3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature was 116 degrees at the bathroom sink located in the Toddler Room.

Corrected Corrected by Apr 11, 2025

Category: physical safety. 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 3 pairs of adult scissors on the desk in the office which were accessible to children in the Preschool Room because the door leading from the Preschool Room to the office was open.

Corrected Corrected by Mar 25, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #2 and #3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #2 and #3 may not work in a child care position at the facility.

The file of Staff #2 lacked a valid Child Abuse Clearance. The file of Staff #2 contained a volunteer Child Abuse Clearance dated 9/19/23. The file of Staff #3 lacked a valid State Police Clearance because it did not have a "disseminated by" date.

Corrected Corrected by Mar 25, 2025

Category: background checks. 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.

Staff #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 1/27/24 with previous training completed on 1/26/19.

Corrected Corrected by Mar 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file of Staff #5, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Mar 25, 2025

Category: supervision. Marked corrected in the state record.

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

Observed 6 BINGO daubers which indicated "keep out of the reach of children" in the Toddler Room used for arts and craft activities.

Corrected Corrected by Apr 11, 2025

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.

Observed 2 wooden blocks with rough edges in the Preschool Room. Observed a Little Tykes slide with rough edges where a piece had broken off at the top in the outdoor play space.

Corrected Corrected by Apr 11, 2025

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

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

Observed a changing table in the Infant Room which was not anchored creating a potential tipping hazard.

Corrected Corrected by Apr 11, 2025

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in the Preschool Room for children receiving care in the space. Emergency contact information for children in the Preschool Room was in the office.

Corrected Corrected by Apr 11, 2025

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 of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 8/22/24 with a previous one dated 7/26/23.

Corrected Corrected by Apr 11, 2025

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.

Staff did not ensure a child's hands were washed before snack in the Infant Room.

Corrected Corrected by Apr 11, 2025

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 of Staff #6 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 12/2/24 with a previous one dated 2/22/22.

Corrected Corrected by Apr 11, 2025

Category: ratio. 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.

Staff #4 lacked 2 hours of annual child care training required from December of 2023 through December of 2024. Staff #4 had 1.5 hours of child care training completed on 1/17/25 and 1 hour of child care training completed on 2/6/25 used for correction.

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. 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.

The baseboard heating cover in the corner of the toddler room was observed to be broken, allowing the protective cover to slide and expose the hot pipe.

Corrected Corrected by Mar 13, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

The facility was observed to have a play kitchen with a loose spigot in the pre-school room, and a blue playhouse in the outdoor play area with a hole broken into the sink exposing a sharp edge.

Corrected Corrected by Mar 13, 2024

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file for child #1 was observed to contain an emergency contact form that failed to provide information, if any on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Mar 15, 2024

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 facility's outdoor play space was observed to lack a posting of the facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Mar 15, 2024

Category: transportation. Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

Staff persons #1 and #2 admitted that they failed to utilize the T-shaped safety strap, as a result the child fell from the highchair.

Corrected Corrected by Nov 23, 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 files for staff #1, #2, #3, $4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #15 were observed to lack documentation that the one-hour health and safety training update was completed by December 30, 2002. As evidenced by a certificate of completion dated 01/05/2023 present in the files.

Corrected Corrected by Apr 3, 2023

Category: ratio. 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).

Staff person's #10 and #15 were observed to be caring for 9 children in the infant room. Staff person #10 identified being assigned the specific responsibility to supervise 4 younger toddler aged children and one infant aged child. Staff person #15 identified being assigned the specific responsibility to supervise 1 younger toddler aged child and 3 infant aged children. The group assignment as presented by staff person's #10 and #15 places staff person #10 over ratio.

Corrected Corrected by Apr 3, 2023

Category: supervision. 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.

The facility was observed to have 2 plastic bins one containing a doctor kit and one containing Dominos in their Pre-school room that were cracked and broken.

Corrected Corrected by Apr 3, 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.

Staff person's #7 and #11 were observed to be caring for 15 Pre-school aged children in the pre-school room. Staff person's #7 and #11 both named and identified 7 pre-school aged children. Each staff person failed to identify being assigned the specific responsibility to supervise one pre-school aged child.

Corrected Corrected by Apr 3, 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 #1 was observed to contain an Agreement that lacked to provide details of the services that would be provided to the family and the child.

Corrected Corrected by Apr 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 was observed to contain and Agreement that lacked to specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 3, 2023

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.

The facility was observed to have medication designated for child #2, however lacked to have a completed medication log for the administration of this medication, as evidenced by an incomplete medication log with only the child's name written on the log accompanying the medication.

Corrected Corrected by Apr 3, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff #1, whose start date was 2/28/22, was observed not to have all required provisional hire documents on file at that time. Staff #1 had a NSOR dated 3/1/22.

Corrected Corrected by Mar 1, 2022

Category: background checks. 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 of Child #1 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 16, 2022

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 of Child #3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. 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 of Child #2 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Mar 18, 2022

Category: health medication. 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 was unable to provide a written record that the fire detection system was manually tested every 30 days. The facility provided a written record that the fire detection system was manually tested on 3/1/21, 4/1/21, 5/3/21, 6/1/21, 7/1/21, 7/9/21, 8/1/21, 9/1/21, 10/1/21, 11/1/21, 12/1/21, 1/1/22, 2/1/22, and 3/1/22.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility was unable to provide proof and date of purchase of the interconnected fire detection system installed in the new addition.

Corrected Corrected by Jul 12, 2021

Category: recordkeeping. Marked corrected in the state record.