Western Community Center

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of inspection, the rest equipment was not labeled for the use of a specific child.

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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, the emergency contact information for children #1 and 2 did not include the address and or telephone number 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of inspection, the provider did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

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: 3270.151(a)/3270.192(3)

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

Noncompliance Area: At the time of inspection, staff person #1 did not have a valid 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. 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)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: At the time of inspection, the health assessment for staff person # 5 did not include an examination for communicable diseases.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of staff person #2 doh (see lis code sheet), did not include a copy of the NSOR history information as required under the CPSL. The file of staff person #3 doh (see lis code sheet), did not include a copy of the NSOR history information as required under the CPSL. The file of staff person #4 doh (see lis code sheet), did not include updated copies of Criminal, Child abuse or FBI history information as required under the CPSL.

Correction Required: CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3270.67(c)

Description: No insects or rodents

Noncompliance Area: At the time of inspection, certification representative observed mice droppings in the indoor play space.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of inspection, certification representative observed peeled paint in Drexel, George Town, Providence, OST rooms and the hallway on the second floor of the main building.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILDREN # 1,2 AND 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.

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 THE TIME OF INSPECTION STAFF PERSONS # 4 AND 6 DID NOT HAVE UPDATED HEALTH ASSESSMENTS.

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)/3270.192(2)(iii)

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

Noncompliance Area: AT THE TIME OF INSPECTION THE FILE FOR STAFF PERSON #1 DID NOT CONTAIN VERIFICATION OF PEDIATRIC FIRST-AID AND CPR.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS #3,4,5,7,8,9 AND 10

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: THE FILE OF STAFF PERSON #2, HIRED 9/27/2021, DID NOT CONTAIN A COPY OF THE CRIMINAL OR FBI HISTORY INFORMATION REQUIRED THE CPSL.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: DURING THE INVESTIGATION IT WAS REVEALED THAT STAFF PERSON #1, COULD NOT EXPLAIN THE INJURIES ON A CHILD UNDER STAFF PERSON #1 CARE.

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.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #3 DID NOT HAVE A CURRENT 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.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: AT THE TIME OF INSPECTION THE OPERATOR DID NOT HAVE VERIFICATION OF NOTIFYING THE LOCAL TRAFFIC SAFETY IN WRITING IF THE LOCATION OF THE FACILITY OR THE PROGRAM'S USE OF PEDESTRAIN AND VEHICULAR ROUTES.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: AT THE TIMEOF INSPECTION STAFF PERSON #8 DID NOT HAVE AT LEAST TWO LETTERS OF 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: AT THE TIME OF INSPECTION STAFF PERSONS # 7,8 AND 9 DID NOT HAVE VERIFICATION OF 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: AT THE TIME OF INSPECTION THE OPERATOR DID NOT HAVE SEND A COPY OF THE EMERGENCY PLAN TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS #1,2,4,5,6,7,10,11,12 AND 13 DID NOT HAVE VERIFICATION OF AT LEAST 6 HOURS OF CHILD CARE TRAINING.

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

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSONS #2 AND 13 DID NOT HAVE VERIFICATION OF FIRESAFETY 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: AT THE TIME OF INSPECTION THE DIRECTOR DID NOT HAVE WRITTEN EVALUATIONS FOR STAFF PERSONS #1,3 AND 10.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED EVIDENCE OF RODENTS IN DREXEL CLASSROOM.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF THE FACILITY NOT KEPT CLEAN INCLUDING THE DREXEL CLASSROOM AND STAIRWELL.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED PEELED PAINT ON SURFACES IN THE SCHOOL AGE ROOM.

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

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED MICE DROPPINGS IN THE KITCHEN THE SINK AREA, UNDER THE SINK IN THE ALBRIGHT CLASSROOM AND NEAR THE WINDOW IN THE DREXEL CLASSROOM..

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED MICE DROPPINGS IN THE KITCHEN, ALBRIGHT AND DREXEL CLASSROOMS.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED MICE DROPPINGS IN THE KITCHEN THE SINK AREA AND IN THE DREXEL CLASSROOM BACK THE WINDOW.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED MICE DROPPINGS IN THE KITCHEN AND DREXEL CLASSROOM.

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: AT THE TIME OF INSPECTION CERTIFICATIO REPRESENTATIVE OBSERVED STAFF PERSON #4 ALLOW A CHILD TO WALK TO THE BATHROOM AWAY FROM THE CLASSROOM WITHOUT SUPERVISION.

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.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #1 DID NOT HAVE AT LEAST TWO LETTERS OF 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: AT THE TIME OF INSPECTION STAFF PERSONS #2,3,5,6,7,8,9,10,11,12 and 13 DID NOT HAVE WRITTEN EVALUATIONS.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #1 DID NOT HAVE VERIFICATION OF EDUCATION.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED MICE DROPPINGS IN THE KITCHEN THE SINK AREA AND IN THE DREXEL CLASSROOM BACK THE WINDOW.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED 4 WINDOWS IN THE GEORGETOWN ROOM OPEN

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED DUST ON AND AROUND THE RADIATOR AREA IN THE LIBRARY AND MICE DROPPINGS IN THE KITCHEN AND DREXEL CLASSROOM.

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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED PEELED PAINT ON THE PLAYSPACE DOOR, IN THE EASTERN CLASSROOM AND ON THE STAIRWELL IN THE SECOND 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: AT THE TIME OF INSPECTION THE FIRE DRILL LOG DID NOT CONTAIN HYPOTHETICAL LOCATIONS.

Correction Required: Hypothetical locations of the fire shall be changed for each drill.

Noncompliance Area: At the time of the inspection, the agreement for child #2 was not signed.

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

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #2, 9 and 10.

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

Noncompliance Area: At the time of the inspection, there was no work address or phone number of the enrolling parent on the emergency contact form for child #1-3,5,6,8,9.

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

Noncompliance Area: At the time of the inspection, there was no health insurance policy number on the emergency contact form for child #2.

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: At the time of the inspection, there was no address of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1-3,5,6,8,9.

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: At the time of the inspection, there was no initial health report on file for child #2 (DOB 5-22-16).

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #3.

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.

Noncompliance Area: At the time of the inspection, there was no verification of 6 clock hours of child care training for staff #10, 11 and 23.

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

Noncompliance Area: At the time of the inspection, the State Police Clearance on file for staff #21(date of hire 9-27-17) was in a different last name than that staff persons. There was no FBI request for that staff person. Staff #24 had State Police and Child Line clearances that were of volunteer status and not employment. (date of hire 8-1-17).

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

Noncompliance Area: At the time of the inspection, there was no name or college name listed on the transcript for staff #24. There was also no high school diploma on file for this staff person either.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Noncompliance Area: At the time of the inspection, in the Albright room, there was a window with a ripped screen.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: At the time of the inspection, the classroom ,Georgetown, was outside on the playground without emergency contact forms or a first aid kit.

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).

Noncompliance Area: At the time of the inspection, the bathroom vent and ceiling tile in Ashland had water damage and was sagging. In Providence room, the ceiling tile by the vent had water damage and has to be replaced. In Albright room, the ceiling tile had water damage and the wall that was attached to the cubby was separating from the remainder of the wall. Throughout each classroom, there was dust on the vents.

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: At the time of the inspection, there was peeling and chipped paint on the green wall in the hallway by the kitchen. There was chipped paint under the window sills in Drexel.

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

Noncompliance Area: At the time of the inspection, there were bottles and cups in the refrigerator and on the counter that were not labled specific to a child.

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

Noncompliance Area: At the time of the inspection, in the Albright room, there was pink soap in a bottle that did not contain the original label that specifies the content. This is a continued non compliance from the unannounced monitoring inspection on 6/6/17.

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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: At the time of the unannounced inspection, the counter surrounding the sink in the ashland room had severe water damage on the seams and it was causing the counter top to peel and created a rough edge making it a hazard to children.

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: At the time of the inspection, there was a cube climbing/crawling device in the Ashland room that had screws coming out of the bracket that was attached to the carpet. The blue cushion chair in the Hope room was torn exposing the inside filler foam. In the Hope room, there was a dividing gate that was broken exposing rough edges.

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.

Noncompliance Area: At the time of the inspection, there was a trash can in the Ashland room that was being used for diapering that was not hands free. When stepping on the foot pedal, the lid did not rise.

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: At the time of the inspection, there was no health assessment on file for staff #1,2,3 or 4.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was no tuberculosis screening by the Mantoux method at initial employment for staff #1, 2 or 3.

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.

Noncompliance Area: At the time of the inspection, there were no results of a chest x-ray and evaluation for chemoprophylaxis on file for staff #5. The health assessment indicated to see attached results but there was no supporting document.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: At the time of the inspection, there was no verification of age in the file of staff # 1,2 or 3.

Correction Required: A facility person`s record shall include verification of age.

Noncompliance Area: At the time of the inspection, there was no verification of child care experience prior to service at the facility on file for staff # 1-5.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of the inspection, there was no education verification on file for staff #1,2 and 3.

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.

Noncompliance Area: At the time of the inspection, there was no mandated reporter training for staff #2 (date of hire 2/15/17) or staff #3 (date of hire 2/13/17); There was no PA State Police Background check or a signed disclosure for staff #4 (date of hire 2/15/17). There was no PA State Police Background check, mandated reporter training or a signed disclosure for staff # 5 (date of hire 12/12/16).

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. Facility Person #-2-5 may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was no verification of reference letters in the file of staff #1,2 or 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: At the time of the inpection, there was no emergency plan training on file for staff #1 (date of hire 6/6/17).

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: At the time of the inspection, there was no emergency plan posted.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: At the time of the inspection, there were Protective receptacle covers missing from electrical outlets in the Albright, Hope and Ashland rooms.

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

Noncompliance Area: At the time of the inspection, in the Albright room, there was pink soap in a bottle that did not contain the original label that specifies the content.

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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: At the time of the inspection, in the Hope room, there was a plastic white zip tie attached to the heater and the end of the zip tie was hanging out causing a hazard to children.

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.