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

The file for staff person #1 lacked firesafety training that was completed 12 months from the previous firesafety training. The firesafety trainings in the file are dated 5/25/23 and 6/21/24.

Corrected Corrected by May 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #2 who was hired on (See LIS Code Sheet) lacked an NSOR verification certificate that was completed 60 months from the previous NSOR verification certificate. The NSOR verification certificates in the file are dated 11/6/19 and 1/16/25. The file for staff person #5 lacked an NSOR verification certificate that was completed prior to the date they began working with children (See LIS Code Sheet). The NSOR verification certificate in the file is dated 2/4/25.

Corrected Corrected by May 12, 2025

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for staff person #3 lacked a high school diploma. The file for staff person #4 lacked a valid high school diploma. The high school diploma needs to be translated and evaluated.

Corrected Corrected by May 12, 2025

Category: supervision. 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.

In the downstairs preschool classroom in the restroom right inside the door a hand washing sign was observed not to be posted above the toilet.

Corrected Corrected by May 12, 2025

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

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

The file for child #1 who is a preschool child lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file were dated 10/10/23 and 12/3/24.

Corrected Corrected by May 12, 2025

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff Person #1 will have until May 28, 2024 to complete the required 1-hour health and safety training update.

The file for Staff Person #1 lacked completion of the updated 1-hour Health and Safety Training within 90 days of starting at the facility (refer to LIS code sheet).

Corrected Corrected by May 28, 2024

Category: ratio. Marked corrected in the state record.

3270.33(a)/3270.192(2)(iv) · 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff Person #2 lacked verification of 2500 hours to qualify them for the position they were observed to be performing. The file only contained verification of 1,558.8 hours. Without verification of experience signed by a representative of the experiential entity, Staff Person #2 qualifies as an Aide.

Corrected Corrected by May 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Staff Person #2 was alone with a group of children while Staff Person #3 came to the first floor of the facility. Staff Person #2 lacked verification of 2500 hours of experience allowing them to be considered an AGS and to be unsupervised. Without the verification of experience Staff Person #2 is an Aide and must be supervised at all times.

Corrected Corrected by May 16, 2024

Category: supervision. 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.

One window in Classroom 3 was observed to be unrestricted allowing the window to open more than 6 inches.

Corrected Corrected by May 10, 2024

Category: physical safety. 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 most recent emergency contact form for Child #2 lacked the policy number for the child's health insurance.

Corrected Corrected by Jun 3, 2024

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

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

The file for Staff Person #1 lacked an initial health assessment and tuberculosis screening within 12 months prior to starting in a child care taking position at the facility. The initial health assessment was dated 551 days prior to started. A current health report was not on file until 149 days after starting at the facility. The tuberculosis screening on file was completed 825 days prior to starting. A current tuberculosis screening was not on file at the time of the inspection.

Corrected Corrected by Jun 3, 2024

Category: ratio. Marked corrected in the state record.

3270.241(b)(10) · An equivalent health report completed by a school is acceptable as documentation of child health for a school-age child.

The most recent health reports on file for Children #1 and #3, young school agers, were completed when the children were 4 years of age. These health reports would not be acceptable by a school as documentation for a school age child. Acceptable school health reports are completed at ages 5 and 11.

Corrected Corrected by Jun 3, 2024

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). Facility Person #2 may not work at the facility.

The file for Staff Person #2 lacked an FBI Clearance that had been completed for DHS purposes. The FBI Clearance on file was completed for DOE purposes and is not acceptable for employment in a child care facility.

Corrected Corrected by May 11, 2023

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 written staff evaluations on file for Staff Person #1 exceeded 12 months between evaluations dated 2.3.22 and 3.21.23.

Corrected Corrected by May 11, 2023

Category: recordkeeping. 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 Classroom #3 was missing tweezers.

Corrected Corrected by May 11, 2023

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

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

The refrigerator in Classroom #5 (Downstairs Preschool) was observed to be missing an operable thermometer.

Corrected Corrected by May 11, 2023

Category: nutrition. Marked corrected in the state record.

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

The files for Children #1, #2, #3 and #4 lacked current approved developmental assessments that had been completed within the last 6 months. The most recent child service reports on file were completed in October 2022.

Corrected Corrected by Jun 12, 2023

Category: recordkeeping. 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). Child #3 will be dismissed from the facility at the close of business on 5.11.23.

The most recent immunization record on file for Child #3 lacked verification that the child had received their Hepatitis A vaccination as recommended by the ACIP. A written exemption was not on file for the missing immunization.

Corrected Corrected by May 11, 2023

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

3270.181(c) · 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 updates to the emergency contact form for Child #4 exceeded 6 months between updates on 5.19.22 and 2.27.23. The agreements on file for Children #1, #2, #3 and #4 have exceeded 6 months since their last review. The last reviews for Children #1, #3 and #4 was in 8.2022 and the last review for Child #2 was 6.2022.

Corrected Corrected by Jun 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility exceeded 30 days between fire alarm testing on 1.4.23 and 2.7.23. At the time of the inspection on 5.11.23 the last documented testing was 4.3.23.

Corrected Corrected by May 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked documentation that they had submitted their emergency plan to the County Emergency Management Agency.

Corrected Corrected by Jun 12, 2023

Category: physical safety. 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 Facility Person #6 lacked two written nonfamily references attesting to their suitability to serve as a facility person.

Corrected Corrected by May 13, 2022

Category: recordkeeping. 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 facility exceeded 60 days between fire drills documented 1/19/22 and 4/8/22.

Corrected Corrected by May 4, 2022

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).

The updates to the State Police and Child Abuse Clearances on file for Facility Person #1 exceeded 60 months between update.

Corrected Corrected by May 4, 2022

Category: background checks. 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.

Facility Person's #2, #3, #4, #5 and #6 were observed to be caring for children alone at the facility. The Facility Person's did not have the required pediatric first aid and CPR training or completion of the required health and safety training. Without the required trainings Facility Person's are required to be supervised by a person competent in the trainings.

Corrected Corrected by May 6, 2022

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.33(d) · 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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At the time of the inspection none of the Facility Person's on staff were determined to be competent in pediatric first aid and pediatric CPR as they had not completed training in an approved curriculum or with an approved PQAS trainer.

Corrected Corrected by May 5, 2022

Category: ratio. Marked corrected in the state record.

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

The 6 hour Health and Safety trainings on file for Facility Person's #2 and #5 were not acceptable as they were completed after 7/1/18. They were required to complete the 10 hour Building Blocks to Quality Child Care training. The files for Facility Person #3 lacked completion of the required Health and Safety training within 90 days of starting at the facility.

Corrected Corrected by May 6, 2022

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.

In the Toddler Classroom empty plastic bags were observed in a fabric bin in a low cube shelf which made them accessible to children receiving care in the space.

Corrected Corrected by May 4, 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.

The emergency contact form for Child #2 lacked the complete addresses for the release persons listed.

Corrected Corrected by May 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

The initial health assessment provided for Child #2 was completed in excess of 1 year prior to starting at the facility.

Corrected Corrected by May 4, 2022

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

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

Bars of soap were observed in the upstairs restroom used by children and staff at the facility. The regulation requires liquid or powdered soap for handwashing.

Corrected Corrected by May 4, 2022

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessments on file for Facility Person's #3 and #6 lacked information related to an examination for communicable diseases and the results of that examination and the physician's assessment of their suitability to provide child care.

Corrected Corrected by May 13, 2022

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

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Facility Person's #3 and #6 lacked verification of experience for the positions that they were observed to be performing.

Corrected Corrected by May 13, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked proof of purchase of the interconnected fire alarm system in the facility. The last documentation on monthly testing of the alarm system was completed in November 2021.

Corrected Corrected by May 6, 2022

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.

Information as to how parents may access the current regulations was not posted in a conspicuous location.

Corrected Corrected by May 4, 2022

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 initial health assessment on file for Child #1 was completed 189 days after starting at the facility.

Corrected Corrected by May 4, 2022

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