Play & Learn Blue Bell

Regulation: 3270.36(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: At the time of inspection, the file for staff member #1, hired as an assistant group supervisor; contained an international diploma or degree but it did not include a credential evaluation reflecting the educational equivalency of the international diploma to the U.S. Department of Education standards

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At the time of inspection, the ceiling in the atrium near the steps was observed with water damage and peeling paint.

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: 3270.107

Description: Refrigerator

Noncompliance Area: At the time of inspection, the refrigerators in the staff lounge used to store children's lunches were unclean on the inside.

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

Regulation: 3270.14

Description: Pertinent Laws & Regulations

Noncompliance Area: At the time of inspection, staff member #1's file did not contain verification of completion of the Health and Safety Update (1-hour) training which was necessary to go along with the Health & Safety training the staffer completed 10/19/21.

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.

Regulation: 3270.36(b)(3)

Description: HS/GED, 15 credits + 1 yr

Noncompliance Area: At the time of inspection, the file for staff member #1 did not contain valid verification of a high school diploma nor a college degree. Staff member #1's file included an unofficial transcript from Montogomery Community College that did not indicate staff member #1 was enrolled in matriculating program so it could not be used as verification of a high school diploma nor a degree. The transcript from Montogomery Community College did not indicate a degree was earned.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection, peeling paint was observed in the bathroom of room 207. Also, the sink in the bathroom of room 217 was unclean. The window ledges and tops of shelves in room 204 were observed with dust and debris. The surface of the large wooden window ledge in the hallway in front of room 121 on the first level was dusty.

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: 3270.124(b)(4)/3270.182(5)

Description: Written consent/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of inspection, the emergency contact form for child #1 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3270.27(b)

Description: Plan reviewed/updated annually

Noncompliance Area: - At the time of inspection, the facility had not documented in writing the annual review or update of the facility's emergency 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.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At the time of inspection, water-stained ceiling tile was observed in the Primary D classroom. Chipped paint was observed near the sink in the Prep B classroom. Also, the surface of the diaper changing table was observed with debris under pad. A few surfaces around the windows in the facility were observed with dust and/or debris.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 3/10/2023 the emergency contact forms in the classroom binder had not been updated for over 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.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 3/10/2023 the operator did not have verification that the emergency plan had been mailed to local municipality and to the county emergency management agency.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: During the renewal inspection on 3/10/23 the file for staff persons #1 and #2 did not have verification of fire safety training for over a one-year period.

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)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: During the renewal inspection on 3/10/2023 staff person #2 did not have current pediatric first aid and pediatric cardiopulmonary resuscitation training.

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

Regulation: 3270.34(b)/3270.34(b)(1)

Description: Director qualifications/Bachelor's + 1 yr

Noncompliance Area: Durning the renewal inspection on 3/10/2023 the file for staff person #3 contained verification of education / US equivalency of 3 years of undergraduate studies.

Correction Required: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection on 06/03/2022, file of child #1 did not contain an updated 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(f)/3270.181(c)

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

Noncompliance Area: During renewal inspection on 06/03/2022, emergency contact forms for child #1, child #2, child #3, child #4 and child #5 had not been reviewed, and/or updated as applicable, in required six (6) month intervals.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection on 06/03/2022, there was no verification that annual emergency plan training for all current staff had been completed in the past year.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 06/03/2022, file of staff person #1 did not contain completed PA Criminal History Clearance certification form; File only contained receipt that clearance had been processed.

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

Noncompliance Area: On 1/14/2020 staff person #1 was working alone with 9 preschool aged children. Child #1 ran out of the classroom back door into a breezeway area and then left the building and ran onto the playground area. Child #1 was alone unattended on the playground area. Staff person #1 contacted staff person #3, in the infant room, to come to the preschool classroom and supervise the preschool children. Once staff person #3 came to the preschool classroom, Staff person #1 went out of the classroom front door to the room next door to alert the director child #1 had left the building. It was revealed during a meeting (held with OCDEL on 2/10/2020) with Staff person #1 and #2 that child #1 had left the classroom on multiple occasions in January including 1/22/2020 and 1/21/2020.

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: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children and Classroom Management through the ELRC.

Noncompliance Area: On 1/3/2020 mouse droppings were observed behind the microwave in the preschool classroom.

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

Noncompliance Area: On 12/5/2019 staff person #1 allowed individual #2 (a parent of an enrolled child) to take child #1 out of the classroom and out of staff vision. Video camera footage revealed that individual #2 walked child to a community room, facility lobby and to a kitchen area. Individual #2 and child #1 were out of staff vision for approximately 3 minutes before individual #2 returned child #1 to the classroom and staff person #1. Individual #2 is not an individual designated in writing by the enrolling parent to whom the child may be released.

Correction Required: A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Noncompliance Area: On 11/21/2019 infants were observed sleeping in cribs that did not have two feet of space on three sides as required by regulation.

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.

Noncompliance Area: On 11/21/2019 the file for staff person #3 did not have a health assessment on file with TB testing dates. The file for staff person #7 did not have TB testing dates and results on file at the facility.

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

Noncompliance Area: On 11/21/2019 the file for staff person #3 did not have verification of age and address.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.A facility person's record shall include verification of age.

Noncompliance Area: On 11/21/2019 the file for staff person #4 had a degree obtained outside of the United States and did not have a US equivalency evaluation on file. Staff person ##3 and #7 did not have verification of education on file at the facility.

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: On 11/21/2019 the file for staff person #7 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: On 11/21/2019 the operator did not have verification that staff persons #3 #5 #6 and #7 received training regarding the emergency plan at the time of initial employment.

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

Noncompliance Area: On 11/21/2019 Staff person #1, hired 7/8/2019 did not have a PA Criminal Clearance or a disclosure statement on file at the facility. Staff person #2, hired on 7/19/2019 had a PA Criminal Clearance dated 2013 and did not have a disclosure statement on file at the facility. Staff person #3 did not have a PA Criminal Clearance or a disclosure statement on file at the facility. Staff person #5, hired on 10/18/2019 did not have application for a PA Criminal Clearance or completed PA Criminal Clearance and did not have a signed disclosure statement on file at the facility. Staff person #6 did not have a signed disclosure statement on file at the facility. Staff person #7, hired on 11/11/2019 did not have application for a child abuse clearance or a completed Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Persons #1 and #2 may not work in a child care position at the facility. 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. Staff Persons #1 and #2 may not work in a child care position at the facility.

Noncompliance Area: On 11/21/2019 a review of the fire drill log revealed that a fire drill had not held and logged since 4/19/2019.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: On 11/14/2019 staff person #1 is observed on video camera kicking towards a child #1 behind a door. On 11/11/2019 staff person #1 is observed(on video at 11:30) grabbing child # 2 arm aggressively by the child's one arm. On 11/11/2019 staff person #1 is observed (on video at 11:30AM) aggressively pushing child #3 back into line. On 11/12/2019 staff person #1 is observed (on video at 12:03 grabbing child #1 by the arm and lifting him off of the ground two times.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: On 5/7/2019 during the renewal inspection the young toddler playground had uncovered protruding bolts on the fence on the inside of the playground in an area accessible to the children. On 6/18/2019 the young toddler playground had uncovered protruding bolts on the fence on the inside of the playground in an area accessible to the children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: On 5/7/2019 wood chips with a diameter on less than one inch was observed on the two year old playground. The playground does not have a barrier between the toddler and preschool playground allowing a large amount of woodchips to wash onto the toddler playground. On 6/18/2019 wood chips with a diameter on less than one inch was observed on the two year old playground. The operator placed a partial barrier to block the woodchips from the preschool playground allowing a large amount of woodchips to wash onto the toddler playground.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: On 5/7/2019 a child's Bumbo (recalled by the CPSC) was observed in the infant room.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: On 5/7/2019, child #4 was observed sleeping in a crib with a binky that had an attached stuffed animal attached.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: On 5/7/2019 child #3 was observed sleeping with a blanket covering their entire face. When Certification staff questioned staff person #4 as to why the child's face was completely covered, staff person #4 removed the blanket and then placed it back on the child covering the child's face a second 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. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: On 5/7/2019 medication for child #2 was observed The medication was not labeled with the child's name and was not in the original box.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: On 5/7/2019 medication for child #1 was observed in a the child's cubby in reach of the children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: On 5/7/2019 the file for staff person #3 did not include TB testing dates.

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.

Noncompliance Area: On 5/7/2019 the health assessment for staff person #1 did not include the physician's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: On 5/7/2019 the operator did not have a master incident/accident report file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: On 5/7/2019 staff person#2 did not have verification of fire safety training for the past year.

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 5/7/2019 the following areas of noncompliance were observed on the two year old playground. A wooden tree stump with a large hole was observed in areas where children run and play. The wooden toy shed had areas of exposed nails, damaged wood and a damaged screen.

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

Noncompliance Area: On 3/13/2019 video camera footage was reviewed from 3/6/2019. It was revealed that staff person #1grabbed child #1 in an aggressive manner and proceeded to drag child #1 by one arm several feet across the classroom floor. Several minutes later, staff person #1 yanked child #1 from a standing position to the ground by the back of his shirt causing a scratch on the back of the child's neck.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: On 2/1/2019 the cubbie unit in the Adventures room has a narrow base and a tipping hazard.

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

Noncompliance Area: On 2/1/2019 the file for staff person #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

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

Noncompliance Area: On 2/1/2019 the file for staff person #1, hired on 12/9/2018, did not include a copy of requests for the FBI Clearanceand child abuse registry clearance information. Staff person #1 was observed working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: On 2/1/2019 mouse droppings were observed in the lower cabinet in the kitchen area in the facility.

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

Noncompliance Area: An operable stove was observed in a kitchen area. The children at the facility walk through the kitchen area to get to their classroom space.

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.

Noncompliance Area: On 2/1/2019 ceiling tiles with water stain/damage were observed in the breezeway area and in the Pioneer room.

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

Noncompliance Area: On 10/12/2018 camera footage from the 10/1/2018 was reviewed. A review of the footage revealed that staff person #1 grabbed child #1 by the arm on the toddler playground and then physically held child #1 in the staff person's lap for a period of time. The footage then revealed staff person #1 pulled child #1 out from under a picnic table and forcefully sat the child down.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: The operator failed to report an allegation of suspected child abuse made by a parent at the facility.

Correction Required: A staff person may be designated by the operator as the person responsible to notify ChildLine of suspected child abuse. The operator or designated staff person with this responsibility shall immediately notify ChildLine at 1-(800)-932-0313.