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.

On 9/9/2024, staff #2 was observed alone in the infant room and caring for 5 infants for approximately one minute.

Corrected Corrected by Sep 16, 2024

Category: ratio. 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 9/9/24, staff #1 named six children in her supervisory group. One of the children was of preschool age and five of the children were young toddlers. Ratio: 1:6.

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

3270.151(c)(2)(i) · If a person's medical record demonstrates a positive tuberculin skin test, that record shall be placed on file at the facility.

The file for staff #4, who's medical record is said to demonstrate a positive TB skin test, lacks the TB screening.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator did not provide the parents a letter explaining emergency procedures, including shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises, evacuation of children from the facility building and evacuation of children to a location away from the facility premises, evacuation routes and evacuation plans to exit the building may be the same as those required by § 3270.94 (relating to fire drills), a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises, a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children and acommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Aug 22, 2024

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

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

The file for staff #2 lacked Pediatric CPR/FA with approved curriculum and approved PQAS instructor within 90 days of hire. SEE IS CODE SHEET. This is evidenced by the current training on file dated 1/18/24.

Corrected Corrected by Jul 31, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The current State Police clearance on file for staff #1 is lacking a dissemination date. The file for staff #3 lacked a disclosure statement at rehire. SEE IS CODE SHEET.

Corrected Corrected by Aug 19, 2024

Category: background checks. 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.

The refrigerators in the two toddler rooms had sticky substances on the bottoms of the inside of the refrigerators.

Corrected Corrected by Aug 19, 2024

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The fee agreements on file for children #1, 2, 3, 4 and 5 lack the date of the child's admission.

Corrected Corrected by Aug 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training,

Corrected Corrected by Aug 13, 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. Facility Person #2 may not work in a child care position at the facility.

The file for staff person #2 contains a volunteer child abuse clearance which is not accepted for employment in a child care facility. The file for staff person #3 contains a current child abuse clearance that was completed after the start date in the child care facility. The child abuse clearance on file at initial employment is a volunteer clearance which is not accepted for employment in child care. The clearance is now current.

Corrected Corrected by Jul 31, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 8/27/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed an acceptable mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 13, 2023

Category: supervision. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in the Common Area is lacking tweezers.

Corrected Corrected by Jul 31, 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.

The laminate floors throughout the facility are visibly dirty and sticky to the touch. According to staff interview, the floors are mopped daily but have not been stripped or deep cleaned in more than a year.

Corrected Corrected by Aug 14, 2023

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.

Observed in the infant room the activity bouncer and baby seat with activity tray to be visibly dirty and sticky. Observed on the outdoor play space 2 Radio Flyer tricycles with rusted surfaces and a red tricycle with a sharp metal emblem on the front. Observed parked on the front porch area two 4 passenger baby buggies with fabric seats that were covered with dirt, cobwebs, and black spots resembling mold. Also observed the back wheel axle on one of the buggies to be rusted and cracked.

Corrected Corrected by Aug 14, 2023

Category: physical safety. 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 person #1 contains only 3 of the required 12 hours of child care training completed during the year 12/19/2021 to 12/19/2022. Staff #1 has since completed 9 additional training hours.

Corrected Corrected by Aug 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.20(a)(1)/3270.20(b) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

The provider did not notify the regional office of an incident that occurred at the facility on 10/4/2022 which required emergency room treatment for child #1.

Corrected Corrected by Mar 21, 2023

Category: physical safety. 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.

An incident report was not completed for an injury occurring to child #1 on 3/6/2023. The operator disclosed that a copy of incident reports is retained in a facility incident file but not retained in the child's file.

Corrected Corrected by Mar 21, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #1, date of hire (see LIS code sheet) is lacking verification of fingerprinting or a completed clearance prior to the start date as required under CPSL. The file does contain a current FBI clearance.

Corrected Corrected by Jan 25, 2022

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

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

The file for staff person #1 contains a current PFA/PCPR training that was conducted after the previous training had expired. The training is now current. The file for staff person #7 contains expired PFA/PCPR training and does not contain current training.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2, hire date (see IS code sheet) contains current PFA/PCPR training that was received greater than 90 days after hire date. The file is now current.

Corrected Corrected by Aug 12, 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. Facility Person #6 may not work in a child care position at the facility.

The file for staff person #6, hire date (see IS code sheet) contains an FBI clearance obtained through the DOE which is not valid for a position in child care under CPSL.

Corrected Corrected by Aug 12, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

Observed that a first aid kit was not available on the playground where 20 children ages infant through school age were observed receiving care.

Corrected Corrected by Aug 4, 2022

Category: health medication. 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 2 protruding bolts on the gate of the playground outdoor playspace. The bottom of the vanity in the Inventors room bathroom was damaged. The countertop on the sink in the Creators room was damaged.

Corrected Corrected by Aug 2, 2022

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The trash container in the common area bathroom was not lidded.

Corrected Corrected by Jul 29, 2022

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Observed a bumbo seat being used for infant care and there was no strap. Bumbo seats were recalled with a requirement to have an adaptive strap if still in use.

Corrected Corrected by Jul 29, 2022

Category: physical safety. 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.

A tall bookshelf in the common area was not anchored for stability posing a risk of the shelf falling on a child.

Corrected Corrected by Aug 1, 2022

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 files for staff persons #2 and #4 contain current health assessments that were completed greater than 24 months after the previous health assessment. The files are now current. The files for staff persons #3 and #5 contain initial health assessments that were obtained after the individual's start date. The files are now current.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The files for staff #3 and #5 contain results of TB tests after the start date in a child care position. The files are now current.

Corrected Corrected by Aug 12, 2022

Category: health medication. 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 file for staff person #6 contains an initial health assessment that is lacking physician statements regarding communicable disease and suitability for working in child care.

Corrected Corrected by Aug 9, 2022

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A bottle of infant formula was observed in the refrigerator and was not labeled with the name of the infant.

Corrected Corrected by Jul 29, 2022

Category: nutrition. 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 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 1 OT and 4 PS children were present and walk thru the middle room and answer the door. This left the 5 children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 1 OT and 4 PS age children alone and supervised in the toddler room for approximately 30 seconds. Ratio 0:5.

Corrected Corrected by Mar 17, 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.

On 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 5 children were present and walk thru the middle room and answer the door. This left 1 OT and 4 PS children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 5 children alone and unsupervised in the toddler room for approximately 30 seconds.

Corrected Corrected by Mar 17, 2022

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 3/17/22, at approximately 10:10 AM, observed staff #1 leave the toddler room where 5 children were present and walk thru the middle room and answer the door. This left 5 children alone and unsupervised in the toddler room for approximately 1 minute. Additionally, and approximately 2-3 minutes after staff #1 answered the door, observed staff #1 leave the toddler room another time and walk into the middle room to get something out of the closet. This left the 5 children alone and supervised in the toddler room for approximately 30 seconds.

Corrected Corrected by Mar 17, 2022

Category: supervision. 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. Manual checks of the fire detection system/devices will be checked at least every 30 days and documentation shall be on file.

The facility file did not contain any documentation that manual tests of the fire detection systems have been completed every 30 days.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

The file for staff #1, lacks the FBI clearance required under the CPSL. FBI clearance on file is from PDE and not DHS and the file for staff #2 lacked a State Police clearance on or before initial start date in a child care position. There is now a State Police clearance on file and dated 12/11/19. Previously cited on 7/16/21 under SIN-00190027.

Corrected Corrected by Oct 4, 2021

Category: background checks. 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. Child Care Centers shall keep the proof and date of purchase of an interconnected fire detection device or system.

The facility file lacked verification of proof of purchase of the facility's interconnected fire detection system.Previously cited on 7/16/21 under SIN-00190027.

Corrected Corrected by Oct 4, 2021

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.

The outside play space fence had a steel link which was sticking out and facing the inside of the play space creating a hazard to the children in care.

Corrected Corrected by Jul 19, 2021

Category: physical safety. 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 Creator room, observed a large modem on top of a shelf. The modem could be reached by the children in care and was not secured to the shelf and could be pulled over by the children. Therefore, creating a threat to the health and safety of the children in care.

Corrected Corrected by Jul 19, 2021

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was more than one year between the previous and most current emergency plan trainings on file for staff #1 and 6. Dates are the following for both staff. 5/24/19 and 9/4/20. The file for staff #2 lacked initial emergency plan training within one week of start date. Start date 6/10/19. Emergency plan training on file is dated 6/7/21.

Corrected Corrected by Jul 26, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.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 #2, with start date of 6/10/19 lacked fire safety training within one year of start date. Start date 6/10/19. There is now fire safety training on file and dated 6/7/21.

Corrected Corrected by Jun 21, 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.

The file for staff #2, with start date of 6/10/19, lacked Pediatric first aid and pediatric cardiopulmonary resuscitation training by 6/17/21. There is now Pediatric First Aid and Pediatric cardiopulmonary resuscitation on file and dated 6/21/21.

Corrected Corrected by Jun 21, 2021

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

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

The file for staff #4 lacks health and safety training within 90 days of hire. Start date 3/1/21. There is no health and safety training on file.

Corrected Corrected by Aug 19, 2021

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). Facility Person #2 and 3-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff #2, lacks the FBI clearance required under the CPSL. FBI clearance on file is from PDE and not DHS and the file for staff #2 lacked a State Police clearance on or before initial start date in a child care position. There is now a State Police clearance on file and dated 12/11/19. The file for staff #3, with provisional hire date of 6/1/21, lacked an application for the FBI and Child Abuse clearances on or before initial start date in a child care position. There are no applications on file for the FBI and Child Abuse clearances. There is now a Child Abuse clearance on file and dated 7/12/21 and an FBI clearance on file and dated 6/30/21. There is no NSOR clearance on file. The file for staff #4, with start date of 3/1/21, lacked a State Police, Child Abuse, FBI and NSOR clearance on or before initial start date in a child care position. Clearances are now on file and dated as such: State Police - 3/9/21, Child Abuse - 3/11/21, FBI - 4/7/21 and NSOR 3/12/21.

Corrected Corrected by Aug 19, 2021

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 file for staff #2, with start date of 6/10/19, lacked a staff evaluation within one year of start date. Start date - 6/10/19. Staff evaluation on file is from 6/7/21.

Corrected Corrected by Jun 7, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #5, who holds the title of assistant group supervisor, lacks 1567 hours of child care experience.

Corrected Corrected by Jul 19, 2021

Category: supervision. 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.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone in the Discover Room.

Corrected Corrected by Jul 19, 2021

Category: physical safety. 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 on file for child #2 lacks the address and phone number of all persons designated by the parent to whom the child may be released.

Corrected Corrected by Jul 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The current health report on file for child #1 lacks a statement that the child is free from contagious or communicable disease and that the child is able to participate in child care.

Corrected Corrected by Aug 19, 2021

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

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

The immunization record on file for child #2, who is 11 months of age, contains verification of 1 of 3 DTAP, 1 of 2 IPV, and 1of 3 PCV vaccinations as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 19, 2021

Category: health medication. 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.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #1 and 6. The files for staff #2, 3, and 5 lack a health assessment within the 12 months prior to providing initial service in a child care position. There are now current health assessments on file for staff #2 and 5. There is no health assessment on file for staff #3.

Corrected Corrected by Aug 19, 2021

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.

The files for staff #2 and 3 lack a TB screening by the Mantoux method within 12 months prior to providing initial service in a child care setting. The TB screening on file for staff #2 with start date of 6/10/19 is dated 1/25/17. There is no TB screening on file for staff #3.

Corrected Corrected by Aug 19, 2021

Category: health medication. 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 current health assessment on file for staff #4 lacks an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 19, 2021

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 #3 lacks one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

There was more than 60 days between fire drills which were conducted on 11/3/20 and 1/4/21.

Corrected Corrected by Aug 19, 2021

Category: physical safety. 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. Child Care Centers shall keep the proof and date of purchase of an interconnected fire detection device or system.

The facility file lacked verification of proof of purchase of the facility's interconnected fire detection system.

Corrected Corrected by Aug 19, 2021

Category: recordkeeping. Marked corrected in the state record.