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 had verification of annual testing completed on 3-12-26, 3-27-26, and 3-31-26 of the fire detection system by a fire safety professional. The testing results lacked the required documentation showing that the deficiencies listed on the report were corrected and the fire detection system was in full compliance with 62 P.S. 1016(c).

Corrected Corrected by Jun 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.52 · Tiered LIS: 1. 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). This portion of the plan shall have an immediate correction date. 2. The Acting Director/Director will conspicuously post signs that remind staff to check ratio prior to entering/leaving a child care space/gross motor space. The signs must be posted both outside of the entrance to each space as well as inside the space and be visible from the entrance. The correction date for this portion of the plan is to be within 2 weeks of acceptance of the plan of correction. 3. The Acting Director/Director will create a visual tool for all staff to utilize in every child care space/gross motor space for maintaining supervision and ratio of assigned groups of children. The tool must be visible to staff in the room to track supervision, attendance, and the age of each child entering/exiting each space. The Acting Director/Director may seek assistance from the ELRC #5 Quality Coaches to develop this tool. The tool shall be submitted to the Western Region office prior to use. The correction date for this portion of the plan is to be within 2 weeks of acceptance of the plan of correction.

On 1-13-26 at approximately 11:10 a.m. in room #1 with a total of 5 children in the room, staff person #2 was observed supervising the 5 children in the room, including an infant, a young toddler, two older toddlers, and a preschooler, resulting in staff person #2 being out of ratio.

Corrected Corrected by Feb 19, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a) · Tiered LIS: 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. This portion of the plan shall have an immediate correction date. 2. All facility staff, including the Acting Director/Director will attend an in-person training entitled "Creating a Safe Environment with Active Supervision" by the ELRC #5. Proof of attendance shall be submitted to the Western Region office, and the training hours earned can be applied to annual training hour requirements. The operator shall provide a date for when this training will be completed. (Implemented 12-5-25) 3. The Acting Director/Director will establish a method of monitoring active supervision of staff and establish a written tool to track monitoring. The Acting Director/Director may seek assistance from the ELRC #5 Quality Coaches to develop this tool. The tool shall be submitted to the Western Region office prior to use. The operator shall provide a date for when this method and tracking tool will be completed. (Implemented 12-5-25) 4. Upon acceptance of the plans of correction, the Acting Director/Director will conduct a minimum of 1 random daily monitoring check using the monitoring tool, for a period of 12 consecutive weeks. The child care spaces and time of day shall not be the same for consecutive checks. Documentation of the daily checks shall be made available to the certification representative upon request. The correction date for this portion of the plan shall be a minimum of 12 weeks from the date of acceptance of the plan of correction.

2ND CITATION: According to staff statements, on 10-2-25 at approximately 12:20 p.m., staff person #1 asked staff where child #1, a 2 year old, was located, and the staff did not know the whereabouts of child #1. Staff person #1 located child #1 on a different floor, with an adult that was not a staff person, approximately 10 minutes later after it was discovered that the child left the floor using the elevator. This resulted in child #1 being left alone without a staff person present to see, hear, direct, and assess the child. PREVIOUSLY CITED ON 10-7-25

Corrected Corrected by Apr 27, 2026

Category: supervision. 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.

According to staff statements, on 10-2-25 at approximately 12:20 p.m., staff person #1 asked staff where child #1, a 2 year old, was located, and the staff did not know the whereabouts of child #1. Staff person #1 located child #1 on a different floor, with an adult that was not a staff person, approximately 10 minutes later after it was discovered that the child left the floor using the elevator. This resulted in a 0 to 1 staff to child ratio.

Corrected Corrected by Oct 7, 2025

Category: ratio. Marked corrected in the state record.

3270.113(a) · Tiered LIS: 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. This portion of the plan shall have an immediate correction date. 2. All facility staff, including the Acting Director/Director will attend an in-person training entitled "Creating a Safe Environment with Active Supervision" by the ELRC #5. Proof of attendance shall be submitted to the Western Region office, and the training hours earned can be applied to annual training hour requirements. The operator shall provide a date for when this training will be completed. 3. The Acting Director/Director will establish a method of monitoring active supervision of staff and establish a written tool to track monitoring. The Acting Director/Director may seek assistance from the ELRC #5 Quality Coaches to develop this tool. The tool shall be submitted to the Western Region office prior to use. The operator shall provide a date for when this method and tracking tool will be completed. 4. Upon acceptance of the plans of correction, the Acting Director/Director will conduct a minimum of 1 random daily monitoring check using the monitoring tool, for a period of twelve weeks. The child care spaces and time of day shall not be the same for consecutive checks. Documentation of the daily checks shall be made available to the certification representative upon request.

According to staff statements, on 10-2-25 at approximately 12:20 p.m., staff person #1 asked staff where child #1, a 2 year old, was located, and the staff did not know the whereabouts of child #1. Staff person #1 located child #1 on a different floor, with an adult that was not a staff person, approximately 10 minutes later after it was discovered that the child left the floor using the elevator. This resulted in child #1 being left alone without a staff person present to see, hear, direct, and assess the child.

Corrected Corrected by Mar 16, 2026

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.

According to staff statements, on 10-2-25 at approximately 12:20 p.m., staff person #1 asked staff where child #1, a 2 year old, was located, and the staff did not know the whereabouts of child #1. Staff person #1 located child #1 on a different floor, with an adult that was not a staff person, approximately 10 minutes later after it was discovered that the child left the floor using the elevator. This resulted in child #1 being left alone without a staff person physically present with the child.

Corrected Corrected by Oct 3, 2025

Category: supervision. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

There was not an individual record/file at the facility for staff person #2.

Corrected Corrected by Oct 7, 2025

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 interconnected fire detection system had annual testing by a fire safety professional on 3-18-24 and 3-26-25 that exceeded a year between testings.

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. 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).

At approximately 9:56 a.m. in room #4 with a total of 6 children, staff person #1 named 6 children in their group, including 5 preschoolers and 1 young toddler, resulting in staff person #1 being out of ratio.

Corrected Corrected by Apr 28, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #2 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Mar 21, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for staff person #1 had fire safety trainings that exceeded a year between trainings.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child.

On 3-11-25 on the outdoor play space with a capacity of 7 children, there were 4 staff observed with a group of 8 children, including 3 preschoolers, 3 older toddlers, and 2 young toddlers, resulting in the space being overcapacity.

Corrected Corrected by Mar 11, 2025

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.

In room #4 in a locked cabinet, there was an unlabeled spray bottle with a blue liquid that a staff person identified as window cleaner. In room #6 in a locked cabinet, there was an unlabeled spray bottle with a blue liquid that a staff person identified as multipurpose cleaner.

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In room #4, there was one area with peeling paint on the right wall near the baseboard towards the back right corner.

Corrected Corrected by Mar 11, 2025

Category: physical safety. 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.

At approximately 9:25 a.m. in room #4, staff person #3 was observed leaving the room and walking into the hallway for approximately 5 seconds leaving 3 preschoolers alone in the room without a staff person present. At approximately 9:55 a.m. in room #4 with a total of 3 children in the room, staff person #4 was observed near the doorway to the hallway with 1 preschooler in the room and was watching from the doorway as 2 preschoolers went into the hallway to get their coats in their cubbies in the hallway. The 2 preschoolers were alone in the hallway without a staff person present.

Corrected Corrected by Mar 12, 2025

Category: supervision. 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 file for child #1 had an emergency contact form that lacked the name of the health insurance and the policy number. The file for child #2 had an emergency contact form that lacked the health insurance policy number.

Corrected Corrected by Mar 21, 2025

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

3270.131(e)/3270.131(e)(3) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The facility shall 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). Child #1 must be dismissed from care by close of business on 3-11-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record. The file for child #3 had an immunization record that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Mar 17, 2025

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff person #2 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility.

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

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

The file for child #1 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment. The file for child #3 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Mar 11, 2025

Category: health medication. 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.

In room #6 in a locked cabinet, there were two unlabeled bottles of glass/floor cleaner that staff identified as cleaning materials.

Corrected Corrected by Aug 6, 2024

Category: ratio. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In room #6, there were two areas of peeling paint on the left wall. In room #4, there was one area of peeling paint on the right wall near the back corner.

Corrected Corrected by Aug 6, 2024

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

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

Staff person #1 utilized physical discipline toward Child #1 by pushing the child to the ground.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Staff person #1 singled out a Child #1, pushing the child to the ground after the child allegedly pushed or bumped into another child.

Corrected Corrected by May 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #1 included fire safety training dated 1/19/23 which is not an approved fire safety training, and fire safety training dated 2/1/24, which is more than 1 year after hire (See LIS Code Sheet).

Corrected Corrected by Mar 13, 2024

Category: recordkeeping. 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.

There was food debris dried on the surface of the table where children were later observed eating in Room 4 (Preschool). The floor and counter by the sink were dirty and had a gritty feel to the surfaces in Room 4.

Corrected Corrected by Mar 13, 2024

Category: nutrition. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There were 6 Magna Tiles in Room 6 that had cracked and broken edges with missing pieces of plastic on the edges.

Corrected Corrected by Mar 13, 2024

Category: physical safety. 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 #2 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Mar 13, 2024

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

3270.131(e)/3270.131(e)(3) · ·Child #1 must be dismissed from care by close of business on 3/13/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1, with an enrollment date of 1/12/24, more than 60 days ago, does not include the child's immunization record.

Corrected Corrected by Mar 13, 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 were dated 1/28/22 and 2/14/24, more than 24 months apart.

Corrected Corrected by Mar 13, 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.

The file for Staff person #1 included verification of 5.5 of the required 12 hours of annual training within 12 months from the date of hire (See LIS CODE SHEET).

Corrected Corrected by Mar 13, 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.

The file for Child #1, with an enrollment date of 1/12/24, which is more than 60 days ago, does not include an initial health report.

Corrected Corrected by Mar 13, 2024

Category: health medication. 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 outlet without a cover under the bulletin board in Room 5, which was accessible to children.

Corrected Corrected by Mar 22, 2023

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 loose door on the play oven in the dramatic play area in Room 4.

Corrected Corrected by Mar 22, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement on file for Child #1 is not signed by the operator. The agreement on file for Child #3 is not signed by the operator or by the parent.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #1 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Mar 23, 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).

The most recent child service report on file for Child #4 is dated more than 6 months ago.

Corrected Corrected by May 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for Child #3 does not include the persons to whom the child can be released.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #1 and #3 does not include the name, address, or telephone number for the child's pediatrician/source for medical care.

Corrected Corrected by Mar 23, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #1 does not include the complete home address or work address for the enrolling parent. The emergency contact form on file for Child #3 does not include the complete work address for the enrolling parent.

Corrected Corrected by Mar 23, 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.

The file for Child #4 does not include written parental consent for the facility to obtain emergency medical care.

Corrected Corrected by May 5, 2023

Category: recordkeeping. 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 current emergency contact form on file for Child #1 and #3 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Mar 23, 2023

Category: health medication. 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 #1 and #3 does not include the health insurance coverage and policy number for the medical insurance policy. The emergency contact form on file for Child #4 does not include the policy number for the medical insurance policy.

Corrected Corrected by May 5, 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 #1, #3, and #4 does not include a complete address for all listed release persons.

Corrected Corrected by May 5, 2023

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 information. 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.

The file for Child #2, enrolled 12/27/21, does not include a 6-month review signature for the emergency contact form and financial agreement. The file for Child #3, enrolled 12/13/21, does not include a 6-month review signature for the financial agreement. The most recent 6-month review parent signature for the emergency contact form and financial agreement on file for Child #4 is dated 1/3/22, more than 6 months ago.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #2, who is 4 years old, is dated 3/3/21, more than 12 months ago. The most recent health assessment on file for Child #3 who is 4 years old, is dated 3/1/21, more than 12 months ago.

Corrected Corrected by May 5, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #2, #3, and #4 must be dismissed from care by close of business on 4/18/23, 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 #2, who is 4 years old, is dated 3/10/21, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 11/4/19, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #4, who is 4 years old, is dated 1/29/20, more than 1 year ago, and is recommended annually by the ACIP.

Corrected Corrected by Apr 25, 2023

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 for the facility to administer minor first aid procedures.

Corrected Corrected by May 5, 2023

Category: ratio. 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 initial health assessment on file for Child #3 is dated 3/1/22, more than 60 days after the enrollment date of 12/13/21. The initial health assessment on file for Child #4 is dated 9/13/22, more than 60 days after the enrollment date of 10/12/21,

Corrected Corrected by Mar 22, 2023

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

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

The files for Child #2 (YT) enrolled for at least 60 days, lacked written verification of immunizations.

Corrected Corrected by Apr 22, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Child file #1 (OT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP, 1 Dose of HIB and 1 Dose of Pneumococcal and lacked a yearly Influenza shot with no Letter of Exemption in the File.

Corrected Corrected by Apr 22, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The two most recent Health Assessments for Staff #1 were dated more than 24-months apart.

Corrected Corrected by Apr 25, 2022

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Facility files lacked proof of purchase for the interconnected smoke detection system.

Corrected Corrected by Apr 15, 2022

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 Child Health Report for Child #2 (YT) enrolled for more than 60 days, was lacking from the child file.

Corrected Corrected by Apr 22, 2022

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