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.

During interviews with staff, it was disclosed that a child was left behind alone in the bathroom and without supervision following a bathroom break.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During interviews with staff, it was disclosed that a child was left behind alone in the bathroom and without supervision following a bathroom break.

Corrected Corrected by Apr 30, 2025

Category: supervision. 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 #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of mandated reporter training completed on 7/24/24 with a previous training completed on 7/18/19.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. 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 facility's first-aid kit was observed not to contain soap.

Corrected Corrected by Sep 30, 2024

Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact form on file for Child #2 was observed not to include information on the child's special needs, if any, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Sep 27, 2024

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 #2 was observed not to contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 27, 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 emergency contact form and the agreement form on file for Child #1 was observed not to have documentation of updating once in a 6-month period or when there are changes in information.

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. 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 on file for staff #1 did not have documentation of an examination for communicable diseases and the results of that examination.

Corrected Corrected by Oct 2, 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 persons #1,2,3,4,5,6 and 7 have not completed the required Health and Safety Update 2022 which was required to be completed by 12/30/2022.

Corrected Corrected by Sep 7, 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). 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 #5 may not work in a child care facility.

The file for staff person #5, hire date (see IS code sheet), contains a volunteer child abuse clearance which is not accepted for employment in child care under the CPSL.

Corrected Corrected by Aug 30, 2023

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

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

Observed exposed protruding bolts at the bases of 5 toilets in the girl's restroom and 2 toilets in the boy's restroom.

Corrected Corrected by Sep 1, 2023

Category: physical safety. 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 assessments on file for children #1 and #3 are lacking statements from the physician regarding communicable disease and suitability for child care.

Corrected Corrected by Sep 7, 2023

Category: health medication. 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).

The files for children #2 and #3 contain immunization reports that are lacking verification of an annual flu shot received during the year 2022. Child #2 and #3 must be removed from care until documentation of a flu shot or an exemption letter are received.

Corrected Corrected by Sep 7, 2023

Category: health medication. 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.

Emergency contact information was not available in the school age room for child #1 who was observed receiving care in the space.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. 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.

It was self-reported and verified that while staff persons #1 and #2 were on a walking excursion with 2 infants and 3 young toddlers, the stroller containing child #1 and child #2 slid down a hill and landed in a river.

Corrected Corrected by May 12, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Observed staff file #3 did not contain documentation of a high school diploma.

Corrected Corrected by Aug 9, 2021

Category: supervision. 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.

Observed the first aid kit in the school age room did not contain adhesive bandages.

Corrected Corrected by Aug 5, 2021

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

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

Observed the agreement for child #1 and #3 did not specify the date of the child's admission.

Corrected Corrected by Aug 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Observed the emergency contact information for child #2 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 17, 2021

Category: ratio. 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.

Observed the emergency contact information for child #3 did not contain the health insurance policy number.

Corrected Corrected by Aug 10, 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.

Observed the emergency contact form for child #1 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Observed the preschool group went on an excursion to the park without the emergency contact information for each preschool child on the excursion.

Corrected Corrected by Aug 5, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Observed the staff working with the school age, preschool, and infant/toddler groups did not have an emergency transportation plan accompanying their groups when on an excursion to the park.

Corrected Corrected by Aug 9, 2021

Category: transportation. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Observed child file #1 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 10, 2021

Category: health medication. 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.

Observed in a locked cabinet, a bottle of Tylenol which was not labeled with the name for whom it was intended.

Corrected Corrected by Aug 9, 2021

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Observed staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Corrected Corrected by Aug 5, 2021

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Observed staff file #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 11, 2021

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.

Observed the facility did not provide parents of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 4, 2021

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.

Observed the facility did not submit a copy of the completed updated emergency plan to the local municipality.

Corrected Corrected by Aug 6, 2021

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