I LOVE IT DAYCARE LEARNING CENTER LLC

Exam communicable disease/Physician/CRNP assessment (3270.151(c)(3)/3270.151(c)(5))

The initial health assessment in the file for Staff Person #7 does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: 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. Correction: All paperwork for staff will be done and updated to meet compliance requirements. Staff person #7 will have an updated health assessment that includes an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

The initial health assessment in the file for Staff Person #4 is not valid. The health assessment was conducted more than one year prior to the staff person's rehire date (See LIS Code Sheet). Requirement: 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. Correction: All paperwork for staff will be done and updated to meet compliance requirements. Staff person #4 has an updated health report in their file. All initial health assessments will be valid in their file upon hire, and will not exceed more than one year prior to the staff persons rehire date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

Observed Benadryl in the medicine box in the PS Room, which was not labeled with the name of Child #2, the child for whom the medication was intended. Requirement: 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. Correction: Benadryl was labeled with Child #2's name. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The most recent health reports in the file for Child #1, a young toddler, exceeded six months between reports. Requirement: 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. Correction: All paperwork for children will be done and updated to meet compliance requirements. Child #1 has an updated health report and it is in their file. A young toddler will not exceed 6 months in between reports. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Availability of certificate of compliance and applicable regulations (3270.25(a))

The current certificate of compliance was not posted at the facility. Requirement: 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. Correction: Hang updated certificate of compliance in lobby area. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Observed peeling, flaking paint on the bathroom floor register in the Toddler Room and on the hanging bookshelf in Infant Room #1. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Peeling and flaking paint on the bathroom floor register in the Toddler Room and on the hanging bookshelf in Infant Room #1 was cleaned and updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Observed frayed, splintering wood along the bottom of the hanging bookshelf in Infant Room #1. Requirement: 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. Correction: Duct tape was placed along frayed, splintering wood along the bottom of the hanging bookshelf in Infant Room #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed a push-mop with a tank that contained cleaning solution, which was accessible to children in the Preschool Room. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Push-mop was observed with a tank that contained cleaning solution that was accessible to children in the preschool room was removed and put into the locked closet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The NSOR Certificates in the files for Staff Person #1 and #3 exceeded 60 months between certificates. The Out-of-State Child Abuse Clearance and Interstate Sex Offender Registry Check (Florida) in the file for Staff Person #5 were processed after the staff person's first day working in a child care position at the facility (See LIS 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: All paperwork for staff will be done and updated to meet compliance requirements. NSOR certificates for Staff Person #1 and #3 and out-of-state clearances for Staff Person #5 are in the staff file and are up to date. Certificates will not exceed 60 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

The most recent annual fire safety trainings in the files for Staff Person #2 and #3 exceeded 12 months between trainings. The first fire safety training in the file for Staff Person #6 was completed more than 12 months after the staff person's first day working in a child care position at the facility (See LIS Code Sheet). Requirement: Staff persons shall participate, at least annually, in fire safety 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. Correction: All paperwork for staff will be done and updated to meet compliance requirements. All staff will have fire safety training completed and, in their file, annually and it will not be longer than a 12-month period. All staff are current on their fire safety training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

Observed adult scissors in two unlocked drawers next to the sink in the Preschool Room. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Adult scissors were removed from two drawers in the preschool room and placed in a locked cabinet that the children cannot access. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

The daily activity schedule was not posted in Room #1. Requirement: The written plan of daily activities shall be posted in the group space. Correction: THE DAILY ACTIVITY SCHEDULE IN ROOM #1 WILL BE POSTED. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

The read date for the TB screening in the file for Staff Person #3 was after the staff person's first day in child care. (See LIS Code Sheet). Requirement: 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. 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. Correction: THE FILE FOR STAFF PERSON #3 CONTAINS A CURRENT, VALID TB SCREENING. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

A handwashing sign was not posted at the toilet in the Preschool bathroom. Requirement: 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. Correction: A HANDWASHING SIGN WAS POSTED AT THE TOILET AREA ALONG WITH THE ONE BY THE SINK IN THE PRESCHOOL BATHROOM. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

65º F minimum (3270.70(a))

The indoor temperature at the facility measured 64° F. Requirement: The indoor temperature shall be at least 65° F. Correction: THE TEMPERATURE AT THE FACILITY WILL NOT MEASURE LESS THAN 65 DEGREES FAHRENHEIT. THE THERMOSTAT WAS TURNED UP TO MEASURE HIGHER THAN 65 DEGRESS FAHRENHEIT. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed a floor cleaner with a tank of cleaning solution, which was accessible to children, in the Preschool bathroom. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: THE FLOOR CLEANER WITH A TANK OF CLEANING SOLUTION, WHICH WAS ACCESSIBLE TO CHILDREN, IN THE PRESCHOOL ROOM HAS BEEN REMOVED AND PUT INTO A LOCKED CLOSET LOCATED IN THE PRESCHOOL ROOM BATHROOM. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff Person #3, an Assistant Group Supervisor with a High School Diploma, lacked documentation of two years child care experience. 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: STAFF PERSON #3 WILL PROVIDE DOCUMENTATION OF TWO YEARS CHILD CARE EXPERIENCE. IF STAFF PERSON #3 IS NOT ABLE TO PROVIDE DOCUMENTATION OF TWO YEARS CHILD CARE EXPERIENCE, SHE WILL NOT BE LISTED AS ASSISTANT GROUP SUPERVISOR AND WILL WORK AT I LOVE IT DAYCARE LEARNING CENTER AS AN AIDE. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The State Police Clearance in the file for Staff Person #2 was more than 12 months old and status was "request still pending," which makes the clearance invalid. A current application for a new state police clearance conducted before start date was not on file for Staff Person #2 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. Facility Person #2 may not work in a child care position at the facility. Correction: STAFF PERSON #2 WILL COMPLETE A NEW STATE POLICE CLEARANCE BEFORE RETURNING TO HER POSITION AT I LOVE IT DAYCARE LEARNING CENTER. THE STATE POLICE CLEARANCE WILL NOT STATE STATUS AS PENDING, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

The health and safety training in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet). Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: ALL STAFF MEMBERS WILL HAVE THEIR HEALTH AND SAFETY TRAINING DONE AND COMPLETED WITHIN 90 DAYS OF HIRE. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

* 2nd Citation. Previously cited on 8/7/24. On 11/4/24, at approximately 1:15 PM, observed four infants sleeping in pack n plays in Downstairs Room #1. Four infants were alone in the room and unsupervised. Staff Person #1, who was responsible for supervising the children, was in the adjacent room, Downstairs Room #2. Requirement: * 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. Correction: The staff member was in the adjacent room grabbing the child's daily sheets to fill out. The staff member left the room for approximately less than 10 seconds to grab their daily sheets. The staff member immediately came back into the adjacent classroom after getting their daily sheets. In the future the staff member will not leave any children unsupervised and go into the adjacent classroom. If the staff member needs help management will be available to assist the infant room teacher. Staff person #1 will always supervise children, and when needed to go into the adjacent room will ask for help to have another staff member present to assist with either supervising the children or assisting in daily needs. White boards have been hung in each classroom to have staff members responsible for their specific children in their group. The staff member shall know the names and whereabouts of the children in his assigned group. The staff member shall be physically present with the children in his group on facility premises and on facility excursions off the facility premises. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

2nd Citation. Previously cited on 8/7/24. On 11/4/24, at approximately 1:15 PM, observed four infants sleeping in pack n plays in Downstairs Room #1. Four infants were alone in the room and unsupervised. Staff Person #1, who was responsible for supervising the children, was in the adjacent room, Downstairs Room #2. 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: The staff member was in the adjacent room grabbing the child's daily sheets to fill out. The staff member left the room for approximately less than 10 seconds to grab their daily sheets. The staff member immediately came back into the adjacent classroom after getting their daily sheets. In the future the staff member will not leave any children unsupervised and go into the adjacent classroom. If the staff member needs help management will be available to assist the infant room teacher. Staff person #1 will always supervise children, and when needed to go into the adjacent room will ask for help to have another staff member present to assist with either supervising the children or assisting in daily needs. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

2nd Citation. Previously cited on 8/7/24. On 11/4/24, at approximately 1:15 PM, observed four infants sleeping in pack n plays in Downstairs Room #1. Four infants were alone in the room and unsupervised. Staff Person #1, who was responsible for supervising the children, was in the adjacent room, Downstairs Room #2. Requirement: 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. Correction: The staff member was in the adjacent room grabbing the child's daily sheets to fill out. The staff member left the room for approximately less than 10 seconds to grab their daily sheets. The staff member immediately came back into the adjacent classroom after getting their daily sheets. In the future the staff member will not leave any children unsupervised and go into the adjacent classroom. If the staff member needs help management will be available to assist the infant room teacher. Staff person #1 will always supervise children, and when needed to go into the adjacent room will ask for help to have another staff member present to assist with either supervising the children or assisting in daily needs. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

*** 2nd Citation. Previously cited on 8/7/24. On 11/4/24, at approximately 1:15 PM, observed four infants sleeping in pack n plays in Downstairs Room #1. Four infants were alone in the room and unsupervised. Staff Person #1, who was responsible for supervising the children, was in the adjacent room, Downstairs Room #2. Requirement: *** The Director shall monitor supervision in all childcare spaces 3 times a week for a period of 3 months. The supervision checks will be documented. The documentation will include the date, time, staff person(s) present, number of children by similar and mixed age levels and childcare space as well as the staff person's ability to meet the definition of supervision per the regulations. The document shall be maintained on file at the facility for review by Certification Representative. Correction: The director or assistant director shall monitor supervision in all childcare spaces 3 times a week for a period of 3 months. The supervision checks will be always documented and kept in the facility. The documentation will include the date, time, staff members present, number of children by similar and mixed age levels and childcare space as well as the staff's ability to meet the definition of supervision per the regulations. The document shall be maintained on file at the facility for review by Certification Representative. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff assigned to specific children (3270.113(a)(1))

** 2nd Citation. Previously cited on 8/7/24. On 11/4/24, at approximately 1:15 PM, observed four infants sleeping in pack n plays in Downstairs Room #1. Four infants were alone in the room and unsupervised. Staff Person #1, who was responsible for supervising the children, was in the adjacent room, Downstairs Room #2. Requirement: ** The Legal Entity shall require all staff persons at the facility to attend a minimum 2-hour in-person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department. Correction: The Legal Entity shall require all staff person's at the facility to attend a minimum 2 hour in person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards mandatory 12 training hours required by the Department. The director will contact and be in contact with our quality coach and ELRC to coordinate a scheduled training for all staff members. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Medication log (3270.133(6)/3270.133(7))

Observed medications for Child #6 (Infant Tylenol, saline spray, chest rub) and Child #7 (oral pain reliever), which lacked parental permission forms and medication logs. Requirement: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: PROVIDER'S PLAN OF ACTION: CHILD #6 AND CHILD #7, HAD MEDICATIONS THAT WERE PROVIDED FROM THE PARENT/GUARDIAN WHICH LACKED PARENETAL PERMISSION FORMS AND MEDICATION LOGS. MEDICATION LOGS WILL BE PROVIDED FOR THE MEDICATION THAT IS AT THE FACILITY. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).