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 does not address continuity of operations in the event of an emergency.

Corrected Corrected by Jul 8, 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 facility emergency plan does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jul 8, 2024

Category: physical safety. 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 in the 'Lunch Room' behind the sink a bucket of water lacking a label. Staff identified the bucket to contain soapy water and bleach used for washing the tables.

Corrected Corrected by Jun 10, 2024

Category: ratio. 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 in Room 21, Toddlers, chipping paint on the side wall near the window.

Corrected Corrected by Jul 8, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the lunch room was lacking a thermometer.

Corrected Corrected by Jun 10, 2024

Category: nutrition. 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 for child #1 is lacking a child service report completed during the past 6 months.

Corrected Corrected by Jun 10, 2024

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 file for child #2, young toddler, is lacking a health report completed during the previous 6-month period.

Corrected Corrected by Jun 26, 2024

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 files for child #1, preschool, and child #3, older toddler, are lacking health reports completed during the previous 12 months.

Corrected Corrected by Jun 10, 2024

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

3270.131(e)(1)/3270.131(e)(3) · 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 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).

The files for children #1, #2 and #3 are lacking updated immunization reports showing compliance with the ACIP immunization schedule. Child #1, #2 and #3 must be removed from care until compliance with the ACIP schedule is received.

Corrected Corrected by Jul 1, 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 files for staff persons #1 and #2 contain current health assessments that were completed greater than 24 months after the previous health assessment. The files are now current.

Corrected Corrected by Jun 10, 2024

Category: ratio. Marked corrected in the state record.

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

The files for children #1, #2 and #3 are lacking current child health reports.

Corrected Corrected by Jul 10, 2024

Category: health medication. 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 Jul 8, 2024

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill log identified that the length of time between fire drills exceeded 60 days from 4/17/23 to 6/21/23 to 8/21/23 to 10/23/23.

Corrected Corrected by Jun 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 fire alarm test log identified the length of time between tests exceeded 30 days from 5/20/23 to 6/21/23, from 8/6/23 to 9/12/23 to 10/23/23, from 11/11/23 to 12/18/23 and from 1/13/24 to 2/13/24.

Corrected Corrected by Jun 10, 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 files for staff persons #1,2,4,5,6,7,8,9 and 10 are lacking documentation of the required Pennsylvania Health & Safety Update 2022 as required by the announcement issued on 10/4/2022 to be completed by 12/30/2022. The file for staff person #3 contains a Pennsylvania Health & Safety Update 2022 completed after the required date of 12/30/2022 and is now current.

Corrected Corrected by Jun 19, 2023

Category: ratio. 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 #7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: approved mandated reporter training

Corrected Corrected by Jun 7, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 6/21/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person#7 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/facility person/volunteer #7, staff person/facility person/volunteer #7 may not work in a child-care position at the facility.

Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The mandated reporter training on file is not an accepted training.

Corrected Corrected by Jun 7, 2023

Category: supervision. 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 in the Sun Room, Lunch Room and Older Toddler Room spray bottles identified as a cleaning product and lacking a label that specifies the contents.

Corrected Corrected by Jun 6, 2023

Category: ratio. Marked corrected in the state record.

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed there to be crumbling plaster and peeling paint on the wall in the far stall of the boy's hallway bathroom.

Corrected Corrected by Jul 21, 2023

Category: physical safety. 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 files for child #2 and child #3, both older toddlers, are lacking current health reports conducted during the previous 12 month period.

Corrected Corrected by Jul 31, 2023

Category: health medication. 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 in the medicine case in the lunch room an Epipen that expired 10/2022, an Epipen that expired 4/2023 and Albuterol inhaler that expired 11/2020.

Corrected Corrected by Jun 6, 2023

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #2 is lacking a health assessment conducted within the previous 24 months.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

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

The file for child #1 is lacking a health report conducted within 60 days of attendance however does contain a current health report. The files for child #2 and child #3 are lacking current health reports within the previous 12 months.

Corrected Corrected by Jul 31, 2023

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

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #1, older toddler, is lacking an initial health report that was conducted within 60 days of the first day of attendance. The file does include a current health report.

Corrected Corrected by Jun 7, 2023

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff persons #7 and #9 are lacking verification of training regarding the facility emergency plan within 90 days of hire.

Corrected Corrected by Jul 14, 2022

Category: recordkeeping. 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 operator self-reported that the emergency procedures are shared with parents as part of the parent handbook however a letter explaining the emergency procedures is not provided to parents at enrollment and a letter explaining the recent updates has not been provided to parents.

Corrected Corrected by Jul 29, 2022

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff person #2, #7, #9 and #10 are lacking fire safety training completed during the previous 12 month period.

Corrected Corrected by Jul 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #1-10 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff persons #1-10 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jul 27, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3 and #6 will have until 7/23/2022 to complete the required training. Until such time as the required training has been completed, staff person #3 and #6 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and 6, staff person #3 and 6 may not work in a child-care position at the facility.

Staff persons #3 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first 9 Health and Safety training topics.

Corrected Corrected by Jul 29, 2022

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. Facility Person #--- may not work in a child care position at the facility.

The file for staff person #2 contains a child abuse clearance that expired 12/11/2020 and a current child abuse clearance dated 1/15/2021 which is greater than 60 months following the previous clearance. The file is now current. The file for staff person #10 contains; a state police clearance that expired 8/13/2020 and a current state police clearance dated 8/20/2020 which is greater than 60 months after the previous clearance, a child abuse clearance that expired 8/20/2020 and a current child abuse clearance dated 8/25/2020 which is greater than 60 months after the previous clearance, and an FBI clearance that expired 12/15/2020 and a current FBI clearance dated 5/18/2021 which is greater than 60 months after the previous clearance. The file is now current.

Corrected Corrected by May 27, 2022

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

3270.76/3270.77(a) · 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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed on the toddler playground damaged wooden fencing with splintering and peeling paint.

Corrected Corrected by Jun 27, 2022

Category: physical safety. 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 file for child #1, preschool aged, is lacking a health report conducted during the previous 12 month period.

Corrected Corrected by Jul 25, 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.

The file for child #2, preschool aged, is lacking documentation of a flu vaccine received during the 2021 year.

Corrected Corrected by Jun 3, 2022

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, #3 and #7 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files for staff persons #9 and #10 are lacking current health assessments conducted during the previous 24 month period.

Corrected Corrected by Aug 5, 2022

Category: ratio. Marked corrected in the state record.

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

The fire system test log showed that the system has not been tested every 30 days with tests conducted 11/5/2021, 1/12/2022 and 3/8/2022.

Corrected Corrected by Jun 1, 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 provider self-reported that the facility emergency plan has not been sent to the local municipality.

Corrected Corrected by Jul 29, 2022

Category: physical safety. 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 files for staff persons #7, #9, and #10 are lacking the required 12 hours of child care training completed during the year 12/19/2020 to 12/19/2021.

Corrected Corrected by Aug 5, 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 file for child #2, preschool aged, is lacking a health report and has been in attendance for greater than 60 days.

Corrected Corrected by Jun 3, 2022

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