3270.27(a)(3)/3270.27(a)(4) · 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 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's emergency plan parent letter lacked a method to contact parents during and after an emergency.

Corrected Corrected by May 3, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff #1 -- may not work in a childcare position at the facility.

At the time of inspection, the file for Staff #1 lacked an NSOR clearance. (SEE LIS CODE SHEET)

Corrected Corrected by May 2, 2025

Category: background checks. 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 facility's locked medication box, a bottle of Children's Tylenol labeled for Child #1 and a bottle of Child's Allergy labeled for Child #2 did not contain parental consent for administration.

Corrected Corrected by May 3, 2025

Category: ratio. 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's emergency plan parent letter lacked accommodations for infants, toddlers. children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 3, 2025

Category: physical safety. 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 two most recent Mandated Reporter training certificates on file for Staff Person #1 are dated 4/7/19 and 9/29/24, more than 60 months apart.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. 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 Room 2, an unlabeled spray bottle was observed in a locked cabinet under the sink.

Corrected Corrected by Oct 25, 2024

Category: ratio. 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.

On the outdoor playground area, a green metal siding piece along the building was observed to have sharp edges along the bottom and was accessible to children.

Corrected Corrected by Oct 25, 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.

On the outdoor playground area, a plastic playhouse contained a peeling sticker with pieces smaller than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Oct 25, 2024

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Located in the facility's medication bin, an Albuterol inhaler for Child # 1 did not contain a prescription label from the individual who prescribed the medication.

Corrected Corrected by Oct 25, 2024

Category: ratio. 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.

Located in the facility's medication bin, a zip-lock bag containing Children's Tylenol and Children's Oral Pain Relief was not labeled with a child's name.

Corrected Corrected by Oct 25, 2024

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.

Located in the facility's medication bin, a bottle of Infant's Tylenol for Child #2 had expired in 12/2023.

Corrected Corrected by Oct 25, 2024

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.

A bottle of Children's Allergy medicine labeled for Child #1 lacked written parental consent for administration.

Corrected Corrected by Oct 25, 2024

Category: ratio. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the 3 y/o, 4 y/o, 2 y/o and 1 y/o classrooms there was less than 2 feet observed between rest equipment.

Corrected Corrected by Jul 5, 2024

Category: physical safety. 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.

While in the 3 Y/o room a child was observed to have their face covered by a blanket which can be dangerous to the child and could not allow staff person #1 to fully supervise the child. While in the Infant room the room was observed to be so dark that it was difficult to see the children, making it difficult to ensure full supervision by staff person #2. While in the 2 y/o room Staff person #3 was standing behind the changing table obstructing their view of where a child was observed to be sleeping, making it so that not all children could be adequately supervised.

Corrected Corrected by Jul 5, 2024

Category: supervision. Marked corrected in the state record.

3270.95(a) · 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 fire alarm 30-day test log includes test dates 10/3/23-11/3/23, 12/3/23-1/3/24, and 3/1/24-4/1/24, which are all more than 30 days apart. Per Chapter 3270 Act 62 regulation updates on May 24, 2021, all fire detection devices or systems must be tested at least every thirty days.

Corrected Corrected by Jul 5, 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 file for Staff #2 lacked completion of the UPDATED 1 Hour Health and Safety Training on or prior to 12/30/2022. (See LIS Code Sheet)

Corrected Corrected by Oct 11, 2023

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f).

The two most recent Pediatric First Aid and Pediatric CPR Trainings for staff #1 was dated more than 24-months apart. (See LIS Code Sheet)

Corrected Corrected by Oct 11, 2023

Category: ratio. 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 childcare experience, education and training following the outset of service at the facility.

Mandated Reporter Training for staff #1 was dated more than 60 months apart. (See LIS Code Sheet)

Corrected Corrected by Oct 11, 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 Child Abuse and FBI Clearances in the file for Staff Person #4 were dated more than 60 months apart. (SEE LIS CODE SHEET)

Corrected Corrected by Oct 11, 2023

Category: background checks. 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.

When children are in the facility, emergency contact information must be present in a childcare space for children receiving care in the space.

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The Updated Child Health Assessment for Children #1, #2 and #3 were dated more than 12 months apart. (See LIS Code Sheet)

Corrected Corrected by Oct 11, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

In Room #1, the provider was unable to demonstrate the trash can, used for diapering, operated in a hands-free manner. (See LIS Code Sheet)

Corrected Corrected by Oct 13, 2023

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 two most recent Health Assessments for Staff #3, #4 and #5 were dated more than 24-months apart. (See LIS Code Sheet)

Corrected Corrected by Oct 11, 2023

Category: ratio. 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).

The files for staff #1 and #2 contained clearances that were initially obtained or updated late. Staff #1 was provisionally hired but the receipt of the NSOR clearance exceeded 90 days. Staff #2's child abuse clearance was due to be renewed on 9/11/22 and was renewed on 10/5/22.

Corrected Corrected by Oct 1, 2022

Category: background checks. 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 sharp pieces on the ends of the fence at the gate area.

Corrected Corrected by Oct 25, 2022

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

3270.31(e)(4)(i)/3270.192(2)(iii) · 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.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 # 4 contained a Pediatric First Aid/CPR date of 1-4-2019 and 2-2-2021 which exceeded the renewal date of 1-4-2021.

Corrected Corrected by Feb 15, 2022

Category: ratio. 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 #2 who was hired on 12-7-2020 contained an NSOR Clearance dated 1-27-2021 and a State Police Clearance dated 1-21-2021 which exceeded the date of 12-2-2020 to obtain the clearance. The facility was not granted the provisional hire waiver until 11-30-2021.

Corrected Corrected by Feb 15, 2022

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

3270.151(a)/3270.192(2)(iii) · 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 verification of child care experience, education and training following the outset of service at the facility.

The fie for staff #1 had a health assessment date of 4-24-2019 and 9-26-2021 exceeding the 24 months allowed for a health assessment renewal. The file for staff #3 contained a health assessment date of 4-2-2019 and 4-5-2021 exceeding the 24 months allowed for a health assessment renewal.

Corrected Corrected by Feb 15, 2022

Category: ratio. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position 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.

There was no file for Staff #1 who was hired on 11-29-2021. Therefore, there was not any of the required clearance paperwork to allow Staff #1 to be provisionally hired. The facility did not have paperwork for the request for missing clearances or the required FBI or State Police clearance to review for the file of Staff #1. Staff #1 was observed working alone with children. Staff #1 cannot work in a child care position at a facility.

Corrected Corrected by Dec 27, 2021

Category: background checks. 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.

Child #1 was observed receiving care in the second room from the right without an emergency contact form present in the space.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.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 file for child #2 contained an influenza vaccine with a date of 12-18-18 and did not contain an updated influenza vaccine.

Corrected Corrected by Dec 27, 2021

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.

Staff #1 with a hire date of 11-29-2021 did not have a health assessment prior to providing initial service in a child care setting.

Corrected Corrected by Dec 27, 2021

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

Staff #1 who was hired on 11-29-2021 did not have an individual record which is required for each facility person.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

Staff #1 did not have a record that included the name, address, and telephone number of the facility person.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Staff #1 did not have a record that included verification of child care experience, education, and training following the outset of service at the facility.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. 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

Staff #1 did not have a record that included two written non family references attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 27, 2021

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.

In room #1, room #2, room #3, room #4 and in the children's restroom, a Swiffer Wet Jet Cleaner was attached to a mop located on the wall and was accessible to children.

Corrected Corrected by Oct 13, 2021

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The toilet in the children's restroom was missing a bolt cover on the left and right side of the base of the toilet.

Corrected Corrected by Oct 18, 2021

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.

Staff #1, staff #2, staff #3 and 18 children above the age of two were observed not wearing masks.

Corrected Corrected by Oct 13, 2021

Category: ratio. 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 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 and #3 may not work in a child care position at the facility.

To date the operator has not applied for the provisional hire waiver which would allow for staff to be hired without all the completed clearances.The file for staff #2 with a hire date of 10-1-2021 did not contain the required FBI Clearance. The file for staff #3 with a hire date of 10-12-2021 did not contain the required NSOR Clearance. Staff #2 and staff #3 may not work in child care positions in the facility.

Corrected Corrected by Nov 1, 2021

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

3270.36(b)(4)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general education development certificate and have completed a post-secondary training curriculum described in §3270.31(c).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 did not contain proof of a high school diploma.

Corrected Corrected by Oct 29, 2021

Category: supervision. Marked corrected in the state record.

3270.51/3270.113(a)(2) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

Staff #2 walked 6 three and four year old preschoolers from room #2 to room #1 leaving staff #4 with 14 preschool children.

Corrected Corrected by Nov 1, 2021

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 file for child #3 did not contain the address of the individual(s) designated by the parent to whom the child may be released.

Corrected Corrected by Oct 13, 2021

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.

There were no emergency contact forms present in the child care space for child #4, child #5, child #6 or child #7.

Corrected Corrected by Nov 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.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 file for child #1 did not contain the required influenza vaccine. The file for child #2 contained an influenza vaccine with a date of 12-18-18 and did not contain an updated influenza vaccine. The two parents did not wrote a note stating that they do not wish their children to receive the flu vaccine.

Corrected Corrected by Nov 1, 2021

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 #3 with a hire date of 10-12-2021 contained a health assessment dated 3-12-2018.

Corrected Corrected by Oct 13, 2021

Category: ratio. Marked corrected in the state record.