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.

In the classroom after snack, there were used napkins and snack items that appeared to be contaminated by human secretions observed in an uncovered receptacle. In the designated boys' and girls' restrooms, used paper towels that appeared to be contaminated by human secretions and excrements were observed in open receptacles.

Corrected Corrected by Apr 14, 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.

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

Corrected Corrected by Apr 14, 2025

Category: ratio. Marked corrected in the 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's emergency plan lacked a method for facility persons to contact parents when an emergency situation arises and when the emergency has ended with instructions as to how parents can safely be reunited with their children.

Corrected Corrected by Apr 14, 2025

Category: physical safety. 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 letter explaining the emergency plan lacked information on lock-down procedures, method to contact parents when an emergency arises, method to inform parents how to safely reunite with their child(ren), and accommodations for children with disabilities and chronic medical conditions.

Corrected Corrected by Apr 14, 2025

Category: physical safety. 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.

Staff Person #1 completed pediatric FA and CPR training on 7/3/23, more than 24 months from the previous training on 5/6/21. Staff Person #2 completed pediatric FA and CPR on 3/8/24 more than 24 months from the previous training on 8/5/21.

Corrected Corrected by Apr 22, 2025

Category: ratio. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The facility lacked handwashing signs above the sink in the classroom and above each sink and flushable unit in the restrooms utilized by the child care program.

Corrected Corrected by Apr 22, 2024

Category: health medication. 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 files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original fee agreement forms signed by the parent.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. 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 (See LIS Code Sheet) contained a health assessment and TB screening results dated 7/28/23 which was more than 12 months old when hired.

Corrected Corrected by Apr 22, 2025

Category: ratio. 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's emergency plan lacked accommodations for children with disabilities or chronic medical conditions.

Corrected Corrected by Apr 22, 2025

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan lacked accommodations for sheltering children during a lock-down situation.

Corrected Corrected by Apr 22, 2025

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

3270.27(a)(3) · 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 emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Mar 22, 2024

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

3270.27(a)(4) · 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 emergency plan lacked 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.

Corrected Corrected by Mar 19, 2024

Category: physical safety. Marked corrected in the 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 # 1 contained a current written evaluation dated 3/12/24 that was conducted more than 12 months from the previous evaluation dated 6/20/22.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The file for child # 1 a school age lacked initial health report, the child has been in care longer than 60 days, the child start date was 3/22/23.

Corrected Corrected by Mar 19, 2024

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was a lunchbox out of the refrigerator that contained cheese and yogurt.

Corrected Corrected by Mar 19, 2024

Category: nutrition. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The operator did not post the evacuation routes in the facility at a conspicuous location.

Corrected Corrected by Mar 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff # 2 lacked 1 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. 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.

The operator did not 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 childcare facility. The previous letter was sent on 1/17/22.

Corrected Corrected by Mar 19, 2024

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 file for child #1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 14, 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 emergency plan lacked the updates regarding the Continuity of Operations requirements.

Corrected Corrected by Mar 14, 2023

Category: ratio. 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).

The file for staff #2 contained a current FBI clearance dated 2/8/23, that was not renewed within 60 months of the prior FBI clearance dated 5/5/17.

Corrected Corrected by Mar 14, 2023

Category: background checks. 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.

There were two clear cracked bins. One was holding markers and the other was holding manipulative toys. There was a pink barbie car that was cracked on the front of the car creating a pinch point.

Corrected Corrected by Mar 14, 2023

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The files for child # 1 and 2 lacked the information on the child's special needs, on the emergency contact form.

Corrected Corrected by Mar 14, 2023

Category: health medication. 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 file for staff #1 contained a current health assessment dated 1/3/23. It was not obtained within 24 months of the previous assessment dated 12/22/20. The file for staff #2 contained a current health assessment dated 4/7/22. It was not obtained within 24 months of the previous assessment dated 1/24/20. The file for staff #3 contained a current health assessment dated 2/10/23. It was not obtained within 24 months of the previous assessment dated 3/12/20.

Corrected Corrected by Mar 14, 2023

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was milk, yogurt, chesses and lunch meat in three lunch boxes on the cubbies.

Corrected Corrected by Mar 14, 2023

Category: nutrition. 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.

The file for staff # 3 contained a current mandated reporter training certificate dated 2/21/23 that was not obtained within 60 months of the previous certificate dated 9/20/17.

Corrected Corrected by Mar 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the facility's fire drill log on 3/14/23, a fire drill had not been conducted within the past 60 days. The most recent fire drill was conducted on 1/12/23.

Corrected Corrected by Mar 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility was not providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Corrected Corrected by Mar 14, 2023

Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff #1, lacked 4 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21. The file for staff #3, lacked 6 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21.

Corrected Corrected by Mar 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · 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. 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 #1, staff #2, and staff #3 had an emergency plan training date of 2-12-2021 and 2-22-2022 which exceeded the annual training date of 2-12-2021.

Corrected Corrected by Feb 22, 2022

Category: recordkeeping. 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 file for staff #1, staff #2, and staff #3 had a fire safety training date of 6-26-2020 and 7-1-2021 which exceeded the annual fire safety training date of 6-26-2021.

Corrected Corrected by Mar 13, 2022

Category: recordkeeping. Marked corrected in the 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 #1 had a staff evaluation date of 6-19-2020 and 9-29-2021 which exceeded the annual staff evaluation date of 6-19-2021. The file for staff #3 had a staff evaluation date of 6-19-2020 and 9-30-2021 which exceeded the annual staff evaluation date of 6-19-2021.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The child care space lacked a written plan of daily activities and routines.

Corrected Corrected by Mar 9, 2022

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.

The file for child #2 contained an emergency contact form which did not specify the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for child #1 who had an admission date of 8-26-2022 lacked verification of any immunizations completed.

Corrected Corrected by Mar 10, 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 #1 contained a health assessment date of 8-16-2017 and 3-12-2022 which exceeded the allowable 24 months between health assessments. The file for staff #3 contained a health assessment date of 1-24-2020 and the file does not contain an updated health assessment.

Corrected Corrected by Apr 15, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.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 #1 and staff #3 who were both hired prior to 12-19-2020 contained a Pediatric First Aid/CPR Training date of 8-5-21 which exceeded the mandatory training date of 6-17-2021.

Corrected Corrected by Mar 8, 2022

Category: health medication. 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 #1 and staff #3 who were both hired prior to 12-19-2020 did not have any of the 12 clock hours completed by the mandatory training date of 12-19-2021.

Corrected Corrected by Mar 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #1 with an admission date of 8-26-2021 did not contain any health assessment.

Corrected Corrected by Mar 10, 2022

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