Childrens Nest Day Care Center Corp

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

An unannounced monitoring was conducted on 3/25/2026. At that time, the first-aid kits in the School-Age Annex A and School-Age Annex B rooms were both missing gloves.

Corrected by Mar 25, 2026

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

An unannounced monitoring was conducted on 3/25/2026. At that time, a toy was observed in the crib with a sleeping infant reported by staff to be eight months old.

Corrected by Apr 17, 2026

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3270.111(b)/3270.124(e) · The written plan of daily activities shall be posted in the group space. 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.

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, the following rooms did not have the followings postings: Infant Room: Emergency transportation plan. Preschool Room: Emergency transportation plan. 2 Year Old Room: Daily activities. Emergency transportation plan. School-Age Room: Daily activities. Emergency transportation plan. School-Age Annex A: Daily activities. Emergency transportation plan. School-Age Annex B: Daily activities. Emergency transportation plan. An acceptable plan of correction was received with a correction date of 3/2/2026. On 3/25/2026 during an unannounced monitoring, the following rooms did not have the followings postings: 2 Year Old Room: Daily activities. School-Age Room: Daily activities. School-Age Annex A: Daily activities. School-Age Annex B: Daily activities.

Corrected by Mar 25, 2026

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3270.113(a)/3270.113(a)(1) · 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. 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. TIERED LIS 1. 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. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The correction date for this portion of the plan shall be the date in which training will be completed by all staff.

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, staff were observed to leave their supervision group in the room while they went to the office or answered the door. Staff could not see, hear, direct, or assess children in their group from the office. An acceptable plan of correction was received with a correction date of 3/20/2026. On 3/26/2026 during an unannounced monitoring, staff person #2 was in the office when certification representative arrived. Staff Person #1 was responsible for watching both the Infant and Preschool rooms during naptime. Staff Person #1 was positioned in a chair that was between the rooms; however, could not see one of the cribs from their position. Additionally, infant cribs were covered with blankets and staff could not see/assess the children inside the cribs while they slept. When addressed, Staff Person #2 stated that they thought that the arrangement was sufficient as the children were sleeping. Certification representative advised that nap ratios do not apply to infants.

Corrected by May 13, 2026

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

CONTINUED NONCOMPLIANCE: A renewal inspection was conducted on 2/9/2026. At that time, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility. An acceptable plan of correction was received stating that by 3/3/2026, Traffic pattern printed and posted very visibly on board at the reception office for all to see." On 3/25/2026, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility.

Corrected by Mar 25, 2026

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3270.75(a) · A first-aid kit shall be in a child care space.

A renewal inspection was conducted on 2/9/2026. At that time, the School-Age Annex A and School-Age Annex B did not contain first-aid kits.

Corrected by Mar 2, 2026

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3270.31(e)(4)(ii) · 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.

A renewal inspection was conducted on 2/9/2026. At that time, staff files were reviewed. The following staff members did not participate in fire safety training within 12 months as required: Staff Person #1: Fire safety training certificates on file are dated 4/10/2024 and 7/16/2025. Staff Person #2: Fire safety training certificates on file are dated 4/10/2024 and 6/18/2025. Staff Person #3: Fire safety training certificates on file are dated 4/10-/2024 and 7/16/2025.

Corrected by Feb 9, 2026

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3270.106(a) · 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.

A renewal inspection was conducted on 2/9/2026. At that time, a crib was observed in use by one child that was labeled with the name of a different child.

Corrected by Mar 3, 2026

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3270.107 · 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.

A renewal inspection was conducted on 2/9/2026. At that time, there was no thermometer in the refrigerator in the Infant Room.

Corrected by Mar 2, 2026

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3270.111(b)/3270.124(e) · The written plan of daily activities shall be posted in the group space. 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.

A renewal inspection was conducted on 2/9/2026. At that time, the following rooms did not have the followings postings: Infant Room: Emergency transportation plan. Preschool Room: Emergency transportation plan. 2 Year Old Room: Daily activities. Emergency transportation plan. School-Age Room: Daily activities. Emergency transportation plan. School-Age Annex A: Daily activities. Emergency transportation plan. School-Age Annex B: Daily activities. Emergency transportation plan.

Corrected by Mar 2, 2026

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3270.113(a)/3270.113(a)(1) · 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. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS 1. 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. 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 their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must develop or update their written supervision policies and procedures to be implemented in the facility. The written policy must address supervision when staff need to leave the room for supplies or to use the bathroom as well as supervision during pick-up and drop-off time. The legal entity must submit their policies and procedures to the Northeast Regional Office for approval. Once approved, all existing staff and any new hires must be trained on the approved policy and procedure and it must be documented in their files. The operator shall provide a date for when this will be completed.

A renewal inspection was conducted on 2/9/2026. At that time, staff were observed to leave their supervision group in the room while they went to the office or answered the door. Staff could not see, hear, direct, or assess children in their group from the office.

Corrected by Mar 20, 2026

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3270.123(a)(2)/3270.123(a)(6) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's fee agreements: Child #1: The date on which the fee is to be paid. Child #3: Date of admission.

Corrected by Mar 2, 2026

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3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Name, address, and telephone number of child's doctor. Child #3: Phone number of child's doctor. Health insurance policy number. Child #4: Name and phone number of child's doctor. Child #5: Health insurance policy number.

Corrected by Mar 3, 2026

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. The following information was missing from children's emergency contact forms: Child #1: Father's work address and work telephone number. Child #2: Father's work address and work telephone number. Release persons' addresses. Child #3: Father's work address and work telephone number. Release person's address. Child #4: Mother's work address and work telephone number. Release persons' full names and addresses. Child #4: Release persons' addresses.

Corrected by Mar 3, 2026

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business 2/9/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. Immunizations on file for Child #3 indicate that child has received 1 of 3 doses of Pneumococcal vaccine and 1 of 2 doses of IPV vaccine. There is no exemption on file. Child #3 is an infant (see LIS code sheet for date of birth).

Corrected by Mar 3, 2026

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3270.133(3) · 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.

A renewal inspection was conducted on 2/9/2026. At that time, unlabeled diaper cream was observed in the Infant Room. Diaper cream was inside of labeled bins; however, the medication itself was not labeled with a child's name.

Corrected by Mar 3, 2026

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3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

A renewal inspection was conducted on 2/9/2026. At that time, staff in the Infant Room was observed to change a child's diaper and immediately place the child in their crib without washing their hands. Staff did not wash their own hands after diapering.

Corrected by Feb 9, 2026

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3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

A renewal inspection was conducted on 2/9/2026. At that time, staff reported that bottles are washed at the facility. Facility does not have a commercial dishwasher.

Corrected by Feb 9, 2026

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted on 2/9/2026. At that time, facility did not have written notification of safe routes posted at a conspicuous location in the child care facility.

Corrected by Mar 3, 2026

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

A renewal inspection was conducted on 2/9/2026. At that time, a sample of children's files was reviewed. Emergency contact form on file for Child #4 did not contain signed parental consent for minor first-aid or emergency medical care.

Corrected by Mar 2, 2026

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

A renewal inspection was conducted on 2/9/2026. At that time, facility's emergency plan was not present in the building due to operator taking it to local EMA for annual review. Emergency plan was sent to certification representative on 2/18/2026. Facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Mar 3, 2026

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3270.95(a)/3270.95(b) · 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.

A renewal inspection was conducted on 2/9/2026. At that time, facility's fire detection testing log was reviewed. Fire detection testing log indicated that smoke detectors were tested past 30 days on the following occasions: 3/12/25-4/15/25; 4/15/25-5/19/25; 5/19/25-6/23/25; 7/14/25-8/20/25; 8/20/25-9/22/25; 9/22/25-11/29/25.

Corrected by Mar 2, 2026

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff Person #1 must take 8 hours of professional development to fulfill requirement for training year 12/1/2024-12/1/2025. Hours used to fulfill training year 12/1/2024-12/1/2025. may not be used to fulfill current training year.

A renewal inspection was conducted on 2/9/2026. At that time, staff files were reviewed. File for Staff Person #1 contained 4 hours of training for training year 12/1/2024-12/1/2025.

Corrected by Mar 5, 2026

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3270.14/3270.21 · 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During an allocated unannounced visit conducted on 7/2/25, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and Health & Safety training

Corrected by Jul 2, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

During an allocated unannounced monitoring visit conducted on 7/2/25, air freshener and hand sanitizer were on a low bookcase and were accessible to the children.

Corrected by Jul 2, 2025

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During an allocated unannounced visit conducted on 7/2/25, an infant was observed sleeping in an UPPAbaby bassinet inside a crib with a blanket completely covering the top of the bassinet.

Corrected by Jul 31, 2025

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3270.192(5) · 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.

During an allocated unannounced monitoring visit conducted on 7/2/25, Staff person #1 only had one written, non-family reference on file

Corrected by Jul 31, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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.

The following staff members did not update their clearances within 60 months: Staff person #1, Staff person #2, Staff person #3 & Staff person #4. The original state police clearance for Staff person #1 was dated 8/22/19 and was not updated until 1/21/25. The original child abuse clearance was dated 5/3/19 and was not updated until 1/21/25. The original FBI clearance was dated 8/22/19 and was not updated until 1/29/25. The original NSOR clearance was dated 1/16/20 and has not been updated. The original state police and child abuse clearances for Staff person #2 are dated 5/10/19 and were not updated until 1/21/25. The original FBI clearance was dated 6/4/19 and has not been updated. The original NSOR clearance for Staff person #3 & Staff person #4 was dated 11/6/19 and they were not updated until 2/11/25.

Corrected by Feb 24, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the school age room does not have soap or tweezers. The first aid kit in the indoor play space does not have tweezers.

Corrected by Mar 24, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There is peeling paint under the window and to the right of the changing table in the Toddler room. There is peeling paint on the wall to the right of the entrance in the School Age room.

Corrected by Mar 24, 2025

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

There is a crib with peeling paint in the Infant room.

Corrected by Mar 24, 2025

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3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The physician's phone number is not included on the emergency contact form for Child #2. The parent's work address and work phone number are not included on emergency contact forms for the following children: Child #1, Child #2, Child #3, Child #4 & Child #5.

Corrected by Mar 24, 2025

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3270.124(b)(5)/3270.124(b)(6) · 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. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

There is no information on the emergency contact form regarding special needs for Child #3 or Child #4. There is no health insurance coverage or policy number on the emergency contact form for Child #2.

Corrected by Mar 24, 2025

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health report for Child #1, who is a young toddler, is dated 5/14/24.

Corrected by Mar 24, 2025

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

There is no signed parental consent for emergency medical care for the child or administration of minor first-aid procedures by facility staff for Child #1 or Child #2.

Corrected by Feb 24, 2025

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Child #1's file was missing the date of admission.

Corrected by Mar 12, 2024

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3270.124(b)(4)/3270.182(3) · 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 emergency medical care for the child. Written consent is required prior to admission.

Child #1 did not have signed parental consent for emergency medical care.

Corrected by Mar 14, 2024

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3270.182(5) · 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.

Child #1 did not ahve signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Mar 14, 2024

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff Person #1, Staff Person #2, Staff Person #3, and Staff Person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Feb 23, 2023

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Waste receptacles in the lower level bathroom did not have lids.

Corrected by Feb 23, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons # 1 and #2 may not work in a child care position at the facility.

Staff Person #1 and Staff Person #2's most recent PA Child Abuse History clearances are dated 10/7/2016. They should have been updated on or before 10/7/2021.

Corrected by Feb 11, 2022

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was a small area of peeling paint on the wall of the pink school age room.

Corrected by Mar 4, 2022

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Child #1 did not have signed parental consent for administration of minor first aid procedures and emergency medical care.

Corrected by Mar 4, 2022

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