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 file for staff person #2 included a pediatric first aid and CPR training certificate which was not updated before the expiration of the previous certificate. The current pediatric first aid and CPR training certificate is dated 3/9/24 and the previous pediatric first aid and CPR training certificate was dated 2/21/22.

Corrected Corrected by Nov 19, 2024

Category: ratio. Marked corrected in the state record.

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

The file for staff person #1 included a State Police clearance, Child Abuse clearance, and FBI clearance which was not updated within 60 months of the previous clearance. The current State Police clearance is dated 8/19/24 and the previous was dated 7/3/19. The current Child Abuse clearance is dated 8/26/24 and the previous was dated 7/10/19. The current FBI clearance is dated 7/17/24 and the previous was dated 7/9/19.

Corrected Corrected by Nov 19, 2024

Category: background checks. 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.

It was observed in the preschool classroom, Cascade dishwasher pods kept in an area low and accessible to children in an unlocked closet.

Corrected Corrected by Nov 19, 2024

Marked corrected in the state record.

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

It was observed in the preschool classroom a spray bottle containing a cleaning solution that was not labeled with the content. It was observed in the infant classroom a spray bottle and a pump dispensing bottle containing a cleaning solution that was not labeled with the content.

Corrected Corrected by Nov 19, 2024

Category: ratio. 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.

It was observed in the preschool classroom, two drywall boards are bowed and detached from the cement wall. It was also observed in the preschool classroom, cobwebs, dust, and dirt buildup are present on and around the windows in the classroom.

Corrected Corrected by Nov 19, 2024

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

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

It was observed in the preschool classroom, chipping and peeling paint on the back wall of the classroom.

Corrected Corrected by Nov 19, 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.

It was observed in the infant classroom, plastic grocery bags were kept on a low shelf and accessible to children under the age of three-years-old.

Corrected Corrected by Nov 19, 2024

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.

It was observed in the preschool classroom, the refrigerator used to store food and drinks served to children was not kept clean from spills of liquids and foods.

Corrected Corrected by Nov 19, 2024

Category: nutrition. Marked corrected in the state record.

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

The facility does not have a policy and procedure in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Nov 9, 2023

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

3270.66(a)/3270.76 · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 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.

It was observed in the toddler child care space, a wax warmer containing hot melted wax was placed on an unstable standing cubby that children store their personal belongings.

Corrected Corrected by Nov 9, 2023

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

It was observed in the infant child care space, feeding utensils and pacifiers are stored under the sink with cleaning materials.

Corrected Corrected by Nov 9, 2023

Category: ratio. 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.

It was observed in infant child care space, a charger with a 4-foot cord plugged into an outlet accessible to children. It was observed in the toddler child care space, a refrigerator cord and telephone cord hanging and accessible to children. It was observed on the toddler outside play space holes in the ground causing an uneven surface and potential tripping hazards.

Corrected Corrected by Nov 9, 2023

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.

It was observed on the toddler outdoor play space, a Little Tikes tree climber had a fungus growing in areas accessible to children.

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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.

It was observed that a crib being used by an infant did not have 2 feet of space on three sides.

Corrected Corrected by Nov 9, 2023

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

It was observed that an infant was using a pacifier attached to a pacifier ribbon clip while sleeping in a crib.

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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.

It was observed in the infant child care space that a written plan of daily activities and routines was not posted.

Corrected Corrected by Nov 9, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact for child #2 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Nov 9, 2023

Category: health medication. 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.

Emergency contact for child #3 did not include work telephone numbers of the enrolling parent.

Corrected Corrected by Nov 9, 2023

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.

Emergency contacts for children #1 and #3 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed in the infant child care space that an infant's hands were not washed after being diapered.

Corrected Corrected by Nov 9, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed near the diaper changing area in the toddler bathroom that disposable diapers are not being disposed of into a hands-free covered can.

Corrected Corrected by Nov 9, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

It was observed in the infant child care space refrigerator that an infant bottle was not labeled with the child's name.

Corrected Corrected by Nov 9, 2023

Category: physical safety. 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.

Fire drills have not been conducted at least once every 60 days. Fire drills were documented to have occurred 1/5/23, 3/30/23, and no documentation for the month of May.

Corrected Corrected by Jun 6, 2023

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.

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have lapsed 2/27/23 and 3/30/23.

Corrected Corrected by Jun 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(7)(v) · A medication log shall include the date of administration.

Medication logs for Children #1, #2, and #3 did not include dates for administration by the parents.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

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

It was observed in the infant area of the L-shaped classroom that bottles containing infant formula that was brought in by parent chilled were not stored in a refrigerator and were left sitting out on a shelf. (corrected on site)

Corrected Corrected by Jan 20, 2023

Category: nutrition. 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.

Facility's emergency plan did not include continuity of operations planning.

Corrected Corrected by Jan 20, 2023

Category: ratio. 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.

It was observed in the toddler area of the L-shaped classroom an outlet cover was not placed in the electrical outlet under the window. (corrected on site)

Corrected Corrected by Jan 20, 2023

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.

It was observed in the toddler area of the L-shaped classroom that Magic Erasers were accessible to children. (corrected on site)

Corrected Corrected by Jan 20, 2023

Marked corrected in the state record.

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

It was observed in the toddler area of the L-shaped classroom and the Preschool classroom Magic Erasers were not stored in an original container or a container that specifies the contents.

Corrected Corrected by Jan 20, 2023

Category: ratio. 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.

It was observed that a gate separating the toddler area and infant area in the L-shaped classroom was secured using a bungee cord that had sharp hooks. (corrected on site)

Corrected Corrected by Jan 20, 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.

It was observed in the bathrooms used by toddler and preschool children that no handwashing signs were posted.

Corrected Corrected by Jan 20, 2023

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

It was observed in the infant area of the L-shaped classroom that bottles were not labeled with child's name. (corrected on site)

Corrected Corrected by Jan 20, 2023

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.

It was observed on the toddler side of the L-shaped classroom that several torn books were used by children. (corrected on site). It was observed on the infant side of the L-shaped classroom that play equipment, toys, boppy pillows, and infant chairs were not clean for children use.

Corrected Corrected by Jan 20, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed on the toddler side of the L-shaped classroom that plastic bags, small rubber bands, and googly eyes were accessible to children. (corrected on site). It was observed on the toddler side of the L-shaped classroom sensory bottles with removable lids containing objects with a diameter of less than 1 inch were accessible to toddlers. (corrected on site). It was observed on the infant side of the L-shaped classroom, a three-drawer storage bin containing items less than 1 inch in diameter was accessible to children. (corrected on site)

Corrected Corrected by Jan 20, 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.

It was observed on the toddler side of L-shaped classroom that the vinyl cushion of a child sized chair was torn exposing foam. (corrected on site) It was observed in the preschool bathrooms that the pink and blue step stools were very dirty.

Corrected Corrected by Jan 20, 2023

Marked corrected in the state record.

3270.106(j)/3270.119 · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. 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.

It was observed in the infant area of the L-shaped classroom that a pillow was placed in a crib. Staff #1 stated that the pillow is used to prop child #5 in a crib while sleeping per the parent's request. Staff #1 stated that medical documentation signed by a physician is not in the child's file.

Corrected Corrected by Jan 20, 2023

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

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

It was observed in the infant area of the L-shaped classroom that a crib being used by an infant was not at least 2 feet apart on three sides. (corrected on site)

Corrected Corrected by Jan 20, 2023

Category: health medication. 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.

Emergency contact form for child #4 does not contain the work address and work phone number for enrolling parent.

Corrected Corrected by Jan 20, 2023

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.

Facility's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and chronic medical conditions.

Corrected Corrected by Jan 20, 2023

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

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

Operability of the fire detection devices were not tested every 30 days. Testing was documented to have occurred 2/21/22, 3/30/22 & 6/10/22, 7/11/22, 8/24/22 and 10/11/22, 11/18/22, 12/19/22.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.