Wee People Day Care And Learning Center

Regulation: 3280.113(a)/3280.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: During the renewal inspection, the staff and children were outside. Two children ran into the building and went into the bathroom. A third child followed. No staff were in the building, and staff did not appear to be aware of the children being in the building unsupervised.

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. TIERED LIS: 1. Children must be supervised at all times. The staff person shall be physically present with the children in his group. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to the training. The operator shall provide a date for when this training will be completed. 3. The legal entity must complete technical assistance provided through the department on Behavior Management. The operator shall provide a date for when this training will be completed.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1 and child #2 were missing the release person's address.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the renewal inspection, the exit door and screen door of the facility were locked while children were in care.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: There were several different smoke alarms in the facility, however, the required interconnected alarms were not sounding together. One alarm could not be set off and appeared to not be functioning properly.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.133(3)

Description: Name on bottle

Noncompliance Area: There was infant Tylenol, triple antibiotic ointment, Neosporin, and Hydrocortisone cream none of which was labeled for an individual child.

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: 3280.133(5)

Description: Original label

Noncompliance Area: There was an EpiPen for child #1 with an expiration of 11/2024; Albuterol for child #2 with an expiration of 2/2025; Acetaminophen for child #3 with an expiration of 2/25, Albuterol for child #4 with an expiration of 12/25/24. Infant Tylenol that was not labeled for an individual child expired 12/24.

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

Regulation: 3280.133(6)

Description: Written consent

Noncompliance Area: There was no written parental consent for the following medications that were on site: Albuterol for child #1; Albuterol for child #2; Motrin and cough syrup for child #5.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: There was no documentation of emergency plan training for staff #1 who has been employed for more than 90 days (see code sheet).

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.

Regulation: 3280.61(h)

Description: Measurement and use of indoor child care space

Noncompliance Area: Upon arrival at the facility, there were 8 children in the room to the left of the entrance. The room measures for 5.

Correction Required: The capacity established for an indoor space may not be exceeded.

Regulation: 3280.119

Description: Infant sleep position

Noncompliance Area: During the renewal inspection on 10/21/24, child #1 was observed sleeping in a stroller.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3280.134(b)

Description: Towels labeled and laundered

Noncompliance Area: During the renewal inspection on 10/21/24, a child was observed using a cloth towel to dry her hands after a diaper change. The towel was not labeled for individual use.

Correction Required: Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The operator shall arrange a laundry schedule with the parent.

Regulation: 3280.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the renewal inspection on 10/21/24, the diaper changing pad was not sanitized after a diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3280.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: As of the renewal inspection on 10/21/24, the health assessment of staff #1 did not include the physician's assessment of suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3280.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: As of the renewal inspection on 10/21/24, reports of accidents, injuries and illnesses were not being retained in the child's file and were not being given to parents.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: As of the renewal inspection on 10/21/24, the operator had not provided the parent of each enrolled child with information on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: As of the renewal inspection, staff #1 had not received training in the emergency plan in the last year.

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.

Regulation: 3280.34(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: During the renewal inspection on 10/21/24, staff #2 was alone with children and did not have documentation of 2 years of experience with children.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: During the renewal inspection, damage to the wall near the train table was observed.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Facility person #1 did not complete the required health and safety training update by 12/30/22.

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. Facility person #1 has until July 11, 2023 to complete the health and safety training update.

Regulation: 3280.20/3280.71

Description: General Health and Safety/Heat Source

Noncompliance Area: At the time of the announced monitoring visit, Cert Rep observed the gate to the kitchen was open and the stove was in use.

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

Regulation: 3280.151(a)

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

Noncompliance Area: Staff person #1 has an initial health assessment dated 7-29-22 which is after the date of 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.

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: During the record review portion of the renewal inspection it was observed that the fire system was tested on 7/26/22 and then again on 8/26/22 which is a span of 32 days which exceeds the requirement of testing every 30 days.

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

Regulation: 3280.16(a)

Description: Accommodate a child with special needs

Noncompliance Area: The facility does not have a written plan to make reasonable accommodations to include a child with special needs.

Correction Required: The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #1 does not have proof of NSOR clearance request or an NSOR clearance on file, date of hire 10/18/21.

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.

Noncompliance Area: Child #1 started care 11/27/18 and has an initial health report dated 2/27/19. This period exceeds 60 days. Child #2, is a preschool child and had a health report dated 11/24/17.

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. 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: Facility person #1 has health reports dated 6/7/17 and 9/20/19. This period exceeds 24 months.

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: 2 written reference letters for facility person #2 were unavailable for review at inspection.

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: The emergency plan was reviewed on 8/7/18 and then again 9.13.19, which is a period over 1 year.

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: All staff received emergency plan training on 8/7/18 and then again on 9/13/19. This period exceeds 1 year.

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.

Noncompliance Area: Rep observed uncovered electrical outlets in a, accessible power strip located on the desk in child care space.

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

Noncompliance Area: Rep observed ink cartridges in an unlocked, accessible desk drawer in the child care space. They are labeled "keep out reach of children".

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

Noncompliance Area: Operator used disinfecting wipes to clean child's hands before eating. The label on the wipes states "keep out of reach of children". It also states " do not use as a diaper wipe or for personal cleansing".

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Noncompliance Area: Rep observed an operable stove in area that is measured child care space. The stove not accessible to children when in use as it is sectioned off by a counter and a gate.

Correction Required: Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

Noncompliance Area: Observed children identified as 2 year olds by the staff playing in the area of the outdoor play yard that has mulch. Some pieces of the mulch are less than 1' in diameter.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: A staff person changed a toddler's diaper and then had him sit on the edge of the shower with other children while she changed other children's diapers. While the child was waiting, he picked up a book to look at and touched his face also. When the staff was finished changing the children all children and the staff person washed their hands. The staff person did not wash her hands in between changing children's diapers.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: Observed Pine-Sol and other cleaning materials in an accessible bathroom cabinet which has a lock but was unlocked at the time. Also observed Lysol spray on top of the file cabinet across from the kitchen. it is accessible to school age children who can reach it.

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

Noncompliance Area: Observed peeling paint on the door of the shed in the outdoor play area. Also observed a rusty screw sticking out of the door on the shed in the outdoor 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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Child #1 is missing an initial agreement.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: FACILITY PERSONS #1 & 2 ADMITTED THEY FEED THE CHILDREN BABY FOOD WHEN THEY BITE OTHER CHILDREN. THEY SPECIFICALLY SAY TO THE CHILDREN, IF YOU ACT LIKE A BABY THEN YOU GET BABY FOOD.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child`s family and may not specifically aim to degrade the child or the child`s family.

Noncompliance Area: FACILITY PERSONS #1 & 2 ADMITTED TO MAKING THE CHILDREN EAT BABY FOOD WHEN THEY BITE OTHER CHILDREN.

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

Noncompliance Area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

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. The legal entity must arrange for all facility staff to receive PQAs approved training regarding supervision of children. It does not matter if the PQAs approved training is through the regional key, the legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: FACILITY PERSON #1 THROUGH THE COURSE OF THE INVESTIGATION WAS FOUND TO HAVE HANDLED A CHILD ROUGHLY.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: CERTIFICATION REP OBSERVED CHILD #1 SLEEPING WITH A BOTTLE INSIDE A PACK & PLAY.

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

Noncompliance Area: AT THE TIME OF AN UNANNOUNCED VISIT CERT REP OBSERVED 16 CHILDREN RECEIVING CARE.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.