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

Two staplers were accessible to preschoolers in room 8. The staplers were observed on the counter and on a table. A box fan was accessible to children in room 7. The fan was observed to be plugged in and sitting on the wooden crawl through cube.

Corrected Corrected by Apr 16, 2025

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff person #2 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/2024. Documentation of updated Pediatric first aid and CPR training was not on file at the time of the inspection.

Corrected Corrected by Apr 16, 2025

Category: ratio. Marked corrected in the state record.

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

The following outlets, accessible to children 5 years of age or younger, lacked protective covers; 4 outlets on a power strip in room 7 near the lamp and 1 in room 8 near the lighted activity table.

Corrected Corrected by Apr 16, 2025

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A package of cigarettes was accessible to children in room 8. The cigarettes were observed in a purse in an unlocked cubby which was labeled with a child's name. A spray can of room deodorizer was also accessible on a table.

Corrected Corrected by Apr 16, 2025

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

A first aid kit was accessible to children in the gym. The first aid kit was observed in a backpack sitting on the table.

Corrected Corrected by Apr 16, 2025

Category: health medication. 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.

Stained ceiling tiles were observed in the following areas; 1 in room 6, 1 outside the custodian's closet near the restrooms, 1 above the doors to the street near the entrance to the playground, 1 in room 9 above the cubbies, 3 in room 7 above the box used for storing toxics, above the play kitchen center and above the closet door.

Corrected Corrected by May 16, 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.

The plastic coating on an outdoor bench on the playground was observed to be separating from the metal on the seating area resulting in sharp edges and exposed rust. One magnatile with broken areas was observed in room 8.

Corrected Corrected by May 9, 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.

Brown liquid was observed in the bottom of the refrigerator in the infant room.

Corrected Corrected by Apr 16, 2025

Category: nutrition. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #1 contained a health assessment dated 1/16/25 which is after their recorded start date. (SEE LIS CODE SHEET) A current health assessment is now on file.

Corrected Corrected by Jan 16, 2025

Category: ratio. Marked corrected in the state record.

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

The agreement for child #4 was not signed by the operator.

Corrected Corrected by Sep 9, 2024

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 for child #4 did not specify the amount of the fee to be charged.

Corrected Corrected by Sep 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

Inspection summary SIN-00246861 was not posted at the facility. An agent of the department has not verified correction of the violations documented on SIN-00246861.

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

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

The file for staff #1 contained a state police clearance from initial hire that lacked a dissemination date. The application date was 11/28/22. A valid state police clearance, dated 7/17/24, is now on file. The file for staff #1 also contained a disclosure statement that was not signed by a witness. (SEE LIS CODE SHEET)

Corrected Corrected by Aug 29, 2024

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

One clip on the safety strap of a highchair in room 3 was broken.

Corrected Corrected by Sep 9, 2024

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 #2, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position.

Corrected Corrected by Sep 5, 2024

Category: supervision. Marked corrected in the state record.

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

Two electrical outlets, behind the stacked cots in room 9 lacked, protective covers.

Corrected Corrected by Aug 29, 2024

Marked corrected in the state record.

3270.67(c)/3270.82(g) · Evidence of infestation of insects or rodents in the facility is not permitted. Toilet areas and fixtures shall be cleaned daily and be in good repair.

While testing the water in a sink in room 9, the water was very slow to drain. As the water filled the sink, insect larvae and live insects were observed coming up from the drain.

Corrected Corrected by Sep 30, 2024

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The first aid kit in room 6 was accessible to children on a low hook near the door. The first aid kit in room 9 was accessible to children on a storage shelf.

Corrected Corrected by Aug 29, 2024

Category: health medication. 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.

Stained ceiling tiles were observed in the following areas; 2 in room 9, 1 in room 1, and 2 in the children's restroom on the lower level.

Corrected Corrected by Aug 29, 2024

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 broken front loader construction toy was observed in the outdoor play space. A broken plastic storage tub and a green plastic toy with a chewed end were observed in room 3.

Corrected Corrected by Aug 29, 2024

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

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

A heavy flat screen TV/computer monitor, that was not anchored, was observed on a table in room 9.

Corrected Corrected by Sep 9, 2024

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 information for child #5 did not include the home phone number, work address, or work phone number of the enrolling parent.

Corrected Corrected by Sep 9, 2024

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 emergency contact information for child #4 did not include a health insurance policy number.

Corrected Corrected by Sep 9, 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 health report for child #1, an infant, contained health reports dated more than 6 months apart; 1/03/24 and 8/05/24. The most recent health report on file is now current.

Corrected Corrected by Aug 29, 2024

Category: health medication. 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 file for child #4 did not contain a current health report. The most recent health report on file is dated 5/09/23.

Corrected Corrected by Sep 30, 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 file for staff #2 contained results of a TB screening conducted more than 12 months before their date of hire. The results were dated 1/23/23. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 13, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #1 did not complete pediatric CPR and First Aid from an approved source within 90 days of hire. CPR/FA training on file dated 8/21/22 was obtained from the National CPR Foundation which is not an approved curriculum. Acceptable training dated 7/23/24 is now on file.

Corrected Corrected by Sep 13, 2024

Category: health medication. 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, enrolled over 60 days, did not contain a health report. The file for child #3 contained an initial health report dated more than 60 days after their first day of attendance. A current health report is now on file for child #3.

Corrected Corrected by Sep 9, 2024

Category: health medication. 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.

*Staff #2 self-reported that Staff #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Jun 17, 2024

Category: ratio. Marked corrected in the state record.

3270.51 · The legal entity will post the required staff:child ratios in a conspicuous location in every childcare space and bathroom in the facility.

**Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Aug 29, 204

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.

*Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Jun 14, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · The Legal Entity will arrange for all staff to attend a minimum of 3 hours of in-person training on supervision conducted by the ELRCs. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.

**Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · The legal entity and all staff will participate in technical assistance with the ELRC to address ways to properly supervise children and know their whereabouts at all times.

**Staff person #2 self-reported that Staff person #1 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Sep 16, 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.

*Staff person #2 self-reported that Staff person #2 left Child #1 unattended in the bathroom for approximately 5 minutes.

Corrected Corrected by Jun 14, 2024

Category: supervision. 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 Health and Safety professional development training update on file for Staff #4 is dated 8/1/2023, after the deadline of 12/20/22, as per Announcement C-22-06. The file for Staff Person #8 did not contain the Pa. Health and Safety update 2022.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 files for Staff #4 and Staff #5 did not contain documentation of Fire Safety training within one year from date of hire (SEE LIS CODE SHEET).

Corrected Corrected by Jun 16, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 is unable to return to work after 8/14/23 and may only return once updated clearances are obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff #1 does not contain a request or documentation of an FBI clearance prior or within 45 days of caring for children. The file for Staff #2 was observed not to contain a State Police clearance or documentation of an application for a State Police and NSOR clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The file for Staff person #2 was observed taking a child to the restroom alone and giving breaks without having a state police clearance on file. Staff #3 was observed not to contain documentation of application of a Child Abuse clearance prior to date of hire (SEE LIS CODE SHEET) required for provisional hiring under the CPSL. The file for Facility person #7 was observed to include a State Police clearance, which indicated the person has a record, but did not contain approval for working with children from the Department of Human Services. The file for Facility Person #11 was observed to include an incomplete criminal history clearance indicating that it was under review, making it invalid. The file for Facility Person #11 includes child abuse clearances dated 7/28/2015 and 11/24/2020, which is more than 60 months apart. Staff #2 is unable to return to work after 8/14/2023 and may only return once updated clearances are obtained

Corrected Corrected by Sep 21, 2023

Category: background checks. 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 Classroom 5, diaper cream labeled "Keep out of the reach of children" was accessible to children in a bookbag in an unlocked cubby.

Corrected Corrected by Aug 14, 2023

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.

Spray bottles with toxics were unlabeled in a locked Janitor's closet.

Corrected Corrected by Aug 14, 2023

Category: ratio. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The First Aid kit in Classroom 9 was accessible to children in an unlocked cubby.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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.

n Room 8, there was a hole in the linoleum tile near the wall. In Room 8, an air vent attached to the wall was loose and could be hazardous to children. A rectangular rug with a hopscotch board print was observed to be darkened with dirt spots. A screwdriver was located on the floor in Classroom 6, which could be hazardous to children. In the Gym, there was debris along the floor that was less than 1 inch in diameter in a space used by Toddlers.

Corrected Corrected by Aug 14, 2023

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 Gym, there was peeling paint on the wall.

Corrected Corrected by Aug 14, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In Classroom 2, a diapering area did not contain a handwashing sign. While observing a diaper change in Classroom 5, Staff #1 and able child did not wash their hands after toileting.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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.

The foam padding on the playground at the bottom of the slide was torn and crumbling in a space used by Toddlers, who are still placing objects in their mouths. In the Gym, there was debris along the floor that was less than 1 inch in diameter in a space used by Toddlers.

Corrected Corrected by Aug 14, 2023

Category: physical safety. 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.

In Classroom 7 & 8, the rest equipment was not labeled for use by a specific child.

Corrected Corrected by Aug 14, 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.

In Room 1, a cot and a crib only had two feet of space on two sides while the equipment was in use.

Corrected Corrected by Aug 14, 2023

Category: physical safety. 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.

In Room 1 at 1:57 PM, Staff #9 who was seated in a chair was unable to see a sleeping young toddler on a cot and an infant in a crib during nap due to equipment obstructing their view. During nap time, all three staff in Room 4 were observed not supervising the children appropriately, as they all were on their cell phones at the same time.

Corrected Corrected by Aug 15, 2023

Category: supervision. Marked corrected in the state record.

3270.151(b) · 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.

The current health assessment on file for Staff #10 does not indicate that the health assessment was conducted by a physician, physician's assistant, or CRNP.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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 1:53 PM, Staff #8 was unable to name 1 preschool aged child in the group of 7 children they were supervising during nap in Room 4.

Corrected Corrected by Aug 14, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #1 does not contain a child service report after 6/3/2022. The file for Child #4 observed not to contain a child service report within 6 months from date of enrollment (SEE LIS CODE SHEET).

Corrected Corrected by Aug 15, 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 #5 does not include the complete address for the child's pediatrician or source of medical care.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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 #4 does not indicate if the child has any special medical needs, which is needed in an emergency.

Corrected Corrected by Aug 15, 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 #5 does not include the health insurance coverage and policy number for the medical insurance policy.

Corrected Corrected by Aug 15, 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 #4 does not include the address for the release person who is listed on the emergency contact form.

Corrected Corrected by Aug 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

SECOND CITATION from 8/14/23: Emergency contact forms for the children present in Classroom 5 were not located in the childcare space. On 9/25/23 at 12:50PM, emergency contact forms for the children present in the childcare space were not observed in Room 4(Right Side)/5(Left Side). Staff Person #1 confirmed that the emergency contact binder did not have forms for the current children in care. Staff Person #3 in Room 5 (left side of room) confirmed that the emergency contact binder did not contain the forms for the children in Room 4, just the children in Room 5.

Corrected Corrected by Sep 25, 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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 1/7/22 and 5/9/2023, more than 1 year apart.

Corrected Corrected by Aug 14, 2023

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 files for Child #2 and Child #4 observed not to contain influenza vaccination, which is recommended annually by the ACIP, on file or a written exemption from the parent. Child #2 and #4 must be dismissed from care by close of business on 8/17/2023 and may only return when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Aug 15, 2023

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.

While observing a diaper change, Staff #3 did not dispose of the soiled diaper hand-free into a plastic lined covered can.

Corrected Corrected by Aug 14, 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 file for Staff #1 was observed not to contain documentation of a Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis screening on file for Staff #1 was dated 7/8/2019.

Corrected Corrected by Sep 14, 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 #8 indicates that the staff person has a communicable/contagious disease, with no additional information given. The most recent health assessment on file for Staff #11 is dated 5/13/2019, which is to be completed every 24 months consecutively.

Corrected Corrected by Aug 14, 2023

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #1, #2, and #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff #1 and Staff #2 completed Pediatric First Aid/Pediatric CPR on 7/28/23. Staff #3 completed Pediatric First Aid/Pediatric CPR on 8/2/23. Staff #8 has a pediatric first aid/CPR training on file that is not an approved curriculum.

Corrected Corrected by Aug 14, 2023

Category: health medication. 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 was no health assessment on file for Child #2, and the child has been enrolled more than 60 days.

Corrected Corrected by Sep 13, 2023

Category: health medication. 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 #2 contained consecutive fire safety trainings dated more than 12 months apart.

Corrected Corrected by Oct 31, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff #1 contained consecutive child abuse and FBI clearances dated more than 60 months apart.

Corrected Corrected by Oct 24, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/29/15 and 4/1/20.

Corrected Corrected by Oct 31, 2022

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.

Electrical outlets were observed to be uncovered by the TV in the PreK 6 Room and by the bulletin board in the PreK 7 Room.

Corrected Corrected by Aug 29, 2022

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 SA 9 Room was observed to lack gloves.

Corrected Corrected by Aug 29, 2022

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.

Foam blocks were observed to contain bite marks in the Infant Room. The blocks were accessible to children who may still be placing objects in their mouths.

Corrected Corrected by Aug 29, 2022

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.

An emergency contact form was not present in the Infant Room for one of the children in care in that space.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff #1 contained consecutive health assessments dated more than 24 months apart.

Corrected Corrected by Oct 31, 2022

Category: ratio. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

A current menu was posted yet a menu for one week in advance was not posted or provided to each family.

Corrected Corrected by Nov 7, 2022

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.

In video footage observed as part of an incident investigation, Staff #1 is viewed dropping one end of a cot to the floor from hip level. This resulted in a child's finger being caught under the leg of the cot, causing the fleshy tip of the child's finger to be cut off.

Corrected Corrected by Jul 5, 2022

Category: health medication. 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.

The following conditions were observed in areas accessible to children in care and posed a potential threat to their health and safety: In room #6, there were garbage bags in an unlocked drawer and in room #9, there were sharp, adult scissors, in an unlocked cabinet.

Corrected Corrected by Aug 31, 2021

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

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

The record for staff #1 included a current copy of the FBI clearance dated 11/5/2020, more than 60 months following the previous clearance dated 11/3/2015; and a current copy of the child abuse clearance dated 1/21/2021, more than 60 months following the previous clearance dated 11/7/2015.

Corrected Corrected by Aug 31, 2021

Category: background checks. 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 record for staff #1 included verification of current mandated reporter training completed on 4/1/2020, which was more than 60 months following the previous training completed on 1/29/2015.

Corrected Corrected by Aug 31, 2021

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 director did not complete a minimum of one written evaluation of staff #1 every 12 months during the period between 6/9/2020 to 8/4/2021.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

Emergency contact information for child #1 did not include the birth date of the child.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

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

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in room #6, #7, and #8.

Corrected Corrected by Aug 31, 2021

Category: transportation. 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 operator did not have the proof of purchase for fire detection system.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility since 1/19/2020..

Corrected Corrected by Aug 31, 2021

Marked corrected in the state record.