3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #1, identified as an aide, was observed caring for 8 preschool aged children unsupervised on the outdoor play area during the unannounced inspection.

Corrected Corrected by May 18, 2026

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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The operator will install electronic chimes, which alert upon opening, on all doors which serve as exits from child care spaces and from the facility itself. The correction date for this portion of the plan shall be within 2 months from the date of approval of this plan. 3. The operator shall develop a door use policy, which includes details related to when a door may be open. The policy must be reviewed by DHS. Each staff must review and sign the policy. A visual reminder of this policy shall be posted at all doors which serve as exits from child care spaces and from the facility itself. The correction date for this portion of the plan shall be within 2 months from the date of approval of this plan.

On 3/12/26. at approximately 4:15PM, child #1 was present outside the door to the older toddler room with staff #1 and staff #2. Then child #1 exited the child care facility alone and unsupervised for approximately 2 minutes. During this time, Child #1 crossed the street and approached a vehicle. The occupant, individual #2, exited the vehicle and escorted child #1 back into the child care facility.

Corrected Corrected by Mar 13, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 3/12/26. at approximately 4:15PM, child #1 was present outside the door to the older toddler room with staff #1 and staff #2. Then child #1 exited the child care facility alone and unsupervised for approximately 2 minutes. During this time, Child #1 crossed the street and approached a vehicle. The occupant, individual #2, exited the vehicle and escorted child #1 back into the child care facility.

Corrected Corrected by Apr 27, 2026

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 #7 did not include documentation of completing fire safety training within the last 12 months. The most recent training was dated 12/16/24.

Corrected Corrected by Jan 20, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #5 did not complete Health and Safety Training Part 2 within 90 days of hire. The training was completed on 1/02/26 (SEE LIS CODE SHEET)

Corrected Corrected by Jan 26, 2026

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 file for staff #1 contained an NSOR certificate which was not updated within 60 months. The previous certificate was obtained on 4/09/20 and was renewed on 5/30/25. The file for staff #2 contained an invalid version of the disclosure statement and an NSOR certificate obtained on 7/10/25 which was after their first day in a child care position. (SEE LIS CODE SHEET) The file for staff #3 contained an NSOR certificate which was not updated within 60 months. The previous certificate was obtained on 2/25/20 and was renewed on 3/24/25. The file for staff #6 contained an NSOR certificate obtained on 8/04/25 which was after their first day in a child care position. (SEE LIS CODE SHEET)

Corrected Corrected by Jan 26, 2026

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 #2, designated as a Group Supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. Staff #2 has an unrelated degree and lacks the required number of related college credits.

Corrected Corrected by Jan 16, 2026

Category: supervision. Marked corrected in the state record.

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

The file for staff #7 did not contain a written evaluation.

Corrected Corrected by Jan 29, 2026

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.

A spray bottle containing a bleach and water mix was accessible to children on the sink counter in the restroom.

Corrected Corrected by Jan 16, 2026

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A spray bottle containing a bleach and water mix was not labeled specifying the contents. The bottle was observed in the restroom.

Corrected Corrected by Jan 20, 2026

Category: ratio. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

A can of Barbasol shaving cream was observed stored with the art materials in the preschool room. The container was labeled keep out of reach of children and had been used by children during art lessons.

Corrected Corrected by Jan 16, 2026

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Trash from breakfast, including food service items and used napkins, was observed in an unlidded trash can in the school age area. The lid for the can was present but was placed under the can and was not in use.

Corrected Corrected by Jan 16, 2026

Category: nutrition. 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.

The following tripping hazards were observed near the gate of the playground on the route used by children to access the play space; loose and bunching landscaping fabric and the remains of a small tree stump.

Corrected Corrected by Mar 15, 2026

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.

One sink in the kitchen lacked a posted handwashing sign.

Corrected Corrected by Jan 29, 2026

Category: health medication. 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 corner of a Lego table in the preschool area near the kitchen was observed to be loose creating a pinch point.

Corrected Corrected by Jan 30, 2026

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.

Cracked and broken seats were observed on two blue student chairs in the outdoor play space.

Corrected Corrected by Jan 20, 2026

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 the infant room, child #8 was observed in a crib that was not labeled for a specific child. Child #7 was observed on a cot that was labeled for child #1.

Corrected Corrected by Jan 20, 2026

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the infant room lacked an operating thermometer. A thermometer was present but was not displaying a temperature. The battery appeared to be dead.

Corrected Corrected by Jan 16, 2026

Category: nutrition. Marked corrected in the state record.

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

The agreement for child #3 was not signed by the operator.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 contained a child service report which was not shared with the parents. The file for child #5 contained service reports dated more than 6 months apart, but are now current.

Corrected Corrected by Jan 23, 2026

Category: recordkeeping. Marked corrected in the state record.

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

The agreements for children #1 and #3 did not specify the date of the child's admission.

Corrected Corrected by Jan 29, 2026

Category: recordkeeping. 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 files for children #1, #2, #4, and #5 contained the original agreements.

Corrected Corrected by Jan 29, 2026

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 information for child #1 did not include the name and phone number for the child's physician and lacked a complete address.

Corrected Corrected by Jan 29, 2026

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

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

The emergency contact information for children #3 and #4 did not include complete information for the enrolling parent's work address.

Corrected Corrected by Jan 29, 2026

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 #2 did not include the health insurance policy number.

Corrected Corrected by Jan 29, 2026

Category: health medication. 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 emergency contact form and agreement for child #2 have not been updated by the parent in over 6 months (5/07/25). The emergency contact form and agreement for child #5 were not updated by the parent within 6 months, but are now current.

Corrected Corrected by Jan 29, 2026

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 #1 lacked a current health report conducted in the last 6 months.

Corrected Corrected by Jan 29, 2026

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 lacked a current health report. Consecutive health reports for child #5, an OT, were conducted more than 12 months apart but are now current.

Corrected Corrected by Jan 29, 2026

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

A container of Mupirocin in the infant room was not labeled with the name of the child for whom the medication was intended. The medication tube had become separated from its labeled box and was intended for child #6. Children's Rexall Allergy Relief, which was not labeled for a specific child, was observed in the kitchen cabinet.

Corrected Corrected by Jan 23, 2026

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Two expired medications were observed in the kitchen cabinet. Children's Rexall Allergy Relief exp March 2017 and prescription Polyethylene Glycol Powder with a label stating discard after 6/28/24.

Corrected Corrected by Jan 16, 2026

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

3270.133(7)(i) · A medication log shall include the name of the medication.

The medication logs for 2 medications did not include the names of the medication. The medications, diazepam and mupirocin were labeled for child #6.

Corrected Corrected by Jan 23, 2026

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.

In the infant room, staff #8 was observed placing a soiled diaper directly onto the changing table after removing it from the child instead of placing it immediately into the hands-free trash can.

Corrected Corrected by Jan 16, 2026

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff #6 did not contain the results of a screening for TB. A note on the bottom of the health assessment form states a TB test was ordered, but the results were not indicated on the form and were not otherwise present in the file.

Corrected Corrected by Feb 2, 2026

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 for staff #4 did not include the results of an examination for communicable diseases. In the margin, the physician noted "pending TB test". The health assessment also lacked the physician's assessment of the person's suitability to provide child care. The boxes were left blank for both questions.

Corrected Corrected by Jan 22, 2026

Category: health medication. 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 #7, employed for over 12 months. did not include documentation of completing 12 hours of annual training.

Corrected Corrected by Mar 1, 2026

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.

A large gap was observed under an exit door in a storage room near the kitchen. The door opens to the exterior of the building, The door lacked a guard at the bottom.

Corrected Corrected by Nov 2, 2025

Category: physical safety. 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 #1 did not renew the mandated reporter training within 60 months as evidenced by the certificates on file being dated 7/08/20 and 8/08/25. Current mandated reporter training is now on file.

Corrected Corrected by Oct 1, 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.

A reusable spray bottle containing bleach solution was accessible to children in an unlocked cabinet in the PS area near the kitchen. The bottle was observed on an accessible shelf inside the cabinet.

Corrected Corrected by Sep 19, 2025

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Trash from breakfast, including napkins, was observed in two open trash cans in both preschool areas. Lids for the cans were observed stored under the cans but were not in use which allowed the items contaminated by human secretion to be accessible.

Corrected Corrected by Sep 8, 2025

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 handle was observed on a blue floor scooter in the outdoor play space.

Corrected Corrected by Sep 8, 2025

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Nystatin cream which lacked written parental consent for administration was observed in the young toddler room. The medication was labeled for child #1.

Corrected Corrected by Sep 18, 2025

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25, at 12:05pm Child #6 was observed in the restroom alone. There were no staff in the restroom or supervising the restroom while the child was in the restroom. Child #6 returned to their nap mat in the Preschool room. Staff #3 who was responsible for supervising Child #6, stated they were unaware the child had left the room and explained that the door must have been left open.

Corrected Corrected by Sep 26, 2025

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.

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25, at 12:05pm Child #6 was observed in the restroom alone. There were no staff in the restroom or supervising the restroom while the child was in the restroom. Child #6 returned to their nap mat in the Preschool room. Staff #3 who was responsible for supervising Child #6, stated they were unaware the child had left the room and explained that the door must have been left open.

Corrected Corrected by Sep 26, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 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 their 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. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors. The training must be offered by ELRC 5, in-person and a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete. 3. The legal entity will require all leadership staff, including the director and assistant director, to participate in technical assistance visits provided by the ELRC regarding classroom set up and arrangement to eliminate supervision concerns. The legal entity will complete a minimum of 3, in-person technical assistance visits provided by ELRC 5. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The correction date for this portion of the plan shall be at min 3 months from the date of submission of the Provider's Plan of Correction.

On 8/1/25, during the transition from lunch to quiet time in the school age room, Child #1 gave their cell phone to Child #3 to record a fight between Child #1 and Child #2. Child #1, #2 & #3 are school aged children. Staff #1 was cleaning up lunch and putting cots out for the children. At that time, Child #1 told Child #2 to start recording. Staff #1 observed Child #1 and #2 enter into the restroom while Child #3 was recording the incident with a cell phone. Staff #1, took the phone from Child #3 and entered the restroom to separate the children. Child #1 & #3 were hitting and punching each other. Staff #1 separated the two by grabbing Child #1. During this time, the remaining school age children were in the school age room unsupervised. According to staff statements, Child #1 and #3 have had ongoing verbal altercations throughout the summer. On 8/8/25 at 11:35am, in the School Age room there were 2 staff with 21 children. When asked to identify the children in their individual supervision groups, Staff #1 and Staff #5 failed to identify 2 school age children who were present. The staff were given several attempts to identify the children in their assigned supervision group. On 8/8/25, at 12:05pm Child #6 was observed in the restroom alone. There were no staff in the restroom or supervising the restroom while the child was in the restroom. Child #6 returned to their nap mat in the Preschool room. Staff #3 who was responsible for supervising Child #6, stated they were unaware the child had left the room and explained that the door must have been left open.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for Staff #9 lacked emergency plan training. Staff #9 has been employed for at least 90 days.

Corrected Corrected by Sep 28, 2025

Category: recordkeeping. 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. Until such time as the required training has been completed, staff person #9 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2

Corrected Corrected by Sep 28, 2025

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. Facility Person #9 may not work in a child care position at the facility.

The file for Staff #9 lacked PA Child Abuse clearance. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 28, 2025

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #1, #2, #7 & #8 were identified as assistant group supervisors. Their staff files lacked their qualifications. The file for Staff #1, #7 & #8 lacked documentation of 2 years experience with children. The file for Staff #2 lacked documentation of their high school diploma or GED certificate.

Corrected Corrected by Sep 28, 2025

Category: supervision. 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 #8 contained only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for Staff #9 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

At approximately 10:30AM on an unspecified date in April 2025, child #1 pushed back from a table while seated resulting in the chair tipping and child #1 bumping his head on the floor. An accident/injury report was not written.

Corrected Corrected by Jun 20, 2025

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. Staff #1 may not work in a child care position at the facility.

The file for staff #1 contained a child abuse clearance obtained for the purpose of volunteering.

Corrected Corrected by Apr 16, 2025

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

3270.21 · TIERED LIS: 1. Conditions at the facility may not pose a threat to the health or safety of the children. 2. The Legal Entity will convene a minimum of three (3) monthly staff meetings following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous non- compliance documented on the licensing inspection summaries issued in the last year. Additional discussion topics will include the Department of Human Services' regulations related to 3270.21 General Health and Safety, 3270.66(a) Toxics and 3270.103 Small Toys and Objects. The following will be prepared and will be sent to OCDEL- DHS representatives within 7 calendar days after the meeting: a detailed agenda, a log identifying the date and time of the meeting, and a sign-in sheet for persons attending that includes their typed name and signature.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff present and children (YT and PS) were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

Corrected Corrected by Jun 20, 2025

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

3270.66(a) · TIERED LIS: 1. Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. 2. Staff Person #1 will take a minimum of three (3) hours of online/in-person training pertaining to having medication in the childcare facility. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion. 3. The Legal Entity will develop a policy for managing staff medications within the facility. The policy will be added to the staff handbook. All currently employed staff will receive the updated policy and confirmation of its receipt will be obtained in writing and submitted to the Department.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff and children (YT and PS) present were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

Corrected Corrected by Aug 1, 2025

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Based on a complaint investigation conducted on March 24, 2025 which included interviews and a review of video footage, it has been determined that a pill contained within a small plastic bag fell out of Staff Person #1's pants pocket in a high traffic area of the facility. All staff and children (YT and PS) present were unaware of this occurrence until Staff Person #2 picked up the plastic bag and placed it in her office. It was later determined that the pill was Xanax.

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The regional office was not notified that child #1 received emergency room treatment after an injury occurred at the facility on 2/06/25.

Corrected Corrected by Apr 18, 2025

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.

Based on statements made by staff, a stapler was accessible to children in the preschool room on 2/06/25.

Corrected Corrected by Feb 7, 2025

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

3270.113(a) · 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to attend, a minimum 2 hour training regarding supervision and ratio offered by ELRC 5 within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS certification representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department. 3. The legal entity will develop a nap time supervision policy. The policy shall include the following: the definition of supervision, 3270.4; supervision 3270.113(a), and supervision grouping 3270.113(a)(1), and staff:child ratios 3270.51, 3270.52, and Ratios while children are napping, 3270.55. The document must be approved by DHS. All staff will sign a copy of the nap time supervision policy and a copy of the signed policy will be maintained in the staff file.

On 2/06/25, staff #1 was assigned to supervise children in the preschool room during nap time. Child #1 was not supervised resulting in an injury from an accessible stapler.

Corrected Corrected by Jul 31, 2025

Category: supervision. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 2/06/25, child #1 incurred an injury to their finger caused by a stapler. An incident report was not written.

Corrected Corrected by Apr 18, 2025

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

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #9 lacked documentation of current emergency plan training. The files for staff #2, #3, and #6 contained documentation of completing emergency plan training at an interval greater than 12 months. Current training is now on file for staff #2, #3, and #6.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's letter to parents explaining the emergency procedures lacked details regarding the accommodations that will be made for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Mar 20, 2025

Category: physical safety. 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 files for staff #4 and #6 did not include current documentation of fire safety training. The files for staff #1, #3 and #9 contained documentation of completing fire safety training more than 12 months apart.

Corrected Corrected by Mar 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). 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. Staff #5 may not work in a child care position at the facility.

The file for staff #4 contained a child abuse clearance dated 8/21/19 which was not renewed on or before its expiration. A current child abuse clearance dated 9/04/24 is now on file. The file for staff #5 did not include a state police clearance and contained an expired NSOR clearance dated 11/07/19. The file for staff #10 contained an NSOR clearance dated 68 days after hire. The file also lacked an NSOR application. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 20, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #4 did not renew mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/18/19 and the updated training being dated 3/12/24. Staff person #8 did not complete mandated reporter training within 90 days of hire. The training was dated 4/25/24. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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 files for staff #7 and #11, designated as assistant group supervisors on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #10, designated as a group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

Corrected Corrected by Mar 20, 2025

Category: supervision. Marked corrected in the state record.

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

The file for staff #4, employed for over 12 months, did not include a staff evaluation.

Corrected Corrected by Mar 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.

A spray bottle of bleach water and a small bucket of cleaning water were accessible to children in an unlocked storage cabinet in the PS room. A gallon pump bottle containing hand sanitizer was accessible to children in an unlocked storage cabinet in the OT room.

Corrected Corrected by Mar 20, 2025

Category: physical safety. 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 OT room lacked tweezers.

Corrected Corrected by Mar 20, 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; 2 in the school age area, 2 in the cubby area near the restrooms, 3 above the rear gates of the PS/OT areas, and 3 in the infant room. In the restroom, a sharp white plastic piece was observed where a stall door had been removed and sharp, rusted metal was observed on the bottom of a stall door. The doorknob wall protector plate, mounted outside the restroom door, was observed to be broken with accessible sharp plastic. An area of splintering wood trim was observed at the base of a half door frame outside the restroom area.

Corrected Corrected by Mar 20, 2025

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

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

Peeling blue paint was observed on the 1/2 wall in the school age room.

Corrected Corrected by Mar 20, 2025

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.

One toilet stall in the restroom used by children lacked a posted handwashing sign.

Corrected Corrected by Mar 20, 2025

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 changing pad in the restroom was torn exposing the inner foam filling.

Corrected Corrected by Mar 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.

A broken knob was observed on the play stove in Toddler 1. In the PS room, two broken baskets were observed in the cubbies and a broken blue magnatile was observed in a storage bin. In the EHS toddler room, a cracked clear plastic bin was observed in the play sink. A hardened, partially eaten cheese slice was observed on a toy shelf in Toddler 1.

Corrected Corrected by Mar 20, 2025

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 loose arm, resulting in a pinch pint, was observed on a patio type wooden chair in the school age area. Multiple loose and bent hooks were observed in the cubbies in the OT room and the EHS toddler room.

Corrected Corrected by Mar 20, 2025

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 agreements for children #2, #4, and #7 did not specify the amount of the fee to be charged.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements for children #2, #4, and #7 did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #3, enrolled over 6 months, did not contain documentation of sharing the child service report with the child's parents. The file for child #4 contained two child service reports dated by staff as 6/02/24 and 11/02/24, however there was no documentation that the reports were shared with parents. The file for child #5 contained a child service report dated more than 6 months after initial enrollment, but is now current. The file for child #7 lacked documentation of sharing a child service report with parents within the last 6 months. The only report on file was dated 11/15/23.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for child #7 did not specify the child's departure time.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 20, 2025

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.

The emergency contact form for child #1 did not include a complete date of birth. The year was not listed.

Corrected Corrected by Mar 20, 2025

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 forms for children #1, #2, #5, and #7 did not include the name, address and telephone number of the child's physician. The forms for children #5 and #8 included incomplete addresses for the children's physicians.

Corrected Corrected by Mar 20, 2025

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

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

The emergency contact forms for children #1, #4, and #7 did not include the work address and phone number of the enrolling parent. The boxes were left blank. The emergency contact form for child #1 did not include the enrolling parent's phone number. The emergency contact form for child #6 did not include the complete address of the enrolling parent.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact forms for the following children did not include the health insurance coverage and/or the policy number; children #1, #2, #4, #5, #7, and #8.

Corrected Corrected by Mar 20, 2025

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 forms for children #1, #6, and #7 did not include complete addresses for the individuals designated by the parents to whom the children may be released.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact form and agreement for child #5 have not been reviewed by the parent in over 6 months. The last documented review occurred 1/25/24. The Emergency contact forms and agreements for children #6, #7, and #8 were reviewed by the parents at intervals greater than 6 months, but are now current.

Corrected Corrected by Mar 20, 2025

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 #3, a young toddler, did not contain a current health report. The most recent health report on file was dated 12/11/23.

Corrected Corrected by Mar 20, 2025

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 files for children #5 and #7 did not contain current health reports. The most recent health assessments on file are dated 8/25/23 for child #5 and 11/16/23 for child #7.

Corrected Corrected by Mar 20, 2025

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 most recent health report on file for child #8 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 20, 2025

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

3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The emergency contact forms for children #2 and #7 did not include a date with the parent's signature following the most recent review.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact forms for children #1, #2, #5, #6, and #7 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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 #7 did not include two written references.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The last documented emergency drill occurred 7/21/23.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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 #5 did not complete training in pediatric CPR and first aid within 90 days of hire. This is evidenced by the training being dated 7/19/24. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 20, 2025

Category: health medication. 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 #4 contained 6 hours of annual training completed on time between 4/30/23 and 4/30/24. Six additional hours were completed late in October 2024. Current training is now on file.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Based on statements made by staff and documentation at the facility, staff #1 used their hand to lightly strike a school- aged child on the hand because the child was not following directions.

Corrected Corrected by Nov 21, 2024

Marked corrected in the state record.

3270.52 · **The operator will develop a written policy for maintaining ratio at drop off times. The policy must be shared with parents of enrolled children and staff.

**At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

Corrected Corrected by Nov 22, 2024

Category: supervision. Marked corrected in the state record.

3270.52 · *The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations relating to ratio and supervision. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request

*At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

Corrected Corrected by Feb 28, 2025

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 10:30AM, staff #1 was observed in the gross motor area with 7 children; 4 older toddlers and 3 preschoolers. When asked to identify the children she was responsible for supervising, staff #1 named all 7 children.

Corrected Corrected by Nov 21, 2024

Category: supervision. 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 files for staff #1 and #2 contained expired CPR and First Aid certification, both dated 4/03/22 with expiration at the end of 4/2024.

Corrected Corrected by Oct 11, 2024

Category: ratio. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Based on the facility's fire drill log, the hypothetical location of the fire was the same for two consecutive drills, dated 4/24/24 and 5/23/24. The drill completed on 6/18/24 was compliant with a different hypothetical location.

Corrected Corrected by Sep 15, 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. Facility Person #4 may not work in a child care position at the facility.

The NSOR on file for Staff #4 did not have Staff #4's name printed on it, making it invalid. Staff #4 must be removed a childcare position on 3/1/24, until the corrected NSOR is received.

Corrected Corrected by Mar 14, 2024

Category: background checks. 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 two most recent fire safety trainings on file for Staff #2 and Staff #5 were dated 4/3/22 and 7/21/23, more than one year apart.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. 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 #3 had not completed 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 -- Revised 2022 (Dated 9/19/23)

Corrected Corrected by Mar 29, 2024

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 most recent mandated reporter training on file for Staff #6 is dated 2/28/19, more than 60 months ago.

Corrected Corrected by Mar 12, 2024

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 2:00 PM during nap time, Staff #5 was observed during with 1 PSA child and 7 YT in the Young Toddler Room. While Staff #5 was changing a diaper, 1 YT got up off their cot and Staff #5 instructed the child to sit at the table. This caused Staff #5 to be out of mixed age ratio, due to nap ratio no longer being applied. The ratio was 1:5.

Corrected Corrected by Mar 11, 2024

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.

An outlet cover was missing in the TV room.

Corrected Corrected by Mar 11, 2024

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 wall near the door in the Older Toddler space in the middle of the Main Room.

Corrected Corrected by Mar 29, 2024

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.

The Yellow space in the Main Room lacked a handwashing sign at the sink.

Corrected Corrected by Mar 11, 2024

Category: health medication. 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 cracked plastic toy bin was observed in the Yellow Space, a cracked green toy bin was observed in the Older Toddler middle space, broken magnatiles were observed in the Preschool and School Age spaces, and foam letters with teeth marks were observed in the Preschool space. A cracked handle on a Scooter Board was observed in the Outdoor Play Space.

Corrected Corrected by Mar 11, 2024

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 1:25 PM, Staff #3 and Staff #7 were observed in the Infant room with 7 Infants and 1 YT. Staff #7 was asked to name her supervision group and successfully named 1 YT and 3 Infants. Staff #3 was asked to name the children in her supervision group and named 3 but actually had four infants. CR gave Staff #3 a second attempt and was unsuccessful. CR explained there was a total of 8 children in the room and one child was left unidentified. After Staff #3 and Staff #7 discussed their respective groups, they realized the unidentified child was assigned to Staff #3.

Corrected Corrected by Mar 11, 2024

Category: supervision. 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 financial agreement form for Child #3 did not contain a fee amount.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Financial Agreement forms for Child #3 and Child #4 did not contain the date which the fee is to be paid.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #1 and Child #4 did not contain any Child Service Reports. The Financial Agreements on file for Child #2 and Child #3 lacked services provided.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The Financial Agreement form on file for Child #3 did not contain the date of admission.

Corrected Corrected by Mar 29, 2024

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 for Child #2 lacked the name, address, and telephone number of the child's physician or medical care provider.

Corrected Corrected by Mar 29, 2024

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

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

The Emergency Contact form for Child #1 lacked a complete home and work address of the enrolling parent. The Emergency Contact forms for Child #2, Child #3, and Child #4 lacked complete work address and work phone number of the enrolling parent.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The Emergency Contact form for Child #5 did not contain consent from the parent for emergency medical care.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The Emergency Contact form for Child #3 did not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Mar 29, 2024

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 forms for Child #2, Child #3, and Child #4 lacked the Health Insurance/MA name and policy number.

Corrected Corrected by Mar 29, 2024

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 forms for Child #2, Child #3, and Child #4 lacked complete addresses and phone numbers for all listed release persons.

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The most recent health assessments on file for Child #6 (YSA) and Child #7 (YSA) are dated 8/23/22 and 9/10/21, which are health assessments completed for a preschool aged child, not a school aged child.

Corrected Corrected by Mar 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 most recent health assessment on file for Child #3 (PSA) is dated 5/17/22, more than 12 months ago.

Corrected Corrected by Mar 29, 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 two most recent health assessments on file for Staff #2 were dated 2/23/22 and 3/3/24, more than 24 months apart.

Corrected Corrected by Mar 18, 2024

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The Emergency Contact form for Child #5 did not contain consent form the parent for the facility to administer minor first-aid.

Corrected Corrected by Mar 29, 2024

Category: ratio. 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 #1 lacked 2 hours of annual training within the last 12 months. (See LIS CODE SHEET)

Corrected Corrected by Mar 29, 2024

Category: recordkeeping. 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.

Based on conversations with staff, an infant was left alone in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym creating a staff to child ratio of 0:1.

Corrected Corrected by Jan 16, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

**Based on conversations with staff, an infant was left alone and was not supervised in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym.

Corrected Corrected by Feb 23, 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.

*Based on conversations with staff, an infant was left alone and was not supervised in the infant classroom for a short period of time while children were being transitioned from the infant room to the gym.

Corrected Corrected by Jan 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Based on conversations with staff, a staff person did use curse words in the presence of children in the classroom. Also, staff have been heard raising their voices at the children in the classroom.

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).

The file of child #1, who was out ill for a week with a communicable disease, did not contain a doctor's note permitting the child to return from care. When staff person #1 contacted the parent, the parent confirmed a doctor's note was not provided to the facility upon the child's return.

Corrected Corrected by Jan 16, 2024

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

3270.35(e)/3270.35(f) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Each additional group supervisor shall be employed by and be present at the facility for a minimum of 30 hours per week.

SECOND CITATION: The facility does not employ two Group supervisors to be present 30 hours a week each. The facility has more than 45 children enrolled and attending daily. PREVIOUSLY CITED ON 8/25/23

Corrected Corrected by Feb 28, 2024

Category: supervision. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

At 9:40 AM, 4 YT and 7 OT were observed receiving care in the "Indoor Gross Motor" playspace that has a designated maximum capacity of 8 toddlers.

Corrected Corrected by Nov 6, 2023

Category: ratio. 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 12:53 PM, Staff #1 was unable to name 1 young toddler in the group of 9 children they were supervising during nap in the Purple Room.

Corrected Corrected by Oct 16, 2023

Category: supervision. 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.

There was peeling paint observed on the wall in Yellow Room.

Corrected Corrected by Sep 25, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Staff #7 was observed holding an able bodied child for handwashing after diapering.

Corrected Corrected by Aug 25, 2023

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

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

Emergency plan did not address continuity of operations. The files for Staff #6 and Staff #15 did not include documentation of completion for the Health and Safety 1 hour update.

Corrected Corrected by Oct 5, 2023

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The liability insurance certificate did not include the address of child care location.

Corrected Corrected by Aug 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for Staff #15 lacked an emergency plan training within 90 days beyond date of hire (SEE LIS CODE SHEET).

Corrected Corrected by Sep 25, 2023

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.

Aquaphor, Deodorant, and lotion, which were all labeled 'Keep out of reach of children', were located in an unlocked cabinet accessible to children in the Pre-K room.

Corrected Corrected by Aug 28, 2023

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.

Staff #2's file include a previous and most recent CPR/First Aid training that was more than 24 months apart 5-16-20 & 11-3-22. Staff #13 CPR/First Aid training certificate was not located in the file.

Corrected Corrected by Oct 4, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #3 contained a disclosure statement that was not signed by the employee. The files for Staff #11 and #15 contained disclosure statements that did not include a witness signature.

Corrected Corrected by Sep 27, 2023

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

3270.35(b)(3)/3270.192(2)(iii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #8 lacks the required 2500 hours of child care experience and 30 human service credits needed to meet the requirements of a Group Supervisor.

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.

3270.35(e)/3270.35(f) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Each additional group supervisor shall be employed by and be present at the facility for a minimum of 30 hours per week.

The facility does not employ two Group supervisors to be present 30 hours a week each. The facility has more than 45 children enrolled and attending daily.

Corrected Corrected by Oct 31, 2023

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A missing toilet seat was observed accessible to children in the bathroom located in the School Age room. A loose sink that was detaching from the wall was observed in the bathroom next to the School Age room. A damaged wall with exposed holes was observed in the Pre-K room.

Corrected Corrected by Sep 25, 2023

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

3270.36(b)(5)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #16 lacked documentation of 2500 hours of child care experience and an acceptable high school diploma need to meet the requirement for an Assistant Group Supervisor.

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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 #3 and Staff #15 lacked documentation of 2500 hours of child care experience needed to meet the requirements for an Assistant Group Supervisor. The file for Staff #14 lacked documentation of a high school diploma need to meet the requirements for an Assistant Group Supervisor.

Corrected Corrected by Oct 15, 2023

Category: supervision. Marked corrected in the state record.

3270.37(b)(3) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

The file for Staff #5 lacked documentation of a minimum of an 8th grade education.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a)(1) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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 9:10 AM, Staff #3 and Staff #14 were observed with 8 Infants and 1 Young Toddler while assessing supervision and ratio in the Infant Room.

Corrected Corrected by Aug 25, 2023

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.

There were missing outlet covers in the School Age room, Toddler room, Gross Motor room, and TV room.

Corrected Corrected by Aug 25, 2023

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.

While observing a diaper change, Staff #7 did not wash their hands after completing the diapering.

Corrected Corrected by Sep 25, 2023

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

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

An exit door in the Purple room, which leads to the office, had furniture and plastic bins obstructing the exit on both sides.

Corrected Corrected by Sep 25, 2023

Marked corrected in the state record.

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

A broken & separated blue table, a torn plastic corner on a sleeping mat, and a cracked purple bin were located in the School Age room which could be harmful to children. A cracked chair with sharp edges was observed in the Yellow Room. A cracked plastic tiger toy and a cracked wooden wire toy with pinchpoints were observed in the Purple Room with Toddlers. A cracked red bin with sharp edges was observed in the Middle Room, which could cause injury. In the Gross Motor space, a plastic toy vacuum was observed not to be clean and in good repair. In the outdoor playspace, there were exposed screws on a plastic toy house and exposed bolts on the fence which are hazardous to children.

Corrected Corrected by Oct 3, 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.

The Purple Room contained rest equipment that was not labeled for the use by a specific child.

Corrected Corrected by Oct 4, 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.

Sleeping equipment in the Yellow Room, Infant Room, and Pre-K Room, did not have 2 feet of space on three sides of a crib or cot while the equipment was in use.

Corrected Corrected by Aug 25, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The mini refrigerator located outside of the Purple Room did not contain a thermometer. The refrigerator in the Kitchen read 48 degrees and the thermometer in the Infant Room mini refrigerator read 54 degrees, which is more than 45 degrees or below to maintain food.

Corrected Corrected by Sep 25, 2023

Category: nutrition. 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.

During a nap time supervision & ratio check, a piece of furniture was observed obstructing the view of Staff #7 who was sitting in a chair while supervising a child on rest equipment. Multiple children were observed napping in the Purple Room with their faces covered by a blanket so that their face could not be seen by Staff #7. In the Pre-K room, multiple pieces of furniture were observed obstructing the view of Staff #6, who was standing in one area of the room during a nap time supervision and ratio check.

Corrected Corrected by Aug 25, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff #7 was unable to name 1 young toddler in the group of 9 young toddlers that they were supervising during nap in the Purple Room.

Corrected Corrected by Aug 25, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files for Child #2 & Child #4 contained financial agreements that were missing the date of when the fee is to be paid.

Corrected Corrected by Sep 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #2 and Child #6 were missing Child Service Reports within 6 months from date of enrollment (SEE IS CODE SHEET). The file for Child #4 was observed to include the most recent Child Service Report dated 7/2/21, which is over 6 months old. The file for Child #5 was observed to include the most recent Child Service Report dated 2/14/2023, which is more than 6 months old.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #10 includes a financial agreement where the departure time is blank.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for Child #4 includes a financial agreement where the date of admission is blank.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. 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 files for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 was observed to include the original copy of the financial agreement.

Corrected Corrected by Sep 28, 2023

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.

The Emergency Contact forms for Child #5 and Child #8 do not include the child's birthdate.

Corrected Corrected by Sep 17, 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 forms for Child #7, #8, and #10 do not include a complete address for the child's physician or source of medical care. The Emergency Contact form for Child #9 does not include a complete address and phone number for the child's source of medical care.

Corrected Corrected by Sep 28, 2023

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

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

The Emergency Contact form for Child #4 does not include the parent's home address, work address, and work phone number. The Emergency Contact forms for Child #1, #5, #6, #7, #8, #9, #10 do not include the work address and work phone number for the parent's employer.

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The Emergency Contact forms for Child #4, #5, #7, and #10 do not include information on the child's special needs.

Corrected Corrected by Sep 28, 2023

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 file for Child #4 lacked consecutive health assessments and immunization updates for an infant and young toddler aged child.

Corrected Corrected by Sep 6, 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 forms for Child #3, #4, #6, #7, #8, #9 do not include the child's health insurance policy number. The Emergency Contact form for Child #5 does not include the child's health insurance coverage name and policy number.

Corrected Corrected by Sep 6, 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 forms for Child #2, #4, #5, #6, #8, #10 do not include complete addresses for all persons whom the child may be released to. The Emergency Contact form for Child #9 does not include a complete address and a phone number all persons whom the child may be released to.

Corrected Corrected by Oct 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.

Emergency Contact forms were not present in the School Age Room and Yellow Room for the children receiving care in the space.

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #2 and #6 is dated more than 6 months after the previous 6 month review signature.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(2)/3270.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health assessment on file for Child #5 is dated 5/3/19, more than 6 months prior to enrollment for a young toddler (SEE LIS CODE SHEET).

Corrected Corrected by Oct 5, 2023

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 lacked consecutive health assessments and immunization updates for a preschool aged child. The file for Child #5 contained health assessments dated 5/3/19 and 6/9/23, which are more than 6 months apart for a Toddler and over a year apart for a preschool aged child.

Corrected Corrected by Sep 6, 2023

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

3270.151(c)(2)(ii)/3270.192(3) · A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis. 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 #13 lacked documentation of a negative chest X-Ray with documentation of a positive Tuberculosis screening.

Corrected Corrected by Oct 2, 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 #12 includes only 1 written nonfamily reference letter.

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. 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 #8 CPR/First Aid training on file was completed on 5/26/23, which was past 90 days beyond date of hire(SEE LIS CODE SHEET).

Corrected Corrected by Sep 7, 2023

Category: health medication. 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 dates 6/9/23-8/9/23, which is more than 60 days between drills. (61 days)

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility does not have a fire alarm 30-day test log, as required with the 12/19/20 Chapter 3270 regulation updates.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for Child #1 and #9 lacked initial health assessments and immunization records within 60 days of the date of enrollment (SEE LIS CODE SHEET).

Corrected Corrected by Oct 31, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Plastic bags were observed to be accessible to children in an unlocked cabinet under the sink in the Infant/Toddler Room.

Corrected Corrected by Nov 12, 2022

Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An expired acetaminophen was observed in the medicine box of the facility.

Corrected Corrected by Nov 12, 2022

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.

Corrected Corrected by Nov 12, 2022

Category: supervision. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #6 lacked documentation of initial emergency plan training.

Corrected Corrected by Nov 12, 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 #1 and #2 will have until 11/17/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 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 #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first-aid/CPR training.

Corrected Corrected by Nov 12, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #5 will have until 11/17/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Nov 12, 2022

Category: supervision. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A bottle being used to feed an infant in the Infant/Toddler Room was observed to lack a label.

Corrected Corrected by Nov 12, 2022

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 #6 must be supervised for a period of up to 30 days until disposition is submitted. Facility Person #6 may not work in the facility if disposition is not submitted within 30 days.

The file for Staff #6 contained an FBI clearance with RAP sheet which did not include disposition for charges.

Corrected Corrected by Nov 12, 2022

Category: supervision. 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 #4, designated as an AGS, contained documentation of a high school diploma, yet lacked documentation of prior experience with children.

Corrected Corrected by Nov 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.55(a) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children.

Upon assessment of supervision and ratio in the Main Room at 1:15 PM on 8/29/22 during naptime, 1 staff was supervising 18 PS children. One of these children was observed sitting in a chair, not on rest equipment.

Corrected Corrected by Nov 12, 2022

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Pieces of garbage were observed on the grass of the outdoor playground. A 6" piece of metal was observed on the grass in the outdoor playground.

Corrected Corrected by Nov 12, 2022

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Small rocks with a diameter of less than 1 inch were observed on the outdoor playground, in which toddlers receive care, near the shrubs.

Corrected Corrected by Nov 12, 2022

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.

An unsecure radio was observed in the Infant/Toddler Room, with wires hanging, which could be pulled down on a child. An unsecure TV was observed in the Main Room, which could be pulled down on a child. A Little Tikes picnic table was observed to have the top unattached from the base on the outdoor playground.

Corrected Corrected by Nov 12, 2022

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

The cots used for sleeping children in the Main Room were observed to lack 2 feet on at least 3 sides on the day of the inspection during naptime.

Corrected Corrected by Nov 12, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator in the Infant/Toddler Room was observed to lack a thermometer.

Corrected Corrected by Nov 12, 2022

Category: nutrition. 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.

Upon assessment of supervision and ratio in the Main Room on 8/29/22 at 1:15 PM, Staff #7 did not know the names of 3 of the 18 PS children she was supervising during naptime, when given the opportunity to name her supervisory group two times.

Corrected Corrected by Nov 12, 2022

Category: supervision. Marked corrected in the state record.

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

The file for Child #6 contained an emergency contact form which lacked the child's name and birth date.

Corrected Corrected by Nov 12, 2022

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 file for Child #3 contained an emergency contact form which lacked the telephone number of the child's medical provider. The file for Child #4 contained an emergency contact form which lacked the address and telephone number of the child's medical provider. The file for Child #7 contained an emergency contact form which lacked the name of the child's medical provider.

Corrected Corrected by Nov 12, 2022

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

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

The files for Child #2 contained an emergency contact form which lacked the work address and telephone number for the enrolling parent. The file for Child #3 contained an emergency contact form which lacked the home and work addresses and telephone numbers of the enrolling parent. The file for Child #6 contained an emergency contact form which lacked the work address of the enrolling parent. The file for Child #7 contained an emergency contact form which lacked the work address and telephone number and home telephone number of the enrolling parent.

Corrected Corrected by Nov 12, 2022

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 files for Child #1 and #3 contained emergency contact forms which lacked the health insurance coverage and policy number for the children.

Corrected Corrected by Nov 12, 2022

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 files for Child #1, #3, #4, #6, #7 and #8 contained emergency contact forms which lacked full addresses for release persons.

Corrected Corrected by Nov 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #9 contained consecutive health reports dated more than 12 months apart.

Corrected Corrected by Nov 12, 2022

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

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

The files for Child #4, #5 and #7 contained record of immunization history which lacked a current influenza vaccination.

Corrected Corrected by Nov 12, 2022

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Unlabeled albuterol, Motrin, Tums, Naproxen Sodium were observed in the medicine box of the facility.

Corrected Corrected by Nov 12, 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.

An acetaminophen labeled for Child #10, an albuterol labeled for Child #11 and a Motrin labeled for Child #12 were observed to lack written parental consent for administration.

Corrected Corrected by Nov 12, 2022

Category: ratio. 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.

During an observed diaper change in the Infant/Toddler Room, the hands-free can was not able to be used as intended, as the hands-free mechanism was not working.

Corrected Corrected by Nov 12, 2022

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

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

The files for Staff #2 and #3 contained consecutive health assessments dated more than 24 months apart. The file for Staff #6 contained an initial health assessment dated more than 12 months prior to start of employment.

Corrected Corrected by Nov 12, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for Staff #6 contained an initial tuberculosis screening by the Mantoux method dated more than 12 months prior to the start of employment.

Corrected Corrected by Nov 12, 2022

Category: health medication. 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 menu for the current week was observed to be posted, yet the menu for one week in advance was not posted nor provided to each family.

Corrected Corrected by Nov 12, 2022

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.

Feeding schedules provided by the parents for the infants in care were not available at the time of the inspection.

Corrected Corrected by Nov 12, 2022

Category: nutrition. 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 proof of purchase for the observed interconnected fire detection system was not available at the time of inspection.

Corrected Corrected by Nov 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for Child #3 and #8 lacked initial health reports within 60 days of enrollment. The file for Child #6 contained an initial health report dated more than 60 days after the first day of enrollment.

Corrected Corrected by Nov 12, 2022

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

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

Staff person #1 was observed to be caring for children unsupervised on 5/23/22 at 10:35 AM. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics.

Corrected Corrected by Jul 20, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff person #1 and #2 completed the following required pre-service training more than 90 days after their dates of hire (see LIS code sheet): health and safety topics. Staff #1 completed the health and safety training on 5/25/22 and Staff #2 completed the health and safety training on 5/27/22.

Corrected Corrected by Jul 20, 2022

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

An open garbage bag was observed on the Playground which contained soiled napkins and used straws.

Corrected Corrected by Jul 20, 2022

Marked corrected in the state record.

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

Based on the investigation of an incident that occurred on 10/20/2021, including interviews with staff and review of video surveillance, it was determined that staff #1 used physical punishment with a child in care. Staff # 1 was observed poking the child in the head with a finger once; and then forcefully pushing the child's head with a hand and swatting at the child's head with the sleeves of a shirt several times.

Corrected Corrected by Jan 4, 2022

Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact information for child #3 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The operator did not assure that staff #3, #5 and #7 received training regarding the emergency plan on an annual basis from 5/26/2020 to 6/25/2020. The operator did not assure that staff #6 received training regarding the emergency plan on an annual basis from 6/15/2020 to 6/25/2020. The operator did not document that staff #4 received training regarding the emergency plan at the time of initial employment on 7/14/2021.

Corrected Corrected by Aug 5, 2021

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 record for staff #5 included a current PA state police clearance dated 5/17/2021, more than 60 months following the previous clearance dated 12/6/2015. The record for staff #2 included a disclosure statement for employment that was not dated.

Corrected Corrected by Aug 5, 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 #7 included verification of mandated reporter training completed on 7/26/2020, more than 60 months following previous training completed on 6/30/2015.

Corrected Corrected by Aug 5, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff #2 who was identified as an assistant group supervisor lacked verification of 2 years experience with children.

Corrected Corrected by Aug 9, 2021

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.

Protective receptacle covers were not placed in electrical outlets accessible to children 5 years of age or younger in the following locations in the preschool area of the main room: (2) electrical outlets on a surge strip plugged in by the TV; (1) electrical outlet on wall by the children's housekeeping area: and (1) electrical outlet on the wall by the book area.

Corrected Corrected by Aug 17, 2021

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 spray bottle of bleach cleaner labeled keep out of the reach of children was observed on top of a cabinet in the school-age area of the main room, accessible to children.

Corrected Corrected by Aug 17, 2021

Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The record for child #2 did not specify the amount of the fee to be charged per day or per week and specify the date on which the fee is to be paid.

Corrected Corrected by Aug 17, 2021

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 record for child #3 and #4 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Aug 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The record for child #1 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Aug 17, 2021

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 health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Aug 17, 2021

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

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

The record for child #3 lacked written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the influenza vaccine in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 17, 2021

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The record for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Aug 17, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 17, 2021

Category: physical safety. 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's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Aug 5, 2021

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 record for child #5 and #6 who have been enrolled more than 60 days and 90 days as temporarily allowed during the pandemic (Announcement C-20-04) lacked an initial health assessment.

Corrected Corrected by Sep 17, 2021

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