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 7-16-25 at approximately 11:04 a.m., staff person #1 answered the door with 1 preschool child, and staff person #2 was left in the preschool room with 13 preschoolers resulting in staff person #2 being out of ratio. On 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway, resulting in a 0 to 7 staff to child ratio. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

Corrected Corrected by Aug 6, 2025

Category: ratio. 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.

On 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

Corrected Corrected by Aug 6, 2025

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 7-16-25 at approximately 11:22 a.m., staff person #1 was observed in the kitchen at the end of the back hallway, and there were 7 preschoolers that were sitting in the hallway alone without a staff person present in the hallway. Staff person #1 could not see all of the children in the hallway while they were in the kitchen getting food out of the oven for lunch.

Corrected Corrected by Aug 6, 2025

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.

In the preschool room, there was a fabric climbing block that had a tear in the fabric that exposed the foam inside.

Corrected Corrected by May 29, 2025

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. Until such time as the required pre- service trainings are completed, staff person #1 and #2 must be supervised, when interacting with children, at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 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 mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4-27-20. Staff person #2 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5-12-20.

Corrected Corrected by May 31, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4-27-20. Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5-12-20.

Corrected Corrected by May 31, 2025

Category: supervision. 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.

On the outdoor play space, there were multiple areas along the chain link fence that had holes at the bottom of the fence and loose bricks with uneven ground that were a visible hazard. In the lobby on the right wall, there was an electrical outlet with a wall plate that was loose exposing wires that were behind the outlet.

Corrected Corrected by Jul 11, 2025

Category: physical safety. 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 the front toddler room, there was one area with peeling paint on the far blue wall near the front of the room. In the preschool room, there were multiple areas of peeling paint on the left wall in the back hallway near the bathrooms.

Corrected Corrected by May 30, 2025

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

In the infant room, there was a Boppy Newborn Lounger that had been recalled by the United States Consumer Product Safety Commission.

Corrected Corrected by May 29, 2025

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.

In the kitchen, the second refrigerator from the right measured at 53° F and was observed to be storing food that staff said is served to children enrolled at the facility.

Corrected Corrected by Jun 4, 2025

Category: nutrition. 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 #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #1 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality (10 hours) dated 5-1-22 but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Jan 29, 2025

Category: ratio. Marked corrected in the state record.

3270.27(c) · 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.

The file for staff person #2 had emergency plan training that exceeded a year between trainings.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #3 lacked a current staff evaluation completed by the director within the last 12 months.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. 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.

In the toddler room with young and older toddlers present in the room, the left outlet on the back wall that was accessible to the toddlers had a prong that was stuck in the top socket of the electrical outlet and was preventing the cover from sliding and covering the outlet.

Corrected Corrected by Jan 25, 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.

In the bathroom in the toddler room, the toilet had two bolts on the base of the toilet that were protruding up and were a visible hazard.

Corrected Corrected by Jan 28, 2025

Category: physical safety. 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.

In the infant room with a 1 year old that was walking and able to wash their hands, the sink near the changing table lacked a platform or steps and was unable to be reached by the child after diapering to wash their hands.

Corrected Corrected by Jan 29, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

In the preschool room, an easel was observed in front of the exit door leading to the front sidewalk.

Corrected Corrected by Jan 14, 2025

Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

On 1-14-25, a portable space heater was observed in use in the office.

Corrected Corrected by Jan 14, 2025

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

3270.102(a)/3270.103 · 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. 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.

In the lobby, there were multiple push pins in the wall/bulletin board that had sharp edges and a diameter of less than 1 inch and were accessible to children, including children who are still placing objects in their mouth.

Corrected Corrected by Jan 14, 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 file for child #3 lacked a current child service report updated within the last 6 months.

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. 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 #2 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by Jan 22, 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 #2 must be dismissed from care by close of business on 1-14-25 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 #2 lacked an immunization record within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

Corrected Corrected by Jan 15, 2025

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

3270.151(a)/3270.151(c)(2)(ii) · 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 record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

The file for staff person #2 had a health assessment that included a record of a positive tuberculin skin test and had the results of a chest x-ray that were dated after the staff person provided initial service in a child care setting at the facility.

Corrected Corrected by Jan 14, 2025

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The names of the facility persons who participated in the fire drill were not listed on the fire drill log for multiple drills within the last year.

Corrected Corrected by Jan 17, 2025

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 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 Jan 14, 2025

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

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

The water in the Infant room in the diaper changing area measured 128 degrees Fahrenheit; the water in the Preschool girls bathroom sink measured 125 degrees Fahrenheit.

Corrected Corrected by Jan 11, 2024

Category: health medication. 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.

Peeling paint was present in the Preschool room under the Whiteboard on the right wall.

Corrected Corrected by Jan 11, 2024

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 Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

Corrected Corrected by Feb 8, 2024

Category: ratio. 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 #3 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Jan 12, 2024

Category: health medication. 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.

The most recent health assessments on file for Child #3, who is a Young Toddler, is dated 1/25/23, more than 6 months ago.

Corrected Corrected by Jan 25, 2024

Category: health medication. 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.

The most recent 6-month review signature for the financial agreement on file for Child #1 is dated 12/7/22, more than 6 months ago. The most recent 6-month review signature for the financial agreement on file for Child #2 is dated 5/1/23, more than 6 months ago.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The filing cabinet where the child files are located was not locked at the time of inspection.

Corrected Corrected by Jan 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Jan 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

Corrected Corrected by Feb 8, 2024

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

Corrected Corrected by Mar 2, 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.

The file for Staff person #1, #2, #3, and #4 did not include the 1-hour Pennsylvania Health and Safety update training, which was due by 12/30/22, as per Announcement c-22-06

Corrected Corrected by Jan 23, 2023

Category: ratio. Marked corrected in the state record.

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

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

Corrected Corrected by Mar 2, 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 for the enrolling parent.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health assessment on file for Child #1, who is a Young Toddler, is dated 4/21/22, more than 6 months ago.

Corrected Corrected by Oct 15, 2022

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to 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 most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 12/18/20, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 2 years old, is dated 9/17/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5, who is 3 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Jan 23, 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.

The 2 most recent health assessments on file for Staff person #1 were dated 5/2/19 and 5/21/21, more than 24 months apart.

Corrected Corrected by Jan 20, 2023

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.

The fire alarm 30-day test log on file at the facility included documented 30-day tests on 4/1/22-5/2/22; 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all more than 30 days apart.

Corrected Corrected by Jan 20, 2023

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 initial health assessment on file for Child #2, with an enrollment date of 9/7/21, is dated 1/13/22, more than 60 days after enrollment. The initial health assessment on file for Child #4, with an enrollment date of 4/18/22, is dated 8/9/22, more than 60 days after enrollment.

Corrected Corrected by Jan 20, 2023

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

3270.133 · The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Staff person #1 did not ensure prescribed medication was administered to Child #1 on an unspecified date, as per the prescription on the medication.

Corrected Corrected by Nov 15, 2022

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan on file does not include the updates required as of 7/1/22, as per Announcement C-22-04, regarding volunteer emergency preparedness, and a plan for continuity of operations.

Corrected Corrected by Oct 21, 2022

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 signed disclosure statement on file for Staff person #1 is not dated, making it invalid.

Corrected Corrected by Sep 27, 2022

Category: background checks. 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 30 day test log for the fire alarm system on file at the facility includes test dates 5/2/22-6/2/22; 7/1/22-8/1/22; and 8/1/22-9/1/22, all more than 30 days apart.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

It was observed that between diaper changes, a staff member did not clean or sanitize the diaper changing surface.

Corrected Corrected by Jan 7, 2022

Category: health medication. 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.

The two most recent Mandated Reporter Trainings for staff #1 were dated more than 60 months apart.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The Emergency Plan lacked a method for facility persons to contact parents when an emergency arises and ends.

Corrected Corrected by Feb 7, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations for Staff #2 were completed more than one year apart.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. 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 outdoor play space the Little Tykes plastic outdoor castle's bridge had exposed bolts which posed a tripping and/or protrusion hazard.

Corrected Corrected by Feb 10, 2022

Category: physical safety. 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 Fee Agreement form for Child #4 lacked the amount of the fee to be charged.

Corrected Corrected by Jan 7, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The Fee Agreement Form for Child File #4 lacked the Date of Admission.

Corrected Corrected by Jan 7, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The immunization record of Child #3 lacked a yearly Influenza shot for 2021 with no Letter of Exemption in File. Child file #1 lacked updated written verification of ongoing administered vaccines: 1 dose of Hepatitis A. Child file #2 lacked updated written verification of ongoing administered vaccines: 1 dose of Rotavirus. Child file #3 lacked updated written verification of ongoing administered vaccines: 3 doses of DTAP. Child file #4 lacked updated written verification of ongoing administered vaccines: 1 dose of HIB.

Corrected Corrected by Feb 10, 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.

It was observed, during a diaper change, the staff member placed the soiled diaper on the changing table and not immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Jan 7, 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 #3 were dated more than 24-months apart.

Corrected Corrected by Jan 7, 2022

Category: ratio. Marked corrected in the state record.

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

The facility did not conduct an annual emergency drill.

Corrected Corrected by Jan 7, 2022

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 last two fire drills were conducted more than 60 days apart.

Corrected Corrected by Jan 6, 2022

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's fire alarm test report documented testing of the fire alarm system on 02/22/2021, 04/21/2021, 05/24/2021, 06/21/2021, 07/22/2021, 08/25/2021, 09/27/2021, 11/30/2021, which are all more than 30 days apart. The following fire extinguishers were expired in the facility as of 12/31/2021: Next to Girl's Rest Rooms, Rooms 3 and 4, Next to Basement Door, Next to Main Entrance Door and Main Office.

Corrected Corrected by Jan 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The operator had outdated regulations posted and had not provided parents with the information on how to access the regulations electronically.

Corrected Corrected by Jan 6, 2022

Marked corrected in the state record.