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 file for staff person #3 lacked current emergency plan training completed within the last year.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #1 had current pediatric first-aid/CPR training with a completion date of 1-23-25 that was after the October 2024 expiration of the prior training.

Corrected Corrected by Feb 25, 2025

Category: ratio. 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 Person #4 may not work in a child care position at the facility.

The file for staff person #4 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET)

Corrected Corrected by Feb 26, 2025

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

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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, functioning as an aide, lacked verification of education to qualify as an aide.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children.

Corrected Corrected by Feb 25, 2025

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.

At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children resulting in a 0:2 staff to child ratio.

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

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

The first-aid kit in the pre-k room was located in a backpack in a cubby near the door and was accessible to children.

Corrected Corrected by Feb 25, 2025

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the pre-k room, there were a few damaged ceiling tiles that were observed.

Corrected Corrected by Apr 1, 2025

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the lunchroom, there were a few areas of peeling paint on the front right wall near the baseboard.

Corrected Corrected by Feb 25, 2025

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

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

There was a portable space heater observed in the office.

Corrected Corrected by Feb 25, 2025

Category: physical safety. 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.

At approximately 9:55 a.m., a speech therapist was observed with 2 preschoolers in the mindfulness room without a staff person present in the room to supervise the children.

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The files for child #1 and #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · 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 file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Apr 1, 2025

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

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 #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected Corrected by Apr 1, 2025

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 person #2 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Feb 25, 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 file for staff person #4 lacked two written, nonfamily references.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #2 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Apr 1, 2025

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 in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents regarding the facility's emergency plan did not include the facility's accommodations in the event of an emergency or the facility's plans for annual emergency drills.

Corrected Corrected by Feb 15, 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.

The following toxics were accessible to children receiving care in the lunchroom. There was a hand sanitizer labeled "keep out of reach of children" on a table in reach of children. There were bottles of cleaning supplies including bleach on the floor in the kitchen, adjacent to the lunchroom. The door to the kitchen was open as children received care in the lunchroom.

Corrected Corrected by Feb 7, 2024

Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was a small area of peeling paint on the wall in the upstairs Pre-K Counts room, near the floor, in the back of the room in a reading/ book area.

Corrected Corrected by Feb 7, 2024

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.

There were no handwashing signs posted at one toilet in restroom off of the Pre-K Counts room or at two toilets in the restroom off of the preschool/Pre-K Counts room.

Corrected Corrected by Feb 7, 2024

Category: health medication. 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 medical emergency transportation plan was not posted in the mindfulness room or the gross motor room.

Corrected Corrected by Feb 7, 2024

Category: transportation. Marked corrected in the state record.

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

There was insect sting relief medication in the first aid kid, not labeled with the name of a particular child for their use.

Corrected Corrected by Feb 7, 2024

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

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

The current health assessment on file for Facility Person #1 was completed more than 24 months after previous health assessment on file for Facility Person #1.

Corrected Corrected by Feb 7, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The number of children participating in each fire drill was not documented on the facility's fire drill log.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The documentation of smoke detector testing on file indicates that smoke detectors were tested on 3/1/23 and then again on 4/16/23, more than 30 days between testing.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

There was no documentation, as required, to indicate the facility's emergency plan was sent to the local municipality and the county emergency management agency.

Corrected Corrected by Feb 15, 2024

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

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

There were no annual staff evaluations on file for Facility Person #1, employed at the facility more than 12 months.

Corrected Corrected by Mar 20, 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.

There was no plan for continuity of operations included the facility's emergency plan, as required by federal mandate.

Corrected Corrected by Mar 20, 2023

Category: ratio. 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. Staff are required to obtain health and safety professional development training updates required by OCDEL within the prescribed timeframe.

There was no documentation that Faciity Person #1 had completed the required health and safety training update. The health and safety training update completed by Faciity Person #3 (dated 2/15/23) and Facility Person #4 (dated 1/30/23) were completed after the required completion date of 12/30/22.

Corrected Corrected by Feb 21, 2023

Category: ratio. 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.

The current pediatric first aid and CPR training documented and on file for Facility Person #1, employed at the facility for more than 90 days, was not acceptable as the training was conducted by a PQAS approved trainer.

Corrected Corrected by Mar 20, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1and #4 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 person(s) available to supervise staff persons #1 and #4, these staff may not work in a child-care position at the facility.

Facility Persons #1 and #4 were observed to be caring for children unsupervised. Facility Persons #1 and #4 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Corrected Corrected by Feb 21, 2023

Category: supervision. 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.

There were sharp knives in an open kitchen drawer near the entrance to the kitchen, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked.

Corrected Corrected by Feb 21, 2023

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of emergency plan training on file for Facility Person #1, employed at the facility more than 90 days.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

There was no documentation of annual firesafety training on file for Facility Person #1, employed at the facility more than 12 months.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10),within 90 days of hire. Staff person #1, #2, #3 and #4 will have until 4/1/23 to complete the required training. Until such time as the required training has been completed, staff persons 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 persons #1-#4, these staff may not work in a child-care position at the facility.

There was no documentation of completion of the required pre-service health and safety training on file for Facility Persons #1 and #4. The documentation of completion of the required pre-service health and safety training on file for Facility Person #2 (9/11/6) and Facility Person #3 (9/22/16) indicate the training was completed prior to 9/30/16. Facility Persons #1, #2, #3 and #4 have been employed at the facility for at least 90 days. (See IS Code Sheet.)

Corrected Corrected by Mar 20, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #4 was classified as an assistant group supervisor. There was documentation of high school graduation on file for Facility Person #4, but no documentation of child care experience.

Corrected Corrected by Mar 20, 2023

Category: supervision. 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 were toxics, including cleaning supplies, on the floor in the kitchen near the entrance under the sink, accessible to children receiving care in the adjacent lunchroom as the door to the kitchen was open and/or unlocked.

Corrected Corrected by Feb 21, 2023

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The trash can by the sink in the lunchroom used for handwashing was not lidded.

Corrected Corrected by Feb 21, 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).

There was no documentation of a current influenza vaccine (recommended annually by the ACIP) on file for child #2.

Corrected Corrected by Mar 20, 2023

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

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.

The most recent health assessment on file for Facility Person #1 was completed more than 24 months prior. The current/initial health assessment, including a TB test, on file for Faciity Person #4 was completed after their start date in a child care position at the facility.

Corrected Corrected by Feb 21, 2023

Category: ratio. Marked corrected in the state record.

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

The most recent emergency drill documented and on file was conducted on 2/18/22, more than 12 months prior.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The documentation of dates the facility's fire alarm system was tested indicates testing was done on 12/2/22, then again on 1/5/23. Test dates were also recorded as 4/12/22 and then on 5/20/22. In both instances, more than 30 days passed between test dates. Act 62 requires smoke detectors are tested at least every 30 days.

Corrected Corrected by Mar 20, 2023

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.

There was no documentation on file of any child care training hours completed during the most recent review year (12/19/21-12/19/22) on file for Facility Person #1.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment on file for child #1 was completed more than 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Feb 21, 2023

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

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.

The pediatric first aid and pediatric CPR training on file for staff #1 was not renewed on or before expiration date.. Training expired 2/2021 and then new training was completed 4/8/21.

Corrected Corrected by Feb 10, 2022

Category: ratio. Marked corrected in the state record.

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

There was more than 1 year between fire safety trainings for staff #1. Training was completed on 1/22/21 and then on 2/3/22.

Corrected Corrected by Feb 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2--- may not work at the facility.

The file for facility person #2, lacked verification of a disclosure statement and a current DHS FBI clearance. There is a DHS State Police on file- 2/16/18, Child Abuse - 2/27/18 and NSOR 11/26/19.

Corrected Corrected by Feb 28, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for facility person #2, with start date of 8/8/15, lacks verification of current mandated reporter training which was completed within the past 60 months.

Corrected Corrected by Feb 21, 2022

Category: recordkeeping. 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 facility's refrigerator lacked an operating thermometer.

Corrected Corrected by Feb 11, 2022

Category: nutrition. Marked corrected in the state record.

3270.131(c)/3270.131(d)(7) · 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.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 #1 lacked a signature by a physician, physician's assistant or CRNP. and lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 31, 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 current immunization records on file for children #1, 2, 3, 4 and 5 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The immunization record on file for child #4 lacks documentation of 2 Hep A immunizations and 1 Varicella immunization as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Mar 31, 2022

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

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

The facility file lacked documentation that an emergency drill was conducted within the past year.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #2, with start date of 8/25/21, lacks an initial health assessment.

Corrected Corrected by Mar 31, 2022

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