3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on statements made by staff, on 2/18/26 staff #1 restrained child #1 while in the gym. Staff #1 used one arm to hold child #1 in place while staff #1 attempted to set a timer.

Corrected Corrected by May 14, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Based on staff interviews, there have been 2 or more occasions when staff:child ratio was exceeded with mixed groups of infants / young toddlers and young toddlers /older toddlers for up to 5 minutes before additional staff were able to be put into ratio.

Corrected Corrected by Feb 24, 2026

Category: ratio. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

According to staff statements the preschool classroom temperature has been below 65 degrees on at least one day while children were in care due to the furnace being broken.

Corrected Corrected by Dec 23, 2025

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

3270.32(a) · TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not be at the facility until the completed clearance is received. (This portion of the plan will have an immediate correction date.) 2. The Legal Entity will develop a written policy regarding CPSL requirements and management of missing clearances and how it will be addressed moving forward. The policy will be submitted to the DHS representative and after DHS review the policy will be added to the staff handbook. (The operator will provide a separate correction date for this portion of the plan.) 3. Staff person #1 will sign an acknowledgement of this policy which will be placed in the file for Staff Person #1. (The operator will provide a separate correction date for this portion of the plan.)

The file for staff person #1, hire date (see IS code sheet) and resident of the state of New York, is lacking a New York State child abuse clearance as required under CPSL for employment in child care. On 12/10/2025 at ~2:45pm, Staff person #1 was providing child care in the Toddler 2 classroom.

Corrected Corrected by Jan 9, 2026

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 #1 may not work in a child care position at the facility.

The file for staff person #1, hire date (see IS code sheet) and resident of the state of New York, is lacking a New York State child abuse clearance as required under CPSL for employment in child care. On 12/10/2025 at ~2:45pm, Staff person #1 was providing child care in the Toddler 2 classroom.

Corrected Corrected by Dec 18, 2025

Category: background checks. 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.

The file for staff person #15 contains current PFA/CPR that was obtained after the previous certification expired evidenced by certifications dated 6/16/22 and 12/12/24.

Corrected Corrected by Sep 23, 2025

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 Persons #8 and #10 may not work in a child care position at the facility.

The file for staff person #5 contains current NSOR verification that was obtained after the previous NSOR expired evidenced by NSOR verifications dated 1/14/20 and 8/18/25. The file for staff person #6 contains current NSOR verification that was obtained after the previous NSOR expired evidenced by NSOR verifications dated 1/14/20 and 2/25/25. The file for staff person #8, DOH (see LIS code sheet) is lacking a valid disclosure statement at the time of hire The file for staff person #11 contains current NSOR verification that was obtained after the previous NSOR expired evidenced by NSOR verifications dated 1/13/20 and 8/7/25. The file for staff person #12 contains current NSOR verification that was obtained after the previous NSOR expired evidenced by NSOR verifications dated 1/16/20 and 2/11/25. The file for staff person #14 contains current NSOR verification that was obtained after the previous NSOR expired evidenced by NSOR verifications dated 1/14/20 and 8/28/25. The file for staff person #10 who currently lives in the state of New York, DOH (see LIS code sheet), is lacking a New York child abuse clearance and a New York sex offender clearance as required under CPSL.

Corrected Corrected by Sep 23, 2025

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 #7, serving as an assistant group supervisor, is lacking documentation of required education to serve as an assistant group supervisor. The file for staff person #10, serving as the facility director, is lacking documentation of experience to serve as the facility director. The file for staff person #13, serving as an assistant group supervisor, is lacking documentation of education to serve as an assistant group supervisor.

Corrected Corrected by Sep 23, 2025

Category: supervision. 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 for staff persons #4, #5, #6, #7, #12, #14, and #15 are lacking written evaluations completed during the previous 12-month period.

Corrected Corrected by Oct 31, 2025

Category: recordkeeping. 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.

Observed on the toddler playground 7 fence bolts that were protruding in toward the play space causing a potential puncture hazard. Observed in the pre-K 3 classroom sliding closet doors that were damaged including cracked wood, missing knob, and non-functioning latch.

Corrected Corrected by Sep 23, 2025

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.

The girls' hallway bathroom was lacking a handwashing sign by one of the sinks and by the diaper changing area.

Corrected Corrected by Sep 23, 2025

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

3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

Observed in the toddler 1 classroom, a climbing structure, including sliding board that was positioned on the tile floor lacking protective surface covering.

Corrected Corrected by Sep 23, 2025

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.

Observed on the toddler playground many small pieces of rubber which are used as protective surfacing in the adjacent preschool play space. One and two year olds who are still placing objects in their mouth have access to the pieces of rubber. Observed in the Infant 2 classroom a foam floor mat that had small pieces of foam missing. Observed an infant picking at the foam mat.

Corrected Corrected by Sep 23, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed in the Infant 1 classroom an infant sleeping in a pack n play that was designated for a different infant.

Corrected Corrected by Sep 23, 2025

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

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

The file for child #1contains emergency contact information that is lacking health insurance information.

Corrected Corrected by Sep 23, 2025

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

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

The files for child #2 and #3 contain emergency contact information that is lacking the addresses for the emergency release persons.

Corrected Corrected by Sep 23, 2025

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 files for children #1, 4, 5, 6 and 7 contain emergency contact and financial agreements that have not been updated during the previous 6-month period.

Corrected Corrected by Sep 23, 2025

Category: recordkeeping. 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 #1, school age, is lacking an immunization report and has been attending for greater than 60 days.

Corrected Corrected by Sep 23, 2025

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 in the Pre-K 2 first-aid kit Neosporin and Benadryl cream not labeled with the name of the child for whom it is intended.

Corrected Corrected by Sep 23, 2025

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 file for staff person #8, hire date 3/12/25, contains an initial health assessment dated 12/5/23 which is more than 12 months prior to service and is therefore not valid. The file for staff person #4 is lacking a health assessment completed in the past 24 months. The file for staff person #2 contains a current health assessment that was obtained greater than 24 months after the previous health assessment.

Corrected Corrected by Sep 23, 2025

Category: ratio. 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 for staff persons #1,3,7,9, and 13 contain current health assessments that are lacking statements regarding the individual's suitability to provider child care.

Corrected Corrected by Sep 23, 2025

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

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

The file for staff person #10 is lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 23, 2025

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 #5 contains only 7 of the required 12 hours of child care training during the year 12/2023 to 12/2024.

Corrected Corrected by Sep 23, 2025

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 file for child #1, school age, is lacking a health assessment and has been attending for greater than 60 days.

Corrected Corrected by Sep 23, 2025

Category: health medication. 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 by the sinks in the lower level child care space and upper level child care space.

Corrected Corrected by Sep 2, 2025

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written schedule of daily activities was not posted in the lower level and upper level child care spaces.

Corrected Corrected by Sep 2, 2025

Category: physical safety. 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.

The emergency transportation plan was not posted in the lower level and upper level child care spaces.

Corrected Corrected by Sep 2, 2025

Category: transportation. 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.

According to the fire alarm test log the alarm tests conducted on 5/6/25 and 6/6/25 exceeded 30 days between tests.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. 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.

According to staff interviews and video footage, staff persons #1 and #2 who were responsible for supervising the children on the playground were not able to see child #1 who broke their arm when they fell from the playground climbing equipment. Staff #1 and #2 were not aware that child #1 had fallen until the child told them and then they viewed the facility video.

Corrected Corrected by Jun 24, 2025

Category: supervision. Marked corrected in the state record.

3270.132(a) · If emergency medical care is needed for a child, the parent shall be contacted as soon as practical in the best interest of the child. If the parent cannot be reached, the operator shall record in writing the reason emergency care was required and the attempts made to inform the parent.

According to staff interviews and text communications, the parents of child #1 were not notified or informed that child #1 had fallen from the climbing equipment and had received an injury which was later determined to be a broken arm.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The provider did not give an incident report to the parent of child #1 regarding an injury that occurred on the playground until the following day.

Corrected Corrected by Jun 24, 2025

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

3270.80(b) · Inside stairs shall be equipped with nonskid surfaces.

The stairs to the Upstairs Playroom are lacking a nonskid surface.

Corrected Corrected by Sep 20, 2024

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

The extra Toddler classroom is lacking a first-aid kit.

Corrected Corrected by Sep 20, 2024

Category: physical safety. 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 for staff person #11 is lacking documentation of emergency plan training at the time of initial hire. The file does contain documentation regarding current training.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #9 and #10 may not work in a child care position at the facility until clearances are obtained.

The file for staff person #2, hire date (see IS code sheet), who has resided in Ohio during the previous 5 years, is lacking Ohio state clearances. The file for staff person #7, hire date (see IS code sheet), is lacking verification of request for criminal history clearance prior to start date in a child care position. The file does contain a current criminal history clearance dated 7/24/2024. The file for staff person #9, hire date (see IS code sheet), is lacking a valid criminal history clearance. The criminal history clearance on file dated 9/13/2023 is in 'pending' status. The file for staff person #10, hire date (see IS code sheet), is lacking a completed NSOR verification and has exceeded 45 days since hire. The file for staff person #12, hire date (see IS code sheet), is lacking a child abuse clearance at initial hire. The child abuse clearance on file is dated 11/21/2023.

Corrected Corrected by Sep 19, 2024

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 #2, serving as a group supervisor is lacking verification of education to qualify as a group supervisor. The files for staff persons #7, #10 and #11, all serving as assistant group supervisors, are lacking documentation of education to qualify as assistant group supervisors.

Corrected Corrected by Sep 24, 2024

Category: supervision. 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.

Observed electrical outlets lacking protective covers in the Gym by the Playroom door and in the Upstairs Playroom by the light switch.

Corrected Corrected by Sep 19, 2024

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.

Observed on the counter in the Infant 1 Room a white bin containing a clear liquid and lacking a label identifying the liquid. When asked, staff identified the liquid as bleach water.

Corrected Corrected by Sep 20, 2024

Category: ratio. 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.

Two rest mats in the Toddler 1 Room were observed to be torn and exposing interior foam. The hinge on the microwave in the toy play kitchen in the Toddler 2 Room was loose posing a pinch hazard.

Corrected Corrected by Sep 20, 2024

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

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

Two rest mats in the Toddler 1 Room were observed to be torn and exposing interior foam. Toddlers still placing objects in their mouth could tear small pieces of the foam causing a choking hazard.

Corrected Corrected by Sep 19, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in the Gym or indoor Playrooms.

Corrected Corrected by Sep 20, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The files for child #1 and #3 contained financial agreements that were not signed by the operator. The file for child #7 contained a financial agreement that was not signed by the parent or the operator.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The financial agreement for child #1 does not include a fee amount.

Corrected Corrected by Sep 20, 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.

A written medical emergency transportation plan was not posted in the Gym or indoor Playrooms.

Corrected Corrected by Sep 20, 2024

Category: transportation. 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 test log identifies that the alarm tests exceeded 30 days between tests on 8/1/2024 and 9/4/2024.

Corrected Corrected by Sep 19, 2024

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 files for children # 1,2,4,5 and 6 contain current emergency contact information and financial agreements that was reviewed / updated greater than 6 months after the previous review. The file for child #3 contains current financial agreement that was reviewed greater than 6 months after the previous review and is lacking a current emergency contact update within the last 6 months.

Corrected Corrected by Sep 20, 2024

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 files for child #1 and #6, preschool aged, are lacking current health reports completed during the previous 12-month period. The file for child #5, older toddler, contains a current health report that was completed greater than 12 months after the previous health report. The file is now current.

Corrected Corrected by Sep 20, 2024

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 file for staff person #3, hire date (see IS code sheet) is lacking an initial health assessment completed at the time of hire. The initial health assessment on file is dated 9/17/2024. The file for staff person #11, hire date (see IS code sheet), is lacking an initial health assessment completed at the time of hire. The initial health assessment on file is dated 12/8/2023. The file for staff person #4, hire date (see IS code sheet), is lacking a health assessment completed during the previous 12-month period. The most recent health assessment is dated 8/9/2022. The files for staff persons #5,#6 and #8 contain current health assessments that were completed more than 24 months after the previous health assessment.

Corrected Corrected by Sep 20, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #1, hire date (see IS code sheet), contains an initial health assessment that is lacking an examination for communicable disease and the results of that examination and a physician's statement regarding the individual's suitability to provide child care.

Corrected Corrected by Sep 19, 2024

Category: health medication. 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 contains only 1 written, non-family reference.

Corrected Corrected by Sep 20, 2024

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 file for child #2, young toddler, is lacking an initial health report within 60 days of the first day of attendance. The file does contain a current health report.

Corrected Corrected by Sep 20, 2024

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.

Staff # 1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training the certificate is dated. 4/28/24.

Corrected Corrected by Aug 1, 2024

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. Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 2 will have until 5/16/24 to complete the required training. Until such time as the required training has been completed, staff person # 2 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 # 2, staff person #2 may not work in a child-care position at the facility.

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(1)-(9).

Corrected Corrected by Jul 29, 2024

Category: supervision. 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.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 1/30/24 to 3/1/24 and 3/1/24 to 4/30/24.

Corrected Corrected by Jul 29, 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. Until such time as the required pre-service trainings are completed, staff person #14 must be supervised, when interacting with children, by an AGS, GS or Director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #14, staff person #14 may not work in a child-care position at the facility.

Staff person #14 was observed to be caring for children unsupervised. Staff person #14 has not completed the following pre-service training required prior to caring for children unsupervised: PA Health & Safety Training Topics #1-#10 including PFA/PCPR.

Corrected Corrected by Oct 14, 2023

Category: supervision. Marked corrected in the state record.

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

Staff persons #7 and #10 completed the PA Health & Safety Update 2022 after the required date of 12/30/2022. The training is now current. Staff persons #2 and #11 have not completed the PA Health & Safety Update 2022 which was required to be completed by 12/30/2022.

Corrected Corrected by Oct 13, 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 for staff person #14 is lacking documentation of training regarding the facility emergency plan.

Corrected Corrected by Oct 14, 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 persons #13,14,15 and 16 will have until 10/18/2023 to complete the required training. Until such time as the required training has been completed, staff person #13,14,15 and 16 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff persons #13,14,15 and 16, staff persons #13,14,15 and 16 may not work in a child-care position at the facility.

Staff person #13 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics #1-#9. Staff person #14 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics #1-#9. Staff person #16 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Topics #1-#9.

Corrected Corrected by Oct 14, 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 #4 did not complete Health & Safety training in topics #1-9 and Pediatric First Aid/Pediatric CPR within 90 days of hire. Staff #4 has since completed the required health & safety training and PFA/PCPR. Staff person #10 did not complete Pediatric First Aid/Pediatric CPR within 90 days of hire. Staff #10 has since completed the required PFA/PCPR.

Corrected Corrected by Oct 14, 2023

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 #9 contains current mandated reporter training completed greater than 60 months after the previous training. The training is now current.

Corrected Corrected by Oct 14, 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). 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 #3, #5, #8, #10, #13, #14 and #16 may not work in a child care facility.

The file for staff person #3, hire date (see IS code sheet), contains an FBI clearance that expired on 9/19/2020 and contains an FBI clearance dated 8/22/2020 that was obtained through department of education which is not valid for employment in a child care facility. The file for staff person #5, hire date (see IS code sheet) contains an FBI fingerprint verification report dated 3/1/2023, however is lacking a completed FBI clearance and has exceeded 45 days since hire date. The file for staff person #8, hire date (see IS code sheet) contains initial criminal history clearance dated 3/25/22 and child abuse clearance dated 4/4/2022 obtained for the purpose of volunteer and are not valid for employment in childcare. Staff #8 has since obtained a valid child abuse clearance dated 9/20/2023 and has requested a criminal history clearance for employment which is still in pending status dated 9/18/2023 and not accepted as a complete clearance. The file for staff person #10, hire date (see IS code sheet) contains an FBI clearance that expired on 7/24/2023 and an FBI clearance dated 1/20/2022 obtained through the department of education which is not valid for employment in child care. The file for staff person #13, hire date (see IS code sheet) is lacking verification of child abuse clearance and NSOR at the time of hire and is lacking a signed disclosure statement. The file does contain current child abuse clearance and NSOR. The file for staff person #14 is lacking a child abuse clearance and NSOR certificate. The file for staff person #16, hire date (see IS code sheet) contains a state police clearance with a pending status and contains a child abuse clearance for the purpose of volunteer which is not valid for employment in child care.

Corrected Corrected by Oct 14, 2023

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

3270.37(b)/3270.192(2)(ii) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #13 and #14, identified as aides, are lacking qualifications to serve as an aide.

Corrected Corrected by Oct 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff person #14, serving as an aide, was observed to be unsupervised by a staff person qualified at minimum as an AGS when he escorted a toddler from the back stairway through the lobby and to the front door to be reunited with the child's parent.

Corrected Corrected by Oct 14, 2023

Category: supervision. 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 files for staff persons #13 and #14 are lacking health assessments and were observed caring for children. The files for staff persons #3 and #12 are lacking health assessments conducted during the previous 24-month period. The files for staff persons #1, #6, #7 and #10 contain a current health assessments that was conducted greater than 24 months after the previous health assessment. Files #1,6,7 and 10 are now current.

Corrected Corrected by Oct 14, 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 files for staff persons #13 and #14 are lacking TB tests and the results.

Corrected Corrected by Oct 14, 2023

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #16 contains an initial health assessment that is lacking statements from the doctor regarding a test for communicable disease and suitability to provide child care.

Corrected Corrected by Oct 14, 2023

Category: health medication. 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 files for staff persons #13 and #14 are lacking two written, nonfamily references.

Corrected Corrected by Oct 14, 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 facility is lacking a 30-day test log for the hard-wired interconnected fire detection system. The facility also has individual smoke alarms in each childcare space and the classroom staff maintain individual test log, however, the classroom alarms cannot be heard throughout the facility so do not meet Act 62 requirements. The individual test logs also showed that on several occasions the period between tests exceeded 30 days.

Corrected Corrected by Oct 14, 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). 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 #1 may not work in a child care position at the facility.

The file for staff person #1, date of hire (see IS code sheet) serving as the facility lifeguard, contains an FBI clearance obtained through the department of education which is not valid for employment in child care under CPSL.

Corrected Corrected by Oct 13, 2023

Category: background checks. 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 file for staff person #1 is lacking a health assessment prior to serving in a child care facility.

Corrected Corrected by Oct 13, 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 for staff person #1 is lacking verification of a TB test prior to working in a child care facility.

Corrected Corrected by Oct 13, 2023

Category: health medication. 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.

Near the egress used by children to access the outside play space, three unused, unprotected electrical outlets that are accessible to children in care were observed.

Corrected Corrected by Nov 15, 2022

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

3270.76/3270.82(g) · 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. Toilet areas and fixtures shall be cleaned daily and be in good repair.

One toilet in each the Toddler 2 room and the childcare hallway, each used by children in care, were observed to have upwardly facing exposed bolts at the base of each toilet where the toilet is secured to the floor. Contact with said bolts could cause laceration and/or puncture injuries.

Corrected Corrected by Nov 15, 2022

Category: ratio. 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.

Along the chain link fence enclosing the outside play space, in areas accessible to children, several flexible aluminum securing clips with sharp edges were observed that could cause laceration injuries. In the Toddler 2 room, in an area accessible to children in care, a cabinet drawer was observed to be missing a handle. In its place was a protruding screw that could cause laceration injuries.

Corrected Corrected by Nov 15, 2022

Category: ratio. 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.

Foam blocks used by child in care in the Pre-K room were observed to have teeth marks indicating that a child or children are biting the blocks. Pieces of less than 1" could be bitten off of the foam blocks which would present a potential choking hazard.

Corrected Corrected by Nov 15, 2022

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A disposable nurser that was in use in the Infant 1 room lacked a label with the child-user's name.

Corrected Corrected by Nov 15, 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.

During a review of video surveillance, Staff #1 and #2 were observed in a child care space with 14 school aged children. For a period of up to five minutes, neither staff member maintained visual supervision of the children in the room. Staff #1 was observed standing at a countertop completing paperwork while Staff #2 wiped down lunch tables. Both staff members had their backs turned from the children in the room.

Corrected Corrected by Aug 17, 2022

Category: supervision. Marked corrected in the state record.

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.

Staff #1 and #2 were observed supervising 16 preschool aged children of which only 11 children could be identified by name.

Corrected Corrected by Jul 15, 2022

Category: supervision. Marked corrected in the state record.

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

Staff persons #2, #7 and #8 who have been employed for greater than 90 days do not have current pediatric first aid and pediatric CPR training. Staff person #7 has training in the other health and safety topics however the training was completed after 90 days of hire.

Corrected Corrected by Sep 28, 2021

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 #4 may not work in a child care position at the facility.

The file for staff person #6, with a start date of 11/18/2020, contains a current criminal history clearance dated 9/7/2021 however is lacking a clearance obtained within 90 days of hire as required under CPSL. The provider states that the original clearance was misplaced. The file is now current. The file for staff person #5, hire date 3/2014, contains an NSOR verification received 7/24/2020. All staff hired prior to 8/30/2019 were required to obtain the NSOR by 7/1/2020. The file is now current. The file for staff person #4, hire date, 8/29/2013, contains an NSOR verification received 8/28/2020. All staff hired prior to 8/30/2019 were required to obtain the NSOR by 7/1/2020. The file also contains an FBI clearance that expired 9/13/2021 and does not contain a current FBI clearance. The file for staff person #1 contains current criminal history and child abuse clearances that were received after the previous clearances expired. The file is now current.

Corrected Corrected by Sep 16, 2021

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

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

The file for staff person #1 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training. The file is now current.

Corrected Corrected by Sep 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility emergency plan does not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Sep 28, 2021

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

3270.82(c) · A sink shall be located in or near a toilet area.

There is not a sink located near the toilet in the Pre-K 3 classroom.

Corrected Corrected by Sep 16, 2021

Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #2 is lacking written consent signed by a parent for emergency medical care.

Corrected Corrected by Sep 28, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The files for child #2 and #3 are lacking the addresses for the designated release persons.

Corrected Corrected by Sep 28, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1, preschool aged, is lacking written verification of immunizations and has been in attendance for greater than 60 days. Child #1 must be removed from care until an immunization report is received.

Corrected Corrected by Sep 29, 2021

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.

The file for child #4, preschool aged, is lacking verification of a flu vaccine in 2020.

Corrected Corrected by Sep 28, 2021

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 files for staff persons #1 and #3 contain current health assessments that were completed greater than 24 months after the previous health assessments. The files are current.

Corrected Corrected by Sep 16, 2021

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.

The file for staff person #8 contains a current health assessment that is lacking a physician statement regarding an exam for communicable disease.

Corrected Corrected by Sep 30, 2021

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 file for staff person #8 contains a current health assessment that is lacking a physician statement regarding suitability to provide child care.

Corrected Corrected by Sep 28, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #2 is lacking signed parental consent for administration of minor first-aid procedures by facility staff

Corrected Corrected by Sep 28, 2021

Category: ratio. 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 emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 28, 2021

Category: physical safety. 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 current updated facility emergency plan was not sent to the county emergency management agency.

Corrected Corrected by Sep 29, 2021

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

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

According to staff data sheets, staff #9 and #10, the only 2 staff with current first aid and CPR certification during the time period from 3/2020 to 7/2020 both worked from 12:00pm to 6:00pm leaving no facility persons competent in first aid training present at the facility from 6:00am to 12:00pm.

Corrected Corrected by Sep 16, 2021

Category: health medication. 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 file for child #1 who has been enrolled greater than 90 days is lacking a health report.

Corrected Corrected by Sep 29, 2021

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