CRAYON CASTLE CHILD CARE CENTER INC

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The high school diploma on file for staff person #1 is from a foreign country and requires evaluation. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Provider emailed PA Key Registry to ask for help and who to contact in order to have a foreign high school diploma verified. Provider will follow the steps to complete the verification process. Staff will work as an aid. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

A sleeping child was observed in the infant room on a nap mat that did not have 2 feet of space on three sides of the equipment Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: The provider immediately moved the nap mat to allow 2 feet of space on three sides. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services considered extra (3270.123(a)(7))

The area on the agreement for child #1 for extra services was blank. Requirement: An agreement shall specify the services which are to be considered as extra. Correction: Provider immediately wrote in the fees for NSF check fees and No-Show Fees. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

Observe 3 children's tylenol medications in both the 1s and 2s classrooms that were expired by one month. The expiration date was 2/2025. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Medication that was past expiration by 3 weeks was immediately removed and discarded. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

** Previously cited on 10/15/24. On 12/17/24, observed staff #1 leave the infant room and walk to the front door for approximately one minute. This left the infant room out of ratio with 1 staff to 5 infants. Requirement: ** The required staff:child ratios must be maintained at all times. The Legal Entity will arrange for all staff to attend a minimum of 2 hours of online training on ratio. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion. Correction: All staff persons will complete 2 hours of training on supervision and ratios. Staff will complete Supervision: What's Required and Supervisions Staff:Child ratio. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

* Previously cited on 10/15/24. On 12/17/24, observed staff #1 leave the infant room and walk to the front door for approximately one minute. This left the infant room out of ratio with 1 staff to 5 infants. Requirement: * When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Correction: New guidelines were established to elimnate the need a for a staff person to physically open the entrance door. Those entering the facility that do not have a pin will now be instructed to call the facility phone number and will be given a pin number to enter. All staff persons will stay in the classroom while in ratio and will not leave. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

On 10/15/24, observed 12 older toddlers in the toddler room with staff #4 and 5. Observed staff #4 walk out of the room and down the hall and out the back door for approximately one minute. This left staff #5 alone in the room with 12 older toddlers. Ratio 1:12. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Correction: Staff were instructed that they may not leave a classroom while in ratio for any reason. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the school age room lacked nonporous gloves. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Gloves were immediately added into the first aid bag in the school room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the 3- 4-year-old room, observed a blue bin of toys on the toy shelf. The hard plastic blue toy bin was cracked causing a pinch and crush point to the children in care. Requirement: 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. Correction: The bin was removed immediately from the play space. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

In the 2-3 year old room, observed foam blocks with teeth marks in them on a toy shelf and foam letters in a clear bin with a white plastic lid. Requirement: 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. Correction: Foam Blocks were removed immediately from the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

There was more than 30 days between manual checks of the fire detection system. This is evidenced by the fire detection checks on file which are dated 5/3/24 and 6/3/24. Requirement: 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. Correction: Provider completed the fire drill on the 31st day. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Per staff statements, staff #1 has used physical punishment with children by pushing children, grabbing children by the arm and yanking children's arms. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: The cited staff person was removed from the center and relieved of all duties at the conclusion of the investigation on 10/15/2024. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm (3270.113(c))

Per staff statements, staff #1 has threaten a child by raising their hand in a striking position to the child. Staff #1 has called children degrading names, such as stupid and retarded. Requirement: 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. Correction: Cited staff person was removed from the center and relieved of all duties at the conclusion of the investigation on 10/15/2024. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No harsh language (3270.113(d))

Per staff statements, staff #1 has used harsh and demeaning language in the presence of children, including: curse words, shut up and name calling. Requirement: A facility person may not use harsh, demeaning or abusive language in the presence of children. Correction: Cited staff person was removed from the center and relieved of all duties at the conclusion of the investigation on 10/15/2024. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent info communicable diseases (3270.136(b))

The operator did not inform parents of enrolled children of a suspected outbreak of lice in the facility. Requirement: The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health. Correction: Postings will be made by posting a sign on the entrance of the classroom door where parents enter daily. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Children with Symptoms of Disease (3270.137)

Per document review and staff statements, children with symptoms of lice were not excluded from child care until the child was no longer considered a threat to the health of others. Requirement: An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). Correction: the director checked the child's head for lice every day before signing in since 10/1/024 and every day the child had eggs in their hair. The child was not permitted to stay and was permanently removed effective 10/17/24. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Facility Person/Symptoms of Disease (3270.153)

Per document review and staff statements, staff with symptoms of lice were not excluded from child care until the staff was no longer considered a threat to the health of others. Requirement: A facility person with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases). Correction: The director checked the staff head for lice every day before signing in since 10/1/24 and every day the staff had eggs in their hair. That staff was not permitted to stay and was permanently removed effective 10/17/24. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training/Exp, educ., training at facility (3270.31(f)/3270.192(2)(iii))

The revised 10-hour health and safety training on file for staff #2 was completed on 9/19/24 which was more than 90 days past their hire date. SEE IS CODE SHEET. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff member completed the training and has the certificate in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

There was more than one year between fire safety trainings on file for staff #3. This is evidenced by the fire safety trainings on file with dates of 4/17/23 and 6/13/24. Requirement: 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: All staff will complete fire safety training annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The file for staff #1, who was a rehire, lacked a disclosure statement on or before initial start date in a child care position. SEE IS CODE SHEET. Requirement: 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. Correction: Staff member signed a new disclosure form and is in the staff's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).