3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). 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 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/facility person/volunteer #1, staff person/facility person/volunteer #1 may not work in a child-care position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/26/20.

Corrected Corrected by Jun 12, 2025

Category: supervision. 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.

The fire alarm testing log contained the following dates 4/4/25-5/5/25 which is more than 30 days apart.

Corrected Corrected by Jun 12, 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.

The last two Mandated Reporter trainings on file for Staff Person #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

Corrected Corrected by Jul 26, 2024

Category: background checks. 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.

The most recent First Aid/CPR training on file for Staff Person #4 was renewed after the expiration date of the previous training (4/3/22-6/30/24).

Corrected Corrected by Jul 12, 2024

Category: ratio. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(iv) · A director shall have attained a bachelor's degree 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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The record of the required education on file for Staff Person #3 to be classified as a director was an international diploma-not translated by an approved evaluator with no equivalency on file.

Corrected Corrected by Aug 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

The facility lacks a qualified director.

Corrected Corrected by Jul 31, 2024

Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

The file for Staff Person #2 lacked documentation of 2 years of experience with children.

Corrected Corrected by Jul 31, 2024

Category: supervision. 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.

In the Main Space, a spray bottle containing a bleach water solution was unlabeled.

Corrected Corrected by Jul 12, 2024

Category: ratio. 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.

Peeling paint and damaged plaster was observed in the Main Space on the back wall to the left of the infant room door.

Corrected Corrected by Jul 31, 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.

In the Main Space, small plastic french fries were observed to be less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 12, 2024

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 fee agreement form for Child #4 lacked arrival and departure times.

Corrected Corrected by Jul 31, 2024

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 emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work address. The emergency contact form for Child #1 and Child #3 lacked the enrolling parent's work phone number.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form for Child #1 and Child #4 lacked written parental consent for emergency medical care.

Corrected Corrected by Jul 31, 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.

The current emergency contact form for Child #4 does not indicate if the child has any special/medical needs, which is needed in an emergency.

Corrected Corrected by Jul 15, 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.

The emergency contact form for Child #1 lacked health insurance coverage and health insurance policy number.

Corrected Corrected by Jul 31, 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 emergency contact form for Child #3 lacked a complete address for the release persons.

Corrected Corrected by Jul 31, 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 for Child #1 and Child #2 contained an emergency contact form that was not updated within 6 months of the previous update. The file for Child #1 and Child #2 contained a fee agreement form that was not updated within 6 months of the previous update. (See LIS Code Sheet) (SEE LIS CODE SHEET)

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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 for Child #2, a preschool aged child, contained a health report dated 4/6/23, exceeding the 12-month update. (See LIS Code Sheet)

Corrected Corrected by Jul 31, 2024

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

3270.151(c)(1) · An adult health assessment must include a physical examination.

The file for Staff Person #1 contained an initial health assessment that was dated after the date of hire. The two most recent health assessments for Staff Person #4 were dated more than 2 years apart (4/5/21-6/8/24). (See LIS Code Sheet)

Corrected Corrected by Jul 12, 2024

Category: health medication. 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 emergency contact form for Child #1 and Child #4 lacked a signature for parental consent for administration of minor first aid procedures.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation of completing an emergency drill.

Corrected Corrected by Jul 24, 2024

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 initial health report for Child #1 was dated 60 days after the start date. The file for Child #4, enrolled more than 60 days, lacked an initial health report.

Corrected Corrected by Jul 31, 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 facility's emergency plan did not address the continuity of operations, as per Announcement C-22-04. The facility did not have a policy and procedure to address the prevention and identification of child maltreatment, as per Announcement C-22-03.

Corrected Corrected by Oct 18, 2023

Category: ratio. Marked corrected in the state record.

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Copies of reports of injury, death or fire were not retained in an accident file at the facility.

Corrected Corrected by Sep 23, 2023

Category: health medication. 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.

in the main room, there were (4) lockers, (2) shelving units and (2) cube storage units that were more than 5' high and not secured in a way that would prevent them from tipping and being a potential hazard to children in care.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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.

Staff #2, #3 and #5 have not received training regarding the emergency plan in more than a year.

Corrected Corrected by Aug 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not post the emergency plan.

Corrected Corrected by Sep 23, 2023

Category: physical safety. 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 operator provided the parent of each enrolled child a letter explaining the emergency procedures and subsequent updates to the plan that did not include the following: lockdown; accommodations for infants, toddlers, children with disabilities and chronic medical conditions; and continuity of operations.

Corrected Corrected by Sep 23, 2023

Category: ratio. 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 and #4 renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/9/2023, following the expiration of their previous certification on 4/2023.

Corrected Corrected by Jul 9, 2023

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.

Staff #1, #2, #3, #4 and #5 did not complete fire safety training at least annually between 4/3/2022 and 6/30/2023,

Corrected Corrected by Jun 30, 2023

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.

Staff #1 completed professional development as listed in subsections (f)1-10 on 6/30/2023, more than 90 days following their date of hire.

Corrected Corrected by Jun 30, 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). 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 record for staff #4 included a current child abuse clearance dated 7/10/2023, which was more than 60 months following the date of their previous clearance on 6/30/2018.

Corrected Corrected by Jul 10, 2023

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation for staff #2, #3, and #5 in more than 12 months.

Corrected Corrected by Sep 23, 2023

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.

The following cleaning materials and other toxic materials labeled keep out of the reach of children were observed in areas accessible to children in care in the main room: sunscreen, Lysol disinfectant wipes and fragrance in unlocked lockers; whiteout in an unlocked drawer in the kitchen area; and body wash and baby oil in a cubicle of a storage unit.

Corrected Corrected by Aug 11, 2023

Marked corrected in the state record.

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

A can of shaving cream labeled keep out of the reach of children was observed in a locker in the main room and based on staff statements, it was used for arts and crafts.

Corrected Corrected by Aug 11, 2023

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.

The first aid kit in the infant room and the main room lacked gauze pads.

Corrected Corrected by Sep 23, 2023

Category: health medication. 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.

A piece of the wooden gate to the outdoor play space was broken off, which created a sharp edge and exposed a protruding nail, posing a hazard for children in care.

Corrected Corrected by Sep 17, 2023

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.

There was damaged plaster observed on the wall by the sink in the bathroom located off the main room.

Corrected Corrected by Sep 17, 2023

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

A Boppy lounger described as hazardous by the United States Consumer Product Safety Commission was observed in the infant room.

Corrected Corrected by Sep 17, 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.

In the main room, there were empty plastic bags, styrofoam trays and egg cartons observed in unlocked lockers, and there was a bag of googly eyes, a container of glitter, and a bag of unused latex balloons observed in an unlocked cabinet, accessible to children who are still placing objects in their mouths.

Corrected Corrected by Aug 11, 2023

Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement for child #5 was signed by the operator and parent on 12/8/2022, following the child's first day of attendance.

Corrected Corrected by Dec 8, 2022

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 emergency contact information for the following children had not been reviewed at least once in a 6-month period: child #1 (6/22/2022 to 7/5/2023); child #2 (6/22/2022 to 7/5/2023); and child #4 (10/7/2022 to 7/3/2023). The emergency contact information for child #3 had not been reviewed by a parent since 6/10/2022. The emergency contact information for child #5 had not been reviewed by a parent since 11/19/2022.

Corrected Corrected by Sep 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The record for child #3, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Aug 11, 2023

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A bottle of Theraflu was observed in a staff person's locker that was unlocked and accessible to children in care in the main room.

Corrected Corrected by Aug 11, 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 record for staff #3 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Aug 11, 2023

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Written statements giving the formula and feeding schedules for infants in care were not obtained from the children's parents.

Corrected Corrected by Aug 11, 2023

Category: nutrition. 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 record for child #1, #2, #3, #4 and #5 contained a financial agreement that has not been reviewed by a parent in more than 6-months.

Corrected Corrected by Sep 23, 2023

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 record for child #3 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 12, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. 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's emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 23, 2023

Category: physical safety. 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 record for child #4 contained an initial health report dated more than 60 days following the child's first day of attendance.

Corrected Corrected by Aug 11, 2023

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

3270.75(b) · A first-aid kit must be inaccessible to children.

A first-aid kit was observed hanging on a hook on the wall by the entrance door to the facility in the main room accessible to children in care

Corrected Corrected by Aug 11, 2022

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.

An operating thermometer was not placed in the refrigerator.

Corrected Corrected by Aug 8, 2022

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.

The requirements for volunteer emergency preparedness training, practice drills and continuity of operations was not included in the child care facility's emergency plan in compliance with 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Aug 11, 2022

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.

Four pairs of sharp adult scissors and a sharp cutting knife was observed in a cup on the counter in the kitchen area accessible and posing a potential threat to the health and safety of children in care. There were potential tipping hazards observed in areas accessible to children in the main room: two children's chairs were stacked on top of a chest which was stacked on top of another chest on the floor; and a toaster oven was stacked on top of a microwave oven which was stacked on top of another microwave oven on the counter in the kitchen area.

Corrected Corrected by Aug 11, 2022

Category: health medication. 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.

Staff person #2 did not receive training regarding the emergency plan on an annual basis; their last training was received on 9/25/2020.

Corrected Corrected by Aug 11, 2022

Category: recordkeeping. 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.

Staff person #1 and #2 did not participate, at least annually, in fire safety training between 4/11/2021 and 7/18/2022.

Corrected Corrected by Aug 11, 2022

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.

The record for staff #3 included a current NSOR verification certificate dated 4/5/2022, following their first day working in child care, and their record did not include the request for the NSOR verification certificate required to work on a 45-day provisional basis.

Corrected Corrected by Aug 11, 2022

Category: background checks. 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.

Protective receptacle covers were not placed in (3) electrical outlets on a power strip in the director's office, which was unlocked, making it accessible to children 5 years of age or younger.

Corrected Corrected by Aug 11, 2022

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.

A bottle of white out labeled keep out of the reach of children was observed in the desk in the director's office, which were both unlocked, making it accessible to children in care.

Corrected Corrected by Aug 11, 2022

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

An electric coffee pot containing freshly brewed coffee, which is a source of heat exceeding 110°, was observed in use on the counter in the kitchen area accessible to children in care.

Corrected Corrected by Aug 11, 2022

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record shall contain initial and subsequent health reports.

The record for child #2, an older toddler, contained a current health report dated more than 12 months following their previous the date of their previous health report.

Corrected Corrected by Aug 11, 2022

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Children's records were stored in a desk in the director's office, which were both unlocked.

Corrected Corrected by Aug 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

Facility persons' records were stored in an expanding file in the director's office, which were both unlocked.

Corrected Corrected by Aug 11, 2022

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

Corrected Corrected by Aug 11, 2022

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

An emergency drill was not conducted annually.

Corrected Corrected by Aug 11, 2022

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 record for child #1 contained an initial health report that was dated more than 60 days following their first day of attendance at the facility.

Corrected Corrected by Aug 11, 2022

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.

The operator did not establish a medication log for medications that were accepted from parents and intended to be administered to children in care.

Corrected Corrected by Aug 20, 2021

Category: health medication. 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.

A cordless power drill was observed in an unlocked drawer in the kitchen area accessible and posing a potential hazard for children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Staff #4, #5, and #6 did not receive training regarding the emergency plan at the time of initial employment.

Corrected Corrected by Aug 18, 2021

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. Facility Person #3, #4 and #6 may not work in a child care position at the facility.

The 45-day provisional hire waiver was approved for the facility on 7/6/2020. The record for staff #3, who began working in child care on a provisional basis on 7/21/2021, lacked a copy of request for the NSOR verification certificate. The record for staff #4 who began working in child care on 12/16/2020, included a disclosure statement that was not dated and lacked a DHS required FBI clearance. The record for staff #5 included a disclosure statement that was not dated and a DHS required FBI clearance dated 6/17/2021, which was following their first day working in child care on 6/16/2021, and lacked a child abuse clearance. The record for staff #6, who began working in child care on 6/7/2020, included a disclosure statement that was not dated and lacked a PSP criminal history clearance.

Corrected Corrected by Aug 20, 2021

Category: background checks. 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.

Staff #2 completed the mandated reporter training on 1/19/2021, which was more than 90 days following their first day working in child care on 6/8/2020.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation every 12 months of staff #2, who began working in child care on 6/8/2020.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

The record for staff #4 and #5, who were identified as assistant group supervisors, lacked verification of 2 years experience with children.

Corrected Corrected by Aug 20, 2021

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff #3, who was identified as an aide, lacked verification of an 8th grade education and 2 years of experience with children.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. 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.

A protective receptacle cover was not placed in an electrical outlet on the back wall of the main room accessible to children 5 years of age or younger.

Corrected Corrected by Aug 20, 2021

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.

Sunscreens labeled keep out of the reach of children were observed in an unlocked storage container on the ground in the outdoor play space accessible to children.

Corrected Corrected by Aug 20, 2021

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.

There was rust observed on the bolts on the base of a table in the outdoor play space, posing a potential hazard for children in care.

Corrected Corrected by Aug 20, 2021

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.

The following play and other equipment was accessible and posed a potential hazard to children in care: In the outdoor play space, there were 2 exposed bolts protruding from the base of a table; and there was a crack on a climbing cube, which created a potential pinch point.

Corrected Corrected by Aug 20, 2021

Category: physical safety. 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.

The rest equipment being used by 2 children in the infant room was not labeled for the use of a specific child.

Corrected Corrected by Aug 20, 2021

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.

A written plan of daily activities was not posted in the main room and infant room.

Corrected Corrected by Aug 20, 2021

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.

On 7/16/2021, staff #5 and #6 were the only staff present and responsible for supervising a group of 17 children of mixed age levels, including preschoolers and school-age children, in the outdoor play space. When the staff were asked to identify the children they were each responsible for supervising, staff #5 named 6 of the children and staff #6 named 8 of the children, which left 3 children who were not identified as being in one of the staff's assigned supervision groups.

Corrected Corrected by Aug 20, 2021

Category: supervision. 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 record for staff #3, #5 and #6 lacked an initial health assessment, including the results of initial tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected Corrected by Aug 20, 2021

Category: ratio. 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's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 20, 2021

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.

The operator did not document that the fire detection system was manually tested every 30 days.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. 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.

On 7/16/2021, an older toddler was observed sleeping on rest equipment in the back of the main room while staff #3 who was responsible for supervising the child was observed on the opposite side of the furniture being used to separate the area in a position where they were unable to see, direct and assess the child at all times. On 7/21/2021, 2 older toddlers were observed sleeping on rest equipment in the back of the main room while staff #4 who was responsible for supervising the children was observed on the opposite side of furniture used to separate the area in a position where they were unable to see, direct and assess the child at all times.

Corrected Corrected by Jul 22, 2021

Category: supervision. 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 record for staff #1 and #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 7, 2021

Category: recordkeeping. Marked corrected in the state record.