Creative Learning Childcare Center

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #2 contains current PFA/CPR training that was conducted after the previous training expired as evidenced by training dates on file of 4/5/2023 and 6/13/2025.

Corrected by Mar 10, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for staff person #5 contains current fire safety training that was completed greater than 12 months after the previous fire safety training.

Corrected by Mar 10, 2026

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

The file for staff person #1 contains current mandated reporter training that was completed after the previous training expired as evidenced by trainings dated 6/17/2020 and 6/20/2025.

Corrected by Mar 10, 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 file for staff person #1 contains a current child abuse clearance that was obtained after the previous clearance expired as evidenced by clearances date 6/16/2020 and 6/27/2025. The file for staff person #6 contains a current criminal history clearance that was obtained after the previous clearance expired as evidenced by clearances date 5/4/2020 and 5/5/2025.

Corrected by Mar 10, 2026

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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.

Observed the 2 sinks in the Nursery 2 classroom were not proper heights for children and no platform, step or stool was available. Children in this room are of young toddler age.

Corrected by Mar 10, 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.

Observed in the School Age room cracked magna tiles and a cracked plastic bin containing dress-up clothes.

Corrected by Mar 10, 2026

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3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Observed in the Preschool A classroom an Albuterol inhaler that was lacking the written instructions from the individual who prescribed the medicine.

Corrected by Mar 10, 2026

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1, hire date (see IS code sheet) contains only 6 of the required 12 hours of annual training between 12/2024 and 12/2025. The file for staff person #3, hire date (see IS code sheet) contains only 11.5 of the required 12 hours of annual training between 9/2024 and 9/2025. The file for staff person #4, hire date (see IS code sheet) contains only 9 of the required 12 hours of annual training between 12/2024 and 12/2025. The file for staff person #5, hire date (see IS code sheet) contains only 4.5 of the required 12 hours of annual training between 11/2024 and 11/2025.

Corrected by Mar 10, 2026

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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 in the medication box in Preschool A enzyme tablets identified for child #1 that are not being stored in the original container.

Corrected by Nov 24, 2025

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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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) 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 (see LIS code sheet): PA Health & Safety Topics.

Corrected by Nov 24, 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 Persons #2 and #3 may not work in a child care position at the facility.

The file for staff person #2, hire date (see IS code sheet), who has lived in the state of Mississippi during the previous 60 months, contains Mississippi state clearances that expired 6/2/2020 and are therefore not valid and does not contain updated Mississippi state clearances. The file for staff person #3, hire date (see IS code sheet), Who has lived in the state of Arkansas during the previous 60 months, is lacking Arkansas State clearances.

Corrected by Nov 24, 2025

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3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Observed in the medication box in the Younger Two's room prescription triamcinolone ointment identified for child #2 that is lacking written instructions provided from the individual who prescribed the medicine.

Corrected by Nov 24, 2025

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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 file for staff person #2, hire date (see IS code sheet) contains a health assessment form that was completed by a medical assistant which is not listed as an acceptable qualification and the form states that a physical exam was not conducted and therefore is not a valid health assessment for employment in child care. The file for staff person #2, hire date (see IS code sheet) contains a health assessment dated 2/26/2026 which is not a valid date and is therefore not a valid health assessment.

Corrected by Nov 24, 2025

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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.

The file for staff person #3 contains only 1 of the required 2 written references.

Corrected by Nov 24, 2025

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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.

The file for staff person #4, hire date (see IS code sheet) is lacking PA health & safety training completed within 90 days of hire. The file does contain current PA Health & Safety Part 1 and Part 2. The files for staff persons #3, #8 and #9, hire date (see IS code sheet) contain PFA/PCPR that was completed greater than 90 days after hire. The trainings are now current.

Corrected by Mar 7, 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 file for staff person #7, hire date (see IS code sheet) contains a current criminal history clearance dated 1/31/25 which is greater than 60months after the previous criminal history clearance dated 8/16/18. It also contains a current FBI clearance dated 2/6/25 which is greater than 60months after the previous FBI clearance dated 8/1/2019. It also contains a current NSPR verification dated 2/6/25 which is greater than 60months after the previous NSOR dated 11/21/2019. The file is now current. The file for staff person #12, hire date (see IS code sheet) contains a current NSOR verification dated 1/28/2025 which is greater than 60 months after the previous NSOR dated 11/6/2029. The file is now current. The file for staff person #10, hire date (see IS code sheet), contains a current criminal history clearance dated 11/16/24 which is greater than 60months after the previous criminal history clearance dated 7/9/19. It also contains a current FBI clearance dated 11/25/24 which is greater than 60months after the previous FBI clearance dated 7/10/19. It also contains a current child abuse clearance dated 11/24/24 which is greater than 60months after the previous child abuse clearance dated 7/17/2019. The file is now current.

Corrected by Mar 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.

Staff persons #1 and #2 have not received written evaluations in the previous 12-month period.

Corrected by Mar 7, 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.

The first-aid kit in the school age room is lacking gloves.

Corrected by Mar 17, 2025

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3270.134(f) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Observed in the Pre-K Room 4 child toothbrushes in closed plastic bags preventing exposure to circulating air.

Corrected by Mar 18, 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.

Observed under the window in the school aged room peeling and cracking paint and drywall.

Corrected by Mar 17, 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).

The files for children #3, #4 and #5 are lacking child service reports completed during the previous 6-month period.

Corrected by Mar 17, 2025

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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.

The file for child #2 is lacking a copy of the initial agreement.

Corrected by Mar 18, 2025

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for child #4 is lacking an updated health report conducted during the previous 12-month period.

Corrected by Mar 18, 2025

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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 file for child #4 is lacking documentation of current DTAP, Pneumococcal, MMR, Varicella and Hep A immunizations. Child #4 must be removed from care until a current immunization report or exemption letter is obtained.

Corrected by Mar 18, 2025

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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 files for staff persons #5,6,7 and 11 contain current health assessments that were conducted greater than 24 months after the previous health assessments. The files are now current.

Corrected by Mar 18, 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 file for staff person #9 contains a current health assessment with a physician statement that the individual is not suitable to provide child care.

Corrected by Mar 18, 2025

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

The file for child #1 is lacking a parent's written permission for administration of minor first-aid procedures by facility staff.

Corrected by Mar 18, 2025

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed on the preschool playground embedded play equipment that was lacking the required protective surface covering.

Corrected by Apr 9, 2024

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

Observed in the Young Two's Room a sharp knife in the sink where children wash their hands. A step stool was in place at the sink allowing children access.

Corrected by Apr 9, 2024

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter provided to the parents regarding the facility emergency plan has not been updated to include lockdown procedures and accommodations for infants, toddlers and children with disabilities and chronic medical conditions.

Corrected by Apr 9, 2024

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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.

The files for staff persons #3 and #5, hire dates (see IS code sheet), contain Health and Safety training that was completed greater than 90 days after hire. The trainings are now current.

Corrected by Apr 9, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until 4/18/2024 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see IS code sheet).

Corrected by Apr 30, 2024

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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 #3 and #7 may not work in a child care position at the facility.

The file for staff person #3, hire date (see IS code sheet), is lacking a completed state police clearance within 45 days of hire as required under CPSL. The file for staff person #7, hire date (see IS code sheet), is lacking a current disclosure statement.

Corrected by Apr 9, 2024

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3270.51/3270.113(a)(1) · 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. 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.

On 3/14/24 at ~2:40pm observed staff person #8 step out of the Preschool B classroom where 10 preschool children were resting and stand in the hallway near the classroom door while a preschool aged child used the restroom on the other side of the hallway. No other staff were present. Staff person #8 was not able to adequately supervise the 10 children in the classroom nor the child in the restroom from her position in the hallway.

Corrected by Apr 9, 2024

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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.

Observed in the Young Two's Room on a shelf next to the sink where children wash their hands a container of hand sanitizer labeled keep out of reach of children.

Corrected by Apr 9, 2024

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Observed in the Older Two's Room a spray bottle containing a blue liquid and lacking a label identifying the contents. That staff identified the blue liquid as Windex.

Corrected by Apr 9, 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.

The fence on the Toddler Playground was observed to have splintering wood and peeling paint. In the Nursery 2 Room observed 2 exposed protruding nails on the floor near the storage closet. The carpet was pulled up exposing the nails and accessible to the young toddlers crawling and walking in the classroom.

Corrected by Apr 9, 2024

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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 Pre-K Room and Preschool B Room observed cracked plastic magnet tiles presenting sharp edges. On the Toddler Playground observed a plastic basketball hoop that was lacking a means of stabilizing the equipment to prevent it from falling on a child.

Corrected by Apr 9, 2024

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The files for child #1 and child #3, both preschool aged, are lacking current health reports conducted during the previous 12 month period.

Corrected by Apr 9, 2024

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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 Preschool A Room a bottle of Children's Tylenol labeled with the names of 3 children.

Corrected by Apr 9, 2024

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed in the Young Two's Room an expired Epipen.

Corrected by Apr 9, 2024

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

Observed in Preschool A Room a bottle of Children's Tylenol lacking a corresponding parent consent form. Observed in the Older Two's Room a parent consent form for Children's Acetaminophen lacking a parent's signature.

Corrected by Apr 9, 2024

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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 files for staff persons #1,#2,#4 and #6 are lacking current health assessments conducted during the previous 24-month period.

Corrected by Apr 30, 2024

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #4 contains only 3 of the required 12 hours of child care training during the previous year, 12/20/2022-12/20/2023.

Corrected by Apr 19, 2024

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3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The files for child #1 and child #2, both preschool aged, contain initial health reports completed greater than 60 days after the first day of attendance at the facility.

Corrected by Apr 9, 2024

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3270.14/3270.21 · All current child care staff who completed the previous health and safety pre-service training modules prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022. Staff persons #1, #2 and #6 will have until 4/22/2023 to complete the required training. 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 files for staff persons #1, #2 and #6, hire date (see LIS code sheet) are lacking the Pennsylvania Health and Safety Update 2022 that was required to be completed by 12/30/2022. The files for staff persons #7 and #9 contain Pennsylvania Health and Safety Update 2022 completed after the required date of 12/30/2022. The files are now current.

Corrected by Apr 10, 2023

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

The file for staff person #1, hire date (see LIS code sheet) contains an initial mandated reporter training that is not an approved training and contains a valid mandated reporter training that was completed after 90 days of employment. The file is now current.

Corrected by Mar 31, 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 file for staff person #3, hire date (see LIS code sheet) contains a current criminal history clearance that was obtained after the expiration of the previous criminal history clearance. The file is now current. The file for staff person #7, hire date (see LIS code sheet) contains a disclosure statement that was signed after the individual's start date. The file is now current.

Corrected by Mar 31, 2023

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3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Observed in the Pre-K Classroom a toaster that was plugged in and accessible to children on a low shelf allowing a child to come into contact with a surface greater than 110 degrees.

Corrected by Mar 31, 2023

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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.

The file for child #7 is lacking a financial agreement.

Corrected by Jun 2, 2023

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The files for children #1, #3, #4, #5 (all preschool aged) and #6 (older toddler) are lacking health reports conducted during the previous 12 month period.

Corrected by Jun 2, 2023

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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). Child(ren) #1,#2 and #5 must be dismissed from care by close of business 4/6/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The files for children #1, #2 and #5 are lacking flu vaccinations in the year 2022.

Corrected by Jun 2, 2023

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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 files for staff persons #4, #5 and #8 contain current health assessments that were conducted greater than 24 months after the previous health assessment. The files are now current.

Corrected by Mar 31, 2023

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3270.181(c) · 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 file for child #1 contains a current emergency contact and financial agreement that was updated greater than 6 months after the previous update. The file is now current.

Corrected by Mar 31, 2023

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3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Initial training in Emergency Plan was not conducted for Staff Person #6 (Start date 1/3/22) until all-staff annual training on 1/17.22.

Corrected by Mar 15, 2022

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3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Annual Fire Safety Training exceeded 12 months between trainings for 12 of the 17 staff with more than one year of service: July 2020-September 2021.

Corrected by Mar 15, 2022

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Health and Safety Training (2/20/22) and Pediatric First Aid/CPR Certificate (2/17/22) in the file for Staff Person #2 were dated more than 90 days after the staff person's first day in child care (10/19/21). The file for Staff Person #7, who has been working for more than 90 days (11/1/21) did not include documentation of health and safety training.

Corrected by Apr 18, 2022

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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 #5 may not work at the facility.

The file for Staff Person #5, who transports children from the center to and from school, did not include an NSOR Certificate.

Corrected by Apr 15, 2022

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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.

The Mandated Reporter Training (3/1/22) in the file for Staff Person #2 was conducted more than 90 days after start date (10/19/21). The file for Staff Person #7, who has been working at the facility for more than 90 days (11/1/21) did not include documentation of Mandated Reporter Training.

Corrected by Apr 15, 2022

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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.

Observed staff medications in the teacher's desk in the Preschool B Room. The lock on the desk was broken, which made items accessible to children.

Corrected by Mar 15, 2022

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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 basketball set in the infant/toddler playground was not filled in the base or secured, which creates a potential toppling hazard for children.

Corrected by Apr 1, 2022

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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 facility had installed a rock garden in the infant/toddler playground. Area was filled with small stones, which measured less than 1 inch in diameter. This creates a potential choking hazard for children who may still be placing objects in their mouths.

Corrected by Apr 18, 2022

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The files for Child #2, 3, 4, 5 and 6, who are all older toddler and preschool children, did not contain updated health reports conducted within the past 12 months.

Corrected by Apr 30, 2022

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3270.131(e)(1)/3270.182(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. A child's record shall contain initial and subsequent health reports.

The most recent immunization records in the files for Child #1, 2, 3, 5, and 6 did not include documentation of a flu shot administered in 2021 or a letter of exemption from the parent or physician.

Corrected by Apr 30, 2022

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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 most recent health assessments in the files for Staff Person #3, 4 and 9 exceeded 24 months between assessments. The files for Staff Person #1 and 8 did not include updated health assessments conducted within the past 24 months.

Corrected by Apr 18, 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.

The facility did not have a Proof of Purchase for the interconnected fire detection system at the facility.

Corrected by Mar 15, 2022

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

A child at the facility was involved in an incident that required emergency room treatment. Staff Person #1 did not inform Regional Office within 24 hours.

Corrected by Oct 26, 2021

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

A child at the facility was involved in an incident that required emergency room treatment. Staff Person #1 did not inform Regional Office within 24 hours.

Corrected by Oct 26, 2021

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