Little Jems Childrens Center

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: On 12/8/23 during renewal inspection Certification Representative noticed that one or more refrigerators was missing a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.111(a)

Description: Written plan

Noncompliance Area: On 12/8/23 during renewal inspection Certification representative noticed that the before/afterschool classroom was missing a written plan of activities.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3270.152

Description: Adult Hygiene

Noncompliance Area: On 12/8/23 during renewal inspection Certification Representative noticed that the proper hand washing sign was missing.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3270.72(c)

Description: Good repair

Noncompliance Area: On 12/8/23 during renewal inspection Certification Representative noticed that a screen was in need of repair.

Correction Required: Screens shall be in good repair.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 10-16-23 parent reported to OCDEL that 3 year old teacher hit her child in the center and was observed by a parent of a child at the center. On 11-3-23 Certification Representative visited center and interviewed Director and teacher, video of the incident was no longer available due to recent power outage. During investigation director and teacher admitted that the incident did occur.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff member was observed and recorded on video restraining the child with the full weight of her leg while the child was on the rest mat. Staff was observed handing more than one child in an inappropriate fashion and the child was unable to move when the weight of the lag was on them.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection the record of child #2 and Child #3 were lacking health insurance coverage and policy number or Medical Assistance benefits, if applicable.

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: 3270.131(a)/3270.182(1)

Description: Health information/Initial and subsequent health reports

Noncompliance Area: At the time of the inspection the records of children #1 and #2 were lacking in current valid health assessments.

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

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 the inspection the record of staff persons # 1, #4 and #6 were lacking in current valid 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)

Description: Age and Training

Noncompliance Area: At the time of the inspection the records of staff person's #1, #2, #3, #8 and #9 were lacking in the proof of 12 clock hours of child care training over the course of the past 12 hours of service at the facility.

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

Regulation: 3270.31(f)(6)

Description: Health and Safety Training - Prevention of shaken baby syndrome

Noncompliance Area: At the time of the inspection the records of Staff persons #2 and #3, both having served the facility over 90 days, were lacking in the proof of having completed professional development in the prevention of shaken baby syndrome and abusive head trauma:

Correction Required: Staff persons shall complete professional development in the prevention of shaken baby syndrome and abusive head trauma within 90 days of hire.

Regulation: 3270.31(f)/3270.31(f)(10)

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

Noncompliance Area: At the time of the inspection the record of staff person #5, having served the facility in a childcare position over 90 days, was lacking in the proof of having completed pediatric first aid. The record of staff person #6, also beyond 90 days of child care service at the facility, was lacking in the proof of completion of the required health and safety trainings

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #9, having served the facility over one year, was lacking in current State PA state police clearance, child abuse clearance and proof of mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 9 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 9 may not work in a child care position at the facility.

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

Description: Each staff person meets quals/Transcript, diploma and letters

Noncompliance Area: At the time of the inspection the record of staff person #4 was lacking in the proof of Education to qualify them for the position they had been identified to be performing at the facility.

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 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: 3270.33(a)/3270.192(5)

Description: Each staff person meets quals/Two written references

Noncompliance Area: At the time of the inspection the record of staff person #6 was lacking in one of the two required reference letters.

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 two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: At the time of the inspection the record of staff persons #1, #7 and #8 were lacking in the written evaluation written within the last 12 months.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection the record of staff person #1 had a mandated reporter training that was completed over 60 months prior to that date.

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: 3270.33(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 persons #2 and #3 were identified as Assistant Group Supervisor level staff and they had no proof of verified child care experience prior to service at the facility.

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: 3270.33(a)/3270.35(b)

Description: Each staff person meets quals/Group sup qualifications

Noncompliance Area: At the time of the inspection the record of staff person #5 indicated them to be a Group Supervisor Level staff. There was no proof of education beyond High School.

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 group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: on the date of the physical site review of the facility the cabinet beneath the sink in the infant room had a child proof lock which was non operational and the toxic cleaning solution, which was accessible to the children in care, in that cabinet.

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: At the time of the inspection staff person #3 did take their primary care group to the bathroom and child #1 was left in the room 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. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: At the time of the inspection the record of staff person #2 was lacking in the complete 6 clock hours of child care training for this year.

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 when certification representative was ringing the bell of the facility staff member #3 did answer the door and leave the person identified (for the purposes of this inspection) as staff member #1 alone with their primary care group of 9 preschool children. staff person #1 was at the facility interviewing and had no staff record.

Correction Required: A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor. An individual record is required for each facility person.

Noncompliance Area: At the time of the inspection the infant room did not have the emergency contact information for the children in care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: At the time of the inspection the radiator cover along the base board in the infant/toddler room was broken with exposed splintering wood and nails.

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

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking the Mandated reporter training required by CPSL law: staff person #2 was providing care alone in the preschool room.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of the inspection the record of staff person #1 was lacking in the verification of experience to qulaify them for the position they hold at the facility.

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.

Noncompliance Area: At the time of the inspection the first aid kit in the infant room was missing tape and gauze. The first aid kit in the large muscle play space (out door) was missing tweezers and scissors. the preschool room had a first aid kit with no soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.