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

The most recent Mandated Reporter Trainings in the file for Staff Person #3 exceeded 60 months between trainings.

Corrected Corrected by Apr 1, 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 facility's policy for shaken baby syndrome/abusive head trauma/child maltreatment did not include a written policy for the prevention and identification of child maltreatment.

Corrected Corrected by Nov 25, 2024

Category: ratio. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter explaining the emergency procedures did not address lockdown or accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 26, 2024

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections 3270(f)1-10. Staff persons #1, 3, 4 and 5 will have until 12/5/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, 3, 4 and 5 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, 3, 4 and 5, staff persons #1, 3, 4 and 5 may not work in a child-care position at the facility.

Staff persons #1, 3, 4 and 5 have not completed the following required pre-service training within 90 days of their date of hire: Pediatric First Aid/CPR from an approved PQAS instructor: (see LIS code sheet).

Corrected Corrected by Nov 27, 2024

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff Person #3, a rehire, did not include an updated disclosure statement.

Corrected Corrected by Nov 18, 2024

Category: background checks. 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 School Age Room #1 and #2 lacked scissors. The first aid kit in School Age Room #2 lacked tweezers.

Corrected Corrected by Nov 18, 2024

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.

Observed peeling, flaking paint along the wall above the baseboard heater in School Age Room #2.

Corrected Corrected by Nov 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.

Handwashing signs were not posted in the toilet stalls of the boy's and girl's restrooms for the downstairs area, and were not posted above the sinks and in the toilet stalls for the boy's and girl's restrooms for the upstairs social hall (School Age Area).

Corrected Corrected by Nov 18, 2024

Category: health medication. 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 first child service report in the file for Child #2 was conducted more than 6 months after the child's start date. The most recent child service reports in the file for Child #7 exceeded six months between reports.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility's fee agreement form does not include arrival and departure times. Hence, the fee agreements for the eight child files reviewed, Child #1 through Child #8, lacked arrival and departure times.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The facility's fee agreement form does not include release persons. Hence, the fee agreements for the eight child files reviewed, Child #1 through Child #8, lacked release persons.

Corrected Corrected by Nov 25, 2024

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 fee agreements on file for Child #1 though Child #8 were the original documents.

Corrected Corrected by Nov 25, 2024

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 file for Child #2, a young toddler, did not include an updated health report conducted within the past six months.

Corrected Corrected by Nov 26, 2024

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 #1 must be dismissed from care by close of business 11/20/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most current immunization record in the file for Child #1, a six-month old infant, did not include documentation of 4th and 6th month immunizations according to the recommendations of the ACIP.

Corrected Corrected by Nov 20, 2024

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed alcohol wipes, antiseptic wipes, and sting ointments, which did not identify the name of the child for whom the medications were intended, in the first aid kits in the Infant, OT, Preschool, and School Age #2 Rooms.

Corrected Corrected by Nov 18, 2024

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

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The EpiPen for Child #7 lacked written parental consent for administration and a medication log.

Corrected Corrected by Nov 19, 2024

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 initial health assessment/TB Screening in the file for Staff Person #2 was conducted after the staff person's first day working in child care. See LIS Code Sheet.

Corrected Corrected by Nov 18, 2024

Category: ratio. Marked corrected in the state record.

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

Infant feeding schedules had not been obtained from the parents for Child #1, #9 and #10, who are infants.

Corrected Corrected by Nov 25, 2024

Category: nutrition. 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 most recent parent updates for the emergency plan and fee agreement in the files for Child #5 and #7 exceeded six months between updates.

Corrected Corrected by Sep 13, 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.

The most recent annual emergency drills were conducted more than 12 months apart: 5/18/23-9/10/24.

Corrected Corrected by Sep 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked a proof-of-purchase for the interconnected fire alarm.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. 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.

Information on how to access the regulations in Chapter 3270 electronically was not posted at the facility.

Corrected Corrected by Nov 22, 2024

Marked corrected in the state record.