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

A tool bag containing a hammer, a wrench, and screwdrivers were observed in an unlocked cabinet in the School Age room and was accessible to children.

Corrected Corrected by Oct 1, 2025

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

Corrected Corrected by Jul 30, 2025

Category: ratio. 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.

A power strip in the Kitchen and an outlet in the Preschool 2 room were missing protective electrical covers.

Corrected Corrected by Oct 1, 2025

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A bottle of Tylenol was observed on the window ledge in the School Age room and was accessible to children. At the time of inspection, the door to the staff lounge was observed to be open and a container of tide pods labeled "Keep out of reach of children" was observed on the counter, which was accessible to children.

Corrected Corrected by Oct 1, 2025

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Unlabeled spray bottles containing cleaning products were observed in the Infant and Preschool 2 rooms.

Corrected Corrected by Oct 1, 2025

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.

In the Toddler room, an outlet cover plate was observed broken with sharp edges and could cause injury to children. High, overgrown grass was observed in two areas of the outdoor play space, which could be hazardous to children. The step stool located under the water fountain was observed to be darkened with a layer of dirt.

Corrected Corrected by Oct 1, 2025

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.

Damaged plaster was observed with peeling pieces on the back wall of the Preschool 2 room.

Corrected Corrected by Oct 13, 2025

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.

Rest equipment with torn vinyl and exposed foam was observed in the Preschool 1 and Preschool 2 rooms.

Corrected Corrected by Oct 1, 2025

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

3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A climber with torn vinyl pieces less than 1 inch in diameter was observed in the Toddler Room and was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Oct 1, 2025

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. TIERED LIS: 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. This portion of the plan shall have an immediate correction date. 2. The legal entity shall ensure that all facility staff complete an in-person supervision training, coordinated through the ELRC, that include a component relating to supervision during times of transition. Training documentation must be retained on file that includes the date of the training and the names of the attendees. The operator shall provide a date for when this training will be completed. 3. The legal entity shall develop and implement a supervision and ratio training, coordinated through the ELRC, that is to be completed by all newly hired staff. The training should focus on supervision of children during times of transition. Training documentation must be retained on file that includes the date of the training and the names of the attendees. The operator shall provide a date for when the trainings have been developed and implemented in coordination with the ELRC.

At approximately 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to receive rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to receive a rest mat without a staff member present.

Corrected Corrected by Nov 7, 2025

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 12:10 PM, two school aged children were observed walking down the hallway and entering the Staff Lounge to retrieve rest mats without a staff member present. At approximately 12:15, one school aged child was observed walking down the hallway and entering the Staff Lounge to retrieve a rest mat without a staff member present.

Corrected Corrected by Jul 30, 2025

Category: supervision. 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.

The hands-free garbage can used for diapering in the Toddler Room was observed to be broken, and not hands-free.

Corrected Corrected by Oct 1, 2025

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on staff statements, Staff #3 restrained Child #1, a preschooler, to a chair with the sleeves of a sweatshirt for approximately 15 mins. Staff #1 reported that Child #1 was restrained to keep the child safe. Child #1 was jumping off of tables.

Corrected Corrected by Jul 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

Corrected Corrected by Sep 5, 2025

Category: supervision. 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.

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

Corrected Corrected by Sep 5, 2025

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.

On 7/2/25 at approximately 8:37 am in the greeting room, Staff #1 and #3 were supervising 3 young toddlers and 5 preschoolers. Staff #1 claimed to have the 3 young toddles is their supervision group. Staff #3 did not claim any children in their supervision group. Staff #3 stated that the other children were in Staff #2's supervision group. Staff #2 was not in the greeting room. Staff #3 left the room. Staff #1 was alone supervising the 8 children. A few minutes later. Staff #2 joined the room. Staff #2 claimed 2 preschool children in their supervision group. 3 preschoolers were not claimed in either staff's supervision group. At that time, Staff #1 left the room. Staff #2 was alone supervising the 8 children. At approximately 9:00 am, staff #1, left a young toddler alone and unsupervised in a crib located in the infant room.

Corrected Corrected by Sep 5, 2025

Category: supervision. 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.

According to the fire drill log, the last fire drill was conducted on 1/17/25.

Corrected Corrected by Sep 5, 2025

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.

According to the Fire Detection System Test Log, the last test was conducted on 12/17/24.

Corrected Corrected by Sep 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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.

SECOND CITATION PREVIOUSLY CITED ON 12/11/24: The file for Staff #1 contained a health assessment dated within 12 months prior to date of hire and also included a Tuberculosis test dated 10/9/23, more than 12 months prior to date of hire. (SEE IS CODE SHEET)

Corrected Corrected by Feb 11, 2025

Category: ratio. 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 child care. 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 #1 contained a health assessment lacking the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 11, 2025

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

3270.192(2)(iii) · 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 lacked the training certificate for Pediatric First Aid/CPR training dated 5/22/24 at the time of inspection.

Corrected Corrected by Feb 4, 2025

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Financial Agreement forms on file for Child #1 and Child #2 lacked the date the fee is to be paid.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility did not post the menu in a conspicuous location at the facility.

Corrected Corrected by Dec 13, 2024

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. Staff #1 and Staff #4 will have until 12/28/24 to complete the mandated reporter training. Until such time as the required pre-service trainings are completed, Staff #1 and Staff #4 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1 and Staff #4, Staff #1 and Staff #4 may not work in a child-care position at the facility.

The files for Staff #1 and Staff #4 lacked documentation that Staff #1 and Staff #4 have completed the following pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Mandated Reporter Training. The mandated reporter training on file for Staff #2 dated 1/27/21 is not an acceptable training, making it invalid.

Corrected Corrected by Jan 2, 2025

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.

The facility lacked documentation of the following policies: Shaken Baby/Child Maltreatment and Continuity of Operations in the Emergency Plan.

Corrected Corrected by Dec 11, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff #1 and Staff #4 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1 and Staff #4, Staff #1 and Staff #4 may not work in a child-care position at the facility.

Staff #1 and Staff #4 were observed to be caring for children unsupervised. Staff #1 and Staff #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training. Staff #1 has not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-Based Care- Revised 2022.

Corrected Corrected by Dec 11, 2024

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.

In the kitchen used by children as an eating space, an accessible power strip was observed to be unmounted and instead dangled loose in midair along with the cords plugged into it between the microwave cabinet and a metal shelving unit.

Corrected Corrected by Dec 11, 2024

Category: health medication. 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 most recent Emergency Plan training on file for Staff #5 is dated 1/3/23, more than 12 months prior.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility did not post the Emergency Plan in a conspicuous location in the facility.

Corrected Corrected by Dec 11, 2024

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

3270.31(e)(1)(ii)/3270.192(2)(iii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #3 and Staff #6 contained 0 of 12 annual training hours within the training period of 12/19/22-12/19/23. The file for Staff #5 contained 4 of 12 annual training hours within the training period of 12/19/22-12/19/23.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, and Staff #6 are dated 9/10/22 and 10/9/24, more than 24 months apart.

Corrected Corrected by Dec 11, 2024

Category: ratio. 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 two most recent fire safety trainings on file for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, and Staff #6 are dated 9/23/23 and 10/19/24, more than 12 months apart.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 lacked documentation that Staff #1 has completed the following pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care -- Revised 2022.

Corrected Corrected by Jan 13, 2025

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. Staff #2, Staff #4, and Staff #5 may not work in a child care position at the facility.

The files for Staff #2 (dated 11/6/19), Staff #4 (dated 11/6/19), and Staff #5 (dated 12/10/19) contained NSOR certificates dated more than 60 months prior. The two most recent FBI Clearances on file for Staff #3 are dated 9/26/18 and 3/26/24, more than 60 months apart.

Corrected Corrected by Dec 11, 2024

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 most recent staff evaluation on file for Staff #1, Staff #2, Staff #3, and Staff #5 are dated 1/3/23, more than 12 months prior. The most recent staff evaluation for Staff #4 is dated 1/3/22, more than 12 months prior.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file for Staff #1, classified as an Assistant Group Supervisor, lacked 2 years of child care experience. The file for Staff #4, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or GED.

Corrected Corrected by Feb 28, 2025

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 9:50 AM, Staff #1 was observed working alone in the Toddler Classroom with 2 younger toddler and 4 older toddlers. The mixed group ratio which includes young toddlers is 1 staff member to 5 children. At approximately 11:04 AM, Staff #1 was observed alone in the Front Room with 2 preschool aged children, 1 younger toddler, and 4 older toddlers while Staff #4 stepped out of the room.

Corrected Corrected by Dec 11, 2024

Category: ratio. 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.

Protective outlet covers were missing in the Older Toddler Room, School Age Room, Preschool 2 Room, and in the Kitchen (wall outlet, power strip, and extension cord).

Corrected Corrected by Dec 16, 2024

Marked corrected in the state record.

3270.67(a) · Trash shall be removed from the facility at least once per day.

A trash can in the outside play space and in the Preschool 2 Room were observed with garbage from days prior.

Corrected Corrected by Dec 16, 2024

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

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

Fruit flies were observed in the kitchen and at least 14 were observed on the inside of a lidded pan containing canned carrots that had not yet been cooked or consumed.

Corrected Corrected by Dec 17, 2024

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The Financial Agreement form on file for Child #2 lacked the fee amount for services.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Broken outlet plates with sharp edges were observed in the Older Toddler Room, School Age Room, and Preschool 2 Room. The wall next to the basketball hoop in the School Age Room was missing baseboard trim. A ceiling tile was missing in the front bathroom of the facility. In the Toddler Room, a heater cover in the corner was observed protruding from the wall leaving an exposed anchor, which could be harmful to children. In the outdoor play space, ripped turf carpeting and a large wooden sign was observed with splintered wood on the ends, which could be harmful to children.

Corrected Corrected by Dec 17, 2024

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

3270.76/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A torn rubber carpet seam cover contained pieces with a diameter of less than 1 inch was observed in the Infant Room, which could be a choking hazard for children who are still placing objects in their mouths.

Corrected Corrected by Dec 17, 2024

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.

Peeling paint and plaster was observed in the School Age Room under the windows and near the wall cutout and in the Toddlers Room in the corner next to the protruding heater cover.

Corrected Corrected by Jan 3, 2025

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.

In the Preschool 2 Room, splintered plywood was observed on a yellow table which could be harmful to children. Exposed fence bolts, a broken metal chair, and sharp plastic on the door frame of the short tan house along the fence were observed in the outdoor play space, which could be harmful to children.

Corrected Corrected by Jan 3, 2025

Category: physical safety. 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 9:45 AM, Staff #4 was unable to name the 2 preschool children in their assigned group that they were responsible for.

Corrected Corrected by Dec 11, 2024

Category: supervision. Marked corrected in the state record.

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

The Financial Agreement form on file for Child #4 lacked the signature of the operator.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Financial Agreement form on file for Child #2 lacked the services provided by the facility. The most recent Child Service Report on file for Child #1 is dated 8/17/23, more than 6 months prior.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The Financial Agreement forms on file for Child #3 and Child #4 lacked the child's date of admission.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The Financial Agreement forms on file for Child #1, Child #2, Child #3, Child #4, and Child #5 were the original agreement. The parent is to receive the original agreement, and the facility is to retain a copy of the agreement.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The files for Child #3 and Child #4 did not contain an Emergency Contact form.

Corrected Corrected by Jan 10, 2025

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 Emergency Contact forms for Child #1 and Child #2 lacked the address and phone number of the child's physician or source of medical care.

Corrected Corrected by Jan 10, 2025

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The Emergency Contact form for Child #2 lacked the child's health insurance/MA coverage and health insurance/MA policy number.

Corrected Corrected by Jan 10, 2025

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 Emergency Contact forms for Child #1 and Child #2 lacked addresses for all listed release persons.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked Emergency Contact forms for the children in care in the Front Room, Infant Room, and Toddler Room.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent parent updates for the Emergency Contact and Financial Agreement forms for Child #1 are dated 1/6/23, more than 6 month prior. The two most recent parent updates for the Emergency Contact and Financial Agreement forms for Child #5 are dated 11/29/23 and 10/14/24, more than 6 month prior.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1 (Younger Toddler at the time) are dated 4/5/23 & 12/21/23, more than 6 months apart.

Corrected Corrected by Jan 10, 2025

Category: health medication. 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.

An Epi Pen for Child #6 with an expiration date of 7/2024 was observed in the Infant Room.

Corrected Corrected by Dec 11, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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 two most recent health assessments on file for Staff #1 (dated 2/25/22 & 3/10/24) and Staff #4 (dated 1/24/22 & 2/27/24) are dated more than 24 months apart. The most recent health assessment on file for Staff #2 is dated 1/20/22, more than 24 month prior.

Corrected Corrected by Dec 11, 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 most recent parent update of the Financial Agreement form on file for Child #4 is dated 5/22/24, more than 6 months prior.

Corrected Corrected by Jan 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The most recent emergency drill documented at the facility is dated 12/7/23, more than 12 months prior.

Corrected Corrected by Dec 11, 2024

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.

The facility lacked documentation of fire drills conducted within the last year.

Corrected Corrected by Jan 3, 2025

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 facility's 30-day fire alarm test log contained the following dates more than 30 days apart: 5/1/24-6/1/24, 6/3/24-7/3/24, 8/2/24-9/2/24. The most recent documented 30-day fire alarm test date is 10/2/24, more than 30 days prior.

Corrected Corrected by Jan 3, 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). Staff files shall contain copies of clearances.

The file for staff #1 renewed 2 clearances late. The state police clearance was due 10/2023 and was renewed 12/2023. The child abuse clearance was due 9/2023 and was renewed 11/2023.

Corrected Corrected by Jan 3, 2024

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

3270.51/3270.113(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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.

A preschool aged child was not escorted to the restroom by a staff person at 9:45am on 12/5/23. The preschool aged child was not adequately supervised.

Corrected Corrected by Dec 5, 2023

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed exposed bolts on the gate in the play space (outside).

Corrected Corrected by Dec 8, 2023

Category: physical safety. 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.

Observed a child in rest equipment (crib) that was in use without 2 feet of space on 3 sides in the infant room.

Corrected Corrected by Dec 6, 2023

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for children #1-4 contain updated agreements and emergency contact forms that were updated late (beyond a 6 month period). They were due for updates in 7/2023 and were updated 11/2023.

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

The files for children #2 and #3 lack updated immunizations according to recommendations of the ACIP. Child #2 lacks a DTP and meningitis. Child #3 lacks a flu vaccine.

Corrected Corrected by Dec 6, 2023

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 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) for child #2 and #3 who were both lacking complete immunizations in their files.

Corrected Corrected by Dec 15, 2023

Category: health medication. 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.

The preschool aged children did not wash their hands prior to snack as observed by the certification representative.

Corrected Corrected by Dec 6, 2023

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility has not conducted an emergency drill annually.

Corrected Corrected by Dec 7, 2023

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 smoke alarm (fire detection system) in the school age room was beeping, therefore, indicating that the battery needed to be replaced.

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #2 contains an initial health assessment that was obtained late (beyond 60 days). The health assessment was due 12/2022 and obtained 5/2023.

Corrected Corrected by Dec 5, 2023

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.

The facility lacks a shaken baby syndrome policy.

Corrected Corrected by Feb 20, 2023

Category: health medication. 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.

Staff #4 obtained emergency plan training late. It was due on 12/22/22 and conducted on 1/3/23. Staff #5 obtained emergency plan training late. It was due on 6/1/22 and conducted on 1/3/23.

Corrected Corrected by Feb 6, 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.

Staff person #5 completed the following required pre-service training beyond 90 days of their date of hire (see LIS code sheet): PQAS pediatric first aid and CPR . Current training is on file.

Corrected Corrected by Feb 20, 2023

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

3270.31(f) · Staff person #4 and #5 shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 and #5 will have until 2/25/23 to complete the required training. Until such time as the required training has been completed, staff person #4 and #5 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 #4 and #5 , staff person #4 and #5 may not work in a child-care position at the facility.

Staff persons #4 and #5 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.

Corrected Corrected by Feb 20, 2023

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).

Staff person #5 completed the mandated reporter training beyond 90 days of their date of hire (see LIS code sheet). Staff person's mandated reporter training was due on 6/1/22 and completed on 12/22/22.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. 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 #2 will have until 2/25/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not updated the mandated reporter training. Staff person #2s mandated reporter training expired on 2/13/22.

Corrected Corrected by Feb 10, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 following staff files contain clearances that were updated late: staff #1- criminal due 2/2022 and obtained 3/2022, child abuse due 3/2022 and obtained 4/2022, FBI due 3/2022 and obtained 4/2022; staff #3 - criminal clearance due 12/2022 and obtained 1/2023.

Corrected Corrected by Oct 20, 2023

Category: background checks. 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 files for staff #4 and #5 indicate that both staff were improperly provisionally hired. The FBI clearance and NSOR were applied for after initial service in the child care setting which made both clearances late also. Staff #5 applied for the FBI clearance after initial service in the child care setting. The child abuse clearance and the criminal clearance were not applied for prior to initial service in the child care setting which made the entire provisional hiring process void, thus resulting in all 4 clearances being obtained late. Both staff #4 and #5 now have valid clearances on file.

Corrected Corrected by Feb 13, 2023

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

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #5 lacks a high school diploma.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed exposed bolts on the gate in the play space outside.

Corrected Corrected by Feb 16, 2023

Category: physical safety. 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.

Observed one crib in use without 2 feet of space on 3 sides in the infant room.

Corrected Corrected by Feb 13, 2023

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

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record shall contain initial and subsequent health reports.

The files for children #1 and #3 lack verification of the flu vaccination as recommended by the ACIP. Both children have been in care more than 60 days.

Corrected Corrected by Feb 16, 2023

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 and #3 lack verification of the flu vaccination as recommended by the ACIP. Both children have been in care over 60 days.

Corrected Corrected by Feb 17, 2023

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator did not notify the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Feb 16, 2023

Marked corrected in the state record.

3270.151(a)/3270.192(3) · 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. 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 #4 contains a health assessment that was obtained late. The health assessment was due by 9/12/22 and was obtained 10/5/22.

Corrected Corrected by Feb 16, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

Staff person #4 obtained a late TB test. The TB test was due by 9/12/22 and was obtained on 11/15/22.

Corrected Corrected by Feb 16, 2023

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 file for staff #5 lacks one written reference that attests to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not send a copy of the emergency plan update for 2022 to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 16, 2023

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for children #2 and #3 contain initial health assessments that were obtained late. The health assessment for child #2 was due 12/2020 and was obtained 9/2022. The health assessment for child #3 was due 8/2022 and was obtained 11/2022.

Corrected Corrected by Feb 17, 2023

Category: health medication. 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.

2nd citation: The health assessment for staff person #1 had a horizontal line drawn through the boxes that said "Yes" and "No" in regards to the question regarding communicable disease. Therefore, it was unable to be determined if an exam for communicable disease was conducted and the results of that exam. Previously cited on 3/4/22.

Corrected Corrected by Mar 17, 2022

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

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The inspection summary for the facility's renewal inspection, which included items not yet corrected, was not posted at the facility.

Corrected Corrected by Mar 9, 2022

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Upon entering the infant room at approximately 11:05, child #1, a 3 month old, was observed sitting in a Baby Einstein exersaucer in the infant room. The child appeared to be having a hard time keeping their head up and there were folded blankets being used as a cushion between the child and the seat. Based on review of the instructions online, the minimum age for using the equipment is 6 months.

Corrected Corrected by Mar 4, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Upon entering the infant room at approximately 11:05, child #2, a 3 month old, was observed sleeping in a baby swing.

Corrected Corrected by Mar 4, 2022

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Upon entering the infant room at approximately 11:05, child #2, a 3 month old, was observed sleeping in a baby swing.

Corrected Corrected by Mar 4, 2022

Category: health medication. 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.

The health assessment for staff person #1 had a horizontal line drawn through the boxes that said "Yes" and "No" in regards to the question regarding communicable disease. Therefore, it was unable to be determined if an exam for communicable disease was conducted and the results of that exam.

Corrected Corrected by Mar 16, 2022

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

3270.94(a)(2) · 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 different times of the day or night, or both, if applicable.

2nd citation: All fire drills conducted in the last 12 months occurred between 9:45 am and 11:30 am. Previously cited on 1/11/22.

Corrected Corrected by Mar 9, 2022

Category: recordkeeping. Marked corrected in the state record.

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

A flat screen tv was on a low table in the School-age 1 room, creating a tipping hazard.

Corrected Corrected by Feb 21, 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). 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 last FBI clearance in the file for staff person #2 was dated more than 60 months ago and the individual continued working with children with expired clearances. The last two state police, child abuse and FBI clearances in the file for staff person #4 were dated more than 60 months apart and the individual continued working with children with expired clearances.

Corrected Corrected by Jan 11, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent Mandated Reporter training in the file for staff person #1and #5 was not one of the acceptable trainings. The previous training had expired.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a "Dab-O-Ink" bingo dabber in a low cabinet in the School-age 1 room, making it accessible to the children in care. The "staff only" bathroom door was unlocked, making the Chlorox wipes, which were observed sitting on a low table near the bathroom door, accessible to children. The staff lounge door was unlocked and propped open, making the package of Tide pods sitting on the counter accessible to children. All items included instructions to keep out of the reach of children.

Corrected Corrected by Feb 21, 2022

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

There was a "Dab-O-Ink" bingo dabber in a low cabinet in the School-age 1 room. Based on conversation with the director, it was used for arts and crafts.

Corrected Corrected by Jan 11, 2022

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water in both sinks in the toddler room measured at approximately 120 degrees F.

Corrected Corrected by Feb 21, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

There were no emergency phone numbers posted in the toddler room.

Corrected Corrected by Feb 21, 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 were several tears in the vinyl covering of the climbing equipment on the floor in the infant room, making the foam inside accessible to the 3 toddlers in the room at the time.

Corrected Corrected by Feb 21, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were several tears in the vinyl covering of the climbing equipment on the floor in the infant room, making the foam inside accessible to the 3 toddlers in the room at the time.

Corrected Corrected by Feb 21, 2022

Category: physical safety. 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 8:45 am, staff person #6 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

Corrected Corrected by Jan 11, 2022

Category: supervision. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

There was two different colors of ink on the agreement form in the file for child #2 and the operator stated it was the original agreement.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information in the file for child #2 did not include the work phone number for the child's mother.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact information in the file for child #4 did not include addresses for the 3 release persons.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was no emergency contact information in the School-age room 2 for child #1, who was observed in care at the time of the inspection

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The last update in writing by a parent on both the emergency contact form and the agreement form in the file for child #1, #4 and #5 was dated in 2020.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The health report in the file for child #3, a kindergartener, was dated when the child was 4 years old.

Corrected Corrected by Feb 21, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The last health assessment in the file for staff person #2 and #5 was dated more than 24 months ago.

Corrected Corrected by Feb 21, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment in the file for staff person #4 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 21, 2022

Category: health medication. 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.

There were two occasions in 2021 where fire drills were conducted slightly more than 60 days apart:

Corrected Corrected by Jan 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(2) · 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 different times of the day or night, or both, if applicable.

All fire drills conducted in the last 12 months occurred between 9:45 am and 11:30 am.

Corrected Corrected by Feb 21, 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.

There was no proof of purchase for the facility's fire detection system available at the time of the inspection. There were 6 times in 2021 when the testing of the fire detection system was dated more than 30 days apart.

Corrected Corrected by Feb 21, 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 person #1, #2 and #5 contained evidence of 9 hours of training between 12/19/20 and 12/19/21. The file for staff person #4 did not include any training hours between 12/19/20 and 12/19/21.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The last traffic letter sent to local authorities by the facility was more than 12 months ago.

Corrected Corrected by Feb 21, 2022

Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 8:45 am, staff person #1 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

Corrected Corrected by Jan 11, 2022

Category: supervision. 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 approximately 8:45 am, staff person #1 answered the front door of the facility and then screened this certification representative for COVID by using a touchless thermometer, leaving 7 older school-age children unsupervised in the School-age 2 room.

Corrected Corrected by Jan 11, 2022

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Based on conversation with the operator and review of child files, parents were receiving original injury reports and a copy was placed in the child's file, but a 3rd copy was not maintained in an accident file at the facility.

Corrected Corrected by Mar 9, 2022

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