3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR and First Aid.

Corrected Corrected by Jul 11, 2023

Category: supervision. 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.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR and First Aid.

Corrected Corrected by Jul 11, 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.

Staff person #3 (See LIS for hire date) had a State Police clearance dated 12/29/22 but the request was still pending therefore it was not a complete clearance making it invalid. Staff person #3 was observed to be working alone in the preschool room with a group of children.

Corrected Corrected by Jul 11, 2023

Category: background checks. 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 10:57AM it was observed that staff person #1 and staff person #3 were outside in the play yard with 16 preschool children. It was observed that Staff person #1 permitted a preschool child to go into the classroom to use the restroom while Staff person #1 stood in the doorway between the outside play yard and the preschool classroom. Staff person #1 was not able to be physically present in both the outdoor play yard and the preschool room simultaneously.

Corrected Corrected by Jul 11, 2023

Category: ratio. 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 Older Toddler Room there were foam blocks with teeth marks and pieces missing.

Corrected Corrected by Jul 11, 2023

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 10:57AM it was observed that staff person #1 and staff person #3 were outside in the play yard with 16 preschool children. It was observed that Staff person #1 permitted a preschool child to go into the classroom to use the restroom while Staff person #1 stood in the doorway between the outside play yard and the preschool classroom. Staff person #1 was not able to be physically present in both the outdoor play yard and the preschool room simultaneously.

Corrected Corrected by Jul 11, 2023

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.

At approximately 10:57AM it was observed that staff person #1 and staff person #3 were outside in the play yard with 16 preschool children. It was observed that Staff person #1 permitted a preschool child to go into the classroom to use the restroom while Staff person #1 stood in the doorway between the outside play yard and the preschool classroom. Staff person #1 was not able to be physically present in both the outdoor play yard and the preschool room simultaneously.

Corrected Corrected by Jul 11, 2023

Category: supervision. 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 initial health assessment for Staff person #4 (see LIS code sheet for hire date) was dated 12-27-21 which was conducted greater than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jul 11, 2023

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 initial health assessment for Staff person #4 (see LIS code sheet for hire date) with the TB screening dated 12-29-21 was conducted greater that 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Jul 11, 2023

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.

Staff person #2's file includes only one reference from a non-family member. The second reference was from a family member.

Corrected Corrected by Jul 11, 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 smoke detection test log included dates from 10-18-22 to 11-18-22 which are more than 30 days apart.

Corrected Corrected by Jul 11, 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 facility's emergency plan was not updated by 07/01/22 to include volunteer training, a plan for practice drills, and a plan for continuity of operations.

Corrected Corrected by Sep 2, 2022

Category: ratio. 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.

The two most recent emergency plan trainings on file for staff person #5 are dated more than 12 months apart.

Corrected Corrected by Aug 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

The file for staff person #3, #4, #5, #6, #7, #8, and staff person #13 contain verification of Health and Safety training completed before 9/30/16, making them invalid due to a change in regulation.

Corrected Corrected by Aug 1, 2022

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 disclosure statement on file for staff persons #1, #,2, #9, #10, #11, and #12 contain an expired version of the disclosure statement, making it invalid.

Corrected Corrected by Aug 1, 2022

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.

In the children's bathroom located near the kitchen area, observed a water damaged tile above the middle stall.

Corrected Corrected by Aug 1, 2022

Category: physical safety. 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 two most recent health assessments on file for staff person #14 are dated in an interval which exceeds 24 months.

Corrected Corrected by Aug 1, 2022

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 file for staff person #9 contains the results of tuberculosis screening which is dated after staff person #9 began in a child care taking position.

Corrected Corrected by Aug 1, 2022

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 two most recent updates to the agreement and emergency contact information on file for child #1, #2, #3, and #4 are dated in an interval which exceeds 6 months.

Corrected Corrected by Aug 1, 2022

Category: recordkeeping. Marked corrected in the state record.