3270.113(b) · 1) A facility person may not use any form of physical punishment, including spanking a child. 2) The Legal entity will arrange for all staff to attend a live virtual or in person training with ELRC 2 staff regarding effective and age-appropriate handling of children with challenging behaviors

Based on video footage, Staff #1 grabbed Child #1's left arm by the elbow after Child #1 took a baby doll from another child. Based on video footage, Staff #1 took the baby doll from Child #1 and dropped it on the floor as Child #1 lifted their legs as Staff #1 turned Child #1 to face the opposite direction. Based on video footage, when Child #1 lifted their legs, Staff #1 held onto Child #1's arm and also grabbed Child #1 under the armpit to get Child #1 to stand. Based on video footage, Child #1 grabbed his/her left arm as Staff #1 lead Child #1 towards a chair to sit. Based on interviews, Child #1 was placed in the chair for time out.

Corrected Corrected by Dec 11, 2025

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. Staff person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training

Corrected Corrected by Oct 3, 2025

Category: ratio. 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.

The file of Staff Person #1 lacked documentation of completing pediatric first aid/CPR from a PQUAS approved trainer and a PQUAS approved curriculum within 90 days of their date of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and CPR on 6/25/25.

Corrected Corrected by Oct 3, 2025

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).

Staff Person #1 lacked documentation of completing mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #1 had documentation of completing mandated reporter training on 6/19/25.

Corrected Corrected by Oct 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

2nd citation. Previously cited on 6/17/25. Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #1 completed Part 1 of the health and safety training.

Corrected Corrected by Aug 26, 2025

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.

The file for staff #1 was observed not to have Pediatric first-aid /CPR training and Health and Safety training within the first 90 days of hire. This is evidenced by the DOH 6/17/254 and the trainings completed on 6/23/25 and 6/25/25.The file for Staff #4 was observed not to have Health and Safety training in the 90-day period. This is evidenced by the starting date of 1/6/25 and the health and safety training being done 6/19/25. The file for Staff #7 was observed not to have Health and Safety training in the 90-day period. The health and safety training has not been completed. The file for Staff #3 was observed not to have Pediatric first-aid/CPR training done in the first 90 days. This is evidenced by the starting date of 5/20/2024 and the training done on 6/25/25

Corrected Corrected by Sep 29, 2025

Category: ratio. 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 Emergency contact form on file for Child #2 was observed not to have the release person's address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 1, 2025

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 file for child #1, child #2 and child #3 were observed not to contain an updated health assessment.

Corrected Corrected by Sep 25, 2025

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

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

The file for Child #3 was observed not to have an initial health assessment. This is observed as start date 2/3/2025.

Corrected Corrected by Sep 25, 2025

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

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

The file for staff #1, staff #2, staff #3, staff 4, staff #5, staff #6, and staff #7 were observed not to have a minimum of 12 clock hours of childcare training.

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed that staff did not wash children's hands after diapering.

Corrected Corrected by Aug 25, 2025

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

A staff person shall ensure that a their hands are washed before meals and snacks, after toileting and after being diapered.

Corrected Corrected by Aug 25, 2025

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

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Based on interviews and documentation, when children played in the parking lot/dead-end street, no fencing or natural barriers were present to restrict children from the storm drain grates or main road.

Corrected Corrected by Sep 12, 2025

Category: physical safety. 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 persons #2, #3, and #4 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #2, #3, and #4-, staff persons #2, #3, and #4 may not work in a child-care position at the facility.

Staff persons #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR and health and safety training. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR and health and safety training. Staff person #4 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric first aid and CPR, health and safety training, and mandated reporter training.

Corrected Corrected by Aug 8, 2025

Category: supervision. 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. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children at a minimum by AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility

Staff person #7 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring August of 2024. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Aug 8, 2025

Category: supervision. Marked corrected in the state record.

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

Staff #6 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #6 had documentation of pediatric first aid and CPR completed on 11/1/24 with a previous one completed on 10/21/22 with an expiration date of October 2024.

Corrected Corrected by Aug 8, 2025

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff persons #1, #4, #5, and #7 must be supervised, when interacting with children at a minimum by AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1, #4, #5, and #7, staff persons #1, #4, #5, and #7 may not work in a child-care position at the facility

Staff persons #1, #4, #and #5 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid and CPR and health and safety training. Staff person #7 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Aug 8, 2025

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). Until such time as the required training has been completed, staff persons #1 and #4 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff persons #1 and #4, staff persons #1 and #4 may not work in a childcare position at the facility.

Staff persons #1 and #4 have not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 8, 2025

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). Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children at a minimum by AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a childcare position at the facility.

Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/11/18.

Corrected Corrected by Aug 8, 2025

Category: supervision. 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 Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility had documentation of the last fire drill being conducted on 6/3/24.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested last on 6/3/24.

Corrected Corrected by Aug 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

On the date of inspection, 10/2/24 it was observed that in the infant room, an infant sleeping in a bouncy seat and an infant sleeping in a swing.

Corrected Corrected by Oct 25, 2024

Category: health medication. 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 the school-age child care space was observed not to contain gloves.

Corrected Corrected by Sep 16, 2024

Category: physical safety. 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 emergency plan did not have documentation to address continuity of operations.

Corrected Corrected by Sep 16, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The files for Staff #1, Staff #2, Staff #3, Staff #4, Staff #5, Staff #6, Staff #7, and Staff #8 did not have documentation of fire safety training conducted annually.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons #2, #3 and #4 shall complete professional development in the topics of 3270.31 (f) (1-10), within 90 days of hire. Staff person #2, #3, and #4 will have until 9/20/24 to complete the required training. Until such time as the required training has been completed, staff person #2, #3 and #4 must be supervised when interacting with children by an AGS, primary staff person who has completed the required training related to this citation. If there are no staff available to supervise, staff persons #2, #3, and #4 may not work in a child-care position at the facility.

Staff persons #2, #3, and #4 have not completed the following required pre-service training within 90 days of their date of hire (See LIS code sheet): documentation of Health and Safety Training.

Corrected Corrected by Oct 7, 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).. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff # 9 may not work unsupervised by an AGS or Primary staff person.

The FBI clearance on file for Staff #9 was a PDE file and not the correct DHS clearance for compliance with CPSL and with Chapter 3490.

Corrected Corrected by Oct 1, 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.

An outlet cover on the portable stair chair accessible to children going up and down the stairs to access the restroom, was observed to be missing.

Corrected Corrected by Sep 27, 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.

A bottle of Windex marked "keep out of reach of children" was observed on the floor between the sink and the toilet door.

Corrected Corrected by Sep 27, 2024

Category: ratio. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

The waste receptacle located in the school-age room did not have a lid. The waste contained used tissues that contained human secretions.

Corrected Corrected by Sep 16, 2024

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.

It was observed that posted hand washing signs were not above every toilet in the girl's restroom and the small bathroom at the top of the stairs.

Corrected Corrected by Sep 16, 2024

Category: health medication. 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.

In the outdoor play area, it was observed that small rocks/shells were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Sep 30, 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 Agreement on file for Child #3 was observed not to contain a signature of the operator nor the parent.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The fee agreement on file for Child #2 and Child #3 did not specify the fee amount or the date on which the fee is to be paid.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. 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 Agreement form on file for Child #1, Child #2 and Child #3 were observed not to contain the services to be provided nor documentation of a Child Service Report.

Corrected Corrected by Sep 30, 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 agreement on file for Child #3 was observed not to have documentation of arrival and departure times.

Corrected Corrected by Sep 30, 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 agreements on file for Child #1 and Child #3 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #3 did not specify the date of the child's admission.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements on file for Child #1, Child #2 and Child #3 were observed not to specify the services which are to be considered as extra.

Corrected Corrected by Sep 30, 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 file for Child #3 was observed not to have a complete Emergency Contact Form or an Agreement completed, therefore the parent did not receive the original documents.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The Emergency contact form on file for Child #3 did not contain who shall be contacted in an emergency.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency contact form on file for Child #3 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Sep 17, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency contact form on file for Child #3 did not include the work address of the enrolling parent.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. 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 #3 was observed not to have written consent signed by a parent for emergency medical care.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The Emergency contact form on file for Child #2 and Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Sep 17, 2024

Category: health medication. 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 Emergency contact form on file for Child# 3 and Child #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. The Emergency contact form on file for Child #2 did not include the policy number for a child under a family policy or medical assistance benefits, if applicable.

Corrected Corrected by Sep 17, 2024

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 Emergency contact form on file for Child #4 did not contain the address of the individual designated by the parent to whom the child may be released. The Emergency contact form on file for Child #3 did not list the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact forms for Children #4, #5 and #6 were not present in the child care space during the inspection.

Corrected Corrected by Sep 17, 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 file for Child #3 was observed not to have documentation of Emergency Contact information or Fee Agreement at least once in a 6-month period.

Corrected Corrected by Sep 17, 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 #1 was observed not to have documentation of an updated health report.

Corrected Corrected by Oct 8, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Staff Person #5 and staff person #7 were observed not to have documentation of a health assessment being done every 24 months. This is evidenced by staff Person #2 Health assessment being dated 10/19/21 and 6/26/24. Staff Person #7 was dated 9/3/20 and 7/1/24.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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 #2 and Staff #9 were observed not to have documentation of a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Sep 17, 2024

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 health assessment on file for Staff #4 did not include an exam for communicable diseases and assess the person's suitability to provide childcare.

Corrected Corrected by Aug 13, 2024

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

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The file for Child #3 was observed not to have written consent signed by a parent for administration of medications or special dietary needs.

Corrected Corrected by Sep 17, 2024

Category: ratio. 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 #3 was observed not to have written consent signed by a parent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for Child #3 was observed not to have written consent signed by a parent for transportation or walking excursions.

Corrected Corrected by Sep 17, 2024

Category: transportation. 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.

An outdated certificate of compliance was observed hanging on the bulletin board in the upstairs location used by school age children. This is evidenced by the date being 10/2/23.

Corrected Corrected by Sep 16, 2024

Marked corrected in the state record.

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

The files. for Staff Person #1, #2, #3, #4, #6, #7 and #8 were observed not to have documentation of 12 clock hours of child care training.

Corrected Corrected by Oct 7, 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.

It was observed that there is not documentation of a health form on file for Child #2 or Child #3.

Corrected Corrected by Sep 17, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter training and Health and Safety training in topics #1-9.

Corrected Corrected by Jul 28, 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.

The facility Emergency Plan is lacking a plan for Continuity of Operations following an emergency.

Corrected Corrected by Aug 23, 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.

The facility is lacking a policy regarding Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

Corrected Corrected by Aug 23, 2023

Category: ratio. 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 diaper changing areas in the older toddler room and young toddler room are lacking handwashing signs.

Corrected Corrected by Jul 31, 2023

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

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

The files for staff persons #2,3,5,6,7 and 9, start dates (see IS code sheet), contain Pennsylvania Health & Safety Update 2022 completed after the required date of 12/30/2022. The training is now current.

Corrected Corrected by Jul 31, 2023

Category: ratio. 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 person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid/Pediatric CPR and Health and Safety training topics #1-9. The trainings are now completed.

Corrected Corrected by Jul 28, 2023

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #4 and #8 may not work in a child care facility.

The file for staff person #4, hire date (see IS code sheet), contains a disclosure statement that was signed after the start date in the child care facility and is lacking a child abuse clearance and has exceeded 45 days since hire.. Staff person #4 was observed working unsupervised caring for children in the school age room. The file for staff person #8, hire date (see IS code sheet), is lacking a completed NSOR and has exceeded 45 days since start date.

Corrected Corrected by Jul 31, 2023

Category: supervision. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed in the upstairs school age room a window lacking a restriction from opening greater than 6 inches.

Corrected Corrected by Jul 31, 2023

Category: physical safety. 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 the infant room is lacking tweezers.

Corrected Corrected by Jul 28, 2023

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 in the downstairs corner in the area where older toddlers are cared for, a strip of wood on the wall containing protruding nails accessible to children in care.

Corrected Corrected by Jul 28, 2023

Category: physical safety. 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.

The dress-up clothing rack in the downstairs preschool area was cracked at the top edges where a piece of trim had broken off. The edges were sharp and splintering causing a hazard to the children.

Corrected Corrected by Jul 28, 2023

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

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

The files for child #1 and child #3 are lacking a child service report completed during the previous 6-month period.

Corrected Corrected by Aug 29, 2023

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 files for children #1 and #2 contain the original agreement. ,

Corrected Corrected by Jul 31, 2023

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 #1,2,3 and 4 contain current emergency contact and financial agreements that were reviewed and updated greater than 6 months following the previous reviews. The files are now current.

Corrected Corrected by Jul 28, 2023

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 file for child #3, older toddler, is lacking a health report completed during the previous 12-month period.

Corrected Corrected by Sep 6, 2023

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

3270.131(e)(3)/3270.131(e)(4) · 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 facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

The files for children #1 and #3 are lacking verification of a flu shot received during the previous year as required by the ACIP immunization schedule. Children #1 and #3 must be removed from care until documentation of a current flu shot or an exemption letter is received.

Corrected Corrected by Sep 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 #7 is lacking a health report completed during the previous 24 month period. The file for staff person #9 contains a current health report that was completed greater than 24 months after the previous health report. Staff #9 health assessment is now current.

Corrected Corrected by Sep 6, 2023

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

In the preschool area and in the school age room observed lunch boxes containing foods that require refrigeration including a hot dog, yogurt and turkey/cheese lunchables to be sitting out on the shelf and table.

Corrected Corrected by Jul 28, 2023

Category: ratio. 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 #8 contains only one of the required 2 written, nonfamily references.

Corrected Corrected by Aug 3, 2023

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 files for staff persons #7 and #9 each contain only 10 of the required 12 annual training hours completed during the previous 12 month period.

Corrected Corrected by Sep 6, 2023

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 files for children #1 and #2 are lacking initial health reports that were obtained within 60 days of start date in the facility. The files do contain current health reports.

Corrected Corrected by Aug 28, 2023

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 #1 and #4 contain emergency contact information that is lacking the address for the designated release persons.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3) · 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 emergency plan does not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Sep 30, 2022

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

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

The financial agreement for child #1 was lacking arrival and departure times.

Corrected Corrected by Sep 16, 2022

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 persons # 2,3,4,6,7 and 10 must be supervised by a 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 persons # 2,3,4,6,7 and 10, staff persons # 2,3,4,6,7 and 10 may not work in a child-care position at the facility.

Staff persons # 2,3,4,6,7 and 10 were observed to be caring for children unsupervised. Staff persons #2,3,4,6,7 and 10 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training topics 1-9.

Corrected Corrected by Sep 1, 2022

Category: supervision. Marked corrected in the state record.

3270.27(a)(4) · 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 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 30, 2022

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.

Staff persons #5,6,8 and 9 did not receive emergency plan training within 90 days of initial hire. They do have current emergency plan training.

Corrected Corrected by Sep 1, 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 has not provided parents with a letter explaining the emergency procedures.

Corrected Corrected by Sep 30, 2022

Category: physical safety. 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 person #2,3,4,6,7 and 9 will have until 8/23/2022 to complete the required training. Until such time as the required training has been completed, staff person #2,3,4,6,7 and 9 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 person #2,3,4,6,7 and 9, staff person #2,3,4,6,7,and 9 may not work in a child-care position at the facility.

Staff persons #2,3,4,6,7 and 9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): first 9 topics of the health and safety trainings.

Corrected Corrected by Sep 30, 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 #6 may not work in a child care position at the facility.

The file for staff person #6, hire date (see IS code sheet), contains a disclosure statement that was not signed and is therefore not valid.

Corrected Corrected by Sep 1, 2022

Category: background checks. 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 #8 will have until 8/18/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has been employed more than 90 days and does not have mandated reporter training. Staff persons #3, #6, #7 and #9 have current mandated reporter training completed greater than 90 days after hire. Their trainings are now current.

Corrected Corrected by Sep 1, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a)(1) · 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). 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.

Observed at approximately 10:30am staff person #2 in the school age room supervising 11 school age children and 1 preschool child. Staff person #2 stated that staff person #4 had left the room and would be right back. Staff person #2 was alone with 12 children including a preschool child for approximately 5 minutes until staff person #4 returned.

Corrected Corrected by Aug 1, 2022

Category: supervision. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed on the countertop in the upstairs girls and boys bathrooms Lysol disinfectant spray and Clorox wipes accessible to children using the bathroom. Observed in the downstairs preschool child care space a container of Clorox wipes on the portable sink and a container of hand sanitizer on a low shelf, both accessible to children in care. The Lysol, Clorox and hand sanitizer all said keep out of reach of children.

Corrected Corrected by Sep 1, 2022

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

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

Observed 9 preschool children receiving care on the playground and a first-aid kit was not present.

Corrected Corrected by Sep 1, 2022

Category: physical safety. 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.

Observed the first-aid kit in the infant room was lacking tape.

Corrected Corrected by Sep 1, 2022

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 playground 6 exposed and protruding bolts on the newly installed gate.

Corrected Corrected by Sep 23, 2022

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.

There was no written plan of daily activities posted in the school age room or the preschool and toddler room.

Corrected Corrected by Sep 1, 2022

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

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

The financial agreement for child #1 was not signed by the operator.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed that emergency contact information was not available for 9 preschool aged children receiving care on the outdoor play space.

Corrected Corrected by Sep 1, 2022

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 informationA 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 #2,3,4 and 5 contain current emergency contact information that was updated more than 6 months after the previous update. The files for children #2,3,4 and 5 contain financial agreements that have not been updated during the previous 6 month period.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for child #3 and #5, both preschool aged, are lacking current health assessments completed during the previous 12 month period.

Corrected Corrected by Sep 30, 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 files for child #2, #3 and #5, all preschool aged, are lacking verification of a flu shot received during the year 2021.

Corrected Corrected by Sep 1, 2022

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

3270.135(c) · The diapering area may not be used for food preparation or food service.

Observed in the infant room that the same sink used for handwashing after diaper changes is used for filling and mixing infant formula bottles.

Corrected Corrected by Sep 1, 2022

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 files for staff persons #1, #2 and #4 are lacking health assessments completed during the previous 24 month period.

Corrected Corrected by Sep 21, 2022

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 #10 is lacking documentation of a TB test.

Corrected Corrected by Sep 30, 2022

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

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

The file for staff person #5 contains a current health assessment that contains a physician statement that the individual has a communicable disease but does not include information of its effect on providing child care.

Corrected Corrected by Sep 1, 2022

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 and toddlers.

Corrected Corrected by Sep 30, 2022

Category: physical safety. 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 provider does not have a log identifying an emergency drill conducted during the year 12/19/2020 to 12/19/2021.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Staff persons #2,6,7 and 9 have current pediatric first and pediatric CPR training completed greater than 90 days after hire. The files are now current.

Corrected Corrected by Sep 1, 2022

Category: health medication. 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 test log identifying that the fire detection system is tested at least every 30 days.

Corrected Corrected by Sep 1, 2022

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.

The operator has not provided parents with information on how to access the regulations electronically.

Corrected Corrected by Sep 1, 2022

Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility emergency plan does not include lockdown procedures.

Corrected Corrected by Sep 30, 2022

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 operator does not have documentation that the current emergency plan has been sent to the local municipality and county emergency management agency.

Corrected Corrected by Sep 30, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file of child #1 lacked an emergency contact form with the full work address of the enrolling parent.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The files of children #1, #2, and #3 lacked an emergency contact form with the full address of the child's physician or source of medical care.

Corrected Corrected by Aug 10, 2021

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

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

The file of staff #1 lacked documentation of completing Mandated Reporter training every 60 months due to the fact the only document of training on file was dated 8-11-15. The file of staff #6 with a hire date of 8-26-20 lacked completing Mandated Reporter training within 90 days of initial employment due to the fact the document for completing training was dated 3-6-21.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(4)/3270.192(2)(iv) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file of staff #3, a Group Supervisor lacked proof of qualifications due to the fact there was not a transcript and no experience on file. The file of staff #4, a Group Supervisor lacked proof of experience.

Corrected Corrected by Aug 10, 2021

Category: supervision. Marked corrected in the state record.

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

The file of staff #5, an Assistant Group supervisor lacked 2 years' experience, due to the fact there were only 150 hours documented on file.

Corrected Corrected by Aug 10, 2021

Category: supervision. Marked corrected in the state record.

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

Observed in the toddler space a broken plastic lid to a contained housing crayons and a broken plastic container housing Lincoln Logs.

Corrected Corrected by Jul 23, 2021

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of the inspection, there was not a daily schedule posted in the upstairs school age space.

Corrected Corrected by Aug 10, 2021

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

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

The file of child #2 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. 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 of staff #2 with a start date in care with children of 6-2-21 had a health assessment dated 8-9-19. Therefore it was more than 12 months prior to providing initial service in a child care setting. The file of staff #3 with a start date in care with children of 6-14-21 had a health assessment dated 5-13-19.Therefore it was more than 12 months prior to providing initial service in a child care setting. The file of staff #4 had a health assessment with an unknown date due to the fact the document from the doctor's office was dated: 5-3-202.

Corrected Corrected by Aug 10, 2021

Category: ratio. 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 of staff #2 and #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.