3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #3 has since completed the training on 5/22/24. Staff person #2 contained current Pediatric First Aid/CPR training dated 2/14/24 which was not renewed prior to their current Pediatric First Aid/CPR training expiring as of 10/2023.

Corrected Corrected by Dec 13, 2024

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

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Three cigarette butts were observed on different parts of the rubberized mat of the outdoor play space used by children in care.

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The child file for Child #1 and Child #2 contained a current financial agreement form that lacked the child's arrival and departure times.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. 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.

In the Main Front Room, an Epi-Pen for Child #3 was observed to have expired as of 11/2024.

Corrected Corrected by Dec 13, 2024

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 staff file for Staff person #1, contained a current health assessment dated 5/25/24 which was conducted more than 24 months from the previously dated 4/28/22 health assessment on file.

Corrected Corrected by Dec 13, 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 child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form and the financial agreement form were dated 3/11/24 and 8/21/23.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The staff file for Staff person #1 who is functioning as an Assistant Group Supervisor, lacked proper documentation of verification of two years' experience working with children; the hours per week was omitted therefore could not determine if Staff person #1 had two years of experience working with children.

Corrected Corrected by Dec 7, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(3)/3270.192(2)(ii) · 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). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The child file for Child #1 contained a current financial agreement form that lacked the services to be provided.

Corrected Corrected by Dec 7, 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 facility emergency plan lacked information regarding volunteer emergency preparedness as well as a plan for continuity of operations in their emergency plan.

Corrected Corrected by Dec 8, 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 #1, Staff person #2, and Staff person #3-- will have until 12/27/22 to complete the required training. Until such time as the required training has been completed, Staff person #1, Staff person #2, and Staff person #3--- 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 #1, Staff person #2, and Staff person #3 may not work in a child-care position at the facility.

Staff person #1, Staff person #2, and Staff person #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; the health and safety training on file was completed prior to 9/30/16 and is not considered an acceptable training.

Corrected Corrected by Dec 27, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #4, who is functioning as an assistant group supervisor, lacked documentation of two years of experience working with children; the employee verification form on file lacked the number of hours worked per week thus making is difficult to determine the total years of experience working with children.

Corrected Corrected by Dec 6, 2022

Category: supervision. 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 New Rear Room, chipped/damaged plaster was observed on the wall to the right of the first aid kit just above the baseboard.

Corrected Corrected by Dec 2, 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 child file for Child #1, who is a preschool age child (See IS Code Sheet), lacked a flu shot for 2021. Child #1 has a flu shot for 2022.

Corrected Corrected by Dec 1, 2022

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the Bottom Room a Benadryl located inside the medicine box was observed to not labeled for the use of a specific child.

Corrected Corrected by Dec 1, 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.

Upon review of the facility's 30-day fire alarm testing log the following tests were observed to be conducted more than 30 days apart: 1/11/22 - 2/23/22 (43 days), 2/23/22 - 3/30/22 (35 days), 5/9/22 - 6/21/22 (43 days), 7/8/22 - 8/25/22 (48 days), 9/12/22 - 10/25/22 (43 days).

Corrected Corrected by Dec 1, 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 #2 may not work in a child care position at the facility.

Staff file #2 contained a disclosure statement that was signed but not dated.

Corrected Corrected by Jan 4, 2022

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.

The receptacles over the cabinet in the preschool room and under the window in the toddler room lacked protective receptacle covers and were accessible to children 5 years of age and younger.

Corrected Corrected by Dec 22, 2021

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.

Staff file #1 contained a health assessment that lacked the results of the communicable diseases examination.

Corrected Corrected by Jan 3, 2022

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