HARLEYSVILLE LEARNING CENTER

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

At the time of inspection, file for staff member #1 contained a health assessment dated 9-13-23 but did not include an updated health assessment dated less than 24 months from the date of the medical provider's signature. 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: The director will provide the staff member listed with a Child Care Staff Health Assessment form. The staff member will immediately request to have a medical professional complete the form reflecting a physical exam completed recently. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

At the time of inspection, the prescription medication observed for child #1 did not include a medication log with the parent's signature authorizing the medication administration Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: The director will establish a medication log for child #1's prescription medication and will have the child's parent of the sign the medication log to confirm the facility has authorization to administer the medication. The medication log will be signed by the parent before the medication is administered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

At the time of inspection, a broken toilet was observed in the bathroom in the PreK classroom on the lower level. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: The director will ensure the broken toilet will be repaired to good repair or replaced with a working toilet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of inspection, a part of the metal chain linked fence surrounding the outdoor play space was leaning creating a gap between the metal fence post and the building wall which was an entrapment hazard. Also, the double swing gate entrance of the chain-linked fence had a gap at the gate latch post which was wide enough to be a foothold for climbing over the fence. 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: The director will have the metal chain linked fence repaired so it no longer has gaps in the identified areas of the fence. The metal chain-linked fence will be in good condition with no visible hazards. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member#2 contained a FBI clearance completed under the Department of Education instead of the required FBI clearance completed under the Department of Human Services (DHS), as required under the Child Protective Services Law (CPSL). Also, the file for staff member #3 did not include the Criminal Record Check and Child Abuse Check for the state in which lived in the past five years, as required under the CPSL.. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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. Facility Person #--- may not work in a child care position at the facility. Correction: The director will provide staff member #2 with the DHS FBI service code for employees of a child care center to immediately schedule an appointment to get fingerprinted for the FBI clearance required for child care staff under the CPSL. Staff member will immediately request a DHS FBI clearance via the Identogo website and using the correct service code for child care employees. The director will assist staff member #3 will obtaining the Criminal Record Check and Child Abuse Check for the state in which lived in the past 5 years. Once received the staff members missing CPSL documents will be maintained in each individual's facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

At the time of inspection, the file for staff member #3 did not include verification of pediatric first-aid and cardiopulmonary resuscitation (CPR) training conducted by a PQAS certified trainer. The file included a Red Cross lifeguard first-aid/ CPR professional rescuer certificate that did not specify pediatric training as required by the requirements. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff member #3 is no longer employed at the facility. However, if she returns the director will assist staff member #3 with scheduling to attend a pediatric first-aid and CPR training conducted by a PQAS certified trainer. Staff member #3 will complete a pediatric first-aid training, as soon as possible, then submit the certificate of completion to the individual's facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Unsafe Areas in Outdoor Space (3270.63)

At the time of inspection, the white vinyl fence surrounding the toddler outdoor play area was observed in disrepair. One fence panel was observed detached, so it no longer restricted access to the sidewalk leading to the parking lot located near the play area. Requirement: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Correction: The toddler outdoor play space with the detached white fence panel will not be used by children until a barrier restricting children from the unsafe areas can be implemented. The fence was detached to access the septic system and will be reattached once the septic system maintenance has been completed. Children will play in another area of the outdoor play space that has a fence restricting access to the parking lot. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Mixed Age Level (3270.51/3270.52)

At the time of inspection, the preschool class was observed with 12 preschool children with one staff member. Requirement: The required staff: child ratios must be maintained at all times. 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. The required staff: child ratios must be maintained at all times. Correction: The required staff: child ratios must be maintained at all times. The director will ensure that the staff: child ratio in the preschool classroom is not more than 1:10. Two staff members will be assigned to supervise the 13 children in the preschool room, or three of the preschool children in the class will be assigned to another classroom where the ratios are low enough to add children while maintaining compliance with the staff: child ratio. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for administration of minor first-aid required prior to admission (3270.124(b)(4)/3270.182(5))

At the time of inspection, the emergency contact form for child #1 did not have the parent signature for consent of emergency medical and minor first-aid. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: The director will contact the parents of the child to obtain the parents' signature for consent of emergency medical and minor first-aid procedures on the child's emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR/Exp, educ., training at facility (3270.31(f)(10)/3270.192(2)(iii))

At the time of inspection, the file for staff member #1 did not contain verification of completion of Pediatric first aid/ CPR training within 90 days of hire date. The file included a temporary document indicating that staff member #1 completed the online portion of the training but still need to complete the face-to-face portion of the Pediatric first aid/ CPR training to obtain a certificate of completion. Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 #1 will not work alone with children and will immediately provide verification of completion of the Pediatric first aid/CPR training conducted by a PQAS trainer. The director will ensure that staff member #1 is supervised by a qualified staff member until the verification of completion of the Pediatric first aid/ CPR training has been submitted for staff member #1. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Refrigerator (3270.107)

At the time of inspection, the inside of the refrigerator in the toddler room, 1st level; was observed unclean. Requirement: 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. Correction: The inside of the refrigerator in the toddler room, 1st level; will be cleaned, as soon as possible. The inside of the refrigerator will be regularly cleaned. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces/No peeling paint or plaster (3270.76/3270.77(a))

At the time of inspection, the air vents in the PreK and toddler rooms on the first level were observed dusty. The window ledge in the bathroom in the PreK room was observed dusty. The glass window in toddler room, 1st level; was observed unclean with a large smudge of the surface. The door frame at the entrance of the toddler room on the 2nd level was observed with chipped/ peeling paint. Stains observed on the curtains near the radiator in the two-year-old room on 2nd level. 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The director will ensure that the unclean surfaces and damaged paint are cleaned/repaired to be in compliance with the regulation. The unclean air vents will be cleaned, as soon as possible and cleaned at least monthly. The peeling paint will be repaired when the children are not in care and maintained regularly. The stained curtains will be cleaned or replaced if not in good condition. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Good repair (3270.72(c))

At the time of inspection, the window screens in the school-age classroom were in disrepair. Requirement: Screens shall be in good repair. Correction: The screens in the windows of the school age room will be repaired to good condition. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs (3270.36(b)(5))

At the time of inspection, the file for staff member #2 included a high school diploma which did not look authentic due to the lack of information and/or information indicated. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Correction: Staff member #2 will provide a school transcript from the high school or a letter verifying high school graduation for the School District of Philadelphia. The director will ensure staff member #2 provides the high school transcript or the letter from the school district confirming high school graduation to qualify as an assistant group supervisor. If the high school diploma isn't confirmed, the staff member must submit verification of completion of eighth grade education to at least qualify as an aide. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

At the time of inspection, the file for staff member #1 did not include Florida's child abuse clearance nor Florida's sex offender registry document which is required from any state in the last five years. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Correction: Staff member #1 will immediately request the Florida Child Abuse clearance and the Florida sex offender registry check document to comply with the CPSL. Staff member #1 will be supervised by a qualified staff member until the missing Florida clearances are obtained and submitted to the facility's files along with the other documents required by the CPSL. The director will assist staff member #1 with the websites to use when requesting the clearances from the state of Florida. The director will ensure that staff member #1 is supervised by a qualified staff member until all the CPSL documents have been submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).