St Johns Christian Day Care

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: During the renewal inspection, the emergency contact for Child #1 and Child #2 was not updated at least once in a 6-month period.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, the file for Staff #1 contained a state police clearance in "Request Still Pending" status.

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.

Regulation: 3270.36(b)

Description: Assistant Group Supervisor qualifications

Noncompliance Area: During the renewal inspection, the file for Staff #2, who was functioning as an assistant group supervisor, did not contain documentation of the required years of experience for the assistant group supervisor position.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5).

Regulation: 3270.121(a)

Description: Review policies and procedures

Noncompliance Area: The facility handbook provided to parents did not contain a policy in place for student dismissal practices.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In the Preschool room, hand sanitizer was observed to be accessible to children. Director corrected on site by removing hand sanitizer.

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: 3270.151(c)(2)/3270.192(3)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Staff #1 had a TB test on file dated 9/7/21, which was completed prior to 12 months before initial employment.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 had a Department of Education FBI clearance on file, which is not accepted. DHS FBI clearance was not on file for staff #1. Staff #1 may not work in a child care position until FBI clearance is on file.

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: Fire Detection testing was observed to be completed on 10/15/24 and again on 11/15/24, which is greater than 30 days, and on 8/15/24 and again on 9/16/24, which is greater than 30 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)/3270.102(e)

Description: Clean and good repair/Infant/toddler - no material less than 1 inch

Noncompliance Area: In the gymnasium, 3 large green trikes were observed with a seat in disrepair. Each seat was observed to have exposed foam accessible to children 2 years of age and younger.

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. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #1, #2, #3, and #4 was observed to be missing complete information on the mother and father's work and work address.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact form for child #2, #3, and #4 was missing complete addresses for persons to whom the child can 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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: Staff #1 had a health assessment dated 10/18/23, which was not completed before initial employment. Staff #1 has a completed 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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Staff #1 had a TB screening completed on 10/20/23, which was not completed before initial employment. Staff #3 now has a completed TB screening on file.

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: Staff person #2 completed Pediatric CPR First Aide on 3/13/24, which was not within 90 days of hire. Staff #2 has Pediatric CPR/First Aide on file.

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

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the PreK Counts room above the heater, a large water spot was observed on a ceiling tile surrounding a pipe.

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: 3270.133(4)/3270.133(7)

Description: Locked/Medication log

Noncompliance Area: Medication for Child #1 was located out on a cabinet at child level and no medication log could be located.

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. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3270.162(d)

Description: Not forced to eat

Noncompliance Area: On 10/17/2022 a staff member was witnessed forcing a preschool child to eat as punishment.

Correction Required: A child may not be forced to eat food.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the physical site inspection in the Pre K room, there was not a thermometer present in the refrigerator.

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: 3270.111(b)

Description: Posted in group space

Noncompliance Area: During the physical site inspection in the young toddler room, there was not a written plan of daily activities posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.131(a)(1)

Description: Initial health report for infant dated no more than 3 months

Noncompliance Area: During the review of the children's files, child #1's file did not contain an initial health report.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: During the review of the children's files, child #1's file did not contain an immunization report.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.133(3)

Description: Name on bottle

Noncompliance Area: During the physical site inspection in the young toddler room, over-the-counter medications were observed that were not labeled with a child's name.

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: 3270.151(a)

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

Noncompliance Area: During the review of the staff files, staff #2's file did not contain a 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.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: During the review of the staff files, staff #2's file did not contain a tuberculosis screening.

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.

Regulation: 3270.31(f)(10)

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

Noncompliance Area: During the review of the staff files, staff person #1 and staff person #2's file did not contain documentation of completion of pediatric first aid and cpr.

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

Noncompliance Area: During the review of the children's file, child #2's file did not contain an updated health report.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: During the review of the children's files, child #3's file did not contain an updated health report.

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.

Noncompliance Area: During the inspection while reviewing the medication logs, over the counter medication had been administered to a child on 2/12/19 and the medication had an expiration date of 12/2018.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: In reviewing of the staff files, staff person #5's file did not contain an updated 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.

Noncompliance Area: During the review of the children's files, child #1, child #2, child #3, child #4, and child #5's files did not contain updated fee agreements.

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 review of the children's files, child #3's file did not contain signed parental consent for emergency medical care.

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: During the review of the children's files, child #3's file 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: In reviewing of the staff files, staff person #2 and staff person #4 files did not have verification of annual 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.

Noncompliance Area: In reviewing of staff files, staff person #1, staff person #2, and staff person #3 files did not contain verification of annual fire safety training.

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: During the inspection, in the nursery room the foam covering over the heating pipes was loose/able to be moved exposing the pipes. In the preschool room, the foam covering over the heating pipes next to the dress-up clothes did not cover the pipes completely.

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: 1. During the inspection, the vents in the upstairs bathrooms were dirty/corroded with dust/debris. 2. During the inspection, the drain outside the emergency exit in the preschool room was blocked. 3. During the inspection, in the outside play area splintering wood was observed on the pavilion floor, on the wood border between the 2 play areas, and on the large piece of play equipment in the preschool play area.

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: 1. During the inspection, in the young toddler room and infant room, peeling paint and plaster were observed in the back right corner of each room. 2. During the inspection, on the radiator inside the door leading out to the outside play area peeling paint was observed. 3. During the inspection, in the outside play area, peeling paint was observed on the outside of the pavilion, on the wooden border between the 2 play areas, and on the large piece of equipment in the preschool play area (climbing wall piece).

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