3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person # 1 will have until 1/21/25 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 a staff person 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 hire: Health and Safety topics including pediatric first aid/cpr from a PQAS approved trainer.

Corrected Corrected by Jan 14, 2025

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Staff person #1 did not write an incident report when child #1 was bitten by another child.

Corrected Corrected by Jan 15, 2025

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 does not have a policy to address continuity of operations.

Corrected Corrected by Jul 23, 2024

Category: ratio. 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 #2 completed the required 10 hour health and safety training on 6/23/24 and pediatric first aid and cpr on 5/21/24. Staff person #3 completed pediatric first aid and cpr on 5/21/24. This exceeds the requirement of completing within 90 days of hire.

Corrected Corrected by Jul 12, 2024

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) LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4may 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.

Staff person #4 does not have proof of request for the NSOR clearance prior to working with children. Staff person #2 completed mandated reporter training on 6/19/24 which exceeds the requirement of completing within 90 days of hire.

Corrected Corrected by Jun 25, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

Child #1 is missing the operator's signature on the agreement.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Child #2 is missing the date of the child's admission.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Child #3 & 4 are missing the emergency contact forms.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. 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 information. A 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 is missing an updated agreement and emergency contact.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · 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.

Staff person #1 does not have an initial health assessment on file. Staff person #3 has an initial health assessment dated 4/3/24 which exceeds the requirement of a health assessment at the time of working with children.

Corrected Corrected by Jul 12, 2024

Category: ratio. Marked corrected in the state record.

3270.182(1) · A child's record shall contain initial and subsequent health reports.

Child #1 is missing an initial health assessment.

Corrected Corrected by Jul 12, 2024

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

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 #2 is missing signed parental consent for emergency medical care and minor first aid.

Corrected Corrected by Jul 12, 2024

Category: ratio. Marked corrected in the state record.

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Child #3 is missing a copy of the initial agreement.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · 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.

Staff person #2 & 4 are missing proof of education.

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Cert Rep observed a fire system check completed on 4/12/24 and another on 5/14/24 which exceeds the requirement of testing every 30 days.

Corrected Corrected by Jun 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility does not have proof that a copy of the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Jul 19, 2024

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

3270.31(b)/3270.115(a)(6) · A staff person shall be 18 years of age or older. When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

During a swim visit on 8/11/2023, staff 1 stated that she was 15.

Corrected Corrected by Aug 11, 2023

Category: supervision. 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.

It was observed during inspection that staff 1 did not have an NSOR clearance on file.

Corrected Corrected by Aug 11, 2023

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

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.

During a swim visit on 8/11/2023, the facility's first aid kit was missing soap.

Corrected Corrected by Aug 11, 2023

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

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

During the annual renewal inspection on 6/15/2023. it was observed that staff 6 did not wash a child's hands after diapering.

Corrected Corrected by Jun 15, 2023

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

3270.124(b)(6) · 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 3 did not have a health insurance policy number on file.

Corrected Corrected by Jul 19, 2023

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

3270.31(e)(1)(ii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Staff 2 and 6 did not have 12 hours of annual training. During the file review, it was found that staff 1 needed an additional 2 1/2 hours of training and staff 2 needed 11 hours of training.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. 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.

Child 4 did not have a flu shot on file or an exemption letter.

Corrected Corrected by Jul 19, 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). Facility Person 9 and 10 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 #9 and 10 may not work in a child care position at the facility.

During the file review for the annual renewal inspection, it was found that staff 3 did not have the mandated reporter training within 90 days of hire. Staff 9 had an outdated FBI clearance, which was dated 4/28/2018. Staff 10 also had an oudated FBI clearance, which was dated 2/27/2018. Staff 10 did have proof of applying for a new one on file. (See LIS for dates of hire)

Corrected Corrected by Jul 31, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff 5 had an outdated staff evaluations on file. Staff 5's staff evaluation was dated 6/23/2021. There was not a staff evaluation on file for staff 8.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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 two year old toddler room did not have soap.

Corrected Corrected by Jun 15, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

It was observed that bolts were exposed on the outside playground. Two bolts were exposed on the preschool side and 1 bolt was exposed on the infant/toddler side.

Corrected Corrected by Jun 19, 2023

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

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

The school age room did not have a daily schedule posted.

Corrected Corrected by Jun 30, 2023

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

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Child 1 did not have a fee amount or day to be paid on the fee agreement.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Child 3 did not have a date of admission on file.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff 4 did not have a health assessment on file that stated that staff 4 was suitable to provide child care.

Corrected Corrected by Jul 19, 2023

Category: health medication. 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 3 had one letter of reference that was from a family member. Staff 7 and 11 did not have letters of reference on file.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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 Pre-k room was missing tweezers.

Corrected Corrected by Jun 6, 2022

Marked corrected in the state record.

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The pre-k windows closest to the sidewalk did not have any visual identification on the glass.

Corrected Corrected by Jun 7, 2022

Category: physical safety. 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.

Facility did not have a shaken baby syndrome/child maltreatment policy on file.

Corrected Corrected by Jun 24, 2022

Category: ratio. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff 3 did not have a staff evaluation on file. See code sheet for date of hire.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The red and blue coach in the toddler room had holes in it, which exposed the foam within it. The table in the Pre-K room had a loose leg, which posed a potential tipping hazard.

Corrected Corrected by Jun 10, 2022

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

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.

The preschool room and infant room did not have a cot list available.

Corrected Corrected by Jun 6, 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.

Children 1, 3, 4, 5, and 6 did not have updated fee agreements and emergency contact forms. Child 2 did not have an updated emergency contact form. Child 1 had the fee agreement and emergency contact form last updated on 5/10/2021. Child 2 last had the emergency contact form updated on 5/9/2021. Child 3 last had the emergency contact form and fee agreement updated on 2/26/2020. Children 4 and 5 last had the emergency contact form updated on 5/3/2021 and the fee agreement on 5/1/2021.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child 5 last had an updated health assessment on 9/7/2021. He is a young toddler. Child 5 also needed updated immunizations, including the DTAP, HIB, Pneumococcal, MMR and Varicella vaccines.

Corrected Corrected by Jun 24, 2022

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

3270.131(b)(2)/3270.131(e)(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.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 4, and 6 did not have updated health assessments. Child 4, who is preschool age, last had an updated health assessment on 8/20/2020. Child 6, who is a older toddler, last had an updated health assessment on 9/15/2020.

Corrected Corrected by Jun 24, 2022

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

3270.27(a)(5)/3270.27(c) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Staff 1 did not have emergency plan training on file. Staff 2 did not have an updated emergency plan training on file. It was last updated on 4/26/2021. See code sheet for date's of hire. The emergency plan did not have a section for accommodations regarding infants, toddler and children with disabilities.

Corrected Corrected by Jun 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Staff 2 did not have a Pennsylvania Health and Safety training on file. The Health and Safety training that was on file was from NY state.

Corrected Corrected by Jun 17, 2022

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.

The renewal inspection was conducted on 6/6/2022. Alarm testing was conducted more than 30 days from the renewal inspection. It was last completed on 4/12/2022.

Corrected Corrected by Jun 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff 3 and 4 did not have 12 hours of annual training on file. See code sheet for date's of hire.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.