3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Video footage from 10/28/2025 at 2:17 pm, shows child #1 was having behavioral issues and was running around the room in the preschool classroom during naptime. Staff person #3 was on the phone with the child's parents while staff person #2 was redirecting the child and then had the child sitting in their lap to help them calm down. Staff person #1 walked into the classroom and grabbed child #1 by their left upper arm and lifted the child into the air off of staff person #2s lap. While child is still in the air staff person #1 grabs them by their right arm and releases their left arm and puts them down on their feet. Staff person #1 then leads the child by their right wrist out of the side door of the classroom.

Corrected Corrected by Oct 28, 2025

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 for staff person #1 did not include a copy of an updated FBI Clearance within 60 months of the previous clearance. The most recent FBI clearance on file was dated 07/15/2020 with no subsequent FBI clearance on file. *Corrected on the date of the inspection. The file for staff person #2 did not include the results of a State Police clearance within 45 days of hire (see LIS code sheet). The file included a Volunteer State Police clearance dated 11/10/2021 in lieu of an employment clearance. *Corrected at the time of the inspection. The file for staff person #3 did not include the results of a State Police clearance within 45 days of hire (see LIS code sheet). The file included a Volunteer State Police clearance dated 07/29/2025 in lieu of an employment clearance. *Corrected at the time of the inspection. The file for staff person #4 did not include the results of a Child Abuse clearance prior to their first day caring for children (see LIS code sheet). The file included a Volunteer Child Abuse clearance dated 04/19/2024 in lieu of an employment clearance. The file for staff person #4 included a signed Disclosure Statement dated 08/29/2025 which was not signed by a witness at the time the disclosure was completed. *Corrected at the time of the inspection.

Corrected Corrected by Sep 19, 2025

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

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Observed staff person #5 in the older toddler classroom supervising a group of 2 young toddlers and 9 older toddlers Naptime ratios in a mixed group of young and older toddlers is one staff person to 10 young and older toddlers. Ratios in a mixed group is determined by the youngest child in care. The staff:child ratio for a young toddler is 1:10 while children are napping. *Corrected at the time of the inspection.

Corrected Corrected by Sep 19, 2025

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.

Observed a bottle of Wite-Out on the desk located in the Preschool classroom which was accessible to children. Observed bottles of spray sunscreen in an unlocked drawer located in the school-age classroom which were accessible to children. *Corrected at the time of the inspection.

Corrected Corrected by Sep 19, 2025

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.

Observed power cords under the teacher's desk in the infant classroom which created a hazard. The cords were lying across the floor within reach of the mobile infants in the classroom.

Corrected Corrected by Sep 19, 2025

Category: physical safety. 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.

Observed the cubbies in the Preschool classroom were not stable creating a tip hazard. *Corrected at the time of the inspection.

Corrected Corrected by Sep 19, 2025

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

3270.21/3270.119 · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

Observed compact cribs in the infant classroom with full size crib sheets on the mattresses in lieu of crib sheets intended for a compact crib mattress. The crib sheets, which were too big for the mattress, created access material which creates a potential suffocation hazard.

Corrected Corrected by Mar 17, 2025

Category: health medication. 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 located in the young toddler classroom did not contain soap.

Corrected Corrected by Mar 14, 2025

Category: health medication. 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.

Observed the cubbies in the preschool/prek classroom were not stable creating a tip hazard. Observed a plastic storage rack containing manipulatives and toys which was wobbly creating a tip hazard.

Corrected Corrected by Mar 21, 2025

Category: physical safety. 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 information for child #1 did not include a complete work address for the enrolling parent. The emergency contact information for child #3 did not include the work address for the enrolling parent.

Corrected Corrected by Mar 14, 2025

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.

The emergency contact information for child #2 was not reviewed by a parent within 6 months of the previous review; the most recent review was completed on 11/07/2024 with the previous review on 04/11/2024.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Observed packaged celery sticks in the refrigerator which showed visible signs of spoilage and were past their expiration date.

Corrected Corrected by Mar 12, 2025

Category: ratio. 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.

The director or designated staff person did not ensure a manual test of the fire detection system was completed at least once every 30 days; a manual test exceeded 30 days on the following dates: 10/11/2024 - 11/11/2024 and 01/03/2025 - 02/04/2025.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 staff person #1 did not include an annual minimum of 12 clock hours of child care training; the file included 10 hours of child care training completed between 08/2023 - 08/2024. The file for staff person #2 did not include an annual minimum of 12 clock hours of child care training; the file included 7.5 hours of child care training completed between 12/2023 - 12/2024.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

Staff person #3 who completed the previous health and safety pre-service training modules prior to October 4, 2022, did not complete the 1-hour Pennsylvania Health and Safety Update 2022 within 90 days of hire (see LIS code sheet).

Corrected Corrected by Dec 5, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a)(1) · 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.

Observed staff person #1 and #2 were unable to identify the children in their assigned groups in the PreK classroom. Staff person #1 initially named 7 children in their group and staff person #2 named 9 in their group. There was a total of 17 preschool children in the classroom at the time. Child #1 was not assigned to a group and was not named by either staff person.

Corrected Corrected by Nov 4, 2024

Category: supervision. Marked corrected in the state record.

3270.163(b) · Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

The summer breakfast schedule listed several days of the week in which only 2 items from four food groups were included. Mondays: Cereal and Milk; Tuesdays: Cereal Bars and Milk; Wednesdays: Cereal and milk and Fridays: Cereal and milk. It was documented through correspondence with parents that only 2 items were documented as being served to the children without a 3rd food group provided for breakfast on the following dates: 09/09/2024, 09/10/2024, 09/23/2024, 09/24/2024, and 09/27/2024.

Corrected Corrected by Oct 14, 2024

Category: nutrition. 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.

Observed an electrical outlet next to the portable sink located in the upstairs school age classroom which lacked a protective receptacle cover which was accessible to a preschool age child receiving care in the space. *Corrected at the time of the inspection.

Corrected Corrected by Apr 3, 2024

Category: physical safety. 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.

Observed a tub containing a variety of sunscreens labeled keep out of reach of children on top of the counter in the upstairs school-age classroom which were accessible to a mixed age group of preschool and school age children. *Corrected at the time of the inspection.

Corrected Corrected by Apr 3, 2024

Marked corrected in the state record.

3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Observed a first aid kit containing sample size packets of first aid creams, ointments, and over the counter medications (Tylenol) labeled keep out of reach of children in the upstairs school-age classroom which were accessible to a mixed age group of preschool and school age children. *Corrected at the time of the inspection.

Corrected Corrected by Apr 3, 2024

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Observed trim which was peeling off the wall behind the toilet in the stall on the right side of the bathroom located in the young toddler classroom.

Corrected Corrected by Apr 3, 2024

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 thermometer located in the refrigerator in the older toddler classroom had a temperature of 60° F, the refrigerator used to store milk was not maintaining a temperature 45° F or below. *Corrected at the time of the inspection.

Corrected Corrected by Apr 3, 2024

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.

The file for child #5 included a health report which was not updated at least every 6 months for an infant or young toddler (see LIS code sheet). The file included an initial health report dated 03/14/2023, immunization records dated 04/06/2023 & 07/06/2023 and a current health assessment dated 02/12/2024 with no subsequent health reports on file between 03/14/2023 - 02/12/2024.

Corrected Corrected by Apr 3, 2024

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Observed a prescription medication for child #4 which did not have written consent for administration of medication from the parent.

Corrected Corrected by Apr 3, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c) · 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.

The financial agreement for child #1, #2, and #3 was not updated at least once in a 6-month period. The financial agreement for child #1 was reviewed on 01/02/2023, 08/31/2023 and 01/11/2024. The financial agreement for child #2 was reviewed on 01/04/2023, 08/22/2023 and 01/12/2024. The financial agreement for child #3 was reviewed on 01/05/2023, 08/30/2023 and 01/11/2024. Financial agreements are scheduled to be reviewed in January and August, which is a 7-month period.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. 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 staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file included one written reference and one verbal reference in lieu of a second written reference.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. 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 annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was conducted on 06/28/2023 with the previous drill conducted on 04/18/2022.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. 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 staff person #1 and #4 only included one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 14, 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. Until such time as the required trainings are completed, staff person #4 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 #4, staff person #4 may not work in a child care position at the facility.

Staff person #3 and #5 have not completed the following health and safety professional development training update by 12/30/2022: Pennsylvania Health and Safety Update 2022. On 03/06/2023, staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter, Get Started with Center-Based Care - Revised 2022, and Pediatric first aid & CPR training.

Corrected Corrected by Mar 14, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, #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.

Observed staff person #2 working alone in the in the younger toddler room. The file for staff person #2 included a Child Abuse Clearance which was not updated every 60 months. The most recent Child Abuse Clearance on file was dated 01/31/2018. Observed staff person #3 working alone in the infant room. The FBI clearance on file for staff person #3 was a PDE FBI Clearance dated 08/26/2022 in lieu of a DHS FBI clearance; the previous DHS FBI clearance was dated 09/21/2016. Observed staff person #4 working alone in the infant classroom without complete provisional hire documentation at the time of initial hire (see LIS code sheet). The file contained a Volunteer State Police Clearance dated 02/02/2023, a Volunteer Child Abuse Clearance dated 10/26/2022, an FBI clearance dated 10/21/2022 and a NSOR Certificate dated 10/25/2022. The file did not include a copy of request for the State Police Clearance for employment purposes or a Child Abuse Clearance for employment purposes.

Corrected Corrected by Mar 6, 2023

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The toilet in bathroom located in the young toddler classroom was observed to have a ring around the toilet bowl. Staff stated the bathroom is cleaned weekly.

Corrected Corrected by May 1, 2023

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 women's bathroom located in the "Narthex" did not have handwashing signs posted at the sinks or in the bathroom stalls. The men's bathroom located in the "Narthex" did not have handwashing signs posted in the handicap stall.

Corrected Corrected by Apr 21, 2023

Category: health medication. 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.

Observed disposable gloves on the counter/cabinet located in the older toddler classroom which was accessible to children who are still placing objects in their mouths. *Corrected at the time of the inspection.

Corrected Corrected by Mar 21, 2023

Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The documented fire drills exceeded 60 days on the following dates: 11/04/2022 - 01/04/2023 - 03/06/2023.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child #1, included a Child Service Report with information to the family about the child's growth and development, which was not updated every 6 months. The most recent Child Service Report was completed on 06/02/2022.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. 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 information for child #3 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #3 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Corrected Corrected by Apr 14, 2023

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

3270.163(a)(2) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

The lunch prepared at the facility did not include at least one protein. The lunch included Pierogies, mixed fruit, broccoli and milk. *Corrected at the time of the inspection.

Corrected Corrected by Apr 14, 2023

Marked corrected in the state record.

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

Observed a 5 1/2 month old infant propped on a Boppy pillow while being fed. Staff was sitting beside the infant holding the bottle in lieu of being held while being bottle fed.

Corrected Corrected by Apr 14, 2023

Marked corrected in the state record.

3270.181(c) · 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.

The emergency contact information and financial agreement for child #3 was not reviewed by a parent within 6 months of the previous review. The most recent review of the emergency contact information was completed on 03/01/2023 with the previous review on 08/30/2022. The most recent review of the financial agreement was completed on 01/04/2023 with the previous review on 05/23/2022.

Corrected Corrected by Apr 14, 2023

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.

The director or designated staff person who is responsible for compliance with this chapter did not ensure that a manual test of the fire detection system was conducted at least once every 30 days. The documented tests exceeded 30 days on the following dates: 03/18/2022 - 04/20/2022, 10/03/2022 - 11/04/2022, 12/02/2022 - 01/04/2023, and 02/03/2023 - 03/06/2023.

Corrected Corrected by Apr 14, 2023

Category: recordkeeping. 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.

Observed mini Graco Pack N Plays in the infant classroom with regular size Pack N Play sheets on the mattesses in lieu of sheets intended for a mini Pack N Play mattress. The sheets were too big for the mattress and created access material which creates a potential suffocation hazard.

Corrected Corrected by May 9, 2022

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

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

Staff person #2 did not complete the Health & Safety training requirements in Chapter 3270.31(f)(1-9) within 90 days of hire; the required trainings were not on file. Staff person #4 did not complete the Health & Safety training requirements in Chapter 3270.31(f)(1-9) within 90 days of hire; .the required trainings were completed on 12/02/2021.

Corrected Corrected by Apr 1, 2022

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 #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.

The file for staff person #1 hired after 02/17/2022, did not include the results of the NSOR clearance prior to their first day caring for children. The NSOR clearance was requested on 02/22/2022.

Corrected Corrected by Apr 1, 2022

Category: background checks. 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 staff person #3 included Mandated Reporter training which was not completed within 60 months as required by the CPSL; the current mandated reporter training was completed on 03/15/2022 and the previous training was 02/08/2017.

Corrected Corrected by Mar 15, 2027

Category: recordkeeping. 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.

Observed exposed bolts on the gate between the two playgrounds.

Corrected Corrected by Jun 6, 2022

Category: physical safety. 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.

Observed plastic gloves used on the counter in the older toddler room which were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jun 6, 2022

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.

Observed cubbies in the school-age room which were not secured to prevent a tip hazard.

Corrected Corrected by Jun 13, 2022

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

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.

On 03/24/2022, at approximately 10:30 am, observed a 3-month old sleeping in a swing. According staff, the infant fell asleep at approximately 8:30/8:40 am. A medical reason was not documented in the child's file at the facility.

Corrected Corrected by Jun 6, 2022

Category: health medication. 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 information for child #5 did not include the work addresses of the enrolling parent.

Corrected Corrected by Mar 21, 2022

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 information for child #1 did not include the health insurance coverage and policy number.

Corrected Corrected by Mar 21, 2022

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

On 03/18/2022, emergency contact information was not present in the infant classroom for the young toddlers receiving care in the space.

Corrected Corrected by Mar 21, 2022

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.

The file for child #1, a 7-month-old, included a record of the child's immunization status which lacked a 2nd dose of HepB, a 2nd dose of Rotavirus, a 2nd dose of DTap, a 2nd dose of Hib, a 2nd dose of PCV13, and a 2nd Polio immunization. The file for child #2, 18 months old, included a record of the child's immunization status which lacked a 4th dose of DTaP, an MMR and an influenza immunization. The file for child #3, a 2 year old, included a record of the child's immunization status which lacked a current influenza immunization. The file for child #4, a 5 year old, included a record of the child's immunization status which lacked a current influenza immunization.

Corrected Corrected by Mar 21, 2022

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 staff person #3 included a health assessment which was not updated within 24 months; the current health assessment on file was dated 02/22/2021 and the previous health report was dated 12/04/2018.

Corrected Corrected by Mar 21, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #1 did not include verification of child care experience & education prior to service at the facility.

Corrected Corrected by Mar 21, 2022

Category: recordkeeping. 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.

An annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Jun 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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 #4 did not complete Pediatric First-aid & CPR within 90 days of hire; the required training was completed on 12/19/2021.

Corrected Corrected by Jun 6, 2022

Category: health medication. 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.

The fire safety training certificate for the most recent training conducted on 03/15/2022, did not include the signature and title of the fire safety professional that presented the training.

Corrected Corrected by Mar 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #1 did not include an initial health report no later than 60 days following the first day of attendance. The file included a health report form which was not complete by a physician. A copy of the immunization report dated 11/05/2021 was attached to the incomplete health report form.

Corrected Corrected by Apr 1, 2022

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

3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

Child #1 was excluded from care even though a written notification was received from a physician or a CRNP that the child was no longer considered a threat to the health of others..

Corrected Corrected by Jun 6, 2022

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