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. The legal entity must arrange for themselves, staff person #1 and #2 and any staff, in addition to staff person #3 that are utilized at any time in the Toddler Classroom to complete the following trainings found on the Better Kid Care website: Infant-Toddler Care: Guiding Behavior and Move Beyond Time-Out to Responsive Caregiving. The assessment tool included in the Infant-Toddler Care: Guiding Behavior training shall be completed by all staff persons who are required to complete the trainings and turned into the Central Region office upon completion.

During a complaint investigation conducted on 6/5/2025, staff person #3 (DOH see LIS code sheet) admitted to placing child #1 (DOB see LIS code sheet) in a highchair for a Time Out when child #1 was "up running around at nap time and wouldn't listen."

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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 Director or designated staff person who is responsible for compliance with this chapter did not ensure the requirements under section 1016(c) of the act (62 P.S. §  1016(c)) are met. This is evidenced by the smoke detectors in the facility last being manually tested on 4/17/2025, which exceeds the every 30-day requirement.

Corrected Corrected by Jun 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

It was observed on 4/28/2025 in the Whales room the foot of a plastic baby doll is broken and has rough edges. (CORRECTED ON SITE)

Corrected Corrected by Apr 28, 2025

Category: physical safety. Marked corrected in the state record.

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.

Facility person #4 (DOH see LIS code sheet) has not completed the required one hour Pennsylvania Health and Safety Update 20233 by December 30, 2022.

Corrected Corrected by May 5, 2025

Category: ratio. Marked corrected in the state record.

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 and 5 may not work in a child care position at the facility until the missing clearances are on file.

Staff person #1 did not renew the NSOR verification certificate within 60 months, as per CPSL requirements. This is evidenced by the NSOR certificate contained in their record dated 12/23/2019. Staff person #2 (DOH see LIS code sheet) did not renew their mandated reporter training within 60 months, as per CPSL requirements. This is evidenced by the mandated reporter training certificate contained in their recorded dated 3/2/2019. The record for staff person #3 (DOH see LIS code sheet) contains a PSP clearance dated 12/26/2022 and a Child Abuse clearance dated 12/26/2022, both of which are for the purpose of volunteer and are not valid for the purpose of employment. The record for staff person #4 (DOH see LIS code sheet) contains a PDE FBI dated 10/30/2024 and not a DHS required FBI clearance. The record for staff person #5 (DOH see LIS code sheet) does not contain the results of the NSOR verification and is therefore not in compliance with the CPSL.

Corrected Corrected by May 7, 2025

Category: background checks. Marked corrected in the state record.

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.

it was observed on 4/28/2025 on the toddler playground the tarp used as a ground cover is ripped in several areas and poses a tripping hazard.

Corrected Corrected by May 2, 2025

Category: physical safety. Marked corrected in the state record.

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

It was observed on 4/28/2025 in the school-age building the toilet and sink area is not equipped with a clean,lidded waste receptacle. (CORRECTED ON SITE)

Corrected Corrected by Apr 28, 2025

Category: health medication. Marked corrected in the state record.

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

It was observed on 4/28/2025 in the Manatee room the chairs used at snack time are not appropriate for the children's size and age. All the children's feet were observed to be dangling and not able to touch the floor. (CORRECTED ON SITE)

Corrected Corrected by Apr 28, 2025

Marked corrected in the state record.

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).

A Child Service Report to provide information to the family about the child's growth and development in the context of the services being provided was not completed for child #1 (see LIS code sheet for date of admission).

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed on 4/28/2025 in the Manatee and Seals rooms disposable diapers are not being discarded in a hands-free covered can. (CORRECTED ON SITE)

Corrected Corrected by Apr 28, 2025

Category: health medication. Marked corrected in the state record.

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 record for staff person #3 (DOH see LIS code sheet) does not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #5 (DOH see LIS code sheet) only contains one written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 8, 2025

Category: recordkeeping. Marked corrected in the state record.

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

An emergency drill has not been conducted annually.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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 provider's written policy on Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment does not address the prevention and identification of child maltreatment.

Corrected Corrected by Jun 12, 2024

Category: ratio. Marked corrected in the state record.

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.

It was observed on 6/5/2024 in the Sea Turtles room a can of shaving cream labeled "Keep out of reach of children" was on a table accessible to children. (CORRECTED ON SITE)

Corrected Corrected by Jun 5, 2024

Marked corrected in the state record.

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.

It was observed on 6/5/2024 on the toddler playground several sections of the fabric ground cover are ripped creating a potential tripping hazard.

Corrected Corrected by Jun 12, 2024

Category: physical safety. Marked corrected in the state record.

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.

It was observed on 6/5/2024 on the toddler playground the steering wheel of the red cozy coupe was broken off leaving a piece of plastic with rough edges. It was observed on 6/5/2024 in the sand box portion of the preschool playground four (4) metal sifters and a plastic shovel are broken with sharp edges.

Corrected Corrected by Jun 5, 2024

Category: physical safety. Marked corrected in the state record.

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 #1 contains a health assessment dated 1/10/2022, which exceeds 24 months and is no longer valid.

Corrected Corrected by Jun 14, 2024

Category: ratio. Marked corrected in the state record.

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 record for facility person #2 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5)/3270.27(e) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's emergency plan does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, nor does the letter provided to the parent of each enrolled child.

Corrected Corrected by Jun 12, 2024

Category: physical safety. Marked corrected in the state record.

3270.24(a)/3270.34(a)(3) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

The director was not present at the facility during an unannounced monitoring visit on 4/19/2024, and designated Staff Person #1 as being in charge. Staff Person #1 stated they do not have a key to the office and was unable to provide the agent of the Department access to the files and records.

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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 facility owners, Staff Person #1and Staff Person #2 will be required to attend the Central Region Existing Provider Orientation class to be conducted on April 11, 2024. The owners shall contact the Regional Office to schedule the training.

Continued non-compliance: Staff Person #1 and Staff Person #2 did not attend the Central Region Existing Provider Orientation class conducted on January 25, 2024 as directed.

Corrected Corrected by Apr 11, 2024

Category: background checks. Marked corrected in the state record.

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.

It was observed on 12/20/23 the tarp covering the ground of the Toddler playground is ripped in two areas which is creating a tripping hazard.

Corrected Corrected by Dec 21, 2023

Category: physical safety. Marked corrected in the state record.

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.

It was observed on 12/20/23 there are several sand toys in the Preschool playground that are broken and not in good repair.

Corrected Corrected by Dec 21, 2023

Category: physical safety. Marked corrected in the state record.

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

The agreement for Child #3 is not signed by the operator.

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for Child #2 does not specify the child's arrival and departure times. The agreement for Child #3 does not specify the child's arrival and departure times.

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

Facility Person #4 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

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. Staff Person #2 may not work in a child care position until the results of the Child Abuse clearance are on file.

The record for Staff Person #2 contains a disclosure statement signed by the employee; however, it does not contain a signature of a witness responsible for making the hiring decision as required by the CPSL. The record also contains documentation the request for the Child Abuse clearance was mailed on 12/1/23; however, the results of the Child Abuse clearance are not contained in the record. The request was also submitted after Staff Person #2's date of hire (see LIS code sheet) which in not in compliance with the CPSL. The record for Staff Person #3 DOH (see LIS code sheet) contains a PDE FBI clearance dated 8/24/21 and not the required DHS FBI clearance. The record for Staff Person #5 DOH (see LIS code sheet) contains a Child Abuse clearance dated 2/2/23, which is after their date of hire and is therefore not in compliance with the CPSL.

Corrected Corrected by Dec 20, 2023

Category: background checks. Marked corrected in the state record.

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

The agreement for Child #3 does not specify the date of the child's admission.

Corrected Corrected by Dec 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Emergency contact information for Child #1 does not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 21, 2023

Category: health medication. Marked corrected in the state record.

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 record for Facility Person #4 DOH (see LIS code sheet) contains a health assessment dated 7/8/2022, which is more than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jan 13, 2024

Category: ratio. Marked corrected in the state record.

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 record for Staff Person #1 contains an adult health assessment dated 9/23/23; however, it does not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jan 5, 2024

Category: health medication. Marked corrected in the state record.

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 record for Facility Person #3 DOH (see LIS code sheet) contains two written references; however, they both indicate they are related to the facility person.

Corrected Corrected by Dec 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

During staff interviews conducted on 11/15/2023 it was determined that Dawn dish liquid soap was added to make bubbles in the water that was poured in the sensory table the older toddlers played with earlier this month.

Corrected Corrected by Nov 15, 2023

Category: physical safety. Marked corrected in the state record.

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.

During staff interviews conducted on 11/15/2023 it was confirmed that soap and water was splashed out of the sensory table the older toddlers were using earlier this month. The soapy water was reported to have been all over the floor, creating a slippery surface. Staff did not keep the floors free from visible hazards.

Corrected Corrected by Nov 15, 2023

Category: physical safety. Marked corrected in the state record.

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 #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 person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Staff Person #1 was observed to be caring for children unsupervised on 11/15/2023. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by Nov 15, 2023

Category: supervision. Marked corrected in the state record.

3270.31(b) · A staff person shall be 18 years of age or older.

It was observed on 11/15/2023 Staff Person #2 (DOB see LIS code sheet) was being counted in ratio in the older toddler room. Staff Person #2 is 17 years old.

Corrected Corrected by Nov 15, 2023

Category: ratio. Marked corrected in the state record.

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, #2 and #3 must be removed from a child care position by the close of business 11/15/2023. The facility owners, Staff Person #4 and Staff Person #5 will be required to attend the Central Region Existing Provider Orientation class to be conducted on January 25, 2024. The owners shall contact the Regional Office to schedule the training. The hours of the training may not be counted towards the required 12 hours of annual child care training.

The file for Staff Person #1 (DOH see LIS code sheet) contains results for the FBI clearance and documentation all the remaining clearances have been requested; however, the results are not on file. Staff Person #1 is beyond the 45-day provisional hire period. The file for Staff Person #2 (DOH see LIS code sheet) contains results of the NSOR verification but is missing documentation of the PSP, FBI, and Child Abuse clearances. A disclosure statement dated 9/27/2023 is included in the file that was signed by the employee and a guardian; however, it does not contain a signature from a witness who was responsible for making the hiring decision. The file for Staff Person #3 (DOH see LIS code sheet) does not contain a signed disclosure statement and the results of the Child Abuse clearance and either the PSP or FBI clearance and documentation all remaining clearances have been requested as required under the CPSL.

Corrected Corrected by Jan 25, 2024

Category: background checks. Marked corrected in the state record.

3270.14 · 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.

Facility Person #1 (DOH see LIS code sheet) has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022. Facility Person #2 (DOH see LIS code sheet) has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected Corrected by Nov 15, 2023

Category: ratio. Marked corrected in the state record.

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.

Upon review of the facility's fire drill log on 11/3/2023 it was observed the last time the facility's fire detection system was manually tested was 9/13/2023, which exceeds the requirement under section 1016(c) of the act (62 P.S. §  1016(c)) that all fire detection systems are manually tested at least every 30 days. Continued non-compliance as the provider was previously cited on 5/11/2023.

Corrected Corrected by Nov 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Upon review of the facility's fire drill log on 5/11/2023 it was observed the last time the facility's fire detection system was manually tested was 3/24/2023, which exceeds the requirement under section 1016(c) of the act (62 P.S. §  1016(c)) that all fire detection systems are manually tested at least every 30 days.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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 provider has not developed a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Dec 27, 2022

Category: ratio. Marked corrected in the state record.

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 #2 may not work in a child care position at the facility.

The file for Staff Person #1 DOH (see LIS code sheet) contains a Child Abuse clearance dated 4/8/2022, which is after their staff start date and is not in compliance with the CPSL. The file for Facility Person #2 DOH (see LIS code sheet) contains documentation the Child Abuse clearance was requested on 11/30/2022, which is after their start date and therefore not in compliance with the CPSL. Results of the Child Abuse clearance are not included in Facility Person #2's file. The file for Facility Person #2 also contains a PSP clearance dated 11/4/2022 and a DHS FBI clearance dated 10/5/2022, both of which are after their start date and therefore not in compliance with the CPSL.

Corrected Corrected by Dec 27, 2022

Category: background checks. Marked corrected in the state record.

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.

It was observed on 12/19/2022 on the lower level in the school-age building the wall mounted case for the fire extinguisher was cracked and broken. (CORRECTED ON SITE)

Corrected Corrected by Dec 19, 2022

Category: physical safety. Marked corrected in the state record.

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.

It was observed on 12/19/2022 in the lower level playground the play equipment shaped like a castle was not in good repair as it had a screw protruding from the side and a broken piece of plastic. with rough edges.

Corrected Corrected by Dec 23, 2022

Category: physical safety. Marked corrected in the state record.

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.

Emergency contact information for Child #1 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP. Emergency contact information for Child #2 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

Corrected Corrected by Dec 27, 2022

Category: health medication. Marked corrected in the state record.

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

It was observed on 12/19/2022 in the Whales classroom an Epi-Pen was present for Child #3; however, the parent did not provide written consent for the administration of the medication.

Corrected Corrected by Dec 27, 2022

Category: ratio. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed on 12/19/2022 in the Seals room the hands-free covered trash can was not operating properly, and the staff member had to use their hands to open the lid to place the diaper in the trash can.

Corrected Corrected by Dec 23, 2022

Category: health medication. Marked corrected in the state record.

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 Facility #2 DOH (see LIS code sheet) contains a health assessment dated 11/8/2022, which is after their date of hire and not prior to providing initial service in a child care setting.

Corrected Corrected by Dec 23, 2022

Category: ratio. Marked corrected in the state record.

3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

It was observed on 12/19/2022 each infant's bottle was being rinsed with water and reused for the next feeding. Disposable nursers were not being used. Enough bottles for each feeding were not provided by the parent and the facility was not using a commercial dishwasher to wash the bottles in between each feeding.

Corrected Corrected by Dec 23, 2022

Category: physical safety. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #1 will be given 15 additional days from the POC request date (January 4, 2023) to complete pediatric first aid and CPR and staff cannot be left unsupervised. Supervision must be provided by, at minimum, an AGS who has completed the health and safety training, including pediatric first aid and pediatric cardiopulmonary resuscitation. If there are not enough staff available that meet the requirements necessary to supervise staff without the appropriate training qualifications, Staff Person #1 will need to be removed until they receive the appropriate training.

Staff Person #1 DOH (see LIS code sheet) has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Corrected Corrected by Dec 28, 2022

Category: supervision. Marked corrected in the state record.

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 facility person #2 hired 8/23/2021 contains a PSP criminal history clearance dated 10/13/2021and documentation the PSP clearance was submitted the same day and a DHS required FBI clearance dated 10/202021 with documentation of submission 8/23/2021. Although the LE has an approved provisional hire waiver on file effective 2/7/2020, the requirement to have either the completed PSP or DHS required FBI clearance on file at time of hire was not met.

Corrected Corrected by Dec 20, 2021

Category: background checks. Marked corrected in the state record.

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.

It was observed on 12/20/2021 on the Preschool playground the Fisher-Price plastic basketball hoop was broken and had rough edges, two plastic buckets were broken and had rough edges, the steering wheels in a pink cozy coupe car and blue boat were broken off and had rough edges, and the dry wall in a wooden play house had large holes and was crumbling. (ALL CORRECTED ON SITE) It was observed on 12/20/2021 on the Toddler playground a plastic lawn mower was broken and had rough edges. (CORRECTED ON SITE)

Corrected Corrected by Dec 20, 2021

Category: physical safety. Marked corrected in the state record.

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

Child #1 has prescribed Epinenphrine on-site but the parent did not provide written consent for administration of the medication.

Corrected Corrected by Dec 20, 2021

Category: ratio. Marked corrected in the state record.

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 Facility Person #1 who provides direct care to children and works with food preparation contains a health assessment dated 1/17/2019, which is more than 24 months and is no longer valid.

Corrected Corrected by Dec 27, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The adult health assessment for Staff Person #5 does not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Dec 21, 2021

Category: health medication. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

It was observed on 12/20/2021 four bottles in the Seals room were not labeled with the child's name.

Corrected Corrected by Dec 20, 2021

Marked corrected in the state record.

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.

The record for Facility Person #3 hired 12/6/2021 does not include verification of child care experience or education prior to service at the facility.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.

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 #3 does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Facility Person #4 contained two written references; however, it was observed one of the references was from a relative.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

It was observed on 8/30/2021 at approximately 10 am, Staff Person #1 was the only staff member in the Older Toddler room with ten (10) children who were all 2 years of age, making the ratio 1:10. The ratio for that age group should have been 1:6. (CORRECTED ON SITE)

Corrected Corrected by Aug 30, 2021

Category: ratio. Marked corrected in the state record.

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.

Upon review of the facility's fire drill log on 7/21/2021 it was observed the Director or designated staff person did not test for the operability of the facility's smoke detectors during the month of May.

Corrected Corrected by Jul 22, 2021

Category: recordkeeping. Marked corrected in the state record.