3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At the end of the school day, observed the children enter the cafeteria and select a snack from the cabinet, the children did not wash their hands prior to eating a snack. Hand sanitizer was used in lieu of handwashing.

Corrected Corrected by Aug 29, 2024

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed staff helping the children select their snacks from the cabinet. Hand sanitizer was used in lieu of handwashing.

Corrected Corrected by Aug 29, 2024

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Observed non-prescription medication which was administered to the child on 06/18/2024 which was past the expiration date of the medication. The container the medication was stored in indicated an expiration date of 05/2023.

Corrected Corrected by Jul 24, 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.

Observed prescription medication for child #4, which was provided without the original box that included the prescription label identifying the name of the medication and the name of the child for whom the medication is intended.

Corrected Corrected by Jul 24, 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.

Observed prescription medication for child #1 which did not include a medication log completed by a parent with written consent for administration Observed prescription and non-prescription medication for child #2, #3, and #4 which did not include a medication log completed by a parent with written consent for administration.

Corrected Corrected by Jul 31, 2024

Category: ratio. 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 person #1, #2, #3 and #4 who completed the previous health and safety pre-service training modules prior to October 4, 2022, have not completed the 1-hour "Pennsylvania Health and Safety Update 2022" which was required by December 30, 2022. Staff person #1 completed the 10-hour "Get Started with Center-Based Care: Building Blocks for Quality" on 10/02/2022 did not complete the 1-hour "Pennsylvania Health and Safety Update 2022" within 90 days of hire (see LIS code sheet) Staff person #2 completed the 10-hour "Get Started with Center-Based Care: Building Blocks for Quality" on 06/22/2022 did not complete the 1-hour "Pennsylvania Health and Safety Update 2022" within 90 days of hire (see LIS code sheet). Staff person #3 completed the 10-hour "Get Started with Center-Based Care: Building Blocks for Quality" on 01/14/2022 did not complete the 1-hour "Pennsylvania Health and Safety Update 2022" within 90 days of hire (see LIS code sheet). Staff person #4, who was hired prior to 10/04/2022 (see LIS code sheet), completed the 10-hour "Get Started with Center-Based Care: Building Blocks for Quality" on 05/11/2022 did not complete the 1-hour "Pennsylvania Health and Safety Update 2022" prior to 12/30/2022.

Corrected Corrected by Sep 20, 2023

Category: ratio. Marked corrected in the state record.

3270.34(c)/3270.241(c)(1)(iii) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. In a program operating 46 or more hours a week, a director or director/group supervisor shall be present at a facility site as described at §3270.34(c) and (d).

An individual who qualifies as a director/group supervisor is not present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Aug 11, 2023

Category: supervision. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Observed prescription and non-prescription medications for child #1 which a parent did not provide written consent for administration.

Corrected Corrected by Aug 10, 2023

Category: ratio. 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 clearances for staff person #1, with documentation of misdemeanor grade charges, were not sent to the Central Region OCDEL for review.

Corrected Corrected by Jul 19, 2023

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

3270.124(d)/3270.172(c) · 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. Written parental consent for transportation and written parental instructions regarding treatment of a child's problem or special need that may require care during transportation shall be given to the operator or attendant of a vehicle transporting the child.

Emergency contact information was not onsite while the children were on an excursion away from the facility which included transportation and swimming.Written parental consent for transportation and written parental instructions regarding treatment of a child's problem or special need that may require care during transportation was not given to the operator or attendant of a vehicle transporting the child. The binder with the emergency contact information for the children being transported was left at the facility.

Corrected Corrected by Jul 17, 2023

Category: transportation. 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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not onsite while the children were on an excursion away from the facility which included transportation and swimming.

Corrected Corrected by Aug 2, 2023

Category: transportation. Marked corrected in the state record.