Busy Bee Playcare Llc

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: Peeling tape was observed on the bottom of a door near the bathroom, and accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On the outside of the entry door, red peeling paint was observed.

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: The emergency contact form for Child #2 lacked the release person's phone number.

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(c)

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

Noncompliance Area: The file for Child #1 contained an emergency contact form that had updates more than 6 months apart.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: The most recent health report form on file for Child #1 (a young toddler) is dated 8/9/24, more than 6 months prior.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1 contained an agreement form that had updates more than 6 months apart.

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: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan parent letter lacked information on accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the Gross Motor Room, the carpet was observed to be peeling and not in good repair. In the bathroom (left), the linoleum floor was peeling in the doorway, creating a tripping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the middle space of the Main Room, peeling paint was observed on the side wall. In the bathroom (right), peeling paint was observed behind the toilet, along the baseboards, and along the back of the sink.

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

Regulation: 3270.151(a)/3270.192(3)

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

Noncompliance Area: The files for staff #1 and #2 contain health assessments that were updated late. Staff #1 was due 8/2023 and obtained 9/2023. Staff #2 was due 8/2023 and obtained 9/2023.

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: 3270.72(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed several windows above the ground floor that open directly to the outdoors and are accessible to children that were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for child #2 did not include a phone number for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form in the file for child #1 did not include a policy number for the child's insurance.

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: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for child #3 did not include an address for the release person.

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: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The most recent health report in the file for child #3 did not include the title of the individual completing the form.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include continuity of operations. .

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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #1 through #4, all hired before 10/4/22, had not yet taken the 1-hour health and safety training update.

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(c)(1)

Description: Physical examination

Noncompliance Area: The individual completing the health assessment in the file for staff person #5 marked "no" for the question, "Did you conduct a physical exam?"

Correction Required: An adult health assessment must include a physical examination.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: A copy of the updated emergency plan was not sent to the local municipality.

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

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #1 were 7/16/21 and 9/20/22. The last two fire safety trainings in the file for staff person #2 were dated 11/21/21 and 1/30/23. The last two fire safety trainings in the file for staff person #4 were dated 11/21/21 and 4/25/23.

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.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following items were observed in the unlocked cabinet under the diaper table, making them accessible to the children in care: hand sanitizer, first-aids containing antibiotic and burn cream and alcohol wipes.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The following testing of the fire detection system was conducted more than 30 days apart: 7/1/22 and 8/1/22; 8/1/22 and 9/1/22; 9/1/22 and 10/2/22; 11/1/22 and 12/2/22; 12/2/22 and 1/3/23; 3/1/23 and 4/3/23; 4/3/23 and 5/15/23.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information in the file for child #3 did not include a complete work address for the child's mother, as it did not include either a city or zip code. The emergency contact information in the file for child #5 did not include any work information for the child's father.

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

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information in the file for child #1 did not include a complete address for two of the release persons listed, as neither included either a city or zip code.

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(e)

Description: Written emergency plan posted

Noncompliance Area: There was not an emergency transportation plan posted in the main room of the facility.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The initial health report in the file for child #2 was dated beyond the child's first 90 days of attendance, as required by the COVID suspension of regulations. The only health report in the file for child #3 did not include the date of the exam, so timeliness could not be determined.

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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The last two health reports in the file for child #4, a preschooler were dated approximately 14 months apart.

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.

Regulation: 3270.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The only health report in the file for child #2, a young toddler, did not include a signature or title for the person who conducted the exam.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3270.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The list of vaccinations in the file for child #4, a preschooler, did not include a flu shot or a written statement of exemption by a parent.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3270.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash can next to the diapering table was not hands-free.

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.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #3 did not include any reference letters. The file for staff person #5 included only one reference letter.

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: 3270.31(f)(10)

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

Noncompliance Area: The first-aid and CPR training in the file for staff person #1 and #2 were dated slightly beyond their first 90 days of working with children.

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

Regulation: 3270.31(h)

Description: Health and Safety Training

Noncompliance Area: The file for staff person #1 through #4 contained training on health and safety topics #1 through #9, as required by regulation 31f, that was dated beyond their first 90 days working with children.

Correction Required: All staff persons shall complete the professional development under subsection (f).

Regulation: 3270.34(b)(3)/3270.192(2)(ii)

Description: Associate's + 3 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #1, holding the title of director, included an Associate's degree in teaching education, but did not include proof of 3 years of experience working with children.

Correction Required: A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.62(c)

Description: Space safe for large muscle activity

Noncompliance Area: There was a child-sized rectangular table in the facility's indoor gross motor space.

Correction Required: Outdoor or indoor play space shall be safe for large muscle activity.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: There was a small bottle of air freshener spray in the medicine cabinet in the bathroom closest to the office.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.74

Description: Emergency Numbers Posted

Noncompliance Area: The emergency telephone numbers posted the main childcare space did not include a listing for "ambulance."

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a small area of damaged plaster on the wall near the side door of the gross motor space. In the children's bathroom closest to the office, there was an area of peeling paint on the wall underneath the sink and a few visible paint chips on the floor. In the children's bathroom closest to the kitchen, there was an area of peeling paint on the wall under the toilet tank and a very small area of damaged plaster to the right of the toilet tank.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: In the children's bathroom closest to the office, there was not a handwashing sign posted at the toilet. In the children's bathroom closest to the kitchen, there was not a handwashing sign at the toilet or the potty chair.

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.

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: In the storage closet, off of the main room, 5 foam resting mats were observed to not be labeled with the specific child's name.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The child file for Child #2 contained a financial agreement form that lacked mention of the services to be provided to the family and child.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #2 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released to.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked information on the child's special needs such as medical, dietary, allergies, or disabilities.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The child file for Child #1, who is a preschool aged child, lacked a flu shot. The child file for Child #3, who is a preschool aged child, lacked a flu shot; the last flu shot on record was dated 10/9/19.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3270.151(a)

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

Noncompliance Area: The staff file for Staff person #3, who has a start date working with children of 7/12/21, contained a current health assessment dated 8/6/21 which was not obtained prior to providing initial services in a child care setting.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The staff file for Staff person #3, who has a start date working with children of 7/12/21, contained a current tuberculosis screening conducted on 8/4/21 read on 8/6/21 which was not obtained and read prior to providing initial services in a child care setting.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.171(a)

Description: Pick-up and drop-off points

Noncompliance Area: Staff person #1 self reported that a written letter was not sent to the local traffic safety authorities to notify them of the new facility and the program's use of pedestrian and vehicular routes around the child care facility.

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 child care facility.

Regulation: 3270.18(a)

Description: On file at facility

Noncompliance Area: The liability insurance on file at the facility lacked the effective date making it difficult to determine when the policy went into effect and if it is current.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The staff file for Staff person #1 lacked one nonfamily reference.

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: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked a means for parents of enrolled children to access the regulations in this chapter 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: 3270.27(f)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan was not sent to the local municipality nor the county emergency management agency.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The staff file for Staff person #2, who has a start date working in child care of 7/12/21, contained a current State Police clearance dated 8/9/21 and a Child Abuse clearance dated 7/22/21 which were not obtained prior to working with children.

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.