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 parent letter lacked information explaining the emergency procedures for lockdown situation, method to contact parents when an emergency situation arises and how to safely reunite with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 14, 2025

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

3270.37(c)/3270.113(a)(1) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 9:50 am in the Preschool Room, Staff #4, an assistant group supervisor, was supervising Staff #2, an aide. Staff #4 & #2 were supervising 6 preschool aged children. Staff #4 left the room to take one child to the restroom located outside of the Preschool Room.

Corrected Corrected by Feb 21, 2025

Category: supervision. 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.

Gentle Steps Baby Oil, labeled, "keep out of children's reach" was in an unlocked cabinet under the sink in the bathroom located in the Infant/Toddler Room was accessible to children.

Corrected Corrected by Jan 24, 2025

Marked corrected in the state record.

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

In the Infant/Toddler room at approximately 2:00pm, 6 younger toddlers and 3 older toddlers were resting on mats. 3 of the 9 mats lacked 2 feet of space on at least 3 sides. In the Preschool room at approximately 2:00pm, 6 preschool aged children were observed resting on mats. 4 of the 6 mats lacked 2 feet on at least 3 sides.

Corrected Corrected by Jan 27, 2025

Category: physical safety. 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).

The files for Child #1, #2, #3 and #4 lacked current child growth and development forms.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. 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 file for Staff person #3 contained a current health assessment dated 1/4/24. It was not obtained within 24 months of the previous assessment dated 7/19/21. The file for Staff person #4 contained a current health assessment dated 7/16/24. It was not obtained within 24 months of the previous assessment dated 3/11/22.

Corrected Corrected by Mar 14, 2025

Category: ratio. 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 and Staff #3 were observed to be caring for children unsupervised. Staff #1 and Staff #3 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR by an approved PQAS instructor.

Corrected Corrected by Sep 18, 2024

Category: supervision. Marked corrected in the state record.

3270.31(e)(1)(i)/3270.31(f)(10) · Training conducted by a secondary or postsecondary institution is acceptable and may count toward the annual requirement for 6 hours of child care training when the institution is approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council of Postsecondary Accreditation and acceptable to the Department of Education. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for Staff Person #2 lacked a Pediatric First Aid/CPR training within 90 days of hire. The file for Staff Person #1 and Staff Person #3 has acceptable Pediatric First Aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS certified in that training topic.

Corrected Corrected by Oct 17, 2024

Category: health medication. 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 Staff Person #3 contained a disclosure statement that was not dated, therefore making it invalid.

Corrected Corrected by Oct 14, 2024

Category: background checks. 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 facility's fire detection log documented testing dates of 2/9/24 and 3/13/24, more than 30 days apart.

Corrected Corrected by Oct 14, 2024

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.

The file for Child #2 contained an emergency contact form that was lacking the address of the child's physician.

Corrected Corrected by Feb 9, 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).

The file for Staff #1 was lacking a disclosure statement.

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for Child #1 contained a fee agreement that was lacking the date on which the fee is to be paid to the facility.

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. 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).

The file for Child #1 contained a fee agreement that was lacking the services that the facility provides.

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. 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 file for Child #2, who is a preschool aged child, contained two health assessments that were more than 12 months apart.

Corrected Corrected by Feb 9, 2024

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While in the infant/toddler area, Certification Rep observed two diaper changes where the child's hands were not washed.

Corrected Corrected by Feb 9, 2024

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file for Staff #1 had a Pediatric First Aid Card that was dated more than 90 days after the staff's start date.

Corrected Corrected by Jan 28, 2023

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 and #3-- will have until 2/21/23 to complete the required training. Until such time as the required training has been completed, staff person #1 and #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #3, staff person #1 and #3 may not work in a child-care position at the facility.

Staff person #1 and #3 -- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid/CPR).

Corrected Corrected by Feb 18, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #4 cannot work at the facility until proper document is on file.

The file for Staff #4 contained a volunteer child abuse clearance.

Corrected Corrected by Jan 13, 2023

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for Child #2 contains an agreement form that was lacking the child's date of admission.

Corrected Corrected by Feb 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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 file for Child #4 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released.

Corrected Corrected by Feb 13, 2023

Category: recordkeeping. 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 file for Child #3 who is an older toddler age child contained two health assessments that were more than 12 months apart. The file for Child #5 who is a preschool age child contained two health assessments that were dated more than 12 months apart.

Corrected Corrected by Feb 13, 2023

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.

The file for Child #1 and #5 both contain immunization records that were lacking the annual influenza vaccine.

Corrected Corrected by Feb 16, 2023

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 file for Staff #2 contained a Health Assessment that was obtained more than 24 months ago.

Corrected Corrected by Feb 13, 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.

The documentation of testing of the fire detection system showed periods of more than 30 days in between tests.

Corrected Corrected by Feb 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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 facility did not provide parents with instructions on how to access the regulations electronically.

Corrected Corrected by Feb 13, 2023

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 staff person #1, whom was hired as an aide at the facility DOH (See LIS CODE SHEET), had an NSOR dated 1-7-22. The application and receipt for the NSOR were in the file dated 7/20/21. The NSOR was applied for after the staff person started working at the facility.

Corrected Corrected by Feb 2, 2022

Category: background checks. 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.

It was observed that the facility lacked a proof of purchase for the smoke detection system.

Corrected Corrected by Apr 7, 2022

Category: recordkeeping. Marked corrected in the state record.