Easter Group Daycare

3280.26(c) · 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.

The file for staff Person #4, hire date (see IS code sheet) is lacking documentation of emergency plan training within the first 90 days of employment.

Corrected by Feb 14, 2026

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3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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 #3 contains current pediatric first aid /CPR certification that was completed after the previous certification expired, as evidenced by PFA/CPR trainings completed on 9/28/23 and 10/15/25.

Corrected by Feb 14, 2026

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3280.32(a)/3280.192(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 #1 may not work in a child care position at the facility.

The file for staff person #1, hire date (see IS code sheet) contains an expired child abuse clearance dated 1/9/2021 and is lacking a current child abuse clearance.

Corrected by Feb 14, 2016

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3280.76 · 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.

Observed in the hallway near the kitchen, the carpeted baseboard trim along the floor is detached from the wall causing a possible tripping hazard.

Corrected by Feb 14, 2026

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3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed in classroom #1 a wobbly and unstable wooden shelf containing several plastic toy bins.

Corrected by Feb 14, 2026

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files for children #2.,3,4 and 5 are lacking child service reports completed during the previous six month.

Corrected by Feb 14, 2026

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for child # 1 contains emergency contact information that is lacking the address for the child's physician or source of medical care.

Corrected by Feb 14, 2026

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3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child number one contains emergency contact information that is lacking signed parental consent for emergency medical care.

Corrected by Feb 14, 2026

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3280.124(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 files for a child #1 and child #2 contain emergency contact information that is lacking complete health insurance information.

Corrected by Feb 14, 2026

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3280.124(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 files for child #1, child #2, and child #3 contain emergency contact information that is lacking the address for the parent designated release persons.

Corrected by Feb 14, 2026

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3280.124(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.

Observed that emergency contact information was not available in classroom #1 for the two children who were observed receiving care.

Corrected by Feb 14, 2026

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3280.124(f)/3280.181(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 files for children #1,3,4 and 5 are lacking financial agreements and emergency contact forms that have been reviewed and updated in the previous six month.

Corrected by Feb 14, 2026

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3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for child #3, young toddler, is lacking a current health report completed during the previous six month period.

Corrected by Feb 14, 2026

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3280.131(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 file for child #4, preschool age, is lacking a health report completed in the previous 12 month period.

Corrected by Feb 14, 2026

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3280.131(e)/3280.131(e)(3) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for child #2, preschool, and child #3, young toddler, are lacking current immunization status. Child #2 and child #3 must be removed from care until updated immunization status is obtained.

Corrected by Feb 14, 2026

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3280.151(a)/3280.192(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 #1 contains a current health assessment that was obtained greater than 24 months after the previous health assessment as evidenced by health assessments dated 7/18/23 and 1/12/2026.

Corrected by Feb 14, 2026

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3280.182(1) · A child's record must contain initial and subsequent health reports.

The files for children #2,3 and 4 are lacking current health reports.

Corrected by Feb 14, 2026

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3280.182(5) · A child's record must 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 contains emergency contact information that is lacking signed parental consent for administration of minor first aid procedures by facility staff.

Corrected by Feb 14, 2026

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

The fire alarm test log identifies that alarm tests were conducted on 11/11/25 and 12/12/25, exceeding thirty days between tests.

Corrected by Feb 14, 2026

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3280.131(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 file for child #2, preschool age, is lacking a health report and has been in care for greater than 60 days.

Corrected by Feb 16, 2026

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3280.76 · 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.

Observed in the Infant room the window blinds to be broken / cracked with sharp edges. Observed in the hallway the edges of the floor carpet runners were loose and curling up posing a tripping hazard.

Corrected by Feb 6, 2025

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3280.105(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.

Observed in the infant room a child sleeping on a rest mat that was placed between 2 pack n plays without allowing 2 feet of space on three sides of the mat

Corrected by Feb 6, 2025

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files for children #1,2,3 and 5 are lacking child service reports completed during the previous 6-month period.

Corrected by Feb 6, 2025

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3280.124(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 files for children #1 and #4 contain emergency contact information that is lacking health insurance coverage and policy number.

Corrected by Feb 6, 2025

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3280.124(f)/3280.181(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 files for children #1,2 and 3 contain emergency contact and financial agreements that have not been reviewed and updated during the previous 6-month period.

Corrected by Feb 6, 2025

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3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

The file for child #3, older toddler, is lacking a health report conducted during the previous 12 month period. The file for child #2, older toddler, contains a current health report that was conducted greater than 12 months after the previous health report.

Corrected by Feb 6, 2025

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3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for child #2 contains an immunization record that shows the child is missing 1 dose of DTAP, 1 dose of HIB, 1 dose of MMR, 1 dose of varicella and 1 dose of hepatitis A. Child #2 must be removed from care until an immunization record with up-to-date immunizations is obtained.

Corrected by Feb 6, 2025

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3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

There was no date documented for the emergency plan review/update.

Corrected by Jan 15, 2024

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3280.26(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, as required, that the emergency plan was sent to the local municipality and the county emergency management agency.

Corrected by Jan 15, 2024

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3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

There was documentation of one hour of child care training on file for Facility Person #1 for the most recent completed annual period.

Corrected by Jan 10, 2024

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3280.33(a)/3280.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #2 was classified as a primary staff person. There was no documentation of any education or child care experience on file for Facility Person #2.

Corrected by Jan 25, 2023

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3280.76 · 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.

In the gross motor room, there was a half door propped up against a wall.

Corrected by Jan 9, 2024

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There were small areas of peeling paint in Room 1 on the edge of the closet door and in the gross motor room on a wall.

Corrected by Jan 9, 2024

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3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

There was no thermometer in the facility's refrigerator.

Corrected by Jan 10, 2024

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3280.123(a) · An agreement shall be signed by the operator and the parent.

The agreement for child #1 was not signed by the parent. The agreement on file for child #2 was not signed by the operator. There was no agreement on file for child #4.

Corrected by Jan 30, 2024

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3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreements on file for children #1 and #2 did not include the amount of the fee to be charged per day or per week.

Corrected by Jan 30, 2024

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3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements on file for children#1 and #2 did not specify the date on which the fee is to be paid.

Corrected by Jan 30, 2024

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The agreement on file for child #2 did not include the services provided. There was no child service report on file for children #3 and #4, both enrolled more than 6 months.

Corrected by Jan 30, 2024

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for child #2 did not specify the child's arrival and departure times.

Corrected by Jan 30, 2024

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3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for child #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Jan 30, 2024

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3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement on file for child #1 did not specify the date of the child's admission.

Corrected by Jan 30, 2024

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3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Original agreements were on file for children #1 and #2.

Corrected by Jan 30, 2024

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3280.124(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 forms on file for children #1 and #2 did not include the addresses of all release persons.

Corrected by Jan 30, 2024

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3280.124(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 were no emergency contact forms in Room 2 and Room 3 for children receiving care in those rooms.

Corrected by Jan 30, 2024

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3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The medical emergency transportation plan was not posted in Room 4.

Corrected by Jan 9, 2024

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3280.192(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 Person #2.

Corrected by Jan 25, 2024

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3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact forms on file for children #3 and #4, and the agreement on file for child #3 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Jan 30, 2024

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3280.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The most recent health assessment on file for child #3 was not dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected by Feb 1, 2024

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3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health assessment on file for child #4, a young toddler, was completed more than 6 months prior.

Corrected by Jan 16, 2024

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3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #4 must be dismissed from care by close of business 1/9/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for child #4 indicated the child did not have sufficient doses of the Hepatitis B, DTAP, Hib, pneumococcal, and polio vaccines.

Corrected by Jan 17, 2024

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3280.133(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.

There was a tube of Neosporin in the box of extra first aid supplies not labeled with an individual child's name to be used solely for that child.

Corrected by Jan 9, 2024

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3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Jan 15, 2024

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Documentation of smoke detector testing indicates that smoke detectors were tested more than30 days apart (5/5/23-6/5/23; 6/5/23-7/6/23).

Corrected by Jan 20, 2024

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.Staff shall complete health and safety professional development training updates required byOCDEL within the prescribed timeframe.

There was no documentation that Facility Persons #1, #2, #3, and #4 had completed the health and safety professional development training update required by OCDEL within the prescribed timeframe (by 12/30/22)

Corrected by Mar 1, 2023

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3280.14/3280.20 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The facility's emergency plan does not include a plan for continuity of operations in the event of emergency.

The facility's emergency plan does not include a plan for continuity of operations.

Corrected by Mar 1, 2023

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3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

There was no documentation that the emergency plan had been reviewed within the previous 12 months.

Corrected by Jan 11, 2023

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3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted in a conspicuous location.

Corrected by Jan 11, 2023

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 may not work at the facility without a completed criminal history clearance.

The disclosure statements on file for Facility Persons #2 , #4, and #5 were not signed by a witness. The disclosure statements on file for Facility Persons #4 and #5 were not dated. The criminal history clearance on file for Facility Person #5 was not complete.

Corrected by Jan 11, 2023

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3280.34(b)/3280.192(2)(ii) · A primary shall have attained one of the following qualification levels specified at §3280.34(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 #3 was classified as a primary staff person. There was no documentation of education or experience on file for Facility Person #3.

Corrected by Mar 1, 2023

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3280.52(c) · 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 at §3280.52(b).

At approximately 9:30 AM while Facility Person #1 was in the office and while Facility Person #2 answered the front door, there were two children, a young toddler and a preschooler, left in Room #3 with no staff present in the room to supervise with them.

Corrected by Mar 2, 2023

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3280.61(a)/3280.76 · A facility shall provide indoor child care space for individual and group small muscle activity. 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.

Room #4 was not set up for child care but rather was used for storage of items, including stacks of chairs, large boxes and various other furniture and equipment stored against each other, without providing appropriate space for children to engage in individual and group small muscle activities.

Corrected by Jan 10, 2023

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3280.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

The room designated as the facility's indoor play space was not set up for gross motor play. The room was equipped with shelving units, tables and chairs, not leaving space for gross motor play.

Corrected by Jan 11, 2023

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3280.77(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 wall behind the trash can in Room #3 and damaged plaster on the wall near the entrance to Room #4.

Corrected by Jan 11, 2023

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3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The exit door in the front of Room #4 was blocked with floor mats, a child's play tent, and riding toys.

Corrected by Jan 10, 2023

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3280.102(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 lid on a plastic toy bin in the hallway, creating a potential pinch point.

Corrected by Jan 10, 2023

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3280.105(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 packnplay in use in Room #3 without at least 2 feet of space on three sides.

Corrected by Jan 10, 2023

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3280.113(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 9:30 AM while Facility Person #1 was in the office and while Facility Person #2 answered the front door, there were two children, a young toddler and a preschooler, left in Room #3 with no staff present in the room to supervise with them.

Corrected by Mar 2, 2023

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3280.113(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 9:30 AM while Facility Person #1 was in the office and while Facility Person #2 answered the front door, there were two children, a young toddler and a preschooler, left in Room #3 with no staff present in the room to supervise with them.

Corrected by Mar 2, 2023

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3280.123(a) · An agreement shall be signed by the operator and the parent.

There was no agreement on file for child #2. The agreement on file for child #4 was not signed by the operator.

Corrected by Feb 2, 2023

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3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

There were no child service reports (or other approved form) completed, on file, and shared with the parent in the last 6 months for children #3 and #4.

Corrected by Jan 13, 2023

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3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements on file for children #1 and #4 did not include the admission dates.

Corrected by Mar 2, 2023

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3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The original agreements were on file for children #1, #3 and #4.

Corrected by Jan 11, 2023

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3280.124(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 #4 did not include the enrolling parent's work address and phone number.

Corrected by Mar 2, 2023

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3280.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for child #3 did not include the health insurance policy number.

Corrected by Mar 2, 2023

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3280.124(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 forms on file for children #1 and #4 did not include the complete release persons' information.

Corrected by Mar 2, 2023

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3280.124(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 were no emergency contact forms located in Room #3 for the children receiving care in that room.

Corrected by Jan 10, 2023

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3280.124(f)/3280.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact forms and agreements on file for children #3 and #4 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Mar 2, 2023

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3280.131(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 #3 (a preschooler) was more than 12 months old.

Corrected by Mar 2, 2023

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3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

There was no immunization record on file for child #3.

Corrected by Mar 2, 2023

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3280.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization records on file for children #1 and #2 did not include documentation of a current influenza vaccine.

Corrected by Mar 2, 2023

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3280.151(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 most recent health assessment on file for Facility Person #5 was more than 24 months old.

Corrected by Jan 10, 2023

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3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #4.

Corrected by Mar 2, 2023

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There was no documentation that an emergency drill had been conducted.

Corrected by Jan 16, 2023

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3280.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The pediatric first aid and CPR completed by Facility Person #3 was completed more than 90 days after their start date. Training was completed on 9/7/22. (See IS code sheet.)

Corrected by Jan 10, 2023

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3280.94(a)(9) · The primary staff person 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.

The record of fire drills conducted did not specify the hypothetical locations of the fire for each drill.

Corrected by Mar 2, 2023

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

There was no proof of purchase on file at the facility for the interconnected smoke detectors installed in facility, as required by Act 62. There was a signed attestation statement on file that did not specify the date of purchase of the smoke detectors.

Corrected by Mar 2, 2023

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3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance posted at the facility was expired.

Corrected by Jan 10, 2023

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3280.26(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.

A copy of the facility's emergency plan was not sent to the local municipality.

Corrected by Apr 4, 2022

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3280.32(a)/3280.192(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.

Although the file for Staff #1 contained current FBI and PA State Police criminal history clearances, each of the previously processed clearances were completed more than 60 months prior.

Corrected by Jan 18, 2022

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3280.76 · 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.

Two wooden half-doors located at the entrance to and exit from the child care space at the front of the facility were observed to have splintering edges along the top and bottom. Also in said space, a rectangular metal heating vent cover was observed to have sharp edges located on each of the four corners. Said cover was also not secured to the floor, which could cause it to easily be removed and thus creating an approximately 8" deep 12"x6" cavity in the floor. If the cover was removed, a potential for a child to step into the cavity in the floor would be created, which could cause sprain and/or fracture injuries. Two sharply edged hanging hooks were observed mounted in the large child care space to the left of the facility entrance, The aforenoted areas of concern were each located in child care spaces in areas accessible to children. Contact with sharply edged surfaces could cause laceration and/or puncture injuries.

Corrected by Apr 4, 2022

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3280.124(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 file for Child #1 contained an emergency contact form that did not include the policy number of the child's health insurance company.

Corrected by Apr 4, 2022

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3280.124(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 file for Child #1 contained an emergency contact form that did not include the addresses of two persons listed as those to whom the child can be released.

Corrected by Apr 4, 2022

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3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Apr 4, 2022

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The operator was unable to provide a proof of purchase that documents the length of time that the facility's smoke detectors have been operational.

Corrected by Apr 4, 2022

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3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan did not provide for shelter of children during an emergency including lock-down.

Corrected by Apr 4, 2022

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3280.15(b) · (b) The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

Facility failed to submit an application for annual renewal of the facility's building occupancy permit as required by the City of Erie, PA resulting in the expiration of the existing occupancy permit.

Corrected by Sep 30, 2021

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