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

Based on video footage and other documentation obtained from other investigating agencies, Staff person #1 used physical discipline when attempting to remove cookies from Child #1's mouth that the child took without permission.

Corrected Corrected by Oct 14, 2025

Category: recordkeeping. 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.

While observing implementation of corrections on 9.12.25 the CR observed Staff person #5 enter a curtained off area where 5 young toddlers were napping. When the CR entered the area, Staff person #5 was asked if another staff person had been present with the children prior to them entering the room; Staff person #5 stated no and indicated they had stepped out briefly, meaning Staff person #5 was not present with the 5 young toddlers for several minutes.

Corrected Corrected by Sep 11, 2025

Category: supervision. Marked corrected in the state record.

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

RECITED FROM SIN-00267752: Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Oct 2, 2025

Category: ratio. 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.

RECITED FROM SIN-00267752: The agreement on file for Child #4 does not include the child's date of admission.

Corrected Corrected by Sep 30, 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. Facility Person #1, #2 may not work in a childcare position at the facility. TIERED LIS: 1) CPSL requirements will be followed at all times. This portion of the plan shall have an immediate correction date. 2) The operator will create a spreadsheet or checklist for staff files using the staff data sheet to record when each item must be in the file. This portion of the plan will have a correction date within one week of the approval of the POC.

RECITED FROM SIN-00267752: The file for Staff person #1 (See LIS Code Sheet) includes an incomplete criminal history clearance, stating it was "under review" and it did not include a dissemination date, making it invalid. The two most recent State Police Criminal History clearances on file for Staff person #2 are dated 4.7.20 and 6.10.25, more than 60 months apart. The most recent Child Abuse clearance on file for Staff person #2 is dated 4.22.20 and the most recent FBI clearance on file for Staff person #2 is dated 6.8.20, both more than 60 months ago. Staff person #1 was observed in ratio at an unannounced inspection on 9.12.25 and Staff person #2 is still a facility person.

Corrected Corrected by Sep 30, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · 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.

RECITED FROM SIN-00267752: Staff person #2 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 4.7.20.

Corrected Corrected by Sep 30, 2025

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). TIERED LIS: 1) Ratio requirements shall be followed at all times. This portion of the plan shall have an immediate correction date. 2) There will be postings in each childcare space listing the ratio requirements for each group, including naptime ratios. The operator shall provide a date for when the postings will be hung. 3) There will be postings in each room that includes the age and date of birth for each child receiving care in that classroom. The operator shall provide a date for when the postings will be hung. 4) There will be postings in each room that includes the definition of the age groups, as defined in Chapter 3270. The operator shall provide a date for when the postings will be hung.

While assessing ratio in the preschool room during an unannounced monitoring inspection on 9.12.25, Staff person #3 and #4 were present with 14 children. Staff person #4 identified her assigned group, consisting of 1 older toddler and 6 preschool children. Staff person #3 identified her assigned group consisting of 7 preschool children.

Corrected Corrected by Sep 12, 2025

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1) Each staff person shall be assigned the responsibility for supervision of specific children. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS approved training on the topic of Supervision. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have date within one week of the completion of the approved training. 3) The facility will conduct monthly staff meetings for a period of 4 months from the approval of the plan of correction, reviewing supervision requirements and regulatory violations cited, dating back to June 2024. This portion of the plan will have date within one week of the completion of the fourth staff meeting.

RECITED FROM SIN-00267752: On 9.12.25 the Nap Room was observed to be too dark for the staff person to be able to see all of the children. While observing implementation of corrections on 9.12.25 from the previous inspection dated 6.10.25, the CR observed Staff person #5 enter a curtained off area where 5 young toddlers were napping. At this time, it was not possible to see what was inside the curtained area. When the CR entered the area, Staff person #5 was asked if another staff person had been present with the children prior to them entering the curtained area; Staff person #5 stated no and indicated they had stepped out briefly, leaving the 5 young toddlers unsupervised by a staff person who could see, hear, direct, and assess the children.

Corrected Corrected by Jan 27, 2026

Category: supervision. 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.

RECITED FROM SIN-00267752: The most recent 6-month review signature for the emergency contact form on file for Child #3 is dated more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #1, #2, #3, #4 is dated more than 6 months ago.

Corrected Corrected by Sep 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

There was a cracked plastic bin holding music toys in the Young Toddler area in the Main classroom.

Corrected Corrected by Jun 11, 2025

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

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

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

Corrected Corrected by Aug 15, 2025

Category: ratio. Marked corrected in the state record.

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

The two most recent fire safety trainings on file for Staff person #2 are dated 5.6.22 and 6.28.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #5 are dated 4.17.24 and 5.27.25, more than 12 months apart.

Corrected Corrected by Aug 22, 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 or (g)1-10. Until such time as the required training has been completed, staff person #3, #4 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 #3, #4, staff person #3, #4 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR. Staff person #4 has 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.

Corrected Corrected by Aug 22, 2025

Category: supervision. Marked corrected in the state record.

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

Staff person #2 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 4.7.20.

Corrected Corrected by Aug 22, 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. Facility Person #1, #2 may not work in a child care position at the facility.

The file for Staff person #1 (See LIS Code Sheet) includes an incomplete criminal history clearance, stating it was "under review" and it did not include a dissemination date, making it invalid. The two most recent State Police Criminal History clearances on file for Staff person #2 are dated 4.7.20 and 6.10.25, more than 60 months apart. The most recent Child Abuse clearance on file for Staff person #2 is dated 4.22.20 and the most recent FBI clearance on file for Staff person #2 is dated 6.8.20, both more than 60 months ago. The Disclosure Statement on file for Staff person #3 is dated 6.4.25, after the hire date (See LIS Code Sheet).

Corrected Corrected by Sep 12, 2025

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

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

A school-age child was observed exiting the gross motor room, walking through the school-age room and into the bathroom, without a staff person being present, making the classroom out of ratio.

Corrected Corrected by Jun 10, 2025

Category: ratio. Marked corrected in the state record.

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

There was an outlet by the sound machine in the nap room that was missing an outlet cover and was accessible to children.

Corrected Corrected by Jun 10, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

There was no first aid kit in the Playhouse childcare space.

Corrected Corrected by Aug 15, 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.

There were several posts in the Main childcare room with missing baseboard around the bottom of the posts.

Corrected Corrected by Aug 15, 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.

There was peeling paint and damaged plaster in the eating area of the Main classroom. There was peeling paint in the Gross Motor room under the "2", behind the climber.

Corrected Corrected by Aug 29, 2025

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

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

There was a small piece of wood on the floor at the base of a post in the Main classroom where children who are placing things in their mouths receive care, that was smaller than 1 inch diameter, creating a choking hazard.

Corrected Corrected by Jun 10, 2025

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

There was no written daily activity schedule in the Infant room, the Playhouse, and the Nap room (Gym).

Corrected Corrected by Aug 15, 2025

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.

At 2:00 PM, the Nap Room was observed to be too dark for the staff person to be able to see all of the children. A school-age child was observed exiting the gross motor room, walking through the school-age room and into the bathroom, unsupervised and without the staff being able to see, hear, direct, and assess the child.

Corrected Corrected by Jun 10, 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.

A school-age child was observed exiting the gross motor room, walking through the school-age room and into the bathroom, unsupervised by the staff person assigned to be responsible for the child.

Corrected Corrected by Jun 10, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

A staff person was observed laying an infant under 12 months of age in their crib on their stomach.

Corrected Corrected by Jun 10, 2025

Category: health medication. 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 agreement on file for Child #4 does not include the child's date of admission.

Corrected Corrected by Jul 31, 2025

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.

There were no Emergency contact forms in the Playhouse childcare space. Three children were observed receiving care in the Preschool/School-age room without their emergency contact forms being in the classroom.

Corrected Corrected by Aug 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

There was no emergency transportation plan posted in a conspicuous location in the Playhouse.

Corrected Corrected by Aug 15, 2025

Category: transportation. Marked corrected in the state record.

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

The most recent 6-month review signature for the emergency contact form on file for Child #1, #2 is dated more than 6 months after the previous 6-month review signature; The most recent 6-month review signature for the emergency contact form on file for Child #3 is dated more than 6 months ago. The most recent 6-month review signature for the agreement on file for Child #1, #2, #3, #4 is dated more than 6 months ago.

Corrected Corrected by Aug 15, 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 two most recent health assessments on file for Child #1, who was a Young Toddler, are dated 10.24.23 and 10.23.24 more than 6 months apart. The most recent health assessments on file for Child #2, who was a Young Toddler, are dated 10.25.23 and 10.9.24, more than 6 months apart.

Corrected Corrected by Jun 10, 2025

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

While observing a diaper change in the Main classroom, it was observed that the trashcan used for the disposal of the soiled diaper has a drop-lid, which is not approved as a hands-free can, as the soiled diaper comes in contact with the lid, cross-contaminating the lid.

Corrected Corrected by Aug 15, 2025

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

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

The most recent health assessment on file for Staff person #2 is dated 10.13.22, more than 24 months ago.

Corrected Corrected by Sep 2, 2025

Category: ratio. Marked corrected in the state record.

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

There were 2 infant feeding bottles in the infant room that was not labeled with the name for whom the bottle was intended.

Corrected Corrected by Jun 10, 2025

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 most recent documentation of an emergency drill on file at the facility is dated 6.2.25, more than 1 year following the previous emergency drill, dated 4.12.24.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The fire alarm 30-day test log includes test dates 6.3.24-7.8.24, 9.6.24-10.7.24, 1.2.25-2.3.25, 4.3.25-5.8.25, more than 30 days apart

Corrected Corrected by Aug 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2, includes verification of 4.5 of the required 12 hours of annual training between 12.2023-12.2024; an additional 8 hours of training from 2.20.23 and 2.23.25 are borrowed to meet the requirement.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Aug 6, 2024

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

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

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

Corrected Corrected by Aug 1, 2024

Category: ratio. Marked corrected in the state record.

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

The two most recent fire safety trainings on file for Staff person #3 are dated 5.6.22 and 6.6.23, more than 1 year apart.

Corrected Corrected by Aug 1, 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 person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 12.1.23.

Corrected Corrected by Aug 1, 2024

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #4, #6, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children. The file for Staff person #5, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Aug 1, 2024

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 person #2, #3, who has been employed for more than 1 year (See LIS Code Sheet), does not include a staff evaluation.

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The last stall in the main room bathroom had a hole in the wall with exposed plaster and an exposed toilet bolt. There were multiple holes on the wall on the stairwell that leads to the school-age room.

Corrected Corrected by Aug 1, 2024

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.

There was no thermometer in the refrigerator in the main room where children's milk and lunches are stored. The thermometer in the refrigerator in the school-age room read over 48 degrees.

Corrected Corrected by Aug 1, 2024

Category: nutrition. Marked corrected in the state record.

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

The file for Child #1, with an enrollment date of 2/15/22, more than 6 months ago, does not include a child service report. The file for Child #2, with an enrollment date of 6/13/22, more than 6 months ago, does not include a child service report. The file for Child #6, with an enrollment date of 2/22/21, more than 6 months ago, does not include a child service report.

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file foe Child #3 did not include an emergency contact form at the time of the inspection.

Corrected Corrected by Aug 1, 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 on file for Child #2 does not include the address or telephone number for the child's pediatrician/source for medical care.

Corrected Corrected by Aug 1, 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 on file for Child #4 and #5 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Aug 6, 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 file for Child #1 and #3 does not include written parental permission for the facility to obtain emergency medical care.

Corrected Corrected by Aug 6, 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 current emergency contact form on file for Child #1 and #5 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Aug 6, 2024

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

3270.124(f)/3270.181(d) · 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. 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 file for Child #1, #2, #3, #5, and #6 do not include a review signature for the emergency contact form and agreement dated within the last 6 months.

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent health assessments on file for Child #4, who was a Young Toddler, is dated 10/25/23 and was due to be updated by 4/30/24.

Corrected Corrected by Aug 6, 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 #6, who is a preschool age child, is dated 4/17/23, more than 12 months ago.

Corrected Corrected by Aug 6, 2024

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1 and #5 must be dismissed from care by close of business on 7/18/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 3 years old, included 2 of 4 pneumococcal vaccines recommended by the ACIP for a child this age. The immunization exemption on file for Child #5 is invalid as it is not written by the parent but is on a pre-made form.

Corrected Corrected by Aug 6, 2024

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.

There were gas drops labeled for use by a specific child in the young toddler room that had expired 5/2024 and was therefore not in accordance with the manufacturer's original label. There was an Albuterol inhaler labeled for use by a specific child in the school-age room that had expired 3/23/2024 and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Aug 6, 2024

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

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

There was an Albuterol inhaler n the school-age room that did not have written parental permission to administer.

Corrected Corrected by Aug 6, 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 file for Child #1 and #3 does not include written parental permission for the facility to administer minor first aid procedures.

Corrected Corrected by Aug 6, 2024

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 emergency plan on site at the facility does not include accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions, required as of 7/1/22, as per Announcement C-22-04

Corrected Corrected by Aug 6, 2024

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

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

The fire alarm 30-day test log includes test dates 6/4/23-7/10/23; 7/10/23-8/21/23; 10/10/23-11/29/23; 2/7/24-3/11/24, and 3/11/24-4/22/24, all more than 30 days apart.

Corrected Corrected by Aug 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Certificate of Compliance posted at the facility had an expiration date of 9/12/23. The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Corrected Corrected by Aug 6, 2024

Category: ratio. Marked corrected in the state record.

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

The facility does not have verificastion of an annual traffice safety letter notifying local traffic authorities of the facility location and vehicular and pedestrian routes around the facility.

Corrected Corrected by Aug 1, 2024

Marked corrected in the state record.

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

The facility is lacking a policy on Prevention of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment required by 4/29/2022 from Announcement C- 22-03.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

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

The files for staff persons #1, #2, #3, #4 and #5 all contain the PA Health & Safety Update 2022 completed after the required date of 12/30/2022. The file for staff person #6 is lacking the PA Health & Safety Update 2022 which was required to be completed by 12/30/2022.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

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

The facility emergency plan is lacking a plan for Continuity of Operations following an emergency. The facility emergency plan is lacking information regarding the role of volunteers during an emergency.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

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

The files for staff persons # 3 and #5 are lacking emergency plan training and have been employed for more than 90 days. The file for staff person #4 contains initial emergency plan training that was completed greater than 90 days after hire.

Corrected Corrected by Jul 13, 2023

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 regarding the emergency plan is lacking information on accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jul 13, 2023

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

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

The file for staff person #4 contains current fire safety training that was conducted greater than one year after the previous training.

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #7,8,9 may not work in a child care position at the facility.

The files for facility persons #7, #8, and #9 are all lacking signed disclosure statements as required under CPSL to serve in a childcare facility.

Corrected Corrected by Jul 13, 2023

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

3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

According to classroom staff in the School Age Room, a first aid kit is not taken with the group when they go on excursions away from the facility.

Corrected Corrected by Jul 13, 2023

Category: health medication. 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 refrigerators in the Infant child care space, lunch room and school age room do not contain thermometers.

Corrected Corrected by Jul 19, 2023

Category: nutrition. Marked corrected in the state record.

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

The file for child #1 contains emergency contact information that is lacking health insurance coverage and policy number.

Corrected Corrected by Jul 13, 2023

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.

Observed in the first aid kit in the downstairs Play Space a container of Opthalmic Solution Eyewash not labeled with the name of the person for whom it was intended. Observed in the School Age room bee sting pads not labeled with the name of the person for whom they were intended.

Corrected Corrected by Jul 13, 2023

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

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

The file for staff person #2 does not contain an annual evaluation during the previous 12 month period.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The water temp in the bathroom sinks and the infant diapering area sink exceeded 110° F.

Corrected Corrected by Jul 11, 2022

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

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

Observed in the indoor play space peeling and chipping paint on the wall near the rest cots.

Corrected Corrected by Aug 5, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

Observed exposed protruding bolts at the base of 2 of the toilets in the child restroom.

Corrected Corrected by Aug 5, 2022

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

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

There was not a written medical emergency transportation plan posted in the main child care space, or the play space or accompanying children who left on a walking excursion.

Corrected Corrected by Jul 12, 2022

Category: transportation. 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 #1, older toddler, contains a current health report that was conducted greater than 12 months after the previous health report.

Corrected Corrected by Jul 11, 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 file for child #1, older toddler, is lacking verification of a flu vaccine received during the year 2021.

Corrected Corrected by Jul 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.

Observed in the first aid kit in the play space packets of alcohol pads and antiseptic wipes that were not labeled with the name of the child for whom they were intended.

Corrected Corrected by Jul 11, 2022

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

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

The file for staff person #3 contains an initial health assessment and TB test result that was conducted greater than 12 months prior to the start of employment in child care at the facility.

Corrected Corrected by Aug 8, 2022

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 person #3 contains only one of the required two written references.

Corrected Corrected by Jul 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1 contains only 9 of the required 12 hours of child care training during the 12/19/2020 to 12/19/2021 time period.

Corrected Corrected by Jul 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 file for child #2, preschool aged, contains an initial health report conducted greater than 60 days after the first day of attendance at the facility.

Corrected Corrected by Jul 12, 2022

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.

2nd CITATION: The staff file for Staff person #3 contained a current health assessment dated 4/22/21 that lacked mention of an examination for communicable disease, the results of that examination, as well as lacked an assessment that the person is suitable to provide child care. PREVIOUSLY CITED ON 1/24/22

Corrected Corrected by Apr 25, 2022

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

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.All staff persons shall complete the professional development under subsection (f).

2ND CITATION: The staff file for Staff person #3, and Staff person #6, all lacked pediatric first-aid/CPR which is required to be completed within 90 days of hire. PREVIOUSLY CITED 1/24/22.

Corrected Corrected by May 10, 2022

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

3270.52 · Facility will be complaint with supervision and ratio for two consecutive unannounced visits, after training has been obtained.

***At approximately 10:55am Staff person #5 was observed in the large motor skills room by herself with 11 children of mixed ages (1 young toddler, 6, older toddlers, and 4 preschool aged child).

Corrected Corrected by Apr 13, 2022

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 10:55am Staff person #1 was observed in the large motor skills room by herself with 11 children of mixed ages (1 young toddler, 6, older toddlers, and 4 preschool aged child).

Corrected Corrected by Apr 13, 2022

Category: ratio. Marked corrected in the state record.

3270.52 · All staff persons at the facility will be required to attend an OCDEL-approved training regarding supervision of children presented by the Regional Key within 3 months of the approval of this plan of correction. The training will count towards the mandatory 12 training hours required by the Department.

**At approximately 10:55am Staff person #5 was observed in the large motor skills room by herself with 11 children of mixed ages (1 young toddler, 6, older toddlers, and 4 preschool aged child).

Corrected Corrected by Apr 13, 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.

2nd CITATION: The wooden fence in the quiet area of the main child care room was observed to be splintering on the base nearest where the fence connects to the wall. Also on another part of the wooden fence, near the bottom, two screws used to hold the fencing together were protruding out causing a visible hazard. PREVIOUSLY CITED ON 1/31/22.

Corrected Corrected by Apr 13, 2022

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 10:50am upon arrival at the facility Staff person #2 answered the door, walked to the large gross motor skill room where all the children were located. At that time Staff person #2 indicated that she was responsible for 2 older toddlers and 4 preschool aged children which meant Staff person #4 was not physically present with the children in their group when she was observed in the main child care room.

Corrected Corrected by Apr 13, 2022

Category: supervision. 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.

In the gross motor room, 9 children of mixed ages (4 young toddlers and 5 older toddlers) were observed to be receiving care in the space and their emergency contact information was not present in that child care space.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #1, lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) which was required to be completed by 6/17/21. The staff file for Staff person #3, Staff person #4, and Staff person #5, all lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) which was required to be completed within 90 days of hire.

Corrected Corrected by Apr 4, 2022

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 staff file for Staff person #2, lacked a State Police clearance on file prior to working with children; a State Police clearance is on file dated 7/28/21 and there was no application of having applied prior working with children on file as required by the Child Protective Service Law (CPSL). The staff file for Staff person #2 also lacked a signed disclosure statement. The staff file for Staff person #3, contained a National Sex Offender Registry (NSOR) Certificate on file dated 7/27/21 which was not obtained within 45 days of hire. The staff file for Staff person #4, lacked a Child Abuse clearance and NSOR certificate on file prior to working with children; a Child Abuse clearance dated 8/31/21 and a NSOR certificate dated 7/27/21 are on file and there were no applications provided of having applied prior to working with children as required by the CPSL. The staff file for Staff person #5, lacked a Child Abuse clearance on file prior to working with children; a Child Abuse clearance dated 1/11/22 is on file and there was no documentation of having applied prior to working with children as required by the CPSL

Corrected Corrected by Mar 14, 2022

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 11:00am two Staff and nine young and older toddlers were observed in the lunch area. Staff person #1 was observed going into the kitchen, which is off of the lunch area, to prepare the children's lunches leaving Staff person #2 with nine young and older toddlers thus causing them not to be in compliance with staff:child ratos.

Corrected Corrected by Jan 31, 2022

Category: ratio. Marked corrected in the state record.

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

In the children's restroom a spray canister of ZEP Freshen Disinfectant labeled 'Keep Out of Reach of Children' was observed on the counter, to the right of the sink where children wash their hands, thus making it accessible to the children in care who use that restroom.

Corrected Corrected by Mar 14, 2022

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

3270.75(a) · A first-aid kit shall be in a child care space.

The gross motor room lacked a first-aid kit.

Corrected Corrected by Mar 14, 2022

Category: physical safety. 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 wooden fence in the quiet area of the main child care room was observed to be splintering on the base nearest where the fence connects to the wall. Also on another part of the wooden fence, near the bottom, two screws used to hold the fencing together were protruding out causing a visible hazard.

Corrected Corrected by Mar 14, 2022

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

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

The child file for Child #2 contained a financial agreement form that lacked the arrival and departure times.

Corrected Corrected by Mar 14, 2022

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 child file for Child #1 and Child #2 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #1 contained an emergency contact information form that lacked the address of one of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #5 lacked a valid health assessment; the DHS health form dated 9/15/21 on file was incomplete thus making it difficult to determine if a physical was conducted, if the individual is free of communicable disease, and able to provide child care. The staff file for Staff person #6, lacked a valid health assessment; the health assessment on file is dated 5/22/20 which was conducted more than 12 months prior to providing initial service in a child care setting. The facility file for Facility person #7, who has direct contact with children, lacked a health assessment.

Corrected Corrected by Mar 14, 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 staff file for Staff person #6, contained a tuberculosis screening dated 5/22/20 which was conducted more than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Apr 4, 2022

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 staff file for Staff person #3 contained a current health assessment dated 4/22/21 that lacked mention of an examination for communicable disease, the results of that examination, as well as lacked an assessment that the person is suitable to provide child care.

Corrected Corrected by Mar 14, 2022

Category: health medication. 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.

Facility person #7 self reported that an emergency drill was conducted however the drill was not documented and on file at the facility.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.All staff persons shall complete the professional development under subsection (f).

The staff file for Staff person #2, Staff person #3, Staff person #4, Staff person #5, and Staff person #6, all lacked pediatric first-aid/CPR which is required to be completed within 90 days of hire.

Corrected Corrected by Apr 4, 2022

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