The Learning Ladder Early Child Care Ctr Llc

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

The file for staff person #1 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 1/13/2020 and 6/11/2025. The file for staff person #3 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 11/18/2019 and 6/16/2025. The file for staff person #5 contains a current NSOR verification that was obtained after the previous NSOR verification expired as evidenced by NSOR verifications on file dated 11/8/2019 and 6/16/2025. The file for staff person #4, provisional hire date (see IS code sheet) is lacking documentation that the staff person was fingerprinted prior to the start of a child care position as required for provisional hire under CPSL. The file does contain a completed FBI clearance dated 11/13/2024.

Corrected by Jul 30, 2025

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed the refrigerator in the school age child care space is lacking a thermometer.

Corrected by Aug 11, 2025

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

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

Corrected by Aug 14, 2025

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The files for child #1 and child #2 contain emergency contact information that is lacking complete health insurance coverage information.

Corrected by Aug 15, 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 #5 contains a current health assessment that was obtained greater than 24 months after the previous health assessment as evidenced by health assessments on file dated 5/14/2023 and 6/30/2025.

Corrected by Jul 30, 2025

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #4 contains only one of the required two written, nonfamily references.

Corrected by Aug 15, 2025

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

It was self-reported and verified through review of facility video and staff interview that staff person #1 used an improper technique to pick up a child.

Corrected by Apr 11, 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 file for staff person #2 contains current fire safety training that was completed greater than 12 months after the previous fire safety training with training dates of 8/4/2023 and 9/3/2024.

Corrected by Sep 3, 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.

Staff person #4, hire date (see IS code sheet) completed Health & Safety training after 90 days of employment.

Corrected by Sep 12, 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.

The file for staff person #3, hire date (see IS code sheet) contains current criminal history and FBI clearances that were completed greater than 60 months after the previous clearances. Clearance dates are: Criminal History 7/16/19 and 8/5/24 and FBI 7/15/19 and 8/16/24. The file for staff person #3 is also lacking a signed disclosure statement. Staff person #3 may not work in a child care position until a disclosure statement is received. The file for staff person #4, hire date (see IS code sheet), is lacking an NSOR verification within 45 days of hire. The NSOR on file is dated 8/12/2024.

Corrected by Sep 13, 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 #1 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training.

Corrected by Sep 12, 2024

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Observed protruding bolts at the base of the toilet in the girl's bathroom.

Corrected by Oct 25, 2024

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

In the play space observed 2 gray and 1 black plastic storage bins containing balls to be cracked causing sharp edges and pinch points. Observed in the older toddler area a cracked yellow plastic lid on the storage box containing Duplo Blocks.

Corrected by Sep 12, 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.

Observed in the walkway near the Older Toddler area a tall storage cabinet that was not anchored for stability.

Corrected by Sep 12, 2024

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #1 contains an emergency contact form that is lacking health insurance coverage and policy number.

Corrected by Oct 1, 2024

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The files for staff persons #1 and #2 contain current health assessments that were conducted greater than 24 months after the previous health assessment.

Corrected by Aug 22, 2024

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

The file for staff person #2 contains only 9 of the required 12 hours of child care training during the year 7/11/2023 to 7/11/2024.

Corrected by Nov 8, 2024

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3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #1, school age, contains a health report that is lacking a date and is therefore unable to determine its validity and timeliness. The file for child #2, school age, is lacking a health report within 60 days of the first day of attendance. The file does contain a current health report.

Corrected by Nov 8, 2024

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

The most recent emergency drill conducted was documented as occurring in November 2022.

Corrected by Mar 19, 2024

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

The most recent review / update of the emergency plan was documented as occurring in October 2022.

Corrected by Mar 15, 2024

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There were no handwashing signs posted at a urinal and toilet in the boys restroom, and a toilet in the girls restroom.

Corrected by Mar 4, 2024

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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 most recent fire dill was documented as occurring on 12/22/23.

Corrected by Mar 15, 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 most recent test of the facility's smoke detectors was documented as occurring 12/22/23. Testing is required at least every 30 days.

Corrected by Mar 15, 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.

There was no documentation on file that Facility Persons #1, #2, #3, #4, #7, #8, #9, #10, and #11 have completed the one hour health and safety training updated, required to be completed for all staff members by 12/30/22.

Corrected by Dec 9, 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 current pediatric first aid & CPR completed and documented on file for Facility Person #8 was completed after the expiration of the previously documented pediatric first aid & CPR training on file.

Corrected by Sep 20, 2023

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3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The documentation of firesafety training on file for staff employed at the facility at least one year did not include the names of the staff participating in the training.

Corrected by Sep 20, 2023

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

The most recent child service reports on file for children #3 and #4 were completed more than 6 months prior.

Corrected by Nov 21, 2023

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

The current NSOR clearance on file for Facility Person #6 was completed more than 45 days after their start date. The mandated reporter training completed and documented on file for Facility Person #6 was completed more than 90 days after their start date.

Corrected by Sep 20, 2023

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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 current staff evaluations on file for Facility Persons #2 & #8 were completed more than 12 months after their prior evaluations on file. The current evaluation on file for Facility Person #3 was not completed by the facility's director.

Corrected by Nov 15, 2023

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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 Person #5 was classified as an assistant group supervisor. There was documentation of HS graduation and less than 2 years of experience on file for Facility Person #5.

Corrected by Sep 21, 2023

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

There was a spray bottle containing a cleaning product in the older toddler room, not labeled with the contents.

Corrected by Sep 20, 2023

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There were no handwashing signs posted at a urinal and toilet in the restroom.

Corrected by Sep 20, 2023

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for child #3 did not include the physician's phone number.

Corrected by Nov 29, 2023

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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

Corrected by Nov 29, 2023

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

The emergency contact form on file for child #3 did not include the complete name of a release persons listed.

Corrected by Nov 29, 2023

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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 emergency contact forms for the 9 older toddlers in care were not taken with the group when they left the facility for an excursion.

Corrected by Sep 21, 2023

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

Corrected by Nov 29, 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 most recent health assessments on file for children #3 and #4 were each completed more than 12 months prior.

Corrected by Dec 5, 2023

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child #3 must be dismissed from care by close of business 9/20/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of a current flu or varicella vaccine on file for child #3.

Corrected by Sep 21, 2023

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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 health assessment on file for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Oct 6, 2023

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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 current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment on file. The most recent health assessment on file for Facility Person #8 was completed more than 24 months prior. The TB test documented and on file for Facility Person #11 was completed more than 12 months prior to their start date.

Corrected by Nov 29, 2023

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3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

There was no parental consent for emergency medical care for the child on file for child #1.

Corrected by Oct 6, 2023

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

There was no signed parental consent for administration of minor first-aid procedures by facility staff on file for child #1.

Corrected by Oct 6, 2023

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The pediatric first aid & CPR training documented and on file for Facility Person #6 was completed more than 90 days after their start date.

Corrected by Sep 20, 2023

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

The operator did not notify local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility within the last 12 months.

Corrected by Nov 1, 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 shall address continuity of operations in an emergency.

The facility's emergency plan did not address continuity of operations in an emergency.

Corrected by Oct 28, 2022

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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.

There was no documentation of an emergency plan review since August 2020.

Corrected by Oct 21, 2022

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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 emergency plan training within the previous 12 months on file for Facility Person #3.

Corrected by Sep 15, 2022

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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 required pre-service health and safety training completed and documented on file for Facility Person #5 (9/14/22) was not completed within 90 days of hire. (See IS Code Sheet)

Corrected by Sep 14, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #2 may not work in the facility without all completed clearances on file.

There was no FBI clearance on file for Facility Person #1, employed at the facility more than 45 days (See IS Code sheet.) There was no required out-of-state criminal history clearance, out of state sex offender clearance, or application for either of these clearances on file for Facility Person #2. (See IS Code Sheet.)

Corrected by Sep 26, 2022

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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 most recent staff evaluations completed by the director and on file for Facility Persons #3 and #4 were more than 12 months old.

Corrected by Oct 28, 2022

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3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #1 is classified as a Group Supervisor. There is no documentation on file of the field of study of the associates degree on file for Facility Person #1 or documentation of any child care experience.

Corrected by Dec 1, 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.

There was an uncovered outlet on a wall near a sink by the window in the preschool room.

Corrected by Sep 14, 2022

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

There was a spray bottle containing a cleaner in the girls restroom in a locked locker, that was not labeled with the contents.

Corrected by Sep 14, 2022

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

There was no thermometer in the refrigerator in the young schoolage room.

Corrected by Sep 14, 2022

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

There was no daily schedule posted in the older school age room.

Corrected by Sep 20, 2022

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

The agreement on file for child #2 was not signed by the operator.

Corrected by Sep 15, 2022

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

The agreement on file for child #3 did not include the arrival and departure times.

Corrected by Sep 15, 2022

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

The agreement on file for child #3 did not include the release persons.

Corrected by Sep 15, 2022

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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 #2 did not include the admission date.

Corrected by Sep 15, 2022

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

The agreement on file for child #3 was the original.

Corrected by Sep 15, 2022

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The physician's information was not specified on the emergency contact form on file for child #1.

Corrected by Sep 15, 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 emergency contact forms on file for children #1, #2, and #4 did not include the addresses for all release persons.

Corrected by Sep 20, 2022

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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.

There was no medical emergency transportation plan posted in the older and younger schoolage rooms.

Corrected by Sep 14, 2022

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3270.124(f) · 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

The emergency contact forms on file for children #2 and #3 were not reviewed and updated by a parent in writing in the last 6 months.

Corrected by Sep 20, 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 most recent health assessment on file for child #4 was more than 12 months old. The current health assessment on file for child #5 was completed more than 12 months after the previous health assessment.

Corrected by Sep 14, 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.

There was no documentation of an annual flu shot, recommended by the ACIP, on file for children #4 and #5.

Corrected by Nov 14, 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

There were no nonfamily written references on file for Facility Persons #2, #3 and #5.

Corrected by Oct 3, 2022

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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 was no documentation of an emergency drill conducted at the facility.

Corrected by Oct 24, 2022

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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 documentation on file does not specify the hypothetical location of the fire for each fire drill.

Corrected by Sep 14, 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 operator indicated that the parents had not yet been provided with the information on how to access the regulations in this chapter electronically.

Corrected by Sep 14, 2022

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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 only 4 hours of child care training completed and file for Facility Person #3 during the most recent review year. There was documentation of only 2.5 hours of child care training completed and file for Facility Person #5 during the most recent review year.

Corrected by Dec 1, 2022

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for Child #5 did not contain a completed emergency contact form.

Corrected by Sep 22, 2021

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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.

The files for Staff #3 and #6 did not contain documentation of the completion of emergency plan training over the past 12 months.

Corrected by Nov 11, 2021

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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 #1, #5, #6, #7, #8, and #10 did not contain documentation of fire safety training completed in the past 12 months.

Corrected by Nov 16, 2021

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3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

The files for Staff #1, #5, and #7, all employed in a child care position for more than 90 days, did not contain documentation of the completion of health and safety basics training.

Corrected by Dec 24, 2021

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The files for Child #1 and #4 contained emergency contact forms that did not include the policy number of their health insurance providers. The file for Child #1 contained an emergency contact form that did not include the child's health insurance provider.

Corrected by Nov 9, 2021

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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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

The file for Staff #4 did not contain a National Sex Offender Registry verification. Said file also did not contain documentation that established that an application for said verification was submitted. The file for Staff #6 contained a National Sex Offender Registry verification; however, said verification was completed after July 1, 2020. The file for Staff #8 contained a current FBI clearance; however, the previously completed FBI clearance was dated as processed more than 60 months prior.

Corrected by Sep 29, 2021

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Although the file for Staff #6 contained documentation of mandated reporter training completed in the past 60 months, the previously completed mandated reporter training was dated more than 60 months prior.

Corrected by Sep 22, 2021

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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 #1, #3, #5, #6, #7, #8, and #10 did not contain documentation of a written performance evaluation dated within the past 12 months.

Corrected by Nov 11, 2021

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

An unused, unprotected electrical outlet was observed in an area accessible to children under the age of six in the Infant room.

Corrected by Sep 22, 2021

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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.

Three approximately 24" round wooden tables in areas accessible to children in care in the Preschool room were observed to have sharply edged clips on the underside of the table where the tabletop attached to each table leg. A cracked plastic bin approximately 12"x18" was observed to have a rough, jagged edge. Contact with the clips on the table or rough edge of the storage bin could result in laceration and/or puncture injuries.

Corrected by Nov 12, 2021

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

The file for Child #4 did not contain documentation of an agreement between the provider and parent/guardian.

Corrected by Oct 18, 2021

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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 files for Child #2 and #4 contained emergency contact forms that did not include the addresses of persons to whom each child can be released.

Corrected by Oct 26, 2021

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The files for Child #2 and #5, each in care for more than 90 days, did not contain immunization records. The file for Child #4 contained an immunization record; however, said document indicates that Child #4 did not receive an influenza vaccine in the past year. The file for Child #4 did not include an flu vaccine exemption via a parentally signed document.

Corrected by Nov 1, 2021

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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.

Although the files for Staff #1, Staff #6, and Staff #8 contained current health assessments, the previously completed health assessments were dated more than 24 months prior.

Corrected by Sep 22, 2021

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

The files for Child #2 and #5, each in care for more than 90 days, did not contain health assessments.

Corrected by Dec 31, 2021

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3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.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 #2 did not contain a High School Diploma or GED.

Corrected by Sep 22, 2021

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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 #2 did not contain written, nonfamily references. The file for Staff #9 contained only one of the two required written, nonfamily references.

Corrected by Nov 2, 2021

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