3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

On 6/16/25 at approximately 11:54am staff #1 removed the tray from child #1's low chair that did not have straps. Staff #1 was then distracted by another child in the room and turned towards that child and briefly spoke to the child. Child #1 fell forward hitting their head on the floor.

Corrected Corrected by Aug 1, 2025

Category: supervision. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for child #1 did not include the health insurance policy number for the child.

Corrected Corrected by Jun 23, 2025

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On two occasions during the inspection Child #4, an infant, was observed in a bassinet which lack 2 feet of space on 3 sides. During the first instance, two sides were blocked with rolled nap mats and a room divider. Later, two sides were blocked with the divider and 2 bouncy seats.

Corrected Corrected by Jun 23, 2025

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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 for staff #2 did not include documentation of fire safety training completed in the last 12 months. The most recent training was dated 5/13/24. The file for staff #5 contained documentation of fire safety training dated more than 12 months apart; 4/18/24 and 5/06/25.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

At the time of review, the file for staff #3 did not contain a completed FBI clearance or proof of having been fingerprinted. (SEE LIS CODE SHEET)

Corrected Corrected by Jun 23, 2025

Category: background checks. 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.

A wooden play yard observed in the rear room blocked the entry from the hallway and the route to the facility's rear exit.

Corrected Corrected by Jun 23, 2025

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 emergency contact form for child #1 did not include complete addresses for the 2 individuals designated by the parent to whom the child may be released. Additionally, 1 designated individual lacked a phone number.

Corrected Corrected by Jun 23, 2025

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.

Plans identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency were not posted in the front or rear rooms.

Corrected Corrected by Jun 23, 2025

Category: transportation. 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).

The immunization record for child #3, 8 months old, indicated only 2 doses of both DTAP and Pneumococcal vaccines were received. A written exemption was not on file.

Corrected Corrected by Jun 30, 2025

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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 for staff #4 contained a TB test dated more than 12 months prior to initial employment. The test results were dated 8/26/23 (SEE LIS CODE SHEET)

Corrected Corrected by Jun 30, 2025

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

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

The record for child #2 did not include signatures of parental consent for emergency medical care and administration of first aid. The boxes contained only the initials.

Corrected Corrected by Jun 23, 2025

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Two documented fire drills included hypothetical locations which were not part of the childcare facility. The recorded locations were across the street from the childcare center.

Corrected Corrected by Jun 23, 2025

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.

Evacuation routes were not posted in a conspicuous location at the facility and instead, were kept in a binder near the door.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Two documented fire drills lacked the names of the participating facility persons, only the total number of staff was recorded.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. 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 files for staff #1 and #2 did not contain documentation of 12 annual hours of training.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The front door, which is full glass, lacked visual identification.

Corrected Corrected by Feb 6, 2025

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