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Home › PA › Hermitage › Building Blocks Child Center Inc
4075 Lamor Rd, Hermitage PA 16148 · License #CER-00240177 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The file for staff person #5 had current pediatric first-aid/CPR training with a completion date of 10-13-25 that was after the June 2025 expiration of the prior training.
Corrected Corrected by Mar 26, 2026
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 Person #1 and Staff Person #3 may not work in a child care position at the facility.
The file for staff person #1 had an invalid state police clearance that lacked the disseminated date and requires a current state police clearance updated within the last 60 months. The file for staff person #3 had an invalid state police clearance that lacked the disseminated date and requires a current state police clearance updated within the last 60 months.
Corrected Corrected by Mar 26, 2026
Category: background checks. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Staff person #6 had mandated reporter trainings dated 6-3-20 and 7-24-25 that were over 60 months between trainings.
Corrected Corrected by Mar 26, 2026
Category: recordkeeping. 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.
In the infant room, there was a young toddler that was observed on a rest mat that was not labeled with the child's name.
Corrected Corrected by Mar 26, 2026
Category: physical safety. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The files for child #1 and #2, preschoolers, had health assessments that exceeded 12 months between assessments.
Corrected Corrected by Mar 26, 2026
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 had a health assessment that was dated over 12 months prior to providing initial service in a child care setting at the facility and requires a current health assessment.
Corrected Corrected by Mar 26, 2026
Category: ratio. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The file for staff person #4 had a health assessment that said "Yes" to having any communicable diseases and lacked an explanation of the results of the examination.
Corrected Corrected by Mar 26, 2026
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.
In the infant room, there was an infant sleeping in a crib that had 2 feet of space on two sides and lacked 2 feet of space on a third side.
Corrected Corrected by Nov 4, 2025
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.
In the preschool room, there was one area of peeling paint on the front wall near the baseboard under the television.
Corrected Corrected by Nov 4, 2025
Category: physical safety. 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 person #1 had mandated reporter trainings dated 6-3-20 and 7-24-25 that were over 60 months between trainings.
Corrected Corrected by Nov 4, 2025
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.
In the Jump Zone play space, there was an electrical outlet that lacked an outlet cover and was accessible to children 2 years of age and younger that use the play space.
Corrected Corrected by Nov 4, 2025
Category: physical safety. 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.
On the grassy play space, there were multiple metal wires on the chain-link fence that were protruding out with sharp edges and were a visible hazard.
Corrected Corrected by Nov 4, 2025
Category: physical safety. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
In the pre-k counts room, there was Epinephrine medication for child #1 that lacked written parental consent for administration of the medication.
Corrected Corrected by Nov 4, 2025
Category: ratio. 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.
On the field play space, there were multiple bolts on the fence that were protruding out from the fence and were a visible hazard.
Corrected Corrected by Jul 7, 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.
In the cafe room, there were multiple pairs of scissors with sharp edges in two unlocked drawers that were accessible to children.
Corrected Corrected by Mar 31, 2025
Category: health medication. Marked corrected in the state record.
3270.31(b) · A staff person shall be 18 years of age or older.
Staff person #1, functioning as an aide, worked from 2-17-25 to 3-20-25 and was under 18 years of age. (See LIS CODE SHEET)
Corrected Corrected by Mar 31, 2025
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 #3, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate dated 2-26-24 that was not within 45 days of their start date as required for a provisional hire. (See LIS CODE SHEET) The file for staff person #6 had an out of state Child Abuse & Neglect registry check that was dated after their start date. (See LIS CODE SHEET) The file for staff person #2 had state police clearances that exceeded 60 months between clearances. The file for staff person #7 had FBI clearances that exceeded 60 months between clearances. The file for staff person #4 had NSOR verification certificates that exceeded 60 months between certificates. The file for staff person #8 had NSOR verification certificates that exceeded 60 months between certificates.
Corrected Corrected by Mar 31, 2025
Category: background checks. 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 person #8 had mandated reporter trainings dated 12-19-19 and 1-3-25 that were over 60 months between trainings.
Corrected Corrected by Mar 31, 2025
Category: recordkeeping. 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 aide, lacked verification of education/experience to qualify as an aide. The file for staff person #10, functioning as an aide, lacked verification of education to qualify as an aide.
Corrected Corrected by May 23, 2025
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 approximately 10 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision, resulting in a 0:1 staff to child ratio.
Corrected Corrected by Mar 31, 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.
In the infant room in an unlocked cabinet in the changing table, there were a container of butt paste and two tubes of Aquaphor that were labeled "Keep out of reach of children" and were accessible to children.
Corrected Corrected by Mar 31, 2025
Marked corrected in the state record.
3270.66(d) · Toxic plants are not permitted in a child care space.
In the pre-k counts room, there was a Purple Shamrock plant that is toxic.
Corrected Corrected by Apr 1, 2025
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 kits located in the infant room, 1 year old room, 2 year old room, 3 year old room, and pre-k counts room lacked sterile gauze pads.
Corrected Corrected by Apr 1, 2025
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.
On the preschool and toddler play spaces, there were multiple areas on the poured-in-place surface that had holes in the surface.
Corrected Corrected by Jun 6, 2025
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.
In the pre-k counts room, handwashing signs were not posted at the two toilets in the stalls in the girls' bathroom and the one toilet in the stall in the boys' bathroom.
Corrected Corrected by Apr 1, 2025
Category: health medication. Marked corrected in the state record.
3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.
In the infant room, there was a 4moms baby swing that had been recalled by the United States Consumer Product Safety Commission.
Corrected Corrected by Apr 1, 2025
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 approximately 10 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision.
Corrected Corrected by Mar 31, 2025
Category: supervision. 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 #9 had one written, nonfamily reference and lacked a second written, nonfamily reference.
Corrected Corrected by Apr 1, 2025
Category: recordkeeping. 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 a.m., a preschool child was observed in an office with a behavioral consultant, and a staff person was not present in the office for supervision.
Corrected Corrected by Mar 31, 2025
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).
Child #1 lacked a current child service report updated within the last 6 months. Child #2 had a child service report that exceeded 6 months between reports.
Corrected Corrected by Apr 1, 2025
Category: recordkeeping. 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). Child #3 must be dismissed from care by close of business on 3-25-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
The file for child #3, a 4 year old enrolled more than 60 days at the facility, lacked documentation of the 1st and 2nd Hepatitis A vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.
Corrected Corrected by Mar 26, 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 for staff person #5 had a health assessment that exceeded 24 months between assessments.
Corrected Corrected by Apr 1, 2025
Category: ratio. Marked corrected in the state record.
3270.192(4) · 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 #6 lacked a copy of the NSOR verification certificate at their start date. (See LIS CODE SHEET)
Corrected Corrected by Mar 25, 2025
Category: background checks. 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 facility person #8 lacked current emergency plan training completed within the last year. The files for staff person #2 and #5 lacked current emergency plan training completed within the last year.
Corrected Corrected by Apr 17, 2024
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 operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.
Corrected Corrected by Apr 18, 2024
Category: physical safety. 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 files for staff person #2 and #5 lacked current fire safety training completed within the last year.
Corrected Corrected by Apr 18, 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. Staff Person #4 and Staff Person #5 may not work in a child care position at the facility.
The file for staff person #4 had a volunteer state police clearance dated 1-24-21 and lacked a state police clearance for employment at their start date and requires a current state police clearance for employment. The file for staff person #5 had an FBI clearance dated 10-8-18 and lacked a current FBI clearance updated within the last 60 months. The file for facility person #8 lacked a disclosure statement.
Corrected Corrected by Apr 17, 2024
Category: background checks. 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 person #3 had mandated reporter trainings dated 10-14-18 and 10-16-23 that were over 60 months between trainings.
Corrected Corrected by Apr 17, 2024
Category: recordkeeping. 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 #6, functioning as an aide, lacked verification of education/experience to qualify as an aide.
Corrected Corrected by Apr 17, 2024
Category: recordkeeping. 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.
In the lobby, the desk had an unlocked drawer with a bottle of Paya Hand Sanitizer Antiseptic Foam that was labeled "Keep out of reach of children" and was accessible to children.
Corrected Corrected by Apr 18, 2024
Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
The 2 year old room lacked a first-aid kit in the room.
Corrected Corrected by Apr 18, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The file for child #7 had an agreement that lacked the child's admission date.
Corrected Corrected by Apr 18, 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, #2, #3, #4, #5, #6, #7, and #8 had the original agreement in the file. According to staff, the parent of each enrolled child did not receive the original agreement.
Corrected Corrected by Apr 18, 2024
Category: recordkeeping. 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 emergency transportation plan was not posted in the multipurpose room and the lobby that is used as a play space.
Corrected Corrected by Apr 18, 2024
Category: transportation. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The files for child #4 and #5, preschoolers, had a health assessment that exceeded 12 months between assessments.
Corrected Corrected by Apr 18, 2024
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 #7 had an initial health assessment that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current health assessment. The files for staff person #1 and #5 had a health assessment that exceeded 24 months between assessments.
Corrected Corrected by Apr 18, 2024
Category: ratio. Marked corrected in the state record.
3270.151(a)/3270.151(c)(2) · 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. 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 #7 had a tuberculosis screening by the Mantoux method that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method.
Corrected Corrected by Apr 18, 2024
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 facility person #8 lacked two written, nonfamily references.
Corrected Corrected by Apr 18, 2024
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.
According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.
Corrected Corrected by Apr 18, 2024
Category: recordkeeping. 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.
The fire drill log on file at the facility indicated that fire drills were conducted on 4/12/23, and then again on 6/30/23, more than 60 days apart.
Corrected Corrected by Nov 27, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
The fire drill log on file at the facility did not list the names of facility persons participating in the fire drills.
Corrected Corrected by Nov 27, 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. Until such time as the required pre-service trainings are completed, staff person #3, #5, and #8 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 person(s) available to supervise staff person #3, #5, and #8, staff person #3, #5, and #8 may not work in a child-care position at the facility.
Staff person #3, #5, and #8 were observed to be caring for children unsupervised. Staff person #3, #5, and #8 have not completed the following pre-service training required prior to caring for children unsupervised: Approved Health and Safety Training in the topics of 3270.31(f)(1-9).
Corrected Corrected by Apr 17, 2023
Category: supervision. 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 #3 had emergency plan training that exceeded a year between trainings.
Corrected Corrected by Apr 17, 2023
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 #3 had fire safety training that exceeded a year between trainings.
Corrected Corrected by Apr 17, 2023
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, #3, #5, and #8 will have until 4-27-23 to complete the required training. Until such time as the required training has been completed, staff person #2, #3, #5, and #8 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, #3, #5, and #8, staff person #2, #3, #5, and #8 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): Pediatric first-aid/CPR training from a PQAS approved curriculum. Staff person #3, #5, and #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Approved Health and Safety Training in the topics of 3270.31(f)(1-9).
Corrected Corrected by Apr 17, 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).
The director did not have all required clearances prior to their start date as required by the CPSL. (See LIS CODE SHEET)
Corrected Corrected by Apr 17, 2023
Category: background checks. 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 Person #6 may not work at the facility.
The file for staff person #6 had an invalid FBI clearance dated 9-12-22 and lacked a DHS FBI clearance. (See LIS CODE SHEET) The file for staff person #4 had a volunteer state police clearance dated 6-20-21 and a volunteer child abuse clearance dated 6-24-21, and the staff person had a state police clearance for employment dated 2-15-23 and a child abuse clearance for employment dated 2-15-23 that were after the staff person's start date. (See LIS CODE SHEET) The file for staff person #7, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate dated 2-10-23 that was not obtained within 45 days of their start date as required for a provisional hire. (See LIS CODE SHEET) The file for staff person #9 had state police and child abuse clearances that exceeded 60 months between clearances.
Corrected Corrected by Apr 17, 2023
Category: background checks. 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.
In the infant room, there was peeling paint in one area on the front left wall and in one area on the left wall above the first crib.
Corrected Corrected by Apr 17, 2023
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 file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Apr 17, 2023
Category: recordkeeping. 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 emergency transportation plan was not posted in room F.
Corrected Corrected by Apr 17, 2023
Category: transportation. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.
Corrected Corrected by Apr 17, 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). Child #2 must be dismissed from care by close of business on 4-11-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
The file for child #2, a 4 year old, had an immunization record that lacked documentation of the 1st and 2nd doses of the Hepatitis A vaccination by age 23 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.
Corrected Corrected by Apr 17, 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 files for staff person #3 and #5 had health assessments that exceeded 24 months between assessments. The file for staff person #4 had a health assessment that was dated after their start date.
Corrected Corrected by Apr 17, 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 #7 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.
Corrected Corrected by Apr 17, 2023
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.
According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.
Corrected Corrected by Apr 17, 2023
Category: recordkeeping. 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.
According to staff statements and confirmed through video observation, on 3-14-23 at approximately 4:30 p.m., staff person #1 was observed moving child #1 by picking the child up off of the floor by one arm and turning and moving the child approximately 3-5 feet to the other side of the staff person before setting the child down in a sitting position with the child leaning sideways. The staff was observed to move the child away from the door as parents were entering and exiting the facility.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in fire safety 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Although the files for Staff #1 and #2 contained documentation of the completion of fire safety training in the past 12 months, the previously completed trainings were completed more than 12 months prior.
Corrected Corrected by Apr 18, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.76/3270.82(g) · 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.Toilet areas and fixtures shall be cleaned daily and be in good repair.
A toilet used by children in care in the bathroom of the School Age Overflow Room was observed to have an exposed bolt protruding from the toilet base. Contact with said bolt could cause puncture and/or laceration injury, while also posing a threat of cross contamination.
Corrected Corrected by Apr 1, 2022
Category: ratio. 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.
An approximately 4' high wooden easel used by children in care in the Discovery Room was observed to have an exposed bolt that could cause laceration and/or puncture injuries. Also in the Discovery Room, in an area accessible to children in care, an approximately 30"x18" wooden table was viewed to have two loose legs that caused the legs to separate slightly from the tabletop when moved, which caused pinch points. In the Navigator Room, in an area accessible to children an approximately 3'x3' wooden table was observed to have exposed, protruding bolts on the underside of the table top where the table legs attached to the table. Contact with these bolts could cause puncture and/or laceration injury.
Corrected Corrected by Apr 18, 2022
Category: ratio. Marked corrected in the state record.
3270.113(b) · *The legal entity representative will obtain classroom management training developed by the Early Learning Resource Center that specifically addresses the Older Toddler classroom environment. The training will support the legal entity in assessment and modification of routines, development of positive intervention strategies and practices to promote the social growth and development of children receiving care.
During review of video surveillance of the Older Toddler child care space, Staff #1 was observed, at one point, roughly handling two older toddlers and forcefully placing them on time-out chairs. At another point, Staff #1 was observed again roughly handling an older toddler and dropping them onto their rest mat. Each of the identified incidents were determined to be a result of perceived noncompliance on the part of the children.
Corrected Corrected by Jun 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
During review of video surveillance of the Older Toddler room, Staff #1 was observed roughly handling two children and placing them forcefully on time-out chairs. Staff #1 was also observed forcefully dropping a child onto his rest mat.
Corrected Corrected by Jun 8, 2022
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.
During review of video surveillance, Staff #1 and #2 were observed with their backs turned to eight older toddlers for four to five minutes. During this time, Staff #1 appeared to be preoccupied with changing decorations that adorned the wall of the child care space; while Staff #2 was observed completing paperwork at desk near the entrance of the room. A child in care was injured by another child during this time.
Corrected Corrected by May 23, 2022
Category: supervision. Marked corrected in the state record.
3270.113(a) · * Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.
During review of video surveillance, Staff #1 and #2 were observed with their backs turned to eight older toddlers for four to five minutes. During this time, Staff #1 appeared to be preoccupied with changing decorations that adorned the wall of the child care space; while Staff #2 was observed completing paperwork at desk near the entrance of the room. A child in care was injured by another child during this time.
Corrected Corrected by May 23, 2022
Category: supervision. Marked corrected in the state record.
3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.
During review of video surveillance, Staff #1 was observed seated in a chair near the rear of the child care space. Eight older toddlers in care were successively called to her location where Staff #1 changed each of their pull-ups without sanitizing the surface of the area where the diapering occurred between the times each child changed.
Corrected Corrected by May 23, 2022
Category: health medication. Marked corrected in the state record.
3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
During review of video surveillance, Staff #1 was observed seated in a chair near the rear of the child care space. Eight children in care were successively called to her location where Staff #1 changed each of their pull-ups without washing her hands between diapering.
Corrected Corrected by May 23, 2022
Category: health medication. Marked corrected in the state record.