3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed peeling paint on the frame and on the door of the shed in the Preschool Outdoor Play Space.

Corrected Corrected by Jun 19, 2026

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

3280.75(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.

The first-aid kit lacked soap.

Corrected Corrected by Dec 16, 2025

Marked corrected in the state record.

3280.102(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 an orange and red U-shaped cube with exposed foam in the Indoor Play Space.

Corrected Corrected by Nov 24, 2025

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

3280.103 · 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 a foam number with bite marks in Room 109/111.

Corrected Corrected by Nov 24, 2025

Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Child #2 lacked child service reports completed at least every 6 months. Child #2 had child service reports completed on 11/13/24, 1/16/25, and 3/14/25.

Corrected Corrected by Jan 15, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The agreement for Child #3 did not specify the date of the child's admission.

Corrected Corrected by Nov 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 information for Child #2 did not include the complete address of the child's physician or source of medical care.

Corrected Corrected by Dec 7, 2025

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Dec 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Jan 15, 2026

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

3280.124(f)/3280.181(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 emergency contact for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was reviewed on 10/2/24, 1/3/25, and 3/17/25.

Corrected Corrected by Jan 15, 2026

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 10/8/24 and 3/25/25.

Corrected Corrected by Jan 15, 2026

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

3280.131(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 #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained health reports dated 3/21/24 and 9/3/24.

Corrected Corrected by Jan 15, 2026

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

3280.131(d)(5)/3280.131(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 file of Child #2, a 2-year-old, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #2 had documentation of one Hepatitis A immunization.

Corrected Corrected by Jan 15, 2026

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not have documentation of conducting emergency drills annually. The facility had documentation of an emergency drill being conducted on 11/12/25 with a previous one conducted on 10/7/24.

Corrected Corrected by Nov 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation of the fire detection system being tested on 11/30/24, 12/18/24, 1/31/25, 2/25/25, 3/31/25, 4/30/25, 5/30/25, 6/30/25, 7/31/25, 8/29/25, 9/30/25, and 10/31/25.

Corrected Corrected by Nov 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

2nd citation. Previously cited on 11/13/24. The letter provided to the parent explaining emergency procedures did not address accommodations for infants and toddlers.

Corrected Corrected by Jan 22, 2025

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 9:45 AM Certification Staff observed Staff #1 and Staff #2 caring for a group of 14 mixed-age children which included 2 young toddlers, 4 older toddlers, and 8 preschoolers in Room 105. When asked to name the children in their assigned groups, Staff #1 named 3 older toddlers and 3 preschoolers, and Staff #2 named 2 young toddlers and 3 preschoolers. An older toddler and 2 preschoolers were not named by Staff #1 or Staff #2 as part of their assigned groups. When Certification Staff questioned who was assigned the older toddler and 2 preschoolers not named by Staff #1 or Staff #2, Certification Staff was told those children were assigned to Staff #3 who entered the classroom while Certification Staff was assessing supervision and ratio.

Corrected Corrected by Jan 21, 2025

Category: supervision. 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 11/13/24. Observed 1 rest mat with exposed foam in Room 105. Observed a cracked bin containing doll house toys creating rough edges and pinch points in Room 109/111. Observed 2 rest mats with exposed foam in Room 109/111.

Corrected Corrected by Jan 22, 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 approximately 9:45 AM Certification Staff observed Staff #1 and Staff #2 caring for a group of 14 mixed-age children which included 2 young toddlers, 4 older toddlers, and 8 preschoolers in Room 105. When asked to name the children in their assigned groups, Staff #1 named 3 older toddlers and 3 preschoolers, and Staff #2 named 2 young toddlers and 3 preschoolers. An older toddler and 2 preschoolers were not named by Staff #1 or Staff #2 as part of their assigned groups. When Certification Staff questioned who was assigned the older toddler and 2 preschoolers not named by Staff #1 or Staff #2, Certification Staff was told those children were assigned to Staff #3 who entered the classroom while Certification Staff was assessing supervision and ratio.

Corrected Corrected by Jan 21, 2025

Category: supervision. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

2nd citation. Previously cited on 11/18/24. The files of Children #1, #2, and #3 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Jan 23, 2025

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.

2nd citation. Previously cited on 11/13/24. The facility did not have an emergency plan that provides for accommodations for infants and toddlers.

Corrected Corrected by Jan 22, 2025

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

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for Child #3 did not specify the child's arrival and departure times.

Corrected Corrected by Nov 15, 2024

Category: recordkeeping. 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.

On 11/13/24 one sink in the bathroom located in Room 203 lacked a handwashing sign.

Corrected Corrected by Nov 14, 2024

Category: health medication. 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 did not address continuity of operations.

Corrected Corrected by Dec 12, 2024

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.

On 11/13/24 observed adult scissors in the pencil holder on the windowsill by the refrigerator which were accessible to children in Room 203.

Corrected Corrected by Nov 13, 2024

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

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility did not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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.

The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instructions as to how parents can safely be reunited with their children.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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.

The files of Staff #2 and #3 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #2 contained documentation of emergency plan training completed on 1/10/23 but no documentation for 2024. The file of Staff #3 contained documentation of emergency plan training completed on 9/5/23 but no documentation for 2024.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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.

Staff #3, #5, and #6 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #3 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 9/7/24 with a previous one completed on 5/21/22. The files of Staff #5 and #6 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 9/7/24 with a previous one completed on 8/18/22.

Corrected Corrected by Dec 9, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · 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.

The files of Staff #2 and #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #2 contained documentation of fire safety training completed on 7/10/24 with the previous training completed on 1/10/23. The file of Staff #3 contained no documentation of fire safety training

Corrected Corrected by Dec 9, 2024

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 #3 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing the health and safety training on 1/24/24.

Corrected Corrected by Dec 6, 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). 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 #4 lacked documentation of application for the National Sex Offender Registry Certificate prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 8/27/24.

Corrected Corrected by Dec 6, 2024

Category: background checks. 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.

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

Corrected Corrected by Dec 12, 2024

Category: supervision. Marked corrected in the state record.

3270.37(b)(1) · An aide shall have a high school diploma or a general educational development certificate.

The file of Staff #1, who was designated as an aide, lacked documentation of a high school diploma or a general educational development certificate.

Corrected Corrected by Nov 22, 2024

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.

On 11/13/24 observed Bic Wite-out which indicated "keep out of the reach of children" on top of the filing cabinet which was accessible to children in Room 203. On 11/13/24 observed Asepticare Aerosol Disinfectant Virucide which indicated "keep out of the reach of children" on the shelf to the right of the sink in the closet which was accessible to children in Room 203. On 11/13/24 observed Comet which indicated "keep out of the reach of children" on the top shelf in the closet which was accessible to children in Room 203. On 11/13/24 observed Spectracide Wasp and Hornet Spray which indicated "keep out of the reach of children" on the 2nd shelf in the closet which was accessible to children in Room 203. On 11/13/24 observed bleach which indicated "keep out of the reach of children" on the 3rd shelf in the closet which was accessible to children in Room 203.

Corrected Corrected by Jan 6, 2025

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 11/13/24 the first-aid kit in Room 203 lacked soap.

Corrected Corrected by Nov 13, 2024

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.

On 11/13/24 observed approximately a 1-inch hole with exposed cork on the right side of the 4th bathroom stall across from Room 109/111. On 11/13/24 observed cracked siding along the bottom of the building by the heating/cooling system in the Preschool Play Space. On 11/13/24 observed approximately a 2-inch crack in the siding under the window by the heating/cooling system in the Preschool Play Space. On 11/13/24 observed approximately a 6-inch crack in the siding to the left of the window by the heating/cooling system in the Preschool Play Space. On 11/13/24 observed approximately a 2-inch crack in the siding to the right of the door in the Preschool Play Space. On 11/13/24 observed approximately a 2-inch hole in the siding to the left of the door in the Preschool Play Space. On 11/13/24 observed approximately a 2-inch crack to the left of the outlet in the Preschool Play Space. On 11/13/24 observed cracking siding along the bottom of the building by the fence closest to the Infant/Toddler Play Space.

Corrected Corrected by Dec 11, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

On 11/13/24 the sinks in Room 109/111 and Room 110 lacked platforms or steps to be easily approached by children using them.

Corrected Corrected by Dec 11, 2024

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 11/13/24 observed chairs obstructing the exit leading to the parking lot in Room 105.

Corrected Corrected by Nov 13, 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.

On 11/13/24 observed 6 rest mats with exposed foam in Room 105. On 11/13/24 observed a crack bin containing doll house toys creating rough edges and pinch points in Room 109/111. On 11/13/24 observed a rest mat with exposed foam in Room 110. On 11/13/24 observed 4 wooden blocks with rough edges in Room 105. On 11/13/24 observed a cracked bin containing magna tiles creating rough edges in Room 105. On 11/13/24 observed cracked magna tiles in Room 105. On 11/13/24 observed a rest mat with exposed foam in Room 109/111. On 11/13/24 observed a torn red wedge chair with exposed foam in the Indoor Play Space. On 11/13/24 observed 2 yellow/purple climber pieces with exposed foam in the Indoor Play Space. On 11/13/24 observed a blue/green wedge with exposed foam in the Indoor Play Space. On 11/13/24 observed a yellow half circle wedge with exposed foam in the Indoor Play Space. On 11/13/24 observed a blue wedge with exposed foam in the Indoor Play Space. On 11/13/24 observed a green half circle wedge with exposed foam in the Indoor Play Space. On 11/13/24 observed wooden blocks with rough edges in Room 203. On 11/13/24 observed a cracked red square magna tile in Room 203. On 11/13/24 observed a cracked blue connector base in Room 203.

Corrected Corrected by Dec 11, 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.

On 11/13/24 observed foam blocks with bite marks in Room 203.

Corrected Corrected by Nov 14, 2024

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.

On 11/13/24 observed a shelf containing tablets on top of another shelf which was not anchored in Room 105 creating a potential tipping hazard. On 11/13/24 observed two cubbies which were not anchored in Room 105 creating a potential tipping hazard. On 11/13/24 observed two cubbies which were not anchored in room 109/111 creating a potential tipping hazard.

Corrected Corrected by Dec 5, 2024

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.

On 11/13/24 the stainless steel refrigerator in the kitchen lacked an operating thermometer. On 11/13/24 the thermometer in the refrigerator in Room 110 indicated the temperature was 48.9 degrees F.

Corrected Corrected by Dec 11, 2024

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 #1, #2, #4, and #5 lacked child service reports completed at least every 6 months. The file of Child #1 contained a child service report dated 4/30/24. The file of Child #2 contained child service reports dated 7/23/23, 4/18/24, and 9/20/24. The file of Child #4 contained child service reports dated 11/27/23 and 4/29/24. The file of Child #5, with an admission date of 12/18/23, contained a child service report dated 9/4/24.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreements for Children #1, #2, #4, and #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. 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 information for Child #5 did not include the address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Dec 11, 2024

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 information for Child #1 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #2 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information for Children #1, #2, and #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Dec 11, 2024

Category: health medication. 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.

Emergency contact information for Children #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Dec 11, 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.

Emergency contact information for Child #3 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact information for Children #4 and #5 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/8/23 and 8/29/24. The file of Child #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #4 contained health reports dated 8/29/23, 10/19/23, and 8/6/24.

Corrected Corrected by Dec 11, 2024

Category: health medication. 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.

On 11/13/24 Staff #3 did not ensure that a child's hands were washed after being diapered.

Corrected Corrected by Dec 11, 2024

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.

The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a health assessment dated 1/3/22.

Corrected Corrected by Dec 11, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The file of Staff #2 lacked an adult health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #2 had a Mantoux read date of 1/5/22.

Corrected Corrected by Dec 11, 2024

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 11/13/24 observed Staff #3 not wash his hands after diapering a child.

Corrected Corrected by Dec 11, 2024

Category: health medication. 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 emergency contacts and agreements for Children #1, #4, and #5 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 9/26/23, 3/27/24, and 10/3/24. Child #1's agreement was reviewed on 9/26/23, 3/27/24, 10/3/24, and 11/4/24. Child #4's emergency contact and agreement were reviewed on 8/9/23, 3/16/24, and 9/15/24. Child #5's emergency contact and agreement were signed on 12/12/23 with no reviews.

Corrected Corrected by Dec 11, 2024

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 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 Dec 11, 2024

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.

The facility did not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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 #5 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #5 who had an admission date of 12/18/23 had a health report dated 7/25/24.

Corrected Corrected by Dec 11, 2024

Category: health medication. 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.

Electrical outlets in the upstairs school-age room was observed to be missing a protective cover.

Corrected Corrected by Nov 28, 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 school-age room cleaning materials were accessible to children.

Corrected Corrected by Nov 27, 2023

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 upstairs school-age room a hand washing sign was not posted above the toilet or the sink.

Corrected Corrected by Nov 28, 2023

Category: health medication. 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 that an operating thermometer was not placed in the refrigerator in the infant room and also the toddler room.

Corrected Corrected by Dec 5, 2023

Category: nutrition. Marked corrected in the state record.

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.

It was observed during the inspection, a child who was sleeping on his cot while staff were preparing for nap time making staff not able to see, hear or assess the child at all times.

Corrected Corrected by Nov 28, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement form on file for child #1 was observed not to contain the persons designated by parent to whom the child may be released.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 report on file for Child #2 did not contain documentation of an influenza vaccine being administered with in the last year in accordance with the recommendations of the ACIP.

Corrected Corrected by Feb 7, 2024

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

It was observed that gas drops did not identify the name of the child for whom the medication was intended. It was also observed that diaper cream was not labeled to identify the child for which it was intended.

Corrected Corrected by Nov 28, 2023

Category: health medication. 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.

It was observed that there was no documentation of a medication log for gas drops given to an infant.

Corrected Corrected by Nov 28, 2023

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

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

According to staff statements, on 6/7/23 staff #1 hit child #1, after the child hit the staff.

Corrected Corrected by Jun 9, 2023

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 facility was observed not to have documentation of a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Feb 10, 2023

Category: ratio. 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.

In the facility bathroom #103, it was observed to have bleach and cleaners under the unlocked sink accessible to children.

Corrected Corrected by Dec 7, 2022

Marked corrected in the state record.

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

It was observed that cigarette butts were in the outdoor play space accessible to children.

Corrected Corrected by Jan 23, 2023

Category: ratio. 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.

In the preschool room, it was observed that a blue plastic police hat was cracked, exposing children to scraping and pinching.

Corrected Corrected by Dec 5, 2022

Category: physical safety. 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 on file for Child #1 was observed not to contain the health insurance policy number for the child under a family policy or Medical Assistance benefits.

Corrected Corrected by Jan 2, 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 report on file for Child #1 and Child #2 did not contain documentation of an influenza vaccine being administered with in the last year in accordance with the recommendations of the ACIP.

Corrected Corrected by Dec 15, 2022

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

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

In the preschool room shaving cream was observed in the cupboard.

Corrected Corrected by May 20, 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.

It was observed in the first bathroom stall behind the door a large hole in the wall.

Corrected Corrected by Jul 19, 2022

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

3270.92(a) · Portable space heaters are not permitted.

A portable space heater was observed in the directors office.

Corrected Corrected by May 20, 2022

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.

The wire screens covering the radiators in the Bumble Bee Room, Large Motor Room and Head Start classroom were observed to have holes that expose rough edges and sharp corners accessible to the children.

Corrected Corrected by Jul 21, 2022

Category: physical safety. 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 infant room that cleaning solution located at the baby changing station was accessible to children.

Corrected Corrected by May 20, 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.

In the head start room located under the back window a red chair was observed to have puncture holes in the arm.

Corrected Corrected by Jul 19, 2022

Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the infant room diaper cream was observed not to identify the name of the child for whom it was intended.

Corrected Corrected by May 20, 2022

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.

It was observed in the preschool room magnetic blocks were cracked. It was also observed that the hair piece to a Mr. Potato head toy was chewed causing sharp exposed edges.

Corrected Corrected by Dec 9, 2021

Category: physical safety. 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.

It was observed that diaper cream was expired per manufacturers guidelines.

Corrected Corrected by Dec 9, 2021

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