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 light switch next to the restroom accessible to children was missing a cover plate.

Corrected Corrected by May 20, 2025

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During a complaint investigation conducted on 8/29/24, based on staff interviews and a review of Child #1's file, a copy of the incident report for when Child #1 tripped and fell outside on the playground was not in the child's file and could not be located at time of investigation.

Corrected Corrected by Aug 29, 2024

Category: health medication. 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 emergency plan on site does not include provisions for continuity of operations, required as of 7/1/22, as per Announcement C-22-04. The file for Staff Person #1 lacks the required 1-hour Health and Safety Update due by 12/30/2022 per Announcement C-22-06.

Corrected Corrected by Jul 31, 2002

Category: ratio. 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 file for Staff Person #1 contained Emergency Plan training that exceeded 12 months (3/28/23 and 6/28/24).

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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 #1 contained fire safety trainings that were more than 12 months apart (6/23/23 and 7/3/24).

Corrected Corrected by Jul 31, 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 file for Staff Person #2 contained a disclosure statement dated after their start date. The disclosure had a date of 7/28/24 while the first day recorded working with children was 7/20/24.

Corrected Corrected by Jul 31, 2024

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

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 evaluation for Staff Person #1 hired in March 2023, was completed 6/28/24 which is more than 12 months.

Corrected Corrected by Jul 31, 2024

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.

There was an uncovered outlet receptacle in the cafeteria/gym area accessible to the 4 and 5 year olds observed in the child care space.

Corrected Corrected by Jul 31, 2024

Category: physical safety. 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.

There was a bottle of cleaning solution on the floor in an unlocked closet in the cafeteria/gym area accessible to children. Hand sanitizer in a dispenser mounted on the wall was accessible to children ages 4 and up in the cafe/gym area.

Corrected Corrected by Jul 31, 2024

Marked corrected in the state record.

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

The first aid kit was accessible in the cafe/gym child care space due to its location on a hook by the door.

Corrected Corrected by Jul 31, 2024

Category: health medication. 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 door handle on the right glass doors that exit to the outdoor courtyard/play area was broken and not working properly.

Corrected Corrected by Aug 1, 2024

Category: physical safety. 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.

There was peeling paint in the cafeteria/gym area along the wall opposite the courtyard/outdoor play area, as well as in the left restroom in the cafeteria/gym area. The Preschool room also has peeling paint around the pipe and wall next to the new air conditioner unit.

Corrected Corrected by Jul 31, 2024

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.

Handwashing signs were lacking above the sink in the restroom in the cafeteria/gym area and by the diaper changing unit in the 1 year old/infant room, and above the urinals in the preschool restroom area.

Corrected Corrected by Jul 31, 2024

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

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

The daily activities were not posted in the two year old room and the cafeteria/gym area.

Corrected Corrected by Jul 31, 2024

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 file for Child #2 lacked an updated child service report in the last 6 months.

Corrected Corrected by Aug 1, 2024

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 on file for Child #1 lacked persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #1, Child #2, Child #3, and Child #4 contained the original fee agreements.

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #5 lacked the parent's work address and phone number.

Corrected Corrected by Jul 31, 2024

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 emergency contact forms on file for Child #4 and Child #5 lacked the address for individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Several medication logs were observed with the following fields omitted: Name of medication, Date of administration, Amount of medication to be given.

Corrected Corrected by Jul 31, 2024

Category: ratio. 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 health assessment greater than 24 months from the previous health report. The current health report is dated 7/10/24 while the previous report was dated 10/1/21.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3270.182(7) · The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility lacked an accident file with copies of accident, injury, and illness reports involving children in care at the facility.

Corrected Corrected by Jul 31, 2024

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

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file for Child #5 contained an agreement form that only specified the child's name. None of the other required fields were completed on the agreement form.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 smoke alarms in the upper part of the building are interconnected only with alarms in the upper section of the building. The smoke alarms in the lower part of the building are interconnected only with alarms in the lower section of the building. The two parts of the building are not interconnected with each other.

Corrected Corrected by Jul 31, 2024

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #1 lacked 4 of the 12 hours of annual training from March 2023 through March 2024. Staff Person #1 must complete 4 additional training hours for 2023-2024 to include the updated one-hour health and safety training

Corrected Corrected by Aug 13, 2024

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

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

The immunization record for Child #4 dated 7/7/23 was provided more than 60 days after the child's first day of admission.

Corrected Corrected by Jul 31, 2024

Category: health medication. 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 file for staff person #4 lacked documentation of receiving emergency plan training upon hire (see LIS code sheet).

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

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

In the classroom next to the infant room there were push pins in a diaper box on top of the air filter unit.

Corrected Corrected by Jul 20, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 -- may not work in a child care position at the facility.

The two most recent child abuse clearances on file for Staff person #3 are dated 10-5-17 and 6-27-23, more than 60 months apart. The state police clearance, child abuse clearance, FBI clearance and NSOR are all dated after staff person #4 start date (see LIS code sheet). Staff person #7 file lacked an FBI clearance, a disclosure statement and a NSOR certificate.

Corrected Corrected by Aug 15, 2023

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #1 functioning as an Assistant Group Supervisor had no proof of childcare experience.

Corrected Corrected by Jul 21, 2023

Category: supervision. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The infant room lacked feeding schedule provided by the parent for 2 out of 3 infants in care.

Corrected Corrected by Jul 24, 2023

Category: nutrition. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

At approximately 10:13am it was observed that Staff #2 walked out of the Preschool/School Age room leaving Staff #1 alone with 11 children.

Corrected Corrected by Jul 20, 2023

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.

The was a missing receptacle cover on an outlet that was accessible to the children in the gross motor room.

Corrected Corrected by Jul 20, 2023

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 that there was a can of disinfectant spray on the sink in the boy's and girl's bathrooms of the gross motor room. There was a bottle of toilet cleaner on the floor beside the toilet in the girl's bathroom of the gross motor room. In the hallway leading to the gross motor room, it was observed on the bottom shelf of a unlocked cabinet that there were disinfectant wipes and Febreze. In the preschool room, in an unlocked bottom desk drawer there were 4 can of disinfectant spray, container of disinfectant wipes, and 2 containers of hand sanitizer and in a plastic bin under the desk there was a bottle of white-out. In the hallway outside of the infant room on a low shelving unit there were Clorox wipes, hand sanitizer and sunscreen. All of the toxic materials were accessible to the children.

Corrected Corrected by Jul 20, 2023

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

There was a bamboo plant on the table in the preschool room that is toxic to humans.

Corrected Corrected by Jul 20, 2023

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

3270.67(a) · Trash shall be removed from the facility at least once per day.

There were 2 cans of garbage in the gross motor room which had been reported to have been there all week.

Corrected Corrected by Jul 20, 2023

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.

In the food prep area, there was an unlidded garbage can that contained food that was not finished.

Corrected Corrected by Jul 21, 2023

Category: nutrition. 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.

On a low small table in the before and after school waiting area there was a lamp that had an exposed light bulb that measured 116 degrees.

Corrected Corrected by Jul 21, 2023

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The number for the closest hospital was missing from the emergency numbers list by the phone in the office.

Corrected Corrected by Jul 20, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the preschool room was lacking disposable nonporous gloves.

Corrected Corrected by Jul 20, 2023

Category: health medication. 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 classroom next to the infant room there was an air filter on the floor with sharp edges.

Corrected Corrected by Jul 21, 2023

Category: physical safety. 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.

It was observed in the hallway leading to the gross motor room that there was peeling paint on the corner of the wall and on the ceiling above the doorway leading into an unlicensed classroom.

Corrected Corrected by Jul 31, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the girl's bathroom of the gross motor room, no stools were observed so that the children are able to reach the sinks for handwashing.

Corrected Corrected by Jul 21, 2023

Category: health medication. 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.

There were no handwashing signs by the urinal, toilet and 2 sinks in the gross motor room, by the diapering table and training chair in the toddler room and by the diapering table in the infant room. It was reported that staff use wipes to wash hand of children that are able to wash their hands. It was observed that staff did not wash their hands after diapering an infant.

Corrected Corrected by Jul 21, 2023

Category: health medication. 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.

The garbage cans in both of the girl's and boy's bathroom in the gross motor room were not lidded.

Corrected Corrected by Jul 21, 2023

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

It was reported that staff in the infant room empty the receptacle that contains the water from handwashing from the portable handwashing station through the window to outside after each use.

Corrected Corrected by Jul 21, 2023

Category: health medication. 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.

There was a container of magnetic blocks in the preschool room that contained some blocks that were cracked and not in good repair.

Corrected Corrected by Jul 20, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the toddler room there were foam blocks with teeth marks and chunks missing and plastic bags accessible in bins on a low shelf.

Corrected Corrected by Jul 20, 2023

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The crib in the infant room was not labeled with the child's name that was using it.

Corrected Corrected by Jul 21, 2023

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

3270.113(a)(1) · 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 10:10am, Staff #1 and Staff #2 were observed to be supervising a group 11of children in the preschool/school aged classroom. Staff #1 was able to name and identify 4 children in their group, Staff #2 identified 6 children in their group. One child was left out. Given a second attempt Staff #1 named and identified 4 children in their group and Staff #2 again named 6 children in their group. The same child was again left out. With the help of the Certification Representative the child that was left out was able to be identified and was assigned to Staff #1.

Corrected Corrected by Jul 20, 2023

Category: supervision. 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 #4 lacked a service report that provides information to the family about the child's growth and development.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children #1, #2, #3, #4, and #5 all contained the original agreement between the facility and the parent.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. 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 files for child #3 and child #4 does not include written parental consent for the facility to obtain emergency medical care.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. 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.

The emergency contact form for child #3 lacked the policy number for the health insurance coverage.

Corrected Corrected by Jul 21, 2023

Category: health medication. 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 emergency contact form for child #5 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The two most recent health assessments on file for child #4 who is a young toddler are dated 4-27-23 and 6-16-23 which are more than 6 months apart.

Corrected Corrected by Jul 20, 2023

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

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).

The immunizations record for child #1 and child #4 does not include verification of an annual influenza vaccination as recommended by the ACIP.

Corrected Corrected by Jul 24, 2023

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

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The file for child #4 does not contain written consent for administration of medications or special dietary needs,

Corrected Corrected by Jul 21, 2023

Category: ratio. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

It was observed in the first aid kits in the preschool and toddler room that there was antibiotic ointment that was not labeled for use by a specific child or staff.

Corrected Corrected by Jul 20, 2023

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.

There were no paper towels in the girl's bathroom to use after wash hands after toileting.

Corrected Corrected by Jul 20, 2023

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.

It was reported that staff use wipes to wash the hands of children that are able to wash their hands after being diapered. It was observed that a staff person did not wash their hands after diapering an infant.

Corrected Corrected by Jul 20, 2023

Category: health medication. 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 that staff used a non-hands-free diapering container to dispose of a soiled diaper.

Corrected Corrected by Jul 20, 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 file for Staff person #2 and Staff person #6 contains a health assessment that is dated after their hire date (See LIS code sheet).

Corrected Corrected by Jul 21, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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 file for Staff person #2 and Staff person #6 contains a Tuberculosis screening dated after their hire date (see LIS code sheet).

Corrected Corrected by Jul 21, 2023

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The current menu posted for the week did not reflect what was being served for lunch. Menu stated that chicken nuggets, fries or chips, vegetable or fruit were to be served and peanut butter and jelly sandwiches were served instead.

Corrected Corrected by Jul 20, 2023

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 file for child #3 does not include written parental consent for the facility to administer minor first aid procedures.

Corrected Corrected by Jul 24, 2023

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 file for staff person #5 contained two references that were on form letters not completed by non-family members.

Corrected Corrected by Jul 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

Based on conversations with staff, the 3 space heaters observed in the facility were being used in the mornings when it was cold in the building.

Corrected Corrected by May 18, 2023

Category: physical safety. 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.

Documentation of testing the fire detection system exceeded 30 days on the following occasions: 8/15/2022 to 9/19/2022 and 3/3/2023 to 4/3/2023.

Corrected Corrected by May 8, 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 file of facility person #1 did not have documentation of the additional 1-hour health and safety training, "Pennsylvania Health and Safety Update 2022," which was to be completed by 12/30/2022 for individuals who took "Get Started with Center-Based Care: Building Blocks for Quality."

Corrected Corrected by May 9, 2023

Category: ratio. 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 of facility person #2 contained documentation of taking the health and safety topics listed in subsections (f)1-9 dated 12/1/2022, which was more than 90 days from their date of hire (see coded LIS sheet).

Corrected Corrected by May 8, 2023

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

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

Observed an sleeping infant who was covered with a heavy quilt.

Corrected Corrected by Sep 16, 2022

Category: health medication. 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.

Observed an infant sleeping in a Pack n Play which lacked 2 feet of space on two sides of the rest equipment. The Pack n Pay was located in a corner and was surrounded by equipment and a feeding table.

Corrected Corrected by Sep 16, 2022

Category: physical safety. 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.

A review of the fire detection system log revealed that the last recorded testing of the fire detection system was on 07/05/22, more than 30 days ago.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. 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.

Observed peeling paint near the kitchen area by the damaged block wall in the indoor gross motor space.

Corrected Corrected by Jul 29, 2022

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Observed that the diapering areas in the infant and toddler rooms lack a source of running water for handwashing.

Corrected Corrected by Sep 30, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The rest equipment in use by children in the infant, the 1-year-old room and in the 2's/preschool age room was not labeled for the use of specific children.

Corrected Corrected by Sep 26, 2022

Category: physical safety. 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 #3 contains emergency contact information which lacks the address of the child's physician.

Corrected Corrected by Sep 26, 2022

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 file for staff person #2 lacks one written, non-family reference.

Corrected Corrected by Sep 26, 2022

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.

The facility's emergency plan was not updated by 07/01//22 to address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Sep 5, 2022

Category: ratio. 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 person #1, #2, #3, and #4 contains verification of pediatric first aid and pediatric CPR training completed more than 90 days after staff began working in a child care taking position.

Corrected Corrected by Jul 28, 2022

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

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.

The two most recent mandated reporter trainings on file for staff person #4 are dated more than 5 years or 60 months apart.

Corrected Corrected by Jul 28, 2022

Category: recordkeeping. 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 signed disclosure statement on file for staff person #3 is an expired version of the form, making it invalid.

Corrected Corrected by Sep 30, 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 verification of FBI fingerprinting on file for staff person #2 is dated after staff person #2 began in a child care taking position. The file for staff person #3 contains proof of application for a child abuse clearance and a state police clearance which are dated after staff person #3 began in a child care taking position. The file for staff person #4 contains a state police clearance dated after staff person #4 began in a child care taking position.

Corrected Corrected by Jul 28, 2022

Category: background checks. 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.

Observed disinfecting spray and deodorizing spray on an accessible windowsill in the bathroom. Observed accessible toilet bowl cleaner in the corner of the bathroom on the floor. The disinfecting spray, deodorizing spray, and toilet bowl cleaner were all labeled "keep out of the reach of children." Observed an accessible bottle of Lumify eye drops and nail glue labeled "keep out of the reach of children in the middle

Corrected Corrected by Jul 28, 2022

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.

Observed three water stained ceiling tiles in the bathroom adjacent to the indoor gross motor space. Observed a missing block in the block wall in the indoor gross motor space.

Corrected Corrected by Aug 13, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 contains emergency contact information which lacks the work address and work phone number of the enrolling parent. The file for child #3 contains emergency contact information which lacks the work address of the enrolling parent.

Corrected Corrected by Sep 26, 2022

Category: recordkeeping. 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.

The file for child #1 contains emergency contact information which lacks the child's health insurance policy number. The file for child #3 contains emergency contact information which lacks the name of the child's health insurer.

Corrected Corrected by Sep 26, 2022

Category: health medication. 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.

The infant, 1-year-old, preschool, and 2-year-old room lacked a posting of the emergency transportation plan.

Corrected Corrected by Jul 28, 2022

Category: transportation. 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 #2 lacks verification of a current influenza immunization administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 3, 2022

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.

In the infant room, observed a s staff person diaper an infant without washing the infant's hands afterwards.

Corrected Corrected by Sep 26, 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 initial health assessment for staff persons #2 and #3 are dated after each staff person began in a child care taking position. The initial health assessment on file for staff person #5 is undated.

Corrected Corrected by Sep 26, 2022

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

A review of the fire drill log revealed that prior to the July 2022 fire drill, the hypothetical location of the fire was not recorded on the fire drill log.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #1 lacks verification of 12 hours of child care training completed in the most recent service year.

Corrected Corrected by Jul 28, 2022

Category: recordkeeping. Marked corrected in the state record.