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. TIERED LIS: 1. The required staff:child ratios must be maintained at all times. 2. The legal entity will create a center policy on appropriate staff to child ratios and maintaining appropriate staff to child ratios. Included in the policy shall be the steps or process staff must follow when the classroom is going to be out of appropriate staff to child ratios. 3. The legal entity will review the policy created in number 2 with all child care staff. 4. All child care staff will sign and date an acknowledgement of the policy created and reviewed in tiers 2 and 3. The signed and dated acknowledgement must be retained in each staff persons file.

Based on interviews with staff, the Rainbow classroom has been out of ratio in the morning at drop off, on occasion having 3 teachers with 20 older toddlers (2-year-olds) exceeding the 1:6 staff to child ratio. Also based on staff interviews, when the older toddler classrooms combine in the gym from approximately 10:30 to 11:15 for gross motor play, there has been 25-30 children and 5-6 staff to maintain ratio. On occasion, when unable to find someone to cover, staff have left their group of 2-year-olds in the gym to use the restroom leaving the group out of the 1:6 staff to child ratio for older toddlers.

Corrected Corrected by Aug 18, 2025

Category: ratio. 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.

In a cabinet in the boy's bathroom, soap labeled, "Keep out of the reach of children" was accessible to children.

Corrected Corrected by Jun 4, 2024

Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

In the Blue Skies Room, toxics were stored on a shelf above loose diapers and not in a bin, which could cause harm to children.

Corrected Corrected by Jun 4, 2024

Category: ratio. 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 Smiley Face Room, magnet tiles were observed to be cracked and not in good repair, which could cause injury.

Corrected Corrected by Jun 4, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

On the School-Age Playground, the loose mulch at the bottom of the slide of embedded playground equipment did not measure 9 inches below surface level, per the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Jun 4, 2024

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.

In the Rainbow Room, a sensory bin containing rice was accessible to children who are still placing objects in their mouths. In the Blue Skies Room, paper books were observed to be ripped with pieces that were less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jun 7, 2024

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 form for Child #1 lacked the phone number of the physician or medical care provider.

Corrected Corrected by Jun 4, 2024

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record for Child #2 (17 months) lacked 1 dose of HIB and 1 dose of Pneumococcal with no letter of exemption in file. The immunization record for Child #3 lacked 1 dose of Hepatitis A with no letter of exemption in file. (See LIS Code Sheet).

Corrected Corrected by Jun 5, 2024

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

In the Moon Room, a tube of prescription Nystatin labeled for Child #4 did not contain a prescription label with instructions.

Corrected Corrected by Jun 5, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The kitchen was used consecutively as the hypothetical location for fire drills on 2/2/24, 3/14/24, and 5/3/24.

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 fire alarm 30-day test log includes test dates 11/4/23 and 12/8/23, more than 30 days apart.

Corrected Corrected by Dec 8, 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 file for Child #3 contained an initial health assessment dated 8/8/22, more than 60 days after the first day of attendance.

Corrected Corrected by Aug 8, 2022

Category: health medication. 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.

It was observed that there was peeling and chipped paint on the wall in the hallway outside of the women's bathroom.

Corrected Corrected by Mar 27, 2024

Category: physical safety. 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.

While assessing supervision and ratio it was observed that Staff person #1 named and was responsible for 8 Young Toddlers while Staff Person #2 step out of the room to use the restroom. leaving Staff Person #1 with a ratio of 1:8.

Corrected Corrected by Mar 12, 2024

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).

The record for Staff person #1 contains a child abuse clearance dated 08/01/2016 and 07/29/2022 and Criminal history clearances dated 08/25/2017 and 08/31/2022 indicating that staff person #1 exceeded the 60 month period for which a clearance is valid.

Corrected Corrected by Aug 31, 2022

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

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the Rainbow room, there was an electrical outlet on an extension cord located on the floor that did not have an outlet cover.

Corrected Corrected by Jun 20, 2023

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 Ark room, there was a carpet corner that was frayed and curled creating a tripping hazard.

Corrected Corrected by Jun 20, 2023

Category: physical safety. 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.

There were no steps for children who are walking to approach the adult sized sink in the Moon Room. A staff member was observed holding a child on their leg for handwashing to reach the sink during the renewal inspection.

Corrected Corrected by Jun 27, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There were multiple pieces of splitting wood with splinters located around the GaGa pit and two exposed bolts on a bench in the large fenced area outside that could cause injury. There were two cracked trucks, a cracked play climber, and a cracked bin in the medium fenced area with sharp edges and pinch points that could cause injury.

Corrected Corrected by Jul 14, 2023

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

3270.123(a)(3)/3270.124(f) · 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 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.

The following children's records indicated that there were more than 6 months between the consecutive child service reports: Child #8 (11/22/22 - 6/5/2023), Child #9 (Date of Admission: 5/16/2022 - Initial Child Service Report: 12/2/2022), Child #10 (Date of Admission: 10/31/2022 - Initial Child Service Report: 6/4/2023)

Corrected Corrected by Jun 8, 2023

Category: recordkeeping. 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 on file for Child #9 does not include the health insurance coverage and policy number for the medical insurance policy.

Corrected Corrected by Jun 23, 2023

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 form on file for Child #6 does not include a complete address for all listed release persons. The emergency contact form on file for Child #8 does not include a complete address and telephone number for all listed release persons.

Corrected Corrected by Jun 23, 2023

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 following children's records indicated that there were more than 6 months between the parent review of the emergency contact information and financial agreement: Child #3 (EC & FA 11/14/2022 - 6/22/2023), Child #6 (EC & FA 11/16/2022 - Missing Update), Child #7 (EC & FA 11/16/2022-6/2/2023), Child #8 (EC & FA 11/23/2022-6/5/2023), Child #9 (EC & FA 11/21/2022-6/5/2023), and Child #10 (EC & FA 11/18/2022-6/4/2023)

Corrected Corrected by Jun 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 Child #1, #2, #3, and #8 contained records of immunization history which lacked current influenza vaccinations, recommended by the ACIP. Child #1, #2, #3, and #8 must be dismissed from care by close of business on 6/22/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Jun 25, 2023

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.

There was an EpiPen in the Moon classroom that was not labeled with the child's name.

Corrected Corrected by Jun 20, 2023

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 EpiPen, in the locked medication bin in the Smiley Face room had expired, and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Jun 20, 2023

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

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

There were two prescription EpiPen's for two different children in the Smiley Face room, which did not have a completed and signed medication log on file.

Corrected Corrected by Jun 21, 2023

Category: health medication. 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.

In the Noah room, where diaper changing occurs, the can labeled 'Diapers Only' was not hands-free.

Corrected Corrected by Jun 20, 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 person #3 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Jun 26, 2023

Category: recordkeeping. 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 person #2 did not complete the following required pre-service training by within 90 days of hire (see LIS code sheet), pediatric first-aid and CPR training. The training was completed on 7/18//22.

Corrected Corrected by Jul 18, 2022

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire alarm 30-day test log includes test dates 5/20/22-6/20/22, 10/5/22-11/5/22, 12/2/22-1/2/23, and 1/2/23-2/9/23, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

Corrected Corrected by Feb 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

Based on interviews with Staff at the time of an unannounced inspection, it was reported that there are times when the soap in the restrooms have not been refilled by the cleaning company. This results in children not being able to wash their hands with soap until they return to their classrooms.

Corrected Corrected by Jun 12, 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. Facility Person #11 and Staff Person #12 will have until 10/21/22 to complete the required training. Until such time as the required training has been completed, facility person #11 and staff person #12 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 facility person #11 and staff person #12, facility person #11 and staff person #12 may not work in a child-care position at the facility.

Staff person #2 and #10 had 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 had 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; health and safety training. Facility Person #11 has not completed the following required pre-service training within 90 days of the date of hire (see LIS code sheet): pediatric first-aid and CPR training. Staff Person #12 had not completed the following required pre-service raining with 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Oct 16, 2022

Category: supervision. 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 #6--- will have until 10/21/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person 7 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Oct 9, 2022

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

The file for Staff #1 contained a disclosure statement which was not current and lacked a witness signature. The files for Staff #4 and #5 contained consecutive state police clearances dated more than 60 months apart. The file for Staff #5 contained consecutive FBI clearances dated more than 60 months apart. The file for Staff #13 contained an invalid disclosure statement.

Corrected Corrected by Sep 20, 2022

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

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child

During assessment of ratio and supervision in the small fenced outdoor play space on 8/23/22 at approximately 10 AM, 36 children were observed in care. The measured capacity of this space is 33.

Corrected Corrected by Aug 23, 2022

Category: supervision. 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.

An electrical outlet was observed to be uncovered by the sink in the Ark Room. Two electrical outlets in a power strip in the Noah area of the Main Room were observed to be uncovered.

Corrected Corrected by Aug 23, 2022

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.

Toxic cleaners were observed under the sink in the Ark Room in an unlocked cabinet in which the safety lock was not working properly.

Corrected Corrected by Aug 23, 2022

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.

A toxic cleaner was observed on the counter by the food preparation area in the Meadows Room.

Corrected Corrected by Aug 23, 2022

Category: ratio. Marked corrected in the state record.

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

Thorny weeds were observed in the large outdoor play space. Loose metal pieces were observed on the right side of the medium outdoor play space.

Corrected Corrected by Aug 23, 2022

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

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

The refrigerator in the Moon Room was observed to lack a thermometer.

Corrected Corrected by Aug 23, 2022

Category: nutrition. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The files for Child #2 and #3 contained records of immunization history which lacked current influenza vaccinations.

Corrected Corrected by Oct 21, 2022

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 expired Tylenol was observed in the medicine box.

Corrected Corrected by Aug 23, 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 files for Staff #3, #8 and #9 contained consecutive health assessments dated more than 24 months apart.

Corrected Corrected by Sep 22, 2022

Category: ratio. Marked corrected in the state record.

3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The file for Child #1 contained consecutive updates to the emergency contact and agreement forms dated more than six months apart.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 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 file for Staff #5 lacked documentation of the 12 annual child care training hours between 12/19/20 and 12/19/21.

Corrected Corrected by Jul 8, 2022

Category: recordkeeping. 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.

During video footage of 8/3/22 observed during a complaint investigation, Staff #1 Is seen with her back to 3 OT children while she tends to one of the children in the Ark Room, never turning to see, assess or direct the other children. On 8/8/22, video footage shows Staff #2 with her back to 5 OT children while changing a diaper in the Cloud Room, never turning to see, assess or direct the other children. Staff #2 is again seen on the same day with her back to 6 OT children in the Cloud Room, in a back closet and then retrieving the cots for naptime, never turning to see, assess or direct the children.

Corrected Corrected by Aug 22, 2022

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The following staff persons did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification: staff #1 (3/26/19 and 4/24/2021); staff #2 (3/21 2019 and 5/15/2021); staff #3 2/28/2019 and 5/15/20210; staff #5 (5/9/2018 and 5/15/2021); staff #6 5/11/2017 and 4/24/2021); staff #8 (3/8/2019 and 4/24/2021); staff #9 (3/18/2019 and 4/24/2021); staff #10 (3/17/2019 and 4/24/2021); staff #11 (8/2018 and 4/2021); and staff #13 (3/18/2019 and 4/24/2021) .

Corrected Corrected by May 15, 2021

Category: ratio. Marked corrected in the state record.

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.

Staff #5 who began working in child care on 2/11/2019 has not participated in annual fire safety training.

Corrected Corrected by Aug 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Staff person #4 and #12 who has been working in child care for more than 90 days did not complete professional development in Pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by Oct 29, 2021

Category: health medication. 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 director did not complete a minimum of one written evaluation every 12 months of staff #1 (from 3/2/2020 to 6/30/2021); staff #5 (from 6/26/2020 to 6/30/2021); staff #6 (from 1/29/2019 to 6/30/2021); staff #7 (from date of hire on 5/18/2020 to 6/30/2021); staff #8 (from 12/20/2019 to 6/30/2021); staff #11 (from date of hire on 3/14/2020 to 6/30/2021); staff #12 (from date of hire on 10/31/2019 to 6/30/2021); staff #13 (from 11/1/2019 to 6/30/2021); staff #14 (from date of hire on 3/14/2020 to 6/30/2021); and staff #15 (from 10/11/2019 to 6/30/2021).

Corrected Corrected by Jun 30, 2021

Category: recordkeeping. 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.

Electrical outlets located in the purple bathroom and gym accessible to children 5 years of age or younger did not have a protective receptacle cover placed in them.

Corrected Corrected by Aug 18, 2021

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.

Cleaning materials and other toxic materials labeled keep out of the reach of children were observed in the following areas accessible to children: In the rainbow room, there were diaper ointments, Goo Gone, disinfectant wipes, and Microban Disinfectant spray in a cabinet with a failed childproof lock; In the unlocked staff break room, there was Murphy Oil Soap on the table and Clorox Spray and window cleaner on a cart in an unlocked closet; In the hallway outside of the rainbow room and cloud room, there was a Swiffer that contained cleaner and an extra bottle of cleaner.

Corrected Corrected by Aug 18, 2021

Category: health medication. 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.

(3) bottles of cleaning materials on a cart in a closet in the staff break room were not stored in an original labeled container or in a container that specifies the content.

Corrected Corrected by Aug 18, 2021

Category: ratio. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There were uncovered receptacles that were used to contain trash contaminated by human secretions (nasal tissues) and human secretions observed in the main entrance of the facility and purple bathroom.

Corrected Corrected by Aug 18, 2021

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.

A handwashing sign was not posted by the urinal in the boy's restroom.

Corrected Corrected by Aug 18, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The written plan of daily activities was not posted in the gym.

Corrected Corrected by Aug 18, 2021

Category: physical safety. 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 record for staff #5 included a current health assessment dated more than 24 months following their previous health assessment.

Corrected Corrected by May 4, 2021

Category: ratio. 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 operator did not have the proof of purchase for the fire detection system.

Corrected Corrected by Aug 19, 2021

Category: recordkeeping. Marked corrected in the state record.