Primary Stepping Stones

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: At the time of the renewal inspection, the provider did not have proof of a current fire inspection.

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: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: At the time of the complaint inspection, it was found that child #1 was restrained in a highchair during learning and play activities to keep the child from running around or getting injured.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of the renewal inspection, the emergency contact information in the classrooms were not on the department's emergency contact form and did not include all information requested on the form.

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: 3270.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: At the time of the renewal inspection, the fire drill log did not include different hypothetical locations.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On the day of visit the rest equipment was not label.

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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: Child#1 did not complete the updated 6 months for the Emergency Contact and Financial Agreement.

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: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: On the day of visit child#1 and child#3 did not have a current influenza shot in the file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff#2 did not have proof of education in the file.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff#1 listed as a Staff person (AGS) have a volunteer Child Care Clearance in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 01 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #01 may not work in a childcare position at the facility.

Regulation: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: ON THE DAY OF OBSERVING THE FILES STAFF#4 DID NOT HAVE A CURRENT T.B. TEST IN THE FILES.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: ON THE DAY OF OBSERVING THE FILES STAFF#1, AND STAFF#5 DID NOT HAVE 2 NONFAMILY REFERENCE IN THE FILES. STAFF#2 ONLY HAVE 1 NONFAMILY REFERENCE IN THE 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: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: ON THE DAY OF OBSERVING THE FILES STAFF#1, STAFF#2, STAFF#3, STAFF#4, STAFF#5 STAFF#6 AND STAFF#7 DID NOT HAVE A CURRENT EMEREGENCY PLAN TRAINING IN THE FILES.

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.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: ON THE DAY OF VISIT STAFF#1 ONLY HAVE 5.5 HOURS OF ANNUAL CHILD CRE TRAINING IN THE FILE.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: ON THE DAY OF OBSERVING THE FILES STAFF#2 AND STAFF#5 DID NOT HAVE COMPLETED HEALTH AND SAFETY TRAINING WITHIN 90 DAYS.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: ON THE DAY OF OBSERVING THE FILES STAFF#3 DID NOT HAVE AN CURRENT FBI CLEARANCE IN THE FILE. STAFF#7 DID NOT HAVE THE CORRECT FBI CLEARANCE IN THE FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #7 may not work in a childcare position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #3 and #7 may not work in a childcare position at the facility.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: ON THE DAY OF VISIT THE PORTABLE SINK IN THE TODDLER ROOM WAS FILLED WITH DIRTY WATER.

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: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: ON THE DAY OF VISIT THE FIRE EXIT WAS BLOCKED BY TOYS AND A PLAY PEN.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: OBSERVED THE FILES FOR STAFF#1 HIRE 8/5/21 FBI CLEARANCE DATED 11/24/20 IS MISSING THE RAP SHEET. THE STATE POLICE CLEARANCE ONLY HAVE THE REQUEST ONLY IN THE FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #01 not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #01 may not work in a child care position at the facility.