3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until corrected.

The file for staff person #1, hire date (see IS code sheet), contains a disclosure statement that is lacking a date and is therefore unable to determine if it was obtained prior to the start date in the facility.

Corrected Corrected by May 2, 2025

Category: background checks. 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 persons #2,3 and 4 contain current fire safety training that was conducted greater than 12 months after the previous fire safety training.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. 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 an unlocked cabinet under the sink and accessible to children in care toxics including Resolve cleaner, Goo Gone, and Oxy-clean, all labeled Keep Out of Reach of Children.

Corrected Corrected by Sep 17, 2024

Marked corrected in the state record.

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

The file for child #3 contains an agreement that is lacking the child's arrival and departure times.

Corrected Corrected by Sep 18, 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 contains the original agreement.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #3 contains emergency contact information that is lacking health insurance coverage and policy number.

Corrected Corrected by Sep 17, 2024

Category: health medication. 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 and 4 contain current emergency contact and financial agreements that were updated greater than 6 months after the previous review.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire alarm test log identifies that alarm tests exceeded 30 days from 1/23/24 to 2/27/24, 3/26/24 to 4/30/24 and 7/24/24 to 8/29/24.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1 contains only 3 of the required 12 training hours during the year 12/19/22 to 12/19/23. The file for staff person #2 is lacking verification of any training hours during the year 12/19/22 to 12/19 23.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #2 is lacking a health report conducted within 60 days of the first day of attendance. The file does contain a current health report.

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.

The facility policy on Shaken Baby Syndrome / Abusive Head Trauma does not address the prevention and identification of child maltreatment as required in Announcement C-22-03.

Corrected Corrected by Sep 29, 2023

Category: ratio. Marked corrected in the state record.

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

The operator has not provided parents with an updated letter regarding the facility emergency plan including lockdown procedures and accommodations for infants, toddlers, and children with special needs and chronic medical conditions.

Corrected Corrected by Sep 28, 2023

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 #1 will have until 10/5/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

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.

Corrected Corrected by Sep 28, 2023

Category: supervision. Marked corrected in the state record.

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

The file for staff person #1 is lacking a valid health assessment prior to start date in a child care position. The file does include a current health assessment.

Corrected Corrected by Aug 22, 2023

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 person #1 is lacking a valid TB test conducted within 12 months of the start date in a child care position.

Corrected Corrected by Sep 28, 2023

Category: health medication. 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.

An exposed nail was observed protruding from a makeshift wall serving as a room divider in an area accessible to children in care. Contact with said nail could cause laceration and/or puncture injuries.

Corrected Corrected by Sep 21, 2022

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff persons #1 through #6 will have until 10/07/2022 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1through #6, staff persons #1 through #6 may not work in a child-care position at the facility.

The files for Staff #1 through #6, who each have been employed at the facility for more than 90 days, did not contain acceptable documentation of the completion of PQAS approved Pediatric CPR/First Aid. The files for Staff #1and #4 contained documentation of the completion of Health and Safety Basics training; however, the trainings completed are not accepted by our department.

Corrected Corrected by Sep 22, 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 #4 may not work in a child care position at the facility.

The file for Staff #4, who has been employed in a child care position for more than 45 days, did not contain an FBI Criminal History Clearance. Staff #4 cannot work in a child care position until an FBI Clearance is obtained.

Corrected Corrected by Sep 23, 2022

Category: background checks. 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.

An approximately 18"x12" plastic storage bin in an area accessible to children in care was observed to have cracked edges that create pinching point and could cause laceration injuries.

Corrected Corrected by Sep 21, 2022

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 file for Child #2 contained an emergency contact form that did not include the addresses of three listed person to whom the child can be released.

Corrected Corrected by Sep 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #1 contained an immunization record that did not include the following immunizations as recommended by the ACIP: Third Hepatitis B, third and fourth DTAP, Influenza, ROTA (two doses), third IPV, and first MMR. The file for Child #3 contained immunization records that did not include annual influenza vaccines administered in the past year.

Corrected Corrected by Oct 7, 2022

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 files for Staff #4 and #5 contained health assessments that were completed after each staff member's first date in a child care position.

Corrected Corrected by Sep 26, 2022

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 #6 contained only one written, non-family reference.

Corrected Corrected by Sep 22, 2022

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. Staff #1 may not work in a child care position.

The file for staff person #1, provisionally hired on 11/11/2020, is lacking an NSOR verification within 45 days of hire as required for provisional hire under CPSL.

Corrected Corrected by Oct 13, 2021

Category: background checks. 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 then toddler area of the child care space a canvas bin with an exposed wire rim posing a sharp edge.

Corrected Corrected by Oct 13, 2021

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 the toddler area of the child care space foam blocks with bite marks and evidence of small pieces missing from the edges posing a choking hazard for children still placing objects in the mouths.

Corrected Corrected by Oct 13, 2021

Category: physical safety. 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 #1 and #2, both preschool aged, and child #3, young toddler, were missing verification of a flu vaccination received during the previous year.

Corrected Corrected by Nov 1, 2021

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 #2, serving as an assistant group supervisor, contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current.

Corrected Corrected by Oct 13, 2021

Category: supervision. Marked corrected in the state record.

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

The file for staff #3 contains a current health report that is lacking verification of examination for communicable disease and the results of the examination and also lacking a physician's statement regarding the person's suitability to provide child care.

Corrected Corrected by Oct 28, 2021

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