3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/3/2020. Mandated reporter trainings for staff #2 (1/23/2020 and 1/30/2025) and staff #3 (11/4/2019 and 1/21/2025) exceeded 60 months.

Corrected Corrected by Apr 4, 2025

Category: supervision. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Based on documentation on the fire drill log, the last fire drill was conducted on 9/6/2024.

Corrected Corrected by Apr 4, 2025

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.

Based on documentation, testing the fire detection system exceeded 30 days on the following occasions: 10/1/2024 to 11/1/2024 and 12/31/2024 to 1/31/2025.

Corrected Corrected by Apr 4, 2025

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 letter provided to the parent regarding emergency procedures did not contain information on the accommodations for infants, toddlers, children with special needs and chronic medical conditions.

Corrected Corrected by Oct 4, 2024

Category: physical safety. 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 of child #3 did not have the address of 1 individual designated by the parent to whom the child may be released and the telephone number of another.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. 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) within 90 days of hire. Staff person #2 will have until 10/15/2024 to complete the required training. Until such time as the required training has been completed, staff person #-2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety trainings

Corrected Corrected by Oct 4, 2024

Category: supervision. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The window restrictors on a window in the toddler classroom were not engaged allowing the window, which was above ground level, to open more than 6 inches.

Corrected Corrected by Oct 4, 2024

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 infant room did not contain adhesive bandages.

Corrected Corrected by Oct 4, 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 artificial grass surfacing beneath the embedded equipment in the preschool play space was lifting exposing the padding and frayed underlay was protruding between the seams of the grass.

Corrected Corrected by Oct 4, 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 top step of the climber in the preschool play space has a crack in the corner by the bolt which secures the steps to the structure.

Corrected Corrected by Oct 4, 2024

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 emergency contact form of child # 3 did not include the address of their physician.

Corrected Corrected by Oct 4, 2024

Category: health medication. 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 of child #3 did not contain the work telephone number of the enrolling parent.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. 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 file of child #1, identified as a young toddler (see LIS code sheet), contained documentation of the child's most recent health assessment dated more than 6 months from the previous assessment (11/6/2023 and 8/27/2024).

Corrected Corrected by Oct 4, 2024

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health assessment of staff #3 did not include the professional title of the individual who signed the form.

Corrected Corrected by Oct 4, 2024

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of child #2 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. 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 of child #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 4, 2024

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.

Based on documentation of testing the fire detection system, testing exceeded 30 days on the following occasions: 12/1/2023 to 1/2/2024, 3/1/2024 to 4/1/2024, 5/1/2024 to 6/1/2024, 7/1/2024 to 8/1/2024 to 9/1/2024.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #1 contained documentation of 4 hours in their annual training year between 12/2022 and 12/2023 lacking 8 hours to meet the 12-hour annual requirement.

Corrected Corrected by Oct 4, 2024

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 persons #1 and #2 were observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022.

Corrected Corrected by Oct 13, 2023

Category: ratio. 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 two most recent fire safety trainings on file for staff persons #1, #2, #3 and #5 were dated more than 12 months apart: 1/1/22 and 2/22/23)

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 will have until 10/16/23 to complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 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 Oct 16, 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 corner of the steps on the children's climbing structure in the outdoor play space were observed to be cracked.

Corrected Corrected by Oct 5, 2023

Category: physical safety. 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.

Staff person #5 has not had a health assessment conducted within the last 24 months. The most recent documentation of a health assessment on file is dated 9/3/21.

Corrected Corrected by Oct 9, 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 facility's documentation of testing the fire detection system exceeded 30 days from 10/15/22 to 11/15/22, 12/5/22 to 1/13/23, 1/13/23 to 2/13/23, and 5/11/23 to 6/13/23.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. 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 #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, and #12 lacked completion of the pre-service training of pediatric first aid/CPR from a PQAS approved trainer by April 29, 2022. The pre-service training on file for staff person #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, and #12 are dated 8/27/22.

Corrected Corrected by Aug 27, 2022

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 SA Room, a wooden corner trim attached the wall near the fire extinguisher in the far left corner of the room was broken off causing punch points.

Corrected Corrected by Sep 23, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Under the sink in the SA girl's bathroom, a metal valve handle was observed to be broken causing pinch points and was not in good repair.

Corrected Corrected by Sep 23, 2022

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 agreement form in the file for child #1, #2 and #3 was observed to contain the original agreement form, in which the parent shall receive.

Corrected Corrected by Sep 18, 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 emergency contact form child #1 lacked the health insurance coverage for the child.

Corrected Corrected by Sep 18, 2022

Category: health medication. 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 person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Sep 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 had documentation of fire alarm testing that exceeded 30 days from 8/10/21-9/14/21, 3/8/22-4/12/22 and 5/10/22-6/14/22.

Corrected Corrected by Sep 18, 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 #8 lacked an annual minimum of 12 clock hours of child care training for the year December 19, 2020 - December 19, 2021.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At 11:57 AM on 9/27/21, 1 PS child left the PS Room to use the bathroom in the hall, alone and unsupervised. Staff #1 remained in the doorway of the PS Room with 6 PS children. The child returned to the PS Room at 12:00 PM. At 12:01 on 9/27/21, 1 PS child left the Pre-K Room to use the bathroom in the hall, alone and unsupervised. Staff #2 remained in the doorway of the Pre-K Room with 7 PS children. After discussion with cert rep, Staff #2 gathered her 7 PS children and took them to the bathroom with the other PS child.

Corrected Corrected by Sep 27, 2021

Category: supervision. 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 fencing along the back of the large PS near the bottom of the large tree in the middle was broken and sharp metal pieces were protruding into the PG. Animal feces was observed on the ground of the large PG in the far back right corner.

Corrected Corrected by Sep 28, 2021

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At 11:57 AM on 9/27/21, 1 PS child left the PS Room to use the bathroom in the hall, alone and unsupervised. Staff #1 remained in the doorway of the PS Room with 6 PS children. The child returned to the PS Room at 12:00 PM. At 12:01 on 9/27/21, 1 PS child left the Pre-K Room to use the bathroom in the hall, alone and unsupervised. Staff #2 remained in the doorway of the Pre-K Room with 7 PS children. After discussion with cert rep, Staff #2 gathered her 7 PS children and took them to the bathroom with the other PS child.

Corrected Corrected by Sep 27, 2021

Category: supervision. 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 11:57 AM on 9/27/21, 1 PS child left the PS Room to use the bathroom in the hall, alone and unsupervised. Staff #1 remained in the doorway of the PS Room with 6 PS children. The child returned to the PS Room at 12:00 PM. At 12:01 on 9/27/21, 1 PS child left the Pre-K Room to use the bathroom in the hall, alone and unsupervised. Staff #2 remained in the doorway of the Pre-K Room with 7 PS children. After discussion with cert rep, Staff #2 gathered her 7 PS children and took them to the bathroom with the other PS child.

Corrected Corrected by Sep 27, 2021

Category: supervision. 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 observed emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by Sep 27, 2021

Category: physical safety. 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 posted regulations were observed to not be current. Per operator report, the parents of enrolled children had not been provided the information on how to access the current regulations in this chapter electronically.

Corrected Corrected by Sep 28, 2021

Marked corrected in the state record.