The Llanerch Day School Llc

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: At time of inspection, there was a recalled "Bumbo" infant chair that did not have safety straps being used in the infant room.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.124(b)(4)/3270.124(b)(7)

Description: Written consent/Name/address/phone release person

Noncompliance Area: At time of inspection, the parents of children # 1 and #2 did not have address of release person documented on their children's emergency contact form.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: At time of inspection, staff person # 2 did not have a current health assessment documented in their record. (last health assessment dated 5/25/23)

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: 3270.182(3)/3270.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At time of inspection, the parents of child #1 did not have a parental signature for emergency medical care and minor first aid documented on their emergency contact form.

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.

Regulation: 3270.31(e)(4)(ii)/3270.192(2)(iii)

Description: Fire safety - 1 yr./Exp, educ., training at facility

Noncompliance Area: At time of inspection, staff person # 2 did not have required fire safety training documented in her record.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.36(b)/3270.192(2)(ii)

Description: Assistant Group Supervisor qualifications/Exp, educ., training prior to facility

Noncompliance Area: At time of inspection, staff person # 2 had educational documentation from another country in her record that was translated but not evaluated to show its equivalency in the United States to help qualify her for the position of assistant group supervisor at facility.

Correction Required: An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During renewal inspection on 11/18/2020, Staff # 2 whose hire date 6/19/19 did not have the NSOR clearance in file

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. Facility Person #2--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 10/28/19, while doing a walk through of the facility, Cert Rep observed the following - an infant asleep in a bouncy chair in the infant room -an infant asleep in the swing in the infant room - Child # 6 cot was not labelled - Child # 7 mat was not labelled

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: During renewal inspection on 10/28/19 while reviewing children's files, Child # 4's health assessment was dated 4/3/18

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.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 10/28/19 Cert Rep observed an infant in the crib with a bottle

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Noncompliance Area: During renewal inspection on 10/28/19, while doing a walk through Staff # 17 did not know the facility's relocation site in case of the emergency

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: During renewal inspection on 10/28/19, while reviewing staff files, Cert Rep observed the following - Staff # 4 whose hire date 8/19/19 did not have a high school diploma in file to qualify as an AGS - Staff # 6 whose hire date 5/16/19 did not have a high school diploma in file to qualify as an AGS - Staff # 17 whose hire date 10/7/19 did not have a high school diploma and 2500 childcare hours in file to qualify as an AGS - Staff # 18 whose hire date 10/22/19 did not have a high school diploma and 2500 childcare hours in file to qualify as an AGS

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 prior to service at the facility.

Noncompliance Area: During renewal inspection on 10/28/19 while doing a walk through of the facility Staff # 9 was observed - leaving the younger toddler room with 6 children with the co teacher to retrieve snacks from the facility's kitchen and again to retrieve a lunch box outside of the classroom

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times.

Noncompliance Area: During renewal inspection on 10/28/19 , while doing a walk through Cert Rep observed first aid kit on the top of the heater cover in Room # 5- older toddler ( children 2 years old) that was accessible to children

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: During renewal inspection on 10/28/19, while doing a walk through of the facility Cert Rep observed the following - the window sill in the basement childcare space in the bathroom was dirty - broken tile in the basement childcare space -base board that is unattached in the basement childcare space in the lunch 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: During renewal inspection on 10/28/19 while doing a walk through of the facility Cert Rep observed the following - missing hand washing sign in the basement childcare space at the 2 changing tables

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: During renewal inspection on 10/28/19 while doing a walk through of the facility, the infant room did not have a lidded trash can at the diapering area

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Noncompliance Area: During renewal inspection on 11/1/18, while doing a walk through of the facility, the older toddler room ( 2 year old) was lacking toys. Room had books ,and a kitchen

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment shall facilitate the child's emotional, cognitive, communicative, perceptual-motor, physical and social development.

Noncompliance Area: During renewal inspection on 11/1/18, while doing a walk through of the facility, Cert Rep saw Child # 6 walking down the stairs alone. Staff # 9 and Staff # 11 did not know the child was going down the stairs

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. Children must be supervised at all times.

Noncompliance Area: During renewal inspection on 11/1/18, while reviewing children's files, Child # 5's emergency contact did not have health insurance and policy number listed

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: During renewal inspection 11/1/18, the bottle in the infant room was not labelled

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

Noncompliance Area: During renewal inspection on 11/1/18, facility owner's emergency plan was last updated 7/2017

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 renewal inspection on 11/1/18, while reviewing staff files, Staff # 10 whose hire date 9/24/18 had a state police clearance dated 5/10/18

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 # -- 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. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection 11/1/18, a can of air freshener was in the preschool bathroom located in the basement was in the bathroom and 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: During renewal inspection on 11/1/18, while doing a walk through of the facility, the first aid kit in the Older toddler room ( children 2 yr old) was missing 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: During renewal inspection on 11/1/18, while doing a walk through of the facility the facility's sink in the kitchen did not have a hand washing sign posted

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: During unannounced monitoring on 9/6/18, while doing a walk through of the facility, Cert Rep observed - a child in the young toddler room ( 1 year old) sleeping in a bouncy chair - a child in the older toddler room (2 year old) a child sleeping on a bean bag - 9 children in the preschool room ( 3-5 year old) with the cots closely together

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.At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: During unannounced monitoring on 9/6/18, while reviewing new staff files, - Staff # 1 did not have documentation of health assessment and TB in file - Individual # 1 did not have documentation of health assessment and TB in 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.

Noncompliance Area: During unannounced monitoring on 9/6/18, while reviewing new staff files, Individual # 1 did not have a file at the facility

Correction Required: An individual record is required for each facility person.

Noncompliance Area: During unannounced monitoring on 9/6/18, while doing a walk through of the facility, Cert Rep observed Individual # 1 listed as a volunteer alone with 5 children in the young toddler room ( age 1 year old)

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.An assistant group supervisor is responsible for coordinating daily activities and supervising aides in the absence of the group supervisor.

Noncompliance Area: During unannounced monitoring on 9/6/18, while reviewing new staff files, -Staff # 1 whose start date 9/6/18 , a provisional hire was alone in the preschool room ( 3-5 years old) . Staff # 1 did not have a state police clearance in file - Individual # 1 did not have any documentation of volunteer clearances in file

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 # -- 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. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: During unannounced monitoring on 9/6/18, while reviewing new staff files, Staff # 1 did not have documentation of verification of experience in file to qualify as an AGS

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 prior to service at the facility.

Noncompliance Area: On 6/13/18 at unannounced inspection certification representative observed that the file of staff person # 2 did contain verification that staff person was trained on the facility's emergency plan at time of 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: ON 6/13/18 at unannounced inspection certification representative observed that the file of staff person # 1, hire date 2/12/18, did not contain verification of staff having completed mandated reporter training as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 11/21/17 at renewal inspection certification representative observed one staff person with 5 children aged 9 mos. to 2 in a downstairs room and 1 staff with 6 children aged 1 to 3 in a room upstairs. A staff person called out sick and another staff was called to come in right away. Rooms were out of ratio for 1 hour.

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: Brick steps outside of the facility, and inside leading from the basement exit contain bricks that needed to be repaired. Additionally there were safety gates throughout the facility that had a metal floor strip that created a tripping hazard. There were also wooden floor strips throughout the facility that created additional tripping hazards. A glass window pane in classroom #5 was cracked.

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: Chipped and peeling paint was observed in classrooms and other surfaces throughout the child care program

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