3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

In Room 4/PreK Room, at approximately 10:00am, Staff person #1 and 10 preschool age children were observed. During the assessment of supervision and ratio Staff person #1 identified and named responsibility for 7 preschool age children thus leaving 3 preschool age children unaccounted for. When asked who was responsible for the other 3 children, Staff person #1 stated that Staff person #2, who took one preschool age child to use the restroom, was responsible for the 3 remaining children. After this certification rep. explained the regulation and expectation to Staff person #1, Staff person #1 subsequently identified and named responsibility for all 10 preschool age children. Shortly thereafter Staff person #2 returned to the room and identified responsibility for the 3 unaccounted for children as well as the one child whom they were assisting in the restroom with allowing for all children to be accounted for.

Corrected Corrected by Oct 30, 2023

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 child file for Child #1 contained a current child service report dated 5/10/23 which was not completed using one of the approved developmental assessment tools.

Corrected Corrected by Nov 30, 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.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 1/13/23 - 2/13/23 (31 Days), 3/13/23 - 4/13/23 (31 Days), 5/12/23 - 6/12/23 (31 Days).

Corrected Corrected by Oct 30, 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 facility emergency plan lacked information regarding volunteer emergency preparedness and continuity of operations included in their emergency plan. The facility also lacked a handwritten policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Nov 12, 2022

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.

In Room #3 (PS Room) the teachers desk was observed to contain four adult scissors, two claw stapler removers, and staples inside the top right desk drawer which was unlocked thus making those items accessible to children in care. A stapler was also observed on top of the teachers desk accessible to children in care. In Room #4, a stapler was observed inside the top left drawer of the desk which was unlocked making the stapler accessible to the children in care. A pair of adult scissors was observed inside the top drawer of an unlocked 3 drawer filing cabinet thus making the scissors accessible to the children in care.

Corrected Corrected by Oct 12, 2022

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

3270.31(e)(4)(ii)/3270.192(2)(iv) · 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 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 staff file for Staff person #1 through #5 lacked proper documentation of having participated in fire safety training.

Corrected Corrected by Nov 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #1, who is a preschool age child [See IS CODE SHEET], was observed to contain an updated health report dated 9/28/22 which was conducted more than 12 months from the previously dated 3/5/21 health report on file.

Corrected Corrected by Oct 12, 2022

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

3270.131(e)(1)/3270.182(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. A child's record shall contain initial and subsequent health reports.

The child file for Child #1 lacked a flu shot for 2021.

Corrected Corrected by Nov 12, 2022

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

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The child file for Child #3 contained an emergency contact information form that lacked a date with the parents signature following their review. The child file for Child #4 contained an emergency contact information form that lacked the parents signature and date following their review.

Corrected Corrected by Nov 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The staff file for Staff person #3 contained 4 of 12 clock hours of childcare training completed for 12/19/20 - 12/19/21.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #2, was observed to not contain documentation of an initial health report within 60 days of enrollment (See IS CODE SHEET). An initial health report dated 9/2/22 is on file.

Corrected Corrected by Oct 12, 2022

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

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facilityA child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility lacked an accident file that contains copies of all accident and injury reports at the facility.

Corrected Corrected by Oct 7, 2021

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

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

Staff file #1, contained copies of completion of mandated reporter trainings dated 1/29/15 and 7/13/20 which was more than the 60 months as required.

Corrected Corrected by Oct 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

There were unlabeled bottles in the PreK room that staff identified as bleach water solution.

Corrected Corrected by Oct 7, 2021

Category: ratio. 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 lacked documentation of the influenza vaccination administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 3, 2021

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

The PreK room contained an inhaler that was not labeled with a specific child's name.

Corrected Corrected by Oct 7, 2021

Category: ratio. Marked corrected in the state record.