Handled With Care Childcare Facility Llc

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

There was no stool in the Rainbow room to allow the children to reach the sink to wash their hands.

Corrected by Feb 23, 2026

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3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Persons # 1 and #3 were classified as assistant group supervisors. There was documentation of an international degree and at least 2 years of child care experience on file for Facility Person #1, but there was no U.S. equivalency for the international degree documented and on file. There was documentation of high school completion and less than 2 years of child care experience documented and on file for Facility Person #3.

Corrected by Apr 15, 2026

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

There was an uncovered outlet on a power strip (plugged in) and in reach of children in the Rocket room.

Corrected by Feb 23, 2026

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

There were no tweezers in the first aid kit in the gym. There was no tape in the first aid kit in the Wizards room.

Corrected by Feb 23, 2026

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

There were small areas of damaged plaster on walls in the Rocket and Bumblebees rooms.

Corrected by Feb 23, 2026

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3270.92(a) · Portable space heaters are not permitted.

There was a portable space heater in the office.

Corrected by Feb 23, 2026

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3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

There was no protective surfacing under a piece of climbing equipment in the Rainbow room.

Corrected by Feb 23, 2026

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3270.131(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 current health assessment on file for child #1, a young toddler, was completed more than 6 months after the prior health assessment.

Corrected by Nov 25, 2025

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The current health assessments on file for Facility Persons #2 and #4 were completed more than 24 months after the previous health assessments on file.

Corrected by Feb 23, 2026

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 10:20 AM in the gym, Facility Persons #1, #2, and #3 were supervising a total of 20 schoolagers (5 older schoolagers and 15 younger schoolagers). When asked to identify the children that they were each supervising, Facility Person #1 identified 7 children, Facility Person #2 identified 5 children, and Facility Person #3 identified 7 children, totaling 19 children. It was determined that one child was not assigned to any of the staff for supervision purposes.

Corrected by Jan 30, 2026

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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 fire detection log documented dates 12/5/25-1/5/26, more than 30 days apart.

Corrected by Feb 11, 2026

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

There was a shelving unit in front of a doorway exiting from the Rainbow room to the hallway.

Corrected by Oct 27, 2025

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There were 2 mats in the Bumblebee room and 5 mats in the Rocket room, in use during rest time, with less than 2 feet of space on 3 sides.

Corrected by Oct 28, 2025

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 1:15 PM, there were 22 children (18 young schoolagers and 4 older schoolagers) recieving care in the Wizard room, which has an established maximum measured capacity of 17 children.

Corrected by Jul 22, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The documentation of smoke detector testing on file at the facility indicates the most recent the date the program's detectors were tested was 6/18/25. Smoke detectors are required to be tested at least every 30 days, and testing documented.

Corrected by Jul 22, 2025

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 2:45 PM, Facility Person #1 was observed caring for 7 young toddlers in the Baby Bear room.

Corrected by Apr 4, 2025

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

There was a small area of peeling paint on the wall in the Bumblebees room behind a trash can.

Corrected by Feb 24, 2025

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a spray bottle of a cleaning product on a self in reach of children in the Zebra room.

Corrected by Feb 24, 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 current first aid/CPR training documented and on file for Facility Person #4 was completed after the expiration of the previous first aid training completed an documented.

Corrected by Aug 17, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #3, #4, # 6, #7 and #9 may not work in a child care position at the facility without all completed clearances on file.

The NSOR clearances on file for Facility Person #1, #3, #4, #6, #7, and #9 were more than 60 months old. Facility Person #3 was observed caring for children unsupervised. The current criminal history, child abuse and FBI clearance on file for Facility Person #4 were completed more than 60 months after the previous respective clearance on file. The current FBI clearance on file for Facility Person #5 was completed after their hire date. There was no application for an FBI clearance on file for Facility Person #5.

Corrected by Feb 24, 2025

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

The current mandated reporter training completed and documented on file for Facility Persons # 4 and #9 were completed more than 60 months after their previous respective mandated reporter trainings.

Corrected by Feb 24, 2025

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3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The only verification of previous child care experience located in the file for Facility Person # 2. required for their aide classification, did not indicate the name of the person for which the hours of experience were verified.

Corrected by Mar 10, 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.

There were five rest mats in use in the Baby Bear room that were labeled with #'s corresponding to names of children listed on a chart that were different than the names of the children who were using them.

Corrected by Feb 24, 2025

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 2:30 PM in the Zebra room, Facility Person #3 was supervising 11 preschoolers resting on mats. Facility Person #3 was seated at a table where they were unable to see two of the preschoolers in the room due to their positioning and the placement of the rest equipment and furniture in the classroom.

Corrected by Feb 24, 2025

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

In the Sunshine room, there were 2 infants observed to be sleeping in swings and one infant observed to be sleeping on the floor, propped up in a boppy pillow.

Corrected by Feb 24, 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 most recent child service reports on file for children #1 and #3 were completed more than 6 months prior.

Corrected by Mar 25, 2025

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3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact forms on file for children #2 and #4 did not include the addresses of all release persons listed on each form.

Corrected by Mar 25, 2025

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3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The health assessment on file for Facility Person #8 was completed more than 12 months prior to their respective start dates.

Corrected by Mar 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.

There were uncovered outlets on an extension cord near the floor in the Bumblebees room.

Corrected by Jul 17, 2024

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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.

There was no documentation of current emergency plan training on file for Facility Person #1.

Corrected by Jul 18, 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.

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

Corrected by Jul 22, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There was no evaluation completed and on file for Facility Person #1 from the previous 12 months.

Corrected by Jul 19, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the Zebra room, there were cleaning supplies on the floor in an unlocked closet. In the Wizard room there was a disinfectant spray bottle on a shelf in reach of children. In the Sunshine room, there was diaper cream in an unlocked cabinet under the changing table.

Corrected by Jul 17, 2024

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

There were no tweezers in the first aid kit in the Stars room.

Corrected by Jul 17, 2024

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

There was a small area of damaged plaster on a wall in the Wizard room.

Corrected by Jul 17, 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.

There was a cracked plastic toy bin in the Wizard room, creating a sharp edge/potential pinch point.

Corrected by Jul 17, 2024

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was less than 2 feet of space on three sides of a rest mat in use the Zebra room and two rest mats in use the Rockets room.

Corrected by Jul 17, 2024

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3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was Flovent in the medication box in the Bumblebee room not labeled with the name of the child for whom it was intended.

Corrected by Jul 17, 2024

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

There was no written parental consent to administer a particular child's epipen at the facility.

Corrected by Jul 18, 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 documentation of smoke detector testing on file indicates that smoke detectors were tested on 3/4/24 then again on 4/4/24, more than 30 days apart.

Corrected by Jul 17, 2024

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

There was documentation of 8 hours of child care training on file for the most recent review year on file for Facility Person #1.

Corrected by Aug 4, 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.Until such time as the required pre-service trainings are completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Facility Person #2 was observed walking a child down the hallway, unsupervised. There was no documentation on file indicating that Facility Person #2 had completed the required pre-service health & safety training.

Corrected by Feb 21, 2024

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

The facility's letter to the families explaining their emergency plan did not include information on planned accommodations in the event of an emergency.

Corrected by Feb 20, 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 documentation of the health & safety training completed and on file for Facility Person #1 indicates the training was completed more than 90 days after their start date.

Corrected by Feb 9, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There were Clorox wipes in a cabinet in the Wizards room in reach of school-age children in care in the classroom.

Corrected by Feb 8, 2024

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

The trash can at a sink in the Bumblebees room was not lidded.

Corrected by Feb 8, 2024

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

There was a low shelving unit in the Lions room (not currently in use) with several sharp screws protruding from the back of the unit.

Corrected by Feb 9, 2024

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

There were no assessments for children #1, #2, and #3 completed and on file and a copy given to the parents, in the previous 6 months.

Corrected by Feb 21, 2024

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

There were no emergency contact forms in the gym present for children receiving care in that space. There was no emergency contact form in the Rocket room for one of the children receiving care in that space.

Corrected by Feb 8, 2024

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3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The medical emergency transportation plan was not posted in the Wizards room.

Corrected by Feb 8, 2024

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

On 4/25/23, child #1 received emergency room treatment after the child suffered a medical event at the facility. The incident was not reported to the regional certification office within 24 hours.

Corrected by May 16, 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.

The emergency plan did not include a plan for continuity of operations in the event of an emergency, which is required under federal regulation.

Corrected by Mar 20, 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. Required health and safety update trainings must be completed within the timeframes prescribed by OCDEL.

Documentation of the update to the health and safety training on file for Facility Person #4 indicates the training was completed after the required due date of 12/30/22

Corrected by Feb 27, 2023

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

Reviews of the emergency plan were documented as follows: 1/4/21, then again on 10/1/22, more than 12 months apart.

Corrected by Mar 22, 2023

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

There was no letter to provide to the parents of enrolled children explaining the facility's emergency plan.

Corrected by Mar 17, 2023

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

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

Corrected by Feb 28, 2023

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #8 will have until 4/1/23 to complete the required training. Until such time as the required training has been completed, staff person #8 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 8, staff person #8 may not work in a child-care position at the facility.

There was no documentation of acceptable pediatric first aid and CPR training on file for Facility Person #8, who has been employed at the facility more than 90 days.

Corrected by Mar 6, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #9 may not work at the facility.

There was no NSOR clearance on file for Facility Person #1. The application for an NSOR clearance on file for Facility Person #1 was dated after their start date. (See IS Code Sheet.) There were no clearances on file from the other state in which Facility Person #9 lived within the previous 5 years. The criminal history, child abuse and FBI clearances on file for Facility Person #10 were each updated more than 60 months after the previous respective clearance on file.

Corrected by Mar 21, 2023

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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.

There was no documentation on file of the education required for the respective staff classifications for Facility Persons #6 & #7.

Corrected by Mar 21, 2023

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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.

There were two cribs in the infant room each labeled with the names of two children, all of whom were present, receiving care at the facility at the same time.

Corrected by Mar 22, 2023

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

An infant was observed to be asleep in a swing, not in the position recommended b y the AAP.

Corrected by Mar 22, 2023

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3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

According to documentation of diaper changes/checks and staff statements, one of the children receiving care in the Stars room was changed at 7:53 AM, and then not checked again until they were changed at 10:43 AM. In the Baby Bears room, there were two children whose diapers were changed around 8:00 AM, then checked again at 10:40 AM. None of these children were asleep when diaper changes/checks were due, as per documentation and staff statements.

Corrected by Mar 22, 2023

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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 initial health assessment on file for Facility Person #2 was completed on 10/7/22, after their start date. (See IS Code Sheet.)

Corrected by Feb 28, 2023

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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 health assessment on file for Facility Person #3 indicated that Facility Person 3 has a communicable disease, but did not provide further information regarding the communicable disease.

Corrected by Feb 28, 2023

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

Children's files were not stored in a locked cabinet.

Corrected by Mar 22, 2023

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

Facility persons' records were not stored in a locked cabinet.

Corrected by Mar 22, 2023

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not specify accommodations for infants, toddlers in an emergency.

Corrected by Mar 17, 2023

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

There most recent emergency drill documented was conducted on 1/14/22, more than 12 months prior.

Corrected by Feb 27, 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.

There was no proof of purchase for the facility's interconnected fire alarm system on file at the facility.

Corrected by Mar 22, 2023

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3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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 include a plan for shelter in place in the event of an emergency,

Corrected by Mar 22, 2023

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

The current mandated reporter training on file for Facility Person #1 was completed more than 60 months after the previous mandated reporter training.

Corrected by Dec 30, 2022

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

Fire drills were recorded as occurring on 8/8/22 and then 10/8/22, more than 60 days apart.

Corrected by Jan 2, 2023

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log did not include the names of the facility persons who participated in each fire drill.

Corrected by Jan 2, 2023

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

The file for Staff #1, contained a disclosure statement that wasn't dated. .

Corrected by Mar 7, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff #1 also contained an NSOR certificate dated 12/13/21, which is more than the 45 days the provisional hire allows.

Corrected by Mar 7, 2022

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3270.51/3270.113(a)(1) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Upon arrival to the facility during ratio and supervision checks when Certification Rep stopped at the Sunshine Room and asked Staff #2 which children she was responsible for Staff #2 named 4 infant aged children. Staff #3 named 2 infant aged children. Certification Rep counted 7 infant children. Certification Rep then gave another chance telling staff that she counted 7 infants and only 6 were named. Staff #3 told Certification Rep. that Staff #2 was supposed to have 5 and that she was only supposed to have 2. At that point Certification Rep, had to explain to Staff #3 that she would need to take the unnamed child because Staff #2 already had 4 and taking another would put her over ratio.

Corrected by Mar 7, 2022

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3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

In the Sunshine Room, emergency phone numbers were not posted by the telephone.

Corrected by Mar 7, 2022

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Zebra Room was lacking soap.

Corrected by Mar 7, 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 #3 contained an emergency contact form that was lacking the name of the child's health insurance company.

Corrected by Mar 7, 2022

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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 #3 contained a health assessment that was lacking the statement signed off by the medical provider that states that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Mar 7, 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 contained an immunization record that was lacking one dose of the Hepatitis A immunization.

Corrected by Mar 8, 2022

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