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.

Cert Rep observed 2 water-stained ceiling tiles in the toddler room.

Corrected Corrected by Apr 14, 2025

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.

Child #1 is missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

Staff person #1 is missing a health assessment and TB results.

Corrected Corrected by May 2, 2025

Category: ratio. Marked corrected in the state record.

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

Staff person #1 is missing proof of education.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(4) · 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.

Staff person #1 is missing a signed disclosure, proof of requests for state police and child abuse clearances.

Corrected Corrected by Apr 18, 2025

Category: background checks. 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 #1 is missing two written nonfamily references.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Child #1 is missing the initial health assessment and immunization record.

Corrected Corrected by May 2, 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 facility does not have a policy in place to address continuity of operations.

Corrected Corrected by Sep 23, 2024

Category: ratio. 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.

Child #2 is missing the telephone number of the child's physician.

Corrected Corrected by Sep 23, 2024

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

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

Operator admitted that emergency drills have not been conducted.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. Marked corrected in the 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.

Operator tested the fire system on 7/8/24 and again on 8/8/24 which is a span of 31 days. Operator tested the fire system on 8/8/24 and again on 9/10/24 which is a span of 32 days. This exceeds the requirement of testing every 30 days.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the 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.

Operator has not sent a copy of the emergency plan to the local municipality and the county emergency management annually.

Corrected Corrected by Sep 23, 2024

Category: physical safety. 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.

Child #1 is missing an initial health assessment.

Corrected Corrected by Sep 25, 2024

Category: health medication. 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.

Operator has not notified the 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. Date of last notification 8/19/23.

Corrected Corrected by Sep 23, 2024

Marked corrected in the state record.

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

Staff 1's mandated reporter training was dated 10/20/2017. Staff 2's mandated reporter training was last updated 10/20/2016. As a result, both trainings were more than 5 years old.

Corrected Corrected by Sep 16, 2023

Category: recordkeeping. Marked corrected in the 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.

Child 1's health assessment was not signed by a physician, PA or CRNP.

Corrected Corrected by Sep 25, 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.

Staff 3 had a health assessment dated 9/14/2020. Staff 4 had a health assessment dated 9/15/2020. As a result, the health assessments were more than 2 years old.

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 did not have permission for emergency medical care or minor first aid on file.

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

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

The facility's hot water for the back sink was over 110 degrees.

Corrected Corrected by Sep 30, 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.

In the back of the facility between the large room and infant room, there was a water stained tile. As per facility owner, the ceiling tile is water stained due to a leaking air conditioning system.

Corrected Corrected by Sep 19, 2022

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

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

There was no daily schedule posted in the front room.

Corrected Corrected by Sep 30, 2022

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

3270.124(b)(6)/3270.124(b)(7) · 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 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 did not have health insurance information on file. Child 4 did not have the policy number.

Corrected Corrected by Sep 30, 2022

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Children 1 and 2 had outdated emergency contact forms and fee agreements on file. Child 1's emergency contact form and fee agreement expired 5/11/2022 and child 2's emergency contact form expired on 2/28/2022 and the fee agreement expired on 3/27/2022.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the 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 4 did not have updated immunizations on file.

Corrected Corrected by Sep 30, 2022

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.

Staff one's last health assessment was conducted 1/22/2020, making it more than 24 months since it was last updated.

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no written statement on file for feeding schedules of infants.

Corrected Corrected by Sep 30, 2022

Category: nutrition. 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.

There was not a section in the emergency plan that provided for accommodations for infants, toddler and children with disabilities or chronic medical conditions.

Corrected Corrected by Sep 30, 2022

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

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

There was not an emergency plan drill on file.

Corrected Corrected by Sep 30, 2022

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 did not have a certificate of compliance posted or DHS contact information. The regulations were not accessible to parents.

Corrected Corrected by Sep 30, 2022

Marked corrected in the state record.

3270.21/3270.91(a) · Conditions at the facility may not pose a threat to the health or safety of the children.Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During a complaint investigation on 4/4/2022 and 4/13/2022, ladders were observed in the back hallway, leaning against the wall. The hallway is a fire exit. The ladders served as an obstruction to be able to freely exit the facility from the hallway.

Corrected Corrected by Apr 13, 2022

Category: health medication. 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.

During a complaint investigation on 4/21/2022, the facility was observed out of ratio with 2 staff and 23 children. The children were preschool and school age. The facility was out of ratio for approximately five minutes from 3:38p.m. to 3:43p.m.

Corrected Corrected by Apr 25, 2022

Category: ratio. Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

During a complaint investigation on 4/13/2022, it was observed that there was a bucket of water under the sink that is used for diaper changing. The bucket of water was accessible to the children since the cabinet under the sink was unlocked. The water was from the pipes of the sink that were leaking. The water that was leaking was going into the bucket.

Corrected Corrected by Apr 18, 2022

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

3270.113(c)/3270.113(d) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.A facility person may not use harsh, demeaning or abusive language in the presence of children.

During a complaint investigation, it was determined that before staff 1 was fired from the facility. Staff stated that she would consistently yell at the children and would single out children.

Corrected Corrected by Apr 22, 2022

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. Facility will develop a policy that includes appropriate discipline procedures. Staff 2 will conduct a staff meeting to review the new policy and have all staff sign off on the policy to prove that it was reviewed.

During a complaint investigation from 3/14/2022-3/17/2022, it was found on video, which was given to the certification representative by staff 2, that staff 1's hand pushed the head of child 1 to the mat. Also, when child 1 began to get off the mat, staff 1 went back to child 1's mat and took his legs and slammed them back to mat. At the end of the video, it was also found that staff 1's hand hit child 2 in the back of the head when child 2 lifted her head up.

Corrected Corrected by Mar 22, 2022

Marked corrected in the state record.

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

During a complaint investigation from 3/14/2022-3/17/2022, it was found on video, which was given to the certification representative by staff 2, that staff 1's hand pushed the head of child 1 to the mat. Also, when child 1 began to get off the mat, staff 1 went back to child 1's mat and took his legs and slammed them back to mat. At the end of the video, it was also found that staff 1's hand hit child 2 in the back of the head when child 2 lifted her head up.

Corrected Corrected by Mar 28, 2022

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The pack and play that was by the infant room was not labeled with a child's name on it. As per staff, it is used by a child.

Corrected Corrected by Oct 1, 2021

Category: physical safety. Marked corrected in the 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.

Staff 1-5 did not have annual fire safety training on file.

Corrected Corrected by Dec 15, 2021

Category: recordkeeping. 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.

There was peeling paint in the preschool room on the wall to the left, as well as when entering the infant room.

Corrected Corrected by Oct 23, 2021

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

In the infant room, there were high chairs with no straps. As per staff, they are used when the children are eating.

Corrected Corrected by Oct 15, 2021

Marked corrected in the 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.

Child 1 and 2 did not have health insurance coverage documented during the annual inspection.

Corrected Corrected by Oct 22, 2021

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

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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 4 did not have permission for emergency medical care and minor first aid on file.

Corrected Corrected by Oct 22, 2021

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.

There was more then 30 days in between fire alarm testing. There was a test completed on 8/4/2021 and not again until 9/24/2021.

Corrected Corrected by Oct 15, 2021

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.

Child 3 submitted a health assessment form 90 days (changed from 60 days due to COVID-19 regulation suspensions) after the date of admission. Child 4 did not have a health assessment on file and it has been more then 90 days since child 4's date of admission.

Corrected Corrected by Oct 22, 2021

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