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 file of staff #5 lacked documentation of completing emergency plan training (see LIS code sheet).

Corrected Corrected by Nov 7, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The files of staff #1 and #3 lacked renewing pediatric cardiopulmonary resuscitation (CPR) on or before the expiration due to the fact they were dated: staff #1 12-16-22 and 10-30-25; and staff #3 12-6-22 and 8-17-25. The file of staff #5 lacked documentation of completing pediatric cardiopulmonary resuscitation (CPR)

Corrected Corrected by Nov 28, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file of staff #5 lacked documentation of completing fire safety training (see LIS code sheet).

Corrected Corrected by Nov 18, 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.

The file of staff #5 who was observed caring for children, lacked documentation of completing health and safety training (see LIS code sheet). The file of staff #7 lacked documentation of completing the 6 hour or 10 hour health and safety training. the only training in the file was the 1 hour health and safety update.

Corrected Corrected by Nov 18, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #5 and #6 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #5 and #6 may not work in a child care position at the facility.

The file of staff #2 lacked a complete PSP clearance due to the fact the clearance was missing the dissemination date. the file of staff #5 had an initial invalid FBI clearance due to the fact it was and Department of Education rather than Department of Human Services. The file of staff #6 had PSP clearances more than 60 months apart due to the fact they were dated: 7-23-20 and 7-25-25; and had an expired FBI clearance due to the fact it was dated 8-15-20.

Corrected Corrected by Nov 18, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

The file of staff #4 lacked documentation of completing Mandated Reporter training within 60 months due to the fact the documents on file were dated: 9-4-25 and 5-24-19.

Corrected Corrected by Nov 18, 2025

Category: supervision. 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Observed in toddler #2 room insufficient lighting during naptime for the staff to properly supervise the children in care.

Corrected Corrected by Nov 6, 2025

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed in the gym one electrical outlet lacking a protective receptacle cover

Corrected Corrected by Nov 6, 2025

Marked corrected in the state record.

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

Observed in the outdoor play space a broken rider toy.

Corrected Corrected by Nov 6, 2025

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

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

Observed in children's house #1 a wooden table with a broken leg.

Corrected Corrected by Nov 6, 2025

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.

Observed a prescription medication for child #2 not in its original prescription container.

Corrected Corrected by Dec 12, 2025

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed a prescription medication for child #3 with an expiration date of 10-25. Observed a prescription medication for child #4 with an expiration date of 4-25.

Corrected Corrected by Nov 7, 2025

Category: ratio. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed prescription and OTC medication for children #1, #2, #3, and #5 but no medication logs were present for the children and their respected medications.

Corrected Corrected by Nov 7, 2025

Category: health medication. 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.

At the time of the inspection, there was not documentation an emergency drill was done annually.

Corrected Corrected by Nov 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 5, 2025

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

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

The file of staff #5 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Nov 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of the inspection, there was not documentation notification was sent to local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Nov 18, 2025

Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Staff #1 was observed throwing child #1 to the ground and causing child #1 to cry.

Corrected Corrected by Nov 14, 2025

Category: background checks. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Staff #1 was observed throwing child #1 to the ground and causing child #1 to cry.

Corrected Corrected by Nov 14, 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file of staff #1 lacked the PA State Police, Child Abuse, and National Sex Offender Registry clearances. The file of staff #2 had the PA State Police clearance dated 9-4-25, which was after the staff's first day in care with children.

Corrected Corrected by Sep 4, 2025

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years 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 files of staff #1 and #2, both aides lacked proof of education and experience (if applicable).

Corrected Corrected by Sep 4, 2025

Category: recordkeeping. 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 of staff #1 and #2 lacked 2 letters of recommendation.

Corrected Corrected by Sep 4, 2025

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.

Observed the supply closet located downstairs between the boys' and girls' restroom was unlocked; there were cleaning supplies present in the closet.

Corrected Corrected by May 23, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed in the infant room a window with a broken handle/crank to open the window.

Corrected Corrected by May 23, 2025

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 the time of assessing supervision in the infant room, staff #1, #2, and #3 named the same children in their respected groups.

Corrected Corrected by May 23, 2025

Category: supervision. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed an Epi Pen for child #1 in the infant room but no medication log was present.

Corrected Corrected by May 23, 2025

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

3270.14/3270.21 · Staff person(s) shall complete professional development in the topics of 3270.31(f) 1-10 prior to working alone with children. Staff person #1, #2, and #3 will have until December 28, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #3 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 persons #1, #2 and #3, staff persons #1, #2, and #3 may not work in a child care position. 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(s) #1, #2, and #3 whom are by themselves during after school care, lacked completion of Health and Safety training. The files of staff persons #8, #9, and #12 lacked documentation of completing the 1-hour Health and Safety training. Staff person #3 lacked documentation of completing the required pre-service training in Pediatric First Aid and CPR prior to being left alone with children.

Corrected Corrected by Dec 11, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The file of staff #12 lacked completion of Health and Safety training.

Corrected Corrected by Nov 12, 2024

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of staff #6 had late clearances due to the fact they were dated: PA State Police 10-8-23 and 9-26-18; PA Child Abuse 10-11-23 and 10-2-18; DHS FBI 8-16-24 and 4-3-19. The file of staff #8 had late clearances due to the fact they were dated: PA State Police 11-16-22 and 4-9-17.

Corrected Corrected by Dec 16, 2024

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.

Observed the supply closet located downstairs between the boys' and girls' restroom was unlocked; there were cleaning supplies present in the closet.

Corrected Corrected by Jan 17, 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.

Observed in the gym, in the far-right corner, peeling paint on wall.

Corrected Corrected by Dec 23, 2024

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.

There were not handwashing signs in the 2 restrooms in room C-4.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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.

The interior door that leads from room E-2 to E-3 was blocked with a cart and activity supplies. The interior door from E-3 to E-2 was blocked with a cabinet. The interior door from T-3 to C-5 was blocked with a drying rack and laundry basket.

Corrected Corrected by Dec 12, 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.

Observed a small trampoline in room T-1 with loose handlebars. Observed a small trampoline in room T-3 with torn rubber around the base creating a pitch hazard. Observed a cracked plastic bin of dinosaurs in the lower playground space.

Corrected Corrected by Dec 13, 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.

Observed in the gym, large foam building blocks with bite marks and/or chunks bitten from the equipment. Observed on the white shelf used for before/after school care, 5 foam blocks with bite marks.

Corrected Corrected by Dec 13, 2024

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file of staff #4 lacked a current health assessment due the fact the most recent one in the file was dated 8-8-22. The file of staff #7 had health assessments more than 24 months apart due to the fact they were dated: 7-1-24 and 2-7-22. The file of staff #8 had health assessments more than 24 months apart due to the fact they were dated: 1-15-24 and 1-10-22

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

There was not a file for child #1 at the time of reviewing children's files.

Corrected Corrected by Dec 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f) 1-10 prior to working alone with children. Staff persons #3 and #10 will have until December 28, 2024 to complete the required training. Until such time as the required training has been completed, staff persons #3 and #10 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 persons #3 and #10, staff persons #3 and #10 may not work in a child care position.

Staff person #3 lacked documentation of completing the required pre-service training in Pediatric First Aid and CPR prior to being left alone with children. Staff #10 lacked completion of Pediatric First Aid and CPR in an approved curriculum.

Corrected Corrected by Dec 11, 2024

Category: supervision. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The director reported the annual traffic letter to the local traffic safety authorities was not sent in 2023.

Corrected Corrected by Dec 1, 2023

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.

At the time of the inspection, observed in room 117, Toddler 3 room a red checkered print cushioned chair with holes on both arms; in room 121 a green cushioned chair with a hole in the stitching.

Corrected Corrected by Dec 1, 2023

Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

At the time of the inspection, there were not daily schedules posted in the following child care spaces: Room 121, Room 117 left side, and in the gross motor room downstairs.

Corrected Corrected by Dec 1, 2023

Category: physical safety. 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 Continuity of Operations.

Corrected Corrected by Jan 15, 2024

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.

The file of staff persons #1, #4, and #5 lacked completion of the 1-hour updated Health and Safety training (see LIS code sheet).

Corrected Corrected by Dec 1, 2023

Category: ratio. 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.

At the time of the inspection, observed on the patio of the outdoor play space, a flowerpot approximately 2 feet tall and 1 foot wide filled with only water.

Corrected Corrected by Dec 13, 2023

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

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Based on conversation with the director, the emergency plan that is shared with the parents at the time of enrollment does not speak to a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Dec 20, 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(s) #2, #3, and #7 will have until December 26, 2023 to complete the required training. Until such time as the required training has been completed, staff person(s) #2, #3, and #7 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person(s) #2, #3, and #7, staff person(s) #2, #3, and #7 may not work in a child care position at the facility.

Staff person(s) #2 and #7 had not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Health and Safety training. Staff person #3 had not completed the following required pre-service training within 90 days of hire (see LIS code sheet): Pediatric First Aid and CPR.

Corrected Corrected by Dec 1, 2023

Category: supervision. 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.

At the time of the inspection, there was not a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted conspicuously in the following rooms: Room 121, Room 117 left side and right side, and in the gross motor room downstairs.

Corrected Corrected by Dec 1, 2023

Category: transportation. 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). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 of staff #3 had an FBI clearance requested from PDE, rather than DHS; and the DHS FBI clearance on file was dated 3 months after the staff's initial start date (see LIS code sheet). The files of staff #6 had an FBI clearance requested from PDE, rather than DHS; and the DHS FBI receipt for fingerprinting and clearance on file were dated after the staff's initial start date (see LIS code sheet).

Corrected Corrected by Dec 1, 2023

Category: supervision. 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.

At the time of the inspection, there were no postings of the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center in the following rooms: Room 121, Room 117 left side and right side,

Corrected Corrected by Dec 1, 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.

At the time of the inspection, the first-aid kit located downstairs for the gross motor space lacked scissors.

Corrected Corrected by Dec 1, 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.

At the time of the inspection, observed in room 121 and room 117 hand washing signs were not posted at each adult sink.

Corrected Corrected by Dec 19, 2023

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.

At the time of the inspection, observed in the upper playground space a tan and brown metal climbing structure with triangle shaped steps that had rust in the corners. Observed in the bottom playground, a Little Tikes brand brown and tan house with an exposed hole in the hard plastic on the left side of the doorway. Observed in room 117, Toddler 2 room, a broken basket housing work activity mats. Observed in the gross motor space, large foam blocks torn with exposed foam.

Corrected Corrected by Jan 30, 2024

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

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file of staff #1 lacked a health assessment that included information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and an assessment of the person's suitability to provide childcare.

Corrected Corrected by Dec 30, 2023

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

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

Based on the fire drill log, a fire drill was held more than 60 days apart due to the fact the dates documented were April 27, 2023 and July 5, 2023 which is 69 days.

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

At the time of the inspection, the evacuation routes were not posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There was not documentation of testing the smoke detection system every 30 days. Rather, the facility had documentation of a fire professional testing the system annually even though the facility does not fall under the Panic Act 42.

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

At the time of the inspection, the current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Dec 30, 2023

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 of child #1 lacked an initial health assessment.

Corrected Corrected by Dec 28, 2023

Category: health medication. 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 persons #1, #8, and #9 will have until 12-31-22 to complete the required training. Until such time as the required training has been completed, staff person #1, #8, and #9 must be supervised, when interacting with children, by a (GS, AGS) who has completed the required training related to this citation. If there are on staff available to supervise staff #1, #8, and #9 staff #1, #8, and #9 may not work in a childcare position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of hire (see LIS code sheet): 31f 10 Pediatric First Aid and Pediatric CPR training. Staff persons #8 and #9 have not completed the following required per-service training within 90 days of hire (see LIS code sheet): 31f 1-10 health and safety pre-service training modules and Pediatric First Aid and Pediatric CPR training.

Corrected Corrected by Jan 20, 2023

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). Facility Persons #5, #6, and #9 may not work in a childcare position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #5, #6, and #9 may not work in a child care position at the facility.

The file of staff #1 lacked valid FBI clearances due to the fact the one on file was for the Dept. of Education; there was a receipt on file for DHS FBI clearance dated 11-3-21 which was after the start date (see LIS code sheet) and a disclosure statement not dated. The file of staff #2 had a late Child Abuse clearance due to the fact they were dated 7-10-15 and 7-24-20. The file of staff #5 had only the receipt for the National Sex Offender Registry (see LIS code sheet). The file of staff #6 had an invalid PA State Police clearance due to the fact it was for the purpose of volunteer rather than employment. The file of staff #8 had a PA State Police Clearance more than 90 days from start date due to the fact it was date 11-3-22 (see LIS code sheet) and a disclosure statement not dated. The file of staff #9 lacked a PA State Police clearance (see LIS code sheet) and a disclosure statement not dated.

Corrected Corrected by Dec 2, 2022

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

The file of staff #10 had late mandated reporter training due to the fact the trainings in file were dated 8-13-17 and 11-2-22, which is more than 60 months apart. The file of staff #4 had late mandated reporter training due to the fact the trainings in file were dated 8-17-17 and 9-17-22 which is more than 60 months apart.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed in the toddler twos room shaving cream labeled "keep out of the reach of children" used for crafting.

Corrected Corrected by Nov 18, 2022

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.

Observed red peeling paint on the base of the "telephone tower" in the outdoor play space.

Corrected Corrected by Dec 21, 2022

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

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

Observed in room CH #1, 2 broken wooden spoke and wheel manipulatives. Observed in the gym, a damage outlet plate that was cracked with a sharp edge.

Corrected Corrected by Nov 18, 2022

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.

Observed in the childcare room used by young school age children, a pink foam square with a circle in the middle building block with bite marks. Observed in the gym, exposed foam on the climbing/building block.

Corrected Corrected by Nov 18, 2022

Marked corrected in the state record.

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

Observed 2 white shelving units on wheels used for before and after school care with damaged walls; the walls to the back of the cabinets were not attached.

Corrected Corrected by Nov 18, 2022

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.

The refrigerator used for before and after school care lacked a thermometer.

Corrected Corrected by Nov 18, 2022

Category: nutrition. 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 files of children #3, #4, #5, #6, #7, and #8 lacked child service reports within the last 6 months.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The files of children #3, #4, #5, and #7 lacked documentation of a flu shot or an exemption letter submitted by the parent(s).

Corrected Corrected by Dec 21, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed an epi pen labeled for child #1 with an expiration date of 10-17-22. Observed an epi pen labeled for child #2 with an expiration date of 6-2022.

Corrected Corrected by Nov 29, 2022

Category: ratio. Marked corrected in the state record.

3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

Observed a bottled labeled for child #9 and a cup labeled for child #10 both with milk that were previously served and returned to the refrigerator.

Corrected Corrected by Nov 18, 2022

Category: nutrition. Marked corrected in the state record.

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #1, an aide lacked documentation of education. The file of staff #3, a group supervisor lacked proof of experience.

Corrected Corrected by Dec 21, 2022

Category: supervision. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The files of staff #1 and #7 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 21, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

3rd citation. Previously cited on 11/15/21 and 1/10/22. Staff #1, with a start date of 8/25/21, lacked a valid FBI Clearance. Staff #1 had a Department of Education FBI Clearance dated 9/21/17.

Corrected Corrected by Feb 9, 2022

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

2nd citation. Previously cited on 11/15/21. Staff #2, with a start date of 8/25/21, lacked a valid FBI Clearance. Staff #2 had a Department of Education FBI Clearance dated 9/21/17.

Corrected Corrected by Jan 10, 2022

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

2nd citation. Previously cited on 11/15/21. Observed an electrical outlet which lacked a protective receptacle cover by the handicap stall in the Girls' Bathroom located across from the Art Room.

Corrected Corrected by Jan 11, 2022

Marked corrected in the state record.

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

Observed a first-aid kit hanging on the hook by the door in the Children's House 4 Room which was accessible to children in care.

Corrected Corrected by Jan 11, 2022

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.

2nd citation. Previously cited on 11/15/21. Observed peeling paint around the French Door located in the Toddler Playground.

Corrected Corrected by Jan 15, 2022

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

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

2nd citation. Previously cited on 11/15/21. Observed a cracked hole where the door was located on the Step 2 Playhouse creating rough edges on the Toddler Playground. Observed a frayed cream rug used to place activities in the E 2 Room.

Corrected Corrected by Jan 15, 2022

Category: physical safety. 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 9:45 AM Certification Staff observed Child #1 sleeping on his/her belly on a mat. When Certification Staff questioned Staff #1, Staff #1 indicated Child #1 was placed on his/her side to sleep at the parents' request and rolled to the belly position.

Corrected Corrected by Jan 10, 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.

2nd citation. Previously cited on 11/15/21. Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jan 28, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

2nd citation. Previously cited on 11/15/21. Staff #4 lacked a health assessment which included an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Jan 28, 2022

Category: health medication. 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.

2nd citation. Previously cited on 11/15/21. From 12/19/20 until updated on 1/29/21, the facility did not have an emergency plan that provides for accommodations for infants and toddlers. The emergency plan dated 1/29/21 did not provide for accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jan 11, 2022

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

On 11/15/21 observed an apple slicer in the top drawer to the left of the handwashing sink which was accessible to children in Children's House 5 Room.

Corrected Corrected by Nov 15, 2021

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.

Staff #4 and #7 lacked documentation of training regarding the emergency plan on an annual basis. Staff #4 and #7 had documentation of emergency plan training on 8/18/21 but not for 2020.

Corrected Corrected by Dec 6, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #9 lacked documentation of mandated reporter training completed every 60 months. Staff #9 had documentation of mandated reporter training completed on 10/31/16.

Corrected Corrected by Nov 23, 2021

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 #1 lacked a Child Abuse Clearance updated every 60 months. Staff #1 had a Child Abuse Clearance dated 10/19/20 with a previous one dated 9/24/15. Staff #4 lacked a FBI Clearance dated prior to or on the date of initial hire. Staff #4, with a start date of 8/19/19, contained a FBI Clearance dated 8/24/19. Staff #7 lacked a Child Abuse Clearance and National Sex Offender Registry Verification Certificate dated prior to or on the date of initial hire. Staff #7, with a start date of 10/16/20, contained a Child Abuse Clearance dated 10/22/20 and a NSOR dated 10/20/20. Staff #8 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. Staff #8 had a State Police Clearance dated 8/27/20 with a previous one dated 7/8/15. Staff #8 had a Child Abuse Clearance dated 8/27/20 with a previous one dated 7/2/15. Staff #8 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020. Staff #8, with a start date of 8/30/07, had a NSOR dated 9/4/20. Staff #9, with a start date of 8/25/21, lacked a valid FBI Clearance. Staff #9 had a Department of Education FBI Clearance dated 9/21/17. Staff #9 lacked a National Sex Offender Registry Verification Certificate dated prior to or on the date of initial hire. Staff #9 had a NSOR dated 11/1/21. Staff #11 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. Staff #11 had a State Police Clearance dated 8/14/20 with a previous one dated 7/26/15. Staff #11 had a Child Abuse Clearance dated 8/14/20 with a previous one dated 7/30/15. Staff #11 had a FBI Clearance dated 8/15/20 with a previous one dated 7/29/15. Staff #13 lacked documentation of application for State Criminal History Check, State Sex Offender Registry Check, and State Child Abuse and Neglect Registry Check from the State(s) in which Staff #13 resided in the last 5 years prior to or on the date of initial hire. Staff #13 had a start date of 8/25/21 with no out of state clearances.

Corrected Corrected by Dec 13, 2021

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 of Staff #3, #4, #6, #8, #11, and #12 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. Staff #3, with a start date of 10/8/18, contained a written evaluation dated 6/9/21 but did not contain one for 2020. Staff #4, with a start date of 8/19/19, contained a written evaluation dated 6/10/21 but did not contain one for 2020. Staff #6, with a start date of 10/24/19, contained a written evaluation dated 6/11/21 but did not contain one for 2020. Staff #8, with a start date of 8/30/07, contained a written evaluation dated 6/9/21 with a previous one dated 2/4/19. Staff #11, with a start date of 12/1/09, contained a written evaluation dated 6/7/21 with a previous one dated 5/23/19. Staff #12, with a start date of 5/15/05, contained a written evaluation dated 6/7/21 with a previous one dated 6/4/19.

Corrected Corrected by Dec 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(3) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Staff #12, who was designated as a group supervisor, lacked documentation of 2 years of experience with children.

Corrected Corrected by Dec 6, 2021

Category: supervision. Marked corrected in the state record.

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

Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Dec 6, 2021

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On 11/15/21 observed an electrical outlet which lacked a protective receptacle cover between the sinks in the Girls' Bathroom located across from the Art Room. On 11/15/21 observed an electrical outlet which lacked a protective receptacle cover by the handicap stall in the Girls' Bathroom located across from the Art Room. On 11/15/21 observed an electrical outlet which lacked a protective receptacle cover between the sinks in the Boys' Bathroom located across from the Art Room.

Corrected Corrected by Nov 15, 2021

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.

On 11/15/21 observed Member's Mark Disinfecting Wipes which indicated "keep out of the reach of children" on the counter between the sinks which were accessible to children in the Children's House 5 Room. On 11/15/21 observed Grove Hand Sanitizer Gel which indicated "keep out of the reach of children" on the bottom shelf of the last upper cabinet to the right of the sink which was accessible to children in the E 2 Room. On 11/15/21 observed Revive Immune Boost which indicated "keep out of the reach of children" in the first drawer to the left of the sink in the E 2 Room.

Corrected Corrected by Nov 15, 2021

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 Art Room.

Corrected Corrected by Nov 15, 2021

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.

On 11/15/21 the first-aid kit in Children's House 4 Room lacked nonporous gloves.

Corrected Corrected by Nov 15, 2021

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 11/15/21 observed peeling paint around the French Door located in the Toddler Playground.

Corrected Corrected by Dec 4, 2021

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.

On 11/15/21 observed a small table in front of the door to the connecting classroom in Children's House 5 Room.

Corrected Corrected by Nov 15, 2021

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.

On 11/15/21 observed a frayed basket containing paper under the window by the world maps in the Children's House 1 Room. On 11/15/21 observed a cracked hole where the door was located on the Step 2 Playhouse creating rough edges on the Toddler Playground. On 11/15/21 observed a frayed cream rug used to place activities in the E 2 Room. On 11/15/21 observed 5 frayed cream rugs used to place activities in the E 3 Room.

Corrected Corrected by Dec 6, 2021

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

On 11/15/21 observed embedded equipment in the School-Age Outdoor Play Space with approximately 7 inches of mulch. On 11/15/21 observed embedded equipment in the Children's Place Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Dec 6, 2021

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.

The refrigerator temperature was 46.9 degrees in Children's House 3 Room.

Corrected Corrected by Nov 15, 2021

Category: nutrition. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files of children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 lacked the date on which the fee is to be paid on the agreement.

Corrected Corrected by Dec 8, 2021

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 of child #4 lacked the complete work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Dec 6, 2021

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 of Child #8 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

Corrected Corrected by Dec 6, 2021

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

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

The facility was unable to provide proof of purchase of the interconnected smoke detector system.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The Art Room lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

Corrected Corrected by Nov 15, 2021

Category: transportation. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file of Child #8 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #8 contained a health report dated 11/5/20 with a previous one dated 2/7/19.

Corrected Corrected by Jan 3, 2022

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

3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The file of Child #9 lacked a health report which included a list of the child's current medication and the reason for the medication as well if a special diet is prescribed for a child and if the diet is administered to the child, written instructions.

Corrected Corrected by Dec 9, 2021

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The files of Children #1 and #5 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #2, a 9 1/2 month old, lacked the Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations in accordance with the schedule recommended by the ACIP. The file of Child #2 contained documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. The file of Child #9 , a 30 month old, lacked Pneumococcal, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #9 contained documentation of 3 Pneumococcal immunizations, no Varicella immunization, and 1 Hepatitis A immunization.

Corrected Corrected by Dec 8, 2021

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.

Staff #1, #2, #3, #4 , #5, #6, #10, #11, and #12 lacked a health assessment conducted every 24 months. Staff #1 had a current health assessment dated 10/28/21 with a previous one dated 10/21/19. Staff #2 had a health assessment dated 8/16/19. Staff #3 had a current health assessment dated 10/30/20 with a previous one dated 9/26/18. Staff #4 had a current health assessment dated 11/3/21 with a previous one dated 8/5/19. Staff #5 had a current health assessment dated 11/14/20 with a previous one dated 5/1/18. Staff #6 had a current health assessment dated 11/5/21 with a previous one dated 10/22/19. Staff #9 and #13 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #10 has a health assessment dated 9/6/19. Staff #11 had a current health assessment dated 10/22/20 with a previous one dated 9/25/18. Staff #12 had a current health assessment dated 2/5/20 with a previous one dated 1/23/18.

Corrected Corrected by Dec 17, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Staff #8 lacked a health assessment which included an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Dec 8, 2021

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.

Staff #7 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #7 only had one written reference.

Corrected Corrected by Nov 16, 2021

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.

From 12/19/20 until updated on 1/29/21, the facility did not have an emergency plan that provides for accommodations for infants and toddlers. The emergency plan dated 1/29/21 did not provide for accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Dec 6, 2021

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

3270.31(f)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation.

Staff #4 and #7, who were hired prior to the implementation of the new regulations, did not complete pediatric first aid and pediatric cardiopulmonary resuscitation within 180 days of the new regulations being implemented.

Corrected Corrected by Nov 10, 2021

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

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

Staff #6 and #7, who were hired prior to the implementation of the new regulations, did not complete health and safety training under subsection (f) within 180 days of the new regulations being implemented.

Corrected Corrected by Oct 29, 2021

Category: health medication. 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 of Child #2 lacked an initial health report no later than 90 days following the first day of attendance at the facility. The file of child #2, with an admission date of 6/14/21, lacked any health report.

Corrected Corrected by Dec 8, 2021

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