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 of Staff #1 lacked a Child Abuse Clearance updated every 60 months. The file of Staff #1 contained a Child Abuse Clearance dated 9/4/24 with a previous one dated 8/12/19.

Corrected Corrected by Apr 28, 2025

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

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

Observed Up and Up Disinfecting Bleach, Fabuloso Multipurpose Cleaner, and 4 bottles of Clorox Bleach which indicated "keep out of the reach of children" under the classroom sink in the Downstairs Classroom which were accessible to children.

Corrected Corrected by Apr 28, 2025

Marked corrected in the state record.

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

Observed Dreft Laundry Stain Remover beside snacks including Animal Crackers and Nerds on the top shelf to the right of the classroom sink in the Downstairs Classroom. While discussing this with staff, staff indicated it was not Dreft Laundry Stain Remover but bleach water.

Corrected Corrected by Apr 28, 2025

Category: ratio. 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 rust on the gate at the back of the building in the Outdoor Play Space. Observed rotted wood on the top board of the right railing of the ramp which leads to the Outdoor Play Space.

Corrected Corrected by May 15, 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.

Observed 3 small wooden rectangular blocks with rough edges and splintering wood in the Upstairs Classroom. Observed a cracked red bin containing masks in the Downstairs Classroom. Observed rust on the sides of the slide steps in the Outdoor Play Space.

Corrected Corrected by Apr 28, 2025

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 10/16/24, 12/16/24, 2/11/25, and 4/3/25.

Corrected Corrected by Apr 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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

2nd citation. Previously cited on 11/5/24. Observed Bic Cover It which indicated "keep out of the reach of children" in the middle drawer of the teacher's desk in the downstairs classroom which was accessible to children.

Corrected Corrected by Jan 10, 2025

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 did not address continuity of operations.

Corrected Corrected by Nov 22, 2024

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.

Observed adult scissors in the middle drawer of the teacher's desk in the downstairs classroom which were accessible to children.

Corrected Corrected by Nov 6, 2024

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.

The file of Staff #3 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #3 did not contain documentation of receiving emergency plan training.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by Nov 8, 2024

Category: physical safety. 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 #3 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The most current certification on file for Staff #3 was dated 11/14/21 with an expiration date of 11/23.

Corrected Corrected by Nov 5, 2024

Category: ratio. 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 of Staff #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained no documentation of fire safety training.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #3 will have until November 29, 2024, to complete the required training. 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): health and safety.

Corrected Corrected by Nov 29, 2024

Category: supervision. 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 #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of completing mandated reporter training on 8/23/24 with a previous training completed on 8/14/19. Staff #3 lacked documentation of completing mandated reporter training every 60 months. Staff #3 had documentation of completing mandated reporter training on 3/30/22 with previous training completed on 3/23/15.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

The file of Staff #2 lacked a dated disclosure statement. The file of Staff #3 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #3 contained a State Police Clearance dated 11/8/18, a Child Abuse Clearance dated 11/14/18, and a DHS FBI Clearance dated 11/9/18.

Corrected Corrected by Nov 5, 2024

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

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

The file of Staff #3 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #3 did not contain written evaluations.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed an electrical outlet which lacked a protective receptacle cover in the reading area of the downstairs classroom.

Corrected Corrected by Nov 5, 2024

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.

Observed Epipremnum Pinnatum on the filing cabinet on the landing outside of the upstairs classroom. Observed hydrogen peroxide, DG Spray Enamel Paint, DG Disinfectant Spray, and Mold Armor Mold Remover and Disinfectant which indicated "keep out of the reach of children" in the cabinet to the right of the sink in the downstairs classroom.

Corrected Corrected by Nov 15, 2024

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Observed Dracaena on the floor in the corner by the side door in the downstairs classroom. Observed Kalanchoe plant above the register to the left of the block area in the downstairs classroom. Observed Anthurium and an Aloe Vera Plant on the shelf by the book area in the downstairs classroom. Observed Crassula Ovata on the windowsill and on the shelf by the reading area in the downstairs classroom. Observed Epipremnum Aureum, Tradescantia Pallida, and Kalanchoe on the shelf on the windowsill in the dramatic play area in the downstairs classroom. Observed Epipremnum Aureum and Philodendron on the windowsill by the books in the upstairs classroom. Observed Crassula Ovata on the windowsill by the teacher's desk in the upstairs classroom. Observed a snake plant on the windowsill above the dramatic play area in the upstairs classroom.

Corrected Corrected by Nov 15, 2024

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.

Observed 2 exposed bolts on the inside of the gate of the outdoor play space.

Corrected Corrected by Nov 21, 2024

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.

Observed peeling paint around the circle time board in the downstairs classroom. Observed peeling paint on the wall behind the basket containing blocks in the downstairs classroom.

Corrected Corrected by Nov 22, 2024

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

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

Observed wooden blocks with rough edges in the downstairs classroom. Observed wooden blocks with rough edges and splintering wood in the upstairs classroom. Observed a white bin containing railroad tracks with approximately a 2 1/2-inch crack in the downstairs classroom. Observed a cracked yellow chair creating pinch points in front of the circle time board in the downstairs classroom. Observed a cracked Little Tykes label creating rough edges on the slide in the outdoor play space. Observed a green slide with rust in the outdoor play space.

Corrected Corrected by Nov 23, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed a green slide in the outdoor play space with approximately 6 inches of mulch. Observed a swing set in the outdoor play space with rubber mats under the swings but no mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Dec 6, 2024

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

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

Observed foam blocks with bite marks in the downstairs classroom.

Corrected Corrected by Nov 8, 2024

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed rest equipment not labeled for the use of a specific child in the downstairs classroom.

Corrected Corrected by Nov 5, 2024

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

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

The agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file of Child #5 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Nov 5, 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.

Emergency contact information for Child #2 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Nov 8, 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.

Emergency contact information for Child #1 did not include the complete home address and complete work address of the enrolling parent. Emergency contact information for Child #2 did not include the work address and work telephone number of the enrolling parent.

Corrected Corrected by Nov 8, 2024

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.

Emergency contact information for Child #1 did not include the address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact for Child #2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The operator lacked documentation of notifying 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.

Corrected Corrected by Nov 19, 2024

Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file of Child #1, who had an admission date of 8/21/24, did not contain written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates the child was administered immunizations in accordance with the recommendations of the ACIP.

Corrected Corrected by Nov 19, 2024

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

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

The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a health assessment dated 11/14/18.

Corrected Corrected by Nov 25, 2024

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed Staff #1 did not wash his/her hands before snack.

Corrected Corrected by Nov 6, 2024

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

3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

It was observed that an agreement was not on file at the date of enrollment for Child #4. Child #4 had an admission date of 8/29/24 with no agreement on file.

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. 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.

Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

The file of Child #3 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #3 had an admission date of 8/22/24 with no initial health report.

Corrected Corrected by Nov 6, 2024

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

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

Observed staff file #2 contained documentation of the completed health and safety professional development training update which was completed after the due date of 12/30/22.

Corrected Corrected by Nov 15, 2023

Category: ratio. 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.

Observed staff files #1, #2, #3, and #4 contained documentation of completion of fire safety training which was completed more than 12 months after the previous fire safety training.

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Observed staff file #2 contained an updated criminal background clearance (10/19/23) which was dated more than 60 months after the previous valid criminal background clearance (9/14/18). Observed staff file #2 contained a most recent mandated reporter training which was dated (10/30/18) more than 60 months ago.

Corrected Corrected by Nov 15, 2023

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

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

Observed Clorox disinfecting wipes accessible to children on a low counter in the upstairs room. Observed in the upstairs classroom, hand sanitizer labeled "keep out of the reach of children", on a backpack in one of the children's cubbies and on top of the children's cubbies.

Corrected Corrected by Nov 15, 2023

Marked corrected in the state record.

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

Observed shaving cream, labeled "keep out of the reach of children", in the upstairs and downstairs craft areas.

Corrected Corrected by Nov 15, 2023

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.

Observed the outdoor backpack for the upstairs and downstairs rooms did not contain a copy of the emergency transportation plan.

Corrected Corrected by Nov 15, 2023

Category: transportation. 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.

Observed staff file #1 contained a most recent health assessment which was dated more than 29 months ago.

Corrected Corrected by Dec 20, 2023

Category: ratio. 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 childcare office.

Observed the facility did not have documentation of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Nov 15, 2023

Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.(f)(10) within 90 days of hire. Staff person #1, 2, 3, and 4 will have until 12/3/22 to complete the required training. Until such time as the required training has been completed, staff #1, 2, 3, and 4must be supervised when, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, 2, 3, and 4 , staff person #1, 2, 3, and 4 may not work in a child-care position at the facility.

Staff person #1, 2, 3, and 4 has not completed the following required pre-service training within 90 days of their date of hire(see LIS code sheet): 3270.31(f)(10).

Corrected Corrected by Dec 2, 2022

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.

Observed staff file #3 contained a most recent written evaluation which was dated more than 12 months after the previous written evaluation.

Corrected Corrected by Nov 3, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed electrical outlets which did not have protective receptacle covers on a power cord by the fish tank in the downstairs room. Observed in the upstairs room and electrical outlet on extension cord which did not have a protective cover.

Corrected Corrected by Nov 3, 2022

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.

Observed in the downstairs classroom, 4 bingo markers which were labeled keep out of the reach of children and did not have the non toxic symbol.

Corrected Corrected by Nov 3, 2022

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed a window in the upstairs hallway and one in the upstairs classroom, a which were not restricted to opening 6 or fewer inches.

Corrected Corrected by Nov 3, 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.

Observed a cracked window in the upstairs bathroom. Observed a damaged widow on the second floor which was above the play area and a visible hazard. Observed a fan in the downstairs room which needed to be cleaned.

Corrected Corrected by Dec 2, 2022

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.

Observed a damaged black toy bin with rough edges in the upstairs classroom.

Corrected Corrected by Nov 3, 2022

Category: physical safety. 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.

Observed child file #1 and #2 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 3, 2022

Category: recordkeeping. 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.

Observed child file #1 and #3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 5, 2022

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

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

Observed staff file #3 contained an updated health assessment which was dated more than 30 months after the previous valid health assessment.

Corrected Corrected by Nov 3, 2022

Category: ratio. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Observed the fire drill log revealed a fire drill was to be conducted in October but there was no documentation that the fire drill was completed at the required time.

Corrected Corrected by Nov 3, 2022

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.

Observed the facility did not have documentation of the completed emergency plan being submitted to the local municipality.

Corrected Corrected by Nov 30, 2022

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

3270.131(a) · 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.

Observed child file #3 contained an initial health assessment which was dated more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Nov 3, 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.

2nd citation. Previously cited on 11/16/21. The files of Staff #1 and #2 lacked documentation of pediatric first aid and pediatric cardiopulmonary resuscitation. The file of Staff #2 lacked documentation of renewing certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certificate. Staff #2 had documentation of first aid and CPR training completed on 8/23/21 with a previous training completed on 7/19/19.

Corrected Corrected by Jan 26, 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.

2nd citation. Previously cited on 11/16/21. Observed Lysol Disinfectant Wipes which indicated "keep out of the reach of children" and bleach water beside the microwave which were accessible to children in the upstairs classroom.

Corrected Corrected by Jan 26, 2022

Category: physical safety. 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.

2nd citation. Previously cited on 11/16/21. The facility does not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 26, 2022

Category: physical safety. 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 files of Staff #1 and #2 lacked documentation of pediatric first aid and pediatric cardiopulmonary resuscitation. The file of Staff #2 lacked documentation of renewing certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #2 had documentation of first aid and CPR training completed on 8/23/21 with a previous training completed on 7/19/19.

Corrected Corrected by Dec 1, 2021

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.

On 11/16/21 observed Pro Sanitize Advanced Hand Sanitizer which indicated "keep out of the reach of children" beside the microwave which was accessible to children in the upstairs classroom.

Corrected Corrected by Nov 12, 2021

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.

On 11/16/21 the first-aid kit in the downstairs classroom lacked tape. On 11/16/21 the first-aid kit in the upstairs classroom lacked tape.

Corrected Corrected by Nov 13, 2021

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.

On 11/16/21 observed two exposed bolts on the right side of the gate to the fence located by the front entrance of the facility.

Corrected Corrected by Nov 20, 2021

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.

On 11/16/21 observed a xylophone with a loose nail in the downstairs classroom. On 11/16/21 observed a yellow rectangular Magna Tile with approximately a 1 inch piece missing on the side creating rough edges in the upstairs classroom.

Corrected Corrected by Nov 12, 2021

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

On 11/16/21 the downstairs classroom lacked a written plan of daily activities posted in the group space.

Corrected Corrected by Nov 12, 2021

Category: physical safety. 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 files of Children #1 and #2 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file of Child #1 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Nov 12, 2021

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 file of Child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. 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 does not have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 6, 2022

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 facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 1/5/21, 2/3/21, 3/4/21, 4/2/21, 5/3/21, 8/19/21, 9/16/21, and 10/13/21. The facility was closed June through August of 2021.

Corrected Corrected by Nov 16, 2021

Category: recordkeeping. Marked corrected in the state record.