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 record for staff #2 included a CJIS FBI check which is unacceptable because it does not meet the requirement for a facility person to have a current and valid DHS FBI Clearance to work in child care.

Corrected Corrected by Aug 28, 2024

Category: background checks. 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).

Upon arrival to the facility at approximately 10:30 AM, staff #1 answered the door and left staff #2 alone with no other staff present to supervise a group of 9 children of mixed age levels, including 8 preschool children and 1 older toddler, in the social hall.

Corrected Corrected by Aug 16, 2024

Category: supervision. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A set of double doors equipped with panic bars, identified by signage hung above the doors as an exit and used to access the outdoor play space, were unable to be opened without using excessive force.

Corrected Corrected by Aug 27, 2024

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.

There was a cube shelving unit with sharp corners in the infant room, accessible and posing a potential hazard for children in care.

Corrected Corrected by Aug 16, 2024

Category: physical safety. 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 health assessment for staff #3 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Sep 6, 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.

Staff #2 completed the Pennsylvania Health and Safety Update 2022 on 7/17/2023, which was following the prescribed timeframe of December 30, 2022 required by OCDEL to complete the training, as per Announcement C-22-06. The provider had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not address the prevention and identification of child maltreatment required to maintain compliance with 45 CFR 98.41(a)(1)(vi), as per Announcement C-22-03.

Corrected Corrected by Aug 17, 2023

Category: ratio. Marked corrected in the state record.

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

Staff #3 complete CCDBG health and safety professional development training on 8/16/2016, which prior to 9/30/2016 was not an acceptable training.

Corrected Corrected by Aug 23, 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 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 at the facility.

The record for staff #1 included a PDE FBI clearance, which is not an acceptable clearance for working in child care.

Corrected Corrected by Sep 30, 2023

Category: background checks. 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.

The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children: a set of acrylic markers were stored in an unlocked drawer in the PS4 room and (3) whiteboard markers were stored in an unlocked desk drawer in the hallway.

Corrected Corrected by Aug 14, 2023

Marked corrected in the state record.

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

Peeling paint was observed on an outside door located by the walkway that leads to the entrance to the facility.

Corrected Corrected by Aug 23, 2023

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

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

An operating thermometer was not placed in the refrigerator in the hallway.

Corrected Corrected by Aug 14, 2023

Category: nutrition. Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child(ren) #1 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The facility did not obtain updated written verification from the parent that the influenza vaccine was administered to child #1, a preschool child, in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 14, 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 record for staff #3 lacked a current health assessment.

Corrected Corrected by Aug 25, 2023

Category: ratio. Marked corrected in the state record.

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

Copies of accident reports were not retained in the children's files.

Corrected Corrected by Aug 16, 2023

Category: health medication. 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.

Sharp adult scissors were observed on the counter in the PS 4 room and in an unlocked drawer in the PS 3 room, accessible to children in care.

Corrected Corrected by Aug 15, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The record for staff #1 included a current certificate for mandated reporter training completed on 8/27/2020, more than 60 months following the date of the previous training on 3/21/2015.

Corrected Corrected by Aug 27, 2020

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation every 12 months for staff #1.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(3)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff #1 did not include verification of education and experience with children prior to service at the facility as an AGS.

Corrected Corrected by Sep 24, 2022

Category: supervision. Marked corrected in the state record.

3270.181(c) · 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.

A parent of child #1 did not review their financial agreement at least once in a 6-month period from 8/30/2021 to 3/11/2022.

Corrected Corrected by Mar 11, 2022

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.

The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children in care: there was air freshener and hand lotion on a shelf in the unlocked staff bathroom; and in the PS 3 room, there was hand sanitizer, super glue, and dry erase cleaner in an unlocked drawer and there was (2) bottles of rubbing alcohol and a can of shaving cream in an unlocked cabinet.

Corrected Corrected by Aug 15, 2022

Marked corrected in the state record.

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

There was a container of rocks that were a diameter of less than 1 inch being used for sensory development in the outdoor play space, where infants and toddlers receive care.

Corrected Corrected by Aug 17, 2022

Category: physical safety. 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.

A parent of child #1 did not review their emergency contact information at least once in a 6-month period from 8/30/2021 to 3/11/2022.

Corrected Corrected by Mar 11, 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 record for child #2, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Aug 15, 2022

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A bottle of Equate pain reliever labeled for staff use only was observed in an unlocked drawer in the PS 3 room accessible to children in care.

Corrected Corrected by Aug 15, 2022

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

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

The record for staff #2 lacked a current health assessment.

Corrected Corrected by Aug 24, 2022

Category: ratio. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Child records were not stored in a locked cabinet.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

Facility persons' records were not stored in a locked cabinet.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. 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.

Staff file #1 contained a certificate of completion of Mandated reporter training dated 3/21/15 and 6/26/20 which exceeded the 60 months as required by CPSL. Staff file #2 contained a certificate of completion of Mandated reporter training dated 5/18/15 and 7/1/20 which exceeded the 60 months as required by CPSL.

Corrected Corrected by Aug 23, 2021

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.

The preschool bathroom downstairs lacked a handwashing sign above the toilet.

Corrected Corrected by Aug 23, 2021

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