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 preschool classroom two wooden blocks were observed that had rough edges and sharp corners.

Corrected Corrected by Sep 17, 2024

Category: physical safety. 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 files for staff # 1 contained a current fire safety training certificate dated 2/13/23. The training was obtained greater than one year past the prior training, obtained 10/13/21.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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.

The files for staff # 1 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 days of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 1 is date 5/14/22 .

Corrected Corrected by Sep 22, 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.

There was a cracked plastic bin and a cracked CD case in the Preschool/ School age room.

Corrected Corrected by Sep 22, 2023

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

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). Child # 1 must be dismissed from care by close of business 9/20/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter

The file for child # 1 a preschooler lacked a current health report. The prior report is dated 6/11/22.

Corrected Corrected by Sep 22, 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 file for staff # 1 contained a current health assessment dated 9/15/23. It was not obtained within 24 months of the previous assessment dated 8/23/21.

Corrected Corrected by Sep 22, 2023

Category: ratio. 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 # 1 has a current pediatric first-aid and pediatric CPR certification dated 6/19/21-6/19/23.The certification was not renewed prior to the expiration of the previous certification dated 9/8/18-9/8/20.

Corrected Corrected by Sep 21, 2022

Category: ratio. 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 were a few fence wires that were pulled out exposing sharp points on the back and on the right side of the fence. There were 2 holes on the fence.

Corrected Corrected by Sep 27, 2022

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

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

The metal part and post behind the toilet in the infant /toddler bathroom was rusted.

Corrected Corrected by Sep 27, 2022

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 were 2 magnets blocks with broken rough edges. There was a puppet doll with a hole on the head exposing foam.

Corrected Corrected by Sep 21, 2022

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

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

The files for child # 1 and 2 lacked the operator's signature on the agreement form.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · 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 file for child # 3 a preschooler contain a current health report that was not updated within 12 months dated 8/12/22. The previous report was dated 7/12/21.

Corrected Corrected by Sep 21, 2022

Category: health medication. 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 files for Child # 3 lacks documentation of a current influenza immunization as recommended by the ACIP

Corrected Corrected by Sep 27, 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 fire detection system tests were greater than 30 days apart from 1/13/22 to 6/13/22.

Corrected Corrected by Sep 27, 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.

The file for staff #1, lacked 8 out of 12 required hours of annual child care training, from 12/19/20 to 12/19/21.

Corrected Corrected by Sep 21, 2022

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. Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1, whom was hired on 6/22/09 as an assistant group supervisor, lacked a valid FBI Clearance. The FBI Clearance was requested through the Department of Justice instead of the Department of Human Services.

Corrected Corrected by Sep 22, 2021

Category: supervision. Marked corrected in the state record.