3270.35(b)(3)/3270.192(2)(iii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of 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 #2, a Group Supervisor, lacked a transcript of the associate's degree to show proof of education in the human service field.

Corrected Corrected by Jun 5, 2024

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 in the preschool room in the fellowship hall, essential oils labeled "keep out of the reach of children" stored on a shelf accessible to children. Observed in the restroom between the toddler rooms, Glade brand aerosol spray, Clorox wipes, and 4 tubes of diaper cream all labeled, "keep out of reach of children" stored on shelves accessible to children. Observed in preschool room 4, Banana Boat sunscreen labeled "keep out of the reach of children" in the bookbag of child #7 hanging in a cubby accessible to children.

Corrected Corrected by Jun 4, 2024

Category: health medication. 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 restroom between the toddler rooms a clear bottle of liquid not labeled stored on top of the paper towel dispenser.

Corrected Corrected by Jun 4, 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.

Observed in the younger preschool room, used tissues in a garbage can without a lid.

Corrected Corrected by Jun 5, 2024

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 in the preschool room, the first-aid kit lacked sterile gauze.

Corrected Corrected by Jun 4, 2024

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 on the playground, holes in the poured surface inside the dome climbing structure, near the bench, under swing set, and near the spiral slide.

Corrected Corrected by Sep 6, 2024

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

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

Observed in preschool 4 room and the toddler room foam blocks with bite marks.

Corrected Corrected by Jun 5, 2024

Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

During naptime, certificate representative observed staff #2 and #3 in the older toddler room both on their phones. Therefore, proper supervision of the children was not observed.

Corrected Corrected by Jun 5, 2024

Category: supervision. 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 of children #4 and #5 lacked emergency contact forms with the release persons' complete address.

Corrected Corrected by Jun 5, 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 of child #5 lacked documentation of parent review of the emergency contact information and financial agreement every 6 months.

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file of child #6 lacked an immunization record.

Corrected Corrected by Jul 24, 2024

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed medications for children #1, #2, and #3 but no medication logs.

Corrected Corrected by Jun 5, 2024

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

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

The file of staff #1 had a health assessment that was not dated.

Corrected Corrected by Jun 14, 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 of staff #1 lacked documentation of tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Jun 14, 2024

Category: health medication. 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.

At the time of the inspection, the fire drill log showed drills had been conducted more than 60 days apart based on the following dates: 10-3-23 to 12-18-23 = 76; 12-18-23 to 3-4-24 = 77 days and 3-4-24 - 5-24-24 = 81 days.

Corrected Corrected by Jun 4, 2024

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.

At the time of the inspection, the emergency plan had not been sent to the county emergency management agency.

Corrected Corrected by Jul 11, 2024

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

3270.166(7) · Neither bottled formula nor human milk may be heated in a microwave.

There were no infant feeding schedules for the 4 infants observed in care at the time of the inspection.

Corrected Corrected by Jun 15, 2024

Category: nutrition. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person # 7 and 10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and Pediatric First Aid. There is now training on file for both dated 2/23/23.

Corrected Corrected by Feb 23, 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 #1 and 2 lacked the one-hour health and safety update required by 12/30/22. The one-hour update is now on file. The files for staff #3 and 4 lack the one-hour health and safety update required by 12/30/22.

Corrected Corrected by Aug 30, 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's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Jul 3, 2023

Category: ratio. 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.

There was more than 12 months between fire safety trainings on file for staff #1 which are dated 3/19/22 and 4/24/23. The file for staff #4 lacks fire safety training within the past 12 months.

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff #4 lacked a disclosure statement on or before initial start in a child care position. SEE IS CODE SHEET. There is now a disclosure statement on file and dated 6/5/23 and there was more than 60 months between FBI clearances on file for staff #4. Dates are as follows: 6/4/18 and 7/3/23. The file for staff #5 lacked an FBI clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 6/15/23. The file for staff #10 lacked a Child Abuse clearance on or before initial start date in a childcare position. SEE IS CODE SHEET. There is now a Child Abuse clearance on file dated 11/8/22,

Corrected Corrected by Jul 10, 2023

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 protective services).

There was more than 60 months between mandated reporter trainings on file for staff #6. This is evidenced by the trainings on file dated 9/20/17 and 12/7/22.

Corrected Corrected by Dec 7, 2022

Category: recordkeeping. 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.

In the Young Toddler room, observed that the diapering area lacked a hand washing sign.

Corrected Corrected by Aug 15, 2023

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The files for child #3, 4 and 5, who are infants/ young toddlers, lack a health report within the past six months. Child #3 dated 7/7/22, child #4 dated 12/6/21 and child #5 - 12/15/22.

Corrected Corrected by Aug 30, 2023

Category: health medication. 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. who is an older toddler, lacks a health assessment which was completed within the past 12 months. Last health assessment on file is dated 3/18/22. There was more than 12 months between the previous and most current updated health assessment on file for child #2, who is an older toddler. Dates are 3/3/22 and 5/30/23.

Corrected Corrected by Aug 30, 2023

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

3270.131(d)(5)/3270.131(e)(3) · Child(ren) # 1, 4 and 5 must be dismissed from care by close of business 7/24/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for child #1 lacks a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #4 contains 1 of 3 Hep B, 1 of 4 DTAP, 1 of 3 HIB, 1 of 4 IPV, 0 of 1 MMR and Varicella and 1 of 3 Pneumococcal vaccinations and a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file or child #5 lacks 1 of 2 Rotavirus, 1 of 3 DTAP, 1 of 2 HIB, 1 of 3 PCV and 1 of 2 Polio vaccinations as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 30, 2023

Category: health medication. 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.

In the infant room, observed an infant being diapered. Staff did not wash/wipe the infants' hands after diapering.

Corrected Corrected by Jul 10, 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 facility person #9, who works with food preparation, lacks a health assessment which was completed within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jul 21, 2023

Category: ratio. Marked corrected in the state record.

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health report on file for staff #8 was signed by an LPN.

Corrected Corrected by Jul 17, 2023

Category: health medication. 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 files for staff #1 and 4 lack a TB test within 12 months prior to providing service in a childcare setting. The file for facility person #9, who works with food preparation, lacks a TB test which was completed within 12 months prior to providing initial service in a childcare setting.

Corrected Corrected by Aug 30, 2023

Category: ratio. Marked corrected in the state record.

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

The health report on file for staff #8 lacks an examination for communicable diseases and the results of that examination and a physician or CRNP's assessment of the suitability to provide child care.

Corrected Corrected by Jul 17, 2023

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

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

The facility lacked a written statement from the parent giving the formula and feeding schedule for infant #6.

Corrected Corrected by Aug 15, 2023

Category: nutrition. 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 #8 contains 1 of the required 2 non written, nonfamily references.

Corrected Corrected by Jul 14, 2023

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 operator did not send the most recent update of the emergency plan to the local municipality.

Corrected Corrected by Jul 3, 2023

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Preschool 3-4 room, observed sharp scissors in an unlocked drawer and accessible to the children in care.

Corrected Corrected by Jun 24, 2022

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

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff person #2, employed for more than 90 days (see LIS Code Sheet), did not have first aid/CPR training from an approved curriculum nor PQUA certified instructor as required by 3270.31(f)(10) within 90 days of hire. Staff person #2 has since obtained a pediatric first aid/CPR training dated 4/23/22 that is an approved curriculum and there is documentation from the training organization that the trainer is certified to train the approved curriculum.

Corrected Corrected by Apr 23, 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) within 90 days of hire. Staff person #4 will have until 7/30/22 to complete the required training. Until such time as the required training has been completed, staff person # 4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person # 4-, staff person # 4may not work in a child-care position at the facility.

Staff person # 4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f) (1-9) (Health and Safety training).

Corrected Corrected by Jul 30, 2022

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 # 3 will have until 7/26/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3-- 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 11/3/2016.

Corrected Corrected by Jul 24, 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). Facility person #12 may not work at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The files for staff #7and 9 lack the disclosure statement required under the CPSL. The file for staff #12 contains a DOE FBI clearance dated 4/4/22 and not the required DHS clearance required under the CPSL.

Corrected Corrected by Jul 25, 2022

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, who holds the title of assistant group supervisor, lacks 814 hours of child care experience. There is a high school diploma and 1686 hours of child care experience on file. The file for staff #5, who holds the title of assistant group supervisor, lacks 2110.3 hours of child care experience. There is a high school diploma and 389.7 hours of child care experience on file. The file for staff #12, who holds the title of assistant group supervisor, contains an associates degree which is not in the human service field and the transcript was not on file to verify human service field credits. There are 1591 hours of child care credits. Therefore, the file is lacking either 15 credits in the human service field or an additional 909 hours of child care experience.

Corrected Corrected by Jun 28, 2022

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.

In the 3 year old room, observed an electrical outlet which lacked a protective receptacle cover. In the Pre-K room, observed an electrical outlet which lacked a protective receptacle cover.

Corrected Corrected by Jun 24, 2022

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.

In the Nursery room, observed a bottle of toxic cleaner which lacked a label which specified the contents. In the 2 year old room, observed 2 bottles of toxic cleaner which lacked labels which specified the contents.

Corrected Corrected by Jun 24, 2022

Category: ratio. 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 PS 3-4 room lacked scissors.

Corrected Corrected by Jun 24, 2022

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

3270.124(b)(2)/3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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.

Emergency contact information on file for child #1 lacks the address and full phone number of the child's physician r source of medical care. Emergency contact information on file for child #2 lacks the address of all individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jun 27, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The PS 4 room lacked a conspicuously displayed written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Jun 27, 2022

Category: transportation. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

There was more than six months between the previous and most current and updated health assessments on file for child #3, who is a young toddler.

Corrected Corrected by Jun 7, 2022

Category: health medication. 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.

There was more than 12 months between the previous and most current and updated health assessment on file for child #1, who is of preschool age.

Corrected Corrected by Mar 9, 2022

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

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

In the 1 year old room, observed Children's Acetaminophen which lacked the name of the child for whom the medication was intended.

Corrected Corrected by Jun 24, 2022

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.

In the Nursery, observed Infant Ibuprofen which expired 5/22.

Corrected Corrected by Jun 24, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

In the Nursery, observed Children's Acetaminophen which lacked written parental consent for administration.

Corrected Corrected by Jun 24, 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 file for staff #8 lacks a health assessment which was conducted 12 month prior to providing initial service in a child care setting. Health assessment on file is dated 5/24/21. ( See LIS Code Sheet). There was more than 24 months between the previous and most current and updated health assessment on file for staff #10. There is a current health assessment on file and dated 10/20/21.

Corrected Corrected by Aug 27, 2022

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 files for staff #8, 9 and 11 lack a TB test by the Mantoux method which was conducted within 12 months prior to providing initial service in a child care setting. The TB tests dates on file are as follows: Staff #8 - 5/27/21, Staff #9 - 1/2/20 and Staff #11 - no test on file. See LIS Code Sheet. The TB test on file for staff #13 lacks the results of the tuberculin skin test.

Corrected Corrected by Jun 29, 2022

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 current health assessment on file for staff #13 lacks an examination for communicable disease and the results of that examination and the physician or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jul 29, 2022

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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 record for child #2 lacked signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 24, 2022

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

Staff #3 and 6 were required to have training in CPR/FA by 6-17-21 due to the regulation change that took effect on 12-19-20 but did not obtain the training until 8/7/21.

Corrected Corrected by Aug 7, 2022

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

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

Based on staff interviews, over the last 30 days, the preschool room, located directly beside the directors office, has been out of ratio on at least 3 occasions. Older toddlers are brought in at the end of the day and there are usually 10 children with one staff who are of preschool and older toddler age. Out of ratio 1:10.

Corrected Corrected by Apr 6, 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. Proof of purchase of interconnected fire detection system/devices shall be on file at the facility.

The facility file lacked verification of proof of purchase of the interconnected fire detection system.

Corrected Corrected by Sep 21, 2021

Category: recordkeeping. Marked corrected in the state record.