Eastside Ymca Day Care Center

3270.27(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 and kept on file at the facility.

The file for facility person #11, serving as the facility bus driver, hire date (see IS code sheet) is lacking documentation of initial training regarding the facility emergency plan. The file for staff person #10, hire date (see IS code sheet) is lacking documentation of initial training regarding the facility emergency plan. The files for staff persons #2 and #6 are lacking documentation of current training regarding the facility emergency plan.

Corrected by Feb 11, 2026

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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 #8 contains current PFA/CPR certification that was completed after the previous certification expired as evidenced by trainings dated 8/4/2022 and 1/7/2025.

Corrected by Feb 13, 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 files for staff persons #1,3,5,6,7,8 and 9, hire dates (see IS code sheet) are lacking documentation of fire safety training completed during the previous 12-month period.

Corrected by Feb 13, 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.

The file for staff person #4, hire date (see IS code sheet) contains valid health and safety training that was completed greater than 90 days after hire.

Corrected by Feb 13, 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 #5, hire date (see IS code sheet) contains a current state police clearance that was obtained greater than 60 months after the previous state police clearance as evidenced by clearances dated 9/10/2020 and 9/12/2025. The file for staff person #8, hire date (see IS code sheet) contains a current NSOR verification however is lacking an NSOR verification at the time of initial hire as required under CPSL.

Corrected by Feb 13, 2026

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

The files for staff persons #2 and #7 contain current mandated reporter training that was completed greater than 60 months after the previous training.

Corrected by Feb 13, 2026

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3270.33(a)/3270.192(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.

The file for staff person #4, serving as an assistant group supervisor, is lacking documentation of experience to qualify as an assistant group supervisor. Staff person #4 may serve as an aide.

Corrected by Feb 16, 2026

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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.

The files for staff persons #1,3,5,7 and 9 are lacking current written evaluations conducted during the previous 12-month period.

Corrected by Feb 12, 2026

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Observed staff person #4, qualified as an aide, alone and supervising a group of 3 older toddlers and 1 preschooler.

Corrected by Feb 13, 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.

Observed an area of damaged drywall on the wall in the back corner in the play space in the Academy building.

Corrected by Feb 27, 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 School Age Gym 2 a broken wooden musical shaker with a sharp edge.

Corrected by Feb 4, 2026

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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 child #1 and child #2 contain current child assessments that were conducted greater than 6 months after the previous child assessment.

Corrected by Feb 13, 2026

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file for child #1 contains a current health report that is lacking physician statements regarding communicable disease and the child's suitability to participate in child care.

Corrected by Feb 13, 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 file for staff person #8 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments conducted 6/6/2022 and 11/9/2025.

Corrected by Feb 13, 2026

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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 facility person #11 is lacking 2 written non-family reference letters.

Corrected by Feb 13, 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 #2 contains only 4 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #3 contains only 4.5 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #6 contains only 7 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025. The file for staff person #7 contains only 7 of the required 12 hours of child care training completed during the year 12/2024 to 12/2025.

Corrected by Feb 13, 2026

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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 file for child #2 is lacking an initial health report conducted within 60 days of the first day of attendance.

Corrected by Feb 13, 2026

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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.

It was self-reported and verified by interviews that on 10/13/2025 during a walking excursion to the Rolling Ridge Elementary School playground, four older school aged children found a vape and used the vape while at the school playground and again when back in the field play space at the child care facility. Staff persons #1, #2 and #3 who were responsible for supervision of the children were not aware that the children had found and used the vape until it was reported at the end of the day by another child.

Corrected by Oct 13, 2025

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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.

It was self-reported and verified by interviews that on 10/13/2025 during a walking excursion to the Rolling Ridge Elementary School playground, four older school aged children found a vape and used the vape while at the school playground and again when back in the field play space at the child care facility. Staff persons #1, #2 and #3 who were responsible for supervision of the children were not aware that the children had found and used the vape until it was reported at the end of the day by another child.

Corrected by Oct 13, 2025

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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 files for staff persons #3 and 4 contain current PFA/CPR that was completed after the previous certification expired. The file for staff person #14 contains PFA/CPR certification that expired 5/2025 and is lacking documentation of updated PFA/CPR.

Corrected by Sep 14, 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.

The files for staff persons #2, 4, and 7 are lacking current fire safety training completed during the previous 12 month period. 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 Sep 14, 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 or (g)1-10. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) 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 #6-, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PFA/CPR with approved curriculum and trainer

Corrected by Sep 14, 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 and #9 may not work in a child care position at the facility.

The file for staff person #4, hire date (see IS code sheet), contains a criminal history clearance dated 7/20/2020 and is lacking an updated criminal history clearance received during the past 60 months. The file for staff person #6. hire date (see IS code sheet) contains a current child abuse clearance dated 4/27/2025 and a previous child abuse clearance dated 4/24/2020 which exceed 60 months between clearances. The clearance is now current. The file for staff person #9, hire date (see IS code sheet) contains a criminal history clearance dated 6/10/2020 and is lacking an updated clearance received during the previous 60-month period. The file for staff person #11, hire date (see IS code sheet) contains an NSOR verification dated 6/16/2025 which was after the initial start date in a child care position.

Corrected by Sep 14, 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.

Observed the floors in the Pre-K 5 and Pre-K 3 classrooms to have a very heavy layer of dirt and grime indicating that it has been a significant amount of time since they were cleaned. Observed an area rug in the Pre-K 3 classroom to be dirty and stained. Observed the walls in the restrooms off of the child care lobby to be covered with dirt and grime.

Corrected by Sep 14, 2025

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed 4 cribs in the infant room that were not labeled for the use of a specific child. Observed rest mats in the pre-k 5 room were numbered however there was no documentation identifying which child was assigned to which numbered mat.

Corrected by Sep 14, 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.

Observed 2 cribs with sleeping infants that lacked 2 feet of open space on 3 sides.

Corrected by Sep 14, 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 file for child #1 is lacking documentation of the child's growth and development as provided to the parent during the previous 6-month period.

Corrected by Sep 14, 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 file for child #1 contains emergency contact and financial agreement that have not been updated by the parent during the previous 6-month period.

Corrected by Sep 14, 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 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 3/29/23 and 5/6/25. The file for staff person #8 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 2/6/23 and 3/12/25. The file for staff person #10 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 5/23/23 and 6/2/25. The file for staff person #12 contains a current health assessment that was conducted greater than 24 months after the previous health assessment as evidenced by health assessments dated 6/11/23 and 7/7/25.

Corrected by Sep 14, 2025

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3270.151(c)(2) · 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 file for staff person #1 is lacking documentation of a TB test and the results of the test.

Corrected by Sep 14, 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 file for staff person #5 contains a current health assessment that indicates the individual has a communicable disease however it lacks physician's documentation as to how this may affect the individuals work with children.

Corrected by Sep 14, 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 files for staff persons #5, #6 and #13 contain only one nonfamily reference. The second reference is from a relative.

Corrected by Sep 14, 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.

The fire drill log indicated that fire drills were conducted 4/19/2025 and 6/30/2025 exceeding 60 days between fire drills.

Corrected by Sep 14, 2025

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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 #2 is lacking 12 annual training hours between 3/2024 and 3/2025.

Corrected by Sep 14, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children. TIERED LIS: 1.Conditions at the facility may not pose a threat to the health or safety of the children. (This portion of the plan will have an immediate correction date.) 2. The Legal Entity will create a safety policy regarding all regulatory aspects of transportation and busing situations that minimally includes information about a CDL requirement and proper conduct by staff during outings that require transportation. All current staff members will sign an acknowledgement that they have received this policy and understand it's content. A list of current staff and proof of the acknowledgement will be submitted to the Regional office within one week of the completion date for this tier. (The operator will provide a separate correction date for this portion of the plan.) 3. The legal entity will ensure that all facility persons participate in a monthly staff meeting for 5 consecutive months. The staff meeting agenda will include a review and discussion of the safety policy developed in tier 2 regarding all regulatory aspects of transportation and busing situations that includes information about a CDL requirement. The meeting agenda topics and sign in sheet will be submitted to the Regional Office for review within 5 business days after the completion of each meeting. (The operator will provide a correction date for this portion of the plan that is within 5 days of the last meeting.)

Based on staff interviews, written statements and video it is verified that on 8.1.2025 while returning from a field trip, staff person #1 (a PA CDL approved driver) permitted staff persons #2, 3, 4, 5 and 6, all of whom do not hold CDL bus driver license, to drive the facility's full size school bus in a vacant parking lot near the child care center with 52 school aged children on board the bus. It was verified that at times, the bus was being driven at a rate of speed not safe for the parking lot or the circular pattern of driving by staff persons #2, 3, 4, 5 and 6. This was evidence by children being fearful during this experience and also sliding into one another when sharp turns were made.

Corrected by Feb 19, 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 file for facility person #1, serving as the facility lifeguard, is lacking an initial health assessment and Tb test.

Corrected by Jul 2, 2025

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3270.151(c)(2) · 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 file for facility person #1 is lacking a TB test at the time of initial employment.

Corrected by Jul 2, 2025

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. Tiered LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. 2. The legal entity will create a non-restraining policy and will review with each staff person. The policy must be sent to OCDEL for review prior to presenting it to staff. Staff will then have 5 days to read and sign off on the policy. 3. The operator will convene monthly staff meetings for at least 3 months 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 6 months. An agenda will be prepared for each staff meeting and a log identifying the date and time, and a sign-in sheet for persons attending each meeting will be maintained. The staff meeting agendas, logs and sign-in sheets will be sent to OCDEL-DHS representatives within 5 days after the staff meeting.

*Based on interviews with multiple staff persons, staff person #1 used a chair to pin a child between the chair and the wall.

Corrected by Jul 18, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. 2. All current staff and new hires for the next 6 months will read and sign-off on the facility discipline policy. 3. The facility discipline policy will be reviewed at monthly staff meetings for the months May through August. The meeting agenda identifying time for review and discussion of the facility discipline policy and staff sign-in sheet will be submitted to certification rep upon request.

Based on observation of facility video, staff person #1 used physical punishment when they pushed back forcefully on a child's forehead and pulled the child's hair.

Corrected by Oct 15, 2025

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on staff interviews, written statements and facility video, staff person #1 restrained a child by placing her leg over the child during naptime to keep the child from moving on his/her cot.

Corrected by Feb 7, 2025

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3270.113(b) · ***During the next 2 monthly staff meetings, LE will review the facility staff handbook policies regarding Behavior Management / Discipline as well as inspection violations regarding 3270.113(b) from the previous 12-month period. LE will submit to DHS cert rep the meeting agendas and staff sign-in sheets as verification of completion.

***Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside.

Corrected by Mar 15, 2025

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3270.113(b) · **Staff person #1 will complete the Better Kid Care training module titled "Interactions Matter: Positive Teacher -Child Interaction Strategies" or "Big Emotions and Self-regulation for Adults and Children" within 30 days of the acceptance of this plan of correction. Upon completion LE will submit the training certificate to DHS cert rep. Training hours may count toward annual training requirement.

**Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside.

Corrected by Feb 5, 2025

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

*Based on a review of a facility video recording in the older toddler classroom, staff #1 used physical punishment when they roughly grabbed and pulled a child's arm while preparing to go outside.

Corrected by Feb 5, 2025

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3270.61(h) · The capacity established for an indoor space may not be exceeded.

On 12/26/2024 at ~12:00pm observed 20 children receiving care in the PreK-2 room. The capacity of the PreK-2 room is 18.

Corrected by Feb 5, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed in the Pre-K 4 (Young School Age) room, where children aged 5 and under receive care, an electrical outlet lacking protective covers.

Corrected by Dec 4, 2024

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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 #3 contains a current PFA/PCPR certification that was completed after the previous certification expired evidenced by trainings dated 8/22/22 and 10/8/24.

Corrected by Dec 4, 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 file for staff person #6, hire date (see IS code sheet) contains Health & Safety training that was completed greater than 90 days after their start date evidenced with a training certificate dated 6/17/24.

Corrected by Dec 4, 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 Persons #3 and #4 may not work in a child care position at the facility.

The file for staff person #3, hire date (see IS code sheet) contains a state police clearance that is in 'under review' status which is not valid for employment in a child care facility. The file for staff person #4, hire date (see IS code sheet) contains an NSOR verification which expired 1/18/2024 and is lacking a current NSOR verification which is required for employment in a child care facility.

Corrected by Dec 4, 2024

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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 #7 contains a current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training evidenced by trainings dated 10/9/19 and 10/14/24.

Corrected by Dec 4, 2024

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3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Observed in the Pre-K 3 room a snake plant sitting on a low shelf. Snake plants are toxic to humans.

Corrected by Dec 4, 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 file for staff person #1, re-hire date (see IS code sheet) serving as an AGS, is lacking a current health assessment completed during the previous 12 month period at the time of hire. The file for staff person #5, hire date (see IS code sheet) serving as a GS, is lacking a current health assessment conducted during the previous 24 month period.

Corrected by Dec 20, 2024

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 #2 contains an initial health assessment that is lacking physician statements regarding an exam for communicable disease and suitability to provide child care.

Corrected by Dec 6, 2024

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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 fire detection system was not tested at least once every 30 days during the time period between 6/12 to 7/15/2024.

Corrected by Oct 3, 2024

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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 facility person #1, hire date (see IS code sheet), serving as the facility lifeguard, is lacking a current mandated reporter training. The training on file expired 7/29/2023.

Corrected by Aug 19, 2024

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

During staff interviews on 6/12/24 it was verified that staff person #1 kicked a child twice because the child kicked a peer.

Corrected by Jul 29, 2024

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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 files for staff persons #2, #11, and #12 had documentation of Pediatric First Aid /CPR training was not renewed before the expiration date of the most current certification. Staff person #2: 10/28/21 and 11/21/23. Staff person #11: 10/29/20 and 2/17/23. Staff person #12: 1/6/21 and 2/17/23.

Corrected by Jun 6, 2024

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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.

The two most recent fire safety trainings in the file for staff person #10 exceeded 12 months between trainings.

Corrected by Jun 6, 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 file for staff person #1 had documentation of Pediatric First Aid/CPR dated 12/13/23 but was not completed within 90 days of hire (See LIS Code Sheet). The file for staff person #14 had documentation of Pediatric First Aid/CPR dated 5/10/24 but was not completed within 90 days of hire (See LIS Code Sheet).

Corrected by Jun 6, 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).

The file for staff person #5 had documentation of FBI clearance results that was not renewed before the expiration date of the most current certification: 4/1/19 and 4/5/24. The file for staff person #7 had documentation of PA Child Abuse clearance results dated after the staff persons date of hire (See LIS Code Sheet): 12/8/23. The file for staff person #8 had documentation of FBI clearance results that was not renewed before the expiration date of the most current certification: 1/7/19 and 1/25/24. The file for staff person #9 had documentation of NSOR clearance results dated after the staff persons date of hire (See LIS Code Sheet): 1/5/24.

Corrected by Jun 6, 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). Facility Persons #1, #3 and #13 may not work in a child care position at the facility.

The file for staff person #1 lacked PA Child Abuse clearance results. The document on file is for volunteer purposes. The file for staff person #3 lacked clearance results for the state of North Carolina where the staff person resided in the 5 years prior to employment. The file for staff person #13 lacked FBI clearance results. The FBI clearance results that were on file were through the Department of Education.

Corrected by Jun 6, 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.

A piece of plastic on a cabinet door to a children's play kitchen set was observed to be broken with rough edges and not in good repair in the PreK-2 room. Resting mats in the PreK-5 room were observed to be ripping on the edges and not in good repair.

Corrected by Jun 6, 2024

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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 emergency contact form and the parent agreement in the file for child #1 has not been reviewed or updated by the parent within the last 6 months. The most recent update was on 10/18/23.

Corrected by Jun 6, 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 #6 and #12 had documentation health assessments that were not renewed before the expiration date of the most current assessment on file. Staff person #6: 6/19/21 and 7/8/23. Staff person #12: 9/13/21 and 12/1/23. The file for staff person #13 had documentation of a health assessment on file dated 12/16/23, but was not at initial employment (See LIS Code Sheet). The file for staff person #14 had documentation of a health assessment on file dated 4/7/24, but was not at initial employment (See LIS Code Sheet).

Corrected by Jun 6, 2024

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3270.151(c)(2)/3270.192(3) · 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. 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 #4 had documentation of a TB screening dated 11/29/21 but was not at initial employment. The file for staff person #14 had documentation of a TB screening dated 4/11/24 but was not at initial employment.

Corrected by Jun 6, 2024

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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 #13 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jun 6, 2024

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3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/20/24 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 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 (see LIS code sheet): Pediatric first aid/CPR.

Corrected by May 10, 2024

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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 files for facility persons #3, #5, #6, and #7 were observed to lack completion of the following pre-service training by 12/30/22: Pennsylvania Health and Safety Update 2022. The files for facility persons #3, #5, #6, and #7 are now current.

Corrected by Jun 1, 2023

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

In Room A9, a loose crib sheet was observed on a crib in which an infant was sleeping.

Corrected by Jun 1, 2023

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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 facility person #9 had documentation of pediatric first aid/CPR training was not renewed before the expiration date of the most current certification on file: 1/17/20 and 12/15/22.

Corrected by Jun 1, 2023

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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.

Facility person #1 did not complete the following required pre-service training within 90 days of their date of hire (See LIS CODE SHEET): Health and Safety training. Facility person #1 has a completion date of 5/1/23.

Corrected by Jun 1, 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). Facility person #1 shall be removed from care effective close of business day on 5/9/23 until the PA Child Abuse and NSOR clearance results are received. Facility person #6 shall be removed from care effective close of business day on 5/9/23 until the FBI clearance results are received.

The file for facility person #1 lacked PA Child Abuse clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The PA Child Abuse clearance results in the file for facility person #1 were observed to be for "volunteer" purposes. The file for facility person #1 was observed not to contain a valid NSOR clearance within 45 days of hire (See LIS CODE SHEET). The file for facility person #2 was observed to have documentation of FBI Clearance results that were not renewed before the expiration date of the most current certification: 5/21/17 and 12/8/22. The file for facility person #6 was observed not to contain documentation of application of PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The PA Criminal History clearance results on file are dated 7/15/22. The file for facility person #6 was observed not to contain valid FBI clearance results within 45 days of hire (See IS CODE SHEET). The file for facility person #8 was observed to have documentation of FBI Clearance results that were not renewed before the expiration date of the most current certification: 10/9/17 and 10/19/22. The file for facility person #10 was observed not to contain valid NSOR clearance results within 45 days of hire (See LIS CODE SHEET). Facility person #10 has NSOR clearance results that are dated 4/14/23.

Corrected by Jun 1, 2023

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3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Based on facility statements, infants and toddlers located in the Academy Building use the outside grass area surrounding the playground structure as play space. The outside play space is next to a parking lot and is not enclosed in with a fence or natural barrier making it an unsafe area for children.

Corrected by Aug 31, 2023

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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.

Four bottles of Gillette shaving cream that states "keep out of reach of children" were observed to be accessible to children in the PreK-3 room.

Corrected by Jun 1, 2023

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3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

A container of Clorox disinfectant wipes and a bottle of glue that state "keep out of reach of children" were observed in a storage cabinet next to food in Room A11.

Corrected by Jun 1, 2023

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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.

The trash receptacle in the hallway outside of Room A12 contained trash that was contaminated by human secretions was plastic-lined but did not have a closed lid to the receptacle.

Corrected by Jun 1, 2023

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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 wall that separates the PreK-5 room and PreK-4 room was observed to be ripped and fraying and was not in good repair.

Corrected by Aug 31, 2023

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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.

The embedded climbing structure outside in the Preschool play space was surrounded by mulch measured less than 6 inches which is less than the recommendation of the USCPSC.

Corrected by Jun 1, 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 two most recent health assessments on file for child #2, who is a preschool child are dated more than 12 months apart: 6/22/21 and 10/27/22.

Corrected by Jun 1, 2023

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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 file for child #1 lacked an updated health report conducted within 12 months of previous health report. The most current health report on file for child #1 was observed to be dated 5/3/22.

Corrected by Jun 1, 2023

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

The medication log for a child's Epinephrine Injection medication, Benadryl, and an inhaler was observed to lack parental written consent for administration of medication.

Corrected by Jun 1, 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 file for facility person #4 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification on file: 3/3/20 and 3/11/22.

Corrected by Jun 1, 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.

The facility's documentation of testing the fire detection system exceeded 30 days from 1/6/23 and 2/15/23.

Corrected by Jun 1, 2023

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on staff statements and video recording, staff person #1 was sitting in a chair with child #1 between the staff person's legs. Staff person #1 was restraining the child by having both arms around the child's body to restrict movement while the child was screaming "Let me go! Let me go!"

Corrected by Apr 10, 2023

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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. Until such time as the required pre-service trainings are completed, staff person #5, #15, #16 and #17 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, #15, #16 and #17, staff person #5, #15, #16 and #17 may not work in a child-care position at the facility.

Staff person #5, #15, #16 and #17 were observed to be caring for children unsupervised. Staff person #5, #15, #16 and #17 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR, from a PQAS-approved trainer and a PQAS-approved curriculum. Staff person #16 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics #1 through #9, as required by regulation 31f.

Corrected by Aug 14, 2022

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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 and #13 was observed to have pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training was not renewed before the expiration date of the most current certification. Staff person #2 most recent trainings are dated 9/6/19 and 10/28/21. Staff person #13 has documentation dated 9/6/19 and 10/28/21. The file for staff person #8 was observed to lack current pediatric first aid/CPR training.

Corrected by Aug 2, 2022

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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 #1, #4, #5, #6, #9, #12, #14, and #15 was observed to have documentation of fire safety training dated more than 12 months apart.

Corrected by May 17, 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).

The file for staff person #9 was observed to have documentation of PA State Police Clearance and Child Abuse Clearance dated more than 60 months apart. Staff person #9 two most current PA State Police Clearance are dated 4/20/15 and 6/10/20 and Child Abuse Clearance are dated 4/20/15 and 6/11/20.

Corrected by May 17, 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).

The file for staff person #9 was observed to have documentation of mandated reporter training being completed more than 60 months apart.

Corrected by Jul 13, 2022

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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 #8 and #11 was observed to have documentation of NSOR results past the provisional hire period (See LIS CODE SHEET) required for provisional hiring under CPSL.

Corrected by May 17, 2022

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3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

The SA playground is located next to a parking lot and is not enclosed in with a fence or natural barrier making it an unsafe area for children.

Corrected by Jul 9, 2022

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In room A12, A15 and the PreK-4 room, it was observed to have two missing outlet covers in room A12 and four outlet covers in room A15 and two missing out cover in the PreK-2 room, which was accessible to children under the age of 5.

Corrected by May 17, 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.

In the PreK-5 room, it was observed the wall base located to left of the door entrance in the room was ripping off of the wall and not in good repair. In the hallway in the ELA building and in the PreK-2 room, sinks were observed to have a wooden frame in which it was chipping causing splinters and pinch points. In the SA pavilion located outside in the play space, it was observed a trash can that was overflowing with garbage on the ground in the pavilion and grass area which is child care space. In the PreK-4 room and PreK-5 room, trash cans were overflowing with garbage in child care space.

Corrected by Aug 14, 2022

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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.

On the SA Playground inside of the pavilion, it was observed to have peeling paint on the circuit box that was located in a child care space.

Corrected by Aug 3, 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.

In the GE room, it was observed to have two broken toy bins that were not in good repair. In the PreK-3 room, it was observed to have one broken plastic toy bin was not in good repair. In the PreK-4 room, it was observed to have a small trampoline with netting that was ripped covering around the trampoline and was not in good repair.

Corrected by May 17, 2022

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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.

In the SA Playground, it was observed not to have a minimum of 9 inches of mulch under the swing set, the tire swings and the blue climbing structure.

Corrected by May 19, 2022

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

The file for child #7 lacked documentation of the child's arrival and departure times on the agreement form.

Corrected by May 2, 2022

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

The file for child #7 lacked documentation on the child's special needs.

Corrected by Aug 3, 2022

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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 file for child #2 and #6 lacked the name, address and telephone number of the individuals designated by the parent to whom the child may be released.

Corrected by Aug 3, 2022

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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 file for child #7 lacked an updated health report conducted within 12 months of previous health report.

Corrected by May 17, 2022

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

The file for child #2, #3, #5 and #7 lacked documentation of the yearly Influenza shot with no letter of exemption in file.

Corrected by Aug 3, 2022

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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.

In room A-14, it was observed to have Aquaphor cream that expired 4/2022.

Corrected by May 17, 2022

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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 file for staff person #10 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #10 was dated 4/19/21. The file for staff person #1, #4, #5, #7 and #9 was observed to have documentation of a health assessment dated more than 24 months apart.

Corrected by Jun 9, 2022

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3270.151(c)(2) · 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 file for staff person #10 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET).

Corrected by Jun 9, 2022

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #3, functioning as a group supervisor, was observed to lack documentation in the staff file of childcare experience. Staff person #11, functioning as an assistant group supervisor, was observed to lack documentation in the staff file of childcare experience.

Corrected by May 17, 2022

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3270.192(2)(iv) · 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.

The file for staff #3 and #11 lacked documentation of verification of education, transcript, diploma or a letter signed by a representative of the experiential, educational or training entity. (See LIS CODE SHEET).

Corrected by Jul 18, 2022

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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 #3 lacked documentation of two written, nonfamily references.

Corrected by May 17, 2022

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3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #3, #5, #11 and #15 will have until 7/19/22 to complete the required training. Until such time as the required training has been completed, staff person #3, #5, #11 and #15 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, #5, #11 and #15, staff person #3, #5, #11 and #15 may not work in a child-care position at the facility.

Staff person #3, #5, #11 and #15 do not have acceptable pediatric first aid/CPR training by an approved curriculum and the trainer is not PQAS-certified.

Corrected by Jul 19, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #12, #14, #16, and #17 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #12, #14, #16, and #17 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected by Aug 3, 2022

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3270.94(a)(6) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip.

The fire drill log was observed to have documentation that did not provide for the removal of all persons from the facility in a single trip.

Corrected by May 17, 2022

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3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility lacked having the current certificate of compliance being posted in a conspicuous location used by parents.

Corrected by May 17, 2022

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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 file for child #1 lacked documentation of an initial health report within 60 days following the first day of attendance at the facility.

Corrected by May 17, 2022

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