3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The financial agreements of child #1, #2, #3, #4 and #5 did not contain financial agreements which did not contain the persons designated by the parent to whom the child may be released.

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The financial agreement of child #2 did not contain their admission date.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file of facility person #3, employed with the organization for more than 90 days (see coded LIS sheet) did not contain documentation of emergency plan training for the facility in which they were working.

Corrected Corrected by Oct 9, 2023

Category: recordkeeping. 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 files of facility persons #2 and #4 contain disclosure statements which were not dated.

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A first aid kit was not present while the toddlers were cared for in the indoor play space.

Corrected Corrected by Oct 9, 2023

Category: health medication. 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 changing table in the toddler classroom did not have a posted handwashing sign.

Corrected Corrected by Sep 27, 2023

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

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

The toddler classroom contained foam blocks accessible to children still placing objects in their mouths.

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The file of child #2 contained the original financial agreement.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact for of child #2 and #3 did not contain the addresses for all of the release persons designated by the parent to whom the child may be released.

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact forms were not present when the children were being cared for in the indoor play space.

Corrected Corrected by Oct 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment of child #2 did not contain a statement the child is free from communicable disease and is able to participate in child care.

Corrected Corrected by Oct 19, 2023

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

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

The file of facility person #2, identified as an assistant group supervisor, did not contain documentation of 2 years (2500 hours) of experience with children to qualify as an assistant group supervisor.

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

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

Documentation of pediatric first aid and pediatric CPR training for facility person #1 was dated 9/22/2023, which was more than 90 days from their start date with children (see coded LIS sheet).

Corrected Corrected by Sep 27, 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.

Classroom 209 had 3 pairs of adult scissors, which are sharp and could injure children, in an unlocked desk drawer accessible to children.

Corrected Corrected by Sep 15, 2022

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Documentation of emergency plan training for facility person #1 exceeded 12 months (6/1/2021 and 8/22/2022).

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. 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.

Documentation of annual fire safety training of facility person #2 (dated 7/30/2020 and 8/9/2022) and facility person #3 (dated 7/20/2020 and 8/26/2022) exceeded 12 months.

Corrected Corrected by Sep 16, 2022

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 file for facility person #2 (see coded LIS sheet) contained a staff evaluation completed on 7/6/2022, and facility person #3 (see coded LIS sheet) contained a staff evaluation dated 5/11/2022. The files did not contain documentation of prior evaluations in the files.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement of child #1 did not contain their arrival and departure times.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. 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.

Classroom 101 contained a bottle of Tylenol, with an expiration date of 4/2022, and Orajel, with an expiration date of of 6/2022

Corrected Corrected by Sep 15, 2022

Category: ratio. 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 health assessment of facility person #3 was signed and dated on 11/6/2020, however, it was documented on the health assessment the last physical examination occurred on 8/31/2020 which was more than 24 months ago.

Corrected Corrected by Oct 10, 2022

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

The refrigerator in classroom 101 contained a bottle which was not labeled with the name of the child.

Corrected Corrected by Sep 15, 2022

Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility had written documentation of an emergency drill dated 8/30/2022, but did not have documentation of an emergency drill being completed between 12/19/2020 and 12/19/2021.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of the professional development topics 1-9 under subsection (f) for facility person #1 was dated 7/20/2016, which was before the valid date of 9/30/2016. The acceptable trainings are now current being dated 2/4/2022. Documentation of professional development topics 1-9 under subsection (f) was dated 7/11/2022 for facility person #2, which was after 6/17/2021, the required date for facility persons hired prior to 12/19/2020 (see coded LIS sheet).

Corrected Corrected by Sep 19, 2022

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

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log did not contain a hypothetical location on 4/11/2022 or 5/12/2022 and listed the number of facility persons participating in the fire drill and not their names as required under the regulation.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not provide the parent of each enrolled child with information on how to access the regulations electronically and instructions on contacting the regional child care office.

Corrected Corrected by Sep 19, 2022

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 of facility person #2 contained 4 annual training hours between 12/19/2020 ant 12/19/2021 lacking 8 hours which were completed after 12/19/2021 (10 hours dated 2/4/2022).

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for facility person #3, with a hire date of 8/24/14 and facility person #4, with a hire date of 8/1/16 completed emergency plan training on 6/1/21, with no documentation in the file for previous emergency plan trainings.

Corrected Corrected by Sep 28, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

Facility person #1 completed fire safety training on 7/20/20 and facility person #2 completed fire safety training on 7/21/20, which is more than a year ago. Facility person #3 and facility person #4 lacked documentation of fire safety training within the last two years.

Corrected Corrected by Oct 31, 2021

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 file for facility person #3, with a hire date of 8/28/14, contained a staff evaluation completed on 5/21/21, with no documentation of prior evacuations in the file. The file for facility person #4, with a hire date of 8/1/16, lacked a staff evaluation.

Corrected Corrected by Sep 28, 2021

Category: recordkeeping. 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 room 209, it was observed by the teachers deck that a power strip lacked a protective outlet cover that was accessible to the children in care.

Corrected Corrected by Sep 28, 2021

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.

It was observed in the girls bathroom on the second floor, that sanitizing wipes were in the last stall on the floor accessible to the children in care at the facility. The first-aid kit in room 209 contained instant cold packs, that stated "keep out of reach of children." Staff stated that the instant cold packs were given to the children if injured.

Corrected Corrected by Sep 28, 2021

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 kits in room 206 and 209 lacked soap.

Corrected Corrected by Sep 28, 2021

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The garbage can in the girls bathroom on the second floor lacked a lid.

Corrected Corrected by Sep 28, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The gym lacked a posted daily activities plan.

Corrected Corrected by Sep 28, 2021

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

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

The emergency contact form for child #2 lacked the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 4, 2021

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

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

The emergency contact form for child #2 lacked the enrolling parent's work address and work phone number.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form for child #1 and #2 lacked signed parental consent for emergency medical care for the child prior to admission.

Corrected Corrected by Oct 4, 2021

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 emergency contact form for child #2 lacked the health insurance coverage and policy number.

Corrected Corrected by Oct 4, 2021

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

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

The emergency contact form for child #2 lacked the release person's address.

Corrected Corrected by Oct 4, 2021

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 immunization record for child #1, #3, and #4 lacked the influenza vaccination. The immunization record for child #3 lacked DTAP, HIB, and Pneumococcal in accordance with the ACIP.

Corrected Corrected by Oct 31, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #1 and #2 lacked signed parental consent for administration of minor first-aid procedures by facility staff, prior to admission.

Corrected Corrected by Oct 4, 2021

Category: ratio. Marked corrected in the state record.

3270.182(8) · 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 #2 lacked an initial and or subsequent agreements.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(3) · 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 #3, with a hire date of 8/28/14, had a health assessment dated for 8/10/20 with no prior health assessments on file. The file for facility person #4, with a hire date of 8/2/16, had a health assessment dated for 9/24/20 with no prior health assessments on file.

Corrected Corrected by Sep 28, 2021

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

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility lacked an emergency plan that provides accommodations for infants and toddlers.

Corrected Corrected by Sep 27, 2021

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

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Facility person #3 and facility person #4 lacked documentation of completion of the health and safety training in the file.

Corrected Corrected by Oct 31, 2021

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

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

The facility lacked proof of purchase of the inter-connected smoke alarms.

Corrected Corrected by Sep 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

On 8/5/21a child received emergency room treatment, the facility neglected to report to the regional office within 24 hours.

Corrected Corrected by Aug 18, 2021

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

On 8/5/21a child received emergency room treatment, the facility neglected to mail or deliver a written report to the regional office within 72 hours.

Corrected Corrected by Aug 18, 2021

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