3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

There were sharp (adult) scissors on a shelf in the Art Studio, within the reach of children.

Corrected Corrected by Sep 4, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2may not work in a position with contact with children at the facility until all completed clearances are on file.

Facility Person #1 had child abuse clearances on file dated 7/31/20 and 8/29/25. As per staff statements, Facility Person #1 did not work with children during the program's summer break beginning on 6/6/25, but returned to a child care position on 8/25/25. Facility Person #2 has been serving, since 2006, as a volunteer at the facility since (in a role where they have had with contact with children, but not counted in the staff:child ratio). The only clearances on file for Facility Person #2 are dated as follows: state police - 7/14/21 and 7/26/25 (no child care between 6/6/25 and 8/25/25); child abuse - 7/26/25; FBI 8/21/25. There was no NSOR clearance on file for Facility Person #2.

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There were an uncovered outlets on a power strip on the floor in the Art Studio, behind a trash can, and in the restroom in the Willow room, on the wall above the paper towel dispenser, both in reach of children.

Corrected Corrected by Sep 4, 2025

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

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

The agreements on file for children #1-#5 do not specify the children's date of admission to the child care program.

Corrected Corrected by Sep 11, 2025

Category: recordkeeping. Marked corrected in the 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.

There were no emergency contact form present in the Maple and Juniper rooms for one of children in care in each of those rooms.

Corrected Corrected by Sep 4, 2025

Category: recordkeeping. 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.

Facility Person #2 has been serving, since 2006, as a volunteer at the facility (in a role where they have had with contact with children, but not counted in the staff:child ratio). The only health assessment and TB test on file for Facility Person #2 were dated 8/14/25 & 8/3/25, respectively.

Corrected Corrected by Sep 4, 2025

Category: ratio. Marked corrected in the state record.

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

The fire drill log indicates that fire drills were conducted on 1/8/2025 and then again on 3/13/2025.

Corrected Corrected by Sep 4, 2025

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(1) · **The legal entity shall ensure that all facility persons complete the following Better Kid Care training: "Ethics: A Guide for Professional Behavior" regarding moral and ethical commitment of educators. The training may count towards the mandatory 12 training hours required by the Department. Documentation of the training shall be retained on file and submitted to the Department.

**SECOND CITATION; PREVIOUSLY CITED ON 2/3/25: Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Jul 17, 2025

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

20.71(a)(1) · ***The legal entity shall conduct at least 4 monthly mandatory staff meetings. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last two years, as well as the Department of Human Services' regulations related to the facility's fraud policy. An agenda listing topics for discussion will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.

***SECOND CITATION; PREVIOUSLY CITED ON 2/3/25: Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Aug 15, 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. Facility Person #5 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the ""Get Started with Center-Based Care: Building Blocks for Quality" and a second certificate also dated 1/25/22 showing completion of the "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated both certificates on file were provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificates on file.

Corrected Corrected by Feb 4, 2025

Category: ratio. 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 required in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the families explaining the emergency plan did not include information on the accommodations to be made in the event of an emergency.

Corrected Corrected by Mar 21, 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.

The current pediatric first aid/ CPR trainings on file for Facility Persons #2 and #5 were completed after the expiration dates of the previous respective first aid/CPR trainings on file.

Corrected Corrected by Nov 3, 2024

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). 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 without all completed required clearances on file.

There was no NSOR clearance or application for an NSOR clearance on file for Facility Person #1 The child abuse clearance on file for Facility Person #3, a staff person, was the volunteer version of the clearance and therefore unacceptable for Facility Person #3. The NSOR clearance on file for Facility Person #3 was completed after their start date. There was no application for an NSOR clearance on file for Facility Person #3. The criminal history, child abuse, and FBI clearances on file for Facility Person #4 were completed after their start date. There was no proof of application for any clearances on file for Facility Person #4.

Corrected Corrected by Feb 11, 2025

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was an accessible power strip on the floor in the Art Room with three uncovered outlets.

Corrected Corrected by Feb 3, 2025

Marked corrected in the 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.

There was a bottle of whiteboard cleaner labeled "keep out of reach of children" in an unlocked drawer accessible to children in the Juniper room.

Corrected Corrected by Feb 3, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

There was no first aid kit in the art room.

Corrected Corrected by Feb 5, 2025

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Original agreements were on file for children #1 and #2.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The medical emergency transportation plan was not posted in the Maple and Art rooms.

Corrected Corrected by Feb 10, 2025

Category: transportation. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was an allergy medication (in the locked medication storage) in the Maple room not labeled with the name of the child for whom it was intended.

Corrected Corrected by Feb 3, 2025

Category: health medication. 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 no proof of purchase of the fire alarm system on file as required by Act 62. There was no previously submitted and approved attestation statement as to the purchase date of the fire alarm system on file.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

20.71(a)(1) · ***The legal entity shall conduct at least 4 monthly mandatory staff meetings following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last two years, as well as the Department of Human Services' regulations related to the facility's fraud policy. An agenda listing topics for discussion will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.

***Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Jun 6, 2025

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

20.71(a)(1) · *The legal entity shall ensure that all facility persons complete the following Better Kid Care training: "Ethics: A Guide for Professional Behavior" regarding moral and ethical commitment of educators within 3 months of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department. Documentation of the training shall be retained on file and submitted to the Department.

*Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Apr 24, 2025

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

20.71(a)(1) · **Following completion of the required training, the legal entity must develop a policy on fraud that defines fraud, the prohibition of fraud, and the consequences of committing fraud. The new policy will be discussed with staff, added to employee handbook, and a signed acknowledgment for each staff member will be placed in their individual files. The policy will be submitted to the certification representative for approval before being discussed with staff or added to the handbook.

**Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Apr 25, 2025

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

20.71(a)(1) · The Department may deny, refuse to renew or revoke a certificate of compliance for failure to comply with this chapter.

Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Corrected Corrected by Mar 24, 2025

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

3270.94(a)(6) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip.

According to the fire drill log and the operator's statement, the fire drills conducted at the facility consisted of the evacuation of individual classrooms/groups of children and did not provide for the removal of all persons from the facility, but rather the select classroom(s)/groups participating in that particular fire drill.:

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were pegs for a pegboard smaller than 1 inch in size in the Maple room at the time when the older toddlers, children who may still be placing things in their mouths, were in the classroom.

Corrected Corrected by Feb 5, 2024

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.

The most recent Pediatric First Aid/Pediatric CPR on file for Staff person #4 is dated 9/16/23, after the previous certificate expired on 5/31/23.

Corrected Corrected by Feb 5, 2024

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #3 includes criminal history clearances dated 3/23/18 and 7/15/23; child abuse clearances dated 3/30/18 and 7/20/23; and FBI clearances dated 3/26/18 and 7/28/23, all more than 60 months apart.

Corrected Corrected by Feb 5, 2024

Category: background checks. Marked corrected in the 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.

The first aid kit in the Willow room did not include scissors. The first aid kit in the Juniper room did not include tweezers

Corrected Corrected by Feb 5, 2024

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 #3 does not include the telephone number for the child's pediatrician or source of medical care.

Corrected Corrected by Feb 6, 2024

Category: health medication. 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 emergency contact form on file for Child #1 and #3 does not include a complete address for all listed release persons.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. Marked corrected in the 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).

The immunization record on file for Child #2, who is 4 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 3 years old, includes 0 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Feb 6, 2024

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 2 most recent health assessments on file for Staff person #1 are dated 7/13/21 and 8/7/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 are dated 4/13/21 and 5/21/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 are dated 2/17/21 and 8/29/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 are dated 9/19/21 and 2/2/24, more than 24 months apart.

Corrected Corrected by Feb 5, 2024

Category: ratio. 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.

Staff person #3 completed 9 of 12 hours of annual training between 4/2022-4/2023, as per Announcement C-21-09.

Corrected Corrected by Feb 5, 2024

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 emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Mar 1, 2023

Category: ratio. 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 most recent emergency plan training on file for Staff person #1, #2, #3 dated 9/1/22, is dated more than 1 year after the previous training, dated 8/31/21.

Corrected Corrected by Mar 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #4, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Mar 1, 2023

Category: supervision. 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 was a basket of tin cans in the Willow Room and 3 tin cans in the Birch Room, all of which had a sharp edge on the inside, where the lid had been removed, which could cut a child.

Corrected Corrected by Feb 10, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There was mulch and pea gravel in flower-bed sections of the grassy playground, which were accessible to children who are still placing things in their mouths.

Corrected Corrected by Feb 10, 2023

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

There was a table holding a microwave, in the Art Room, where children complete art projects, that was wobbly, creating a hazard if it were to fall.

Corrected Corrected by Feb 10, 2023

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 written daily activity schedule in the Birch Room and the Art Room.

Corrected Corrected by Feb 9, 2023

Category: physical safety. 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.

The emergency contact form on file for Child #2 does not include the policy number for the child's health care benefits.

Corrected Corrected by Feb 10, 2023

Category: health medication. 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 emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The emergency transportation plan was not posted in the Willow Room, Maple Room, and the Art Room.

Corrected Corrected by Feb 9, 2023

Category: transportation. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · Child #1, #4, and #5 must be dismissed from care by close of business on 2/9/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 11/11/19, which is dated more than 1 year ago, as recommended annually for a child this age. The most recent influenza vaccination on file for Child #4, who is 4 years old, dated 9/20/21, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5, who is 4 years old, included 0 of 3 Hepatitis B vaccines recommended for a child this age; 3 of 4 DTAP vaccines recommended for a child this age; 2 of 4 HIB vaccines recommended for a child this age; 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; 0 of 5 Polio vaccines recommended for a child this age; 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 annual influenza vaccines recommended for a child this age.

Corrected Corrected by Feb 21, 2023

Category: health medication. Marked corrected in the 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.

The health assessment on file for Child #3 and #4 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Feb 14, 2023

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was an Auvi Q pen in the Discovery classroom labeled for use by a specific child which did not have written parental permission to administer.

Corrected Corrected by Feb 14, 2023

Category: ratio. Marked corrected in the state record.

3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

The Birch room, which in intended for use as a child care space, contains an operable stove and therefore can not be used as child care space.

Corrected Corrected by Aug 18, 2022

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics 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 person #2, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person # 2 was dated 1/25/22. The file for staff person #3, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #2 was dated 1/25/22; and for Staff person #3 was dated 4/27/22.

Corrected Corrected by Jun 21, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #3 does not include a signed disclosure statement

Corrected Corrected by Jun 21, 2022

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.

The file for staff person #4 was observed not to contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Jun 21, 2022

Category: background checks. Marked corrected in the 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.

The agreement on file for Child #2 does not include the child's date of admission.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. 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 #3 does not include the complete home address for the enrolling parent.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. 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.

The most recent 6 month review signature for the emergency contact form on file for Child #1, #2, #4, #5, #6, #7, #8, #9, and #10 is dated more than 6 months after the previous 6 month review signature. The file for Child #1, #2, #4, #5, #6, #7, #8, #9, and #10, does not include a 6 month parental review signature for the agreement.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was prescription medication for a child in the Willow room which does not include written parental permission to administer.

Corrected Corrected by Jun 21, 2022

Category: ratio. 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 #2 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #2 was dated 11/11/21.

Corrected Corrected by Jun 21, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #2 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #2was dated 11/11/21.

Corrected Corrected by Jun 21, 2022

Category: health medication. Marked corrected in the 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.

The file for Child #4 does not include written parental permission to administer minor first aid procedures.

Corrected Corrected by Jun 21, 2022

Category: ratio. 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 person #5, was observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET).

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility.

The file for staff person #1 lacked a disclosure statement. The file for staff person #2, with a start date of 4-16-21, had an FBI clearance that was not valid and lacked a DHS FBI clearance.

Corrected Corrected by Aug 5, 2021

Category: background checks. Marked corrected in the 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.

In the Birch room, the refrigerator that stores food for the children had a digital thermometer that was not functioning.

Corrected Corrected by Aug 5, 2021

Category: nutrition. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The emergency transportation plan was not posted in the Juniper room.

Corrected Corrected by Aug 5, 2021

Category: transportation. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The files for staff person #1 and #2 had a health assessment that said "Yes" to having communicable diseases and lacked an explanation of the results.

Corrected Corrected by Aug 5, 2021

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