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 was observed on the baseboard near the windows in the Gross Motor room.

Corrected Corrected by Mar 29, 2025

Category: physical safety. 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's emergency plan does not include provisions regarding volunteer emergency preparedness training, as per Announcement C-22-04.

Corrected Corrected by Mar 27, 2025

Category: ratio. 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 most recent State Police clearances (12/30/19 & 1/6/25) and Child Abuse clearances (1/3/20 &1/9/25) on file for Staff #1 are dated more than 60 months apart. The most recent State Police clearances (7/29/19 & 10/1/24) and FBI clearances (6/30/19 & 10/7/24) on file for Staff #2 are dated more than 60 months apart.

Corrected Corrected by Jan 9, 2025

Category: background checks. 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 file for Child #4 contained a child service report dated 1/2025, more than 6 months after the child's date of enrollment (SEE IS CODE SHEET). The file for Child #5, enrolled more than 6 months (SEE IS CODE SHEET), did not contain any child service reports.

Corrected Corrected by Mar 27, 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 form for Child #3 lacked a complete address for the child's physician or source of medical care. The emergency contact form for Child #5 lacked the phone number for the child's physician or source of medical care.

Corrected Corrected by Mar 27, 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, Child #2, Child #3, and Child #5 lacked complete addresses for all listed release persons.

Corrected Corrected by Mar 27, 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 #5 (Younger Toddler at the time) are dated 2/29/24 & 2/19/25, more than 6 months apart.

Corrected Corrected by Feb 19, 2025

Category: health medication. 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 file for Child #2 (Older Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A without a letter of exemption in the file. The file for Child #3 (Young Toddler) lacked updated written verification of ongoing administered vaccines: 1 dose of Pneumococcal without a letter of exemption in the file. Child #2 and Child #3 must be dismissed from care by close of business on 3/27/25 and may only return to care when the immunization record is updated or when the parent provides a written, signed exemption letter.

Corrected Corrected by Mar 27, 2025

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.

The two most recent health assessments on file for Staff #3 are dated 9/9/22 and 1/24/25, more than 24 months apart.

Corrected Corrected by Jan 24, 2025

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 fire alarm 30-day test log includes test dates 1/3/25-2/3/25, more than 30 days apart.

Corrected Corrected by Mar 27, 2025

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 facility lacked documentation that the emergency plan was sent to the local municipality and county emergency management agency with the most recent plan update dated 9/9/24.

Corrected Corrected by Mar 27, 2025

Category: physical safety. 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 #3 contained 5.5 of 12 annual child care training hours during the training timeframe of 10/25/23-10/25/24.

Corrected Corrected by Mar 27, 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). 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 file for staff #1 lacks a PA State Police and DHS FBI clearance within the past 60 months. This is evidenced by the most current PA State Police clearance on file with date of 7/29/19 and most current DHS FBI clearance on file with date of 6/30/19.

Corrected Corrected by Oct 8, 2024

Category: background checks. 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's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Mar 10, 2024

Category: ratio. 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 previous CPR/FA trainings on file for staff #1, 2 and 6 were not renewed on or before the expiration of the most current certificate. There are now current trainings on file.

Corrected Corrected by Feb 27, 2024

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 #4 lacked health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now training on file and dated 2/8/23. The file for staff #7 lacked CPR/FA and health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now training on file and dated CPR/FA - 2/27/24 and health and safety - 2/9/24.

Corrected Corrected by Mar 6, 2024

Category: health medication. 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.

In the Infant Room, observed three infants and two cribs. Based on a conversation with the operator, two of the infants were taking turns using the same crib when both infants were present at the facility at the same time.

Corrected Corrected by Mar 16, 2024

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.

While an infant was sleeping in one of the cribs, observed a bouncy seat in between two cribs and an infant activity center on the other side of one of the cribs. Therefore, there was not 2 feet of space on three sides.

Corrected Corrected by Mar 5, 2024

Category: physical safety. 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.

The fee agreements on file for children #1, 2 and 3 were the originals. Therefore, the parent did not receive the original agreement.

Corrected Corrected by Mar 5, 2024

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.

There was more than six months between reviews of the emergency contact and fee agreement on file for child #2. There are now current six month reviews on file.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. 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 most current immunization record on file for child #3 contains 2 of the 3 recommended DTAP immunizations in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Mar 6, 2024

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 health assessments on file for staff #5. Dates are 8/18/21 and 1/26/24.

Corrected Corrected by Jan 26, 2024

Category: ratio. 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 emergency plan drill conducted at the facility lacked all of the information for an emergency drill.

Corrected Corrected by Mar 9, 2024

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 #6 lacks 11 of 12 hours of child care trainings for the most current annual year.

Corrected Corrected by Mar 6, 2024

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).

It was observed at the time of inspection child #1 and child #2 did not have child service reports completed within the last six months.

Corrected Corrected by Mar 29, 2023

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 on file for child #1 lacks the work address of the enrolling parent. Previously cited under SIN - 00201662 on 3/11/22.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. 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.

On 4/26/22, at approximately 10:40 AM, observed staff #1 leave the gross motor room and walk into the preschool room for approximately 2 minutes. There were 6 preschool age children who were present in the gross motor room who were alone and unsupervised while staff #1 was in the preschool room. Ratio 0:6. On 4/26/22, at approximately 11:00 AM, observed a young toddler walk from the toddler room into the preschool room and then into the gross motor room. While the child was in the preschool room, no staff were present. Ratio 0:1. On 4/26/22, at approximately 11:45 AM, observed an adult drop off a preschool age child in the preschool room and then the adult left the facility. The preschool age child was in the preschool room and alone for approximately one minute until she walked herself into the Gross Motor room where a staff was present. Ratio 0:1.

Corrected Corrected by Jun 7, 2022

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).

On 4/26/22, at approximately 11:00 AM, staff #1 named 7 children in her supervisory group. Staff #1 named 6 preschool age and 1 young toddler in her supervisory group.

Corrected Corrected by Jun 7, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · ** TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity will submit documentation to DHS verifying that all staff have completed the training.

On 4/26/22, at approximately 10:40 AM, observed staff #1 leave the gross motor room and walk into the preschool room for approximately 2 minutes. There were 6 preschool age children who were present in the gross motor room who were alone and unsupervised while staff #1 was in the preschool room. On 4/26/22, at approximately 11:00 AM, observed a young toddler walk from the toddler room into the preschool room and then into the gross motor room. While the child was in the preschool room, no staff was present. On 4/26/22, at approximately 11:45 AM, observed an adult drop off a child in the preschool room and then the adult left the facility. The preschool age child was in the preschool room and alone for approximately one minute until she walked herself into the Gross Motor room where a staff was present. Ratio 0:1. Previously cited under SIN - 00201662 on 3/11/22.

Corrected Corrected by Jun 3, 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 4/26/22, at approximately 10:40 AM, observed staff #1 leave the gross motor room and walk into the preschool room for approximately 2 minutes. There were 6 preschool age children who were present in the gross motor room who were alone and unsupervised while staff #1 was in the preschool room. On 4/26/22, at approximately 11:00 AM, observed a young toddler walk from the toddler room into the preschool room and then into the gross motor room. While the child was in the preschool room, no staff was present. On 4/26/22, at approximately 11:45 AM, observed an adult drop off a child in the preschool room and then the adult left the facility. The preschool age child was in the preschool room and alone for approximately one minute until she walked herself into the Gross Motor room where a staff was present. Ratio 0:1. Previously cited under SIN - 00201662 on 3/11/22.

Corrected Corrected by Jun 7, 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 4/26/22, at approximately 10:40 AM, observed staff #1 leave the gross motor room and walk into the preschool room for approximately 2 minutes. There were 6 preschool age children who were present in the gross motor room who were alone and unsupervised while staff #1 was in the preschool room. On 4/26/22, at approximately 11:00 AM, observed a young toddler walk from the toddler room into the preschool room and then into the gross motor room. While the child was in the preschool room, no staff was present. On 4/26/22, at approximately 11:45 AM, observed an adult drop off a child in the preschool room and then the adult left the facility. The preschool age child was in the preschool room and alone for approximately one minute until she walked herself into the Gross Motor room where a staff was present. Previously cited under SIN - 00201662 on 3/11/22.

Corrected Corrected by Jun 7, 2022

Category: supervision. 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 information on file for child #4 lacks the health insurance policy number. Previously cited under SIN -00201662 on 3/11/22.

Corrected Corrected by Jun 3, 2022

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

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

The emergency contact information on file for child #4 lacks the address and phone number of the individuals designated by the parent to whom the child may be released. Previously cited under SIN-00201662 on 3/11/22.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 4/26/22, observed two infant bottles which lacked a label with the child's name. Previously cited under SIN - 00201662 on 3/11/22.

Corrected Corrected by Apr 26, 2022

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 Gross Motor room, observed two play basketball hoops which have a basin at the bottom to be filled with a substance which would prevent them from falling over on the children. Observed minimal water in each basin and the basketball hoops are able to be pulled over on the children causing a threat to the health and safety of the children. In the Preschool Room and behind the desk in an unlocked drawer which was in reach of children, observed a pair of sharp adult scissors. Thus, causing a threat to the health and safety of the children.

Corrected Corrected by Apr 1, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 -- may not work 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 files for staff #2 and 3 lacked the correct disclosure statement required by the CPSL on or before initial start date. The file for staff #4, lacks an NSOR on or before initial start date in a child care position.

Corrected Corrected by Apr 22, 2022

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.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 # 4, who holds the title of assistant group supervisor, lacks a high school diploma or GED. There are over 2500 hours of child care experience on file.

Corrected Corrected by Apr 1, 2022

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 3/11/22, at approximately 11:00 AM, observed staff #2 leave the gross motor room where 2 preschool children were present and walk into the Preschool Room. This left staff #1, who holds the title of aide, alone with the 2 preschool aged children in the gross motor room and not supervised by a staff person qualified at minimum as an assistant group supervisor.

Corrected Corrected by Mar 14, 2022

Category: supervision. Marked corrected in the state record.

3270.53(a) · The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff:child ratio requirements.

On 3/11/22, at approximately 11:00 AM, observed child #3 (child of a staff who was providing care at the facility) alone in the preschool age room for approximately 30 seconds until staff #2, who was unrelated to the child, came and got the child who she then named as part of her supervisory group. This ratio of staff:child was 0:1.

Corrected Corrected by Mar 14, 2022

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.

Observed that the telephone at the front desk lacked a posting by it with the telephone number of the nearest hospital, police department, fire department, ambulance and poison control

Corrected Corrected by Mar 11, 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.

In the preschool room, observed that the furniture which holds the children's dress play materials, was not secured to the wall and therefore, was unsafe as the children could pull this over on themselves.

Corrected Corrected by Apr 8, 2022

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.

Observed two infant cribs which lacked a label with the child's name.

Corrected Corrected by Mar 11, 2022

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.

On 3/11/22, at approximately 11:00 AM , observed child #3 alone in the Preschool Room and unsupervised by a staff person until staff #2 came and got the child approximately 30 seconds later.

Corrected Corrected by Mar 14, 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 3/11/22, at approximately 11:00 AM, observed child #3 alone in the Preschool Room. Staff #2 did not know the whereabouts of this child who was to be in her supervisory group and was not physically present in the child care space with the child until staff #2 came and got the child approximately 30 seconds later.

Corrected Corrected by Mar 14, 2022

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

In the afternoon of 3/11/22, staff #2 was heard yelling at 2 children in the Preschool Room. Staff #3 yelled, "Boys! Stop!" in a very harsh and extremely loud tone.

Corrected Corrected by Mar 11, 2022

Marked corrected in the state record.

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

The most current fee agreements on file for children #1, 2, 3, and 5 lack a date of admission.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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 information on file for child # 2 lacks the physician's phone number and address. The emergency contact information on file for child #4 and 5 lack the name of the health insurance and a policy number.

Corrected Corrected by Apr 8, 2022

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

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 #1 lacks the enrolling parents work address and telephone number. The emergency contact information on file for child #2 lacks the address of all persons designated by the parent to whom the child may be released. The emergency contact information on file for children #4 and 5 lacks the address of all persons designated by the parent to whom the child may be released and the work address and phone number of the enrolling parent.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. 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 most current immunization record on file for child #1 lacks 1 of 2 required IPV vaccinations as in accordance with the schedule recommended by the ACIP. The most current immunization record on file for child #3 lacks a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Apr 22, 2022

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

In the Preschool Room and behind the front desk, observed staff's Tylenol and Excedrin in an unlocked drawer and in reach of the children.

Corrected Corrected by Mar 11, 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.

In the kitchen, observed 2 infant bottles which lacked a label with the child's name

Corrected Corrected by Mar 14, 2022

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 #4 lacks two written nonfamily references.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. 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 infant room diaper changing area lacked a hands free covered can.

Corrected Corrected by Dec 20, 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 #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 file for staff #1 lacks a current disclosure statement and an DHS FBI clearance within the past 5 years. The file for staff #2 lacks a current disclosure statement.

Corrected Corrected by Dec 24, 2021

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 infant room, observed two accessible electrical outlets which lacked protective coverings.

Corrected Corrected by Dec 15, 2021

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.

Three grey cabinets that are approximately 6 feet tall, one in the preschool, one in the gross motor and one in the toddler room were not secured to the wall and could be pulled over or fall over on the children.

Corrected Corrected by Dec 20, 2021

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The diaper changing area in the infant room lacked a hand washing sign

Corrected Corrected by Dec 15, 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.

The file for staff #1 lacks a health assessment which was conducted within 12 months prior to providing initial service in a child care setting

Corrected Corrected by Dec 20, 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 #1 and #2 lack an initial TB screening within the past 12 months.

Corrected Corrected by Dec 20, 2021

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.Proof of purchase of interconnected smoke detectors shall be on file at the facility.

The facility file lacked proof of purchase of the six interconnected smoke detectors

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.