Refuge Childcare Academy

Regulation: 3270.151(a)

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

Noncompliance Area: File for volunteer person 1 was reviewed. Volunteer person 1 was missing physical and TB

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: 3270.181(b)/3270.181(c)

Description: Current/Emergency info/agreement updated 6 mos

Noncompliance Area: Fee agreement for child 1 was expired (1-8-24). Child 2 and 3 were missing fee agreements.

Correction Required: Information in a child's record shall be kept current by the operator. 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: 3270.192(5)

Description: Two written references

Noncompliance Area: Volunteer person 1 was missing two written, nonfamily references .

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: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Volunteer person 1 was missing 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 and kept on file at the facility.

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

Description: Fire safety - 1 yr.

Noncompliance Area: Volunteer person 1 was missing fire safety training.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: File was reviewed for volunteer person 1. Volunteer person 1 was missing NSOR, child abuse and FBI clearances (FBI receipt on file) Volunteer person 1 was missing mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may 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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: The water temperature in the girls bathroom was 113° F. (first sink)

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: File records for Child #1 and Child #2 did not include an agreement signed by the operator and the parent.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: File record for Child #2 did not include the addresses of the individuals designated by the parent to whom the child may be released.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Certification Representative observed outdoor equipment with rough edge and exposed bolts

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: 3270.76

Description: Building Surfaces

Noncompliance Area: Certification Representative observed chipped pait in the rear of the Preschool class area and under the kitchen window

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: During the renewal inspection on 1/27/2023 child #1 did not have a current health assessment on file at the facility.

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 shall contain initial and subsequent health reports.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 1/27/2023 the PA Child Abuse Clearnce and FBI clearance for staff person #1 were over 5 years old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 -- may not work in a childcare 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.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: An unannounced inspection on 1/6/2022 confirmed that a on 11/7/2022 staff person #1 left a group of preschool aged children out of direct view momentarily to answer the door to allow another student into the facility.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection on 3/10/22 the outdoor playground fence had areas along the bottom where the fence was damaged leaving sharp metal pieces exposed. The outdoor toy storage box/unit has areas of disrepair.

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: 3270.82(g)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 3/10/2022 the protective caps were missing from the bolts where the toilets are mounted to the floor.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: During the renewal inspection on 3/10/22 the operator did not have proof of purchase of the fire detection system as required.

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.

Noncompliance Area: During the renewal inspection on 2/25/2020 two shelves with a narrow base and tipping hazard were observed in the preschool area of the classroom.

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

Noncompliance Area: During the renewal inspection the a review of the immunization records for child #1 and #2 revealed they were not up to date with the FLU shot.

Correction Required: 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.

Noncompliance Area: During the renewal inspection on 2/25/2020 the file for staff person #1 had an expired health assessment.

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: During the renewal inspection on 2/25/2020 the kitchen door and closet door located next to the main care room were unlocked and contained cleaning products.

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

Noncompliance Area: During the renewal inspection on 2/25/2020 water damage around the sink and wall in the girls bathroom was observed AND the outdoor playground fence had areas along two sides where the fence has curled up from the ground and/or had damaged areas.

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: During the renewal inspection on 2/25/2020 a review of the fire drill log revealed a fire drill had not been held since12/18/2019.

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.

Noncompliance Area: The pack and play was not labeled with the child's name.

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: On 2/21/2019 child #2 was observed sleeping alone in a small room in a car seat inside of a pack and play.

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 2/21/2019 child #2 was observed sleeping in a car seat.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: On 2/21/2019 the emergency contact form for child #2 did not include the address of the individual designated by the parent to whom the child may be released.

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 2/21/2019 the operator did not have a health assessment with TB testing dates and results on file for staff person #1 and individual #2 (a volunteer). Both have direct contact with the children.

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 2/21/2019 the operator did not have a formula and feeding schedule for child #1, obtained from the parent, on file at the facility.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: On 2/21/2019 the emergency contact information for child #1 #3 and #5 and/or the financial agreement had not been updated in the past 6-months.

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: On 2/21/2019 the emergency contact form for child #4 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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.

Noncompliance Area: On 2/21/2019 the file for staff person #1 and individual #2 (a volunteer) 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 2/21/2019 the operator did not have documentation of the time and date that emergency plan training was conducted for staff person #1 and individual #2 (a volunteer).

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 2/21/2019 staff person #1 did not have verification of education on file at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: On 2/21/2019 staff person #3 was observed alone with 1 infant, 4 sleeping toddlers and 10 preschool children. The staff person responsible for the preschool children had stepped out of the facility for lunch.

Correction Required: 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).

Noncompliance Area: During the renewal inspection, a physical site review found that written plans for the emergency transportation of a child were not posted throughout the facility.

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.

Noncompliance Area: During the renewal inspection, a review of the children's records found that Child #1 did not have a health assessment on file.

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.

Noncompliance Area: During the renewal inspection, a review of the children's records found that the Emergency Contact Form and Agreement for Child #1, #2, #3, and #4 had not been updated in more than 6 months.

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, a review of the facility's Emergency Plan found that it had not been reviewed on an annual basis. The last date of review was April of 2016.

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: During the renewal inspection, a physical site review found that electrical outlets throughout the facility did not have protective coverings.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: During the renewal inspection, the facility's first aid kit did not contain bandaids, tweezers, gauze, or tape.

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.

Noncompliance Area: During the renewal inspection, a physical site review found that hand-washing signs were not posted at each sink, toilet, and diapering area in the facility.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: THE LEGAL ENTITY DID NOT ENSURE THAT CHILD #1 HAD HEALTH INSURANCE PROVIDER INFORMATION OR PROVIDER POLICY #.

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: THE LEGAL ENTITY DID NOT ENSURE THAT THE FOLLOWING CHILDREN HAD HEALTH REPORTS IN THEIR FILES: #1, #2 AND #5.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).