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 lock on the cabinet under the sink in room 4 did not hold and the cabinet was easily opened. There was Drano and Raid and other toxics in the cabinet accessible to children.

Corrected Corrected by May 2, 2025

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 and fee agreements for child #1 were reviewed on 8/27/24 then next on 3/17/25, a gap of greater than 6 months.

Corrected Corrected by Apr 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · 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.

Reports of accidents, injuries and illnesses involving a child in care at the facility are being saved in the child's file, but a copy is not given to parent on the day of the incident, and not retained in an accident file.

Corrected Corrected by May 2, 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.

There was a gap of greater than 30 days between fire alarm tests. The alarm was tested 1/2/25 and next on 2/26/25.

Corrected Corrected by Apr 28, 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 Person #1 and #2 may not work in a child care position at the facility until a valid signed, dated, and witnessed disclosure statement is placed on file.

File for staff person #1 and staff person #2, see code sheet for hire dates, contained an incorrect disclosure statement. A valid disclosure statement, based on these staff persons hire dates, was not observed on file.

Corrected Corrected by Apr 22, 2024

Category: background checks. 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.

It was observed in the outdoor play space that an AC unit was accessible to children in care. This unit contained an internal fan located on its front side with a metal guard. This guard did not have enough protection to keep smaller fingers from entering that area which in turn created a visible hazard.

Corrected Corrected by Jun 1, 2023

Category: physical safety. 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 most recent child service reports observed on file for child #2, see code sheet for enrollment date, were dated 5/23/22 and 2/14/23. Therefore, the updated child service report was completed more than 6 months from the previously completed child service report on file.

Corrected Corrected by Apr 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact form for child #1 and #2 did not contain the address of the designated release persons.

Corrected Corrected by Apr 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file for child #5 neither contained a written review of all the child's age appropriate immunization according to the recommendations of the ACIP, nor did the file contain a written exemption statement.

Corrected Corrected by Apr 18, 2023

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

3270.133/3270.133(6) · The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs. A parent shall provide written consent for administration of medication or a special diet.

It was observed written on the medication log for child #3 that although staff were aware of a peanut allergy for child #3, they gave the child peanut butter causing the need to administer medication due to this staff person's error. It was observed that Zyrtec was present in the facility for child #4, but no parental consent for the administration for this medication was found on file.

Corrected Corrected by Apr 13, 2023

Category: ratio. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

It was observed that the facility did not provide the local traffic safety authorities with an annual notification of the facility's pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Apr 17, 2023

Marked corrected in the state record.

3270.76/3270.102(a) · 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. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

On 10/28/22, it was stated by facility staff that child #1 fell into the corner of the raised wooden sandbox in the outdoor play space which caused the child to need stitches due to the sharp corners of that sandbox. On 11/1/22, it was observed that the sandbox had been removed by the facility, but a large quantity of wet leaves remained covering much of that area causing a visible slipping hazard for any children running through that play space.

Corrected Corrected by Nov 9, 2022

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

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

File for child #1 did not contain signed parental consent for swimming and child #1 was observed swimming at the pool the day of inspection.

Corrected Corrected by Jul 21, 2022

Category: transportation. 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 as described in 3270.27 subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

It was observed that the emergency plan letter, provided to enrolled parents, did not include all of the facility's emergency procedures as described in 3270.27(a). The facility did not include their lockdown procedure, accommodations for children with special needs or chronic medical conditions, and did not notify families of the facility's requirement to conduct annual emergency drills.

Corrected Corrected by Apr 30, 2022

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

3270.31(e)(4)(i)/3270.33(d) · 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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Files for staff person #1-#6 did not contain documentation of having completed pediatric CPR and first aid training. It was observed and stated during inspection that no staff present between the hours of 6am and 9am have documented completion of pediatric CPR and first aid training on file.

Corrected Corrected by Apr 29, 2022

Category: ratio. Marked corrected in the state record.

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

It was observed that several containers of hand sanitizer and hand cream, which stated "keep out of reach of children", were stored on the staff desk, accessible to children in care, in room 2.

Corrected Corrected by Apr 26, 2022

Marked corrected in the state record.