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Home › PA › Mckees Rocks › Tts Toybox Daycare Center Llc
707 Chartiers Ave And 709 Chartiers Ave, Mckees Rocks PA 15136 · License #CER-00241950 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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 includes test dates 7/3/25-8/3/25, more than 30 days apart.
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · 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. 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 Pediatric First Aid/CPR trainings on file for Staff #4 (dated 5/19/21 & 9/10/23) and Staff #5 (dated 7/21/22 & 8/7/24), more than 24 months apart.
Corrected Corrected by May 20, 2025
Category: ratio. Marked corrected in the state record.
Disposition: 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
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 two most recent fire safety trainings on file for Staff #5 are dated 7/5/23 and 8/7/24, more than 12 months apart.
Corrected Corrected by May 20, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility as of 5/20/25. 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 as of 5/20/25.
The file for Staff #2 contained a Pennsylvania State Police clearance with an incomplete rap sheet, dated 8/6/24, making it invalid.
Corrected Corrected by May 20, 2025
Category: background checks. 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 on file for Staff #1 are dated 11/20/23 and 5/21/25, more than 12 months apart. The most recent staff evaluation on file for Staff #4 is dated 5/10/23, more than 12 months prior.
Corrected Corrected by May 20, 2025
Category: recordkeeping. 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.
In Room 3, a bottle of hand sanitizer and a bottle of shaving cream were observed on a low shelf on the teacher's desk area and was accessible to children.
Corrected Corrected by May 20, 2025
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 observed in the vending area of the School Age room to the right of the door frame. Damaged plaster was observed on the wall behind the door in the hallway leading to the Infant Room.
Corrected Corrected by May 20, 2025
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.
In Room 1, foam blocks were observed with teeth marks. In the Preschool Room (711), torn plastic on a yellow couch and a pink chair and two cracked plastic bin lids were observed to not be in good repair and were accessible to children. In the School Age Room, cracked plastic with rough edges was observed on the ping pong table and was accessible to children.
Corrected Corrected by May 20, 2025
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.
In the Infant Room and Young Toddler Room, rest equipment was observed with less than 2 feet of space on three sides while the equipment was in use.
Corrected Corrected by May 20, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8 contained the original financial agreement when the parent is to receive the original agreement.
Corrected Corrected by May 20, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact form on file for Child #8 lacked the enrolling parent's work address.
Corrected Corrected by May 20, 2025
Category: recordkeeping. 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 for Child #6 lacked complete addresses for all listed release persons.
Corrected Corrected by May 20, 2025
Category: recordkeeping. 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 immunization record for Child #5 (Older Toddler) lacked the following immunizations: 2 doses of Rotavirus without a Letter of Exemption in the file. Child #5 must be dismissed from care by close of business on 5/20/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
Corrected Corrected by May 20, 2025
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 two most recent health assessments on file for Staff #3 (dated 9/14/22 & 2/22/25), Staff #4 (dated 1/22/21 & 2/24/25), and Staff #5 (dated 7/10/22 & 2/20/25), more than 24 months apart.
Corrected Corrected by May 20, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #2 contained an initial health assessment dated 8/20/24, which lacked information that a physical examination had been completed by a physician, physician's assistant, or CRNP.
Corrected Corrected by Jun 1, 2025
Category: health medication. 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.
The file for Staff #4 lacked 12 hours of annual training in the training timeframe of 4/22/24-4/22/25. The file for Staff #5 contained 6 of 12 annual training hours during the training timeframe of 7/7/23-7/7/24.
Corrected Corrected by Jun 1, 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).
On 10-30-24 at approximately 10:35 a.m. with a total of 12 children in the 1 and 2 year old room, staff person #1 named 3 toddlers in their group and staff person #2 named 6 older toddlers in their group. Staff person #3 said that they were not responsible for specific children in the room and were assisting in the room. After staff person #1 and then staff person #2 were asked to name their supervision groups, staff person #1 then named an additional 3 children in their group for a total of 6 children, including 3 young toddlers and 3 older toddlers, resulting in staff person #1 being out of ratio.
Corrected Corrected by Oct 30, 2024
Category: supervision. Marked corrected in the state record.
3270.51 · The legal entity will develop a written policy detailing staff requirements for compliance with regulations for ratio. All staff are required to sign the policy. The plan is required to be submitted to certification representative/DHS office.
* * According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children. This resulted in a 0:2 staff to child ratio.
Corrected Corrected by Aug 30, 2024
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 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children. This resulted in a 0:2 staff to child ratio.
Corrected Corrected by Aug 30, 2024
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.
According to staff statements, on 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children.
Corrected Corrected by Aug 30, 2024
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 8-30-24, staff person #1 left the preschool classroom for approximately 2 minutes leaving 2 preschool children alone with an adult from another agency and without a staff person present to supervise the children.
Corrected Corrected by Sep 1, 2024
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.
On 6/24/24 at 10:47am, Staff Person #1 left the preschool space leaving the second staff person supervising 13 preschool aged children.
Corrected Corrected by Jun 24, 2024
Category: supervision. 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 fire drill log on file included fire drills conducted 9.1.23-11.1.23 and 12.29.23-2.29.24, more than 60 days apart.
Corrected Corrected by Jun 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The signed disclosure statement on file for Staff person #1, #3, #5, #6 is a volunteer Disclosure Statement, not valid for a staff person (See LIS Code Sheet). The signed disclosure statement on file for Staff person #4 is not the disclosure statement required at the time of hire (See LIS Code Sheet). The file for staff person #5 does not contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 9.6.23.
Corrected Corrected by May 31, 2024
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff person #2, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.
Corrected Corrected by May 31, 2024
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.
There were foam blocks in Room 2 that had bite marks and pieces torn from the corners. There were 2 cracked Magna Tiles in Room 3. The bin containing Magna Tiles in Room 3 was cracked. The bin containing wooden blocks in Room 3 was cracked.
Corrected Corrected by May 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
There was a padded chair in the Gross Motor room that had a torn vinyl cover, exposing the foam underneath, that was accessible to children still placing things in their mouths, which the children could tear and place in their mouths.
Corrected Corrected by May 30, 2024
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 most recent 6 month review signature for the emergency contact form on file for Child #1 is dated 4.3.24, more than 6 months after the previous signature, dated 9.1.23.
Corrected Corrected by May 30, 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.
The file for Child #2, who is a young toddler, includes health assessments dated 3.2.23 and 11.10.23, more than 6 months apart; a current health assessment dated 3.28.24 is on file.
Corrected Corrected by May 30, 2024
Category: health medication. Marked corrected in the state record.
3270.151(b)/3270.192(3) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. 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 initial health assessment on file for Staff person #4 is not signed or dated by the health care professional who conducted the exam, making it invalid.
Corrected Corrected by Jun 4, 2024
Category: health medication. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The health assessment on file for Staff person #4 does not include the physician or health care professional's assessment of the person's suitability to provide child care.
Corrected Corrected by Jun 1, 2024
Category: health medication. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
There were 2 infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.
Corrected Corrected by May 30, 2024
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 includes test dates 12.17.23-1.17.24, more than 30 days apart.
Corrected Corrected by Jun 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
The facility did not have verification of providing 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 current certificate of compliance was not posted in a conspicuous location used by parents. The posted certificate had an expiration date of 8.29.23.
Corrected Corrected by May 31, 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.
Peeling paint was observed on the brown wall by the books in the upstairs older toddler room.
Corrected Corrected by May 18, 2023
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.
A foam building block that had bite marks was observed in the downstairs preschool room.
Corrected Corrected by May 18, 2023
Category: physical safety. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
There were several crib sheets in pack and play cribs that were loose on the mattress, posing a suffocation hazard.
Corrected Corrected by Aug 22, 2023
Category: health medication. 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 Fire Safety training on file for Staff person #10 is dated 2/19/23, more than 1 year after hire (See LIS Code Sheet).
Corrected Corrected by May 18, 2023
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 a missing toilet bolt cover on the toilet, next to the wall, in the Downstairs preschool bathroom.
Corrected Corrected by May 23, 2023
Category: physical safety. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 11/29/22. Staff person #10 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 3/11/23.
Corrected Corrected by May 18, 2023
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #7, #9 may not work in a child care position at the facility.
The PA State Police clearance on file for Staff person #1 does not include a dissemination date (See IS CODE SHEET) required for provisional hiring under the CPSL. The PA State Police clearance on file for Staff person #2 does not include a dissemination date (See IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance on file for Staff person #7 is not complete (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #9 does not include a competed NSOR certificate (See LIS Code sheet), required for provisional hiring under the CPSL.
Corrected Corrected by Jul 6, 2023
Category: background checks. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The Child Abuse clearance on file for Staff person #1 is dated 4/28/23, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #4 is dated 7/27/22, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #8 is dated 7/22/22, after the hire date (See IS CODE SHEET) as required under the CPSL. The Child Abuse clearance on file for Staff person #9 is dated 1/21/23, after the hire date (See IS CODE SHEET) as required under the CPSL. The NSOR certificate on file for Staff person #11 is dated more than 45 days after the hire date (See LIS Code Sheet).
Corrected Corrected by May 18, 2023
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff person #3, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate, 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children.
Corrected Corrected by May 18, 2023
Category: supervision. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in the upstairs older toddler room did not include tweezers. The first aid kit in the upstairs young toddler room did not include tape.
Corrected Corrected by May 18, 2023
Category: health medication. 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.
A green recalled Bumbo seat, with no safety straps was observed in the downstairs toddler room and a pink recalled Bumbo seat with no safety straps was observed in the infant room.
Corrected Corrected by Aug 15, 2023
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.
During the inspection, 2 children were observed in the infant sleeping in pack and play cribs that were next to each other, without 2 feet between them.
Corrected Corrected by May 18, 2023
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The young toddler room upstairs and the upstairs preschool room did not have a daily activity schedule posted at the time of the inspection.
Corrected Corrected by May 18, 2023
Category: physical safety. 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 and #4 does not include the address and/or telephone number for the enrolling parent's employment.
Corrected Corrected by May 19, 2023
Category: recordkeeping. 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 #6 does not include a complete address for all listed release persons.
Corrected Corrected by May 19, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · Child #2, #3, #6, and #7 must be dismissed from care by close of business on 6/2/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The immunization record on file for Child #5, who is 3 years old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; and 2 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 4 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #6, who is 2 years old, is dated 10/12/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #7, who is 3 years old, does not include a current influenza vaccination, recommended annually by the ACIP for a child this age.
Corrected Corrected by Jun 6, 2023
Category: health medication. Marked corrected in the state record.
3270.131(e)/3270.131(e)(3) · Child #2, must be dismissed from care by close of business on 6/2/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).
The file for Child #2, with an enrollment date of 2/15/23, more than 60 days ago, does not include an immunization record.
Corrected Corrected by May 28, 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 most recent health assessment on file for Staff person #6 is dated 3/1/21, more than 24 months ago.
Corrected Corrected by May 18, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 current health assessment on file for Staff person #3 indicates that the staff person has a communicable/contagious disease, with no additional information given.
Corrected Corrected by May 23, 2023
Category: health medication. 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 #4 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.
Corrected Corrected by May 18, 2023
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 fire drill log on file included fire drills dated 11/4/22-1/4/23 and 1/4/23-3/6/23, more than 60 days apart.
Corrected Corrected by May 18, 2023
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 local municipality emergency management agency.
Corrected Corrected by Sep 1, 2023
Category: physical safety. 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 #2, with an enrollment date of 2/15/23, more than 60 days ago, does not include a health assessment. The initial health assessment on file for Child #8, with an enrollment date of 8/17/22, is dated 12/8/22, more than 60 days after enrollment.
Corrected Corrected by May 28, 2023
Category: health medication. Marked corrected in the state record.
3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.
On 8/11/22, shortly after 1:00 PM, an infant was observed sleeping in a pack and pay with a soft stuffed toy in the crib with the infant.
Corrected Corrected by May 18, 2023
Category: physical safety. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The current Pediatric First Aid/CPR training on file for Staff person #2 is dated 9/15/21, more than 24 months after the previous training, dated 1/13/19.
Corrected Corrected by May 24, 2022
Category: ratio. 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 most recent fire safety training on file for Staff person #2 is dated 9/15/21, more than 1 year after the previous training, dated 3/8/20.
Corrected Corrected by May 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #-2 , #3 will have until July 27, 2022 to complete the required training. Until such time as the required training has been completed, staff person #-2, #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 available to supervise staff person #2, #3 staff person #2, #3 may not work in a child-care position at the facility.
Staff person #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 hour Health and Safety Training-Get Started with Center Based Care: Building Blocks For Quality. The file foe Staff person #5 included verification of completed health and safety training dated 3/16/22, more than 90 days after hire (see IS CODE SHEET).
Corrected Corrected by May 28, 2022
Category: supervision. 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, #4 is not the current Disclosure Statement. (See IS CODE SHEET).
Corrected Corrected by May 24, 2022
Category: background checks. 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.
At 9:57 Am, during a supervision and ratio check in Room 2, there was a staff person with 7 older toddler children in her group; one staff person with 5 young toddlers; and 1 third staff person with 1 young toddler and 4 older toddlers. During a supervision and ratio check at approximately 10:30 in the infant room, there were 9 infants with 2 staff persons present in the classroom.
Corrected Corrected by Aug 11, 2022
Category: supervision. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in Room 1 did not include tweezers.
Corrected Corrected by May 24, 2022
Category: health medication. Marked corrected in the state record.
3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
There was a child observed in the infant room sleeping in a crib not labeled for their use. The rest equipment in Room 3 was not labeled with names of the children for their specific use.
Corrected Corrected by May 24, 2022
Category: physical safety. Marked corrected in the state record.
3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.
At 1:20 PM, 4 infants were observed to be sleeping in swings and/or infant seats, not in a crib or on a cot, placed in the position recommended by the American Academy of Pediatrics.
Corrected Corrected by May 24, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The emergency contact form on file for Child #1 does not include the telephone number for the child's pediatrician/source of medical care. The emergency contact form on file for Child #2 does not include the name or telephone number for the child's pediatrician/source of medical care. The emergency contact form on file for Child #3 does not include the complete address or telephone number for the child's pediatrician/source of medical care.
Corrected Corrected by May 24, 2022
Category: health medication. Marked corrected in the state record.
3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
There was a child receiving care in the infant room, without the emergency contact form being in the room. There were 5 children receiving care in Room 3 without their emergency contact forms being in the room.
Corrected Corrected by May 24, 2022
Category: recordkeeping. 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 immunization record on file for Child #1, who is 4 years old, does not include record of an influenza vaccination, which is recommended annually by the ACIP for a child this age. The immunization record on file for Child #4, who is 6 years old, includes 3 of 4 Pneumococcal vaccinations as recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 5 months old, includes 1 of 2 Rotavirus, 1 of 2 DTAP, 1 of 2 HIB, 1 of 2 Pneumococcal, and 1 of 2 Polio vaccinations, as recommended annually by the ACIP for a child this age.
Corrected Corrected by Jun 1, 2022
Category: health medication. Marked corrected in the state record.
3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The current health assessment, dated 7/6/21, on file for Child #5, who is 4 years old, does not indicate that the child appears to be free from contagious or communicable disease and is able to participate in child care.
Corrected Corrected by May 27, 2022
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
There was medication, Nystatin, in Room 2 labeled for use by a specific child, that did not have written parental permission to administer.
Corrected Corrected by Aug 11, 2022
Category: ratio. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The 2 most recent health assessments on file for Staff person #2 are dated 1/27/29 and 8/25/21, more than 24 months apart.
Corrected Corrected by Aug 11, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The initial health assessment on file for Staff person #1 does not include the results of a tuberculosis screening, due at hire. (See IS CODE SHEET).
Corrected Corrected by May 26, 2022
Category: health medication. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The current health assessment on file for Staff person #2 does not indicate that the staff person was examined for communicable disease.
Corrected Corrected by May 24, 2022
Category: health medication. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
There were no written feeding plans given by the parent for any of the infants under 1 year old who were receiving care.
Corrected Corrected by Jun 2, 2022
Category: nutrition. 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 fire drill log included fire drills dated 4/26/21 and 6/28/21, more than 60 days apart.
Corrected Corrected by Jun 1, 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 30 day test log for the fire alarm system includes tests dated 5/27/21-6/27/21, 31 days apart; 7/27/21-8/29/21, 33 days apart; 10/27/21-11/27/21, 31 days apart; 12/27/21-1/21/22, 35 days apart; and 2/28/21-3/31/22, 32 days apart
Corrected Corrected by Aug 18, 2022
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 person #2, #6 who were hired prior to 12/19/20, does not include 12 hours of annual training between 12/19/20-12/19/21, as per Announcement C-21-09.
Corrected Corrected by May 25, 2022
Category: recordkeeping. Marked corrected in the state record.