3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 2:48 p.m. on 9-4-25, the left side preschool room in the front hallway with a capacity of 16 children was observed with 21 preschoolers in the room resulting in the room being overcapacity.

Corrected Corrected by Sep 4, 2025

Category: ratio. 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 infant room, there was a blue fabric climber that had multiple areas with tears and small pieces coming apart that were less than 1 inch in diameter and were accessible to infants and young toddlers in the room who are still placing objects in their mouths.

Corrected Corrected by Sep 4, 2025

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 files for staff person #2, #3, and #4 had a disclosure statement that was dated after their start date. The file for staff person #9 had a state police clearance and NSOR verification certificate that were dated after their start date. The file for staff person #10 had a state police clearance and FBI clearance that were dated after their start date. The file for staff person #11 had an FBI clearance that was dated after their start date.

Corrected Corrected by Sep 4, 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 #1 had mandated reporter trainings dated 3-12-20 and 5-22-25 that were over 60 months between trainings.

Corrected Corrected by Sep 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)(2)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff person #6 and #7, functioning as aides, lacked verification of education/experience, including enrollment in a training curriculum described at §3270.31(c) and the completed classroom training portion of the curriculum, to qualify as an aide.

Corrected Corrected by Sep 4, 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.

In the hallway leading to the toddler rooms, there was a metal hot box containing hot food that was plugged into the wall and had unlocked doors and surfaces inside with a temperature of 140° F that were accessible to children.

Corrected Corrected by Sep 4, 2025

Category: nutrition. Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

In the preschool room in the right hallway, there was a window in the back corner that had a screen on the inside of the window that had a tear in the screen.

Corrected Corrected by Sep 4, 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.

In the pre-k room, there was a broken metal frame with sharp edges around the screen on the inside of the window that was accessible to children. On the preschool play space, there were multiple areas on the fences that had sharp edges on the top of the posts and at the ends of multiple metal wires that were accessible to children. In the gross motor room, there was visible dirt observed in a few areas on the ledges/windows behind the shades on the far wall.

Corrected Corrected by Sep 5, 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.

On the preschool play space, there were multiple areas of peeling blue paint on the wall of the building. In the infant room, there was one area of peeling paint on the right wall near the baseboard.

Corrected Corrected by Sep 4, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

In the left preschool room, the sliding door between the right school-age room and the left preschool room was blocked by a shelf in the left preschool room.

Corrected Corrected by Sep 4, 2025

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 Sep 4, 2025

Category: physical safety. 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 files for staff person #4 and #5 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility. The file for staff person #8 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility. The files for staff person #3 and #10 had a tuberculosis screening by the Mantoux method that was dated after their initial employment at the facility.

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

The walkway leading from the back door of the facility to the toddler play space had snow/ice on the walkway in multiple areas.

Corrected Corrected by Feb 3, 2025

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.

In the bathroom next to the lunchroom, there was an unlocked cabinet with multiple diaper creams including Desitin that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Jan 31, 2025

Category: health medication. 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 lunchroom, the trash can was observed containing food trash contaminated by human secretions and did not have a lid as required.

Corrected Corrected by Jan 31, 2025

Category: nutrition. 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 kitchen that is located through a door down a hallway from the lunchroom, there were multiple sharp knives in two unlocked drawers.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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 files for staff person #8 and volunteer #13 lacked emergency plan training at the time of initial employment and require current training. The file for staff person #3 had emergency plan training that was completed after initial employment at the facility.

Corrected Corrected by Jan 13, 2025

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. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #3 completed the following required pre-service training on 10-22-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #5 completed the following required pre-service training on 12-12-24 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #16 completed the following required pre-service training on 11-7-24 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Dec 20, 2024

Category: supervision. Marked corrected in the state record.

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, volunteer #13 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 volunteer #13, volunteer #13 may not work in a child-care position at the facility.

Volunteer #13 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #15 completed mandated reporter training on 10-28-24 that was over 90 days after their date of hire. (see LIS code sheet)

Corrected Corrected by Jan 13, 2025

Category: supervision. 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 #14 may not work in a child care position at the facility.

The file for staff person #1 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks. (See LIS CODE SHEET) The files for staff person #12, #14, and #17 had a disclosure statement that lacked the date. The file for volunteer #13 lacked a disclosure statement. The file for staff #14 lacked a state police clearance and the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires a current state police clearance and out of state Sex Offender and Child Abuse & Neglect registry checks. (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 9-24-24 that was not within 45 days of their start date as required for a provisional hire. (See LIS CODE SHEET)

Corrected Corrected by Jan 16, 2025

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 files for staff person #4, #6, and #7 lacked a current staff evaluation completed by the director within the last 12 months.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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 the director, lacked verification of 1 year of experience working with children to qualify as the director.

Corrected Corrected by Dec 16, 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 bathroom next to the lunchroom, there was an unlocked cabinet with multiple diaper creams including Desitin that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Dec 16, 2024

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

In the 3 year old room, there was an unlabeled bottle in a locked cabinet that contained a pink liquid that a staff person identified as a cleaning solution.

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

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

In the gym with the 3 year old group in the room, the first-aid kit was observed in a bag on the ground and was accessible to children. In the lunchroom with the pre-k group in the room, the first-aid kit was observed in a bag on the table and was accessible to children.

Corrected Corrected by Dec 16, 2024

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 right-side school-age room had a first-aid kit that lacked soap.

Corrected Corrected by Dec 16, 2024

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 outdoor toddler play space in the back corner, there was a wooden fence with one of the stakes that was broken and was splintering with sharp edges. On the outdoor preschool play space, there was a green fence with 11 stakes that had sharp edges on the top of the stakes and had sharp edges across the surface of the fence that were accessible to children.

Corrected Corrected by Dec 16, 2024

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 gross motor room with multiple 1 year olds and 2 year olds that were walking and able to wash their hands, the sink next to the changing table lacked a platform or steps and was unable to be reached by the children after diapering to wash their hands.

Corrected Corrected by Dec 16, 2024

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.

A handwashing sign was not posted at the toilet in the left stall in the bathroom between the toddler 1 and toddler 2 rooms.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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 gross motor room, there were several mats with multiple areas that had small pieces of fabric coming apart that were less than 1 inch in diameter and were accessible to young and older toddlers receiving care in the room who are still placing objects in their mouths. In the bathroom between the toddler 1 and toddler 2 rooms, there was an unlocked drawer near the sink that had multiple plastic garbage bags that were accessible to 2 year olds that use the bathroom.

Corrected Corrected by Dec 16, 2024

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 schedule was not posted in the lunchroom.

Corrected Corrected by Dec 16, 2024

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 10:33 a.m. in the gross motor room with a total of 15 children including 3 young toddlers, 11 older toddlers, and 1 preschooler, staff person #11 left the room and the staff person's group of 4 older toddlers were not accounted for by the other 3 staff persons in the room, resulting in the group of 4 older toddlers not being assigned to a staff person while staff person #11 was out of the room. At approximately 10:37 a.m. in the gross motor room with a total of 15 children including 3 young toddlers, 11 older toddlers, and 1 preschooler, staff person #14 left the room and the staff person's group of 4 older toddlers were not accounted for by the other 3 staff persons in the room, resulting in the group of 4 older toddlers not being assigned to a staff person while staff person #14 was out of the room.

Corrected Corrected by Dec 16, 2024

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 #2 had a child service report that exceeded 6 months between reports.

Corrected Corrected by Dec 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The files for child #2 and #3 had an agreement that lacked the child's arrival and departure times.

Corrected Corrected by Dec 16, 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 files for child #1, #2 and #3 had an agreement that lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Dec 16, 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 file for child #4 had an emergency contact form that lacked the work address and telephone number of the enrolling parent.

Corrected Corrected by Dec 16, 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 for child #3, a young toddler, had a health assessment that exceeded 6 months between assessments.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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 #5, a preschooler, lacked a current health assessment updated within the last 12 months. The file for child #4, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Dec 16, 2024

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 #3 must be dismissed from care by close of business on 12-17-24 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 19-month-old enrolled more than 60 days at the facility, lacked documentation of the 4th DTAP vaccination and the 3rd HIB, Pneumococcal, and Polio vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Dec 16, 2024

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.

In the gross motor room next to the changing table, there was a trash can that is used for discarding diapers that was not a hands-free covered can.

Corrected Corrected by Dec 16, 2024

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

3270.151(a)/3270.151(c)(2)(ii) · 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 record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

The file for staff person #14 had a health assessment with a record of a positive tuberculin skin test and had a chest x-ray that was dated over 12 months prior to providing initial service in a child care setting at the facility and requires a current chest x-ray.

Corrected Corrected by Jan 13, 2025

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 #1 lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method. The file for staff person #9 lacked a health assessment prior to providing initial service in a child care setting at the facility and requires a current health assessment. The file for facility person #2 lacked a current health assessment updated within the last 24 months. The file for staff person #5 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility. The files for staff person #6 and #11 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

The file for staff person #11 had a health assessment that lacked a physical examination.

Corrected Corrected by Dec 20, 2024

Category: health medication. 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 #10 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 Jan 13, 2025

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #17 had a health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jan 13, 2025

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 files for volunteer #13 and staff person #14 lacked two written, nonfamily references.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of a current emergency drill conducted within the last year was not on file at the facility.

Corrected Corrected by Jan 13, 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.

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 Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Per operator statements, the facility lacked a director from 8/12/24 till 11/11/24.

Corrected Corrected by Nov 11, 2024

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 persons #1 and #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 person(s) available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: (health and safety training).

Corrected Corrected by Oct 28, 2024

Category: supervision. 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 #1 will have until 12/25/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training

Corrected Corrected by Oct 28, 2024

Category: supervision. 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 between 5-24-24 to 6-24-24, and a test has not been conducted within the last 30 days as of 7-26-24, with the last test being completed on 6-24-24.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. 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 #5 lacked emergency plan training at the time of initial employment and requires current emergency plan training. The file for staff person #7 lacked current emergency plan training completed within the last year.

Corrected Corrected by Feb 19, 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 #6 may not work in a child care position at the facility.

The file for staff person #6 lacked the out of state Sex Offender and Child Abuse & Neglect registry checks at their start date and requires current out of state Sex Offender and Child Abuse & Neglect registry checks. (See LIS CODE SHEET)

Corrected Corrected by Feb 5, 2024

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 #4, functioning as a staff person, lacked verification of education to qualify as a staff person.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. 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 library on the back wall, there were multiple dead bugs and visible dirt on the window sills.

Corrected Corrected by Feb 2, 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.

In the preschool room, there was one area of peeling paint and damaged plaster in the back left corner of the room. In the left school-age room, there were a couple areas of peeling paint on the left wall.

Corrected Corrected by Feb 5, 2024

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

In the gym, the door leading to the outside lacked a visual strip/visual identification on the glass.

Corrected Corrected by Feb 2, 2024

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

In the right school-age room, the door between the right and left school-age rooms was blocked by a table in the left school-age room.

Corrected Corrected by Feb 2, 2024

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.

In the gross motor room on the stair climber, there were non-slip strips on the stairs that were coming apart and were a tripping hazard.

Corrected Corrected by Feb 17, 2024

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 gross motor room, there was an unlocked cabinet with a roll of plastic garbage bags that was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Feb 2, 2024

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.

In the library, there was a table with the edge at the end of the table that was loose and coming apart with sharp edges.

Corrected Corrected by Feb 9, 2024

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 had an emergency contact form that lacked the enrolling parent's home address.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

In the preschool room, there were two inhalers for child #2 that lacked the original container with the prescription identifying that the medication was prescribed for that child.

Corrected Corrected by Feb 2, 2024

Category: health medication. 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 preschool room, there were two inhalers for child #2 that lacked written parental consent for administration of the medication.

Corrected Corrected by Feb 2, 2024

Category: ratio. 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 #1 had an initial 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 Feb 29, 2024

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 #4 lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method.

Corrected Corrected by Mar 15, 2024

Category: health medication. 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 files for staff person #2 and #3 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Mar 8, 2024

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #3 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Mar 8, 2024

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

In the lunch room, there was a child's lunch box that contained a bottle of milk that was not refrigerated.

Corrected Corrected by Feb 2, 2024

Category: nutrition. 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 lacked two written, nonfamily references.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

The file for child #1 lacked an initial health assessment within 60 days following the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Feb 29, 2024

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

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The sanction letter and corresponding inspection summaries were not posted in a conspicuous location used by parents.

Corrected Corrected by Dec 19, 2023

Marked corrected in the state record.

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

A functioning portable space heater was observed in the office of the facility.

Corrected Corrected by Jan 23, 2024

Category: physical safety. 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 volunteer #2, functioning as an assistant group supervisor, lacked verification of education/experience to qualify as an assistant group supervisor.

Corrected Corrected by Aug 10, 2023

Category: supervision. Marked corrected in the state record.

3270.33(c)/3270.37(c) · A volunteer shall be supervised by a staff person who is qualified at minimum as an assistant group supervisor. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 8-10-23 in the infant room with a total of 4 children, staff person #3 identified 4 children in their group, including 2 infants and 2 young toddlers. Staff person #4 was also in the room and did not identify any children in their group. Both staff person #3 and staff person #4 qualify as aides and were not supervised by a staff person who is qualified at minimum as an assistant group supervisor.

Corrected Corrected by Aug 10, 2023

Category: supervision. 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).

On 8-10-23 at approximately 1:18 p.m. during naptime in the toddler 2 room with a total of 10 children, staff person #1 identified 6 children in their group, including 1 older toddler & 5 preschoolers and volunteer #2 identified 4 children in their group, including 1 older toddler & 3 preschoolers. At the time of observation, volunteer #2 was functioning as a staff person and not as a volunteer. Upon further investigation, it was determined that volunteer #2 did not have the qualifications to be a staff person. As a result, staff person #1 was supervising 10 children in the room, including 2 older toddlers, resulting in staff person #1 being out of ratio.

Corrected Corrected by Aug 10, 2023

Category: supervision. 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.

* On 8-10-23 at approximately 1:18 p.m. during naptime in the toddler 2 room with a total of 10 children, including older toddlers and preschoolers, staff person #1 was unable to see 3 children who were on cots from where the staff person was sitting at the table in the back left corner due to furniture obstructing their view, including 1 child that had a blanket over their head.

Corrected Corrected by Aug 10, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity will arrange for all staff to attend a minimum of 3 hours of training on supervision and ratio conducted by the ELRCs. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

* * On 8-10-23 at approximately 1:18 p.m. during naptime in the toddler 2 room with a total of 10 children, including older toddlers and preschoolers, staff person #1 was unable to see 3 children who were on cots from where the staff person was sitting at the table in the back left corner due to furniture obstructing their view, including 1 child that had a blanket over their head.

Corrected Corrected by Jan 19, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · The operator will conduct monthly staff meetings for a period of at least 3 months with all staff required to attend. The staff meeting agenda will include discussing supervision/ratio citations within the last year and a review of regulations 3270.51, 3270.52, and 3270.113 pertaining to supervision and ratio. Each month, the legal entity is required to send the staff meeting agenda and participants list to the DHS office within a week after the date of the staff meeting.

* * * On 8-10-23 at approximately 1:18 p.m. during naptime in the toddler 2 room with a total of 10 children, including older toddlers and preschoolers, staff person #1 was unable to see 3 children who were on cots from where the staff person was sitting at the table in the back left corner due to furniture obstructing their view, including 1 child that had a blanket over their head.

Corrected Corrected by Jan 12, 2024

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.

On 8-10-23 at approximately 1:18 p.m. during naptime in the toddler 2 room with a total of 10 children, staff person #1 identified 6 children in their group, including 1 older toddler & 5 preschoolers and volunteer #2 identified 4 children in their group, including 1 older toddler & 3 preschoolers. At the time of observation, volunteer #2 was functioning as a staff person and not as a volunteer. Upon further investigation, it was determined that volunteer #2 did not have the qualifications to be a staff person. As a result, 4 children were not named in a group.

Corrected Corrected by Aug 10, 2023

Category: supervision. 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 lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Jun 19, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #1, #2, and #4, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 3-2-23 that was not completed by 12-30-22 as required. Staff person #6, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 3-1-23 that was not completed by 12-30-22 as required. Staff person #8 and #10, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 3-5-23 that was not completed by 12-30-22 as required. Staff person #13 and #15, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 3-6-23 that was not completed by 12-30-22 as required.

Corrected Corrected by Jun 19, 2023

Category: ratio. 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, children with disabilities and children with chronic medical conditions.

Corrected Corrected by May 16, 2023

Category: physical safety. 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.

Staff person #14 completed the following required pre-service training on 12-12-22 that was over 90 days after their date of hire (see LIS code sheet): Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #3, #9, and #10 completed the following required pre-service training on 4-15-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #12 and #14 completed the following required pre-service training on 5-2-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Jun 19, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #3, #5, #7, #10, #11, and #18 may not work at the facility.

The files for staff person #3, #5, and #10, hired provisionally, had proof of application for the NSOR verification certificate at their start date and lacked the NSOR verification certificate within 45 days of their start date as required for a provisional hire and require a current NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #7 had a Department of Education FBI clearance dated 7-9-20 and lacked a DHS FBI clearance and NSOR verification certificate at their start date and requires a current DHS FBI clearance and NSOR verification certificate. The file for staff person #9 had a DHS FBI clearance that was dated after their start date. The file for staff person #11 had an FBI clearance with a rap sheet that lacked the required disposition. The file for staff person #15 had state police and child abuse clearances that exceeded 60 months between clearances. The file for staff person #16 had a Department of Education FBI clearance dated 7-9-20 and had a DHS FBI clearance dated 11-19-22 that was after their start date. The file for staff person #17 had a Department of Education FBI clearance dated 7-10-20 and had a DHS FBI clearance dated 11-19-22 that was after their start date. The file for staff person #18 lacked a state police clearance at their start date and requires a current state police clearance.

Corrected Corrected by Jun 9, 2023

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 file for staff person #15 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by May 15, 2023

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.

In the morning on 5-15-23, child #10 was observed in the library with a speech therapist and two other children that were enrolled in another program and not enrolled in the DHS child care program. The speech therapist is not a staff person. No staff person was present with the child, resulting in child #10 not being supervised by a staff person and child #10 being out of ratio with a 0:1 staff to child ratio. The child does not have written parental consent to work with the speech therapist without staff supervision.

Corrected Corrected by May 17, 2023

Category: supervision. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

The library lacked a first-aid kit.

Corrected Corrected by May 18, 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 lacked disposable, nonporous gloves. In the gym, the first-aid kit in the room for the pre-k group, with pre-k children present in the room, lacked tweezers. The first-aid kit in the lunch room lacked tweezers, scissors, tape, and disposable, nonporous gloves.

Corrected Corrected by May 15, 2023

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 toddler play space in the corner near the door to the building, there were 2 wooden stakes against a wooden planter that were angled out and protruding into the play space that were a visible hazard.

Corrected Corrected by May 18, 2023

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.

The infant room, the gross motor room, and the before & after school room lacked a handwashing sign at the sink in each room.

Corrected Corrected by May 15, 2023

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

3270.102(e)/3270.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

On the toddler play space with toddlers observed in care in the play space, there were pieces of mulch and pea gravel with a diameter of less than 1 inch that were accessible to toddlers who are still placing objects in their mouths.

Corrected Corrected by May 22, 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 2 room with toddlers present in the room, there was peeling contact paper on the side of the counter that was accessible to children who are still placing objects in their mouths.

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

3270.113(a) · The legal entity will create a facility policy for staff and facility persons regarding supervision and ratio of children, including a policy specifically addressing the release of children to outside agencies. The policy is to be shared with all staff and facility persons.

* * In the morning on 5-15-23, child #10 was observed in the library with a speech therapist and two other children that were enrolled in another program and not enrolled in the DHS child care program. The speech therapist is not a staff person. No staff person was present with the child, resulting in child #10 not being supervised by a staff person. The child does not have written parental consent to work with the speech therapist without staff supervision.

Corrected Corrected by May 17, 2023

Category: supervision. 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.

* In the morning on 5-15-23, child #10 was observed in the library with a speech therapist and two other children that were enrolled in another program and not enrolled in the DHS child care program. The speech therapist is not a staff person. No staff person was present with the child, resulting in child #10 not being supervised by a staff person. The child does not have written parental consent to work with the speech therapist without staff supervision.

Corrected Corrected by May 17, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity will arrange for all staff to complete at least 2 hours of online training on the topic of supervision of children. The training must be approved by DHS certification prior to completion.

* * * In the morning on 5-15-23, child #10 was observed in the library with a speech therapist and two other children that were enrolled in another program and not enrolled in the DHS child care program. The speech therapist is not a staff person. No staff person was present with the child, resulting in child #10 not being supervised by a staff person. The child does not have written parental consent to work with the speech therapist without staff supervision.

Corrected Corrected by Jun 21, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for child #1, #2, #3, #6, #7, and #8 had an agreement that lacked the child's admission date.

Corrected Corrected by May 19, 2023

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.

In the morning on 5-15-23, child #10 was observed in the library with a speech therapist and two other children that were enrolled in another program and not enrolled in the DHS child care program. The speech therapist is not a staff person. No staff person was present with the child, resulting in child #10 not being supervised by a staff person. The child does not have written parental consent to work with the speech therapist without staff supervision. At approximately 10:05 a.m. in the toddler 2 room with a total of 10 children, staff person #10 named 5 children in their group, including older toddlers and preschoolers, and staff person #11 named 4 children in their group, including older toddlers and preschoolers, resulting in 9 out of 10 children being named in a group, and 1 child not being named in a group.

Corrected Corrected by May 22, 2023

Category: supervision. Marked corrected in the state record.

3270.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

A veterinarian's certificate of current rabies immunization was not on file for a dog that was observed at the facility.

Corrected Corrected by Jun 6, 2023

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At approximately 10:50 a.m. in the infant room, an infant was observed sleeping in a bouncer seat for approximately 7 minutes and was not sleeping in the sleeping position recommended by the American Academy of Pediatrics. There was no documentation in the child's file with a medical reason that the infant should not sleep in the recommended position.

Corrected Corrected by May 15, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #3 had an agreement that was not signed by the operator.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child #7 lacked a current child service report updated within the last 6 months. The files for child #5 and #6 had a child service report that exceeded 6 months between updates.

Corrected Corrected by Jun 9, 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 file for child #2 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by May 26, 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 files for child #4 and #7 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 May 19, 2023

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 files for child #4, a 1 year old, child #7, an 11 month old, child #8, a 1 year old, and child #9, an 11 month old, lacked a current health assessment updated within the last 6 months.

Corrected Corrected by Jun 12, 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). Children #1 and #9 must be dismissed from care by close of business on 5-15-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The files for child #1, a 6 month old, and child #9, an 11 month old, had an immunization record that lacked documentation of multiple vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by May 17, 2023

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #3 must be dismissed from care by close of business on 5-15-23 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 #3, a 5 year old, lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

Corrected Corrected by May 15, 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 #6 lacked a current health assessment dated within the last 24 months. The files for staff person #7 and #18 had a health assessment that was dated after their start date providing initial service in a child care setting at the facility.

Corrected Corrected by May 16, 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 #11 lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method. The files for staff person #7 and #18 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility.

Corrected Corrected by Jun 14, 2023

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for child #3, #4, #5, #6, #7, and #9 lacked a current emergency contact form updated within the last 6 months. The files for child #7 and #9 had an agreement that exceeded 6 months between updates.

Corrected Corrected by May 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The file for child #3, a 5 year old, lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by May 15, 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.

In the pre-k counts room, there were multiple push pins with sharp edges in a container in an unlocked drawer of the desk and were accessible to children.

Corrected Corrected by Jun 2, 2022

Category: health medication. 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 files for staff person #4 and #9 had emergency plan training that exceeded a year between trainings. The files for staff person #5, #6, #7, and #11 had emergency plan training that was dated over 90 days after initial employment.

Corrected Corrected by Jun 13, 2022

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 #1 will have until 7-22-22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1, #4, #5, #8, and #9 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 Jun 30, 2022

Category: supervision. 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 #1, #2, #8, #9, and #10 have 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 and #5 have 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.

Corrected Corrected by May 7, 2022

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).

Staff person #4 had not completed an updated mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file being dated 7-7-16 and 4-22-22.

Corrected Corrected by Apr 22, 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. Staff Person #12 and Staff Person #13 may not work at the facility.

The file for staff person #12 had an NSOR verification certificate dated after their start date and lacked a state police clearance at their start date and requires a current state police clearance. The file for staff person #13, hired as the director, lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. The file for staff person #5 lacked a disclosure statement at their start date. The file for staff person #6 had a disclosure statement that lacked the signature of a witness. The file for staff person #3, hired provisionally, had an FBI clearance dated after their start date and lacked verification of being fingerprinted for the FBI clearance at their start date to be a provisional hire. The file for staff person #6 had an FBI clearance and NSOR verification certificate that were dated after their start date. The file for staff person #11, hired provisionally, had proof of application for the NSOR verification certificate at their start date and had an NSOR verification certificate that was dated over 45 days after their start date and had an FBI clearance dated after their start date and lacked verification of being fingerprinted for the FBI clearance at their start date to be a provisional hire.

Corrected Corrected by Jun 30, 2022

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 #11, functioning as an assistant group supervisor, lacked verification of education/experience to qualify as an assistant group supervisor.

Corrected Corrected by Jun 17, 2022

Category: supervision. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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 #13, functioning as the director, lacked verification of 1 year of experience working with children to qualify as the director.

Corrected Corrected by Jul 11, 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 approximately 10:45 am, child #7 was observed walking in the hallway with their nurse, who is not a staff person. No staff person was present with them, resulting in child #7 not being supervised by a staff person, and child #7 being out of ratio. At approximately 11:57 am, child #7 was observed with their nurse and no staff person present in the changing table area in the hallway between the preschool and pre-k rooms, resulting in child #7 being out of ratio.

Corrected Corrected by Jun 2, 2022

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 pre-k counts room, there were 2 bottles of Wite-out labeled "Keep out of reach of children" that were in the top right unlocked drawer of the desk and were accessible to children. In the bathroom between the toddler 1 and toddler 2 rooms, there was a bottle of Clorox Hydrogen Peroxide labeled "Keep out of reach of children" under the sink in an unlocked cabinet that was accessible to children. In the changing table area between the preschool and pre-k counts rooms, there were a canister of disinfectant wipes and a bottle of Lysol Disinfectant Spray labeled "Keep out of reach of children" in an unlocked drawer that was accessible to children.

Corrected Corrected by Jun 3, 2022

Marked corrected in the state record.

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

In the toddler 2 room, the temperature at the sink was 127° F. In the toddler 1 room, the temperature at the sink was 125° F. In the bathroom between the toddler 1 and toddler 2 rooms, the temperature at the sink was 130° F.

Corrected Corrected by Jun 15, 2022

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 telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by the telephone in the preschool room.

Corrected Corrected by Jun 3, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

The left side school-age room lacked a first-aid kit.

Corrected Corrected by Jun 10, 2022

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.

In the bathroom between the preschool and pre-k counts rooms, there was a loose tile coming apart from the wall to the right of the sink.

Corrected Corrected by Jul 8, 2022

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 pre-k counts 2 room, there was peeling paint in 1 area on the left wall to the right of the Smart Board and in 1 area on the right wall towards the back right corner.

Corrected Corrected by Jun 24, 2022

Category: physical safety. 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.

In the bathroom between the preschool and pre-k counts rooms that had a sink and a toilet, the trash can lacked a lid.

Corrected Corrected by Jun 3, 2022

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.

In the gross motor room, there was a fabric mat at the bottom of the steps to the loft that had tears in multiple areas exposing the stuffing inside.

Corrected Corrected by Jun 3, 2022

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

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

The daily activity schedule was not posted in the pre-k room, lunch room, left side school-age room, and right side school-age room.

Corrected Corrected by Jun 3, 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.

At approximately 10:45 am, child #7 was observed walking in the hallway with their nurse, who is not a staff person. No staff person was present with them, resulting in child #7 not being supervised by a staff person. At approximately 11:57 am, child #7 was observed with their nurse and no staff person present in the changing table area in the hallway between the preschool and pre-k rooms.

Corrected Corrected by Jun 2, 2022

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 approximately 10:45 am, child #7 was observed walking in the hallway with their nurse, who is not a staff person. No staff person was present with them, resulting in child #7 not being supervised by a staff person. At approximately 11:57 am, child #7 was observed with their nurse and no staff person present in the changing table area in the hallway between the preschool and pre-k rooms.

Corrected Corrected by Jun 2, 2022

Category: supervision. 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 had an emergency contact form that lacked the name of the health insurance and the policy number. The file for child #2 had an emergency contact form that lacked the health insurance policy number.

Corrected Corrected by Jun 2, 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 emergency transportation plan was not posted in the left side school-age room and the library.

Corrected Corrected by Jun 2, 2022

Category: transportation. Marked corrected in the state record.

3270.131(e)/3270.182(1) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

The file for child #6 lacked an immunization record within 60 days of their start date and requires a current immunization record.

Corrected Corrected by Jun 17, 2022

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

3270.131(e)(1)/3270.182(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. A child's record shall contain initial and subsequent health reports.

The files for child #3, a 3 year old, and child #4, a 4 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #5, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months and the 2nd dose 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 Jun 24, 2022

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.

In the bathroom between the toddler 1 and toddler 2 rooms, there were diapers in the trash can with a flip lid and not a hands-free covered can. In the toddler 1 room, there were diapers in an unlidded trash can in the room.

Corrected Corrected by Jun 2, 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 file for staff person #10 lacked a current health assessment updated within the last 24 months. The file for staff person #13 lacked a health assessment at their start date, and requires a current health assessment. The file for staff person #6 had a health assessment that was dated after their start date.

Corrected Corrected by Jun 14, 2022

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 #13 lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method. The file for staff person #6 had a tuberculosis screening by the Mantoux method that was dated after initial employment.

Corrected Corrected by Jun 14, 2022

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for child #1, #2, #3, #4, and #5 lacked an agreement updated within the last 6 months.

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 2, 2022

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 #3 lacked two written, nonfamily references. The file for staff person #5 had one written, nonfamily reference and lacked a second written, nonfamily reference.

Corrected Corrected by Jun 8, 2022

Category: recordkeeping. 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 facility's emergency plan lacked a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 10, 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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 10-29-21 to 12-2-21, 12-2-21 to 1-11-22, 1-11-22 to 2-26-22, and 2-26-22 to 3-31-22.

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The file for child #6 lacked an initial health assessment within 60 days of their start date and requires a current health assessment.

Corrected Corrected by Jun 2, 2022

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