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.

During the renewal inspection, the CR was informed by the Allegheny College Public Safety office that the fire detection system was not functioning; there was an issue with the panel. The officer informed the CR that they discovered this on 1.7.26 when they planned a fire drill. The childcare facility was not made aware that the fire detection system was not functioning.

Corrected Corrected by Jan 8, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

According to staff statements, on separate occasions, Staff #1 and Staff #2 each restrained Child #1 when Child #1 was acting out aggressively toward others.

Corrected Corrected by Oct 31, 2025

Category: recordkeeping. 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 #4 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2

Staff person #4 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality-(10 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Sep 16, 2025

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

Corrected Corrected by Oct 8, 2025

Category: ratio. Marked corrected in the state record.

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

There was a running fan in the Racoon room that was accessible to children and did not have any safety guard, creating a hazard to children.

Corrected Corrected by Sep 16, 2025

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

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

Staff person #8 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification date2.28.25; the training was updated on 3.6.25.

Corrected Corrected by Jul 21, 2025

Category: ratio. 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 #3 did not complete 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 2; the training was completed on 4.11.25. Staff person #7 did not complete the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the training was completed on 6.26.25. Staff person #7 did not complete 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 2; the training was completed on 7.3.25.

Corrected Corrected by Sep 17, 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. Facility Person #5, #7, #10 may not work in a childcare position at the facility.

The file for Staff person #5 includes NSOR clearances dated 1.14.20 and 1.28.25, more than 60 months apart. The file for Staff person #5 includes a Criminal History clearance dated 10.14.19 and a Child Abuse clearance dated 10.4.19, both more than 60 months ago. The file for Staff person #7 does not include a criminal history clearance, child abuse clearance, or sex offender history clearance from New York, where she resided in the 5 years prior to her employment. The file for Staff person #7 does not contain documentation of application for a PA Criminal History clearance prior to date of hire or a complete and valid PA Criminal History clearance within 45 days (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #9 includes criminal history clearances dated 3.9.20 and 4.9.25; child abuse clearances dated 3.27.20 and 4.14.25; FBI clearances dated 3.4.20 and 4.14.25; and NSOR clearances dated 11.6.19 and 11.8.24, all more than 60 months apart. The file for Staff person #10 does not contain an NSOR clearance prior to the first day caring for children (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #12 includes NSOR clearances dated 5.26.20 and 7.15.25, more than 60 months apart.

Corrected Corrected by Sep 22, 2025

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

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

The file for Staff person #6, #10, #11, 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.

Corrected Corrected by Sep 26, 2025

Category: supervision. 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.

There was a bottle of Purell disinfectant spray, labeled "Keep out of the reach of children", in an unlatched cabinet under the changing table in the Bears room, making it accessible to children. There was a spray can of Febreze air freshener in the Wolves classroom that was accessible to children. The Racoon room had a bottle of Tylenol, a container of wipes, and a tube of Neosporin, all labeled "keep out of reach of children" that were in the open emergency bag that was sitting on the floor and accessible to children in care.

Corrected Corrected by Jul 31, 2025

Category: physical safety. 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.

Children were observed in the Squirrel room placing soiled plates, utensils, etc. in an unlidded bin in the middle of the table, rather than throwing the items in a lidded, plastic-lined receptacle.

Corrected Corrected by Sep 16, 2025

Marked corrected in the state record.

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

The first aid kit in the Racoon room was in an open backpack that was sitting on the floor, making the first aid kit accessible to children.

Corrected Corrected by Sep 17, 2025

Category: health medication. 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 Racoon room did not include scissors, tweezers, soap, or gloves.

Corrected Corrected by Jul 31, 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 was a hole in the wall in the Racoon room in the far-left corner above the ledge along the floor.

Corrected Corrected by Jul 31, 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.

There was a plastic storage bin holding butterfly connecting toys in the Racoon room that was cracked, causing a potential pinch point.

Corrected Corrected by Jul 31, 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.

The Bear and Duck rooms each had an unlatched cabinet that contained a container of "rainbow pebbles", meant for fish tanks, that were smaller than 1" in diameter and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Sep 17, 2025

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 posted in the Racoon room.

Corrected Corrected by Sep 17, 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 agreement on file for Child #1 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Sep 17, 2025

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 agreement on file for Child #9 does not include the child's date of admission.

Corrected Corrected by Sep 17, 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 form on file for Child #5, #6, and #8 does not include the complete address and/or telephone number for the child's pediatrician/source for medical care.

Corrected Corrected by Sep 17, 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 form on file for Child #8 does not include the work address and telephone number for the enrolling parent's place of employment

Corrected Corrected by Sep 17, 2025

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

Corrected Corrected by Sep 17, 2025

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

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

The emergency contact form on file for Child #8 does not include the policy number for the medical insurance policy.

Corrected Corrected by Sep 17, 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 form on file for Child #3, #4, and #9 does not include a complete address for all listed release persons.

Corrected Corrected by Sep 17, 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 most recent health assessment on file for Child #2, who was a young toddler, is dated 9.19.24, more than 6 months ago.

Corrected Corrected by Sep 17, 2025

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record on file for Child #2, who is 2 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Sep 17, 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 current health assessment on file for Child #3, dated 6.26.25, does not indicate if the child is free from contagious disease and is able to participate in childcare. The current health assessment on file for Child #7, does not indicate if the child is free from contagious disease and is able to participate in childcare.

Corrected Corrected by Oct 1, 2025

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.

There was a bottle of Tylenol in the Duck room that was labeled for multiple children, siblings, therefore is not labeled for use of a specific child. There was Calamine lotion in the medicine box in the Racoon room that was not labeled for use by a specific child.

Corrected Corrected by Sep 17, 2025

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 Calamine lotion for a child in the Racoon room which does not include written parental permission to administer.

Corrected Corrected by Sep 17, 2025

Category: ratio. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

There was a medication log for Tylenol in the Duck room that included the names of two siblings on the same medication log; they did not have separate medication logs. There was. Calamine lotion in the Wolves room and in the Racoon room that did not include a medication log to document the administration of the medication.

Corrected Corrected by Sep 17, 2025

Category: ratio. Marked corrected in the state record.

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

The 2 most recent health assessments on file for Staff person #1 were dated 8.18.22 and 9.4.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 6.5.23 and 7.17.25, more than 24 months apart. The most recent health assessment on file for Staff person #8 is dated 1.26.23, more than 24 months ago. The 2 most recent health assessments on file for Staff person #9 were dated 10.17.22 and 11.5.24, more than 24 months apart. The most recent health assessment on file for Staff person #12 is dated 6.15.23, more than 24 months ago.

Corrected Corrected by Sep 17, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff person #13 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Oct 1, 2025

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

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

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

Corrected Corrected by Sep 17, 2025

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 #6, #10, #11, #13 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Sep 22, 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 5.7.25-6.23.25, more than 30 days apart.

Corrected Corrected by Sep 18, 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 #8, includes verification of 1 of the required 12 hours of annual training between 1.2024-1.2025.

Corrected Corrected by Sep 18, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The initial health assessment on file for Child #2, with an enrollment date of 6.25.24, is dated 9.19.24, more than 60 days after enrollment. The file for Child #7, with an enrollment date of 12/16/24, which is more than 60 days ago, does not include an initial health report.

Corrected Corrected by Sep 18, 2025

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

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

The file for Staff person #4 includes verification of First Aid/CPR training dated 3.6.25, after the expiration date of the previous training, 11.30.24. The file for Staff person #6, #7 includes verification of First Aid/CPR training dated 3.6.25, after the expiration date of the previous training, 2.28.25.

Corrected Corrected by Mar 19, 2025

Category: ratio. 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 #2 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 7.15.24. Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 3.6.25. 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 7.15.24.

Corrected Corrected by Mar 19, 2025

Category: health medication. 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. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 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): Get Started with Center-Based Care; Building Blocks for Quality.

Corrected Corrected by Mar 23, 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 #8 may not work in a child care position at the facility.

The file for staff person #1 did not contain documentation of a completed PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required under the CPSL; the clearance is dated 1.6.25. Based on a review of paperwork and discussion with operator, it was determined that on 3.14.25 facility person #8 was identified in staff:child ratio and was supervising children in the preschool classroom. On this date, facility person #8's file lacked a PA Child Abuse clearance; application for, or a complete PA Criminal History clearance prior to date of hire; application for, or a complete PA Criminal History clearance prior to date of hire; a complete NSOR certificate prior to date of hire, or completed Child Abuse, Criminal History, and Sex Offender clearances from Wisconsin, where the staff person lived in the previous 5 years (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by May 8, 2025

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 person #1, 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. Based on a review of paperwork and discussion with operator, it was determined that on 3.14.25 facility person #8 Was identified in staff:child ratio and was supervising children in the preschool classroom. On this date, facility person #8's file lacked verification of education and experience required to qualify as a staff person.

Corrected Corrected by May 16, 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 person #1 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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 interviews conducted during the unannounced investigation, it was determined that when staff person #1 turned away from the young preschool-aged child #1, child #1 was able to take a blue therapy band and wrap it around his neck, restricting his breathing.

Corrected Corrected by May 30, 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.

According to staff interviews, direct supervision by child care staff was lacking when Child #1 pulled down his pants and exposed himself to another child twice in a matter of minutes.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · * The legal entity must create a supervision policy that addresses who is supervising children when other agencies are present and interacting with children as well as how staff will meet the definition of supervision when other agencies are present and interacting with children. Supervision policy will be shared with all staff and each staff will acknowledge receipt of the policy. The staff acknowledgements will be submitted to the Department within 10 days of the date of the providers correction date. The policy will be placed in the staff handbook.

* According to staff interviews, direct supervision by child care staff was lacking when Child #1 pulled down his pants and exposed himself to another child twice in a matter of minutes.

Corrected Corrected by Nov 1, 2024

Category: supervision. Marked corrected in the state record.

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

There was a screwdriver in the Bears (OT) room in an unlocked cabinet which was accessible to children.

Corrected Corrected by Aug 19, 2024

Category: health medication. 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 letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 19, 2024

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #4 includes verification of First Aid/CPR training dated 7.15.24, after the expiration date of 5.31.24. The file for Staff person #6 includes verification of First Aid/CPR training dated 7.15.24, after the expiration date of 3.31.24.

Corrected Corrected by Jul 22, 2024

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2, #8, #9, #10 will have until 8.30.24 to complete the required training. Until such time as the required training has been completed, staff person #2, #8, #9, #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, #8, #9, #10, staff person #2, #8, #9, #10 may not work in a child-care position at the facility.

Staff person #2, #9, #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #8 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 30, 2024

Category: supervision. Marked corrected in the state record.

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

The file for staff person #1 includes a PA Child Abuse clearance dated 6.11.24, after the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #4 includes criminal history clearances dated 1.2.19 and 1.12.24; child abuse clearances dated 1.7.19 and 1.12.24, more than 60 months apart. The file for staff person #9 does not contain a valid FBI clearance dated within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the clearance is dated 6.28.24.

Corrected Corrected by Jul 22, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file for staff person #1 does not contain a valid FBI clearance within 45 days of hire and the fingerprint was completed after the first day working with children (See IS CODE SHEET) required for provisional hire under the CPSL.

Corrected Corrected by Aug 19, 2024

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.

Staff person #5 completed her current mandated reporter training on 10.27.23, more than 60 months after the previous training dated 10.20.18.

Corrected Corrected by Jul 22, 2024

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 file for Staff person #1, #3, 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

Corrected Corrected by Aug 30, 2024

Category: supervision. 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.

The Bears room had an unlocked cupboard containing diaper cream and a Soft Soap refill bottle, all labeled "Keep out of reach of children," making the items accessible to children. There was an unlocked cabinet in the Owl room containing Hemp lotion that is labeled "Keep out of reach of children" which was accessible to children.

Corrected Corrected by Aug 19, 2024

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

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

There was a can of shaving cream, labeled "Keep out of the reach of children", which, according to staff statements was used for arts and crafts projects, in the Squirrel classroom.

Corrected Corrected by Aug 19, 2024

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

In the Owl classroom, there was a heat lamp above the aquarium for a reptile that had a temperature in excess of 110 degrees Fahrenheit on the surface and which was accessible to children.

Corrected Corrected by Aug 22, 2024

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

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

When the Owl classroom was outside in the fenced yard, the first aid kit was observed on the ground and with no lock, making it accessible to children. The first aid kits in the Owl and Wolves classrooms were observed to be accessible to children and there were no locks on the bags containing the first aid kits.

Corrected Corrected by Aug 19, 2024

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

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

Peeling paint was observed in the Dramatic Play area of the Owl classroom.

Corrected Corrected by Aug 19, 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.

There was no handwashing sign at the toilet in the lower-level bathroom. There were no handwashing signs at the last two toilets in the upper-level bathroom.

Corrected Corrected by Aug 19, 2024

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.

There was an unlatched cupboard in the Bears classroom that contained empty garbage bags and push pins smaller than 1 inch in size which were accessible to children still placing items in their mouths.

Corrected Corrected by Aug 19, 2024

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #3 and #7 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Aug 19, 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 agreement on file for Child #1, #2, #3, #5, #6, and #7 does not include the date that the fee is to be paid by the parent/guardian.

Corrected Corrected by Aug 19, 2024

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 on file for Child #1, #6, and #7 does not include the child's arrival and departure times.

Corrected Corrected by Aug 19, 2024

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 on file for Child #1, #4, #5, and #6 does not include the persons to whom the child can be released.

Corrected Corrected by Aug 19, 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 #1, #3, and #7 does not include the complete address and/or telephone number for the child's pediatrician or source of medical care.

Corrected Corrected by Aug 19, 2024

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

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

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

Corrected Corrected by Aug 19, 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 form on file for Child #1 does not include the child's health insurance coverage and policy number for the child's health care benefits. The emergency contact form on file for Child #4 and #7 does not include the child's health insurance policy number for the child's health care benefits.

Corrected Corrected by Aug 19, 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 form on file for Child #1, #2, #3., #4, and #7 does not include a complete address for all listed release persons.

Corrected Corrected by Aug 19, 2024

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, #3, #6, and #7 is dated more than 6 months after the previous 6-month review signature

Corrected Corrected by Jul 22, 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 #6, who is a Young Toddler, is dated 9/6/23, more than 6 months ago.

Corrected Corrected by Sep 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 #3, who is a preschool age child, is dated 9/19/22, more than 12 months ago.

Corrected Corrected by Aug 30, 2024

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.

The Wolves classroom included a bottle of Acetaminophen, a bottle of Ibuprofen, and a bottle of Mucus DM which were not labeled with the name for who the medication is intended.

Corrected Corrected by Aug 19, 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.

The Bears classroom included a prescribed medication, Flutican, labeled for use by a child that did not include written parental permission to administer. The Ducks classroom included Tylenol and Ibuprofen, both labeled for use by a child that did not include written parental permission to administer. The Owl classroom included a prescribed inhaler, Albuterol, labeled for use by a child that did not include written parental permission to administer. The Wolves classroom included a bottle of Ibuprofen, a bottle of Tylenol, and a bottle of Mucus DM, that did not include written parental permission to administer, and a prescription medication, Dexmethylphenidate, labeled for use by a child that did not include written parental permission to administer

Corrected Corrected by Aug 30, 2024

Category: ratio. Marked corrected in the state record.

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

The 2 most recent health assessments on file for Staff person #5 were dated 5.23.22 and 6.24.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 3.4.22 and 6.29.24, more than 24 months apart. The file for staff person #8 included an initial health assessment which was completed more 12 months prior to date of hire (See LIS CODE SHEET). The 2 most recent health assessments on file for Staff person #10 were dated 5.23.22 and 7.3.24, more than 24 months apart.

Corrected Corrected by Jul 30, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The current health assessment on file for Staff person #1 does not indicate if the staff person was assessed for communicable/contagious disease.

Corrected Corrected by Jul 30, 2024

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Staff person #3, #10 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 19, 2024

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There were 4 infants under 12 months old in the infant room who did not have a written feeding plan on file submitted by the parent.

Corrected Corrected by Aug 30, 2024

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 fire alarm 30-day test log includes test dates 3.15.24-4.17.24 and 4.17.24-6.7.24, more than 30 days apart.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. 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.

It was reported and verified through staff interviews that on 8/11/2023 staff persons #1 and #2, who were supervising 15 school aged children, were not able to adequately supervise the children who were playing in a fort constructed of blankets and towels. The blankets and towels obstructed their view causing the staff to not be able to see or direct the children in their care.

Corrected Corrected by Aug 14, 2023

Category: supervision. Marked corrected in the state record.

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

The file for staff person #3 contains the PA Health & Safety Update 2022 completed after the required date of 12/30/2022. The training is now current.

Corrected Corrected by Aug 2, 2023

Category: ratio. Marked corrected in the state record.

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

The facility Emergency Plan is lacking a Continuity of Operations plan.

Corrected Corrected by Aug 2, 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.

Staff persons #1,5,6,9 and 10 are lacking training regarding the facility emergency plan during the previous 12-month period.

Corrected Corrected by Aug 3, 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 letter given to parents regarding the facility emergency plan is lacking information regarding accommodations for infants, toddlers and children with disabilities and chronic medical conditions.

Corrected Corrected by Aug 3, 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 #1 is lacking documentation of fire safety training completed during the previous 12-month period.

Corrected Corrected by Aug 14, 2023

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.

The file for staff person #7 is lacking training in the Health & Safety topics #1-#9 completed within 90 days of hire. The file does contain current Health & Safety Trainings.

Corrected Corrected by Aug 2, 2023

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

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

The files for staff persons #4 and #9 contain current mandated reporter training that was completed greater than 60 months after the previous training. The training is now current.

Corrected Corrected by Aug 2, 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.

The file for staff person #2, hire date (see IS code sheet), is lacking documentation of completed child abuse clearance and lacking documentation of requests for criminal history, FBI fingerprinting and NSOR prior to start date in the facility. The file does contain current clearances. The file for staff person #6, hire date (see IS code sheet), is lacking documentation of FBI fingerprinting prior to working in a child care position. The clearances are now current. The file for staff person #8, hire date (see IS code sheet), is lacking a completed child abuse clearance and lacking documentation of requests for criminal history and FBI fingerprinting prior to working in the child care facility. The file now contains current clearances.

Corrected Corrected by Aug 7, 2023

Category: background checks. 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.

Observed in the basement classroom a window air conditioner unit to not be secured in the window and leaving an open space around the edges resulting in a visible hazard.

Corrected Corrected by Aug 7, 2023

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

3270.131(e)(1)/3270.131(e)(3) · 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 facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The file for child #1, preschool aged, is lacking documentation of a flu shot during the year 2022. Child #1 will need to be removed from care until an updated flu shot is documented or an exemption letter is obtained.

Corrected Corrected by Aug 14, 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 basement preschool room a prescribed medication diastat rectal gel not labeled with the name of the child for whom it was intended.

Corrected Corrected by Aug 2, 2023

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

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

Observed that the diaper changing stations in the main floor and basement restrooms were lacking operational hands-free covered trash cans.

Corrected Corrected by Aug 7, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff person #6 is lacking a health assessment completed during the previous 24 month period. The file for staff person #8 is lacking an initial health assessment received prior to start date in the child care position. The file does contain a current health assessment. The file for staff person #9 is lacking a TB test conducted prior to start date in a child care position. The file for staff person #10 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current.

Corrected Corrected by Aug 21, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #7 contains an initial health assessment that is lacking a physician's statement regarding suitability to provider child care.

Corrected Corrected by Aug 21, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #9 contains only 2 of the required 12 training hours during the previous 12-month period. Staff #9 has since completed additional trainings.

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #1 is lacking the Pennsylvania Health & Safety Update 2022 which was required to be completed by 12/30/2022. The file for staff person #2 contains the Pennsylvania H&S Update 2022 with a completion date of 1/2/2023 which is past the required date of 12/30/2022.

Corrected Corrected by Jun 29, 2023

Category: ratio. 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), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff persons #1,2 and 3 will have until 3/30/2023 to complete the required training. Until such time as the required training has been completed, staff persons #1,2 and 3 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #1,2 and 3, staff person #1,2 and 3 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety Training Topics #1-#9 Staff persons #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PFA/PCPR training using an approved curriculum with a PQAS certified trainer.

Corrected Corrected by Mar 10, 2023

Category: supervision. Marked corrected in the state record.

3270.192(4) · 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 may not work in a child care position at the facility.

The file for staff person #1, date of hire (see IS code sheet), contains a DOE FBI clearance which is not accepted for childcare employment under CPSL and does not contain a DHS FBI clearance.

Corrected Corrected by Mar 8, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care facility.

The file for staff person #1, date of hire (see IS code sheet), contains a DOE FBI clearance which is not accepted for childcare employment under CPSL and does not contain a DHS FBI clearance.

Corrected Corrected by Mar 8, 2023

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

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

The file for staff person #1, date of hire (see LIS code sheet) is lacking verification of fingerprinting or a completed FBI clearance prior to the start date as required under CPSL. The file does contain a current FBI clearance.

Corrected Corrected by Jul 15, 2022

Category: background checks. 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 is lacking an initial health report within 60 days of the first day of attendance at the facility. The file is now current.

Corrected Corrected by Jul 15, 2022

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

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

The file for staff person #5 contains current pediatric first aid / pediatric CPR received after the previous PFA/ PCPR expired. The file is now current.

Corrected Corrected by Jul 15, 2022

Category: ratio. Marked corrected in the state record.

3270.34(b)/3270.192(2)(ii) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). 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 #1, serving as the facility director, is lacking verification of experience and education to qualify as director.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. 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.

Observed in the preschool classroom a door that was blocked by a shelf.

Corrected Corrected by Jul 15, 2022

Marked corrected in the state record.

3270.131(e)(1)/3270.182(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.A child's record shall contain initial and subsequent health reports.

The file for child #1, preschool age, is lacking verification of a flu shot received during the year 2021 as required by the ACIP immunization schedule.

Corrected Corrected by Jul 18, 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 files for staff persons #3, #4, #7 and #8 contain current health assessments that were conducted more than 24 months after the previous health assessment. The files are now current.

Corrected Corrected by Jul 15, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #2 contains a current health assessment with a physician statement that the individual has a communicable disease but is lacking a statement explaining the effect on working in child care.

Corrected Corrected by Jul 19, 2022

Category: health medication. 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 emergency plan does not include accommodations for infants and toddlers.

Corrected Corrected by Jul 18, 2022

Category: physical safety. 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.

The file for staff person #6, hire date (see IS code sheet), contains PFA/PCPR certification completed greater than 90 days after hire date. The file is now current.

Corrected Corrected by Jul 15, 2022

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

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

The operator has not provided proof of purchase for the interconnected fire detection system.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Facility failed to promptly notify OCDEL of a positive COVID test result that occurred on Saturday, 1/15/22; OCDEL did not receive notification of the positive COVID test result until Tuesday 1/18/22 which was more than 24 hours.

Corrected Corrected by Jan 18, 2022

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

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

In the infant room, the crib sheets being used for three pack n play playards and one crib were observed to be loose fitting thus allowing them to bunch up and cause a potential suffocation hazard.

Corrected Corrected by Jul 30, 2021

Category: health medication. 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.

All staff lacked documentation of having received training on the most recent emergency plan update dated 7/8/21. The staff file for Staff person #1 and Staff person #3 contained two emergency plan trainings dated 7/31/19 and 8/5/20 which were not completed on an annual basis. The staff file for Staff person #2 contained two emergency plan trainings dated 7/31/19 and 9/1/20 which were not completed on an annual basis.

Corrected Corrected by Jul 28, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The staff file for Staff person #1 and Staff person #2 lacked a written staff evaluation for 2020; the last two staff evaluations on file were dated 5/13/19 and 2/1/21. The staff file for Staff person #3 lacked a written staff evaluation for 2020; the last two staff evaluations on file were dated 3/25/19 and 2/1/21.

Corrected Corrected by Jul 28, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The Auxiliary Room lacked a first-aid kit.

Corrected Corrected by Jul 28, 2021

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.

In the OT/Bears Room, an external electrical outlet, located to the left of the heater, was observed to be sticking out from the wall and the flat gang wall plate that was attached had pointed corners that could pose a safety hazard to the children in care.

Corrected Corrected by Aug 18, 2021

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

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

In the Auxiliary Room, back near the dramatic play area, peeling paint was observed on the walls.

Corrected Corrected by Aug 18, 2021

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

3270.163(b) · Breakfast prepared at the facility for children of toddler age or older shall have at least one item from three of the following four food groups: dairy, protein, fruit and vegetable, grain.

Upon review of the facility's breakfast menu, it was observed that only two items from three of the four food groups were being served for breakfast.

Corrected Corrected by Jul 30, 2021

Category: nutrition. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

As of 12/19/20, the facility's emergency plan did not contain a lockdown procedure nor accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions until 7/8/21.

Corrected Corrected by Jul 29, 2021

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