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

A protective receptacle was not placed in an electrical outlet accessible to children 5 years of age or younger in the hallway.

Corrected Corrected by Mar 26, 2025

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

A Peace Lily, which was identified as toxic to humans, was observed in room 02-01.

Corrected Corrected by Mar 26, 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 did not have a written policy to address shaken baby syndrome, abusive head trauma and child maltreatment, required as per Announcement C-22-03.

Corrected Corrected by Dec 9, 2024

Category: ratio. 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 facility's parent letter did not include their plan for a lockdown and how they will provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions during an emergency.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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 for staff #1.

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. 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.

Trash that appeared to have been contaminated by human secretions (tissues) was contained in an open receptacle in the hallway by the entrance to the facility.

Corrected Corrected by Nov 26, 2024

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 boy's bathroom was not equipped with a lidded waste receptacle.

Corrected Corrected by Dec 4, 2024

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The facility's emergency transportation plan was not posted in room 02-02.

Corrected Corrected by Dec 2, 2024

Category: transportation. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Children's lunchboxes containing potentially hazardous food brought from the children's homes were observed sitting on a cart in the hallway and according to staff, the children's lunchboxes are typically left on the cart when the children arrive each day and put in the refrigerator during snack time.

Corrected Corrected by Nov 26, 2024

Category: nutrition. Marked corrected in the state record.

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

Based on a conversation with staff, incident reports involving children in care at the facility have not been retained in the children's files.

Corrected Corrected by Nov 27, 2024

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 detection system was not tested annually between 9/27/2023 to 10/2/2024.

Corrected Corrected by Nov 26, 2024

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.

There were no outlet covers in the 2 outlets between the 2 sinks in the lower-level bathroom.

Corrected Corrected by May 6, 2024

Marked corrected in the state record.

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

There was a closet across the hall from the lower-level boys bathroom that was not locked and contained paint, stain, air freshener, all accessible to children.

Corrected Corrected by May 10, 2024

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.

There were cracked tiles and exposed, crumbling plaster in the lower-level boys' bathroom in the corner of the room by the closet and in the large, handicapped stall.

Corrected Corrected by May 13, 2024

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.

There were no hand washing signs in either the girls' or the boys' lower-level bathrooms.

Corrected Corrected by May 6, 2024

Category: health medication. 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 preschool room did not include soap,

Corrected Corrected by Nov 20, 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. Facility Person #1 may not work in a child care position at the facility.

The most recent FBI clearance on file for Staff person #1 is dated 11/7/18, more than 60 months ago.

Corrected Corrected by Nov 21, 2023

Category: background checks. 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.

There was a protruding splinter several inches long on the door leading to the stage in the gymnasium.

Corrected Corrected by Nov 20, 2023

Category: physical safety. 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 on file for Child #2 does not include the telephone number for the child's pediatrician/source for medical care.

Corrected Corrected by Nov 20, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1 must be dismissed from care by close of business on 11/20/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 4 years old, includes 0 of 1 Varicella vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Nov 21, 2023

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 2 most recent fire alarm system inspections are dated 8/23/22 and 9/27/23, more than 1 year apart.

Corrected Corrected by Nov 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not have verification of notifying local traffic safety authorities of the facility location and use of pedestrian and vehicular routes around the facility.

Corrected Corrected by Dec 14, 2023

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.

There were adult scissors on the teacher's desk in the classroom, which were accessible to children

Corrected Corrected by Nov 28, 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.

There was a bracket attaching a shelf to the wall which had pulled loose, with the screw missing, and creating a sharp edge on the bracket which a child could be scratched by.

Corrected Corrected by Nov 28, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint in the classroom by the thermostat next to the door and on the window ledge of the far window. There was also peeling paint in the gym behind the goal net

Corrected Corrected by Dec 19, 2022

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

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

The agreement on file for Child #1, #2, #3, #4, and #5 is not signed by the director.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #4, a preschool age child, is dated 8/4/21, more than 12 months ago.

Corrected Corrected by Jan 10, 2023

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

3270.131(c)/3270.182(1) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A child's record shall contain initial and subsequent health reports.

The initial health assessment on file for Child #3 is not signed or dated by the examining health care professional, making it invalid.

Corrected Corrected by Jan 4, 2023

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 on file for Child #4 and #5 does not include a current influenza vaccination, as recommended annually by the ACIP.

Corrected Corrected by Jan 5, 2023

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

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

There was no written documentation of an emergency drill being conducted prior to 12/19/21, as per updates to Chapter 3270 regulations, effective 12/19/20.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

Two portable space heaters were observed in the office of the child care center.

Corrected Corrected by Dec 13, 2021

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

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

The agreements on file for Child #1, #2, #3, #4, and #5 were not signed by the operator.

Corrected Corrected by Nov 10, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for Child #1, #2, #3, #4, and #5 are original agreements.

Corrected Corrected by Dec 14, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #3 does not include a complete address for all listed release persons.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

There is no written emergency transportation plan posted in the classroom or in the gym.

Corrected Corrected by Nov 12, 2021

Category: transportation. 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 on file for Child #1, who is 3 years old, includes 1 of 2 Hepatitis A vaccines, as recommended by the ACIP for a child this age.

Corrected Corrected by Dec 15, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for Child #1 does not include written parental consent for the facility to administer minor first aid procedures.

Corrected Corrected by Nov 11, 2021

Category: ratio. Marked corrected in the state record.

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

The emergency plan was not posted in a conspicuous location in the facility.

Corrected Corrected by Aug 24, 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 facility bathroom did not have a hand washing sign above the toilet.

Corrected Corrected by Aug 24, 2021

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.

The first aid kit contained eight packets of alcohol wipes which did not identify a child's name.

Corrected Corrected by Aug 23, 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 did not contain a current health assessment and a current tuberculin test.

Corrected Corrected by Aug 23, 2021

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The operator did not post written notification of safe routes in a conspicuous location at the facility.

Corrected Corrected by Aug 23, 2021

Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 24, 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.

The operator did not provide proof of purchase for the interconnected fire detection system.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office..

Information on how to access the regulations in 55 PA CODE Chapter 3270 electronically were not posted in the facility.

Corrected Corrected by Aug 24, 2021

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.

A copy of the emergency plan was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 25, 2021

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