewal inspection the first aid kit in the kitchen classroom was missing gloves. The first aid kit in the front classroom area only had bandaids and gauze.

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.