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.

Staff persons #1, #3, and #4 renewed certification in pediatric first aid and pediatric CPR 11 days after the previous certification expired. Previous certification expired on 5/4/24 and current certification was granted on 5/15/24.

Corrected Corrected by Jul 23, 2024

Category: ratio. Marked corrected in the state record.

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

A surge-protector power strip on a shelf accessible to children in the younger toddler room (Room 7 on 2nd floor) did not contain protective receptacle covers.

Corrected Corrected by Jul 23, 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.

In the outdoor pre-school play space, there were exposed bolts on the inside of the fence section that faces the main road, presenting a hazard to children utilizing the play space.

Corrected Corrected by Jul 23, 2024

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

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 updated health assessment for Child #1, an older toddler, was dated more than 12 months past the initial health assessment. Initial health assessment was dated 3/6/23 and updated health assessment was dated 4/15/24.

Corrected Corrected by Jul 23, 2024

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.

Staff persons #2 and #4 have current health assessments that are dated more than 24 months past their previous health assessments. The dates for health assessments for staff person #2 are 8/13/21 and 11/21/23. The dates for health assessments for staff person #4 are 1/5/22 and 2/14/24.

Corrected Corrected by Jul 23, 2024

Category: ratio. 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.

A tear was observed on a vinyl ottoman used by children in room #3.

Corrected Corrected by Jul 18, 2023

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

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

A written plan of daily activities was not posted in room #6.

Corrected Corrected by Jul 19, 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.

Staff #1, #2, #3 and #4 did not complete the Pennsylvania Health and Safety Update 2022 by December 30, 2022, which was the prescribed timeframe required by OCDEL to complete the training, as per Announcement C-22-06. Staff #1 completed the Pennsylvania Health and Safety Update 2022 on 1/27/2023; staff #2 and staff #3 completed the Pennsylvania Health and Safety Update 2022 on 1/26/2023; and staff #4 completed the Pennsylvania Health and Safety Update 2022 on 6/13/2023.

Corrected Corrected by Jul 18, 2023

Category: ratio. Marked corrected in the state record.

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 operator did not review the emergency plan and document the review in writing at least annually during the period between 5/18/2022 and 6/5/2023.

Corrected Corrected by Jul 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Protective receptacle covers were not placed in electrical outlets accessible to children 5 years of age or younger in the following areas: (2) electrical outlets on the outside of the building by the entrance to the facility; (2) electrical outlets on the wall in room #3; and (2) electrical outlets on the wall in room #6.

Corrected Corrected by Jul 19, 2023

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A door in room #3 that leads to the kitchen was unlocked, making the stove, which is a source of heat exceeding 110° accessible to children.

Corrected Corrected by Jul 19, 2023

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

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.

A handwashing sign was not posted at the diapering area in room #6.

Corrected Corrected by Jul 18, 2023

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

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

The door from room #8 into the upstairs hallway was obstructed by cubbies; the exit from the upstairs to the outside of the building was obstructed by a drying rack and children's chairs; and the doorway between room #5 and room #7 was obstructed by a changing table and a stack of rest mats.

Corrected Corrected by Jul 19, 2023

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The record for child #1 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in room #6.

Corrected Corrected by Jul 19, 2023

Category: transportation. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #1, a young toddler, did not contain a current health report.

Corrected Corrected by Jul 19, 2023

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Infant Tylenol and Infant Mylicon was observed in a child's cubby outside of the bathroom on the 2nd floor accessible to children in care.

Corrected Corrected by Jul 19, 2023

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

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.

The record for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 19, 2023

Category: ratio. 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 #1 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 5/4/2022 and staff #4 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 6/16/2023 which was more than 90 days following date of hire - see staff individual codes.

Corrected Corrected by Jul 18, 2023

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

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

Peeling/damaged paint was observed on the bottom of the trim around the outside of the door used by children to enter the facility.

Corrected Corrected by Jul 29, 2022

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.

The following hazards were observed on outdoor play surfaces and accessible to children in care: pieces of siding were broken off with sharp edges near the bottom of the facility and the garage; and there were sharp pieces of wood protruding from the railroad ties along the fence in the outdoor play space for preschool children and along the walkway to the entrance of the facility.

Corrected Corrected by Sep 5, 2022

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff persons #2 and #6 did not participate, at least annually, in fire safety training between 9/9/2020 and 4/12/2022; staff persons #1 and #5 did not participate, at least annually, in fire safety training between 9/9/2020 and 4/13/2022; staff person #3 did not participate, at least annually, in fire safety training between 7/16/2020 and 4/12/2022; and staff person #7 did not participate, at least annually, in fire safety training between 12/30/2020 and 4/14/2022.

Corrected Corrected by Aug 8, 2022

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 record for staff #1 included a current state police, child abuse and FBI clearance dated more than 60 months following the dates of their previous clearances. The record for staff #5 included a current state police clearance dated more than 60 months following the date of their previous clearance. The record for staff #4 who was hired on a provisional basis included a copy of their request for the NSOR verification certificate and a current NSOR verification certificate dated more than 45 days following their date of hire.

Corrected Corrected by Aug 8, 2022

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

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

The record for staff #1 and staff #3 included a current certificate of completion for mandated reporter training completed more than 60 months following the completion of their previous training.

Corrected Corrected by Aug 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A closed receptacle that was not in a plastic-lined was observed being used to contain trash that was possibly contaminated by human secretions (nasal tissues) in room #5.

Corrected Corrected by Aug 8, 2022

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

There was no door or barrier to prevent children from entering the kitchen from the hallway which made the stove (a source of heat exceeding 110° F) accessible to children.

Corrected Corrected by Jul 29, 2022

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

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.

An operating thermometer was not placed in the refrigerator located in the garage that is used to store milk for the children in care.

Corrected Corrected by Jul 29, 2022

Category: nutrition. Marked corrected in the state record.

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

The written plan of daily activities was not posted in room #4.

Corrected Corrected by Jul 29, 2022

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #2, a young toddler, contained a current health report dated more than 6 months following the date of their previous health report.

Corrected Corrected by Jul 29, 2022

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

The record for child #1, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Jul 29, 2022

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

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 record for staff #5 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Jul 29, 2022

Category: ratio. 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 was not conducted annually between 12/19/2020 and 1/3/2022.

Corrected Corrected by Jul 29, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The facility lacked documentation of the notification to parents of the updated emergency plan on 1/11/21.

Corrected Corrected by Jul 26, 2021

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

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 facility lacked documentation of staff persons receiving training when the emergency plan was updated on 1/11/21.

Corrected Corrected by Jul 27, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

Staff file #1, #2 and #3 lacked documentation of completion of current Pediatric First Aid and Pediatric CPR training in their file.

Corrected Corrected by Sep 6, 2021

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 file #1, a provisional hire lacked documentation of the request for the NSOR Verification prior to hire in the file, a valid NSOR Verification dated 5/27/21 was contained in the file.

Corrected Corrected by Jul 21, 2021

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

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

The outlet under the left window in the upstairs preschool room lacked a protective outlet cover.

Corrected Corrected by Jul 21, 2021

Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

The school age room contained Barbasol shaving cream, a toxic, that contained the phrase "keep out of reach of children" and was intended for use in arts and crafts with the children.

Corrected Corrected by Jul 21, 2021

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kit bag in the downstairs preschool was hung low and was accessible to the children in care.

Corrected Corrected by Jul 21, 2021

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

3270.76/3270.102(a) · 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.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.

The boards lining the fence in the outside play area was pulled away from each other with screws exposed posing a hazard to the children in care.

Corrected Corrected by Jul 23, 2021

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

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.

Child file #2 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Jul 27, 2021

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

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.

Child file #2 lacked documentation of the influenza vaccination administered to the child in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jul 26, 2021

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

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.

Staff file #3 contained an initial health assessment dated 1/12/21 which was not prior to hire and proof of Mantoux TB dated 9/5/19 which was more than 12 months prior to hire.

Corrected Corrected by Jul 27, 2021

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

Staff file #3 contained a written reference letter from a family member attesting to their ability to serve as a facility person.

Corrected Corrected by Jul 23, 2021

Category: recordkeeping. Marked corrected in the state record.

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 lacked for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions in their emergency plan.

Corrected Corrected by Jul 27, 2021

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility lacked documentation of sending a copy of the updated emergency plan to the Finleyville municipality when the plan was updated on 1/11/21.

Corrected Corrected by Jul 26, 2021

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