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 did not provide for the continuity of operations. The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03.

Corrected Corrected by Aug 21, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff #1 and #8 completed the Pennsylvania Health and Safety Update 2022 required by OCDEL following the prescribed timeframe of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Aug 26, 2024

Category: ratio. Marked corrected in the state record.

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

Copies of accident reports involving children in care at the facility have not been retained at the facility in an accident file and in the child's file.

Corrected Corrected by Aug 5, 2024

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

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

Loose sheets were observed in 3 cribs used by infants in the Duckling room and 1 crib used by an infant in the Lamb room, which poses a potential suffocation risk to the children using the equipment. A floor lamp in the Lamb room that was accessible to children in care was not secured from tipping and it was plugged into an extension cord that posed a potential strangulation risk.

Corrected Corrected by Aug 30, 2024

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Facility person #5 received training regarding the emergency plan on 6/17/2024, which was more than 12 months following their previous training on 5/17/2023.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not post the emergency plan in the facility.

Corrected Corrected by Aug 5, 2024

Category: physical safety. 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 explain the following subsequent updates to their emergency plan: accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; and accommodations for shelter of children during a lock-down.

Corrected Corrected by Aug 20, 2024

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff person #10 and #11 have not participated, at least annually, in fire safety training.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Staff person #3 completed pediatric first aid/CPR on 10/24/2023, which was more than 90 days following their date of hire (see LIS code sheet). Staff person #6 completed pediatric first aid/CPR on 6/18/2024, which was more than 90 days following their date of hire (see LIS code sheet).

Corrected Corrected by Aug 21, 2024

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 record for staff #2 included a current NSOR verification certificate dated 7/21/2023, which was following their first day working in child care. The record for staff #7 and #9, who were hired following 10/28/2020, lacked the current 2020 Disclosure Statement required under CPSL.

Corrected Corrected by Aug 28, 2024

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 protective services). Facility person #5 will have until 9/3/2024 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #5 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #5, facility person #5 may not work in a child-care position at the facility.

Facility person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Jul 23, 2024

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of 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 record for staff #6 included verification of education from a foreign country that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE) and it was unable to be determined whether staff #6 had the equivalent of the minimum of an 8th grade education required to work as an aide.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A bottle of hand sanitizer labeled keep out of the reach of children was observed on a desk in the Allstars room, accessible to children in care. A Swiffer Wet Jet Mop containing cleaning fluid labeled keep out of the reach of children was observed leaning against the wall in the Fly Guys room, accessible to children in care.

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

An excursion bag containing a first aid kit was observed hanging on the inside of the fence surrounding the outdoor play space, accessible to children in care.

Corrected Corrected by Jul 22, 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 Rock Stars room did not contain tweezers.

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

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

Peeling paint was observed on the foundation of the building outside the basement door that is used by children to access the outdoor play space.

Corrected Corrected by Oct 1, 2024

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

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

Bite marks were observed on foam blocks in the Safari room.

Corrected Corrected by Jul 22, 2024

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.

The rest equipment in the Ocean room was not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Jul 24, 2024

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

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

The emergency contact information for child #2 was completed on 9/21/2023, which was following the child's date of admission.

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jul 29, 2024

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 for child #1, #2 and #3 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. 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.

A bottle of Alka Seltzer that belonged to a staff person was observed in an unlocked desk drawer in the Allstars room, accessible to children in care.

Corrected Corrected by Jul 22, 2024

Category: health medication. 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 record for staff #9 did not the results of TB skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis at initial employment.

Corrected Corrected by Aug 26, 2024

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

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Manufacturers' instructions for use of safety restraints were not kept in the Toyota minivan being used to transport children in care.

Corrected Corrected by Jul 22, 2024

Category: transportation. 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 facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 21, 2024

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

3270.94(a)(3) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Fire drills have not been conducted during various program activities.

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(7) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children in attendance participate in the fire drill.

All facility persons and children in attendance did not participate in the fire drills.

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log did not specify the names of the facility persons.

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire detection system was not tested at least once every 30 days during the time period between 1/4 to 2/8/2024; and 10/6 to 11/6/2024.

Corrected Corrected by Jul 26, 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 record for staff #4 included 11 of 12 required annual training hours.

Corrected Corrected by Aug 21, 2024

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

Corrected Corrected by Jul 25, 2024

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 emergency plan on site does not include provisions regarding continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Sep 1, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The Health and Safety professional development training update on file for Staff person #1, #2, #5, #6, #7, #8, #9, #11, #14, #16, #18, #20, #21, #22, #23, #24, #25 is dated after the deadline of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.

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

The file for Staff person #5 includes 2 of 12 required annual training hours completed between 12/19/21-12/19/22; an additional 6 hours have been completed in 2023, but Staff person #5 still requires 4 hours of additional training.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #6 includes verification of First Aid/CPR training dated 6/13/23, after the expiration date of 3/31/23. The file for Staff person #17 includes verification of First Aid/CPR training dated 11/17/22, after the expiration date of 6/30/22.

Corrected Corrected by Sep 18, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #20, #23 will have until 9/6/23) to complete the required training. Until such time as the required training has been completed, staff person #20, #23 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #20, #23, staff person #20, #23 may not work in a child-care position at the facility.

Staff person #20, #23 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Oct 26, 2023

Category: supervision. Marked corrected in the state record.

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

Staff person #13 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 7/4/23. Staff person #15 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 3/1/23. Staff person #19 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 2/27/23. Staff person #22 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 10/19/22.

Corrected Corrected by Sep 18, 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 #3 did not include documentation of application of a PA Criminal History clearance prior to date of hire, and the Disclosure statement is not dated and does not include a witness signature (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 4/19/23. The 2 most recent mandated reporter training certificates on file for Staff person #10 are dated 1/21/18 and 3/21/23, more than 60 months apart. The file for Staff person #12 includes criminal history clearances dated 10/23/17 and2/24/23; child abuse clearances dated 10/30/17 and 3/3/23; and FBI clearances dated 10/26/17 and 2/23/23, all more than 60 months apart. Staff person #15 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 3/15/23. The file for staff person #26 did not include documentation of application for an NSOR Certificate prior to date of hire; the NSOR was dated 4/29/23). The file for Staff person #27 does not include a signed Disclosure Statement dated at the time of hire.

Corrected Corrected by Jul 25, 2023

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 person #27, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #27 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a)(1) · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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.

During a supervision/ratio check in Room 202, at 2:15 PM, Staff person #1 was in the hallway outside the classroom with 4 preschool age children, assisting children with putting their rest mats and blankets in their lockers, while Staff person #2 was inside the classroom, with 11 pre-school age children.

Corrected Corrected by Jul 24, 2023

Category: supervision. 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 were cans of shaving cream, labeled "Keep out of the reach of children" which was accessible to children due to the cabinet not being locked in the Rising Stars classroom.

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

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

There were cans of shaving cream, labeled "Keep out of the reach of children", used for arts and crafts projects, in the Rising Stars and Giraffe classrooms. There were Bingo dabbers labeled "Keep out of the reach of children", which are reportedly used for arts and crafts projects, in the Safari classrooms.

Corrected Corrected by Sep 18, 2023

Marked corrected in the state record.

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

The water in the Panda room sink measured 136 degrees Fahrenheit; the water in the Elephant room sink measured 120 degrees Fahrenheit; the water in the Safari room sink measured 135 degrees Fahrenheit; and the water in the Owl room sink measured 112 degrees Fahrenheit.

Corrected Corrected by Sep 18, 2023

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

3270.75(b) · A first-aid kit must be inaccessible to children.

A first aid kit was observed on the outside playground to be sitting on a table and accessible to children.

Corrected Corrected by Sep 18, 2023

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

At 2:00 PM during a supervision check at nap time, the CR entered the Panda room which had no natural or artificial light, making it impossible to see the children and adequately supervise.

Corrected Corrected by Sep 18, 2023

Category: supervision. Marked corrected in the state record.

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

There was a cracked toy bin in the Rising Stars classroom; and 2 cracked 2 bins in the Rainbow classroom. There were 2 torn rest mats in the Safari classroom, which had exposed foam padding.

Corrected Corrected by Sep 19, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Rest mats were observed during naptime in Room 201 that were not placed so that there were 2 feet of clearance on 3 sides.

Corrected Corrected by Sep 18, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

During a supervision check in the Panda Room at approximately 2:00 PM, the CR observed that based on the positioning of the cots, and of the staff, the lack of natural or artificial lighting, and the staff being on their cell phones, the children could not be observed and were not adequately supervised. During a supervision check during naptime in Room 201, the CR observed that based on staff and furniture positioning, not all of the children could be observed and properly supervised.

Corrected Corrected by Sep 19, 2023

Category: supervision. 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 or source of medical care.

Corrected Corrected by Sep 18, 2023

Category: health medication. 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 form on file for Child #1 and #2 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The most recent written documentation of an emergency drill on file at the facility is dated 5/25/22, more than 1 year ago.

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The current emergency contact form on file for Child #5 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Sep 18, 2023

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

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

The emergency contact form on file for Child #5 does not include the policy number for the medical insurance policy.

Corrected Corrected by Sep 18, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #3 and #5 must be dismissed from care by close of business on 7/24/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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 immunization record on file for Child #3, who is 7 months old, includes 1 of 3 DTAP vaccines recommended by the ACIP for a child this age; 1 of 3 HIB vaccines recommended by the ACIP for a child this age; 1 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age, and 1 of 2 Polio vaccines recommended by the ACIP for a child this age. The 2 most recent influenza vaccines on file for Child #4, who is 2 years old, are dated 10/19/21 and 1/5/23, more than 1 year apart, and are recommended annually by the ACIP for a child this age. The immunization record on file for Child #5, who is 4 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age.

Corrected Corrected by Jul 26, 2023

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.

There was an EpiPen labeled for use by a specific child located in an unlocked locker in the hallway, making it accessible to children.

Corrected Corrected by Jul 24, 2023

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was an AuviQ pen, an Albuterol inhaler, and Benadryl tablets Rising Stars classroom, labeled for use by a specific child, which did not have written parental permission to administer.

Corrected Corrected by Aug 1, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #4 were dated 6/4/21 and 6/6/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 9/23/19 and9/29/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 6/2/21 and 6/13/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 5/28/20 and 6/2/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #10 were dated 6/10/21 and 7/11/23, more than 24 months apart.

Corrected Corrected by Jul 25, 2023

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 2/6/23-3/16/23; 5/9/23-6/12/23; 8/8/22-9/9/22; and 9/9/22-10/10/22, all more than 30 days apart.

Corrected Corrected by Sep 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

Corrected Corrected by Aug 1, 2023

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

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

The initial health assessment on file for Child #4, with an enrollment date of 9/20/22, is dated 1/5/23, more than 60 days after enrollment.

Corrected Corrected by Jul 24, 2023

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

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

The mulch under the embedded playground equipment measured 7 inches in depth instead of the required 9 inches.

Corrected Corrected by Apr 10, 2023

Category: physical safety. 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 file for Staff person #2 includes verification of First Aid/CPR training dated 7/1/22, after the expiration date of 9/30/21.The file for Staff person #3 includes verification of First Aid/CPR training dated 11/8/21, after the expiration date of 10/31/21.The file for Staff person #10 includes verification of First Aid/CPR training dated 7/1/22, after the expiration date of 3/31/22. The file for Staff person #13 includes verification of First Aid/CPR training dated 1/10/22, after the expiration date of 10/31/21. The file for Staff person #24 includes verification of First Aid/CPR training dated 11/8/21, after the expiration date of 10/31/21. The file for Staff person #26 includes verification of First Aid/CPR training dated 1/10/22, after the expiration date of 10/31/21. The file for Staff person #27 includes verification of First Aid/CPR training dated 11/8/21, after the expiration date of 10/31/21. The file for Staff person #35 includes verification of First Aid/CPR training dated 3/21/21, after the expiration date of 8/11/20.

Corrected Corrected by Aug 10, 2022

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for Staff person #16, #25, #28 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2, #4, #8, #10, #31 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #2, #4, #8, #10, #31 must be supervised, when interacting with children, by an AGS or higher, who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #4, #8, #10, #31, staff person #2, #4, #8, #10, #31 may not work in a child-care position at the facility.

Staff person #2, #4, #8, #10, #31 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Aug 10, 2022

Category: supervision. Marked corrected in the state record.

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

Staff person #18 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 7/5/22.Staff person #25 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 2/25/22. Staff person #35 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 1/13/22.

Corrected Corrected by Jul 11, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #3, #9, #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #25 will have until 8/23/22 to complete the required training. Until such time as the required training has been completed, staff person #3, #9, #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #25 must be supervised, when interacting with children, by an AGS or higher, who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, #9, #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #25, staff person #3, #9, #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #25 may not work in a child-care position at the facility.

Staff person #9, #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #25 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Aug 31, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3 within 90 days of hire. Staff person #1, #2, #3, #4 will have until 8/23/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, #4, staff person #1, #2, #3, #4 may not work in a child-care position at the facility.

Staff person #1, #2, #3, #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Aug 31, 2022

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 Safari room lacked gauze and the first aid kit in the Rising Stars classroom lacked tape.

Corrected Corrected by Jul 11, 2022

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

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

Staff person #6 completed her current mandated reporter training on 10/22/21, more than 60 months after the previous training dated 9/14/16. Staff person #7 completed her current mandated reporter training on 10/4/21, more than 60 months after the previous training dated 8/10/16. Staff person #8 completed her current mandated reporter training on 2/8/20, more than 60 months after the previous training dated 1/13/15. Staff person #17 completed her current mandated reporter training on 6/30/21, more than 60 months after the previous training dated 10/3/15.

Corrected Corrected by Aug 11, 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). 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 #7 includes criminal history clearances dated 4/2/16 and 4/22/21; child abuse clearances dated 4/2/16 and 4/21/21; and FBI clearances dated 4/5/16 and 5/1/21, all more than 60 months apart. The file for staff person #25 included documentation of a criminal history clearance dated 9/28/21, after the hire date, (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #32 included documentation of a child abuse clearance dated 4/22/22, after the hire date, (See IS CODE SHEET) with no proof of application prior to working with children, required for provisional hiring under the CPSL. The file for staff person #33 included documentation of an NSOR certificate dated 10/25/21 (See IS CODE SHEET) with no proof of application prior to working with children , required for provisional hiring under the CPSL. The file for Staff person #17 includes criminal history clearances dated 4/11/15 and 6/3/22; child abuse clearances dated 4/16/16 and 6/21/22; and FBI clearances dated 4/7/15 and 7/8/21, all more than 60 months apart.

Corrected Corrected by Jul 11, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #22, #28, #35 may not work in a child care position at the facility.

The file for Staff person #22 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The file for staff person #28 was observed to include criminal history and child abuse clearances which were obtained for volunteer purposes and are invalid for employment; and the file does not include an application for an FBI clearance prior to hire (See IS CODE SHEET). The file for Staff person #35 includes an incomplete criminal history clearance indicating that it was under review, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Aug 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 person #23, #32, #34, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by Aug 22, 2022

Category: supervision. Marked corrected in the state record.

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

There were cans of shaving cream, used for arts and crafts projects, in the Garden classroom.

Corrected Corrected by Aug 17, 2022

Marked corrected in the state record.

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

In the Older Toddler outdoor space, felt ground covering, which was originally placed under the mulch, was exposed above the wood mulch in four (4) sections from 1' to 3' in length, located near the back fence, creating a tripping/falling hazard for children in care. Approximately 4' of felt ground covering was exposed above the wood mulch on the side near the spinners, creating a tripping/falling hazard for children in care. In the Safari room the heat vent on the wall was open at both ends exposing sharp metal edges that were accessible to the children. In the large indoor gross motor space, the top of the preschool gate was missing 2 covers that exposed screws with sharp edges that were accessible to children.

Corrected Corrected by Aug 31, 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.

Peeling paint was present on the right, green wall in the Panda room, near the Meerkat picture, which was accessible to children in care. There was peeling paint observed in the International classroom by the round table in the art area and by the block area. Peeling paint was observed surrounding the sink in the Garden room.

Corrected Corrected by Aug 24, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The exit in the lobby area outside the large indoor gross motor space had chairs in front of the door obstructing the right double door exit.

Corrected Corrected by Jul 11, 2022

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The current agreement on file for Child #4 does not include the child's arrival and departure times,

Corrected Corrected by Aug 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The current agreement on file for Child #1 does not include the child's date of admission to the facility.

Corrected Corrected by Aug 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The current emergency contact form on file for Child #2 does not include the policy number for the child's health insurance coverage.

Corrected Corrected by Aug 26, 2022

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

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The most recent influenza vaccination on file for Child #2, who is 2 years old, is dated 11/12/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 12/10/19, is dated more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #5, who is 5 years old, is dated 9/9/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #6, who is 4 years old, is dated 10/28/20, is dated more than 1 year ago, and is recommended annually by the ACIP.

Corrected Corrected by Aug 22, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Infant Tylenol, in the medication bin in the Giraffe's room had expired on 4/20/22, and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Aug 15, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was Advil labeled for use by a specific child in the Safari Room that did not have written parental permission to administer. There was Nystatin cream labeled for use by a specific child and 2 bottles of Tylenol labeled for use by 2 children in the Ocean room that did not have written parental permission to administer.

Corrected Corrected by Jul 12, 2022

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #4 are dated 12/15/20 and 7/22/18 more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 are dated 10/22/21 and 9/4/19, more than 24 months apart. The 2 most recent health assessments on file for Staff person #13 are dated 6/2/21 and 5/6/19, more than 24 months apart. The 2 most recent health assessments on file for Staff person #14 are dated 7/8/21 and 7/1/19, more than 24 months apart. The 2 most recent health assessments on file for Staff person #29 are dated 6/10/21 and 1/16/18, more than 24 months apart. The most recent health assessment on file for Staff person #30 is dated 1/10/20, more than 24 months ago.

Corrected Corrected by Aug 29, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 current health assessment on file for Staff person #13 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Aug 12, 2022

Category: health medication. 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 #24, #35 does not include 12 hours of annual training between 12/19/20-12/19/21, as per Announcement C-21-09.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There were 4 cribs in the Duckling room which had loose fitting crib sheets that pose a suffocation hazard. In the cafeteria, there was an unlocked door that led to the kitchen and there was a butchers block with sharp knives on the counter right inside the door.

Corrected Corrected by Aug 9, 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.

The file for Staff person #7, with a hire date of 7/6/21, does not include verification of emergency plan training completed at hire. The file for Staff person #15, who was hired 5/28/18, does not include verification of emergency plan training taken within the last year.

Corrected Corrected by Aug 9, 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 person #15, who was hired 5/28/18, does not include verification of fire safety training completed within the last year.

Corrected Corrected by Aug 13, 2021

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). 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 #8, #10, #11, #12, #17 may not work in a child care position at the facility.

The file for Staff person #8, with a hire date of 1/11/21, and whose provisional hire period ended on 2/25/21, included an invalid PA State Police criminal history clearance. The file for Staff person #10, with a hire date of 11/6/20, and whose provisional hire period ended on 12/21/20, did not include an NSOR certificate. The file for Staff person #11 does not include an NSOR certificate, which was due by 7/1/20 for all staff hired prior to 12/20/19. The PA State Police clearance on file for Staff person #12 includes a rap sheet with no disposition and the FBI clearance on file for Staff person #12 does not include a rap sheet. The file for Staff person #17, with a hire date of 3/9/21, and whose provisional period ended on 4/22/21, includes an FBI clearance obtained through the PA Department of Education, making it invalid for a child care position.

Corrected Corrected by Aug 13, 2021

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

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

The file for Staff person, with a hire date of 6/9/21, includes an NSOR certificate dated 7/1/21, with no proof of application prior to working with children. The file for Staff person #4, with a hire date of 6/5/20, includes a volunteer PA State Police criminal history clearance at hire dated 5/9/20, and an employment PA State Police criminal history clearance dated 2/18/21. The disclosure statement on file for Staff person #8, with a hire date of 1/11/21, is dated 3/8/21, after hire. The file for Staff person #9 includes PA State Police clearances dated 4/16/14 and 5/22/19, more than 60 months apart; Child Abuse clearances dated 5/9/14 and 6/4/19, more than 60 months apart; and FBI clearances dated 5/7/14 and 6/26/19, more than 60 months apart. The file for Staff person #18 includes a Child Abuse clearance dated 6/1/21, more than 60 months after the previous clearance, dated 5/22/16; and a PA State Police criminal history clearance dated 6/7/21, more than 60 months after the previous clearance, dated 5/22/16. The file for Staff person #20 includes a Child Abuse clearance dated 4/22/21, more than 60 months after the previous clearance, dated4/12/16; and a PA State Police criminal history clearance dated 4/22/21, more than 60 months after the previous clearance, dated 4/12/16; and an FBI clearance dated 5/1/21, more than 60 months after the previous clearance dated 4/15/16. The most recent FBI clearance on file for Staff person #21, dated 8/18/19, is dated more than 60 months after the previous clearance, dated 8/13/14.

Corrected Corrected by Aug 13, 2021

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

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

The file for Staff person #8, with a hire date of 1/11/21, includes mandated reporter training completed 7/1/21, more than 90 days after hire. The file for Staff person #15, with a hire date of 5/28/18, includes mandated reporter training dated 7/21/20, more than 90 days after hire. The most recent mandated reporter training on file for Staff person #21, dated 2/8/21, is dated more than 60 months after the previous training, dated 12/20/15.

Corrected Corrected by Aug 13, 2021

Category: recordkeeping. Marked corrected in the state record.

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

There was an electrical outlet in the Lamb room, behind the swing, and which was accessible to children, that did not have an outlet cover.

Corrected Corrected by Jul 14, 2021

Marked corrected in the state record.

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

There was a mop bucket which contained toxic cleaning solution in the boys bathroom on the main floor, across from the office, which was accessible to children.

Corrected Corrected by Aug 9, 2021

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

In the All-Stars room, there was a heat lamp above the aquarium for a beard lizard that had a temperature of 151 degrees Fahrenheit on the surface and which was accessible to children..

Corrected Corrected by Aug 9, 2021

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

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

The emergency telephone numbers were not posted by the telephone in the All-Stars room.

Corrected Corrected by Jul 14, 2021

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kit in the All-Stars room was in the outside bag which was hanging on a hook on the back wall and was accessible to children.

Corrected Corrected by Jul 14, 2021

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 kits in the Owl room and in the Fly Guys room did not include gloves.

Corrected Corrected by Jul 14, 2021

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 an exposed bolt on the toilet in the boys bathroom on the main floor across from the office in the last stall. The wall by the air conditioner unit in the Giraffe room had bubbling paint which had not yet begun to peel, but appears to have water damage.

Corrected Corrected by Aug 13, 2021

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 were areas of peeling paint observed in the following locations: In Giraffe, on the wall next to the cabinet opposite the window; in Frog, below the chalkboard.

Corrected Corrected by Aug 31, 2021

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

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

In the toddler gross motor room, there was a climber which had tearing on the corners, exposing foam and small pieces of plastic and thread, which are a choking hazard.

Corrected Corrected by Aug 12, 2021

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

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

The refrigerator in the Rising Stars classroom, where children's lunches are stored, measured at 62 degrees Fahrenheit.

Corrected Corrected by Aug 9, 2021

Category: nutrition. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for Child #2 does not include the child's daily arrival and departure times.

Corrected Corrected by Jul 15, 2021

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 form on file for Child #1 does not include the address or telephone number for the enrolling parent's place of employment.

Corrected Corrected by Aug 11, 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 the complete address and/or telephone number for all listed release persons.

Corrected Corrected by Jul 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The most recent health assessment on file for Staff person #2, dated 10/23/20, is dated more than 24 months after the previous health assessment, dated 10/18/18. The most recent health assessment on file for Staff #11 is dated 7/9/19, more than 24 months ago. The most recent health assessment on file for Staff person #13, dated 11/1720, is dated more than 24 months after the previous health assessment, dated 9/19/18. The most recent health assessment on file for Staff person #14, dated 7/8/21, is dated more than 24 months after the previous health assessment, dated 7/1/19. The only health assessment on file for Staff person #15 is dated 6/4/20, after the hire date of 5/28/18. The most recent health assessment on file for Staff person #16, dated 12/15/20, is dated more than 24 months after the previous health assessment, dated 7/24/18.The most recent health assessment on file for Staff person #18, dated 2/1/20, is dated more than 24 months after the previous health assessment, dated 6/8/17. The most recent health assessment on file for Staff person #23, dated 6/17/20, is dated more than 24 months after the previous health assessment, dated 6/13/18.

Corrected Corrected by Jul 14, 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 file for Staff person #5, with a hire date of 5/10/21, does not include the results of a tuberculosis screening test.

Corrected Corrected by Aug 11, 2021

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

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 initial health assessment on file for Staff person #1 does not include an examination for communicable diseases and the results of said exam. The initial health assessment on file for Staff person #5 does not include an examination for communicable diseases and the results of said exam.

Corrected Corrected by Aug 31, 2021

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

3270.151(c)(5)/3270.192(3) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The initial health assessment on file for Staff person #1 does not include the physician's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 11, 2021

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There were 6 children receiving care in the Duck Room, who are under 1 year old and who did not have written feeding plans submitted by the parent.

Corrected Corrected by Aug 9, 2021

Category: nutrition. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for Staff person #10 does not include 2 written nonfamily references. The file for Staff person #22 included only 1 written nonfamily reference letter.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation. 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, with a hire date of 2/1/21, does not include pediatric First Aid/CPR, which was due to be completed by 5/2/21. The file for Staff person #4, with a hire date of 6/5/20 does not include verification of pediatric first aid training, which was due to be completed by 6/17/21. The file for Staff person #6, with a hire date of 2/2/21, does not include verification of pediatric first aid training, which was due to be completed by 5/3/21. The file for Staff person #10, with a hire date of 11/6/20, does not include verification of completed Pediatric First Aid/CPR training, which was required to be completed by 6/17/21. The file for Staff person #15, with a hire date of 5/28/18 does not have current First Aid/CPR training, which was due to be completed by 6/17/21. The file for Staff person #19, with a hire date of1/3/20 does not include verification of pediatric first aid training, which was due to be completed by 6/17/21. The most recent First Aid/CPR training on file for Staff person #21, dated 4/18/21, is dated more than 2 years after the previous training, dated 3/25/19. The file for Staff person #22, with a hire date of 4/9/21, does not include verification of completed pediatric First Aid/CPR training, which was due within 90 days of hire, 7/8/21, for any staff hired after 12/19/20.

Corrected Corrected by Sep 15, 2021

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

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). 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 #14 does not include valid Health and Safety training, which was to be completed by 6/17/21 for all staff hired prior to 12/19/20. The file for Staff person #22, with a hire date of 4/9/21, does not include verification of completed health and safety training, which was due within 90 days of hire, 7/8/21, for any staff hired after 12/19/20.

Corrected Corrected by Aug 31, 2021

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. 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.

The facility did not have verification of having notified parent's, or have posted in a conspicuous space used by the parents, information regarding how to access the regulations electronically.

Corrected Corrected by Aug 10, 2021

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