Nessas Small Steps Child Care Ii Llc

Regulation: 3270.113(a)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. During this inspection, 6-school age children were observed unsupervised for a period of 7-minutes. No staff person was present in the school age room during this time period.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. ((This plan requires an immediate date)). 2. The director shall create a policy/procedure to ensure appropriate staff:child ratios and proper supervision is maintained at all times. This policy/procedure shall include how staff will be scheduled to ensure that the correct number of staff present accounts for the number of children that will attend based on the children's schedules. This policy/procedure shall include how children's naps and staff breaks are managed to ensure appropriate staff:child ratios are met, including the need to have at least two staff are present at the facility when two or more children are in care. Lastly, the policy/procedure shall indicate a plan for staff to enforce should the facility become at risk for non-compliance of staff:child ratios. This ratio policy/procedure must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy, and proof of that review will be kept on file at the facility. ((THIS PORTION OF THE PLAN SHALL HAVE A DATE BY WHICH THE PLAN WILL BE APPROVED AND REVIEWED WITH STAFF.))

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. Staff #2 did not participate in annual fire safety training. (previous training dated 7/23/24, no current)

Correction Required: Staff persons shall participate, at least annually, in fire safety 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: 3270.52

Description: Mixed Age Level

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Staff #3 was out of ratio for a period of 30-minutes (12:15pm-12:52pm) with 1-infant and 5-toddlers while Staff #4 took lunch at the facility. This number of children would have required at least two staff. Staff #3 continued to be out of ratio from 12:52pm to 12:59pm, when 6 school-age children arrived at the facility from school, making the total number of children present at 12. This number of children would have required at least three staff. Staff #1 arrived at the facility at 12:59 p.m., and Staff #4 arrived back at the facility at 1:04 p.m.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 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). TIERED LIS: 1. The required staff:child ratios must be maintained at all times. ((THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE.)) 2. The director shall create a policy/procedure to ensure appropriate staff:child ratios and proper supervision is maintained at all times. This policy/procedure shall include how staff will be scheduled to ensure that the correct number of staff present accounts for the number of children that will attend based on the children's schedules. This policy/procedure shall include how children's naps and staff breaks are managed to ensure appropriate staff:child ratios are met, including the need to have at least two staff are present at the facility when two or more children are in care. Lastly, the policy/procedure shall indicate a plan for staff to enforce should the facility become at risk for non-compliance of staff:child ratios. This ratio policy/procedure must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy, and proof of that review will be kept on file at the facility. ((THIS PORTION OF THE PLAN SHALL HAVE A DATE BY WHICH THE PLAN WILL BE APPROVED AND REVIEWED WITH STAFF.))

Regulation: 3270.54(a)

Description: Two facility persons present in facility

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. Staff #4 left the facility for a break and left the facility premises at 12:45pm. At that time, Staff #3 was the only staff on site until Staff #1 arrived at 12:59pm.

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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire and was working unsupervised (see LIS code sheet): pediatric first aid/CPR.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Correction Required: Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A physical site review was conducted. In the outdoor play area, a ride in Little Tikes police car was found that contained cracks. The cracked areas were identified and discussed with the director at the time of the inspection.

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: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A physical site review was conducted. In the outdoor play area, a gray picnic table was observed and contained cracks at the corners. The cracked areas were identified and discussed with the director at the time of the inspection.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

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

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A review of children's files was conducted. See the code sheet for the date of birth. Regulation requires children under the age of 2 to have a health report on file at least every 6 months. Child #1 is under the age of 2 and did not have a health report on file every 6 months. Health reports on file were dated from enrollment 4/10/23 and 11/21/24.

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

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 on 5/19/25. A review of staff files was conducted. Regulation requires staff to update their health assessments at least every 24 months. Staff #1 did not participate in an updated health assessment at least every 24 months (previous 6/8/22, current 5/8/25).

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL and regulation require staff to have an NSOR clearance on file prior to working in a child care role at the facility. Staff #2 has worked at the facility without having an NSOR clearance on file. Staff #2 received an NSOR clearance on 5/1/25.

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. Facility Person #2 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A review of staff files was conducted. Regulation requires evaluations to be conducted on staff every 12 months. Staff #1 has not had a staff evaluation since 10/6/23.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A physical site review was conducted. In the left room of the facility, a child's book bag was found that contained Off, diaper cream and Vaseline. These items indicated the need to be kept out of reach of children. At the time of this inspection, children were observed receiving care in this room and these items were not being stored out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A renewal inspection occurred at the facility on 5/19/25. A physical site review as conducted. In the left room of the facility, a door labeled as an exit door was locked. This was the only egress from this room in the event of an emergency. Staff stated a key to unlock the door is kept in the right room of the facility.

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

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 on 5/19/25. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests were not conducted at least every 30 days: 5/13/24, 6/13/24, 7/24/24, 8/23/24, 9/23/24 and 1/10/25, 2/10/25, 3/10/25.

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.