3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided.

Staff person #1 started at the facility on 3/24/25 and does not have a child abuse, state police or FBI clearance. Staff person # 1 did not have an NSOR clearance when starting at the facility. NSOR clearance is dated 4/8/25. Staff person #2 started at the facility on 4/8/25. Staff person #2 does not have an FBI clearance and there is no verification that Staff person #2 applied for an FBI clearance prior to starting at the facility. Staff person #2 did not have a state police or NSOR clearance when starting at the facility. The state police clearance is dated is 4/10/25. The NSOR clearance is dated 4/11/25.

Corrected Corrected by Apr 16, 2025

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

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.

Staff person #1 and staff person #2 each only have one written non-family reference.

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. 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 emergency plan does not address continuity of operations.

Corrected Corrected by Aug 31, 2024

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) (1 -- 10) within 90 days of hire. Staff person #1 will have until 9/5/24 to complete the required training. Until such time as the required training has been 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 available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR

Corrected Corrected by Aug 30, 2024

Category: supervision. Marked corrected in the state record.

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.

There is Lysol disinfectant spray and disinfectant wipes in the unlocked cabinet under the sink in the Toddler bathroom.

Corrected Corrected by Aug 21, 2024

Marked corrected in the state record.

3270.124(e) · 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 childcare space and shall accompany a staff person who leaves on an excursion with children.

There is no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency/

Corrected Corrected by Aug 31, 2024

Category: transportation. 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 thirty-day testing shows that the testing of the system has not been conducted every thirty days on three occasions in 2024. The system was tested on 1/11/24 and 2/14/24/ which is 35 days in between testings. Testing was 3/8/24 and 4/16/24 which is 40 days in between testings. Testing was conducted on 6/4/24 and 7/23/24 which is 50 days between testings. Act 62 requires documentation of testing of the fire detection system every thirty days.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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. Children must be supervised at all times. 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.

During a complaint investigation that was started on 6-6-24, the facility self-reported that at 5:12PM on 6-3-24, Staff person #1 was on her phone and not supervising the children on the outdoor play space. Child #1, age 1, opened the latch on the gate and walked outside the fenced in play space, onto the sidewalk towards his parents who had just pulled in to pick him up.

Corrected Corrected by Jun 6, 2024

Category: supervision. Marked corrected in the state record.

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. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. Children must be supervised at all times. 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.

During a complaint investigation that was started on 6-6-24, the facility self-reported that at 5:12PM on 6-3-24, Staff person #1 was on her phone and not supervising the children on the outdoor play space. Child #1, age 1, opened the latch on the gate and walked outside the fenced in play space, onto the sidewalk towards his parents who had just pulled in to pick him up.

Corrected Corrected by Jul 31, 2024

Category: supervision. Marked corrected in the state record.

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. Children must be supervised at all times. 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. 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.

During a complaint investigation that was started on 6-6-24, the facility self-reported that at 5:12PM on 6-3-24, Staff person #1 was on her phone and not supervising the children on the outdoor play space. Child #1, age 1, opened the latch on the gate and walked outside the fenced in play space, onto the sidewalk towards his parents who had just pulled in to pick him up.

Corrected Corrected by Sep 30, 2024

Category: supervision. Marked corrected in the state record.

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

Staff person #5 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff Person #5 must complete within 15 days of this violation. Staff person #6 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed 3/23/23. Staff person #7 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed 3/21/23. Staff person #9 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed 3/21/23. Staff person #10 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed 3/21/23. Staff person #11 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. It was completed 3/22/23.

Corrected Corrected by Aug 11, 2023

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

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

Staff Person #1 worked in a child care position at the facility for more than 90 days before completing the preservice trainings listed in subsections (f)1-10. Training was completed 5/17/23. See code sheet for date of hire.

Corrected Corrected by Aug 11, 2023

Category: health medication. 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). 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, Facility Person #3, and Facility Person #4 may not work in a child care position.

Staff Person #1 worked more than 45 days in a child care position at the facility before her National Sex Offender Registry clearance was received. NSOR is dated 4/26/23. See code sheet for date of hire. Facility Person #2 does not have clearances on file and did not submit fingerprints until 8/12/23 and NSOR was not requested until 7/20/23, which was after Staff Person #2's start date. See code sheet for date of hire. Staff Person # 3 does not have clearances on file and does not have proof of application for PA State Police or Child Abuse History clearances. Staff Person # 4 does not have an FBI clearance on file and does not have proof of fingerprinting prior to the first day at the facility.

Corrected Corrected by Aug 11, 2023

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

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.

In the preschool room, Lysol and bleach wipes were found in a cabinet accessible to the children.

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

3270.103 · 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.

Infants were given plastic Ziploc bags with small objects inside to play with.

Corrected Corrected by Aug 7, 2023

Marked corrected in the state record.

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.

The refrigerator in the older toddler room had some spills in it that needed to be cleaned.

Corrected Corrected by Aug 7, 2023

Category: nutrition. Marked corrected in the state record.

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.

Child #1, an infant, latest health assessment is dated 10/26/22.

Corrected Corrected by Aug 10, 2023

Category: health medication. 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.

Per the facility's fire drill and detection log, the fire detection system was tested 6/15/23 and then not again until 7/27/23. A period greater than 30 days.

Corrected Corrected by Aug 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

There was not a hands-free covered trash can in the young toddler room for soiled diapers.

Corrected Corrected by Oct 14, 2022

Category: health medication. 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 policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Corrected Corrected by Oct 17, 2022

Category: ratio. 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 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 may not work in a child care position at the facility.

Staff Person #1 did not have a FBI clearance on file and has been working in a child care position for more than 45 days. See code sheet for date of hire.

Corrected Corrected by Oct 17, 2022

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

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.

In the older toddler classroom, a closet was unlocked and there were bottles of toxic cleaning materials on the floor, under the bathroom sink there was a bottle of Clorox spray, and in the upstairs bathroom there was a container of Lysol on the counter within the reach of children.

Corrected Corrected by Oct 14, 2022

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows in the second floor preschool room were not restricted to open 6 inches or less.

Corrected Corrected by Oct 14, 2022

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

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, Child #2, and Child #3 did not have signed parental consent for emergency medical care.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

In the infant room there was a cloth cover on the changing pad that is not changed after each change and is not able to be sanitized.

Corrected Corrected by Oct 14, 2022

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

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, Child #2, and Child #3 did not have signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

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.

The refrigerator did not have a thermometer.

Corrected Corrected by Jul 14, 2022

Category: nutrition. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows on the second floor were not restricted to open 6 or fewer inches.

Corrected Corrected by Jul 14, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Emergency telephone numbers did not include the number for the nearest hospital.

Corrected Corrected by Jul 14, 2022

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

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

The bathrooms did not have lidded waste receptacles.

Corrected Corrected by Jul 14, 2022

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