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Home › PA › Masontown › Twinkling Star Childcare
500 N Water St, Masontown PA 15461 · License #CER-00252685 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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.
Based on documentation on file, staff #3 did not participate in emergency plan training annually. The training dates on file were 2/20/24 and 7/31/25. Current training is now on file.
Corrected Corrected by Jan 23, 2026
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 files for staff #2 and #3 lacked staff evaluations completed by the director within the last 12 months.
Corrected Corrected by Jan 23, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
A reusable spray bottle in room 3 was not labeled with the contents. Based on statements made by staff, the bottle contained a bleach and water mix.
Corrected by Jan 23, 2026
Disposition: Non Compliant - Finalized
Disposition: Non Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Category: ratio. Marked corrected in the state record.
3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.
The heat register in room 1 measured 139° in multiple places including the accessible heating element, and points along the top and sides of the register.
Corrected Corrected by Jan 23, 2026
Category: physical safety. 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.
The following equipment was observed not to be in good repair; 1 broken metal coat hook in a cubby in room 3,1 clear plastic storage tub with a cracked corner in room 2, a disconnected hinge which created a pinch point on a wooden cabinet containing dress up clothes in room 2, broken areas of plastic on a red ride on car, front end loader, and plastic slide in the outdoor play spaces.
Corrected Corrected by Jan 23, 2026
Category: physical safety. Marked corrected in the state record.
3270.103/3270.104(a) · 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.
The seat pillow on the adult rocking chair in room 3 had multiple frayed and torn areas which exposed the inner foam filling. Children under 3 years of age were observed in care in the room.
Corrected Corrected by Jan 23, 2026
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 emergency contact information for children #1, #2, #3, and #4 did not include information on the child's special needs. The related boxes on the form were left blank.
Corrected Corrected by Jan 23, 2026
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 information for children #1 and #3 did not include phone numbers for all individuals desingated to whom the child may be released.
Corrected Corrected by Jan 23, 2026
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 files for staff #1 and #3 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for both staff are now current.
Corrected Corrected by Jan 23, 2026
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 #1 lacked 5 of 12 required hours of training completed between 12/19/24 and 12/19/25.
Corrected Corrected by Mar 1, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.
The file for child #4 contained an initial health report dated more than 60 days after their first day in attendance. A current health report is now on file.
Corrected Corrected by Jan 23, 2026
Category: health medication. 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.
The safety lock on the bathroom cabinet was not functioning properly leaving 3 cleaning materials accessible to children; Windex, toilet bowl cleaner, and Zep.
Corrected Corrected by Jan 17, 2025
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.
A stained area was observed on the ceiling of room 3, the infant/toddler room.
Corrected Corrected by Mar 7, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
The files for children #1 and #2 did not contain documentation of sharing a child service report with the parents within the last 6 months. The last documentation on file for each child was dated 3/08/24.
Corrected Corrected by Feb 14, 2025
Category: recordkeeping. 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 contained 3 of the 12 required annual training hours completed between 4/17/23 and 4/17/24.
Corrected Corrected by Mar 7, 2025
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. Until such time as the required pre-service trainings are completed, staff person #1 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 person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.
Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR and First Aid from an approved instructor.
Corrected Corrected by Jul 19, 2024
Category: supervision. 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.
Electrical outlets on power strips in rooms 1 and 2, accessible to children 5 years of age or younger, lacked protective covers.
Corrected Corrected by Jul 18, 2024
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.
Broken/unattached straps were observed on a mini trampoline in the outdoor play space.
Corrected Corrected by Jul 18, 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.
Staff file #2 lacked documentation of a staff evaluation completed by the director at a minimum of every 12 months. (See LIS CODE SHEET)
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.
There was evidence of gnat infestation in the facility near and around the sink and on the walls in the middle room and in the bathroom.
Corrected Corrected by Apr 5, 2024
Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
A child was observed wiping their nose on a tissue then disposing the used tissue into a garbage can that lacked a cover.
Corrected Corrected by Mar 21, 2024
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 kits located in the middle room and the infant room lacked tape in the first aid kits.
Corrected Corrected by Mar 13, 2024
Category: health medication. 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 strips of Styrofoam in the outdoor play area that were accessible to the children who still put objects in their mouths.
Corrected Corrected by Mar 13, 2024
Category: physical safety. 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.
The infant room and the main room refrigerators where children's food is stored lacked an operable thermometer in each refrigerator.
Corrected Corrected by Mar 19, 2024
Category: nutrition. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Child files #1, #2, #3 and #4, contained copies of child service reports dated 3/8/24 which was conducted more than 6 months since previous child service reports were completed and given to the parents.
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
Child file #3 contained health reports dated 8/23/22 and 8/24/23 which was not updated every 6 months as required for a young toddler. (See LIS CODE SHEET)
Corrected Corrected by Mar 19, 2024
Category: health medication. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
There was Tylenol and other medications in the unlocked 2nd drawer of a filing cabinet in the middle room that was accessible to the school aged children while in care.
Corrected Corrected by Mar 13, 2024
Category: health medication. Marked corrected in the state record.
3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
Child #5 had medication at the facility that lacked a medication log with written consent by the parent for administration of the medication while at the facility.
Corrected Corrected by Mar 28, 2024
Category: ratio. Marked corrected in the state record.
3270.181(c) · A 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.
Child files #1, #2 and #3 lacked documentation of review and update by parent of the financial agreement forms in the child's file every 6 months.
Corrected Corrected by Mar 13, 2024
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.
The facility lacked documentation of completion of fire drills every 60 days from 9/11/23-12/10/23.
Corrected Corrected by Mar 13, 2024
Category: recordkeeping. 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.
The facility lacked documentation of testing of the interconnected fire system every 30 days from 9/11/23-12/10/23.
Corrected Corrected by Mar 13, 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.
Staff file #1 contained documentation of 9 of the 12 hours required for child care training completed annually between 12/19/22 and 12/19/23.
Corrected Corrected by Mar 19, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.
Child file #2 contained a health report dated 10/13/23 which was more than 60 days after the child's first day of attendance at the facility. (See LIS CODE SHEET) Child file #4 lacked an initial health report within 60 days of the child's first day of attendance at the facility. (See LIS CODE SHEET)
Corrected Corrected by Mar 13, 2024
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.
3rd CITATION: On 2/1/24, the operator lacked documentation available at the facility of the updated sections in their emergency plan that include the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04. PREVIOUSLY CITED ON 8/25/23 and 11/1/23.
Corrected Corrected by Feb 23, 2024
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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
3rd CITATION: On 2/1/24, the operator lacked documentation available at the facility of the updated letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan. PREVIOUSLY CITED ON 8/25/23 and 11/1/23.
Corrected Corrected by Feb 23, 2024
Category: physical safety. 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.
On 11/1/23, the designated staff person did not have access to Child file #2 to verify the emergency form was updated to include the written consent signed by the parent for administration of minor first-aid procedures by a staff person to the child. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 1, 2023
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.
On 11/1/23, the operator lacked documentation available at the facility of the updated sections in their emergency plan that addresses volunteer emergency preparedness training, and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 1, 2023
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.
On 11/1/23, the operator lacked documentation available at the facility of a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 1, 2023
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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
On 11/1/23, the operator lacked documentation available at the facility of the updated letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 1, 2023
Category: physical safety. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.
Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present.
Corrected Corrected by Dec 18, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)/3270.113(a)(1) · **The legal entity must arrange for all facility staff to receive onsite supervision training from the ELRC 4 regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training hours may count toward the 12 annual childcare training hours.
**Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23
Corrected Corrected by Dec 31, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)/3270.113(a)(1) · ***The legal entity must create a written supervision policy for staff that includes the following regulations: 3270.4 (definition of supervision), 3270.113(a), 3270.113(a)(1). The policy must be approved by DHS. Each staff must review and sign the supervision policy and a copy of the signed policy shall be kept in their staff file. The legal entity shall create a document that includes the following: the definition of supervision, 3270.4; supervision 3270.113(a), and supervision grouping 3270.113(a)(1) and staff:child ratios 3270.51, 3270.52. The document will be posted at the exit of each room. The document must be approved by DHS, prior to posting.
***Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23
Corrected Corrected by Dec 31, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)/3270.113(a)(1) · *Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
*Per observation and staff statements, on 11/1/23, Staff #1 was caring for 1 older toddler and 3 preschool aged children in the front room. Staff #2 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 stepped out of the front room through an exterior door from the office into the parking lot. Staff #1 closed the door and was outside for approximately 2 minutes. During that time, the children she was caring for were in the front room unsupervised and without a staff person present. Later on 11/1/23, Staff #1 was caring for 1 infant, 2 young toddlers and 1 older toddler in the infant/toddler room. Staff #1 left the room to go to the kitchen for the infant's bottle. The children were left in the room with no staff present. PREVIOUSLY CITED ON 7/28/23
Corrected Corrected by Dec 31, 2023
Category: supervision. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
On 11/1/23, designated staff person did not have access to Child file #2 and updated child service reports completed every 6 months. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 2, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
On 11/1/23, designated staff person did not have access to Child file #2 to verify the emergency contact was updated to include the written consent signed by the parent for emergency medical care for the child. PREVIOUSLY CITED ON 8/25/23
Corrected Corrected by Nov 1, 2023
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.
The facility lacked copies of the emergency contact forms for Child #3, #4, #5 and #6 in the rooms were the children were receiving care.
Corrected Corrected by Nov 3, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.
The facility lacked individual records for Child #3, #4, #5 and #6 who were present and receiving care on 11/1/23.
Corrected Corrected by Nov 3, 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 operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.
Corrected Corrected by Oct 13, 2023
Category: ratio. 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.
The stepping stone walking blocks in the outdoor play space were broken and had rough and sharp edges that posed a hazard to the children. The riding toy truck in the infant space lacked a seat exposing the motor mechanics to the children.
Corrected Corrected by Sep 15, 2023
Category: physical safety. 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 operator lacked a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi) and in accordance with Announcement C-22-03.
Corrected Corrected by Oct 13, 2023
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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The operator a lacked letter to parents explaining the lock-down procedures and how the plan addresses accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions that were included in the updated emergency plan.
Corrected Corrected by Oct 13, 2023
Category: physical safety. 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.
The preschool room had a bottle of bleach water on the hand towel dispenser that was accessible to the children in care.
Corrected Corrected by Sep 15, 2023
Category: physical safety. Marked corrected in the state record.
3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.
There were gnats that came from the handwashing sink drain all over the wall in the preschool room.
Corrected Corrected by Oct 13, 2023
Category: health medication. Marked corrected in the state record.
3270.72(b) · Windows or doors used for ventilation shall be screened when open.
The open window in the bathroom lacked a screen.
Corrected Corrected by Oct 13, 2023
Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
The sink in the infant room lacked a platform or step for the children to easily use the sink.
Corrected Corrected by Oct 13, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
Child file #1 lacked the operator signature on the agreement form.
Corrected Corrected by Sep 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Child file #2 lacked copy of a child service report completed every 6 months as required and given to the parents.
Corrected Corrected by Oct 13, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
Child file #2 lacked the written consent signed by the parent for emergency medical care for the child on the emergency contact form.
Corrected Corrected by Sep 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
Staff person #1 was observed using their hand to lift the lid of the hands free can while changing the child's diaper.
Corrected Corrected by Oct 13, 2023
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.
Staff file #1 contained health assessments dated 3/12/21 and 7/27/23 which exceeded the 24 months as required for an updated health assessment.
Corrected Corrected by Sep 15, 2023
Category: ratio. 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.
Child file #2 lacked the written consent on the emergency contact form signed by the parent for administration of minor first-aid procedures by a staff person to the child.
Corrected Corrected by Sep 1, 2023
Category: ratio. 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.
On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group.
Corrected Corrected by Jul 28, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.
On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group.
Corrected Corrected by Jul 28, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
On 7/28/23, Staff #1 answered the door, leaving 1 young toddler, 4 preschool children and 2 young school age children in the preschool room without an adult present. Upon entry, there were 2 young school age children observed alone and remained in school age room without an adult present as Staff #1 went back into the preschool room. Staff #2 was present in the infant room with 1 young toddler. Staff #1 identified 3 preschool children and 3 young school age children in their supervision group. Staff #2 identified 1 young toddler in their supervision group. Leaving 1 young toddler, 2 preschool children and 1 young school age child not identified in a supervision group.
Corrected Corrected by Jul 28, 2023
Category: supervision. Marked corrected in the state record.
3270.61(h)(1) · The capacity established for an indoor space may not be exceeded except at naptime, when toddler or preschool children are resting on rest equipment described in §3270.106.
On 7/28/23, there were 8 children including 1 young toddler, 6 preschool children and 1 young school aged child present in the preschool room that measures for 7 during naptime, all of whom were not resting on rest equipment.
Corrected Corrected by Oct 16, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 and #5 may not work in a child care position at the facility. 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 and #5 may not work in a child care position at the facility.
Staff #4 file contained a receipt for a PDE FBI clearance request dated 9/11/22 but lacked a valid DHS FBI clearance. Staff #5 file contained a receipt for DHS FBI clearance request dated 8/17/22 but lacked a valid DHS FBI clearance. (See LIS CODE SHEET)
Corrected Corrected by Nov 7, 2022
Category: background checks. 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.
Staff file #4 lacked the results of the TB results prior to initial hire. (See LIS CODE SHEET)
Corrected Corrected by Nov 3, 2022
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. Until such time as the required pre-service trainings are completed, staff person #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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.
Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety topics and pediatric first-aid/CPR training.
Corrected Corrected by Sep 13, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Staff file #1 contained Mandated reporter training certificates dated 12/26/16 and 7/14/22 which exceeded the 60 months as required by CPSL.
Corrected Corrected by Aug 9, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
PREVIOUSLY CITED ON 4/25/22, Staff file #3 lacked a signed and dated disclosure statement in the file.
Corrected Corrected by Aug 9, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.
At approximately 2:25 pm, staff #2 was observed outside of the facility while staff #3, an aide, was left unsupervised with 1 young toddler, 1 older toddler and 2 preschool children who were napping in the preschool room.
Corrected Corrected by Aug 9, 2022
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.
The plastic bin being used as a sink in the wooden kitchen set was cracked and broken. The triangle trampoline in the outdoor toddler play space was torn and the material was threadbare. The plastic piece covering the front wheel on the tricycle in the toddler outdoor play space was cracked and had sharp edges.
Corrected Corrected by Aug 9, 2022
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
The cots in the preschool room did have 2 feet of space on three sides while children were napping on them.
Corrected Corrected by Aug 15, 2022
Category: physical safety. 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.
The refrigerator in the school age room did not contain an operable thermometer.
Corrected Corrected by Aug 9, 2022
Category: nutrition. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
Child file #1 lacked an updated health assessment every 12 months as required for an older toddler.
Corrected Corrected by Aug 9, 2022
Category: health medication. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
Staff #2 used a wipe to clean a young toddler and did not wash the young toddlers hands after diapering the child.
Corrected Corrected by Aug 9, 2022
Category: health medication. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The hands free diapering can was kept in cabinet under the diaper changing table, staff #2 opened the cabinet door with soiled diaper in hand and disposed of soiled diaper in the can by opening the lid with soiled diaper in hand.
Corrected Corrected by Aug 9, 2022
Category: health medication. 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 #-3 may not work in a child care position at the facility.
Staff file #3 lacked a signed and dated disclosure statement in the file.
Corrected Corrected by Aug 9, 2022
Category: background checks. 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.
Staff file #1 contained documentation of 6 of the 12 hours required of child care training completed between 12/19/20 and 12/19/21.
Corrected Corrected by Sep 30, 2022
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 facility lacked documentation of annual traffic letter with routes used to facility sent to the local traffic authorities.
Corrected Corrected by Aug 16, 2022
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 file #2 lacked a current health assessment conducted within 24 months of 7/29/19 last health assessment.
Corrected Corrected by Jul 15, 2022
Category: ratio. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility.
Staff file #1 lacked a signed disclosure statement and a valid NSOR verification.
Corrected Corrected by Apr 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and CPR.
The file for Staff #1 contained Pediatric First Aid and CPR certification obtained on 7/21/21. Their previous certificate expired on 6/4/21, creating a lapse in their First Aid and CPR training.
Corrected Corrected by Jul 21, 2021
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.
Staff #2, hired prior to 12/19/20, contained Health and Safety Basic training that was not obtained prior to 6/17/21. The certificate was dated 7/29/21.
Corrected Corrected by Jul 29, 2021
Category: ratio. Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
Located in the Kitchen was a cleaning material that was not in a container that specifies the content. When asked Staff of its contents, staff stated it was Awesome Cleaner.
Corrected Corrected by Aug 27, 2021
Category: ratio. 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.
In the Front Outdoor Play Area, on the toy caterpillar climber, there were broken eyes creating a pinching point for the children in care.
Corrected Corrected by Aug 30, 2021
Category: physical safety. 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.
The refrigerator at the facility lacked a thermometer.
Corrected Corrected by Aug 27, 2021
Category: nutrition. 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 health assessment that was conducted more than 24 months after the previous assessment. Staff #1 had health assessments conducted on 5/30/19 and 7/19/21.
Corrected Corrected by Jul 19, 2021
Category: ratio. Marked corrected in the state record.
3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire: pediatric first aid and pediatric cardiopulmonary resuscitation.
Staff #3 lacked completion of Pediatric First-Aid and Cardiopulmonary Resuscitation (CPR) training within 90 days of hire.
Corrected Corrected by Jul 21, 2021
Category: health medication. Marked corrected in the state record.