3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Child 2 did not have health insurance information or work information for the enrolling parent on file.

Corrected Corrected by Oct 2, 2023

Category: health medication. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Children 1, 2 and 3 did not have updated flu shots on file. Child 1's last flu shot was from 2021 and children 2 and 3 did not have a flu shot or exemption letter on file.

Corrected Corrected by Oct 2, 2023

Category: health medication. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

Staff 3's last fire safety training was from 8/22/2022. As a result, the fire safety training was more than one year old.

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Classroom 1 and 2 did not have before and after school care schedules posted.

Corrected Corrected by Sep 25, 2023

Category: physical safety. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

Staff 1 did not have a health assessment or TB screening on file.

Corrected Corrected by Oct 2, 2023

Category: ratio. Marked corrected in the state record.

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Child 2 did have an emergency contact form on file. However, it was not signed and dated by the parent/legal guardian.

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 will have until 10/10/2023 to complete the required training. Until such time as the required training has been completed, staff person #2 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: Pediatric first aid/cpr.

Corrected Corrected by Oct 10, 2023

Category: supervision. Marked corrected in the state record.

3270.25(a) · 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.

The facility did not have an updated certificate of compliance. The certificate of compliance expired in December of 2022. The facility also did not have electronic access to the regulations for parents.

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

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.

The facility did not have a shaken baby syndrome policy on file.

Corrected Corrected by Sep 17, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f). Staff person #2,3,4 and 5 will have until 9/30/2022 to complete the required training. Until such time as the required training has been completed, staff person #2,3, 4 and 5 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 available to supervise staff persons #2,3,4 and 5, staff persons #2,3,4 and 5 may not work in a child-care position at the facility.

Staff person #2, 3, 4 and 5 has not completed the preservice health and safety prior to 9/30/2016. Staff 2 completed the training on 9/28/2016. Staff 3 completed it on 9/26/2016. Staff 4 and 5 completed it on 9/16/2016.

Corrected Corrected by Sep 30, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person 6-- will have until 9/30/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person 6 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 6, staff person 6 may not work in a child-care position at the facility.

Staff 6 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/1/2017.

Corrected Corrected by Sep 30, 2022

Category: supervision. Marked corrected in the state record.

3270.82(h) · 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.

Classroom 2 did not have a handwashing sign in the bathroom.

Corrected Corrected by Sep 15, 2022

Category: health medication. Marked corrected in the state record.

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

Classroom 2 did not have a daily schedule posted.

Corrected Corrected by Sep 15, 2022

Category: physical safety. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Child 1 did not have an updated emergency form on file. It was last updated 8/26/2021.

Corrected Corrected by Sep 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The facility did not have documentation on file that the alarm system was being tested every 30 days.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1, 3 and 4 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 #1, 3 and 4 may not work in a child care position at the facility.

Staff 4 had a Department of Education clearance on file. Staff 1 and 3 did not have an NSOR on file.

Corrected Corrected by Oct 9, 2021

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1, 3 and 4 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 #1, 3 and 4 may not work in a child care position at the facility.

Staff 4 had a Department of Education clearance on file. Staff 1 and 3 did not have an NSOR on file.

Corrected Corrected by Sep 9, 2021

Category: background checks. Marked corrected in the state record.

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 peeling paint on the back wall and by the bathroom in classroom 4.

Corrected Corrected by Oct 1, 2021

Category: physical safety. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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.

Staff 1 did not have a TB screening on file. Staff 2 did not have a health assessment or TB screening on file.

Corrected Corrected by Sep 20, 2021

Category: health medication. Marked corrected in the state record.

3270.192(2)(iv)/3270.192(5) · 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.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

Staff 1 did not have two letters of reference and proof education on file. Staff 1 also did not have proof of education on file.

Corrected Corrected by Sep 13, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

Upon viewing the annual fire alarm testing paperwork, it was observed that the Annunciator in the 1st Lobby was damaged/worn. Upon speaking to the fire alarm company, it was determined that does need to be replaced.

Corrected Corrected by Oct 30, 2021

Category: recordkeeping. Marked corrected in the state record.