3270.102(a)/3270.135(a)(3) · 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. 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 in Room #1 that the garbage can used for disposable diapers was broken and was not hands free at the time of inspection.

Corrected Corrected by Jan 10, 2024

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

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

Although staff person #1 completed their mandated reporter training on 3/14/23, they had not completed this training within the 60 month renewal requirement. This is evidenced by the previously documented mandated reporter training on file being dated 3/6/18.

Corrected Corrected by Mar 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed that the facility had two functional fire alarm inspection reports on file. One was dated 6/30/22, and the other was dated 8/18/23. Additionally the facility had a visual inspection report on file dated 1/19/23, but this report did not verify that the system was actually tested during that inspection on 1/19/23. Therefore the functional tests on file, verifying that the facility had their device or system tested at least annually by a fire safety professional, were not completed within the annual timeframe as required according to the standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected Corrected by Aug 19, 2023

Category: recordkeeping. 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.

It was observed in Room A that the bottom of the refrigerator contained spilt milk leaving this refrigerator unclean.

Corrected Corrected by Jan 25, 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.

It was observed in Room 1 that a daily schedule was not posted.

Corrected Corrected by Jan 25, 2022

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.

Emergency contact form for child #1 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Jan 31, 2022

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.

It was observed that an outlet was left uncovered in Room 6 where children under the age of 5 were receiving care.

Corrected Corrected by Sep 24, 2021

Marked corrected in the state record.

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

File for staff person #1, hired 5/3/16, contained a certificate for mandated reporter training which was completed on 5/28/16, but no additional mandated reporter training certificate was observed on file dated within the last 60 months as required under the CPSL.

Corrected Corrected by Sep 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

File for staff person #5, hired 8/23/21, and being used as an aide, did not contain documented verification of education such as a high school diploma or GED.

Corrected Corrected by Sep 24, 2021

Category: recordkeeping. 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 in the toddler outdoor play space that thistle bushes containing sharp thorns had grown through the fence allowing the bush to be accessible creating a visible hazard.

Corrected Corrected by Sep 24, 2021

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

3270.151(c)(1)/3270.151(c)(4) · An adult health assessment must include a physical examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for staff person #4 stated that no physical examination was conducted, the staff person was not suitable to work with children, and no additional information was found on file.

Corrected Corrected by Sep 30, 2021

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

Files for staff person #2 and #3 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 27, 2021

Category: recordkeeping. Marked corrected in the state record.