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

Staff person #1 and #2 have not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected Corrected by Aug 4, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person/facility person/volunteer #-1 and #2 will have until 8/9/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #1 and #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility person/volunteer #1 and #2, staff person/facility person/volunteer #1 and #2 may not work in a child-care position at the facility.

The files for staff person #1 and #2 did not complete mandated reporter training within 60 months of the previous training. The current training on file for staff person #1 was completed on 6/30/2015. The current training on file for staff person #2 was completed on 6/30/2015.

Corrected Corrected by Aug 4, 2023

Category: supervision. 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 classroom #2 and #4, sensory bottles with a lid of less than 1 inch in diameter and was removeable was accessible to children who are still placing objects in their mouths. Sensory bottle also contained objects with a diameter of less than 1 inch. (corrected on site)

Corrected Corrected by Jul 14, 2023

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

It was observed in classroom #5 and #4 that the rest equipment was not labeled for the use of specific children.

Corrected Corrected by Jul 15, 2023

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

3270.131(d)(1) · A health report shall include a review of the child's health history.

The health assessment for child #1 did not include a complete health history.

Corrected Corrected by Jul 25, 2023

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 health assessments on file for child #2 does not include the influenza vaccine for the 2022-23 flu season.

Corrected Corrected by Jul 25, 2023

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

File for staff person #1 does not include a completed health assessment at least 24 months after the previous health assessment dated 9/28/2017.

Corrected Corrected by Aug 4, 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 financial agreements on file for children #2, #3, and #4 have not been updated at least once in a 6-month period.

Corrected Corrected by Aug 4, 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 2/10/23, 3/16/23.

Corrected Corrected by Aug 4, 2023

Category: recordkeeping. 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 classroom that an infant sleeping in a swing. (corrected on site: teacher placed infant in crib)

Corrected Corrected by Nov 16, 2022

Category: health medication. 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.

Staff in the Kindergarten classroom stated that perishable lunch items were stored in lunch bags with ice packs instead of being refrigerated.

Corrected Corrected by Nov 17, 2022

Category: nutrition. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During inspection on 11/16/22, review of the fire detection system log indicated that last test date was 10/14/22 which exceeded required testing every 30 days.

Corrected Corrected by Nov 18, 2022

Category: recordkeeping. Marked corrected in the state record.