Upper Perkiomen Child Care Center

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection the record of child #1 was lacking their health insurance coverage and policy number on their emergency contact information.

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: 3270.21/3270.134(a)

Description: General Health and Safety/Child's hands washed

Noncompliance Area: Facility staff was observed using hand sanitizer in lieu of handwashing prior to snack at the time of the inspection.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection the records of staff person #1 and #2 were lacking the verified child care experience required to qualify them for the position they were observed performing.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.151(c)(1)/3270.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of the inspection the record of staff person #2 did not have a completed valid current health assessment.

Correction Required: An adult health assessment must include a physical examination. 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: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of the inspection neither child #1 nor child #2 had an individual bottle with their name on it.

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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: At the time of the inspection the record of staff person #1 did not have proof of the annual minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: At the time of the inspection the record of staff person #2 indicated that they were an assistant group supervisor level childcare staff person; however, the record of staff person #2 did not have sufficient verification of childcare experience to serve as qualifications for that position (in relation to the educational level documentation.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.37(c)

Description: Aides supervised all times

Noncompliance Area: At the time of the inspection staff person #2 was observed caring for a child without supervision by a staff person qualified at minimum as an assistant group supervisor (they were the only staff providing care to the child in the room at that time.)

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Regulation: 3270.76/3270.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: At the time of the inspection the walls around the doorway and windows of the school aged program room had sections of exposed plaster and worn out paint. In the infant room there was and unfinished repair job with unsanded, unsurfaced plaster on the doorway.

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

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: On 3/23/22, at time of inspection, Child #3, #4, #5, #6 and #7 have been enrolled at the facility for more than 60 days. Child #3, #4, #5, #6 and #7 immunization records did not contain annual influenza vaccine as recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 3/23/23, at time of renewal, the Financial Agreements belonging to Child #1, #2, #3, #5, #6 and #7 were not updated at least once in a 6-month period.

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: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: On 3/23/23, at time of inspection, Staff #1 and Staff #2 files did not contain FBI Clearances obtained from an approved agency as required by CPSL. (FBI clearances issued by DPE were on file) Additionally, Staff #3 file did not contain Child Abuse Clearance as required by CPSL. The Child Abuse clearance was issued for Household Member)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2 and #3 may not work in a child care position at the facility.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 4/22/22, the emergency contact information belonging to Child #2, Child #3, Child #4 and Child #5 did not contain the addresses of designated 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.

Regulation: 3270.124(f)/3270.181(e)

Description: Updated every 6 months/Emergency master file updated

Noncompliance Area: On 4/22/22, emergency contact information located in the child care space where children were receiving care were not updated at least once in a 6 month period. (The emergency contact information located in the child's master file were updated within 6 months)

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 If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: On 4/22/22, expired Epinephrine belonging to Child #1 was observed in the medicine closet. The Epinephrine expired 1/2022.

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

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: On 4/22/22, the health assessment belonging to Staff #2 did not include the physician's assessment of suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: On 4/22/22, verification of education was not observed in the file belonging to Staff #1.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 4/22/22, two letters of written references were not observed in the file belonging to Staff #1.

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(a)(6)

Description: Emergency plan

Noncompliance Area: On 4/22/22, documentation of an annual emergency drill was not on file a the facility.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 4/22/22, Staff #1 file did not contain proof of registry for out of state criminal and child abuse clearances as required by CPSL.

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: 3270.64

Description: Outside Walkways

Noncompliance Area: On 4/22/22, dead leaves and debris was observed on the walkway outside the infant room exit.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: On 9/9/20, during unannounced inspection, the use of facemasks (covering the mouth and nose), as described by CDC Critical Guidance to ensure the health and safety of the public during COVID-19, were not observed being worn by Staff #1 and Staff #2 while caring for children in the PK classroom. A facemask was also not observed being worn by Staff #3 while caring for children in the Preschool classroom. Additionally, facemasks were not observed being worn by Staff #4 and Staff #5 in the Toddler Room (Staff #4 was changing a toddler's diaper).

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

Noncompliance Area: On 9/9/20, during unannounced inspection summary, approximately 1-2 inches of standing "green" water containing debris including goose poop was observed on tarp covering the sand box located by the school age play space. Goose poop was also observed along the wooden portion of the sandbox as well as on various parts of the playground including on the mulch surrounding embedded equipment where children play.

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.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.

Noncompliance Area: On 8/6/2020, a least 9" of loose fill was not observed around the 3 pieces of embedded equipment on the top outdoor play space. (Only approx. 2 inches were measured in these areas). Mulch was observed waiting to be spread on the facility's parking lot.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: On 8/6/2020, an FBI issued by DHS and results of the NSOR was not observed in the file belonging to Staff #1. (The FBI results on file dated 4/8/16 was issued by the Department of Education)

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, FBI, NSOR and 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: On 8/6/20, four infant strollers were observed in the hallway obstructing the door leading to back/right side EXIT.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: On 11/5/19, at the time of inspection, there were 10 children present in the PS3 classroom. Staff #4 and Staff #7 could not name the children assigned to their specific group for the purpose of supervision. Staff #4 and Staff #7 stated that they do not have assigned groups when in the child care space. Staff #4 and Staff #7 stated they only have assigned groups when they take children to the outdoor play space or when they leave the classroom.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: On 11/5/19, an initial health assessment including results from tuberculosis testing via Mantoux method was not observed in the file belonging to Staff #3 (hired 6/24/19) and Staff #6 (hired 7/15/19). The initial health assessment on file for Staff #1 (hired 6/26/19) did not contain a date of the tuberculosis results to ensure it was conducted within 12 months of initial hire.

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 11/5/19, 3 bottles of breast milk in the infant room were not labeled with the child's name.

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

Noncompliance Area: On 11/5/19, verification of education was not observed in the file belonging to Staff #4 and Staff #6. Verification of 2+ years experience prior to working at the facility was not observed in the files belonging to Staff #3, #4, #5 and #6. (the verification of experience on file did not contain information regarding the person verifying the staff persons' hours)

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: On 11/5/19, two letters of reference were not observed in the file belonging to Staff #2, Staff #3 and Staff #6. One letter was on file for Staff #1 but did not contain the name or signature of the reference. Only one letter of reference was observed for in the file belonging to Staff #3.

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 11/5/19, Mandated Child Abuse Reporter training required by CPS was not observed in the file belonging to Staff #4 (hired 6/17/19). The disclosure statements on file for Staff #1 and Staff 2 were not dated.

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.

Noncompliance Area: On 11/5/19, two uncovered electrical outlets in PS4 and one uncovered electrical outlet in the infant room were observed accessible to children.

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

Noncompliance Area: On 11/5/19, a cart was observed obstructing the egress located on the second floor.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: On 4/18/19, a torn rest mat was observed in the Young Toddler Room.

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. 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 4/18/19, tall double door storage cabinets (approx. 6 ft tall) were observed in the child care spaces in the facility. The cabinets were not secured to prevent them from being able to tip over. (The cabinets rocked side to side when tested for durability). One cabinet was located in the Young Toddler and Twoodles room, two cabinets were located in the PS3 room, three cabinets were located in the PS4 room and four cabinets were located in the K room.

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

Noncompliance Area: On 4/18/19, addresses of designated release persons were not observed on the Emergency Contact information belonging to Child #1 and Child #3.

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 4/18/19, updated health reports, including updated immunization records, were not observed in the files belonging to Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7 and Child #8.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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: On 4/18/19, two letters of reference were not observed in the files belonging to Staff #5 and Staff #6. (only 1 letter was observed in each file)

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 4/18/19, no evidence of an annual review of the facility's emergency plan was observed on file at the facility.

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: On 4/18/19, a minimum of 6 hours of annual child care training was not observed in the files belonging to Staff #1, Staff #2, Staff #3 and Staff #4.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: On 4/18/19, a request for DHS FBI clearance was not observed in the file belonging to Staff #6 (hired 4/8/19). The completed FBI clearance on file for Staff #6 was obtained by DPE. A request for PA criminal clearance was not observed on file for Staff #6 (hired 4/1/19). The Disclosure statement on file for Staff #5 was not dated.

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.

Noncompliance Area: On 4/18/19, dead leaves and debris were observed on the outside walkway used as exit for infant room.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: On 4/18/19, a tub of lotion and sunscreen instructing to "keep out of reach of children" was observed in an unlocked cabinet accessible to children in the PK classroom.

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: On 12/12/18, Staff #1 and Staff #2 stated that at approximately 11:25am while transitioning into the classroom after outdoor play time, Child #1 was left unsupervised by a staff person on the Tot Lot play space for approximately one minute.

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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: STAFF 4 DID NOT HAVE A HEALTH ASSESSMENT NOR TB TEST RESULTS IN THEIR FILE. STAFF 1 DID NOT HAVE ANY DATES ON THE RESULTS OF THE TB TEST (NOT WHEN IT WAS ADMINISTERED NOR READ).

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: STAFF 1 HAD A PHYSICAL BUT IT DID NOT STATE IF THE STAFF HAD COMMUNICABLE DISEASES OR IF THEY HAVE ANY HEALTH PROBLEMS THAT MIGHT PROHIBIT THE STAFF FROM PROVIDING ADEQUATE CARE TO CHILDREN.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: STAFF 4 HAD VOLUNTEER STATUS STATE POLICE CLEARANCE AND STAFF 2 HAD VOLUNTEER STATUS STATE POLICE AND CHILD ABUSE CLEARANCES AND BOTH WERE WORKING AS STAFF. STAFF 1, 2, AND 3 DID NOT HAVE THEIR FBI CLEARANCE NOR THE RECEIPT FOR THEIR FBI CLEARANCE FINGERPRINTS.

Correction Required: 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: STAFF 1 AND 4 DID NOT HAVE PROOF OF EDUCATION IN THEIR FILE. STAFF 1, 2, 3 AND 4 DID NOT HAVE PROOF OF EXPERIENCE AND WERE CLASSIFIED 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: CHILD 1, 2 AND 3 DID NOT HAVE THE ADDRESS TO WHOM THE CHILD MAY BE RELEASED LISTED ON THE EMERGENCY CONTACT FORM.

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: STAFF 1 AND 2 PHYSICAL FORM DID NOT ANSWER WHETHER THEY HAD COMMUNICABLE DISEASES NOR IF THEY ARE SUITABILITY TO PROVIDE CHILD CARE.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: DURING THE INSPECTION, CHIPPED PAINT WAS FOUND ON THE PAPER TOWEL DISPENSER IN THE MEN'S BATHROOM, THE HEATER IN THE INFANT ROOM AND THE SWING SET OUTSIDE, CLOSEST TO THE BUILDING.

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

Noncompliance Area: STAFF #1 DID NOT HAVE PROOF OF THEIR EMRGENCY PLAN TRAINING IN THEIR FILE.

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.