Sarver Childrens Center

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #3 did not contain information about the child's special needs as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation or documentation this is not applicable to the child.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form of child #1 did not contain the addresses of the release persons designated by parents 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: 3270.134(a)

Description: Child's hands washed

Noncompliance Area: Based on observation and discussion with staff #1, the 2 of the 5 children the front classroom did not wash their hands prior to eating lunch.

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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Based on documentation, a review and/or update to the emergency contact forms and financial agreements of child #1, #2 and # 3 exceeded 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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the downstairs preschool classroom, a road rug play carpet with was curling at the corner and the round alphabet rug was lifting around the edges, both being a tripping hazard.

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(e)

Description: Toilet and sinks proper height

Noncompliance Area: Staff #2 was observed to be holding an able young toddler at the sink to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The fire drill log contained documentation of testing the fire detection system which exceeded 30 days (12/9/2024 to 1/10/2025).

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: 3270.27(a)(2)

Description: Emergency plan

Noncompliance Area: The emergency plan did not include directions to the location away from the facility in the event of an emergency evacuation.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Based on documentation of the testing of the fire detection system, the testing of the system exceeded 30 days on one occasion in the last 12 months (5/24/2024 to 6/24/2024).

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form on file for Child #3 was observed not to 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.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The health report on file for Children #1 and Child #2 did not contain documentation of an influenza immunization being administered with in the last year in accordance with the recommendations of ACIP.

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: 3270.133(3)

Description: Name on bottle

Noncompliance Area: It was observed in the infant room medication not labeled with the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's Emergency Plan did not include a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: On the day of inspection, a bag of Miracle Grow labeled "Keep out of Reach of Children" and was observed accessible to 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: 3270.75(d)

Description: On excursions

Noncompliance Area: Observed the first-aid kit that is used to accompany children on excursions did not to contain a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the outdoor play area it was observed peeling paint on the chalk board wall.

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

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility fire drill log showed the facility did not conduct fire drills every 60 days. This is evidenced by the dates 12/12/2023, 2/13/2023, 4/14/2023.

Correction Required: The Director 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.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #1 contains a financial agreement that lacks the signature of the operator.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child #1 contains a financial agreement that lacks the child's admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #3 contains a current health assessment that was completed greater than 24 months after the previous health assessment. The file is now current.

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: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The file for staff person #3 contains current PFA/PCPR certification that was completed after the previous certification expired. The training is now current.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The files for staff persons #2 and #3 contain current fire safety training that was completed greater than 12 months after the previous training was completed. The files are now current.

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(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The files for staff persons #2 and #3 are lacking documentation of 12 hours of childcare training completed during the year 12/19/2020 to 12/19/2021. The staff have since completed the required 12 hours of training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet) is lacking pediatric first aide/ pediatric CPR certification completed within 90 days of hire. The file does contain current PFA/PCPR certification.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form of child #2 did not contain information on the child's special needs in an emergency situation or documentation this was not applicable to the child.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The immunization record of child #1 did not contain documentation or exemption of an annual influenza vaccination.

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.

Regulation: 3270.31(f)(10)/3270.31(h)

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

Noncompliance Area: Pediatric first aid and CPR of facility person #4 (with a start date prior to 12/19/2020) was not obtained on or before 6/17/2021.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: Pediatric first aid and CPR of facility person #1 and 2 was completed more than 90 days from their hire dates.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the back classroom did not contain tweezers.

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.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: A handwashing sign was not posted at the sink in the downstairs restroom.

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.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log contained documentation of fire drills being conducted on 12/1/2020 and the next on 2/2/2021, exceeding 60 days.

Correction Required: The Director 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.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility did not have proof of purchase of the fire detection system.

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: The financial agreements of child #1, 2, 3 and 4 did not contain the services to be provided to the families.

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).

Noncompliance Area: The emergency contact form of child #2 did not contain the work telephone number and the emergency contact form of child #3 did not contain the work address and work telephone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact form of child #3 did not contain the address of the release person 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: The immunization record of child #4 was not in accordance with the recommendations of the ACIP.

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: The file of child #2 did not contain signed parent consent for emergency medical care for the child.

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.

Noncompliance Area: The file of child #2 did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The file of facility person #1, with a start date with children of 10/7/2020, contained a completed child abuse clearance dated 10/29/2020, and did not contain a copy of the request for the clearance. The file of facility person #2, with a start date with children of 10/28/2020, did not contain an NSOR verification certificate or a copy of the request. The file of facility person #3, with a start date with children of 1/6/2020, contained a request for the NSOR verification certificate dated 1/2/2020 and a completed NSOR verification certificate dated 1/9/2020, which was prior to their provisional hire waiver approval on 3/4/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 at the facility.

Noncompliance Area: The base of the toilet on the main floor had an exposed bolt.

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

Noncompliance Area: A handwashing sign was not posted at the changing table in the back classroom.

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 financial agreement of child #2 did not contain the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The financial agreement of child #2 did not contain the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The emergency contact form of child #1 did not include the 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: Documentation of an initial health assessment was not present at the facility for facility person #3, who has a start date of 1/2/2019. Health assessments for facility person #4 were dated 6/4/2017 and 11/5/2019 exceeding 24 months. The health assessment for facility person #5, with a start date of 7/29/2019, was dated 3/28/2018, is more than 12 months prior to initial service 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.

Noncompliance Area: The health assessment of facility person #1 does not contain documentation of an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: A bottle was not labeled with the child's name in the infant/toddler child care room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: An unlocked drawer in the downstairs child care space contained 2 pair of adult scissors accessible to children.

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

Noncompliance Area: The record of facility person #2, with a hire date of 10/3/2019, contained documentation of fingerprinting for the FBI clearance on 10/25/2019, which was after their start date and did not contain documentation of submission or a completed PA State Police or Child Abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 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.

Noncompliance Area: An unlocked drawer in the downstairs child care space contained liquid white out labeled keep out of the reach of children accessible to the children. Buttpaste labeled keep out of the reach of children was in a child's bin on a shelf accessible to children in the downstairs child care space.

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: A mobile with a toy which connected on the inside of the crib was used for a child while they sleep in the crib, as stated by staff.

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

Noncompliance Area: The file of child #1 contained an emergency contact form which did not include their health insurance coverage and policy number for the child.

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 restroom in the downstairs preschool space had a toilet which had exposed bolts on each side of the base.

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

Noncompliance Area: The diapering trash can in the front classroom was not working due to the batteries needing replaced.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file of facility person #1 did not contain 2 written non-family 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

Noncompliance Area: The file of facility person #1 did not contain documentation of emergency plan training at initial hire.

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: The file of facility person #1 contained an incomplete disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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: The file of child #3 contained a fee agreement that did not have the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The file of child #1 and 3 did not contain the arrival and departure times on the fee agreement.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The file of child #1 and 3 did not contain the release persons on the agreement.

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

Noncompliance Area: The file of child #3 contained an emergency contact form which did not contain the address and phone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file of child #3 contained an emergency contact form that did not contain the policy number of the child's insurance coverage.

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 file of child # 2 contained an emergency contact form which did not contain the addresses of the release persons.

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: The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the front, back and downstairs child care spaces.

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: Written safe routes were not posted in a conspicuous location in the facility.

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

Noncompliance Area: The file of child #3 contained an emergency contact form which did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Desitin labeled keep out of the reach of children was in a child's backpack accessible to 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.

Noncompliance Area: The first-aid kit in the front room did not contain soap.

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: The file of staff #1 and 2 did not contain a health report.

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: The facility did not have an emergency plan.

Correction Required: The facility shall have an emergency plan

Noncompliance Area: The file of staff #1, identifed as the director, did not contain documentation of child care experience.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4). A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In Classroom 3, the utility room containing the furnace was not locked making it accessible to children.

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: Two windows in Classroom 2, above ground level, opened more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The main door and the large ceiling to floor window in Classroom 2 did not contain visual strips.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: The toilet in Classroom 3 did not not have a posted hand washing sign.

Correction Required: A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.