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

In the Preschool room, observed a pair of sharp scissors in a desk drawer which were accessible to the children. In the Preschool room, observed a hanging cord near the television and the television was free standing and could be pulled over by the children. In the Young Toddler room, observed a hanging cord near the air conditioner.

Corrected Corrected by Jan 20, 2025

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

3270.27(c)/3270.192(2)(iii) · 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. 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 emergency plan trainings on file for staff #2, 3, 4, 6, and 7. There is now current emergency plan trainings on file for staff #2, 3, 4, 6 and 7.

Corrected Corrected by Jan 20, 2025

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. Facility Person #4 and #9 may not work in a child care position at the facility.

The file for staff #1, lacked the Child Abuse clearance required by the CPSL on or before initial start date in a child care position. SEE IS CODE SHEET. This is evidenced by a volunteer Child Abuse clearance on file dated 3/29/24 and the Child Abuse clearance required by the CPSL on file dated 12/6/24. There were more than 60 months between NSOR clearances on file for staff #2. This is evidenced by NSOR clearances on file dated 11/6/19 and 12/4/24. The file for staff #4 lacks a Child Abuse clearance within the past 60 months. This is evidenced by the current Child Abuse clearance on file dated 10/14/19. SEE IS CODE SHEET. The file for staff 9 lacks an NSOR clearance. The file for staff #11 lacks the current disclosure statement required under the CPSL.

Corrected Corrected by Jan 20, 2025

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 #5, who holds the title of aide, lacks verification of high school diploma. The file for staff #10, who holds the title of director, lacks 64.38 hours of child care experience. There is a bachelor's degree on file along with 30 credits in the human service field.

Corrected Corrected by Jan 21, 2025

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 the Preschool room, observed an electrical outlet without a protective receptacle cover which was accessible to the taller preschool children in the room, and which was located behind the television.

Corrected Corrected by Jan 20, 2025

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.

In the Main hallway, observed two areas of peeling paint.

Corrected Corrected by Jan 23, 2025

Category: physical safety. 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 Rainforest Room, observed a sink which was lacking a handwashing sign.

Corrected Corrected by Jan 17, 2025

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

3270.92(a) · Portable space heaters are not permitted.

In the Preschool Room, observed a portable space heater which was in use.

Corrected Corrected by Jan 21, 2025

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The more current fee agreement on file for child #2 was not signed by the operator.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The most current fee agreement on file for child #1 lacks the child's arrival and departure times.

Corrected Corrected by Jan 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The most current fee agreement on file for child #1 lacks the date of the child's admission.

Corrected Corrected by Jan 20, 2025

Category: recordkeeping. 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 most current emergency contact information on file for children #1 and 2 lacks the work address and work phone numbers of the enrolling parent.

Corrected Corrected by Jan 17, 2025

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 most current emergency contact information on file for child #2 lacks the address and phone number of all individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jan 14, 2025

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 last review/update of the emergency contact information on file for child #2, was not completed within the past six months. This is evidenced by the last review/update on file dated 5/10/24.

Corrected Corrected by Jan 20, 2025

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.

There was more than 12 months between health reports on file for children #2 and 4, who are both of preschool age. This is evidenced by health reports on file for child #2 dated 11/20/23 and 12/9/24 and child #4 dated 9/6/23 and 11/7/24.

Corrected Corrected by Jan 20, 2025

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

3270.131(d)(5)/3270.131(e)(3) · 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). Child #1 must be dismissed from care by close of business by DATE of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

The current immunization record on file for child #1, contains 1 of 2 Hep A vaccinations according to the recommendations of the ACIP.

Corrected Corrected by Jan 16, 2025

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The most current health report on file for child #3, lacks a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

Corrected Corrected by Jan 23, 2025

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 #9 lacks an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jan 20, 2025

Category: health medication. 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 #5 lacks two written, nonfamily references. The file for staff #8 lacks 1 written, nonfamily reference.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. 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 lacked a plan that provides accommodations for children with disabilities.

Corrected Corrected by Jan 21, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

A director is not employed by the facility and not present at the facility a minimum of 30 hours per week.

Corrected Corrected by Mar 20, 2025

Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

As of 9/9/24, a director is not employed by the facility and not present at the facility a minimum of 30 hours per week.

Corrected Corrected by Oct 14, 2024

Marked corrected in the state record.

3270.76/3270.103 · 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. 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 outside play space wall, observed a cement ledge which was starting to crumble. There were pieces of the cement that were observed to be less than an inch on the floor of the deck. Children who are still placing objects in their mouths play in this space.

Corrected Corrected by Sep 12, 2024

Category: physical safety. 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.

In the gym, observed 3 areas on the bottom of the wall and near the back side by the storage closed, with peeling paint and plaster.

Corrected Corrected by Jul 15, 2024

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

3270.27(c)/3270.192(2)(iii) · 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. 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 facility person #4 lacks emergency plan training within 90 days of hire. SEE IS CODE SHEET>

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. 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 CPR/FA training on file for staff #2, expired 8/2023 and new CPR/FA training was then taken on 5/2024 which was after the expiration date of the previous certificate.

Corrected Corrected by Jul 10, 2024

Category: ratio. 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/facility person/volunteer # 4 will have 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #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 person(s) available to supervise staff person/facility person/volunteer #4-, staff person/facility person/volunteer #4 may not work in a child-care position at the facility.

Facility person #4 has not completed the mandated reporter training within 90 days of their date of hire (see IS code sheet).

Corrected Corrected by Jul 11, 2024

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.

There was more than 60 months between the previous and most current mandated reporter trainings on file for staff #1. This is evidenced by training dates of 6/25/28m and 9/4/23.

Corrected Corrected by Jul 11, 2024

Category: background checks. 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 disclosure statement on file for facility person #4 was not completed on or before initial start date in a child care position. SEE IS CODE SHEET. There is now a disclosure on file and dated 5/2/24. The file for facility person #4 lacks an NSOR.

Corrected Corrected by Jul 11, 2024

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.

In the Infant Room, observed that the safety latch under the sink was broken. Therefore, the toxic cleaning products under the sink were accessible to the children in care.

Corrected Corrected by Jul 11, 2024

Marked corrected in the state record.

3270.76/3270.103 · 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. 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 outside play space wall, observed a cement ledge which was starting to crumble. There were pieces of the cement that were observed to be less than an inch on the floor of the deck. Children who are still placing objects in their mouths play in this space.

Corrected Corrected by Jul 31, 2024

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 most current emergency contact information on file for child #1 lacks the address of the child's physician or source of medical care.

Corrected Corrected by Jul 11, 2024

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 most current emergency contact information on file for child #1 lacks the home phone, home address and work address of the enrolling parent. The most current emergency contact information on file for child #2 lacks the work address and work phone of the enrolling parent.

Corrected Corrected by Jul 11, 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 most current emergency contact information on file for child #1, was not reviewed/updated within the past six months. This is evidenced by the most current review/update of 1/9/24.

Corrected Corrected by Jul 19, 2024

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 most current health report on file for child #3, who is of preschool age, was not completed within the past 12 months

Corrected Corrected by Jul 12, 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.

There was more than 24 months between health assessments on file for staff #3. This is evidenced by health assessment dates of 10/19/21 and 12/12/23.

Corrected Corrected by Jul 11, 2024

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #4 lacks signed parental consent for walking excursions.

Corrected Corrected by Jul 3, 2024

Category: transportation. 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 does not include a plan for continuity of operations in the event of an emergency, as required by federal regulation.

Corrected Corrected by Jun 30, 2023

Category: ratio. 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 most recent fire safety training completed by Facility Persons #1-#4 was completed more than 12 months after the prior documented fire safety training.

Corrected Corrected by Jun 29, 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 current mandated reporter training completed and documented on file for Facility Person #3 was completed more than 60 months after the previously completed mandated reporter training.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. 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 agreement on fie for child #4 was the original.

Corrected Corrected by Jun 29, 2023

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 current emergency contact forms on file for children #1, #2, and #3 were reviewed and updated by a parent in writing more than 6 months after the prior review.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.135(c) · The diapering area may not be used for food preparation or food service.

The sink used for handwashing after diapering in the infant room was used to wash utensils used for feeding and bottles. There was a crockpot used to heat bottles next to the sink.

Corrected Corrected by Aug 3, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

The TB test on file for Facility Person #5 was completed more than 12 months prior to their start date in a child care position.

Corrected Corrected by Jun 29, 2023

Category: ratio. 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.

There was no documentation of an emergency drill conducted at the facility.

Corrected Corrected by Jul 5, 2022

Category: recordkeeping. 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 described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter the sent to the parents explaining the emergency procedures did not include the information regarding the plan for a lockdown.

Corrected Corrected by Jun 30, 2022

Category: physical safety. 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 disclosure statements on file for Facility Persons #3 and #4 were signed by the facility persons, but their signatures were not dated.

Corrected Corrected by Jun 13, 2022

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.

There was hand sanitizer on a table at the entrance to the facility. There was a hand sanitizer on a desk in the preschool room. There was a microban spray in an unlocked cabinet under the sink in the toilet /restroom area in the preschool room.

Corrected Corrected by Jun 10, 2022

Category: physical safety. 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 agreements on file for children #1-#5 were the originals.

Corrected Corrected by Jun 13, 2022

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 on file for child #4 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Jun 13, 2022

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 on file for child #4 did not include the health insurance policy number.

Corrected Corrected by Jun 13, 2022

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 on file for child #1 did not include the address of each release person listed.

Corrected Corrected by Jun 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

The current health assessment on file for child #4, a young toddler, was completed more than 6 months after the previous health assessment on file.

Corrected Corrected by Jun 10, 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 current health assessments on file for Facility Persons #1 and #2 were completed more than 24 months after their prior health assessments on file.

Corrected Corrected by Jun 10, 2022

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 did not include accommodations for toddlers.

Corrected Corrected by Jun 30, 2022

Category: physical safety. 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 documentation of smoke detector/fire alarm system testing on file indicates that testing was not complete at least every 30 days when tested on 10/11/21 and then next on 11/22/21.

Corrected Corrected by Jun 10, 2022

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 documentation on file indicating the plan was sent to the local municipality and the county emergency management agency did not include all required components.

Corrected Corrected by Jul 5, 2022

Category: recordkeeping. Marked corrected in the state record.