3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

There was no medication log for the prescription medication observed for child #5.

Corrected Corrected by Sep 26, 2025

Category: health medication. 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. Until such time as the required training has been completed, staff persons #2 and #4 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #2 and #4, staff persons #2 and #4 may not work in a child-care position at the facility.

Staff person #2 has completed Pediatric First-aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. Staff person #4 has completed Pediatric First-Aid and CPR training, however (the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum).

Corrected Corrected by Oct 27, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #5 may not work in a child care position at the facility.

The file of staff #1 lacked an FBI clearance at the time of hire. The file of staff #3 had NSOR clearance late due to the fact they were dated 4-15-25 and 1-16-20. The file of staff #5 had an invalid PSP clearance due to the fact the one on file lacked a disseminated date.

Corrected Corrected by Sep 26, 2025

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.

Observed Desitin in the bookbag for child #1 and Sun Bum brand sunscreen in the bookbag for child #2 both labeled, "keep out of the reach of children" and both stored in cubbies accessible to children in care.

Corrected Corrected by Oct 3, 2025

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 of children #3 and #4 lacked documentation of parents reviewing the emergency contact forms and financial agreements every 6 months.

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. 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.

Observed medication for child #5 with an expiration date of 12-2023.

Corrected Corrected by Sep 25, 2025

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.

Observed a health assessment for staff #1 that was dated after their initial employment. Observed health assessments more than 24 months apart for staff #3 due to the fact they were dated 8-30-24 and 8-23-22.

Corrected Corrected by Sep 26, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file of staff #6 completed Mandated Reported more than 60 months apart due to the fact they were dated: 8-15-23 and 5-15-18.

Corrected Corrected by Sep 26, 2025

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.

Based on the fire detection testing log the system was tested more than 30 days apart on the following dates: 3-6-25 to 4-9-25 = 34 days and 4-19-25 to 5-30-25 = 40 days.

Corrected Corrected by Oct 6, 2025

Category: recordkeeping. 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.

At the time of the inspection, the restroom on the right in the "K-Prep" room lacked a handwashing sign.

Corrected Corrected by Oct 10, 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 files of staff #1, #2, #3, #4, and #5 lacked the current signed dated Disclosure Statement.

Corrected Corrected by Oct 10, 2024

Category: background checks. 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.

At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed Stain removal spray labeled "keep out of the reach of children".

Corrected Corrected by Oct 10, 2024

Marked corrected in the state record.

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

Observed in the "K-Prep" room a wooden market sign in the dramatic play area that was not secure causing a potential crush hazard.

Corrected Corrected by Oct 10, 2024

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 files of children #1 and #3 lacked emergency contact forms with the complete addresses of the individuals designated by the parents to whom the children may be released.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection, there was not a posting of the transportation plan in the Pre-School 1 room.

Corrected Corrected by Oct 10, 2024

Category: transportation. 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.

At the time of the inspection, observed in the "K-Prep" room a staff's purse hanging in a child's cubby accessible to children. Upon inspection of the purse, observed over the counter medication packets.

Corrected Corrected by Sep 24, 2024

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

3270.181(c) · 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 of child #2 lacked documentation of parent review of the financial agreement every 6 months.

Corrected Corrected by Oct 10, 2024

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.

At the time of reviewing the most recent Emergency Plan Drill log, the log lacked the names of participants.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #12 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #12 contained documentation of completing the health and safety update on 1/6/23.

Corrected Corrected by Sep 25, 2023

Category: ratio. 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.

The file of Staff #12 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #12 contained documentation of emergency plan training on 8/14/23 with previous training on 2/24/22.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. 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.

The files of Staff #11 and #12 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #11 contained documentation of fire safety training completed on 3/6/23 with previous training completed on 2/4/22. The file of Staff #12 contained documentation of fire safety training completed on 1/15/23 with previous training completed on 5/27/21.

Corrected Corrected by Sep 25, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #11 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #11 may not work in a child care position at the facility.

The files of Staff #1 and #8 lacked documentation of application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a NSOR dated 5/16/23. The file of Staff #8 contained a NSOR dated 4/13/23. The file of Staff #5 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #5 contained a State Police Clearance dated 7/13/23 with a previous one dated 4/17/18. The file of Staff #5 contained a Child Abuse Clearance dated 7/19/23 with a previous one dated 4/25/18. The file of Staff #5 contained a DHS FBI Clearance dated 7/31/23 with a previous one dated 4/30/18. The file of Staff #11 lacked a State Child Abuse and Neglect Registry and Sex Offender Registry Check updated every 60 months from the State(s) in which Staff #11 resided in the last 5 years. The file of Staff #11 contained a State Child Abuse and Neglect Registry dated 7/2/18. The file of Staff #12 lacked a DHS FBI Clearance updated every 60 months. The file of Staff #12 contained a DHS FBI Clearance dated 4/5/23 with a previous one dated 4/4/18. The file of Staff #12 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). Staff #12 had a NSOR dated 10/5/21.

Corrected Corrected by Sep 27, 2023

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

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

On 9/25/23 observed a frayed carpet square and approximately a 1-inch tear with exposed foam on the green and tan mat in The Heart. On 9/25/23 observed a frayed basket containing musical instruments and approximately a 3-inch crack in a Geoboard in the Preschool 1 Room.

Corrected Corrected by Sep 25, 2023

Category: physical safety. 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 #5 and #7 lacked documentation of completing mandated reporter training every 60 months. Staff #5 had documentation of mandated reporter training completed on 8/23/23 with previous training completed on 5/9/18. Staff #7 had documentation of mandated reporter training completed on 8/15/23 with previous training completed on 5/15/18.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The files of Staff #2, #4, #5, and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #2 contained a written evaluation dated 1/19/23. The file of Staff #4 contained a written evaluation dated 1/13/23. The file of Staff #5 contained a written evaluation dated 3/7/23 with a previous one dated 5/10/21. The file of Staff #12 contained a written evaluation dated 2/16/23 with a previous one dated 11/19/19.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files of Staff #3 and #6, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

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

The telephone number of the nearest hospital was not posted by each telephone in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

Corrected Corrected by Sep 25, 2023

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

On 9/25/23 the sink at the diapering area in the Toddler 2 Room was not operable. Staff indicated they were taking children to the sink located on the other side of the room to wash hands after diapering.

Corrected Corrected by Sep 27, 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.

On 9/25/23 observed embedded equipment in the preschool outdoor play space with approximately 1 to 3 inches of rubber mulch. The Consumer Product Safety Commission recommends 6 inches of rubber mulch as protective surface covering.

Corrected Corrected by Oct 20, 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.

On 9/25/23 observed 2 children sleeping in cribs located beside each other in the Infant 2 Room with approximately 2 inches between the cribs.

Corrected Corrected by Sep 25, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The files of Children #1, #2, and #3 lacked child service reports completed at least every 6 months. The file of Child #1 contained Child Service Reports dated 4/21/22, 9/23/22, and 6/16/23. The file of Child #2 contained Child Service Reports dated 6/14/22, 9/20/22, and May 2023. The file of Child #3 contained Child Service Reports dated 9/20/22 and May 2023.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

On 9/25/23 emergency contact information was not present for Children #5, #6, and #7 in the Preschool 2 Room when receiving care in that room.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously and did not accompany a staff person when children were taken outside in the following rooms: Infant 1, Infant 2, Toddler 1, Toddler 2, Two's 1, Two's 2, Preschool 1, Preschool 2, and Kindergarten Prep.

Corrected Corrected by Sep 25, 2023

Category: transportation. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 1/27/22, 12/13/22, 12/30/22, and 7/5/23.

Corrected Corrected by Sep 25, 2023

Category: health medication. 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 file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 3/16/23 with a previous one dated 12/9/21.

Corrected Corrected by Sep 25, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Child #4, a 21-month-old, lacked an influenza immunization according to the recommendations of the ACIP.

Corrected Corrected by Sep 26, 2023

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

3270.151(a) · 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.

The files of Staff #2 and #5 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 8/22/23 with a previous one dated 8/11/21. The file of Staff #5 contained a current health assessment dated 8/23/22 with a previous one dated 4/13/20. The file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 6/22/23.

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

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

The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux test read date of 11/12/21.

Corrected Corrected by Oct 16, 2023

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file of Staff #9 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Sep 26, 2023

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The files of Staff #9 and #10 contained an adult health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 27, 2023

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The operator did not conspicuously post the menu at least 1 week in advance.

Corrected Corrected by Sep 25, 2023

Marked corrected in the state record.

3270.181(c) · 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 emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was reviewed 3/3/22, 8/8/22, and 6/20/23. Child #2's agreement was reviewed on 9/28/22.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. 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 did not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 25, 2023

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

3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. 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 created an emergency drill log, but it did not address the names of facility persons and any other adults that participated in the drill, special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Corrected Corrected by Oct 12, 2023

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 Director or designated staff person who is responsible for compliance with this chapter conducted fire drills but did not ensure that the written record maintained on file at the facility indicated the hypothetical location of the fire when a drill was conducted on 2/13/23.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not 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.

Corrected Corrected by Sep 27, 2023

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.

*2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

Corrected Corrected by Nov 17, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · ***The operator will identify where staff should be sitting during nap time on a map of the classroom identifying where staff and children should be placed during naptime. This map will be posted in the classroom.

***2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

Corrected Corrected by Dec 5, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The Legal Entity will arrange for all staff to attend a minimum of 3 hours of training on supervision conducted by ELRC Region 6. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

**2nd citation. Previously cited on 9/20/22. At approximately 1:00 PM Certification Staff observed 2 children lying on rest equipment behind 2 bookshelves in the Two's Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.

Corrected Corrected by Dec 5, 2022

Category: supervision. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

2nd citation. Previously cited on 9/22/22. Staff #1 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Nov 4, 2022

Category: health medication. 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 did not address continuity of operations.

Corrected Corrected by Oct 14, 2022

Category: ratio. 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.

The file of Staff #1 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained documentation of training on 2/24/22.

Corrected Corrected by Aug 25, 2022

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 at a conspicuous location.

Corrected Corrected by Sep 21, 2022

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

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

Staff #5, #7, and #11 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #5 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 4/2/19. Staff #7 and #11 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 8/26/21 with a previous one completed on 8/1/19.

Corrected Corrected by Sep 8, 2022

Category: ratio. 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 #2 ,#3 , #5, #6, and #11 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. Staff #2 had documentation of fire safety training competed on 8/15/22 with previous training on 5/27/21. Staff #3 had documentation of fire safety training completed on 8/12/22 with previous training on 5/27/21. Staff #5 had documentation of fire safety training completed on 8/10/22 with previous training on 5/27/21. Staff #6 had documentation of fire safety training completed on 8/18/22 with previous training completed on 5/27/21. Staff #11 had documentation of fire safety training completed on 8/11/22 with previous training completed on 5/27/21.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. 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 #2, #3 and #6 lacked documentation of mandated reporter training completed every 60 months. Staff #2 had documentation of mandated reporter training completed on 1/21/21 with previous training completed on 1/11/16. Staff #3 had documentation of mandated reporter training completed on 2/12/20 with previous training completed on 2/8/15. Staff #6 had documentation of mandated reporter training completed on 2/1/21 with previous training completed on 1/17/16. Staff #9 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #9 had documentation of mandated reporter training completed on 9/19/22.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #10 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #10 may not work in a child care position at the facility.

Staff #1, #9, #12, and #13 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #9, #12, and #13 was not the one updated in 2020. Staff #2 lacked a State Police Clearance and FBI Clearance updated every 60 months. Staff #2 had a State Police Clearance dated 1/19/21 with a previous one dated 12/29/15. Staff #2 had a FBI Clearance dated 1/21/21 with a previous one dated 12/29/15. Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. Staff #6 had a State Police Clearance dated 8/5/22 with a previous one dated 8/4/17. Staff #6 had a Child Abuse Clearance dated 8/5/22 with a previous one dated 2/21/17. Staff #6 had a FBI Clearance dated 8/10/22 with a previous one dated 2/25/17. Staff #10. a provisional hire, lacked a FBI Clearance within 45 days of hire (SEE LIS Code Sheet). Staff #10 was observed working on 9/22/22 which was past his/her provisional hire end date without a FBI Clearance.

Corrected Corrected by Sep 19, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff #2, #5, #6, and #11 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. Staff #2 had a written evaluation dated 6/2/22 with a previous one dated 2/22/21. Staff #5 had a written evaluation dated 6/3/22 with a previous one dated 8/2/20. Staff #6 had a written evaluation dated 6/3/22 with a previous one dated 12/14/20. Staff #11 had a written evaluation dated 6/3/22 with a previous one dated 9/11/20.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The telephone number of the nearest fire department was not posted by the telephone in the following classrooms: Kindergarten Prep, Preschool 2, Preschool 1, Two's 2, Two's 1, Toddler 2, Toddler 1, Infant 2, Infant 1, and The Heart.

Corrected Corrected by Sep 21, 2022

Category: physical safety. 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 file of Child #5 lacked the date of the child's admission on the agreement.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. 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.

On 9/20/22 observed 3 torn baskets containing animals in the Kindergarten Prep Classroom. On 9/20/22 observed cracked Magna Tiles in the Kindergarten Prep Classroom. On 9/20/22 observed a torn basket containing tiles in the Preschool 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 2 Classroom. On 9/20/22 observed cracked Magna Tiles in the Two's 1 Classroom. On9/20/22 observed a torn yellow bean bag star in the Toddler 1 Classroom. On 9/20/22 observed approximately a 3 inch tear on a large pillow in The Heart.

Corrected Corrected by Sep 20, 2022

Category: physical safety. 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.

On 9/20/22 observed embedded equipment in the outdoor play space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Sep 21, 2022

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.

On 9/20/22 observed 3 foam blocks with bite marks in the Preschool 1 Classroom.

Corrected Corrected by Sep 20, 2022

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.

At approximately 1:30 PM Certification Staff observed 4 children lying on rest equipment behind an art desk in the Preschool 1 Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Corrected Corrected by Oct 27, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of Child #4 lacked the services to be provided to the family and the child on the agreement.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #1 contained the original copy of the agreement. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file of Child #1 lacked the telephone number of the child's physician or source of medical care on the emergency contact form. The file of Child #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Sep 22, 2022

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 file of Child #7 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #8 lacked the complete work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Sep 22, 2022

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 file of Child #7 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

The files of Children #4 and #6 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #4 contained health reports dated 6/4/21, 10/26/21, and 7/25/22. The file of Child #6 contained health reports dated 6/22/21, 1/31/22, and 8/3/22.

Corrected Corrected by Oct 14, 2022

Category: health medication. 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 file of Child #7 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #7 contained a health report dated 5/11/21.

Corrected Corrected by Oct 14, 2022

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

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

The file of Child #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 14, 2022

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

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

Child #1, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 4 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 3 Pneumococcal immunizations. Child #3, a 8 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #3 had documentation of 1 Rotavirus, 1 DTAP/DTP/TD, 1HIB, 1 Pneumococcal, and 1 Polio immunizations. Child #5, a 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #6. a 20 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7, a 3 year old, lacked Pneumococcal immunizations and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #7 had documentation of 3 Pneumococcal immunizations. Child #8, a 2 year old, lacked DTAP/DTP/TD, MMR, Varicella, Hepatitis A, and a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #8 had documentation of 3 DTAP/DTP/TD and no documentation of MMR, Varicella, and Hepatitis A immunizations.

Corrected Corrected by Oct 14, 2022

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The Preschool 1 Classroom lacked a plastic-lined, hands-free covered can for diapers and pull-ups.

Corrected Corrected by Sep 20, 2022

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

3270.151(a) · 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.

Staff #2, #5, #6, and #11 lacked a health assessment conducted every 24 months. Staff #2 had a current health assessment dated 8/11/22 with a previous one dated 2/19/20. Staff #5 had a current health assessment dated 8/29/22 with a previous one dated 7/23/20. Staff #6 had a current health assessment dated 12/20/21 with a previous one dated 12/9/19. Staff #11 had a current health assessment dated 9/19/22 with a previous one dated 9/10/20. Staff #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). Staff #4 had a health assessment dated 7/26/22,

Corrected Corrected by Sep 19, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

Staff #5 had a health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Aug 29, 2022

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

3270.181(c) · 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 emergency contact and agreement for Child #6 and #7 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #6's emergency contact form was reviewed on 8/25/21, 5/23/22, and 8/1/22. Child #6's agreement was reviewed on 8/1/21, 5/23/22, and 8/1/22. Child #7's emergency contact and agreement were reviewed on 8/1/21, 2/522, and 9/6/22.

Corrected Corrected by Oct 14, 2022

Category: recordkeeping. 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 #4, #8, #9, and #14 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). Staff #4, #8, #9, and #14 had documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 9/8/22.

Corrected Corrected by Sep 8, 2022

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. The facility was unable to provide written documentation of the hypothetical location for fire drills conducted on 2/9/22, 3/31/22/ 5/13/22, 6/6/22, 7/22/22, and 8/24/22.

Corrected Corrected by Sep 30, 2022

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 facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 10/22/21, 11/19/21, 12/22/21, 1/20/22, 3/4/22, 3/28/22, 4/18/22, 5/31/22, 6/6/22, 7/20/22, and 8/24/22.

Corrected Corrected by Oct 7, 2022

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 operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Sep 22, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff #1 lacked a written evaluation every 12 months. Evaluations observed on file were dated 8/6/20 and 9/22/21, exceeding on an annual basis.

Corrected Corrected by Oct 19, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 lacked an annual influenza vaccination in accordance with the schedule recommended by the ACIP or a letter from the parent exempting the child from this vaccination.

Corrected Corrected by Oct 19, 2021

Category: health medication. 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 operator lacked a copy of the updated emergency plan sent to the local municipality and the Blair County Emergency Management Agency.

Corrected Corrected by Oct 19, 2021

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