Kindercare Learning Center/Norwin Ave

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 current Pediatric First Aid and CPR trainings on file for Staff Persons #6 and #11 were not completed on or prior to the expiration of the prior certification. This is evidenced by trainings dated 2.15.24-26 and 3.18.26-28.

Corrected by Apr 16, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 updates to the annual fire safety trainings on file for Staff Person #9 exceeded 12 months between trainings dated 6.17.24 and 3.31.26.

Corrected by Apr 16, 2026

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2, #3, #5 and #7 may not work in a child care position at the facility.

The files for Staff Person's #1, #3 and #5 lacked FBI clearances that had been completed through Identogo for DHS purposes. The FBI clearance on file for Staff Person #1 was completed through CJIS, the FBI clearance on file for #3 was completed for the Department of Aging, and the FBI clearance on file for Staff person #5 was completed for the Department of Education. The file for Staff Person #2 lacked a complete PA State Police and/or FBI clearance prior to observing a classroom of children. The updates to the PA State Clearance, PA Child Abuse and FBI Clearances and mandated reporter trainings on file for Staff Person #4 exceeded 60 months. This is evidenced by PA State Police clearances being dated 4.30.20 and 6.16.25, PA Child Abuse clearances being dated 6.11.20 and 8.27.25, FBI clearances being dated 5.4.20 and 6.20.25, and mandated reporter trainings dated 6.10.20 and 8.19.25. The updates to the PA Child Abuse and FBI clearances and mandated reporter trainings on file for Staff Person #6 exceeded 60 months between updates. This is evidenced by PA Child Abuse clearances being dated 6.15.20 and 9.16.26, FBI clearances being dated 6.24.20 and 8.17.25, and mandated reporter trainings being dated 6.17.20 and 8.6.25. The file for Staff Person #7 lacked a current disclosure statement that had been signed at the time of employment. The disclosure statement on file was a prior version and did not include all required language required by the CPSL.

Corrected by Apr 16, 2026

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff Person's #2, #3, #8 lacked verification of education and experience to qualify them for a position at the facility. Staff Person's #2, #3 and #8 were identified as AGSs. The files for Staff Persons #1 and #7 lacked verification of experience to qualify them for the position of AGS that they were identified to be performing. Without verification of experience or additional education Staff Person's #1 and #7 qualify as Aides.

Corrected by Apr 16, 2026

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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 files for Staff Person's #6, #9 and #11 lacked a written staff evaluation that had been completed by the Director within the last 12 months.

Corrected by Jun 30, 2026

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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 spray bottle containing a glass cleaner was observed on the counter in classroom #1. The glass cleaner was accessible to preschool age children receiving care in the classroom.

Corrected by Apr 16, 2026

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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.

One unlabeled spray bottle, reported to contain a bleach water solution, was observed in both Classroom 3 and Classroom 5.

Corrected by Apr 16, 2026

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The back restroom in Classroom 6 was observed to have dried urine on the toilet seat, on the floor and around the toilet base bolt covers.

Corrected by Apr 16, 2026

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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 in Classroom #1 and #6 were not labeled for use of a specific child.

Corrected by Apr 16, 2026

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Children #1, #2, #3, #4, #5, and #6 were observed to contain the original agreements.

Corrected by Apr 16, 2026

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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 #7 lacked the enrolling parent work address and telephone number information.

Corrected by May 26, 2026

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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 #7 lacked the policy number for the child's health insurance.

Corrected by May 26, 2026

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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 forms for Children #4 and #7 lacked the complete address for the release persons listed.

Corrected by May 26, 2026

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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 updates to the health reports on file for Child #6, a young toddler, exceeded 6 months between examinations dated 6.12.25 and 1.13.26.

Corrected by Apr 16, 2026

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3270.131(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 updates to the health reports on file for Child #4, a preschool age child, exceeded 12 months between health reports dated 7.10.24 and 8.1.25.

Corrected by Apr 16, 2026

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3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Small bottles, reported to contain Benadryl, were observed in a medication kit intended for child in care in Classroom 5. The child has a severe allergy and the parent reportedly pre-dosed the Benadryl into the small bottles to use if needed in the event of an allergic reaction. The Benadryl was not maintained in the original container.

Corrected by Apr 16, 2026

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An expired Albuterol Inhaler was observed in the medication bin in Classroom #1.

Corrected by Apr 16, 2026

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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 for Staff Person #8 lacked an initial health report that had been completed within 12 months prior to starting in a child care taking position. The initial health report on file was dated 852 days prior to starting.

Corrected by Apr 16, 2026

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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 for Staff Person #7 lacked a tuberculosis screening within 12 months prior to starting at the facility. The health tuberculosis screening was completed 13 days after starting at the facility.

Corrected by Apr 16, 2026

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3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The initial health report on file for Staff Person #12 lacked information that they had been examined for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Corrected by May 26, 2026

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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 updated to the emergency contact form and financial agreements on file for children #1, #2 and #6 exceeded 6 months between reviews completed in August 2025 and March 2026.

Corrected by Apr 16, 2026

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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 files for Staff Persons #1, #2 and #8 lacked two written, nonfamily references attesting to their suitability to provide child care.

Corrected by May 26, 2026

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff Person #10 will be supervised by a staff person with all required health and safety trainings until they have completed an approved pediatric first aid and CPR course.

The Pediatric First Aid and CPR training on file for Staff Person #10 was not completed by a PQAS approved trainer. Staff Person #10 has been in their position in excess of 90 days (refer to LIS code sheet).

Corrected by May 26, 2026

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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 for Child #5 lacked an initial health report within 60 days of starting at the facility (refer to LIS code sheet).

Corrected by Jun 30, 2026

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

According to staff statements, it was determined that Staff Person #1 removed Child #1 off of a bicycle by picking the child up from the bicycle by one arm. Staff Person #1 removed Child #1 to allow another child to ride the bicycle.

Corrected by Oct 3, 2025

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

The mandated reporter trainings on file for Staff Persons #2 and #3 exceeded 60 months between updates. This is evidenced by mandated reporter trainings for Staff Person #2 being dated 6.10.20 and 8.19.25 and mandated reporter trainings for Staff Person #3 being dated 6.17.20 and 8.6.25.

Corrected by Oct 3, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for Staff Person #1 lacked Pediatric First Aid and CPR training in an approved curriculum with a PQAS instructor within 90 days of their hire date with the Legal Entity. The Pediatric First Aid and CPR training on file for Staff Person #1 was not completed in an approved curriculum or with a PQAS instructor.

Corrected by Oct 31, 2025

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

The fire drill log on file indicated that the last fire drill had occurred on 7.1.25.

Corrected by Oct 27, 2025

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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 detection system testing log on file for the facility indicated that the last alarm testing had occurred on 7.1.25. Fire detection devices and systems are required to be tested at least once every 30 days.

Corrected by Oct 27, 2025

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The insurance policy on file lacked the facility address to allow for verification of coverage at the facility location.

Corrected by Apr 14, 2025

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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 Pediatric First Aid and CPR trainings on file for Staff Person's #2 and #8 were not completed prior to the expiration of the prior certification. This is evidenced by a current certification of 2.17.25 and prior expiration of 12.2024 for Staff Person #8 and a current certification of 10.16.24 and prior expiration of 9.2024 for Staff Person #2.

Corrected by Apr 9, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility.

The file for Staff Person #3 lacked a completed NSOR Certificate prior to starting in a child care taking position. The updates to the Mandated Reporter trainings on file for Staff Person #5 exceeded 60 months between 11.14.19 and 1.27.25.

Corrected by Apr 10, 2025

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3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

The staff worksheet indicated that Staff Person #6 was qualified as a Group Supervisor. The file for Staff Person #6 lacked verification of education to qualify them as a Group Supervisor as they have not completed their current education program to obtain their Associates. Without the education qualifications, Staff Person #6 qualifies as an Assistant Group Supervisor. The file for Staff Person #9 lacked verification that their education had been evaluated by a NACES or AICE certified evaluator.

Corrected by May 30, 2025

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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 file for Staff Person #6 lacked a staff evaluation that had been completed within the last 12 months. The most recent staff evaluation was completed on 3.12.2024.

Corrected by May 19, 2025

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3270.35(b)(3) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

The file for Staff Person #6, who had been identified as a Group Supervisor, lacked completion of an associate's degree to qualify them for the position. At the time of the inspection it was reported they are in the process of earning their associate's degree.

Corrected by Apr 9, 2025

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 9:25am Staff Person's #1 and #2 were observed to be caring for 11 young toddlers in Classroom #4. The staff:child ratio for young toddlers is 1:5, which resulted in noncompliance with the ratio requirements as Staff Person #2 had 6 young toddlers.

Corrected by Apr 9, 2025

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

The most recent agreements on file for Children #1, #3, #4, #5, #6, #7 and #8 lacked the Operator's signature.

Corrected by Apr 14, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The most recent agreement on file for Child #2 lacked the fee amount to be charged per day or per week.

Corrected by Apr 14, 2025

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

The most recent agreement on file for Child #7 lacked the designated release persons to who the child may be released.

Corrected by Apr 15, 2025

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The most recent agreement on file for Children #1, #2, #3, #4, #5, #6, #7 and #8 lacked the admission/start date for the child.

Corrected by Apr 15, 2025

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The most recent agreements on file for Children #1, #2, #3 and #4 were observed to include original parent signatures.

Corrected by Apr 14, 2025

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The most recent emergency contact form on file for Child #3 lacked the information as to who should be contacted in an emergency.

Corrected by Apr 15, 2025

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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.

The most recent emergency contact form for Child #1 lacked the telephone number of the child's physician. The most recent emergency contact form for Child #3 lacked the address and telephone number of the child's physician.

Corrected by Apr 15, 2025

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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 most recent emergency contact form for Child #1 lacked the policy number for the health insurance coverage.

Corrected by Apr 14, 2025

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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 most recent emergency contact form on file for Children #1, #2, #4, #6 and #7 lacked the complete addresses for each of the release persons listed.

Corrected by Apr 15, 2025

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3270.131(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 files for Children #1 and #3, preschool age children, lacked updated health reports that had been completed within the last 12 months. The most recent health report on file for Child #1 was dated 5.2.2023 and the most recent health report on file for Child #3 was dated 3.1.2023. The updates to the health reports on file for Child #2 exceeded 12 months between examinations on 6.12.2023 and 4.8.2025.

Corrected by Apr 25, 2025

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #7 will be dismissed from care at the close of business 4.8.2025.

The file for Child #7 lacked verification that they had received their 4 and 6 month DTAP, HIB, and Pneumococcal vaccinations and their 4 month Polio vaccination. A written exemption was not on file at that time of the inspection.

Corrected by Apr 15, 2025

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #6 will be dismissed from care at the close of business on 4.8.2025.

The file for Child #6 lacked written verification that the child was administered immunizations in accordance with the recommendations of the ACIP. The child has exceeded 60 days since their first day of attendance in 8.2023. A written exemption was not on file at the time of the renewal.

Corrected by Apr 11, 2025

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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 for Staff Person #4 lacked a current health assessment that had been completed within the last 24 months. The most recent health assessment on file for Staff Person #4 was dated 1.20.23. The update to the health assessments on file for Staff Person #5 exceeded 24 months between examinations on 3.4.22 and 6.26.24. The update to the health assessment on file for Staff Person #8 exceeded 24 months between examinations on 10.15.22 and 2.19.25. The initial health assessment on file for Staff Person #7 was not completed within 12 months prior to starting. A current health assessment for Staff Person #7 was not completed until 114 days after starting at the facility.

Corrected by Apr 15, 2025

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

In Classroom #5 a lunchbox was observed on the counter to contain 2 cheese sticks. The cheese sticks required refrigeration.

Corrected by Apr 9, 2025

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

Written feeding schedules were missing for 2 of the infants receiving care in Classroom #3 (the Infant Classroom).

Corrected by Apr 15, 2025

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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 updates to the emergency contact forms and financial agreements on file for Children #2 and #3 exceeded 6 months between 8.2024 and 3.2025. The updates to the emergency contact form for Child #5 exceeded 6 months between updates on 8.2024 and 4.2025. The most recent update to the financial agreement for Child #5 was completed in 8.2024. The most recent updates to the emergency contact forms and financial agreements for Children #4 and #6 were completed in 8.2024 and in 9.2024 (emergency contact form) and 8.2024 (financial agreement) for Child #7.

Corrected by Apr 15, 2025

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

The most recent emergency contact form on file for Children #3, #4 and #6 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.

Corrected by Apr 18, 2025

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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 files for Children #6 and #7 lacked an initial health assessment and the child has exceeded 60 days since their first day of attendance at the facility.

Corrected by Apr 18, 2025

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

The file for Staff Person #2 lacked a PA Child Abuse Clearance prior to starting in a childcare taking position. A completed PA Child Abuse Clearance was not on file until 45 days after starting at the facility.

Corrected by Oct 7, 2024

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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 for Staff Person #1 lacked an initial tuberculosis screening with a valid date showing it had been completed within 12 months prior to starting.

Corrected by Oct 8, 2024

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3270.113(a)(1) · *The legal entity shall ensure that all facility staff participate in a staff meeting, where supervision of children, specifically the proper distribution and use of the name to face cards, is included for discussion. Documentation of the meeting to include the date, agenda, and names and signatures of staff participating shall be retained on file and submitted to the certification representative upon request.

*SECOND CITATION; CITED PREVIOUSLY ON 5/8/24: At approximately 12:00 PM, Facility Persons #1, #2 and #3 were supervising a total of 22 preschoolers in the Multi-age room. When each asked to identify which children they were supervising, Facility Person #1 claimed 6 children, Facility Person #2 claimed 6 children, and Facility Person #3 claimed 9 children, for a total of 21 children. One child was not identified by any of the staff present in the room.

Corrected by Aug 8, 2024

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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.

SECOND CITATION; CITED PREVIOUSLY ON 5/8/24: At approximately 12:00 PM, Facility Persons #1, #2 and #3 were supervising a total of 22 preschoolers in the Multi-age room. When each asked to identify which children they were supervising, Facility Person #1 claimed 6 children, Facility Person #2 claimed 6 children, and Facility Person #3 claimed 9 children, for a total of 21 children. One child was not identified by any of the staff present in the room.

Corrected by Jul 25, 2024

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Corrected by May 8, 2024

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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 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Corrected by May 8, 2024

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3270.113(a) · **The legal entity shall ensure all facility staff complete training relating to the supervision of children. The training must be pre-approved by the certification representative. Documentation of training must be retained on file and submitted to the certification representative upon completion.

**On 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Corrected by Jul 15, 2024

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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 4/22/24 at approximately 5:30, Facility Person #1 and #2 were supervising two younger toddlers and three older toddlers in the Toddler B room when two parents exited the room with three of the children through Discovery Preschool A. The parent of child #1, an older toddler, passed these families in Discovery Preschool A and came into Toddler B to pick up child #1 at which time it was realized child #1 was not in the room. Child #1 was found in Discovery Preschool A, where it can be concluded they were for approximately 20 seconds, unsupervised by any staff, after following the families out of Toddler B before the door closed and unseen by their parent as they walked through the classroom.

Corrected by Apr 23, 2024

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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 two most recent First aid/CPR trainings on file for Staff Person #2 and Staff Person #3 are dated 1/15/22 and 2/15/24 which are more than 24 months apart.

Corrected by Apr 29, 2024

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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 two most recent fire safety training certificates on file for Staff Person #5 and Staff Person #6 are dated 12/8/22 and 2/15/24 which are more than annually.

Corrected by Apr 29, 2024

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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 for Staff Person #4 contained state police clearances dated 2/7/19 and 2/11/24 and DHS FBI clearances dated 2/9/19 and 2/17/24, the file for Staff Person #5 contained Child Abuse clearances dated 8/17/18 and 8/19/23, which are all more than 60 months apart. The file for Staff Person #7 contained a State Police clearance dated 12/23/23 and a DHS FBI clearance dated 11/17/23 which are both after hire date (see LIS code sheet). The file for Staff Person #8 contained a DHS FBI clearance dated 12/7/23 which is after hire date (see LIS code sheet).

Corrected by Apr 29, 2024

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

It was observed that a bottle of cleaning disinfectant solution was on the same shelf as the children's diapers in the bathroom of the 2's B classroom.

Corrected by Apr 8, 2024

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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.

There was a foam building block observed to have peeling edges in the 2's B classroom. In the Preschool and Pre-K classroom there were bins of magnetic tile blocks that were cracked and had exposed magnetics.

Corrected by Apr 3, 2024

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement on file for Child #6 is lacking the date on which the fee is to be paid.

Corrected by Apr 15, 2024

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

The agreement on file for Child #1 is lacking the persons designated by a parent to whom the child may be released.

Corrected by Apr 15, 2024

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3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #3 and Child #7 is lacking the date of admission for the child.

Corrected by Apr 15, 2024

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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.

The emergency contact form on file for Child #2 is lacking the phone number of the child's physician.

Corrected by Apr 29, 2024

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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 on file for Child #1, Child #2, and Child #3 is lacking the enrolling parent's work address and phone number.

Corrected by Apr 15, 2024

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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 emergency contact form for Child #1 is lacking 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 by Apr 29, 2024

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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 form and the financial agreement on file for Child #4 are dated 8/3/23 and updated on 3/18/24 and Child #5 are dated 8/21/23 and updated on 4/2/24 which are both dated more than 6 months apart.

Corrected by Apr 29, 2024

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The most current health report on file for Child #2 lacked the date and signature by a physician, physician's assistant or a CRNP.

Corrected by Apr 29, 2024

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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 two most recent health assessments on file for Staff Person #1 are dated 8/2/20 and 6/19/23 which are more than 24 months apart. The health assessment on file for Staff Person #7 is dated 11/14/23 which is after their date of hire (see LIS code sheet). The health assessment on file for Staff Person #8 is dated 3/30/24 which is after their date of hire (see LIS code sheet). The health assessment on file for Staff Person #9 contains a TB screening dated 6/30/21 which is more than 12 months before hired date (see LIS code sheet)

Corrected by Apr 9, 2024

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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 file for Child #4 who has been enrolled for more that 60 days (see LIS code sheet for enrollment date) did not contain a health report. .

Corrected by Apr 29, 2024

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

Corrected by Aug 8, 2023

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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.

The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

Corrected by Aug 8, 2023

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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.

The operator self-reported that on 8-7-23 between the time of 8:59am and 9:06am, preschool child #1 exited the classroom that they were assigned to and was observed alone outside in front of the facility by another parent without a staff person present.

Corrected by Aug 8, 2023

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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 detection system testing log contained dates of 3-3-23 to 4-4-23 which are more than 30 days apart. The most current date for tests was 6-2-23.

Corrected by Aug 8, 2023

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #1 file contained pediatric first-aid/CPR training with the expiration date of 3/11/23.

Corrected by Aug 9, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #2 will have until 15 days from POC requested date to complete the required training.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality Revised and pediatric first-aid/CPR training.

Corrected by Aug 10, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Fire drills were not conducted every 60 days with the last documented fire drill dated 6/2/23.

Corrected by Aug 8, 2023

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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.

Staff person #1 completed the Pennsylvania Health and Safety Update 2022 on 3/11/23 which was after the required date for completion of 12/30/22 per Announcement C-22-04.

Corrected by May 17, 2023

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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.

The facility lacked an accident incident file.

Corrected by Apr 24, 2023

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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 file #13 contained documentation of Pediatric First aid and Pediatric CPR training completed on 2/26/22 after the expiration of the PFA/PCPR training which was dated 9/26/19.

Corrected by Feb 26, 2022

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #3 completed the Get Started with Center-Based Care-Revised 2022 training on 2/6/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #4 completed the Get Started with Center-Based Care-Revised 2022 training on 3/31/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #10 completed the Get Started with Center-Based Care-Revised 2022 training on 4/26/23 which was not completed within 90 days of hire. (See LIS CODE SHEET) Staff person #11 completed the Get Started with Center-Based Care-Revised 2022 training on 3/31/23 which was not completed within 90 days of hire. (See LIS CODE SHEET)

Corrected by Feb 6, 2023

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

Staff file #2 contains Mandated Reporter training certificates dated 4/24/16 and 1/14/22 which exceeded the 60 months as required by CPSL. Staff file #7 contains Mandated Reporter training certificates dated 2/16/15 and 6/10/20 which exceeded the 60 months as required by CPSL. Staff file #8 contains Mandated Reporter training certificates dated 2/16/15 and 6/17/20 which exceeded the 60 months as required by CPSL.

Corrected by Jan 14, 2022

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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.

Staff person #3, lacked a request for NSOR certificate prior to hire and contained a valid NSOR certificate dated 2/8/23. (See LIS CODE SHEET) Staff person #5, lacked a request for DHS FBI Clearance prior to hire, and contained a valid DHS FBI Clearance dated 1/25/23 and a valid NSOR certificate dated 3/17/23 which was received more than 45 days after hire. (See LIS CODE SHEET) Staff person #6, lacked a request for PA State Police Criminal Clearance prior to hire and contained a valid PA State Police Criminal Clearance dated 11/21/22. (See LIS CODE SHEET) Staff person #9, lacked the fingerprint receipt for request of DHS FBI Clearance prior to hire and contained a valid DHS FBI Clearance dated 12/30/22. (See LIS CODE SHEET)

Corrected by Feb 8, 2023

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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 kits in the preschool 4 room and the PreK room both lacked sterile gauze pads in each kit.

Corrected by Apr 13, 2023

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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 outdoor play space surfacing in all of the play spaces had areas of deterioration that pose a tripping hazard and small pieces to the children in care while utilizing the outdoor play spaces.

Corrected by Jul 10, 2023

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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.

The preschool 4 bathroom lacked a handwashing sign at the toilet.

Corrected by Apr 13, 2023

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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.

Child file #1 contained health assessments that were not conducted every 6 months as required for a young toddler.

Corrected by May 17, 2023

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3270.131(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.

Child file #2 contained health assessments that were not conducted every 12 months as required for a preschool child.

Corrected by May 17, 2023

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3270.151(a)/3270.151(c)(2) · 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. 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.

Staff file #1 contained a health assessment with TB results dated 1/26/23 which was conducted after initial hire at the facility. (See LIS CODE SHEET)

Corrected by Jan 26, 2023

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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.

Staff file #8 contained health assessments dated 6/5/20 and 3/23/23 which exceeded the 24 months as required. Staff file #11 contained health assessments dated 2/14/23 which was not conducted prior to hire. (See LIS CODE SHEET)

Corrected by Mar 23, 2023

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

The facility lacked written statements giving the formula and feeding schedule obtained from the parents for the enrolled infants at the facility.

Corrected by May 17, 2023

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3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

A staff person was observed positioned in the center of two 4 month old infants who were laying on boppy pillows while they were being bottle fed simultaneously.

Corrected by May 2, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff file #11 lacked documentation of verification of education prior to service at the facility.

Corrected by Jun 5, 2023

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

The log the operator used to document emergency drills did not include the following required information in compliance with Announcement C-22-04 Updated Emergency Preparedness and Response Planning Regulations and Requirements for Child Care Facilities: Special accommodations the facility used for any category of children (Infants, Toddlers, Children with Special Needs) and problems encountered or observations during the drill (For use in updating the Emergency Plan).

Corrected by Apr 13, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff file #7 contained documentation for 7 of the 12 hours required of annual childcare trainings completed between 12/19/21 and 12/19/22.

Corrected by May 31, 2023

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

Based on staff interviews it was determined, staff person #1 forcefully placed a child in a chair and proceeded to push the chair into the table, pinning the child between the chair and table.

Corrected by Dec 2, 2022

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3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on staff interviews it was determined, staff person #1 grabbed and held a child by the child's wrist.

Corrected by Dec 2, 2022

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

Observed an infant sleeping in a crib which lacked two feet of space on three sides.

Corrected by Aug 29, 2022

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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 two most recent verification of emergency plan training on file for staff person #8 are dated more than 12 months apart.

Corrected by Mar 7, 2022

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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 two most recent verification of completed fire safety training on file for staff person #8 are dated more than 12 months apart.

Corrected by Feb 23, 2022

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3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

The file for staff person #10 contains verification of Health and Safety training completed after 06/17/21, which is the date veteran staff were required to have training completed.

Corrected by Feb 6, 2022

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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.

The two most recent mandated reporter trainings on file for staff person #10 are dated in an interval greater than 5 years or 60 months.

Corrected by Jan 4, 2020

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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 #6 may not work at the facility until valid out of state clearances are on file.

The file for staff persons #1, #2, #3, #4, #5, and #6 contains an expired disclosure statement, making it invalid. The file for staff person #5 lacks verification of application for an FBI clearance and an NSOR prior to beginning in a child care taking position. The file for staff person #6 lacks proof of application for a child abuse clearance and an NSOR dated prior to beginning in a child care taking position. A review of staff person #6's file revealed that staff person #6 has resided out of state in the previous 5 years. Staff person #6's file lacks current clearances from the state where staff person #6 previously resided. The file for staff person #9 contains an NSOR dated after 07/01/20, which is the date that veteran staff were required to have an NSOR on file.

Corrected by Jun 17, 2022

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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 file for staff person #2 lacks an evaluation completed for the previous service year. The most recently dated evaluation on file for staff person #8 is dated more than 12 months ago.

Corrected by Jun 17, 2022

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3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). 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 #1 lacks verification of college major or college credits to qualify as a group supervisor.

Corrected by Jun 17, 2022

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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.

The refrigerator in the young toddler room is lacking a thermometer.

Corrected by May 10, 2022

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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.

The file for child #8 contains emergency contact information which lacks the complete address of the child's physician.

Corrected by May 15, 2022

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #4 and child #7 contains emergency contact information which lacks the enrolling parent's complete work address and telephone number. The file for child #4 contains emergency contact information which lacks the home telephone number of the enrolling parent. The file for child #8 contains emergency contact information which lacks the complete home address of the enrolling parent.

Corrected by Jun 30, 2022

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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 file for child #3, child #4, child #6, child #8, and child #9 contains emergency contact information which lacks the complete address of the parent-designated release person(s).

Corrected by Jun 30, 2022

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3270.131(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 updated health report on file for child #2 and child #3 is dated after 01/06/22, the date by which it was required to be updated.

Corrected by Mar 6, 2022

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3270.131(d)(4)/3270.131(d)(7) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The current health report on file for child #3 lacks assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. and a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Apr 27, 2022

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3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #3 and child #4 contains a health report that lacks a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected by Jun 30, 2022

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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 file for child #1 and child #4, lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected by Jun 30, 2022

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

Observed a soiled Pull-Up in an unlined trash can in the bathroom adjacent to the preschool room.

Corrected by Apr 11, 2022

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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 two most recent health assessments on file for staff persons #7 and #8 are dated more than 24 months apart. The most recent health assessment on file for staff person #9 is dated more than 24 months ago.

Corrected by Jun 17, 2022

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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 for staff person #5 contains the results of tuberculosis screening completed after staff person #5 began in a child care taking position.

Corrected by Feb 4, 2022

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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 two most recent updates to the emergency contact information and agreement on file for child #1, child #3, child #5, and child #9 are dated in an interval greater than 6 months.

Corrected by Jun 17, 2022

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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 for staff person #5 contains two reference letters dated after staff person #5 began in a child care taking position. The file for staff person #6 contains one reference letter written after staff person #6 began in a child care taking position.

Corrected by Jun 17, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff person #1, staff person #2, and staff person #4 contains verification of pediatric first aid and pediatric CPR training completed more than 90 days after staff persons #1, #2, and staff person #4 began in a child care taking position.

Corrected by Jun 17, 2022

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During the following intervals:3/3/21-5/11/21, 5/11/21-7/27/11, and 9/2/21-12/3/21, fire drills were held more than 60 days apart.

Corrected by Jun 17, 2022

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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.

At the time of inspection, the facility lacked a proof of purchase for the hard wired, interconnected fire detection system currently installed and in use. During the following intervals: 1/6/22-2/11/22, 2/11/22-3/21/22, and 3/21/22-4/21/22, the testing of the fire detection system exceeded 30 days.

Corrected by Jun 17, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #2 staff, staff person #7, staff person #8, and staff person #10 lacks five hours of child care training completed in the most recent service year.

Corrected by Jun 17, 2022

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