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 pre-k/preschool room, the handle on the toy fridge door was loose with the screw at the top of the handle missing resulting in the handle not being secure. In the pre-k/preschool room, there were two rest mats that had tears in the fabric exposing the foam inside. On the outdoor preschool play space, the frog bouncer embedded equipment nearest the outside fence had a crack that was a few inches long on the right side of the equipment.

Corrected Corrected by Nov 8, 2024

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

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

In the preschool room, the water temperature at the sink in the room was 122° F.

Corrected Corrected by Jul 11, 2024

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 file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Jul 11, 2024

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

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

The emergency plan lacked requirements for continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Jun 12, 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 and toddlers.

Corrected Corrected by Jun 13, 2023

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On the outdoor preschool/pre-k play space, the art table had blue paint peeling in multiple areas.

Corrected Corrected by Jun 12, 2023

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

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

In the infant room with 3 young toddlers 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. In the toddler room with multiple 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 Jun 12, 2023

Category: health medication. 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 toddler room at approximately 11:40 a.m., staff person #2 was observed changing a child's diaper at the changing table that faces the back right wall and was unable to see a 2 year old child that was around the corner from the staff person. After changing the child's diaper, staff person #2 walked with the child to wash their hands in the bathroom across the room and was unable to see the other five children in the room that were 2-3 year olds in the staff person's group for about 15-20 seconds while the staff person was in the bathroom with the child.

Corrected Corrected by Jun 12, 2023

Category: supervision. 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, #2, and #3 must be dismissed from care by close of business on 6-2-23 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 #1, a 5 year old, child #2, a 3 year old, and child #3, 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.

Corrected Corrected by Jun 5, 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 #1 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Jun 2, 2023

Category: ratio. 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.

The most recent emergency drill conducted on 4-7-23 had documentation that lacked the time to complete the drill, special accommodations the facility used for infants and toddlers, and the problems encountered or observations during the drill.

Corrected Corrected by Jun 5, 2023

Category: recordkeeping. 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 young toddler room lacked tape.

Corrected Corrected by Jun 14, 2022

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 young toddler room, the trash can next to the sink in the corner lacked a lid.

Corrected Corrected by Jun 14, 2022

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

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

In the infant room, child #3, an infant, lacked an infant feeding schedule.

Corrected Corrected by Jun 15, 2022

Category: nutrition. 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 interconnected smoke detectors were not manually tested at least once every 30 days between 1-6-22 to 2-11-22 and 2-11-22 to 3-21-22.

Corrected Corrected by Jun 15, 2022

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 toddler room, there was a large bottle of hand sanitizer next to the sink labeled "Keep out of reach of children" that was accessible to children.

Corrected Corrected by Jun 14, 2022

Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #2 will have until 7-22-22 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first-aid/CPR training from a PQAS approved curriculum.

Corrected Corrected by Jun 5, 2022

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 may not work 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.

Corrected Corrected by Jun 14, 2022

Category: background checks. 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.

On the older toddler/preschool play space, the poured-in-place surface had small beads coming apart in multiple areas on the surface that were less than 1 inch in diameter and were accessible to 2 year olds that use the play space and are still placing objects in their mouths.

Corrected Corrected by Jun 14, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

In the infant room, the refrigerator that contained children's bottles lacked a thermometer.

Corrected Corrected by Jul 12, 2022

Category: nutrition. 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 files for child #1 and #2 had an emergency contact form that lacked the work address and telephone number of the enrolling parent.

Corrected Corrected by Jun 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected Corrected by Jun 15, 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 file for child #1, a 3 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.

Corrected Corrected by Jun 15, 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 #3 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by May 19, 2022

Category: ratio. 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 #1 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Jun 15, 2022

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