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.

Facility self-reported a school-age child was unsupervised for approximately 5 minutes in the locker room during transition to an outdoor activity.

Corrected Corrected by Jul 16, 2025

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files of staff #1, an AGS lacked proof of experience to support the position.

Corrected Corrected by Jul 10, 2025

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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has completed Pediatric first-aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum.

Corrected Corrected by Jul 30, 2025

Category: supervision. 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 #1 lacked an emergency contact form with the complete address of the enrolling parent.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(iv)/3270.192(2)(iii) · Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 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 #2 lacked documentation of completing the annual requirement for 12 clock hours of child care training.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

At the time of reviewing staff files, the file of staff #1 lacked the National Sex Offender Registry report.

Corrected Corrected by Apr 10, 2025

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 file of child #1 lacked documentation of the emergency contact information and the financial agreement reviewed by the parent at least once in 6-months.

Corrected Corrected by Apr 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by Apr 10, 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). 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 #1 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact they were dated 1-16-24 and 1-15-19. The file of staff #2 had documentation of completing Mandated Reporter training more than 60 months apart due to the fact they were dated 8-25-23 and 8-21-18.

Corrected Corrected by May 28, 2024

Category: background checks. 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.

At the time of the inspection, observed in the boys' and girls' restrooms across from the Dysart room garbage cans that lacked lids.

Corrected Corrected by May 28, 2024

Category: health medication. 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 of child #3 lacked a child service report.

Corrected Corrected by May 28, 2024

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 #2 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by May 28, 2024

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 of children #2 and #4 lacked emergency contact forms with the full address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 file of child #2 lacked signed and dated documentation of parent review every 6 months.

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file of child #2 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 28, 2024

Category: ratio. 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 #1 lacked an initial health assessment.

Corrected Corrected by May 28, 2024

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

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file of child #1 had an agreement that lacked the date of the child's admission.

Corrected Corrected by Apr 28, 2023

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 #1 had an emergency contact form that lacked the work address of the enrolling parent.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. due to the fact it was completed on 2-24-23.

Corrected Corrected by Apr 28, 2023

Category: ratio. 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.

The file of staff #2 had Mandated Reporter trainings completed more than 60 months apart due to the fact they were dated: 1-19-22 and 9-22-16. The file of staff #3 had Mandated Reporter trainings completed more than 60 months apart due to the fact they were dated: 5-2-20 and 4-13-15.

Corrected Corrected by Apr 28, 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 files of children #1 and #3 lacked child service reports every 6 months.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 of children #1 and #3 lacked documentation of parent's review of the emergency contact form and financial agreement every 6 months.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The documentation for a health report that was observed in the file for child #4 was a summary of the child's doctor's visits obtained through the electronic communication system with the doctor's office (iChart). Therefore, the health report lacked a signature by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Corrected Corrected by May 2, 2023

Category: health medication. 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 to the fact the most recent on file was dated 1-27-21. Therefore, more than 24 months have passed since the date of the last health assessment.

Corrected Corrected by May 5, 2023

Category: ratio. 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 of children #2, #4, and #5 lacked documentation the parent's reviewed the financial agreement every 6 months.

Corrected Corrected by Apr 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The file of child #1 lacked an emergency contact form with the signed parental consent for administration of medications or special dietary needs; or "NA" if not applicable.

Corrected Corrected by May 5, 2023

Category: ratio. 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 #3 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Apr 28, 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 of child #4 lacked an initial health assessment.

Corrected Corrected by May 5, 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). 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.

The file for staff person #2 was observed not to contain documentation of application of a DOH FBI clearance and National Sex Offender registry prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file had a PDE FBI clearance and proof of request for NSOR on 6-10-22.

Corrected Corrected by Jun 28, 2022

Category: background checks. 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 #1 lacked an emergency contact form with the work addresses and telephone numbers of the enrolling parent. The file of child #3 lacked an emergency contact form with the work address of the enrolling parent.

Corrected Corrected by Jun 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file of child #3 lacked an emergency contact form with the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 28, 2022

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 file of child #2 lacked documentation of receiving the flu shot or an exemption letter by the parent.

Corrected Corrected by Jul 1, 2022

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 file of staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Jun 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours 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.

Staff #2, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Corrected Corrected by Mar 7, 2022

Category: supervision. Marked corrected in the state record.

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

The hot water temperature at the right sink in the women's bathroom was 114 degrees. The hot water temperature at the left sink in the women's bathroom was 116 degrees.

Corrected Corrected by Mar 7, 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.

On 3/7/221 observed a green Lego with a piece missing creating rough edges in the classroom. On 3/7/22 observed a cracked red square Magna tile, a cracked green square Magna tile, and a cracked red triangular Magna tile in the classroom.

Corrected Corrected by Mar 7, 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 written plan of daily activities was not posted in the group space.

Corrected Corrected by Mar 8, 2022

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

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

Staff #2, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Corrected Corrected by Mar 7, 2022

Category: supervision. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff #1 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 8, 2022

Category: recordkeeping. Marked corrected in the state record.