3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The child abuse clearance (6/10/2020 and 6/20/2025) and NSOR verification certificate (6/10/2020 and 6/18/2025) of staff #1 were updated after the expiration of the prior clearance/certificate.

Corrected Corrected by Jun 20, 2025

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). 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 disclosure statement of staff #1 was not dated.

Corrected Corrected by Jan 22, 2025

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

3270.151(a)/3270.192(3) · 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.

The file of staff #1 did not contain an initial health assessment.

Corrected Corrected by Feb 19, 2025

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Based on conversation with the director, fire drills have been conducted at least every 60 days but have not been documented on the log since 9/5/2024.

Corrected Corrected by Feb 19, 2025

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.

Based on conversation with the director, manual testing the fire detection system did occur at least every 30 days but was not documented on the log since 9/5/2024.

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The files of facility person #1 and #2 did not contain documentation of completed mandated reporter training and have been volunteering at the facility for more than 90 days (see LIS code sheet).

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An electrical outlet below the window in the pink Speech Room did not have a protective receptacle cover.

Corrected Corrected by Sep 19, 2024

Marked corrected in the state record.

3270.27(c) · 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.

The facility did not have documentation of emergency plan training for facility person #1, a volunteer, who had been at the facility for more than a year (see LIS code sheet) and facility person #2, also a volunteer, contained documentation of emergency plan training dated 6/27/2024, which was more than 12 months after they started at the facility (see LIS code sheet).

Corrected Corrected by Oct 2, 2024

Category: recordkeeping. 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.

The facility did not have documentation of fire safety training for facility person #1, a volunteer, who had been at the facility for more than a year (see LIS code sheet) and facility person #2, also a volunteer, contained documentation of fire safety training dated 6/27/2024, which was more than 12 months after they started at the facility (see LIS code sheet).

Corrected Corrected by Oct 18, 2024

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). 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 file of staff #3 contained a child abuse clearance dated 7/1/2024 and staff # 4 contained a child abuse clearance and NSOR verification certificated dated 6/13/2024, after their start dates at the facility (see LIS code sheet). An NSOR application was on file for staff #4, but it was not dated.

Corrected Corrected by Sep 19, 2024

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Used plastic cups, contaminated with human secretions, were observed in trash cans without lids in Pre-K B1, L-Shaped Nursery and Kindergarten C1.

Corrected Corrected by Sep 19, 2024

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

Based on conversation with staff, the screen on the floor below a window is used when the window is open. The screen had a hole approximately 2 inches x 3/4 inches and was pulling away from the frame.

Corrected Corrected by Sep 19, 2024

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.

The cordless telephone, which was in the L-Shaped Nursery, did not have the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center posted.

Corrected Corrected by Sep 19, 2024

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

3270.76 · 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.

The paint in the lower corner by the exit door in the Gym/Music classroom was peeling.

Corrected Corrected by Oct 18, 2024

Category: physical safety. 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.

The sink in the restroom area of the L-Shaped Nursery did not contain a posted handwashing sign.

Corrected Corrected by Sep 19, 2024

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

3270.151(a)/3270.192(3) · 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.

The file of facility person #2, a volunteer, contained a health assessment dated 9/16/2022 and did not contain documentation of an updated health assessment within the past 24 months. The files of staff #5, #6, #7 and #8 contained health assessments which are dated more than 24 months apart.

Corrected Corrected by Oct 18, 2024

Category: ratio. 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 brought to the pool did not contain scissors or tape.

Corrected Corrected by Aug 6, 2024

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

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

According to conversations with staff, it was determined in the summer of 2023 that a staff person made statements to a child that singled out the child in the presence of other children.

Corrected Corrected by Apr 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit in the library was in a container on the bookshelf and was accessible to children.

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 had mandated reporter trainings dated 2-18-18 and 4-30-23 that were over 60 months between trainings. Staff person #2 had mandated reporter trainings dated 1-25-18 and 6-21-23 that were over 60 months between trainings.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 6, 2023

Category: physical safety. 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 #4 completed the following required pre-service training on 1-8-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #4 completed the following required pre-service training on 8-26-23 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Sep 27, 2023

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

3270.76 · 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.

On the wooden fence on the right side of the outdoor play space, there was a loose wooden board with nails protruding out on the front and back sides of the board with sharp edges that were accessible to children.

Corrected Corrected by Sep 27, 2023

Category: physical safety. 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.

In the Kindergarten C-2 Room, there were multiple push pins on the wall in multiple areas of the room that had sharp edges and were accessible to children. On the outdoor play space, there was an embedded red car with the back right tire that had a hole with tears that exposed a bolt, and there was a bolt on the left side of the car that was exposed and protruding out. On the outdoor play space, there was a nail protruding out from the bottom of the platform at the back of the bridge on the wooden play structure that had a sharp edge and was a visible hazard. On the outdoor play space on the front slide, the two posts on the right side of the slide each had 3 exposed bolts protruding out from the posts.

Corrected Corrected by Nov 6, 2023

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

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). Children #1, #2, and #3 must be dismissed from care by close of business on 9-27-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The files for child #1, a 3 year old, child #2, a 4 year old, and child #3, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #2, a 4 year old, had an immunization record that lacked documentation of multiple vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Sep 27, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected Corrected by Nov 6, 2023

Category: health medication. 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.

The files for staff person #3 and #5 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #2 had a health assessment that lacked an examination for communicable diseases and the results of the examination.

Corrected Corrected by Nov 6, 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.

According to the log, the operator did not manually test the smoke detectors in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Sep 27, 2023

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 emergency plan lacked requirements for practice drills and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Oct 7, 2022

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the small room next to the office, there were push pins in a container on the small refrigerator that had sharp edges and were accessible to children.

Corrected Corrected by Sep 14, 2022

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

3270.31(e)(4)(i) · 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.

The file for staff person #4 had pediatric first-aid and CPR training that expired in May 2021 and lacked current training.

Corrected Corrected by Oct 28, 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)(1-10) within 90 days of hire. Staff person #10 and #11 will have until 10-6-22 to complete the required training. Until such time as the required training has been completed, staff person #10 and #11 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 #10 and #11, staff person #10 and #11 may not work in a child-care position at the facility.

Staff person #10 and #11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Sep 14, 2022

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). 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 #9 may not work at the facility.

The file for staff person #9, hired provisionally, had an NSOR verification certificate dated 7-1-22 and lacked verification of application for the NSOR verification certificate at their start date to be a provisional hire. The file for staff person #9 had a volunteer child abuse clearance dated 8-17-21 and lacked a child abuse clearance for employment. (See LIS CODE SHEET)

Corrected Corrected by Sep 14, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #2 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 5-18-15 and 9-10-21. Staff person #3 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 6-18-15 and 9-9-21. Staff person #4 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 6-18-15 and 9-14-20. Staff person #7 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 10-31-16 and 9-3-22. Staff person #8 had not completed mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 4-9-15 and 6-27-20.

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

In the Kindergarten C1 room, the heat lamp on the top of the aquarium was 126° F and was accessible to children.

Corrected Corrected by Oct 21, 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.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone on the bottom floor near the main exit.

Corrected Corrected by Sep 14, 2022

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

3270.76 · 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.

In the art room next to the office, there was a white cabinet that had the right door that was loose and was coming apart from the hinge. On the large play space, the platform on the play structure next to the wooden bridge had the tops of two nails that were protruding out from the top of the platform near the edge and were a potential hazard.

Corrected Corrected by Oct 21, 2022

Category: physical safety. 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.

In the gym, there was peeling paint in one area in the corner near the back door.

Corrected Corrected by Sep 14, 2022

Category: physical safety. 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.

The files for staff person #1, #5, and #10 lacked a current health assessment updated within the last 24 months. The files for staff person #3 and #6 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Oct 21, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted on the first and second floors of the facility.

Corrected Corrected by Sep 14, 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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 6-20-22 to 7-22-22.

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

On an excursion swimming at a lake, a first-aid kit was not present with the staff and children at the beach area where they were swimming and their belongings were located.

Corrected Corrected by Jul 14, 2022

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

3270.115(a)(5) · The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8

On an excursion swimming at a lake, staff person #1 named 8 children in their group, including both young school-age children and older school-age children, resulting in staff person #1 being out of ratio.

Corrected Corrected by Jul 14, 2022

Category: ratio. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

On an excursion to swim at a lake, the first-aid kit on the bus lacked soap and tweezers.

Corrected Corrected by Jul 14, 2022

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

3270.27(c) · 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.

The file for facility person #4, with a hire date of 6/14/21, completed initial emergency plan training on 8/31/21, which is not at initial hire.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

The files for facility person #1, #3, #7, #9, #10, and #11all completed first-aid and CPR training on 5/4/19 which is expired. The files for facility person #2, #4, #5, #6, #8, #12, #13, and #14 lacked first-aid and CPR training.

Corrected Corrected by Nov 22, 2021

Category: ratio. 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.

The file for facility person #8 completed fire safety training on 6/1/20 and 8/31/21, which is not annually.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

The files for facility person #4, #6, #9 #12 and #14 lacked health and safety training. The file for facility person #8 with a hire date of 6/10/19 completed health and safety training on 8/2/21.

Corrected Corrected by Nov 22, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for facility person #4, with a hire date of 6/14/21, lacked mandated reporter training.

Corrected Corrected by Nov 22, 2021

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #8 -- 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 #8--- may not work in a child care position at the facility.

The file for facility person #8, with a hire date of 6/10/19, lacked the National Sex Offender Registry certificate.

Corrected Corrected by Nov 22, 2021

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the library, it was observed that a power strip had 3 outlets that did not have protective covers and was accessible to the children in care.

Corrected Corrected by Sep 27, 2021

Marked corrected in the state record.

3270.76 · 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.

The door in the gym leading outside was rusted and pulling away from the frame.

Corrected Corrected by Sep 27, 2021

Category: physical safety. 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.

Handwashing sign was missing from above the toilet in room B2.

Corrected Corrected by Sep 27, 2021

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement for child #3 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #4 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. 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.

The emergency contact form for child #4 lacked the health insurance policy number.

Corrected Corrected by Nov 22, 2021

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

3270.124(b)(7) · 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.

The emergency contact form for child #2 lacked the release person's address.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The immunization record for child #1 and child #4 lacked an influenza vaccination in accordance with the ACIP.

Corrected Corrected by Nov 22, 2021

Category: health medication. 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.

The file for facility person #6 contained a health assessment dated for 8/27/18 and 9/14/21, which is more than 24 months apart.

Corrected Corrected by Sep 27, 2021

Category: ratio. 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

The file for facility person #13 contained 1 written reference.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 22, 2021

Category: physical safety. 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.

Facility lacked proof of purchase of the inter-connected smoke alarm system. Facility lacked a 30 day testing log or proof of operability.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. 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's current certificate of compliance was not posted.

Corrected Corrected by Nov 22, 2021

Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The emergency plan lacked accommodations for shelter of children during an emergency lock-down.

Corrected Corrected by Nov 22, 2021

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