Silver Spring Presbyterian Church Preshool

Regulation: 3280.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: During the time of inspection, mulch with a diameter of less than 1 inch was seen in the outdoor play space used by toddlers.

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.

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Child #1 health report does not contain the date of the physical.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the time of inspection, the Bunnies/Ducklings classroom had a Swiffer Wet Jet in the bathroom and toilet bowl cleaner in the open closet accessible to children. - Corrected on site

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, the Bunnies/Ducklings classrooms first aid kit was missing sterile gauze pads. - corrected on site

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Documentation shows that the fire detection system was not tested every 30 days. 12.27.24 - 1.27.24 (31 days) 1.27.24 - 2.27.24 (31 days)

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Child #2, #4, and #5 did not have the date on which the fee is to be paid in the child's record.

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

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1, #2, #3, #4, and #5 did not have the date of the child's admission in the child's record.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: Child #1, #2, #3, #4, and #5 parents did not receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #2, #3, #4, and #5 emergency contact information did not include the home and work addresses and telephone numbers of the enrolling parent.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #2 and #3 emergency contact did not include health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits.

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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #2, #3, and #5 did not have documentation of the release persons address included in their emergency contact information.

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: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: During the time of inspection, it was observed that a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the bunnies / duckling's classroom.

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.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Documentation of the emergency plan on file did not include continuity of operations.

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.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: Facility person #1, #2, and #3 did not have an updated health assessment on file.

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: 3280.171(a)/3280.171(c)

Description: Pick up and drop off points/Safe routes posted

Noncompliance Area: During the time of inspection, it was observed that the pick up and drop off procedures were not posted in a conspicuous location in the child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1, #2, #3, #4, and #5 did not update their emergency contact at least once in a 6-month period or as soon as there is a change in the information.

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: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: Documentation of the facilities emergency plan did not include lockdown procedures.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: Documentation of the facilities emergency plan did not include 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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Documentation was not at the facility of the emergency drills being conducted annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(b)/3280.26(c)

Description: Emergency plan/Training regarding plan

Noncompliance Area: Documentation of the emergency plan annual review was not on file at the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. 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: 3280.26(e)

Description: Letter to parents

Noncompliance Area: Documentation of the facilities parent letter did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: Documentation was not on file that a copy of the emergency plan and subsequent plan updates were sent to the 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: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Facility persons #1, #2, #3, and #4 did not have pediatric first-aid and CPR training by a PQAS certified instructor.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and 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: 3280.63/3280.66(c)

Description: Unsafe Areas in Outdoor Space/Toxic plants not permitted

Noncompliance Area: During the time of inspection, it was observed that the outside natural wood steppingstones on the playground had poisonous mushrooms growing on them.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Toxic plants are not permitted in a child care space.

Regulation: 3280.74

Description: Emergency Numbers Posted

Noncompliance Area: During the time of inspection, it was observed that the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the phone in the bunnies/ducklings classroom.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that soap was missing in the in the first-aid kit in the bunnies/ducklings classroom.

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: 3280.94(a)(1)/3280.95(a)

Description: Every 60 days/FIRE DETECTION

Noncompliance Area: Documentation shows that fire drills were not completed every 60 days. 12/6/2023 - 2/15/2024

Correction Required: The primary staff person 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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: Documentation was not on file for testing smoke detectors at least once every 30 days.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: Child #1 last vaccination record showed last flu vaccine was 12/29/20

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: Staff person #3 did not have proof of education on 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: 3280.31(e)(1)(iv)

Description: Age and training

Noncompliance Area: Staff person #1 #2 #3 #4 did not have the required 12 hours of training on file.

Correction Required: Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Regulation: 3280.31(f)(6)

Description: Health and Safety Training - Shaken baby syndrome

Noncompliance Area: Staff #1 had documentation of health and safety training dated 2/14/21 that did not include prevention of shaken baby syndrome and abusive head trauma.

Correction Required: Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 1 updated emergency contact/agreement 12/29/20 Child 2 updated emergency contact/agreement 12/29/20 Child 3 updated emergency contact/agreement 1/18/21 Child 4 updated emergency contact/agreement 2/15/21 Child 5 updated emergency contact/agreement 1/12/21

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: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: Child 1 did not have a signed, dated health assessment on file. Child 3 last Health Assessment dated 2/15/21

Correction Required: A child's record must contain initial and subsequent health reports.