3270.133 · 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.

During the complaint investigation conducted on 11/4/2025 it was determined that staff person #1 accepted child #1's medication and doctor's note dated 3/12/2025 from the child's mother, to administer the medication daily during lunchtime. Staff stated that the medication was not administered due to the child's mother handing it to the staff person in their child's room on 3/13/2025 rather than the director or site operator which is facility protocol. Due to this error, child #1 did not receive this medication from 3/13/2025 to 10/21/2025.

Corrected Corrected by Oct 21, 2025

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.

During the renewal inspection conducted on 11/15/2024 observed staff person #1's file did not include verification of completion of the 1-hour health & safety update.

Corrected Corrected by Jan 7, 2025

Category: ratio. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During the renewal inspection conducted on 11/15/2024 observed the window in the infant room did not have the window stopper on it to prevent it from opening more than 6 inches. Corrected on-site 11/15/2024.

Corrected Corrected by Jan 7, 2025

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

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

During the renewal inspection conducted on 11/15/2024 observed the travel first-aid kit in the Infant room did not include a water bottle. Corrected on-site 11/15/2024.

Corrected Corrected by Jan 7, 2025

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.

The emergency plan does not address continuity of operations in the aftermath of a disaster.

Corrected Corrected by Dec 28, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire.

Staff person # 1did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/FIrst Aid. Staff person completed the training on 10/23/23.

Corrected Corrected by Nov 30, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for child # 1 does not have the name of the child's physician or source of medical care.

Corrected Corrected by Dec 28, 2023

Category: health medication. 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 on file for child# 1 does not have the enrolling parent's work address and phone number.

Corrected Corrected by Dec 28, 2023

Category: recordkeeping. 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 TB test results on file for staff person # 2 are dated 8/18/22, which is more than 1 year prior to their initial employment (see code sheet for DOH), therefore not valid.

Corrected Corrected by Dec 28, 2023

Category: health medication. Marked corrected in the 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 emergency plan does not provide specific accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 28, 2023

Category: physical safety. 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.

There is no address for the release persons listed on the emergency contact forms belonging to children # 1 and # 2.

Corrected Corrected by Feb 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.131(e)(1) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. 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.

There is no proof of influenza vaccination in 2022 on file for child # 1 as required by the ACIP.

Corrected Corrected by Jan 26, 2023

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

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

Staff person # 1 is being used as an assistant group supervisor. The education and experience on file qualifies them as an aide.

Corrected Corrected by Jan 26, 2023

Category: supervision. Marked corrected in the state record.

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

Staff persosn # 2 and 3 did not completed the following required pre-service training within 90 days of their date of hire : Pediatric CPR/First Aid.

Corrected Corrected by Jan 26, 2023

Category: supervision. 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.

Proof of purchase is not available to review for the facility's fire detection system.

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. Marked corrected in the state record.