3270.131(b)(2)/3270.131(e)(3) · 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 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).

The file for child #1 lacked a child health report that was completed in the last 12 months. The child health report in the file is dated 2/21/24. The facility did not 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).

Corrected Corrected by Apr 10, 2025

Category: health medication. 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 facility was observed to lack documentation that the parent of each enrolled child was provided a letter explaining the emergency procedures.

Corrected Corrected by Apr 30, 2024

Category: physical safety. 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.

There was an uncovered outlets on the wall under the board accessible to children 5 years of age in room C.

Corrected Corrected by Apr 24, 2024

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 toddler room lacked gloves. The first - aid kit in the SA room lacked gauze pads, and tape.

Corrected Corrected by Apr 24, 2024

Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was chipped paint and plaster in the bathroom on the right-side wall by the toilet in room B. There was chipped paint on the blue wall under the phone in room B.

Corrected Corrected by Jun 14, 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 boy's bathrooms lacked washing hand signs at each toilet and urinal.

Corrected Corrected by Apr 10, 2024

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.

There was a cracked clear bin in the toddler room. There were 2 cracked clear bins in the SA room. There was a brown kids couch with a hole exposing the wood. There was a clear cracked bin in room B. There was a clear cracked bin in room A There was a blue kids couch with hole in room D

Corrected Corrected by Apr 10, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in room A has a damage rubber on the door, preventing the door from closing properly and maintaining the temperature in the refrigerator higher that 45 degrees.

Corrected Corrected by Apr 11, 2024

Category: nutrition. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The Aquaphor medication for child # 1 was expired. The medication expiration date was 7/22. The Eucerin Body Creme medication for child # 2 was expired. The medication expiration date was 12 /22.

Corrected Corrected by Apr 11, 2024

Category: ratio. 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.

Staff # 1 did not wash the child's hands after diapering .

Corrected Corrected by Apr 11, 2024

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was a lunchbox out of the refrigerator that contained yogurt.

Corrected Corrected by Apr 10, 2024

Category: nutrition. 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. Children #1, #2, #3, #4, and #5 must be dismissed from care by close of business 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 children #1, #2, #3, #4, and #5 lacked a review of the child's immunized status according to recommendations of the ACIP.

Corrected Corrected by Mar 1, 2024

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

3270.131(e)(3) · 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).

The files for children #1, #2, #3, #4, and #5 lacked a review of the child's immunized status according to recommendations of the ACIP. The facility did not 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).

Corrected Corrected by Mar 1, 2024

Category: health medication. 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.

Per observation of video and staff statements, on 6/12/23 children were permitted to play in the gym near open containers of water, that had been placed on the floor to catch the water leaking through the gym ceiling.

Corrected Corrected by Jun 15, 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.

Per observation of video and staff statements, the gym ceiling, the indoor gross motor space, has leaked water. The leaking water is collected by containers placed on the gym floor.

Corrected Corrected by Jun 15, 2023

Category: physical safety. 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 in the refrigerator in the preschool room was not operable. The refrigerator in the preschool room has a damage door handle. The door handle was only attached by the screw on the top.

Corrected Corrected by Apr 4, 2023

Category: nutrition. 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.

There was peeling plaster pulling off the ceiling in the girls' and boys' bathroom. There was a base board pulling off the left wall by the sink in the preschool room. There was an empty water bottle, pieces of white paper, pieces of tires and leaves around the playground. There was damaged Landscape fabric weed barrier, with strings pulling off the material, creating a tripping hazard. There was a hole on the black chalk wall by the cabinet in the gym.

Corrected Corrected by Jul 4, 2023

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.

There was peeling paint on the top border of the shelf under the right-side window in the infant room.

Corrected Corrected by Apr 4, 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.

There was a clear cracked bin in the preschool room. There was a clear cracked bin in the school age room. There was a broken pair of scissors assessable to children in the school age room. There was a hockey table with exposed splinters on the four corners and an exposed screw in the school age room. There was a broken pink toy lawn mower in the playground. There was a broken toy wagon in the playground.

Corrected Corrected by Apr 4, 2023

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

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

Staff #1 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Apr 4, 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 Fire Detection System Test Log, the tests were greater than 30 days apart from (12/2/22 to 1/3/23).

Corrected Corrected by Apr 4, 2023

Category: recordkeeping. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained a current Mandated Reporter training certificate that pass 5 years. The certificates are dated 6/25/15-8/6/20.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

There was a screen pulled out of the edges in the school age room.

Corrected Corrected by Apr 6, 2022

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.

There was a hole on the black chalk wall by the cabinet in the gym. In the school age room was an outlet cover cracked on the left top edge creating a cutting hazard for children in care.

Corrected Corrected by Apr 6, 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.

The playground ground door coming from outside has rust and peeling paint accessible to children.

Corrected Corrected by Jun 6, 2022

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.

There was a cracked bin in the toddler room. There were 4 cracked bins, a cracked pink doll house and a green foam triangle climber seat that was ripped on the edges in the preschool room. There were 3 cracked bins in the school age room.

Corrected Corrected by Apr 6, 2022

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.

There was a white plastic table with a hole on the left corner.

Corrected Corrected by Apr 6, 2022

Marked corrected in the state record.

3270.131(e)/3270.131(e)(1) · 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 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 #2 and 3 lacks documentation of a current influenza immunization as recommended by the ACIP.

Corrected Corrected by May 4, 2022

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

A medication log was not maintained for child # 4 Tylenol in the toddler room.

Corrected Corrected by Apr 6, 2022

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

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #1 lacked swimming and wading parent consent signature on the emergency contact form.

Corrected Corrected by Apr 6, 2022

Category: transportation. 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 outdoor playspace a plastic toy bike was observed to have a broken plastic basket causing rough edges, sharp corners, and pinch and crust points.

Corrected Corrected by Jul 9, 2021

Category: physical safety. 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.

In the refrigerator in the kitchen it was observed that an operating thermometer was not placed in the refrigerator.

Corrected Corrected by Jul 9, 2021

Category: nutrition. Marked corrected in the state record.