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Home › PA › Belle Vernon › Willow Cove Early Learning Center
510 Willowbrook Plaza, Belle Vernon PA 15012 · License #CER-00250586 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 staff file for Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 7/14/25 and 5/6/24.
Corrected Corrected by May 28, 2026
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.
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 and CPR training. Staff person #3 has since completed the training on 4/4/26. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. Staff person #7 has since completed the training on 4/27/26.
Corrected Corrected by May 28, 2026
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). 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.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
The staff file for Staff person #5 contained a current DHS FBI clearance dated 1/6/25 which was not renewed within 60 months of the previously dated 12/4/19 DHS FBI clearance expiring.
Corrected Corrected by May 28, 2026
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The staff file for Staff person #7 was observed to lack a staff evaluation.
Corrected Corrected by May 28, 2026
Category: recordkeeping. 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 proof of education.
Corrected Corrected by May 28, 2026
Category: supervision. Marked corrected in the state record.
3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of 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 #6 who is functioning as an Aide, lacked proof of two years of experience working with children.
Corrected Corrected by May 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The outdoor play space bag containing the first-aid kit was observed on the table accessible to the preschool age children playing outside.
Corrected Corrected by May 28, 2026
Category: physical safety. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
At 10:20am, in the Littles Room, a preschool age child was observed receiving a therapy session with a third-party therapist and a facility staff person was present to supervise that child. The facility was unable to provide documentation of a release form signed by the parent allowing their child to receive services outside of the classroom.
Corrected Corrected by May 5, 2026
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · TIERED IS: 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. This portion of the plan shall have an immediate correction date. 2.) The director will physically observe and manually evaluate random assessments of each classroom at least 3 times per week, during nap time, for the next 3 months. During the assessment, the director will ask each staff person in each classroom to identify the children that are in their assigned supervision group by naming each child and pointing to each child. The director will develop a log to manually document the date, time, classroom. number of staff, and number and ages of children present, and if all children were accounted for. The log will be submitted to the DHS representative prior to use. The completed logs will be made available to the Western Region Office representative upon request. Assessments will begin immediately upon acceptance of the plan of correction. The correction date for this portion of the plan should be at minimum 3 months from the date that Western Region Office gives feedback on the tool. 3.) The director will create a step-by-step supervision training plan for newly hired staff. The policy will name the specific online training sessions that new hires will be required to complete and describe how new staff will be trained on using the facility's system for identifying the specific children for whom each staff is responsible, along with a timeline of when the training items will be completed. This training policy will be submitted to the Department within two weeks of acceptance of the plan of correction. The operator shall provide a date for when this training policy will be completed.
At approximately 1:40pm during naptime in the Preschool 4 Room, two staff and 22 preschool age children were observed. During the onset of a supervision/ratio check, when staff were asked to identify and name all of the children who they were responsible for Staff person #5 identified and named 10 preschool age children and Staff person #8 identified and named 10 preschool aged children thus leaving 2 preschool age children unaccounted for. When asked who was responsible for the 2 unnamed children Both staff said that Staff person #9, who was not present in the room, was responsible for those two children. When staff were asked where Staff #9 was neither staff knew where or why staff person #9 was not in the room.
Corrected Corrected by Sep 1, 2026
Category: supervision. 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 child file for Child #1, who is a young toddler, was observed to contain an updated health report dated 2/4/26 which was conducted more than 6 months from the previously dated 7/12/25 health report on file.
Corrected Corrected by May 28, 2026
Category: health medication. 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 child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 6/9/25 which was conducted more than 12 months from the previously dated 5/30/24 health report on file.
Corrected Corrected by May 28, 2026
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, was observed to contain a current health assessment dated 6/2/24 which was conducted more than 12 months prior to providing initial service in a childcare setting (See IS CODE SHEET).
Corrected Corrected by May 28, 2026
Category: ratio. 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 staff file for Staff person #2 lacked 6 of the 12 clock hours of annual childcare training required from 12/2024 - 12/2025.
Corrected Corrected by May 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.
The child files were observed to be stored in a filing cabinet that was not locked at time of the unannounced inspection.
Corrected Corrected by Apr 15, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.
The staff files were observed to be stored in a filing cabinet that was not locked at time of the unannounced inspection. Additionally, a staff persons file was observed left out on a desk in the same area.
Corrected Corrected by Apr 15, 2026
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). Facility Person #1 may not work in a childcare position at the facility.
The file for Staff #1, who has resided out of Pennsylvania in the last five years, lacked required West Virginia Clearances. The file for Staff #2 contained Mandated Reporter training that was updated in an interval greater than 60 months.
Corrected Corrected by Feb 27, 2026
Category: background checks. Marked corrected in the state record.
3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.
During a complaint investigation conducted on 11/4/25 it was determined that on 10/28/25 Child #1 sustained an injury while in care that required stitches, was taken to the emergency room for treatment, and the facility did not notify the Western Region Office of the incident within 24 hours.
Corrected Corrected by Oct 30, 2025
Category: physical safety. Marked corrected in the state record.
3270.113(a) · TIERED IS: 1.) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The correction date for this portion of the plan will be immediate. 2.) The director/ operator will arrange for all staff, including the director, to attend an in-person training with ELRC #4 entitled "Active Supervision". This training can occur at the provider's location. Verification for completion of training will be an attendee list obtained from the ELRC. This training can count toward attendee's required annual training requirements, as long as acceptable documentation is on file. The correction date for this portion of the plan will be the anticipated date that the training will be completed. 3.) The director/ operator will arrange for ELRC #4 staff to conduct a minimum of 2 onsite technical assistance visits, to be conducted after supervision training has occurred, to conduct observations and provide input regarding active supervision, classroom management and safe environment. The correction date for this portion of the plan will be after training has been conducted. 4.) The director/ operator will conduct monthly staff meetings for the next 4 months to include the topics of active supervision, classroom management and safe environment as part of the agenda. The director/ operator will arrange for ELRC #4 staff to attend these meetings. Agendas and staff attendance sheets shall be completed and filed for the meetings and provided upon the request of the Certification Representative. The correction date for this portion of the plan will be a minimum of four months from the acceptance of the plans of correction.
During a complaint investigation conducted on 11/4/25, video surveillance footage from 10/28/25 showed that at approximately 11:20am in the Littles Room, Staff #1 was observed sweeping the floor and, at times, had their back turned to the children and lacked sightlines to the five children in care. During the time while staff was sweeping, Child #2 walked over to a table, picked up a pair of adult scissors, and walked around with them for approximately 19 seconds, after which Child #1 grabbed the scissors away from Child #2 and cut themselves. The lapse in supervision resulted in Child #2 being able to obtain the scissors and Child #1 sustained an injury that required stitches.
Corrected Corrected by Apr 16, 2026
Category: supervision. 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.
During a complaint investigation conducted on 11/4/25, video surveillance footage from 10/28/25 showed that at approximately 11:20am in the Littles Room, during the time while staff was sweeping the floor, Child #2 walked over to a table, picked up a pair of adult scissors, and walked around with them for approximately 19 seconds, after which Child #1 grabbed the scissors away from Child #2 and cut themselves.
Corrected Corrected by Oct 30, 2025
Category: health medication. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
During a self-reported noncompliance investigation conducted on 10/27/25, video surveillance footage from 10/14/25 showed that at approximately 1:46pm in the Preschool 3 room during naptime, Staff person #1 was observed picking up Child #1, who is the staff's own child from their cot, taking them over to the teacher's desk in the back right corner of the room, where Staff #1 sits down in the chair with Child #1 on their lap and then can be seen slapping Child #1's face with an open right hand. Staff person #1 can then be seen turning Child #1 over, laying them over their lap, and proceeded to hit Child #1 on their back side four times with a closed right fist. Child #1 walked over to his cot upset and laid down. At approximately 1:48pm Staff person #1 returned to Child #1's cot and slapped them on their head before resuming putting items away in the children's cubbies inside that were inside the room. This all occurred while other children were in the room napping.
Corrected Corrected by Oct 14, 2025
Category: recordkeeping. 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 will have until 11/14/25 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1 may not work in a child-care position at the facility.
Staff person #1 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 training. Staff person #3 and Staff person #7 had 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; Staff person #3 has since completed the training on 9/16/25 and Staff person #7 on 9/27/25.
Corrected Corrected by Nov 6, 2025
Category: supervision. 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 staff file for Staff person #2 contained current mandated reporter training dated 7/19/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 7/18/20.
Corrected Corrected by Nov 6, 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 (See IS Code Sheet), who has resided out of state within the previous five years, was observed to lack a New Jersey Sex Offender Registry Check Child as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 contained a current State Police clearance dated 7/18/25, a current Child Abuse clearance dated 7/21/25 and a current DHS FBI clearance dated 7/22/25 all of which were not renewed within 60 months of the previously dated 6/3/20 State Police clearance, 6/2/20 Child Abuse clearance and 6/11/20 DHS FBI clearance expiring. The file for staff person #5 was observed to contain a current National Sex Offender Registry (NSOR) check dated 8/27/25 which was not obtained prior to first day working with children (See IS CODE SHEET) required for provisional hiring under the CPSL.
Corrected Corrected by Nov 6, 2025
Category: background checks. 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 located in the Littles Room was observed to lack a thermometer.
Corrected Corrected by Nov 6, 2025
Category: nutrition. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 4/1/25 which was conducted more than 12 months from the previously dated 3/26/24 health report on file.
Corrected Corrected by Nov 6, 2025
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 #4 contained a current health assessment dated 3/3/25 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #8, contained a current health assessment dated 9/22/25 which was conducted more than 24 months from the previously dated 11/15/22 health assessment on file.
Corrected Corrected by Nov 6, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 staff file for Staff person #6 contained a current health assessment dated 9/5/24 that lacked examination for communicable diseases and the results of that examination.
Corrected Corrected by Oct 16, 2025
Category: health medication. Marked corrected in the state record.
3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide childcare. 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 staff file for Staff person #6 contained a current health assessment dated 9/5/24 that the physician's or CRNP's assessment of the person's suitability to provide childcare.
Corrected Corrected by Oct 16, 2025
Category: health medication. 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.
Upon observing the breakfast menu, it was observed that only 2 out of 3 food groups were being offered during the week: either cereal and milk, French toast and milk, Waffles and milk, and pancakes and milk.
Corrected Corrected by Nov 6, 2025
Category: nutrition. 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 current annual fire system inspection report was not on file at time of inspection and was not done annually. The previous inspection report on file was dated 9/9/24. Staff person #9 reported the fire company was at the facility to test the alarms the morning of 10/8/25 however a written report of that test was not on file at time of inspection.
Corrected Corrected by Nov 6, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.166(2) · New foods shall be introduced to an infant only after consultation with the child's parent.
Per staff statements Child #1, an infant age child, was fed puffs on 11/19/24 without parental consent.
Corrected Corrected by Jan 2, 2025
Category: nutrition. 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 staff file for Staff person #8 lacked documentation of having participated in annual emergency plan training for 2024; the last documented training was dated 8/21/23.
Corrected Corrected by Oct 11, 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 staff file for Staff person #2 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/1/24 and 7/25/23. The staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/1/24 and 7/26/23.
Corrected Corrected by Oct 2, 2024
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.
Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training; Staff person #5 has since completed the training on 1/12/24.
Corrected Corrected by Oct 2, 2024
Category: health medication. 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 staff file for Staff person #5 contained current mandated reporter training dated 3/18/24 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 2/5/19.
Corrected Corrected by Oct 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The staff file for Staff persons #2, #3, #4, and #7 contained a current staff evaluation that was not dated therefore it cannot be determined if the staff evaluations were completed at least once every 12 months from the previously dated 9/27/23 staff evaluation on file.
Corrected Corrected by Oct 2, 2024
Category: recordkeeping. 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 one year of experience working with children. The staff file for Staff person #9 who is functioning as an Assistant Group Supervisor, lacked two years of experience working with children; only 2, 078 hours were documented.
Corrected Corrected by Oct 2, 2024
Category: supervision. Marked corrected in the state record.
3270.78/3270.113(a) · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
At approximately 1:40pm, in the Older Toddler Room during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.
Corrected Corrected by Oct 2, 2024
Category: supervision. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
At approximately 10:28am, in the Infant Room, an infant was observed to be asleep in a crib that was up against another crib resulting in there not being at least 2 feet of space on three sides of the crib while it was in use.
Corrected Corrected by Oct 2, 2024
Category: physical safety. 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 observed to be conducted on 8/2/24 which was more than 12 months after the previously documented emergency drill dated 5/8/23.
Corrected Corrected by Oct 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.113(a)(1) · ***Legal Entity must schedule an on-site, in-person, technical assistance session with their ELRC quality coach, who will support the program in implementation of the tag system and conduct in-classroom supports to provide feedback and answer tag system questions
***At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children.
Corrected Corrected by Nov 21, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **Legal Entity must develop and implement a tangible hands-free method of identify the specific children for which each staff person is responsible for. Staff will utilize the tangible hands-free method appropriately at all times while on duty at the facility.
**At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children.
Corrected Corrected by Oct 23, 2024
Category: supervision. 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.
*At approximately 1:35pm, during naptime in the PS 4 Room, one staff and 15 preschool age children were observed. During the onset of supervision/ratio check, Staff person #1 identified and named only 7 children thus leaving the other 8 children unaccounted for. When asked who was responsible for the 8 unnamed children Staff person #1 said Staff person #4, who was out of the room on their break, was responsible for those children. At approximately 1:40pm, during naptime in the Older Toddler (Nursery Room), one staff and 12 older toddlers were observed. During the onset of supervision/ratio check, Staff person #10 identified and named only 6 children thus leaving the other 6 children unaccounted for. When asked who was responsible for the 6 unnamed children Staff person #10 said Staff person #6, who was out of the room on their break, was responsible for those children.
Corrected Corrected by Oct 14, 2024
Category: supervision. 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 #3, contained a current health assessment dated 5/7/24 which was conducted more than 24 months from the previously dated 3/11/22 health assessment on file. The staff file for Staff person #4, contained a current health assessment dated 7/8/24 which was conducted more than 24 months from the previously dated 6/28/22 health assessment on file. The staff file for Staff person #6 contained a current health assessment dated 3/20/24 and tuberculosis screening test and results dated 3/11/24 which were not conducted prior to providing initial service in a childcare setting.
Corrected Corrected by Oct 2, 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 emergency contact form that was not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 5/24/23 and 12/5/23.
Corrected Corrected by Oct 2, 2024
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.
Observed the annual fire system inspection report was completed more than 12 months after the previous inspection report. The previous inspection report was dated 5/31/23 and the most recent inspection report is dated 9/9/24.
Corrected Corrected by Oct 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.136(b) · The operator shall inform parents of enrolled children when there is a suspected outbreak of a communicable disease or an outbreak of an unusual illness that represents a public health emergency in the opinion of the Department of Health.
As a result of a complaint investigation conducted on 8/5/24, it was determined that the facility failed to inform parents of enrolled children during specific and separate outbreaks of COVID and Hand, Foot Mouth disease.
Corrected Corrected by Aug 5, 2024
Category: health medication. 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 Nursery School Room (Older Toddler Room) an electrical outlet located on the wall above the small children's bookshelf and accessible to children under 5 years of age was observed to be missing an outlet cover.
Corrected Corrected by Aug 5, 2024
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).
Based on staff interviews a child who was excluded from care for having a communicable disease was permitted to return to care without a doctor's note indicating that they are no longer considered a threat to the health of others.
Corrected Corrected by Aug 6, 2024
Category: health medication. 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.
In the PK 4 Room, 3 staff and 21 PreK children were observed. When asked to name the children in their respective supervision groups, the following occurred: Staff person #1 stated that 7 children were in their supervision group, but only named 4 and disclosed they did not know the names of the other three children in their group. Staff person #2 took approximately 3 minutes to match names to children in their group and after naming the 9th child in their supervision group, children in the room reminded Staff person #2 that the child they named was not in attendance. Staff person #3 required assistance from Staff person #2 to say the names of the two children in their supervision group. Therefore, it was determined that the staff did not know the names of all of the children in their respective supervision groups
Corrected Corrected by Aug 6, 2024
Category: supervision. Marked corrected in the state record.
3270.33(a)/3270.36(b)(5) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.
Corrected Corrected by Aug 6, 2024
Category: supervision. Marked corrected in the state record.
3270.153 · A facility person 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 be excluded from attendance until the facility operator receives notification from a physician or CRNP that the person is no longer considered a threat to the health of others. The notification shall be retained in the facility person's file. Exclusion from the facility is required for diseases and conditions specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).
Based on staff interviews multiple staff who were excluded from working at the facility for having a communicable disease were permitted to return to work without a doctor's note indicating that they are no longer considered a threat to the health of others.
Corrected Corrected by Aug 6, 2024
Category: health medication. 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 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; Staff person #1 disclosed that they filled out the employee verification form themself and did have the previous employer complete to verify employment.
Corrected Corrected by Sep 4, 2024
Category: supervision. Marked corrected in the state record.
3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.
The staff file for Staff person #1, who is functioning as an assistant group supervisor, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position.
Corrected Corrected by Aug 19, 2024
Category: supervision. 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 # 1 did not complete the following required pre-service training within 90 days of their date of hire. SEE IS CODE SHEET. The current revised 10-hour health and safety training is now on file and dated 1/2/24.
Corrected Corrected by May 2, 2024
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #-1 ill have until 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #1 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/facility person/volunteer #1, staff person/facility person/volunteer #1 may not work in a child-care position at the facility.
Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/5/19.
Corrected Corrected by May 2, 2024
Category: supervision. 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.
Staff person #10 through Staff person #15 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06. All staff have now completed the required training.
Corrected Corrected by Nov 16, 2023
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 PS 3 Room a stapler was observed stored in a 3-tier rolling cart accessible to the preschool age children in care.
Corrected Corrected by Oct 19, 2023
Category: health medication. 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 #6 will have until 11/21/23 to complete the required training.
Staff person #1, Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training. Staff person #1 and Staff person #2 have since completed the training. Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Updated 10hr. Health and Safety Training; the 6hr and 1hr Health and Safety Trainings were on file which are not acceptable for new staff hired after 10/4/22. Staff person #7 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 #7 has since completed the training. Staff person #9 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training and Pediatric First Aid/CPR. Staff person #9 has since completed the trainings.
Corrected Corrected by Nov 16, 2023
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: Staff Person #2 and Staff person #8 may not work in 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. Staff Person #2 and Staff person #8--- may not work in the facility.
The file for Staff person #2 was observed to lack a valid DHS FBI Clearance. The file for Staff person #3 was observed to contain a Child Abuse Clearance on file dated 5/23/23 which was not obtained prior to hire (See IS CODE Sheet). The file for Staff person #7 was observed to contain a National Sex Offender Registry (NSOR) check on file dated 10/26/22 and there was no documentation of having applied for the NSOR check prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #8 was observed to lack a valid DHS FBI Clearance; A Department of Education (DOE) FBI clearance was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL).
Corrected Corrected by Nov 16, 2023
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 #1 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/2/18. Staff person #1 completed the required mandated reporter training on 10/18/23. Staff person #3 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #3 has since completed the training on 5/17/23.
Corrected Corrected by Nov 16, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
The sink in the Infant Room, which is occasionally used by toddlers whenever they receive care in that space, was observed to lack a platform or steps for the toddlers to use while washing their hands.
Corrected Corrected by Oct 20, 2023
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 Young Toddler Room was observed to lack a handwashing sign.
Corrected Corrected by Oct 20, 2023
Category: health medication. 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 child file for Child #1, who was a young toddler at the time, was observed to contain an updated health report dated 2/6/23 which was conducted more than 6 months from the previously dated 1/10/22 health report on file. The child file for Child #2, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 9/30/22 and 12/13/21. The child file for Child #3, who is a young toddler, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 10/3/22 and 10/4/21.
Corrected Corrected by Nov 16, 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 person #4 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #4 is dated 9/20/23. The file for staff person #6 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #6 is dated 4/12/23. The file for staff person #8 was observed to lack a health assessment on file prior to hire (See IS CODE SHEET); The health assessment on file for staff person #8 is dated 10/3/23.
Corrected Corrected by Nov 16, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The staff file for Staff person #4 contained a current tuberculosis screening and results dated 9/29/23 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #6 contained a current tuberculosis screening and results dated 4/12/23 which was not conducted prior to providing initial service in a childcare setting.
Corrected Corrected by Nov 16, 2023
Category: health medication. 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 and continuity of operations included in their emergency plan. The facility also lacked a handwritten policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.
Corrected Corrected by Dec 9, 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 PS 4 Room a container of push pins were observed inside the top left desk drawer which was unlocked and accessible to children in care.
Corrected Corrected by Nov 4, 2022
Category: health medication. 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 #1, #3, #5, #7, #12, #13, and #14 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/CPR.
Corrected Corrected by Nov 4, 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: Staff Person #3, #4, #7, #9 and #10 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. Staff Person #3, #4, #7, #9 and #10 may not work in a child care position at the facility.
The file for staff person #1 lacked a disclosure statement on file at time of hire a disclosure dated 10/12/22 is on file. Staff person #2 lacked a valid DHS FBI clearance at time of hire; a DOE FBI clearance dated 5/13/20 was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL). The file for staff person #3 was observed not to contain a National Sex Offender Registry (NSOR) certificate within 45 days of hire (See IS CODE SHEET). Staff person #3 also lacked a valid DHS FBI clearance at time of hire; a DOE FBI clearance was on file which is not an acceptable FBI clearance per the Child Protective Service Law (CPSL). The file for staff person #4 was observed to lack a valid DHS FBI clearance; a DOE FBI clearance was on file. The file for staff person #5 was observed not to contain a NSOR certificate within 45 days of hire (See IS CODE SHEET). Staff person #5's NSOR certificate is dated 9/23/22. The file for staff person #6 lacked a Child Abuse clearance prior to hire (See IS CODE SHEET); Staff person #6 has a Child Abuse clearance on file dated 3/29/22. Staff person #6 was also observed not to contain a NSOR certificate within 45 days of hire; a NSOR certificate dated 9/22/22 is on file. The staff file for Staff person #7 was observed to lack a valid DHS FBI clearance; a DOE FBI clearance was on file. The staff file for Staff person #9 was observed to lack a Child Abuse clearance. The file for staff person #10 was observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Staff person #10 also lacked a valid State Police and Child Abuse clearance prior to hire; a State Police clearance dated 9/23/22 and a Child Abuse clearance dated 9/27/22 are on file.
Corrected Corrected by Nov 4, 2022
Category: background checks. Marked corrected in the state record.
3270.35(b)(1)/3270.192(2)(iv) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.
The staff file for Staff person #3 and Staff person #10 and Staff person #11, who are functioning as a Group Supervisor, contained a bachelor of science diploma that did not list the degree awarded thus making is difficult to determine if the degree is in a related human service field.
Corrected Corrected by Nov 4, 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 #2, who is functioning as an Assistant Group Supervisor, lacked one year of experience working with children. The staff file for Staff person #4, Staff person #7, Staff person #9, and Staff person #12 who are all functioning as Assistant Group Supervisors, lacked two years of experience working with children.
Corrected Corrected by Nov 4, 2022
Category: supervision. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
The sink located within the Young Toddler room was observed to lack a platform or steps for the young toddlers to use while washing their hands.
Corrected Corrected by Nov 4, 2022
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.
Staff person #6 self reported that after a young toddler's diaper is changed that child's hands are cleaned with a baby wipe and not washed at the sink with soap and water.
Corrected Corrected by Nov 4, 2022
Category: health medication. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The child file for Child #7 and Child #8 contained a financial agreement form that lacked the child's admission date.
Corrected Corrected by Nov 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The child file for Child #2 contained an emergency contact information form that lacked the name of the child's physician.
Corrected Corrected by Nov 4, 2022
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 child file for Child #1 contained an emergency contact information form that lacked the address for one of the designated release persons.
Corrected Corrected by Nov 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The child file for Child #3, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/3/22 which was conducted more than 12 months from the previously dated 4/8/21 health report on file. The child file for Child #4, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/6/22 which was conducted more than 12 months from the previously dated 9/22/21 health report on file. The child file for Child #6, who is a preschool age child (See IS CODE SHEET), was observed to contain an updated health report dated 10/6/22 which was conducted more than 12 months from the previously dated 8/9/21 health report on file.
Corrected Corrected by Nov 4, 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 Preschool 4 room a Tylenol was observed to lack the name of the child for whom the medication is intended to be used by.
Corrected Corrected by Nov 4, 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 #2 was observed to not contain documentation of a health assessment being completed within 12 months prior to date of hire (See IS CODE SHEET). The health assessment on file for staff person # 2 is dated 6/30/22. The file for Staff person #12 lacked a health assessment on file prior to date of hire {See IS CODE SHEET).
Corrected Corrected by Nov 4, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file for staff person #2 was observed to not contain documentation of a tuberculosis screening and the results prior to date of hire (See IS CODE SHEET); the tuberculosis screening on file for staff person # 2 is dated 6/30/22. The file for Staff person #12 lacked tuberculosis screening and the results on file prior to date of hire (See IS CODE SHEET). The file for staff person #10 was observed to not contain documentation of a tuberculosis screening and the results prior to date of hire (See IS CODE SHEET); the tuberculosis screening on file for staff person #10 is dated 9/21/22.
Corrected Corrected by Nov 4, 2022
Category: health medication. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The staff file for Staff Person #8 contained a current health assessment dated 8/25/22 that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by Nov 4, 2022
Category: health medication. 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 #2 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 10/10/21 and 6/20/22 and were 1/11/22 and 9/9/22 for the financial agreement. The child file for Child #3 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 10/5/21 and 9/15/22 and were 1/3/22 and 8/14/22 for the financial agreement. The child file for Child #4 contained a financial agreement and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the emergency contact form were dated 1/24/22 and 9/19/22 and were 1/3/22 and 9/19/22 for the financial agreement. The child file for Child #5 contained a financial agreement that was not reviewed and updated by the parent at least once in a 6-month period; the last two reviews for the financial agreement were dated 1/3/22 and 9/21/22.
Corrected Corrected by Nov 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.192(3) · 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 for Staff person #12 lacked a health assessment and tuberculin skin test on file prior to date of hire {See IS CODE SHEET).
Corrected Corrected by Nov 4, 2022
Category: health medication. 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 staff file for Staff person #10 and Staff person #12 lacked one nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Nov 4, 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.
The current fire inspection was not conducted annually as evidence by the last two fire inspections were dated 4/7/22 and 2/22/21.
Corrected Corrected by Nov 4, 2022
Category: recordkeeping. 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.
Upon review of the facility's fire drill log it has been more than 60 days since a fire drill was conducted as evidence by the last documented fire drill was conducted on 6/7/22.
Corrected Corrected by Aug 12, 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.
Upon review of the facility's fire alarm testing log it has been more than 30 days since the fire alarms were tested as evidence by the last documented test was conducted on 7/7/22.
Corrected Corrected by Aug 12, 2022
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). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Staff file #1 contained documentation of mandated reporter training completed on 6/24/15 and 7/18/20 which exceeded the 60 months as required by CPSL.
Corrected Corrected by Dec 30, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
The emergency exit door in the infant room was obstructed with a pack n play and a rocking chair.
Corrected Corrected by Dec 27, 2021
Category: physical safety. 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.
Child file #1 lacked documentation of annual influenza vaccination administered in accordance with the schedule recommended by the ACIP.
Corrected Corrected by Dec 30, 2021
Category: health medication. 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 facility's emergency plan lacked a plan that provides accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Dec 30, 2021
Category: physical safety. 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 files #2, #3 and #4 lacked documentation of completion of Pediatric First Aid and Pediatric CPR within 90 days of hire.,
Corrected Corrected by Dec 29, 2021
Category: health medication. Marked corrected in the state record.