Edward And Jeanne Arnold Early Learning Center

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 #3 may not work in a child care position at the facility.

Documentation on file for facility person #3 did not include an updated NSOR clearance. The NSOR clearance expired on 6.30.2025.

Corrected by Jan 16, 2026

View 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.

Facility person #1 does not have a health assessment on file at the facility. Facility person #2 does not have a health assessment on file at the facility.

Corrected by Jan 16, 2026

View 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.

Facility person #1 does not have a tuberculosis screening on file at the facility. Facility person #2 does not have a tuberculosis screening on file at the facility.

Corrected by Jan 16, 2026

View 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.

Facility Person #1 does not have 2 nonfamily references attesting to the person's suitability to serve as a facility person. Facility Person #2 does not have 2 nonfamily references attesting to the person's suitability to serve as a facility person.

Corrected by Jan 16, 2026

View 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 shows that the fire detection system was not tested every 30 days. 7.2.25 - 8.28.25 (57 days) 9.16.25-10.27.25 (41 days)

Corrected by Jan 16, 2026

View state record

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Facility person #1 pushed child #1 on their nap mat with such force that child #1 fell back on their mat. Documented by video footage, 30 minutes later, facility person #1 slapped child #1 on the face.

Corrected by Jan 8, 2026

View state record

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Child #1 was picked up on multiple occasions with urine-soaked pants. Child #1 is potty trained and was not being changed after accidents.

Corrected by Nov 24, 2025

View 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.

Documentation on file for Facility person #3 did not include updated pediatric first aid/CPR training. The pediatric first aid/CPR training expired on 4.5.2025. Documentation on file for Facility person #4 did not include updated pediatric first aid/CPR training. The pediatric first aid/CPR training expired on 4.5.2025. Documentation on file for Facility person #5 did not include updated pediatric first aid/CPR training. The pediatric first aid/CPR training expired on 4.5.2025.

Corrected by Jul 7, 2025

View state record

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

Facility person #2 had mandated reporter training dated 4.9.20 and received updated mandated reporter training on 5.13.25. Facility person #4 had mandated reporter training dated 4.9.20 and received updated mandated reporter training on 5.14.25. Facility person #5 had mandated reporter training dated 4.8.20 and received updated mandated reporter training on 5.12.25.

Corrected by Jul 7, 2025

View 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.

Documentation on file for Facility person #1 did not include an updated NSOR certificate. The NSOR certificate expired on 5.26.2025.

Corrected by Jul 7, 2025

View 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.

During the time of inspection, classroom E had an unlocked cabinet with sanitizer accessible to children. - Corrected on site. During the time of inspection, classroom D had an unlocked drawer with batteries and small brass fasteners accessible to children. - Corrected on site

Corrected by Jul 7, 2025

View 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.

During the time of inspection, the back hallway near the door has 2 ceiling tiles showing visible water damage. During the time of inspection, classroom A has 1 ceiling tile showing visible water damage

Corrected by Jul 7, 2025

View 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.

During the time of inspection, in classroom F, the diaper changing pad was ripped. The tears in the changing pad did not allow for proper sanitizing. - Corrected on site

Corrected by Jul 7, 2025

View 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.

During the time of inspection, there was no thermometer present in the refrigerator in classroom B. - Corrected on site

Corrected by Jul 7, 2025

View state record

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #1 is missing written consent signed by a parent for emergency medical care on their emergency contact form.

Corrected by Jul 7, 2025

View 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.

Child #3 is missing the address for the release persons on their emergency contact form.

Corrected by Jul 7, 2025

View state record

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #1 and child #2 are missing written consent signed by a parent for administration of minor first-aid procedures by facility staff.

Corrected by Jul 7, 2025

View state record

3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Documentation of Facility person #1 driver's license expired on 5.11.25.

Corrected by Jul 7, 2025

View 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 shows that the fire detection system was not tested every 30 days. 3.7.25 - 4.10.24 (34 days)

Corrected by Jul 7, 2025

View state record

3270.102(a)/3270.135(b) · 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. 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.

Previously cited on 3/7/25 and verified as not implemented during a visit on 4/28/25, the diaper changing pad was ripped in the YT/OT room B which did not allow for proper sanitizing. - Corrected on site

Corrected by May 9, 2025

View 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.

During the time of inspection, it was observed that staff members in classroom E could not name the children assigned to them in their primary care group.

Corrected by May 9, 2025

View state record

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Previously cited on 3/7/25 and verified as not implemented during a visit on 4/28/25, upon arriving at the facility, the office door was open, and no staff member was present in the office. Child records were stored in an unlocked cabinet.

Corrected by May 1, 2025

View state record

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

Previously cited on 3/7/25 and verified as not implemented during a visit on 4/28/25, upon arriving at the facility, the office door was open, and no staff member was present in the office. Facility persons' records were stored in an unlocked cabinet.

Corrected by May 1, 2025

View state record

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

During the time of inspection, it was observed that child incident reports were laying on a desk in the office, not in a locked cabinet. Upon arriving at the facility, the office door was open, and no staff member was present in the office.

Corrected by Apr 21, 2025

View state record

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

During the time of inspection, it was observed that staff file paperwork was in several bins in the office, not in a locked cabinet. Upon arriving at the facility, the office door was open, and no staff member was present in the office.

Corrected by Apr 21, 2025

View 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.

Documentation of pediatric first aid/CPR on file for facility person #3 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification. Pervious training was 1.25.23 and the updated training was completed on 1.30.25.

Corrected by Jan 30, 2025

View state record

3270.32(a) · 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.

Documentation on file for facility person #7, did not include an updated mandated reporter training. The mandated reporter training on file expired on 9.5.2024.

Corrected by Mar 21, 2025

View 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.

During the time of inspection, facility person #9, facility person #10, and facility person #11 did not have a date on their disclosure statements. - corrected on site

Corrected by Mar 7, 2025

View state record

3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

During the time of inspection, Classroom B (preK) had a broken cabinet lock making DayQuil accessible to children. - Corrected on site

Corrected by Mar 7, 2025

View 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.

During the time of inspection, classroom B (preK) had hand sanitizer on the counter accessible to children - Corrected on site During the time of inspection, classroom E (preschool) had Lysol wipes on the counter accessible to children - Corrected on site

Corrected by Mar 7, 2025

View state record

3270.102(a)/3270.135(b) · 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. 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.

During the time of inspection, in YT/OT room B, the diaper changing pad was ripped. The tears in the changing pad did not allow for proper sanitizing. - Corrected on site

Corrected by Mar 7, 2025

View 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.

Facility person #1 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 10.4.22. Facility person #2 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 10.31.22. Facility person #4 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 9.7.22. Facility person #5 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 1.25.23. Facility person #6 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 2.27.23. Facility person #8 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 10.5.22.

Corrected by Apr 21, 2025

View state record

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the time of inspection, the infant classroom had bottles that were not labeled. - Corrected on site

Corrected by Mar 7, 2025

View 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.

Facility person #1 has an expired certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on file. The expiration date of the last training on file was 10.12.24.

Corrected by Dec 3, 2024

View 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.

Facility person #5 did not have documentation available to show completed annual emergency plan training.

Corrected by Jun 3, 2024

View 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.

Documentation of the facilities parent letter did not include lockdown procedures.

Corrected by Jul 5, 2024

View 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.

Child #1 did not have documentation of the release persons address included in their emergency contact information.

Corrected by Jun 3, 2024

View 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.

Facility person #2 renewed their certification in pediatric first aid and pediatric CPR after the expiration date of their previous training.

Corrected by May 30, 2024

View 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.

Facility person #5 did not complete annual fire safety training.

Corrected by Jun 26, 2024

View 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 shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #4 will have until June 22, 2024 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person 4- may not work in a child-care position at the facility.

Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire: 10 hour health and safety training; Pediatric first aid/CPR

Corrected by Jun 13, 2024

View 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 #1 may not work in a child care position at the facility.

Facility person #1 did not have an updated state police clearance, child abuse clearance, or DHS FBI clearance on file at the facility.

Corrected by May 30, 2024

View 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.

During the time of inspection, classroom D had liquid white out in an unlocked drawer that was accessible to children. Corrected on site. During the time of inspection, classroom E had liquid white out and an instant ice pack that states keep out of reach of children were in an unlocked drawer that was accessible to children. Corrected on site.

Corrected by May 30, 2024

View 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.

During the time of inspection, the diaper changing pad in classroom D had rips on the surface exposing the material inside. Corrected on site. During the time of inspection, there was a plastic cracked toy bin in classroom D. Corrected on site.

Corrected by May 30, 2024

View 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.

During the time of inspection, classroom A had batteries in an unlocked drawer that was accessible to children. Corrected on site. During the time of inspection, classroom G (infants) had a sensory bottle with small objects such as bells and pom poms with a lid that was easily removed. Corrected on site. During the time of inspection, classroom D had small screws and batteries in an unlocked drawer that was accessible to children. Corrected on site.

Corrected by May 30, 2024

View 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.

During the time of inspection, the refrigerator in classroom E was 60° F.

Corrected by May 30, 2024

View state record

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

During the time of inspection, a written plan of daily activities was not posted in classroom E.

Corrected by Jun 28, 2024

View state record

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Child #2, did not have the date of the child's admission in the child's record. This was corrected while at the facility.

Corrected by May 30, 2024

View state record

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

Child #3 emergency contact information did not include the home telephone number of the enrolling parent.

Corrected by Jul 5, 2024

View 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.

The facility did not have documentation of an accident file.

Corrected by Jul 5, 2024

View state record

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The child records are not stored in a locked cabinet at the facility.

Corrected by Jul 5, 2024

View state record

3270.192(3) · 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.

Facility person #2 did not have an updated health assessment on file.

Corrected by May 30, 2024

View 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.

Facility person #3 had one reference written by a family member.

Corrected by Jun 28, 2024

View state record

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

Documentation is not available to show an emergency drill was conducted at the facility in the past 12 months.

Corrected by Jul 5, 2024

View state record

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Facility person #5 completed health and safety training prior to September 30, 2016 which does not satisfy the requirement.

Corrected by Jul 5, 2024

View 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 shows that the fire detection system was not tested every 30 days. 8/11/23 - 9/11/23 1/5/24 - 2/9/24

Corrected by Jul 5, 2024

View 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.

Toy bins in classroom D and classroom E had dirt and grime at the bottom of the bins.

Corrected by Jul 31, 2023

View state record

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

It was observed during an unannounced visit that the staff files are kept on an open bookshelf in the office. The office door is not kept locked and closed.

Corrected by Aug 1, 2023

View 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 #3 did not have evidence of a completed 1 hr update for health and safety training.

Corrected by Jun 6, 2023

View state record

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 within 90 days of hire. Staff person #1 and #2 will have until June, 14, 2023 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2 , staff persons #1 and #2 may not work in a child-care position at the facility.

Staff files for Staff persons #1 and #2 did not have evidence of completed CPR training. Start dates for staff persons #1 and #2 are outside of the 90 day window of first day working with children.

Corrected by Jun 14, 2023

View 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.

The file for Staff #3 did not have documentation of a yearly evaluation.

Corrected by Jun 6, 2023

View state record

3270.66(e) · Arts and crafts materials shall be nontoxic.

Classroom B (PreK Counts) was found to have bingo dabbers on the art shelf that says keep out of reach of children. corrected on site

Corrected by May 24, 2023

View state record

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

Room F (infants) hot water temperature was read at 119 degrees Fahrenheit. Corrected on site

Corrected by May 24, 2023

View state record

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Classroom E (3s), bathroom steps had visible dirt and debris.

Corrected by Jun 9, 2023

View 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.

Toy bins in classroom D and classroom E had dirt and grime at the bottom of the bins Changing pads in room D and room F had rips in the coverings. (Corrected on site)

Corrected by Jun 16, 2023

View 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 classroom G (early head start) showed dirt and an old jelly spill on the shelves. Thermometer in classroom D (toddlers) was not working properly. (New thermometer added on site)

Corrected by May 26, 2023

View 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).

Files for Child #1, #2, #3, #4, #5, #6, #7, #8, did not have a Department approved form to provide parents with information about their child's growth and development.

Corrected by Jun 6, 2023

View state record

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

Admission agreement for child #2 did not specify the date of the child's admission.

Corrected by May 24, 2023

View 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.

Emergency contact forms did not contain health insurance policy number for Child #1, #2, #8

Corrected by Jun 6, 2023

View 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 #5 did not include an address for the individual designated by the parent to whom the child may be released.

Corrected by Jun 9, 2023

View state record

3270.131(c) · 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.

The health report for child #2, and #7 did not have a signature from a physician, physician's assistant or a CRNP.

Corrected by Jun 14, 2023

View state record

3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The health report for child #2 and #6 did not have if any medications and the reason for medications listed on it. The forms did not include if a special diet is prescribed as well.

Corrected by Jun 14, 2023

View state record

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The health report for child #2 did not list any health problems or special needs, including the results for screening vision, hearing and lead poisoning. The health report for child #7 did not list the results for screening vision, hearing and lead poisoning.

Corrected by Jun 14, 2023

View 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).

Health report for child #2 is missing the influenza and the MMR vaccines according to the recommendations of the ACIP.

Corrected by May 31, 2023

View 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.

Health report for child #2 and #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Jun 14, 2023

View 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.

Health report for child #2 and #7 did not 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.

Corrected by Jun 14, 2023

View state record

3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Medication logs were missing for inhaler and Epi pens (classroom B) and for motrin (classroom D)

Corrected by Jun 9, 2023

View state record

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation was not available showing testing of the fire alarm system every 30 days

Corrected by May 24, 2023

View state record

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

It was observed at the time of inspection an infant staff member place a boppy pillow on top of a sleeping infant.

Corrected by Aug 10, 2022

View 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 does not provide for accommodations for infants, toddlers, and children with disabilities.

Corrected by Jul 1, 2022

View state record

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility does not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when it ends to provide instructions as to how parents can safely be reunited with their children.

Corrected by Jun 30, 2022

View 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 letter explaining the emergency procedures does not include a method to contact parents when an emergency arises and when it ends (for parents to reunite with their children), accommodations for infants/toddlers and children with disabilities, and a statement that annual emergency drills will be conducted and documented.

Corrected by Jun 30, 2022

View state record

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

It was observed in Classroom G (Infants), Classroom D (1&2yo), and Classroom E (3&4 yo), that the water temperature of the sinks in the child care rooms was 124 degrees, 123 degrees, and 130 degrees F, respectively.

Corrected by May 11, 2022

View 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.

It was observed that the first-aid kit in Classroom A (2 yo) did not contain soap (corrected during inspection).

Corrected by May 10, 2022

View 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.

It was observed, in Classroom A (2 yo) that the red cushion on the children's bench and the diaper changing pad had foam exposed on all four corners due to the vinyl covering being torn.

Corrected by Jul 1, 2022

View 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.

It was observed in Classroom D (1 & 2 yo) that plastic bags were accessible to children in the bin in the bathroom (corrected during inspection).

Corrected by May 10, 2022

View 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 Classroom D ( 1& 2 yo) did not contain an operating thermometer (corrected during inspection).

Corrected by May 10, 2022

View state record

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

Child #3 and #5's agreements did not specify the date of the child's admission.

Corrected by Jun 7, 2022

View 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 files of child #1 through #5 contained the original agreements. Parents received copies of the agreements.

Corrected by Jul 1, 2022

View state record

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

Emergency contact information for child #1 did not contain the enrolling parent's home and work telephone numbers. The emergency contact information for child #2 and #3 did not contain the enrolling parent's home telephone number.

Corrected by Jun 7, 2022

View 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 information for child #1, #4, and #5 did not include the release person's address.

Corrected by Jun 7, 2022

View state record

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

In room E (3 & 4 yo), there were two children in this room with no emergency contact forms in this child care space (corrected during inspection).

Corrected by May 10, 2022

View 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.

Child #1, #2, and #4's records did not contain current Influenza vaccinations. Child #1's most recent is 10/6/20. Child #2's most recent is 9/1/20. Child #4's most recent is 11/20/19.

Corrected by Jul 1, 2022

View state record

3270.133(7)(v) · A medication log shall include the date of administration.

It was observed, in Classroom A (2 yo) that the medication log of two children did not include the date of administration.

Corrected by May 13, 2022

View state record

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The menu was not conspicuously posted in the facility.

Corrected by Jul 1, 2022

View 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.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected by Jun 24, 2022

View 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.

The emergency plan was not being sent to the local municipality.

Corrected by Jul 1, 2022

View state record