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 file for Staff Person #3 lacked annual fire safety training; previous fire safety training was dated 6/13/23.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of the fire drill log showed more than 60 days between drills (12/4/24 and 2/3/25).

Corrected Corrected by Jun 30, 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. Staff Persons #2, #4, and #6 may not work in a child care position at the facility.

The file for Staff Person #2 (See LIS Code Sheet) lacked a disclosure statement. The file for Staff Person #3 (See LIS Code Sheet) contained a State Police clearance dated 2/25/25, obtained more than 60 months from the previous clearance dated 8/19/19; a Child Abuse clearance dated 3/5/25, obtained more than 60 months from the previous clearance dated 9/4/19; an NSOR Certificate dated 3/6/25, obtained more than 60 months from the previous clearance dated 2/12/20. The file for Staff Person #4 (See LIS Code Sheet) lacked a State Police clearance. The file for Staff Person #6 (See LIS Code Sheet) lacked a State Police clearance.

Corrected Corrected by Jun 30, 2025

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

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 file for Staff Person #4 lacked a copy of their HS Diploma. The file for Staff Person #5 lacked documentation of experience working with children.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. 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 file for Staff Person #2 (See LIS Code Sheet) lacked a health assessment and TB screening results. The file for Staff Person #4 (See LIS Code Sheet) lacked a health assessment.

Corrected Corrected by Jun 30, 2025

Category: ratio. 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 files for Staff Persons #2 and #4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff Person #5 lacked one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staff Person #1 completed professional development in pediatric first aid and pediatric CPR on 5/7/2025, more than 90 days following their date of hire (See LIS Code Sheet).

Corrected Corrected by Jun 30, 2025

Category: health medication. 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.

Documentation of the fire alarm system test showed more than 30 days between testing (12/2/24 and 1/2/25 and 2/3/25).

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #3 lacked the 12 required annual training hours for the most recent review period November 2023-November 2024.

Corrected Corrected by Jul 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

Per staff statements, on several occasions child #1 was alone with facility person #1 in a non-child care office. This occurred when child #1 was upset and could not be calmed by the staff responsible for supervising child #1. Child #1 would spend up to ten minutes in the office with facility person #1, then return to the child care space. Per staff statements, child #1 responded positively to facility person #1 and would calmly return to the classroom.

Corrected Corrected by Oct 31, 2024

Category: supervision. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Per staff statements, on several occasions child #1 was alone with facility person #1 in a non-child care office. This occurred when child #1 was upset and could not be calmed by the staff responsible for supervising child #1. Child #1 would spend up to ten minutes in the office with facility person #1, then return to the child care space. Per staff statements, child #1 responded positively to facility person #1 and would calmly return to the classroom.

Corrected Corrected by Oct 31, 2024

Category: supervision. 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.

Per staff statements, on several occasions child #1 was alone with facility person #1 in a non-child care office. This occurred when child #1 was upset and could not be calmed by the staff responsible for supervising child #1. Child #1 would spend up to ten minutes in the office with facility person #1, then return to the child care space. Per staff statements, child #1 responded positively to facility person #1 and would calmly return to the classroom.

Corrected Corrected by Oct 31, 2024

Category: supervision. 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.

Per staff statements, on several occasions child #1 was alone with facility person #1 in a non-child care office. This occurred when child #1 was upset and could not be calmed by the staff responsible for supervising child #1. Child #1 would spend up to ten minutes in the office with facility person #1, then return to the child care space. Per staff statements, child #1 responded positively to facility person #1 and would calmly return to the classroom.

Corrected Corrected by Oct 31, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #1 will have until 1/17/25 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety basics training.

Corrected Corrected by Dec 15, 2024

Category: supervision. Marked corrected in the state record.

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.

*2nd CITATION: On 9/20/24 during lunch at approximately 11:35am, in the School Room, Staff #2 was observed supervising 8 toddlers. Staff #1, who had previously been in the room with Staff #2, left the room to get more pasta. PREVIOUISLY CITED ON 8/6/24

Corrected Corrected by Oct 8, 2024

Category: supervision. Marked corrected in the state record.

3270.51 · **The legal entity will require all staff persons at the facility to attend, a minimum 2 hour in-person training regarding supervision and ratio offered by the ELRC within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.

**2nd CITATION: On 9/20/24 during lunch at approximately 11:35am, in the School Room, Staff #2 was observed supervising 8 toddlers. Staff #1, who had previously been in the room with Staff #2, left the room to get more pasta. PREVIOUISLY CITED ON 8/6/24

Corrected Corrected by Oct 8, 2024

Category: supervision. Marked corrected in the state record.

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

The agreement form in the files for Child #1 and Child #2 lacked the fee amount.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. 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 Pizza Shop classroom, there were adult scissors accessible to children.

Corrected Corrected by Aug 6, 2024

Category: health medication. 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 facility's parent letter explaining the emergency procedures lacked information on lockdown and accommodations for infants and toddlers.

Corrected Corrected by Sep 30, 2024

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

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 file for Staff #11, identified as a Group Supervisor, lacked verification of child care experience and education prior to service at the facility. The file for Staff #1, identified as an aide, lacked verification of child care experience and education prior to service at the facility.

Corrected Corrected by Sep 30, 2024

Category: supervision. Marked corrected in the state record.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

On 8/6/24 during lunch at approximately 12:15pm, in the Outdoor Adventure classroom, Staff #2 was observed supervising 12 preschool age children. Staff #1, who had previously been in the room with Staff #2, left the room to heat up a child's lunch in another room.

Corrected Corrected by Aug 6, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Electrical outlets accessible to children age 5 and younger lacked protective receptacle covers in the following locations: the hallway outside the School classroom that toddler and preschool children use to get to the restroom, access the outdoor play space, as well as other child care spaces ; under the TV and under the table in the School Room which serves as an older toddler classroom; and on the power strip in the Pizza Shop classroom which is a preschool classroom.

Corrected Corrected by Sep 20, 2024

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

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

There was hand sanitizer labeled, "Keep out of reach of children" accessible to children in an unlocked cabinet in the Pizza Shop classroom, on the table in the Activity room, and in the girls' restroom. Diaper creams labeled "Keep out of reach of children" were stored in an unlocked cabinet in the girls' restroom accessible to children.

Corrected Corrected by Aug 6, 2024

Category: health medication. 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.

There were unlabeled spray bottles containing disinfectant and cleaning solutions identified by staff in the following areas: School classroom, Pizza Shop classroom, and Outdoor Adventure classroom.

Corrected Corrected by Aug 6, 2024

Category: ratio. 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 Pet Shop classroom lacked soap and scissors.

Corrected Corrected by Aug 9, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Pizza Shop classroom, the back of the play kitchen has a hole in it with sharp edges.

Corrected Corrected by Sep 20, 2024

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

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

In the Zoo classroom, cribs with infants resting in them lacked 2 feet of space on at least three sides.

Corrected Corrected by Aug 6, 2024

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

3270.108(c) · Styrofoam cups and plates may not be used.

Staff reported that the Syrofoam bowls observed throughout the classrooms were being used to serve food to the children.

Corrected Corrected by Aug 6, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The files for Child #1, Child #2, Child #3, Child #4. Child #5, Child #6, and Child #7 lacked current child service reports. The most recent child service report in the file for Child #1 was dated 5/5/23. The most recent child service report in the file for Child #2 was completed in 2021. The most recent child service report for Child #3 was dated 5/10/23. The most recent child service report for Child #4 was dated 11/1/22. The most recent child service report for Child #5 was dated 11/30/22. The most recent child service report in the file for Child #6 was dated 5/522. There was no child service report in the file for Child #7 enrolled since 8/23/22.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form in the files for Child #1, #2, #3, and #7 lacked the date of admission.

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #3, #5, #8, and #9 contained the original agreement form.

Corrected Corrected by Aug 21, 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 files for Child #1, #2, #3, #4, #5, #6, #7, #8, and #9 lacked the parent's work address. The current Emergency Contact form utilized by the facility does not have a place to include the parent's work address.

Corrected Corrected by Sep 13, 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 Emergency Contact Form in the files for Child #1, #2, #4, #7, and #9 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Sep 13, 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 in the file for Child #9 lacked the health insurance policy number.

Corrected Corrected by Sep 30, 2024

Category: health medication. 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 forms and agreements on file for Child #1, #2, #3, #4, #5, and #7 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected Corrected by Sep 27, 2024

Category: recordkeeping. Marked corrected in the state record.

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 Child #2 and Child #6, both preschool age children, lack a current health report. The most recent health report on file for Child #2, a preshcooler, is dated 3/20/23. The most recent health report on file for Child #6, a preschooler, is dated 3/17/21. The two most recent health reports on file for Child #4, a preschooler, are dated 8/26/22 and 5/21/24, more than 12 months apart.

Corrected Corrected by Aug 16, 2024

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

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

On August 6, 2024, in the medication container in the School Room, the Hyland's Cold Tablets for Child #10 had an expiration date of July 2024.

Corrected Corrected by Aug 6, 2024

Category: ratio. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

In the School Room, Staff person #3 did not wash the child's hands after being diapered. Staff person #3 did not wash her hands after changing a soiled diaper.

Corrected Corrected by Aug 7, 2024

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

3270.135(a)(3)/3270.135(b) · 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

In the School Room, Staff person #3 did not immediately discard the soiled diaper into a hands free lined trash can, and did not clean or sanitize the changing area after completing a diaper change.

Corrected Corrected by Aug 10, 2024

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 file for staff person #1 lacked documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for Staff person #2 contained a current health assessment dated 5/16/24. It was not obtained within 24 months of the previous assessment dated 7/13/21. The file for Staff person #3 lacked documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for Staff person #3 contained an initial health assessment dated 7/8/24. The file for Staff person #4 lacked documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for Staff person #4 contained an initial health assessment dated 7/14/24. The file for Staff person #5 contained a current health assessment dated 5/6/24. It was not obtained within 24 months of the previous assessment dated 9/15/21. The file for Staff person #6 contained a current health assessment dated 5/9/24. It was not obtained within 24 months of the previous assessment dated 1/7/22. The file for Staff person #9 contained a current health assessment dated 9/30/23. It was not obtained within 24 months of the previous assessment dated 8/27/19.

Corrected Corrected by Sep 30, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The initial health assessment, dated 5/30/24 for staff person #7 lacked a tuberculosis (TB)screening. The initial health assessment, dated 3/18/22 for staff person #8 lacked a tuberculosis (TB)screening. The TB test results on file for staff person #8, dated 3.18.22, exceeded 12 months prior to date of hire (See LIS COSE SHEET).

Corrected Corrected by Sep 30, 2024

Category: health medication. 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 files for Staff persons #1 and #7 each lacked one written letter of recommendation. The file for Staff person #10 lacked two letters of recommendation.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's Emergency Plan lacked accommodations for infants and toddlers as per Announcement C-22-04.

Corrected Corrected by Sep 30, 2024

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

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

The fire drill log on file included fire drills conducted more than 60 days apart: 8/7/23 and 10/10/23; 10/10/23 and 12/12/23; 12/12/23 and 2/19/23.

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 fire alarm test log includes test dates more than 30 days apart: 7/4/23 and 8/7/23; 9/5/23 and 10/10/23; 11/5/23 and 12/12/23.

Corrected Corrected by Aug 6, 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 file for Child #4 contained an agreement form that was lacking the arrival and departure times of the child.

Corrected Corrected by Jul 26, 2023

Category: recordkeeping. 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 file for Staff #4, and 10 were both lacking the 1 hour Health and Safety update.

Corrected Corrected by Aug 31, 2023

Category: ratio. Marked corrected in the state record.

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

The file for Staff #2, and 5 both contain the Health and Safety Basics that was taken prior to the September 30, 2016.

Corrected Corrected by Aug 31, 2023

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

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

The file for Child #1 contained an emergency contact form that was lacking address and phone number of the child's physician.

Corrected Corrected by Jul 26, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, 6, 3, 7, 8, 9 may not work in a position at the facility.

The file for Staff #1 and 6 both contained DOE FBI Clearances in their file. They may not work in a position at the child care facility until the DHS FBI clearance comes back. The file for Staff #3 was lacking an FBI clearance, the file also did not have proof of applying and getting the fingerprints done. The file for Staff #7 contained a volunteer State Police Clearance. There were also two Child Abuse, two FBI clearances and two Mandated Reporter that were more than 60 months apart. The file for Staff #8 was lacking a state police clearance, and a disclosure statement. The file for Staff #9 contained a volunteer child abuse clearance, and it was lacking an FBi clearance,

Corrected Corrected by Aug 31, 2023

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

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

In the Pizza Shop Classroom there were two spray bottles that contained toxics that were accessible to children.

Corrected Corrected by Jul 25, 2023

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

In both the boys and girls restrooms the hot water in the sinks was reading at 128 degrees.

Corrected Corrected by Jul 25, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The changing table in the boy's restroom did not have a handwashing sign posted. In the girl's restroom the 4th stall was lacking a handwashing sign.

Corrected Corrected by Jul 26, 2023

Category: health medication. 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 Outdoor Adventure Classroom empty bags were observed in an unlocked cabinet where the children could access them.

Corrected Corrected by Jul 28, 2023

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

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

The file for Child #4 contained an agreement form that was lacking the fee amount.

Corrected Corrected by Jul 26, 2023

Category: recordkeeping. 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 file for Child #2 contained an emergency contact form that was lacking the policy number of the child's medical insurance.

Corrected Corrected by Jul 26, 2023

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for Child #1 who is a young toddler age child, contains a health assessment that is more than 6 months old.

Corrected Corrected by Aug 31, 2023

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

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).

The file for Child #1, 3 and 4 all contained immunization records that were lacking influenza immunizations.

Corrected Corrected by Aug 31, 2023

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

In the Corner Market Classroom there was an inhaler that was lacking written instructions from the individual who prescribed the medicine.

Corrected Corrected by Aug 4, 2023

Category: ratio. Marked corrected in the state record.

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

The file for Staff #7 contains two health assessments that were more than 24 months apart. The file for Staff #9 was lacking an initial health assessment and TB test.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility was lacking a posted pick up/drop off policy.

Corrected Corrected by Jul 27, 2023

Marked corrected in the state record.

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.

The file for Staff #8 and 9 were lacking verification of their education and child care experience and training prior to service at the facility.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #8 and 9 were both lacking two non family written reference letters attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, 5 -- may not work in any position at the facility.

The file for Staff #1 whose start date is in the code sheet, contains a child abuse clearance that was obtained after the staff's start date and there was no proof in the file that the clearance was applied for prior to the staff's start date. The file for Staff #3 contained a volunteer Child Abuse Clearance. The file for Staff #4 contained two Mandated Reporter Trainings Dated 1/18/17 and 7/29/22 which is more than the 60 month requirement. The file for Staff #5 contained a volunteer State Police clearance.

Corrected Corrected by Oct 7, 2022

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

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

The cabinet in the girls restroom has a lock that is not working and therefore made comet cleaner, toilet bowl cleaner, and cat litter accessible to the children.

Corrected Corrected by Oct 7, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The Corner Market, Outdoor Adventure, Pet Shop. and City Zoo were all lacking posted emergency numbers.

Corrected Corrected by Oct 7, 2022

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

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

The first aid kit was accessible to the children in the Construction Zone, Corner Market, and Outdoor Adventure Rooms.

Corrected Corrected by Oct 7, 2022

Category: health medication. 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 Pet Shop Room was lacking tape. The first aid kit in the City Zoo Room was lacking scissors and tweezers.

Corrected Corrected by Oct 7, 2022

Category: health medication. 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.

In the Outdoor Adventure Room on the wall to the right of the TV there was peeling paint observed.

Corrected Corrected by Oct 7, 2022

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.

The cabinet in the girls restroom contained empty garbage bags in it, and the lock was broken making them accessible to the children.

Corrected Corrected by Oct 7, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the Pizza Shop Classroom was lacking an operable thermometer.

Corrected Corrected by Oct 7, 2022

Category: nutrition. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The construction zone was lacking a posted daily schedule.

Corrected Corrected by Oct 7, 2022

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.

In the City Zoo (infant room) Cert. Rep. asked staff in the room to name the children they were responsible for. One staff named 2 children that were sleeping in a little room off of the main room. There was no staff in that small nap room.

Corrected Corrected by Aug 14, 2022

Category: supervision. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The Construction Zone, Corner Market, Outdoor Adventure, Pet Shop, Pizza Shop and CIty Zoo were all lacking the Emergency Transportation Plan.

Corrected Corrected by Oct 7, 2022

Category: transportation. Marked corrected in the state record.

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 file for child #4, who is a preschool aged child had two health assessments dated 10/23/19 and 5/26/22, which is more than the 12 months required.

Corrected Corrected by Aug 14, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child #1 contained an immunization record that was lacking 1 dose of DTAP. The file for Child #2 contained an immunization record that was lacking 1 dose of DTAP and the annual influenza vaccine. The file for Child #3 contained an immunization record that was lacking the annual influenza vaccine and one dose of the Hepatitis A vaccine.

Corrected Corrected by Oct 7, 2022

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

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

The file for Staff #5 contained a health assessment and TB test that was obtained after the staff's start date.

Corrected Corrected by Aug 17, 2022

Category: ratio. Marked corrected in the state record.

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

The file for Staff #4 contained 9 clock hours of child care training, therefor lacking 3 annual clock hours of child care training. The file for Staff #6 contained 5 clock hours of child care training, therefore lacking 7 annual clock hours of child care training.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for staff person #8 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Aug 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1, whom was hired on 5/1/21, lacked initial emergency plan training. The emergency plan training in the file was dated 5/20/21. The file for staff person #7, whom was hired on 9/30/20, lacked initial emergency plan training. The emergency plan training in the file was dated 5/20/21.

Corrected Corrected by Jul 14, 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 #8 may not work in a child care position at the facility.

The file for staff person #1, whom was hired as an aide on 5/1/21, lacked state police, child abuse, and FBI clearances prior to working with children at the child care. The state police clearance in the file is dated 5/18/21. The child abuse clearance in the file is dated 5/18/21. The FBI clearance in the file is dated 5/21/21. The file for staff person #2, whom was hired as a group supervisor on 5/26/16, lacked state police and child abuse clearances that were completed 60 months from the previous clearances. The state police clearances in the file were dated 5/6/16 and 6/4/21. The child abuse clearances in the file were dated 5/6/16 and 7/9/21. The file for staff person #3, whom was hired as an assistant group supervisor on 9/24/15, lacked state police, child abuse, and FBI clearances that were completed 60 months from the previous clearances. The state police clearances in the file are dated 9/25/15 and 10/6/20. The child abuse clearances in the file are dated 9/25/15 and 10/6/20. The FBI clearances in the file are dated 8/27/15 and 1/29/21. The file for staff person #8, whom was hired as a group supervisor, on 7/20/20 lacked a valid FBI clearance and NSOR verification certificate. The FBI clearance was requested through the Department of Education not the Department of Human Services.

Corrected Corrected by Aug 18, 2021

Category: supervision. 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.

The file for staff person #2 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The dates of the mandated reporter training in the file are 5/10/16 and 6/22/21.The file for staff person #3 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The dates of the mandated reporter training in the file are 6/2/16 and 7/11/21.

Corrected Corrected by Jul 14, 2021

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.

In the Pizza Shop a container of Mellow Hand Sanitizer was observed on the teacher's desk accessible to the children. The hand sanitizer was labeled "Keep Out of the Reach of Children." In the girls restroom a bottle of disinfectant and bottle of hand sanitizer were observed on top of a cupboard accessible to the children. Both bottles were labeled "Keep Out of Reach of Children."

Corrected Corrected by Jul 14, 2021

Category: physical safety. 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 Pet Shop room a bottle of cleaning material was observed in a container that did not specify the content.

Corrected Corrected by Jul 14, 2021

Category: ratio. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the girls rest room and the boys restroom above the changing tables it was observed that hand washing signs were not posted.

Corrected Corrected by Aug 18, 2021

Category: health medication. 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 bumbo seat without the straps was observed in the City Zoo room in the child care. This seat was described as hazardous by the United States Consumer Product Safety Commission and may not be used by children at the facility.

Corrected Corrected by Jul 14, 2021

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

A bottle of Infants' Tylenol labeled for child #1 was observed in the Corner Market and the parent did not provide written consent for administration of the medication. A bottle of Children's Tylenol labeled for child #2 was observed in the Corner Market and the parent did not provide written consent for administration of the medication. A bottle of Infants' Pain and Fever labeled for child #3 was observed in the Corner Market and the parent did not provide written consent for administration of the medication.

Corrected Corrected by Aug 18, 2021

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 6/6/19 and 7/13/21. The file for staff person #4 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 9/13/18 and 9/29/20. The file for staff person #5 lacked a health assessment that was completed 24 months from the previous health assessment. The dates of the health assessments in the file are 11/6/18 and 4/12/21. The file for staff person #8, whom was hired on 7/20/20, lacked a health assessment that was conducted within 12 months prior to providing initial service in a child care setting. The health assessment in the file is dated 3/27/19.

Corrected Corrected by Aug 18, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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 file for staff person #7, whom was hired on 9/30/20, lacked an adult health assessment that included a tuberculosis screening by the Mantoux method at initial employment. The TB test in the file was dated 10/12/20. The file for staff person #8, whom was hired on 7/20/20, lacked an adult health assessment that included a tuberculosis screening by the Mantoux method at initial employment. The TB test in the file was dated 3/30/19.

Corrected Corrected by Aug 18, 2021

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #9 lacked a health assessment that included an examination for communicable diseases and the results of that examination.

Corrected Corrected by Aug 18, 2021

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

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #9 lacked a health assessment that included information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 18, 2021

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