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

The facility's emergency plan does not include continuity of operations, required as per Announcement C-22-04. The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention and identification of child maltreatment, required as per Announcement C-22-03.

Corrected Corrected by Nov 5, 2024

Category: ratio. 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 two cribs in the Lambs room, which posed a potential suffocation risk for the infants using the equipment.

Corrected Corrected by Oct 24, 2024

Category: health medication. 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 parent letter did not include the facility's emergency procedures for shelter in place at the facility, including lock down; and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 5, 2024

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #1 will have until 11/14/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): CCDBG Health and Safety training; "Health and Safety Basics: Requirements for Certification" training was completed on 9/11/2016, which does not meet the new health and safety PD requirements.

Corrected Corrected by Nov 4, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #3 completed mandated reporter training on 9/25/24, which was more than 60 months following the date of their previous training on 9/14/2019.

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

A display of potted Mums, which were identified as being toxic to humans, was observed outside by the front entrance to the facility, accessible to children in care.

Corrected Corrected by Oct 23, 2024

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

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

A Snake Plant, which was identified as being toxic to humans, was observed on a desk in the Bumblebee room.

Corrected Corrected by Oct 23, 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.

A handwashing sign was not posted at the sink and the toilet in the bathroom in the Lambs room and at a training chair in the bathroom in the Butterflies room.

Corrected Corrected by Oct 24, 2024

Category: health medication. 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 bathroom in the Lambs room was not equipped with a lidded waste receptacle.

Corrected Corrected by Oct 24, 2024

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

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

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 5/31/2024.

Corrected Corrected by Oct 24, 2024

Category: health medication. 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 2 most recent Fire Safety Training certificates on file for Staff person #1, #2, #3, #4 are dated 10/6/21 and 6/20/23, more than 1 year apart.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. 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 #8 will have until 11/24/2023 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 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.

Corrected Corrected by Nov 24, 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 #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 7/25/23.

Corrected Corrected by Oct 5, 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 #6, #7 may not work in a child care position at the facility.

The file for staff person #6 included a child abuse clearance which was obtained for volunteer purposes and is invalid for employment. The file for Staff person #7 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Oct 11, 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 #6, #7, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Oct 5, 2023

Category: supervision. 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.

Rabbit feces were observed in the toddler outdoor playspace and was present when children entered the space.

Corrected Corrected by Oct 5, 2023

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

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

There was not a lidded trash can in the bathroom in the Butterfly room.

Corrected Corrected by Oct 5, 2023

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

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

There were cracked Magna-tiles in the Ladybug room and in the Dragonfly room. There were foam blocks with teeth marks and missing pieces in the Grasshopper room. The Caterpillar room had a cracked lid on a sensory bin and a broken corner on a dollhouse.

Corrected Corrected by Oct 12, 2023

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.

Pieces of wood mulch, smaller than 1 inch in size, were observed in the Toddler outdoor playspace and were present when toddlers entered the playspace.

Corrected Corrected by Oct 5, 2023

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

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

The emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent 6 month review signature for the emergency contact form on file for Child #2, dated 5/1/23, is dated more than 6 months after the previous signature, dated 10/24/22. The most recent 6 month review signature for the emergency contact form on file for Child #4, dated 5/4/23, is dated more than 6 months after the previous signature, dated 10/18/22. The most recent 6 month review signature for the emergency contact form on file for Child #7, dated 5/2/23, is dated more than 6 months after the previous signature, dated 10/25/22.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #5, who is an Infant, are dated 1/3/23 and 8/16/23, more than 6 months apart.

Corrected Corrected by Oct 5, 2023

Category: health medication. 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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 3/25/22 and 8/18/23, more than 12 months apart.

Corrected Corrected by Oct 5, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #3, #4,and #6 must be dismissed from care by close of business on 10/5/23 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 #3, who is 3 years old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 Influenza vaccines, as recommended annually for a child this age. The immunization record on file for Child #4, who is 2 years old, does not include verification of an annual influenza vaccination, as recommended annually by the ACIP. The most recent influenza vaccination on file for Child #6, who is 5 years old, is dated 2/10/20, which is dated more than 1 year ago, as recommended annually for a child this age.

Corrected Corrected by Nov 13, 2023

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 2 most recent health assessments on file for Staff person #1 are dated 5/28/21 and 6/6/23, more than 2 years apart. The 2 most recent health assessments on file for Staff person #2 are dated 6/22/21 and 7/9/2323, more than 2 years apart.

Corrected Corrected by Oct 5, 2023

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 #8 includes only 1 written nonfamily reference.

Corrected Corrected by Oct 17, 2023

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 alarm 30-day test log includes test dates 4/14/23-5/21/23; 6/17/23-7/23/23; and 7/23/23-8/30/23, more than 30 days apart.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Jan 18, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7 may not work in a child care position at the facility.

The criminal history clearance on file for staff person #7 was incomplete, as it did not include the dissemination date., making it incomplete.

Corrected Corrected by Oct 28, 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.

The 2 most recent criminal history clearances on file for Staff person #1 are dated 8/28/15 and 9/4/20, more than 60 months apart. The 2 most recent FBI clearances on file for Staff person #3 are dated 2/24/17 and 6/2/22, more than 60 months apart.

Corrected Corrected by Oct 28, 2022

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 2 most recent mandated reporter training certificates on file for Staff person #3 are dated 6/4/17 and 6/21/22, more than 60 months apart.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. 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 Caterpillar room did not include gauze.

Corrected Corrected by Oct 28, 2022

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

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

There was cracked paint which was separating from the wall along seams in the wall in the Butterfly room.

Corrected Corrected by Oct 30, 2022

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

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

There were cracked Magna Tiles in Dragonfly and Grasshopper rooms.

Corrected Corrected by Oct 28, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

There was a hole in a plastic storage drawer that stores extra clothing in the Caterpillar room.

Corrected Corrected by Oct 28, 2022

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

The seats in the bucket seat table in the Turtle Room, which children were observed sitting in, did not include safety straps.

Corrected Corrected by Nov 4, 2022

Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

There was no written daily activity schedule in the Lamb room.

Corrected Corrected by Oct 28, 2022

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 #4 does not include the work address and telephone number for the enrolling parent.

Corrected Corrected by Oct 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for Child #1, whose admission date is 10/4/21, includes an emergency contact form and agreement 6 month review signature dated 8/18/22, more than 6 months after enrollment. The file for Child #2, whose admission date is 2/23/21, includes an emergency contact form and agreement 6 month review signature dated 11/8/21, more than 6 months ago. The file for Child #3, whose admission date is 2/19/19, includes an emergency contact form and agreement 6 month review signature dated 4/27/22, after the deadline date of 1/6/22, as per Announcement C-21-09. The file for Child #4, whose admission date is 3/7/19, includes an emergency contact form and agreement 6 month review signature dated 7/12/22, after the deadline date of 1/6/22, as per Announcement C-21-09. The file for Child #5, whose admission date is 6/21/16, includes an emergency contact form and agreement 6 month review signature dated 5/19/22, after the deadline date of 1/6/22, as per Announcement C-21-09. The file for Child #6, whose admission date is 6/5/18, includes an emergency contact form and agreement 6 month review signature dated 6/16/22, after the deadline date of 1/6/22, as per Announcement C-21-09.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The 2 most recent health assessments on file for Child #7 are dated 2/12/20 and 1/26/22. An updated health assessment was due by 1/6/22, as per Announcement C-21-09.

Corrected Corrected by Oct 28, 2022

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for Child #6, with an enrollment date of 6/5/18, does not include an immunization record.

Corrected Corrected by Oct 28, 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 Motrin labeled for a child in the Turtle room which does not include written parental permission to administer.

Corrected Corrected by Oct 28, 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 #2 were dated 2/27/20 and 2/28/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 1/9/20 and 1/13/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #6 were dated 2/10/20 and 2/14/22, more than 24 months apart.

Corrected Corrected by Oct 28, 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 #2 includes only 1 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #1 includes 6 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #2 includes 9 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #3 includes 9 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #4 includes 6 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #5 includes 6 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #6 includes 6 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

The file for Child #6, with an enrollment date of 6/5/18, does not include a health assessment.

Corrected Corrected by Oct 28, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff person #1 does not contain documentation of application for an NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #2 does not contain documentation of application for a criminal history clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Aug 18, 2022

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

3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

The file for staff person #1 does not contain documentation of application for an NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #2 does not contain documentation of application for a criminal history clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Aug 18, 2022

Category: background checks. 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 #1, #4, #5, #6, #7, #9, #10, #11, #12, #13 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #1, #4, #5, #6, #7, #9, #10, #11, #12, #13 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 31, 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 #8 will have until 9/3/22 to complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Quality-Based Care: Building Blocks for Quality.

Corrected Corrected by Aug 18, 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) within 90 days of hire. Staff person #3, #8, #14 will have until 9/3/22 to complete the required training. Until such time as the required training has been completed, staff person #3, #8, #14 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 #3, #8, #14, staff person #3, #8, #14 may not work in a child-care position at the facility.

Staff person #3, #8 , #14 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 Sep 26, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The most recent mandated reporter training on file for Staff person #5, dated 6/8/20, is dated more than 60 months after the previous training, dated 5/29/15. The most recent mandated reporter training on file for Staff person #6 is dated 6/4/17, more than 60 months ago.

Corrected Corrected by Jul 7, 2022

Category: recordkeeping. 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 #2, classified as an assistant group supervisor, does not include verification of a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university education or a human services field; or a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university 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 Jul 7, 2022

Category: supervision. Marked corrected in the state record.

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

There were multiple medications in the Infant (Lamb) room labeled for use by a child that did not have written parental consent to administer.

Corrected Corrected by Aug 18, 2022

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 facility does not have documentation of a 30 day fire alarm test log.

Corrected Corrected by Aug 18, 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.

One (1) crib sheet was extremely loose in the Turtle room, creating a suffocation hazard.

Corrected Corrected by Oct 29, 2021

Category: health medication. 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 #3 contained Pediatric First-Aid / CPR training on 1.10.18 and was not renewed until 1.16.20, following the expiration.

Corrected Corrected by Oct 29, 2021

Category: ratio. Marked corrected in the state record.

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

The file for Staff #1 contained State Police clearances dated 9.30.15 and 10.16.20, which exceeded the 60 month renewal requirement. The file for Staff #2 contained FBI clearances dated 4.13.15 & 5.6.20, which exceeded the 60 month renewal requirement. The file for Staff #3 contained State Police clearances dated 9.30.15 & 10.20.20, Child Abuse clearances dated 9.30.15 & 10.16.20, & FBI clearances dated 10.6.15 & 10.21.20, which exceeded the 60 month renewal requirement. The file for Staff #4 contained Child Abuse clearances dated 11.2.15 & 11.12.20, which exceeded the 60 month renewal requirement.

Corrected Corrected by Oct 29, 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 #1 contained Mandated Reporter training on 6.14.15 and 10.27.20, which exceeded the 60 month renewal requirement. The file for Staff #3 contained Mandated Reporter training on 6.4.15 & 6.26.20, which exceeded the 60 month renewal requirement. The file for Staff #4 contained Mandated Reporter training on 6.11.15 & 10.16.20, which exceeded the 60 month renewal requirement.

Corrected Corrected by Oct 29, 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.

No outlet cover was present in the top electrical outlet by the diaper changing wall in the Lamb room, in which there were infants.

Corrected Corrected by Oct 29, 2021

Category: health medication. 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.

Professional Choice, Pink Pearl Hand Cleaner, in a gallon jug, was located in an unlocked cabinet under the sink, in the Lamb infant room, which was accessible to children, and stated, "Keep out of reach of children."

Corrected Corrected by Oct 29, 2021

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.

Peeling contact paper and scotch tape was present on the diaper changing table in the back of the Butterfly room, which was accessible to children who may still be placing objects in their mouths.

Corrected Corrected by Nov 5, 2021

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 for Child #1 did not contain the enrolling parent's work address or work phone number. The Emergency Contact form for Child #2 did not contain the enrolling parent's work phone number.

Corrected Corrected by Nov 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff #5 did not ensure that the hands of two (2) children were washed after being diapered in the Lamb room.

Corrected Corrected by Nov 2, 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.

No notice was provided to parents, of enrolled children, with information on how to access the regulations electronically.

Corrected Corrected by Nov 8, 2021

Marked corrected in the state record.