Abc 24 Hr Child Care Above And Beyond 24 Hr Ch

3270.52 · 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE. 2. All staff, including the director and owner, shall complete the Better Kid Care online training, "Supervision: Staff:Child Ratios". This training can count towards the annual training requirement. Documentation of training shall be retained in the staff file as per 3270.192 and submitted to the certification representative. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

At approximately 3:25 PM, Facility Person #1 was observed supervising 13 preschoolers, 4 young schoolagers, and 2 older schoolagers in the preschool room.

Corrected by Jul 10, 2026

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

SECOND CITATION; PREVIOUSLY CITED ON 4/16/26: The children's files were stored in a cabinet that was not locked.

Corrected by May 18, 2026

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3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

SECOND CITATION; PREVIOUSLY CITED ON 4/16/26: The facility persons' files were stored in a cabinet that was not locked.

Corrected by May 18, 2026

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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 lotion labeled "keep out of reach of children" in a low unlocked drawer in the Preschool room.

Corrected by Apr 16, 2026

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

There were sharp adult scissors accessible to children in a low unlocked drawer in the Preschool room.

Corrected by Apr 16, 2026

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3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted conspicuously -- it was behind other items, unable to be seen.

Corrected by Apr 16, 2026

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Parts 1 and 2 of the required health and safety training completed and documented on file for Facility Person #7 were completed more than 90 days after their start date.

Corrected by Apr 17, 2026

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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 current criminal history, child abuse, and FBI clearances on file for Facility Person #1 were completed more than 60 months after the prior respective clearances on file. The criminal history clearance on file for Facility Person #4 was incomplete. There were two signed disclosure statements each on file for Facility Persons #3 and #5, one was signed prior to their start date, but was an older version not valid as per their start date. The other was the current version, signed after their start date. The disclosure statements on file for Facility Persons #6 and #8 were each signed after their respective start dates..

Corrected by Apr 16, 2026

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was an unlidded trash can in the Infant/Toddler room containing items such as used napkins, paper towels, and tissues.

Corrected by Apr 16, 2026

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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.

There were no scissors in the first aid kit in the 2's area of the Infant/Toddler room.

Corrected by Apr 16, 2026

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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.

SECOND CITATION, PREVIOUSLY CITED ON 10/27/25: The frame and floor around the exit door in the back of the Preschool/Schoolage room was unfinished, with exposed wiring and splintered wood. In the lower outdoor playspace there was splintered wood around a door frame and screws protruding from the fence in the back of the area.

Corrected by Apr 20, 2026

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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 room, there was peeling paint/damaged plaster on the wall behind the stack of cots. In the lower outdoor playspace, there was peeling paint on and around a door in the back of the playspace.

Corrected by Apr 20, 2026

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

There was an exit from the back of the building in the Preschool/Schoolage room blocked with two wooden posts.

Corrected by Apr 16, 2026

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

SECOND CITATION, PREVIOUSLY CITED ON 10/27/2025: There was a piece of musical play equipment with rust on the metal pipes in the lower outdoor play space.

Corrected by Apr 20, 2026

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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.

There was less than 2 feet of space on three sides of three cots in use in the Preschool room and one cot in use in the Infant/Toddler area.

Corrected by Apr 16, 2026

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

The agreement on file for child #5 was not signed by the parent or operator.

Corrected by Apr 16, 2026

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The fee amount was not listed on the agreement on file for child #7.

Corrected by Apr 16, 2026

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

The agreement on file for child #5 did not specify the admission date.

Corrected by Apr 16, 2026

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3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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.

Original agreements were on file for children #5 and #7.

Corrected by Apr 16, 2026

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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 physician's address was not listed on the emergency contact form on file for child #1.

Corrected by Apr 16, 2026

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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 health insurance policy number was not included on the emergency contact form on file for child #2.

Corrected by Apr 16, 2026

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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 and agreements on file for children #2 and #3 were reviewed and updated by a parent in writing more than 6 months after the prior review. The most recent emergency contact form and agreement on file for child #4 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by May 8, 2026

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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.

There were trash cans used for diaper disposal in the Preschool and Toddler 1 changing areas that were not hands free -- they needed to be closed manually.

Corrected by Apr 20, 2026

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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 current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment on file.

Corrected by Apr 16, 2026

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The children's files were not stored in a locked cabinet.

Corrected by Apr 17, 2026

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3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The staff files were not stored in a locked cabinet.

Corrected by Apr 17, 2026

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment on file for child #6 was completed more than 60 days after their first day of attendance at the facility.

Corrected by Apr 16, 2026

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3270.36(b)/3270.192(2)(ii) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #2 was classified as an assistant group supervisor. The documentation on file did not verify sufficient education and/or experience for the classification.

Corrected by Apr 16, 2026

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3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Based on staff statement at 11:30 PM on 2.2.26 a parent rang the doorbell and knocked on the door for 30 minutes. They then called the police, and they knocked on the door and shined a flashlight in for another ten minutes before the door was answered.

Corrected by Mar 31, 2026

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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 a can of Lysol in an unlocked cabinet under the sink in the infant area, accessible to children.

Corrected by Oct 28, 2025

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3270.33(a) · 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.

Facility Person #1 was classified as an aide. The documentation of the required education for this classification on file was an international diploma/certificate. There was no documentation of US equivalency on file.

Corrected by Nov 12, 2025

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3270.113(a) · 1. 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. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2. The legal entity shall ensure that all facility staff complete an in-person training regarding supervision of children coordinated through the ELRC. Documentation of completion of the training to include the date of the training and the names of all attendees shall be retained on file at the facility as well as submitted to certification representative upon completion. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

According to their statement, at times Facility Person #1, while seated and holding an infant they are supervising, falls asleep for what they state is no more than a few minutes. At approximately 3:20 PM, two children were observed lying on mats in the Preschool room with their heads covered by blankets.

Corrected by Mar 8, 2026

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

There were cribs blocking the bottom of the stairway in the back of the infant/toddler space, serving as an exit / means of egress from the second floor of the building.

Corrected by Nov 10, 2025

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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.

There were empty plastic bags in an unlocked cabinet under the sink in the infant area, accessible to children still placing objects in their mouths.

Corrected by Nov 7, 2025

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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.

There was a child in a crib in the infant area with less than 2 feet of space on three sides due to placement of equipment in front of the crib.

Corrected by Nov 25, 2025

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3270.113(a)(1) · 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. THIS PORTION OF THE PLAN SHALL HAVE AN IMMEDIATE CORRECTION DATE 2.. The legal entity shall ensure that all facility staff complete a technical assistance program regarding supervision of children coordinated through the ELRC, to include appropriate supervision assisted by the proper use of a hands- free tangible method for supervising the children. Documentation of completion of the TA shall be retained on file at the facility as well as submitted to certification representative upon completion. THE OPERATOR SHALL PROVIDE A DATE FOR WHEN THIS WILL BE COMPLETED.

Facility Person #1 and #2 were supervising a total of 20 schoolagers in the Schoolage room. Facility Person #1 said they didn't know the names of three of the ten children they were assigned to supervise.

Corrected by Apr 30, 2026

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 4:35 PM, in the Schoolage room, Facility Persons #1 and #2 were supervising a group of 14 young schoolagers and one older schoolager. When asked to identify which children they were each supervising, Facility Person #1 stated that they were the staff person assigned responsibility for the supervision of all 15 schoolagers. No children were assigned to Facility Person #2.

Corrected by Oct 30, 2025

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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.

The following building surface hazards were observed: There was a hole in the wall in the Infant room, near the floor, and behind a stack of foam blocks. There was metal tubing/encasement extending from the wall to the floor. The wooden half wall in the outdoor Preschool/Schoolage playspace that runs alongside the building next to the playspace, is separating from the building, creating a space along the top of the wall that is a potential pinching hazard. In the Schoolage room, there was a rug with curled edges on the floor, and in the Preschool/Schoolage outdoor playspace, there were tarps on the ground that were wrinkled. both causing tripping hazards.

Corrected by Oct 30, 2025

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the outside Preschool/Schoolage playspace, there was a plastic piece of climbing equipment with cracks on the surface/floor at the top of the slide. In this playspace there was also a piece of musical play equipment with rust on the metal pipes.

Corrected by Oct 28, 2025

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

The current agreement on file for child #5 did not specify the date of the child's admission.

Corrected by Jul 14, 2025

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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 operator shall ensure the emergency plan includes a plan for continuity of operations after an emergency.

There was no plan for continuity of operations after an emergency in the facility's emergency plan.

Corrected by Jul 14, 2025

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures 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 to the parents explaining the emergency plan did not include information on the facility's plan for a lockdown or the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jul 10, 2025

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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 current NSOR clearance on file for Facility Person #1 was completed more than 60 months after the previous NSOR clearance on file.The current criminal history and NSOR clearance as well as mandated reporter training on file for Facility Person #2 were completed more than 60 months after the previous respective clearance/training. The current mandated reporter training on file for Facility Person #4 was completed more than 60 months after the previous mandated reporter training on file.

Corrected by Jul 9, 2025

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3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child.

At approximately 10:00 AM on 7/9/25, 20 schoolage children were observed receiving care in the facility's outdoor playspace with an established maximum capacity of 15 children.

Corrected by Jul 9, 2025

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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.

There were no tweezers in a first aid kit in the toddler room.

Corrected by Jul 16, 2025

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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.

The following hazards were observed in the facility's outdoor playspaces: Splintered wood on an area of the floor on the deck, nails protruding from the fence in the back of the preschool/schoolage space, and the rubber mat on the ground of the preschool/schoolage playspace was wrinkled in areas, creating tripping hazards.

Corrected by Jul 10, 2025

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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.

There was no handwashing sign posted at one of the urinals in the restroom off of the middle room.

Corrected by Jul 11, 2025

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

There was no lidded trash can at the sink located in the back of the infant/toddler space, near the exit to the playspace.

Corrected by Jul 18, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The current agreement on file for child # 5 did not specify the fee amount charged.

Corrected by Jul 11, 2025

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

The current agreements on file for children #4 and #5 did not specify the arrival and departure times.

Corrected by Jul 16, 2025

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

The current agreements on file for children # 1, #2, #3, #5 #6 and #7 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Jul 15, 2025

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

The current emergency contact form on file for child #5 did not include the work address and phone number for the enrolling parent.

Corrected by Jul 11, 2025

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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 current emergency contact forms on file for children #5 and #7 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected by Jul 9, 2025

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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 form on file for child #5 as well as the agreements and emergency contact forms on file for children #2, #3, #4 were reviewed and updated by parent in writing more than 6 months after the previous review dates. The most recent agreement on file for child #5 as well as the most recent emergency contact form and agreement on file for child #6 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Jul 18, 2025

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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 most recent health assessment on file for child #5, a preschooler, was not completed in the previous 12 months.

Corrected by Jul 9, 2025

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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 assessment on file for Facility Person #3 was completed more than 24 months after the previous health assessment on file.

Corrected by Jul 9, 2025

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The current health assessment on file for Facility Person #6 indicated the facility person had a communicable disease, but did not provide further information.

Corrected by Jul 15, 2025

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3270.151(c)(5) · 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 Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Jul 18, 2025

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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 current emergency plan did not specify the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions in the event of an emergency.

Corrected by Jul 9, 2025

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

Documentation of emergency drills at the facility indicate drills were conducted om 11/2023 and then again in 6/2025.

Corrected by Jul 9, 2025

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Fire drills were documented as completed on 10/18/24, then next again on 12/19/24, more than 60 days apart.

Corrected by Jul 9, 2025

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Two consecutive fire drills (4/3/25 and 5/2/25) were documented as using the same hypothetical location for the fire.

Corrected by Jul 10, 2025

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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.

There was no documentation that the facility has sent the most recent version of the emergency plan to the local municipality and to the county emergency management.

Corrected by Jul 9, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Video footage from the facility shows that on 12/20/24 at approximately 4:30 PM, in the dining area, Facility Person #1 handled child #1 roughly. Facility Person #1 pulled on the back of the sweatshirt worn by child #1, a young school age child, moving the child backwards, then sideways, then they pushed the child forward and down into a chair.

Corrected by Dec 30, 2024

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

The agreement on file for child #5 was the original.

Corrected by Jan 7, 2025

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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 documentation of completion of the required health & safety update training was completed by Facility Person #6 more than 90 days after their start date.

Corrected by Jan 7, 2025

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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 shall include a plan for continuity of operations after an emergency.

The facility's emergency plan did not include a plan for continuity of operations after an emergency.

Corrected by Jan 7, 2025

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

There were loose cribs sheets on cribs used by infants in the infant area.

Corrected by Jan 13, 2025

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

An inspection was conducted at the facility on 8/6/24 and noncompliance was cited. Correction of this noncompliance had not yet been verified by the Department. The inspection summaries from this date were not posted at the facility.

Corrected by Jan 7, 2025

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility's emergency plan was documented as reviewed by the operator most recently in June of 2023.

Corrected by Feb 8, 2025

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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.

There was no documentation of firesafety training completed in the previous 12 months on file for Facility Persons #1 and #2.

Corrected by Feb 7, 2025

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 no documentation of completion of mandated reporter or health & safety training on file for Facility Person # 4, employed at the facility for more than 90 days. The health & safety training completed and on file for Facility Person #6 was completed more than 90 days after their start date.

Corrected by Jan 7, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The mandated reporter training completed and on file for Facility Person #3 was expired.

Corrected by Jan 26, 2025

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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 without a completed acceptable child abuse clearance..

The child abuse clearance on file for Facility Person #4 was a volunteer child abuse clearance.

Corrected by Jan 7, 2025

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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.

There was no staff evaluation completed by the director and on file for Facility Person #2 , employed at the facility more than 12 months.

Corrected by Feb 8, 2025

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was an unlidded trash can in the preschool/schoolage area containing spoons used by the children.

Corrected by Jan 10, 2025

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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.

There were no bandaids in the first aid kit in the infant space.

Corrected by Feb 8, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint on the walls of the restroom stalls and damaged plaster on the wall to the right of the entry to the restroom. There was an area of damaged plaster on the wall in the dining area.

Corrected by Feb 17, 2025

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3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sink in the infant space was not at the height for young toddlers in care in that space to reach it, nor was there a stool present to allow the children to reach the sink.

Corrected by Jan 7, 2025

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There was a cracked plastic toy bin in the older toddler area.

Corrected by Feb 8, 2025

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

There was no child service report completed and a copy given to the parent, on file for child #1, enrolled at the facility for more than 6 months.

Corrected by Feb 14, 2025

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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 #3 did not include the phone numbers of all release persons listed.

Corrected by Feb 8, 2025

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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 was no emergency contact form in the preschool/schoolage space for a child receiving care in that space.

Corrected by Feb 8, 2025

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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 and agreements on file for children #2, #3, and #4 were not reviewed and updated by a parent in writing within the previous 6 months.

Corrected by Feb 8, 2025

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3270.131(d)(7)/3270.131(d)(8) · 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. 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 health assessment on file for child # 3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease or a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

Corrected by Feb 10, 2025

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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.

Disposable diapers were disposed of in a trash can in the infant space that was not hands-free. The hands-free lid on the trash can used for diaper disposal in the older toddler space would not close completely as it was equipped with an ill-fitting liner that interfered with the closing and hands-free operation of the lid.

Corrected by Jan 7, 2025

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

Staff were washing dishes in the sink in the infant diapering area used to wash hands hands after diaper changing.

Corrected by Feb 8, 2025

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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.

On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question. The iniitial health assessment on file for Facility Person #6 was completed after their start date.

Corrected by Feb 7, 2025

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility's menu was not posted a week in advance.

Corrected by Jan 8, 2025

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no feeding schedule from the parent of one of the infants in care.

Corrected by Jan 7, 2025

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3270.176(f) · In accordance with the requirements of 67 Pa. Code Chapter 171 (relating to school buses and school vehicles), the facility may not transport a child in an 11-15 passenger van.

The operator uses a 12 passenger Transit van to transport children in care.

Corrected by Feb 7, 2025

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20.71(a)(7) · ***The legal entity will conduct at least 2 mandatory staff meetings, no less than a month apart and within a 3 month time period following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as the Department of Human Services' regulations related to the fraud policy. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.

***On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

Corrected by Apr 14, 2025

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20.71(a)(7) · ****For a period of 4 months following the approval of this plan of correction, the legal entity will electronically submit all required staff file documents obtained prior to hiring any facility person for review by the DHS certification representative. Facility Persons will only begin employment at the facility after the staff file documents have been reviewed by the certification representative and written approval has been granted to the operator for the facility person to begin employment at the facility.

****On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

Corrected by Jun 27, 2025

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20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.

On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

Corrected by Dec 18, 2024

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20.71(a)(7) · *The legal entity shall ensure that all facility persons complete the following Better Kid Care training: Ethics: A Guide for Professional Behavior regarding moral and ethical commitment of educators within 3 months of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department

*On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

Corrected by Feb 6, 2025

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20.71(a)(7) · **Following completion of the required training and within 3 months of the approval of this plan of correction, the legal entity must develop a policy on fraud that defines fraud, the prohibition of fraud, and the consequences of committing fraud. The new policy will be discussed with staff, added to employee handbook, and a signed acknowledgment for each staff member will be placed in their individual files. The policy will be submitted to the certification representative for approval before being discussed with staff or posting in the facility.

**On 11/8/24, the file for Facility Person #5 was submitted to be reviewed. The date of the signature on the health assessment on file for Facility Person #5 was unclear. The health assessment was sent to the medical provider to verify the signature date. On 12/6/24, the medical provider whose name was listed on the health assessment provided a written statement indicating the signature on the form was not theirs, they had never seen Facility Person #5 as a patient, and did not work at the location listed on the health assessment form on the date it was signed. The operator stated this health assessment was submitted by Facility Person #5. When Facility Person #5 was shown the health assessment on 12/11/24, they stated they turned in the health assessment, but did not have the health assessment completed at the address listed on the form. In a subsequent conversation on 12/16/24, when shown the health assessment again, Facility Person #5 stated they did not submit the health assessment form in question.

Corrected by Mar 10, 2025

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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.

Documentation of smoke detector testing on file indicates the smoke detectors were tested on 3/1/24 and again on 4/1/24 - more than 30 days apart.

Corrected by Jan 7, 2025

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

There was documentation of three hours of child care training on file completed int the most recent review year (12/2022 - 12/2023) on file for Facility Person #1.

Corrected by Jan 20, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The most recent mandated reporter training on file for staff person #1 was expired and dated 3/1/19, over 60 months old.

Corrected by Oct 10, 2024

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3270.37(b)/3270.192(2)(ii) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). 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 person #2 was lacking any proof of education or experience to qualify them as an aide.

Corrected by Oct 17, 2024

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3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 health assessment on file for staff person #2 stated that there was no physical exam completed.

Corrected by Oct 29, 2024

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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.

According to reports from the Erie County Health Department and staff statements, a decomposed rodent was observed under a fryer, stuck in grease on the floor, in the kitchen of the facility during inspections conducted on 7/9/24 and 7/25/24.

Corrected by Aug 6, 2024

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3270.51 · 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.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child.

Corrected by Aug 6, 2024

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

A door leading from the Middle/Entry room to the Infant/Toddler room was blocked with a large toy bin of blocks.

Corrected by Aug 7, 2024

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3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

There was no source of running water for handwashing at the diapering area in the Preschool room.

Corrected by Aug 6, 2024

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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.

There were three cots in use in the Preschool room with less than 2 feet of space on three sides.

Corrected by Aug 7, 2024

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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.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. At approximately 12:45 PM, Facility Person #3 was supervising a group of 10 preschoolers. Facility Person #3 was standing at the changing table while changing a child's diaper and was unable to see one of the children in their group due to the placement the child's cot, on which they were resting, and the placement of the changing table.

Corrected by Aug 6, 2024

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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.

At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. When Facility Person #1 and #2 were asked to identify which children they were each supervising, Facility Person #1 identified 12 young schoolagers. Then Facility Person #2 identified 2 preschoolers and 7 young schoolagers, including 2 children already identified by Facility Person #1. As a result, 3 children were not claimed by either staff person. At approximately 1:00 PM, when again asked to identify which children they were each supervising, Facility Person #1 identified 11 of the children and Facility Person #2 identified 10 of the children. As a result, one child was not claimed by either staff person.

Corrected by Aug 6, 2024

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3270.113(a)(1) · **The legal entity shall ensure the program implements and utilizes at all times a hands-free tangible method for staff to track children assigned to their supervision. All staff assigned supervision of specific children shall use this method.

**At approximately 12:45 PM, Facility Persons #1 and #2 were observed supervising a group of 2 preschoolers and 19 young schoolagers in the dining area in the back of the Preschool/Schoolage room when another child was observed returning to the classroom from the restroom adjacent to the Middle/Entry room. There were no staff in that room supervising that child. When Facility Person #1 and #2 were asked to identify which children they were each supervising, Facility Person #1 identified 12 young schoolagers. Then Facility Person #2 identified 2 preschoolers and 7 young schoolagers, including 2 children already identified by Facility Person #1. As a result, 3 children were not claimed by either staff person. At approximately 1:00 PM, when again asked to identify which children they were each supervising, Facility Person #1 identified 11 of the children and Facility Person #2 identified 10 of the children. As a result, one child was not claimed by either staff person.

Corrected by Dec 6, 2024

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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.

There was no hands free lidded trash can used for diaper disposal in the Preschool room.

Corrected by Aug 12, 2024

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

There were sharp adult scissors on the front desk located in a child care space in reach of children.

Corrected by Nov 15, 2023

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The most recent review date documented for the facility's emergency plan was 6/28/22.

Corrected by Dec 23, 2023

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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 to the parents explaining the emergency plan did not address the facility's plan for a lockdown, accommodations in the event of an emergency or the facility's annual emergency drills.

Corrected by Dec 23, 2023

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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 FBI clearance on file for Facility Person #1 was completed after their start date. There was no application for an FBI clearance on file for Facility Person #1. The disclosure statement on file for Facility Person #3 was not dated. There was no signed disclosure statement on file for Facility Person #4.

Corrected by Nov 16, 2023

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3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Facility Persons #2 and #4 were classified as assistant group supervisors without documentation of the required previous child care experience from the experiential entity on file.

Corrected by Nov 15, 2023

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3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

There was no source of water for handwashing near the changing table in the preschool space.

Corrected by Nov 19, 2022

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

There was an infant observed sleeping on a boppy pillow in a crib.

Corrected by Nov 15, 2023

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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.

At approximately 4:07 PM on 11/14/23, child #4, a young schoolager, walked from the outdoor childcare space into the building through the infant toddler space (where staff were present supervising their infant/toddler groups) and into the main room to their parent who was waiting to pick them up. There was no communication between the staff supervising the child in the outdoor space (Facility Person #7) to the staff in the infant/toddler space regarding a change in the staff person assigned to supervise the child. Facility Person #7, the staff assigned to supervise the child outside, did not remain physically present with child #4.

Corrected by Nov 15, 2023

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3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

There was an infant observed sleeping on a boppy pillow in a crib, not in the position recommended by the AAP.

Corrected by Nov 15, 2023

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

There was no child service report on file for child #3,enrolled in and attending the facility more than 6 months.

Corrected by Nov 16, 2022

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

The agreement on file for child #2 is the original.

Corrected by Nov 16, 2022

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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 on file for child #2 did not include the child's physician's information.

Corrected by Nov 16, 2023

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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 on file for child #2 did not include the enrolling parent's work address and phone number.

Corrected by Nov 15, 2022

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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 form and agreement on file for child #3 were reviewed and updated by a parent in writing more than 6 months after the review of previous emergency contact form and agreement on file.

Corrected by Nov 16, 2022

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3270.131(a)(1) · The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

The initial health assessment on file for child #1 was dated more than 60 days after the child's start date.

Corrected by Nov 16, 2022

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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 health assessment on file for Facility Person #1 was completed after their start date. There was no health assessments/TB test on file for Facility Person #4. There was no health assessment on file for Facility Person #5. The current health assessments on file for Facility Persons #6 and #8 were completed more than 24 months after the prior health assessments on file.

Corrected by Nov 14, 2023

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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.

There were no nonfamily written references on file for Facility Persons #1 and #4.

Corrected by Nov 15, 2023

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

The most recent emergency drill documented was recorded as occurring on 6/27/22.

Corrected by Nov 15, 2023

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

There was no letter on file from the previous 12 months notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected by Nov 15, 2022

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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. Staff are to scan the room daily to ensure that there are no cracked outlet plates in the room.

In the Infant room, an outlet wall plate located above a crib was observed to be cracked and not in good repair.

Corrected by Nov 17, 2023

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

The gates at the bottom of the steps that lead to the second level and the gates in the Infant, Toddler 1, and Toddler 2 rooms were observed to be cracked with sharp edges and not in good repair. In the Toddler 2 room, several large building blocks were observed to be tearing on the edges and corners and were not in good repair.

Corrected by Nov 14, 2023

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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 diapering pad in the Infant room was observed to have several holes that expose the foam interior. A children's play mat in the center of the Infant room was observed to have several holes exposing foam. In the Infant and Toddler 1 room, small foam building blocks were observed to have bite marks and accessible to children who are still placing objects in their mouths. In the Toddler 1 room, large foam building cubes were observed to have holes and tears exposing the foam interior. These conditions pose a choking hazard to the children in the room who are still placing objects in their mouths.

Corrected by Nov 17, 2023

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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 the Toddler 1 room, soiled diapers were observed in a plastic-lined can but was not hands-free and did not have a covered lid. The diapering can in the Toddler 2 room was not hands-free as the step pedal was observed to be broken.

Corrected by Nov 14, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 11/30/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person 1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Training. (see LIS code sheet):

Corrected by Oct 20, 2023

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 3/24/23 a young schoolage child was injured while in care (scratched). The incident report prepared by staff that day was not given to the parent until 4/7/23.

Corrected by Apr 24, 2023

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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.

Documentation of smoke detector testing indicates testing went beyond 30 days when tested on 3/1/2023 and then again on 4/1/2023.

Corrected by Apr 24, 2023

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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.

SECOND CITATION, CITED PREVIOUSLY ON 11/15/22: The fire drill log on file at the facility did not include the names of the facility persons who participated in each fire drill.

Corrected by Dec 23, 2022

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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.

There was no documentation that the interconnected fire alarm system had been tested by the operator, which is required to be done, and documented, at least every 30 days under Act 62.

Corrected by Dec 23, 2022

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