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 most recent annual all-staff emergency plan trainings exceeded 12 months between trainings (1/16/23-2/8/24).

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. 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 parent's letter explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 2, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The most recent child abuse clearances in the file for Staff Person #1 exceeded 60 months between clearances.

Corrected Corrected by Apr 2, 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.

Observed a nail protruding from the wall below the calendar in the PS/SA Room. Observed in the Young Preschool bathroom: rust on the bottom of the toilet stall partition and holes, which create sharp edges on the inner door frame of the toilet staff partition. Rusty, protruding bolts on the base of the toilet closest to the sink. Observed in the outdoor play space: Wooden pallet and shovel behind the shed. Leaves in the toy bin. Bottom of the fence pole closest to the building splintering and separating. Thorny vines protruding from the adjacent property in the left corner.

Corrected Corrected by Apr 2, 2024

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.

Observed three tiles missing at the bottom of the walls, which causes flaking plaster, in the Young Preschool bathroom. Observed peeling, flaking paint on the back of the building, which is located in the Outdoor Play Space.

Corrected Corrected by Apr 2, 2024

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

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

Observed cracks, which create rough edges, in the Lego bin in the PS/SA Room and the nap bin in the Young Preschool Room.

Corrected Corrected by Apr 2, 2024

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed teeth marks in the foam blocks in the Young Preschool Room. Observed in unlocked drawers in the Young Preschool Room: Small rubber hair bands for Child #1, plastic bags and art supplies less than one inch in diameter. This creates a potential choking hazard for children who may still be placing objects in their mouths.

Corrected Corrected by Apr 2, 2024

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

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The fee agreements in the files for Child #1 and #2 were the original documents.

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form in the file for Child #1 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The most recent updated health reports in the file for Child #3, a preschool child, exceeded 12 months between reports.

Corrected Corrected by Apr 2, 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 most recent health assessments in the file for Staff Person #1 exceeded 24 months between assessments.

Corrected Corrected by Apr 2, 2024

Category: ratio. Marked corrected in the state record.

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

The fire drill/fire system check log documents one time when fire system checks exceeded 30 days between checks: 9/2/23-10/3/23.

Corrected Corrected by Apr 2, 2024

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 facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii) .

Corrected Corrected by Mar 31, 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.

The one-hour health and safety updates in the files for Staff Person #1 through #10 were conducted between 1/1/23 and 1/11/23. This was after the prescribed timeframe of 12/30/22.

Corrected Corrected by Mar 27, 2023

Category: ratio. Marked corrected in the state record.

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

The current Pediatric First Aid/CPR certificate in the file for Staff Person #1 was conducted on 2/5/22. This was after the previous certification expired on 8/22/21.

Corrected Corrected by Mar 27, 2023

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.

The files for Staff Persons #2, 3, 4, 5, 6, 7, 9 and 10 did not include documentation of fire safety training conducted within the past 12 months: 2/18/22.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The 6-hour Health and Safety Training in the file for Staff Person #7 was not valid (4/29/19). The 10-hour Building Blocks Health and Safety Training in the file for Staff Person #7 was dated 7/28/22, which was more than 90 days after the staff person's start date: (See LIS Code Sheet).

Corrected Corrected by Mar 27, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The most recent State Police and Child Abuse Clearances in the file for Staff Person #4 exceeded 60 months between clearances: State Police: 2/29/16-8/5/22. Child Abuse: 3/3/16-3/4/21. The most recent State Police Clearances in the file for Staff Person #8 exceeded 60 months between clearances: 9/18/17-3/20/23.

Corrected Corrected by Mar 27, 2023

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

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

The most recent Mandated Reporter Trainings in the files for Staff Person #4 and #6 were conducted more than 60 months after the previous Mandated Reporter Trainings. Staff Person #4: 1/29/15-3/3/20. Staff Person #6: 2/19/18-2/21/23.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

On 3/20/23 at approximately 9:00 AM Staff Person #7 was supervising a mixed group (Older Toddler, Preschool, School Age) of 8 children in the Preschool Room.

Corrected Corrected by Mar 27, 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.

Observed two bottles of spray bleach, which were accessible to children, in the school age room.

Corrected Corrected by Mar 27, 2023

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.

Observed a ceiling tile stained from water damage above the bulletin board in the Toddler Room. Observed splintering wood in two bottom sections of the fence in the outdoor play space.

Corrected Corrected by Apr 8, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed storage bins and a stack of floor tile in the hallway which serves as a fire exit.

Corrected Corrected by Mar 27, 2023

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

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

Observed in the outdoor play space: A crack in the plastic window of the sliding board set, and roof separating from the blue playhouse, which creates a potential pinch hazard.

Corrected Corrected by Apr 8, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed a broken toy less than one inch in diameter in the barn animal storage shelf of the toddler room. This creates a potential choking hazard for children who may still be placing items in their mouths.

Corrected Corrected by Mar 27, 2023

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

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

The trash receptacles at the facility which were used for disposing diapers were Diaper Genies which are not approved as hands-free cans.

Corrected Corrected by Mar 29, 2023

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent parent updates for the emergency contact form in the file for Child #1 exceeded 6 months between updates: 5/31/22-2/24/23. The most recent parent updates for the emergency plan and fee agreement in the file for Child #2 exceeded 6 months between updates: 6/6/22-2/21/23.

Corrected Corrected by Mar 27, 2023

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.

Based on conversation with the Director, a third copy of accidents, injuries and illnesses at the facility is not being retained in the child files.

Corrected Corrected by Mar 27, 2023

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.

The fire drill/fire system check log documents five times when fire system checks exceeded thirty days between checks: 4/20-5/16, 7/13-8/19, 8/19-9/20, 9/20-10/31 and 12/15-1/19.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. 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 provider self-reported that parents of enrolled children are not given a letter explaining the facility emergency procedures.

Corrected Corrected by Mar 24, 2022

Category: physical safety. 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 #3 contains current mandated reporter training that was completed greater than 60 months after the previous mandated reporter training. The file is now current.

Corrected Corrected by Mar 31, 2022

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.

Observed in the toddler room a spray bottle containing bleach water in a basket on a low shelf accessible to children.

Corrected Corrected by Mar 31, 2022

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

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

Observed on the outdoor play space a fence post that was cracked and splintered. Observed in the toddler room carpeting that was visibly dirty including dried-on food and playdough.

Corrected Corrected by Apr 30, 2022

Category: nutrition. 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.

Observed the "Gentlemen" bathroom was lacking a covered trash container.

Corrected Corrected by Mar 31, 2022

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.

Observed in the extra room a child's black vinyl couch with torn fabric exposing the interior foam.

Corrected Corrected by Mar 31, 2022

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

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

Observed on the outdoor play space metal rods that connect the slide and slide support to the base are missing the end caps that keep the rod secure. Without the end caps the rod could slip out and the sliding board could detach and fall.

Corrected Corrected by Mar 31, 2022

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

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

Observed in the toddler room the hands-free trash container being used for the disposal of soiled diapers is broken and not functioning as hands-free.

Corrected Corrected by Mar 31, 2022

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 #3 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current.

Corrected Corrected by Mar 31, 2022

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 file for staff person #1 contains current pediatric first aid and pediatric CPR training that was competed greater than 90 days after hire. The file is current.

Corrected Corrected by Mar 31, 2022

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.

The provider does not have the proof of purchase for the fire detection system.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.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 contains only 3 of the required 12 hours of child care training during the period from 12/18/2020 to 12/18/2021. Staff #2 has since completed additional training and is now current.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.