3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not contain a method to inform parents that the emergency has ended and instructions for how to safely be reunited with their children.

Corrected Corrected by Apr 14, 2025

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

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The most recent annual review of the facility's emergency plan is dated 2/1/23, more than 12 months prior.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent emergency plan trainings on file for Staff #1 (2/1/24 & 3/14/25), Staff #2 (2/5/24 & 3/17/25), Staff #5 (2/6/24 & 3/14/25), and Staff #6 (2/6/24 & 3/14/25) are dated more than 12 months apart.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #6 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Pediatric First Aid/CPR. The training was completed on 9/26/24.

Corrected Corrected by Apr 23, 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). Facility Person #3, #4, and #6 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, #4, and #6 may not work in a child care position at the facility.

The file for Staff #3 did not have acceptable PA State Police and PA Child Abuse clearances for employment purposes by date of hire. The file for Staff #3 contained an FBI clearance dated 10/30/24, more than 45 days after Staff #3's date of hire (SEE IS CODE SHEET). The file for Staff #4 lacks a Child Abuse clearance and a NSOR Certificate and is more than 45 days after Staff #4's date of hire (SEE IS CODE SHEET). The file for Staff #4 contained PA State Police (dated 10/3/24) and FBI (dated 9/20/24) clearances dated more than 45 days after date of hire. The file for Staff #6 did not have acceptable PA State Police and PA Child Abuse clearances for employment purposes by date of hire. The file for Staff #6 contained an FBI clearance (dated 5/24/24) and a NSOR certificate (dated 3/7/24), more than 45 days after Staff #6's date of hire (SEE IS CODE SHEET). Staff #3, Staff #4, and Staff #6 may not work in a child care position in the facility.

Corrected Corrected by May 5, 2025

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 most recent staff evaluation on file for Staff #7 is dated 11/24/23, more than 12 months prior.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staff #4, classified as an Assistant Group Supervisor, contained documentation that Staff #4 completed high school but lacked documentation of two years of child care experience.

Corrected Corrected by May 5, 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.

Lysol Disinfectant Spray on the sink counter and Seventh Generation All Purpose Spray under the sink in an unlocked cabinet, both labeled 'Keep Out of Reach of Children', were observed in the staff bathroom which was unlocked and accessible to children.

Corrected Corrected by May 5, 2025

Category: ratio. 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.

In the Older Toddler Room, the garbage can containing tissues with human secretions did not have a plastic liner.

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

In the hallway used by children, a bottle of Children's Liquid Acetaminophen was observed in an open exterior pocket of a diaper bag in a cubby and was accessible to children.

Corrected Corrected by Apr 23, 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.

In the Preschool Room, the first-aid kit was missing gloves. In the School Age Room, the first-aid kit was missing tweezers. In the Gross Motor Room, the first-aid kit was missing tweezers and tape.

Corrected Corrected by May 2, 2025

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 Older Toddler Room, three coaxial cables were observed protruding from the wall and could be hazardous to children.

Corrected Corrected by May 5, 2025

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

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

Peeling paint and plaster was observed on the left and right side of the interior doorframe in the Infant Room.

Corrected Corrected by May 5, 2025

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During naptime, the Young Toddler Room was observed to have children in care and did not contain any natural light and was not using the lamp located in the space.

Corrected Corrected by Apr 23, 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.

In the School Age Room, a plastic seat at the cafeteria table was observed to be broken and not in good repair.

Corrected Corrected by Apr 23, 2025

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

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

In the Infant Room, a plastic-lined trash can containing used diapers did not contain a lid.

Corrected Corrected by Apr 23, 2025

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

3270.102(a)/3270.103 · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Preschool Room, with a mixed group of toddlers, ripped and peeling vinyl less than one inch in diameter was observed on a foam climber. In the Older Toddler Room, a table with a vinyl covering was observed with peeling vinyl less than one inch in diameter. The climber and table were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Apr 23, 2025

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

During naptime in the Young Toddler Room at approximately 1:35 PM, Staff #8 was observed caring for 1 Younger Toddler, 3 Older Toddlers, and 1 Preschool Aged child without any natural or artificial lighting. The lack of lighting did not allow Staff #8 to see and properly assess the children for appropriate supervision.

Corrected Corrected by Apr 23, 2025

Category: supervision. Marked corrected in the state record.

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

The most recent child service report on file for Child #3 (4/29/24) and Child #4 (12/7/23) are more than 6 months prior. The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), did not contain any child service reports.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement forms on file for Child #1, Child #3, and Child #5 lacked persons whom the child can be released to.

Corrected Corrected by Apr 23, 2025

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 financial agreement form on file for Child #1, Child #2, Child #3, Child #4, and Child #5 were the original agreement form. The parent is to obtain the original agreement, and the facility is to retain a copy of the agreement form.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #3 lacked the enrolling parent's home address.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #1 lacked written consent from the parent for the facility to obtain emergency medical care.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Infant Room lacked a written plan identifying the means of transporting a child to emergency care.

Corrected Corrected by Apr 23, 2025

Category: transportation. Marked corrected in the state record.

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

The two most recent 6-month parent review and update of the emergency contact and financial agreement forms on file for Child #4 are dated 9/24/24 and 4/1/25, more than 6 months apart.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #4 (Preschool Age) is dated 6/23/23, more than 12 months prior.

Corrected Corrected by Apr 23, 2025

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization records on file for Child #2 (Older Toddler) and Child #4 (Preschool) lacked the following immunizations: 2 doses of Hepatitis A without a Letter of Exemption in the file. Child #2 and Child #4 must be dismissed from care by close of business on 4/7/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Apr 23, 2025

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

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

The most recent health assessments on file for Staff #2 (1/18/23) and Staff #7 (11/17/22) are dated more than 24 months prior. The initial health assessment and tuberculosis test on file for Staff #3 are dated 4/14/24, which is after Staff #3's date of hire (SEE IS CODE SHEET). The file for Staff #4 lacks an initial health assessment and tuberculosis test and is after Staff #4's date of hire (SEE IS CODE SHEET).

Corrected Corrected by May 5, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of inspection, the facility's menu was not posted in a conspicuous location.

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

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

The emergency contact form on file for Child #1 lacked written consent from the parent for the facility to administer minor first aid procedures.

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #2 contained two written reference letters. It was later determined by a conversation with the operator that one of the letters were written by a family member of Staff #2, making the letter unacceptable. The file for Staff #3 contained a written nonfamily letter of reference dated 4/1/24, which is after Staff #3's date of hire (SEE IS CODE SHEET). The file for Staff #7 lacked two written nonfamily letters of reference.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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 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 initial health assessment and written immunization record on file for Child #3 (dated 4/1/24) and Child #5 (dated 10/24/24) are dated more than 60 days beyond the child's date of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Apr 23, 2025

Category: health medication. 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.

At the time of inspection, the facility lacked documentation of annual written notification to local traffic safety authorities of location of facility and program's use of pedestrian and vehicular routes around facility.

Corrected Corrected by Apr 23, 2025

Marked corrected in the state record.

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

The file for Staff #3 lacked Emergency Plan training within 90 days of hire (SEE IS CODE SHEET).

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #1 did not complete the following required pre-service training within 90 days of their hire date (SEE IS CODE SHEET): Get Started with Center-Based Care Revised-2022. The training was completed on 8/30/24. Staff #3 has not completed the following required pre-service trainings within 90 days of their hire date (SEE IS CODE SHEET): Pediatric First Aid/CPR and Get Started with Center Based Care.

Corrected Corrected by Sep 12, 2024

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

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

The file for Staff #3 lacked documentation of application of a FBI clearance and NSOR certificate (dated 8/22/24) prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. The file Staff #3 lacked an FBI and NSOR clearance within 45 days of hire (SEE IS CODE SHEET). The file for Staff #4 contained a volunteer State Police clearance, making it invalid.

Corrected Corrected by Sep 12, 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.

The Mandated Reporter training on file for Staff #3 dated 8/22/24 is not an approved training, making it invalid. The disclosure statement on file for Staff #4 lacked a date, making it invalid.

Corrected Corrected by Sep 13, 2024

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

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

The file for Staff #3, classified as an assistant group supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child.

At approximately 10:45, a mixed age group of children ranging from younger toddler to preschoolers, were observed in the indoor Gross Motor room that has a designated maximum capacity of 9.

Corrected Corrected by Sep 23, 2024

Category: ratio. Marked corrected in the state record.

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

Outlet covers were missing in the School Age Room (outlet front wall), Infant Room (outlet in back left corner & outlet on front wall), and Gross Motor Room (outlet right of Preschool Door).

Corrected Corrected by Sep 12, 2024

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 Gross Motor Room, a section of paneling covering a hole in the brick was observed not securely attached and accessible to children, which could be hazardous.

Corrected Corrected by Sep 12, 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.

In the Gross Motor Room, a plastic container containing toys was observed with a crack that could cause pinch points and was accessible to children.

Corrected Corrected by Sep 13, 2024

Category: physical safety. 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.

At approximately 10:45am in the Gross Motor Room, a combined group supervised by Staff Person #1 and Staff Person #4, were observed watching a video while a preschool aged child was confined in a high chair.

Corrected Corrected by Sep 12, 2024

Category: supervision. 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 #3 lacked an initial health assessment. The file for Staff #3 was lacked documentation of a Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis screening on file for Staff #3 was dated 2/15/23.

Corrected Corrected by Sep 23, 2024

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 #4 does not include the physician or health care professional's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 24, 2024

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

3270.191 · An individual record is required for each facility person.

At the time of inspection, the facility lacked a file for Staff #2.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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 #3 lacked two written nonfamily reference letters attesting to the staff person's suitability to work in child care.

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. 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.

A supply of empty garbage bags were observed in an unlocked cabinet in the hallway, accessible and posing a potential suffocation hazard to children in care.

Corrected Corrected by May 7, 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 provided to parents explaining the emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 21, 2024

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

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

There were no protective receptacle covers placed in 4 electrical outlets on a power strip plugged into the wall by the computers and an electrical outlet on the wall by the entrance to room #1.

Corrected Corrected by May 7, 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.

There was a bottle of Gorilla glue and (2) containers of DryDex spackling observed on a lower shelf in an unlocked closet in the hallway, accessible to children in care.

Corrected Corrected by May 7, 2024

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 section of paneling by the bathroom sink that was not secured to the wall and there was a small section of loose baseboard in the nap room.

Corrected Corrected by May 7, 2024

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

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

The legs on the changing table in the infant room were very wobbly and unstable, making it unsafe for use by children in care.

Corrected Corrected by May 7, 2024

Marked corrected in the state record.

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

The emergency contact information for child #1 did not include health insurance coverage for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by May 7, 2024

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

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

Staff #1 completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation on 5/9/2023, which was more than 90 days following their date of hire.

Corrected Corrected by May 7, 2024

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 fire detection devices were not tested at least once every 30 days during the period between 1/12 to 2/16/2024.

Corrected Corrected by May 7, 2024

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 to the parents explaining their emergency procedures did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jul 20, 2023

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

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

The facility did not have a written policy to address the prevention and identification of child maltreatment, as per Announcement C-22-03. The facility's emergency plan did not address continuity of operations, as per Announcement C-22-04.

Corrected Corrected by Jul 3, 2023

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.

A 6' long wooden board was observed leaning upright against the wall in room #1, which posed a potential tipping hazard for children in care.

Corrected Corrected by Jul 3, 2023

Category: health medication. 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.

Corrected Corrected by Jul 3, 2023

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

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

The record for child #1, #2, #3 and #4 lacked an agreement.

Corrected Corrected by Jul 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility.

The record for staff #1 included a disclosure statement dated 4/24/42023, which was following their first day working in child care, and lacked a NSOR verification certificate. The record for staff #2 included a disclosure statement dated 5/1/2023, a state police clearance dated 6/13/2023 and a FBI clearance dated 5/18/2023, which was following their first day working in child care, and lacked a NSOR verification certificate. See staff individual codes.

Corrected Corrected by Jul 3, 2023

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

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

There was no protective electrical outlet placed in an electrical outlet along the inside wall in room #1 and it was accessible to children 5 years of age or younger.

Corrected Corrected by Jul 3, 2023

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.

Hand sanitizer labeled keep out of the reach of children was observed on the sink in the girls bathroom and on a window sill in room #5, accessible to children in care.

Corrected Corrected by Jul 3, 2023

Marked corrected in the state record.

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

There was a first-aid kit observed sitting on a shelf in the play space and in a bag hanging on a hook in the hallway outside of the children's bathrooms, accessible to children in care.

Corrected Corrected by Jul 3, 2023

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

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

The light in the hallway leading to the door that exits from the facility to the rear of the building was not working and it was not lighted by artificial light.

Corrected Corrected by Jul 3, 2023

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.

A door that exits from facility to the rear of the building was obstructed by a children's wagon.

Corrected Corrected by Jul 3, 2023

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 record for child #5 included the original agreement.

Corrected Corrected by Jul 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #2 did not include health insurance coverage.

Corrected Corrected by Jul 4, 2023

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

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

Emergency contact information was not present in the child care spaces where children were observed receiving care.

Corrected Corrected by Jul 3, 2023

Category: recordkeeping. 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.

Soiled diapers were being discarded in a Diaper Genie, which is not a hands-free can.

Corrected Corrected by Jul 19, 2023

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

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

The record for staff #1 lacked a health assessment and the record for staff #2 included a health assessment dated following their first day working in child care.

Corrected Corrected by Jul 20, 2023

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes was not posted by the operator in the child care facility.

Corrected Corrected by Jul 3, 2023

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 director did not ensure that the stand alone fire detection devices were tested every 30 days and testing was documented.

Corrected Corrected by Jul 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility's current certificate of compliance was not posted.

Corrected Corrected by Jul 3, 2023

Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

The family lacked an emergency plan detailing shelter in place, lockdown, evacuation route off premises including a means for accommodation of infants, toddlers, children with special needs and medical conditions, a method to notify parents of an emergency and when that emergency is over.

Corrected Corrected by Jan 24, 2023

Category: physical safety. 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 file #1 lacked the Pennsylvania Health and Safety Update 2022 training conducted by 12/30/2022 as per the Announcement C-22-06. The Health and Safety training was completed on 10/3/2016.

Corrected Corrected by Jan 24, 2023

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

Staff file #2 lacked requests for and valid clearances for the PA State Criminal Clearance, the Child Abuse Clearance, the NSOR Verification and the DHS FBI Clearance in the file.

Corrected Corrected by Jan 19, 2023

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

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. 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 facility lacked first aid kits in each child care space containing the following items: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Corrected Corrected by Jan 19, 2023

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The glass doors in the entry leading to the gross motor space lacked visual strips on the glass.

Corrected Corrected by Jan 24, 2023

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

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

The refrigerator in room 5 lacked an operable thermometer.

Corrected Corrected by Jan 20, 2023

Category: nutrition. Marked corrected in the state record.

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

Staff file #2 lacked a health assessment with the results of the physical examination and free from communicable disease statement.

Corrected Corrected by Jan 19, 2023

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff file #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The facility lacked evacuation routes on the floor plans posted at the facility.

Corrected Corrected by Jan 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 smoke detector located in the back hallway of the facility was chirping indicating that the batteries needed to be replaced.

Corrected Corrected by Jan 19, 2023

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