3270.117(a) · A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

Based on a conversation with Staff Person #1 and the director, it was learned that children #1 and #2 are being picked up by the child's mother's boyfriend whose name is neither listed on the Emergency Contact or Fee Agreement forms.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 lacked an agreement that specified the amount of the fee to be charged per day or per week.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In Room #1 a cardboard toy box was observed to be torn. In Room #1 the blue shelving unit under the window was observed to have rough edges due to a scrape on the shelf. In Room #9 a toy Fisher Price plastic basketball hoop was observed to be broken causing rough edges and sharp corners. The netting against the fence in the outdoor playspace was observed to be ripped.

Corrected Corrected by Apr 21, 2025

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

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

The Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was observed to be missing prevention and identification of child maltreatment.

Corrected Corrected by Apr 19, 2025

Category: ratio. Marked corrected in the state record.

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

In the infant nap room a crib was observed with a loose-fitting sheet. In the outdoor playspace, wires attached to a electric meter were observed to be loosely hanging near the ground accessible to the children in care and causing a potential hazard.

Corrected Corrected by Apr 21, 2025

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

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

The file for staff person #1 who was hired as the director 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 1/30/20 and 3/4/25. The file for staff person #2 who was hired as a group supervisor 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 1/30/20 and 2/11/25. The file for staff person #4 who was hired as an assistant group supervisor 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 1/30/20 and 2/4/25. The file for staff person #5 who was hired as an assistant group supervisor on (See LIS Cod Sheet) lacked State Police Clearance, Child Abuse Clearance, and NSOR verification certificate prior to her state date. The State Police Clearance in the file is dated 3/24/25. The Child Abuse Clearance in the file is dated 3/27/25. The NSOR Verification Certificate in the file is dated 3/14/25. The file for staff person #6 who was hired as a group supervisor 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 1/30/20 and 2/26/25. The file for staff person #8 who was hired as an assistant group supervisor 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 1/31/20 and 2/11/25. The file for staff person #9 who was hired as a facility person 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 2/20/20 and 2/27/25.

Corrected Corrected by Apr 19, 2025

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

The file for staff person #5 lacked a high school diploma.

Corrected Corrected by May 2, 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.

In the unlocked adult bathroom a bottle of Clorox, one bag and one box of Member's Mark Laundry Power Pacs, and one bottle of 70 Tough Green were observed on a shelf accessible to children all labeled "Keep Out of Reach of Children." In the unlocked shed in the outdoor playspace two plastic gas containers and one container of weed spray were observed accessible to the children and labeled "Keep Out of Reach of Children."

Corrected Corrected by Apr 21, 2025

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the activity room the handwashing sign was observed to be missing above the left sink.

Corrected Corrected by Apr 21, 2025

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

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

The file for child #5 lacked emergency contact information that included written consent signed by a parent for emergency medical care prior to admission.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 lacked emergency contact information that included the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #1, #2, #3, #4, and #5 lacked emergency contact information that was updated in the last 6-month period.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. 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 are dated 6/16/23 and 7/11/24. The file for child #2 who is an older toddler lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file are dated 5/15/23 and 2/11/25.

Corrected Corrected by Apr 21, 2025

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

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

The file for child #4 who is an older toddler lacked a child health report that was completed in the past 12 months. The child health report in the file is dated 11/22/22.

Corrected Corrected by Apr 30, 2025

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 for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 12/13/22 and 2/10/25. The file for staff person #3 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 2/23/23 and 3/6/25. The file for staff person #4 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 7/26/22 and 2/19/25. The file for staff person #7 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 8/29/22 and 9/5/24. The file for staff person #8 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 1/13/23 and 3/8/25.

Corrected Corrected by Apr 21, 2025

Category: ratio. 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 files for children #1, #2, #3, #4, and #5 lacked financial agreement information that was updated in the last 6-month period.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #5 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Apr 30, 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 person #5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 21, 2025

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 Fire Drill and Fire Detection Log was observed. There were 96 days between the fire drills on 9/4/24 and 12/9/24.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Fire Drill and Fire Detection Log was observed for the 30 day smoke detection system checks. There were 31 days between 6/13/24 and 7/13/24. There were 53 days between 7/13/24 and 9/4/24. There were 96 days between 9/4/24 and 12/9/24. There were 60 days between 12/9/24 and 2/7/25.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #1 lacked 12 clock hours of child care training from 12/2023 - 12/2024. There were 8 hours in the file for staff person #1.

Corrected Corrected by Apr 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code sheet) lacked a disclosure statement, a valid State Police Clearance, a Child Abuse Clearance, an FBI Clearance, and an NSOR verification certificate. The State Police Clearance in the file is under review. The 45-day provisional hire period is over and staff person #1 was not removed from her child care position at the facility.

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

The file for staff person #1 lacked 2 years experience with children. The file contained 1,732 hours of experience with children.

Corrected Corrected by Nov 8, 2024

Category: supervision. Marked corrected in the state record.

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

In Room #8 a Swiffer Wet Jet with toxic cleaning materials attached was observed to be sitting in an area accessible to the children. The label on the cleaning materials bottle read "Keep Out of Reach of Children."

Corrected Corrected by Dec 2, 2024

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.

On the sink in Room #1 a bottle of cleaning materials was observed in a container that did not specify the content. On the sink in Room #8 a bottle of cleaning materials was observed in a container that did not specify the content.

Corrected Corrected by Dec 2, 2024

Category: ratio. 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 Room #4 was observed to be missing band-aids.

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

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

In the toddler side of the outdoor playspace on the front of the wooden fence between the two blue slides peeling paint was observed.

Corrected Corrected by Nov 21, 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 Room #2 a plastic bin containing crayons was observed to have a broken corner creating rough edges and sharp corners. In Room #8 a toy kitchen set was observed to have a broken plastic red burner creating rough edges and sharp corners. In the indoor playspace an orange chair was observed to have two cracks creating pinch and crush points. In the indoor playspace a white riding toy with a yellow seat was observed to be cracked creating rough edges and pinch and crush points. In the indoor playspace a pink and purple riding toy was observed to have a broken castle top creating rough edges and sharp corners. In the large outdoor playspace a pink tunnel in between the maroon and pink slide was observed to be cracked creating rough edges and pinch and crush points. In the toddler part of the outdoor playspace a piece of the white wooden fencing was falling off creating rough edges, sharp corners, and splinters. There was also an exposed screw where the piece of wooden fencing was being held up.

Corrected Corrected by Dec 2, 2024

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

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

The file for staff person #1 lacked an initial health assessment.

Corrected Corrected by Nov 8, 2024

Category: ratio. 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 2 (Music Room) was missing tape.

Corrected Corrected by Mar 11, 2024

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

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

In Classroom 7, where preschool age children were receiving care, two pairs of adult scissors were observed on a bookcase accessible to the children.

Corrected Corrected by Mar 11, 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 for Staff Person #3 and #7 lacked verification that they had received training related to the emergency plan in the last 12 months. The most recent training on file for Staff Person #3 was dated 2.22.22 and the most recent trainings on file for Staff Person #7 were dated on 2.24.23.

Corrected Corrected by Mar 12, 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 facility lacked a parent letter explaining the emergency procedures.

Corrected Corrected by Mar 12, 2024

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

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

The files for Staff Persons #3, #4, #5, #6 and #7 lacked verification that they had completed fire safety training within the last 12 months. The most recent fire safety training on file for Staff Persons #3 and #5 were completed in October 2022. The most recent fire safety trainings on file for Staff Persons #4, #6 and #7 were completed in September 2022.

Corrected Corrected by Mar 15, 2024

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). Facility Person #2 and #5 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

The file for Staff Person #2 lacked verification that they had completed a request for their State Police Clearance prior to starting at the facility. A completed State Police was not on file until 37 days after starting at the facility. The file for Staff Person #2 also lacked an acceptable FBI clearance for employment in a childcare facility. The disclosure statement on file for Staff Person #2 also lacked a date. Staff Person #2 was observed to be working alone with a group of preschool children in Classroom 7. The file for Staff Person #5 lacked a current FBI clearance. The most recent FBI clearance on file was dated 6.18.18.

Corrected Corrected by Mar 15, 2024

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.

An electrical outlet on a power strip located on the floor in Classroom 3 (Fours) was observed to be missing a protective receptacle cover. In Classroom 8 two electrical outlets were observed to be missing protective receptacle covers.

Corrected Corrected by Mar 12, 2024

Marked corrected in the state record.

3270.66(a)/3270.134(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Liquid or powdered soap shall be used for handwashing.

The soap dispenser in the Men's Restroom was observed to have been filled with a bag of hand sanitizer and not liquid soap. The soap dispenser was accessible to children using the restroom and hand sanitizer is not acceptable for handwashing.

Corrected Corrected by Mar 12, 2024

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

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

The lock on the cabinet under the changing table in Classroom 1 was observed to be in disrepair allowing the lock to disconnect when the handles were pulled making them accessible to children receiving care in the space. Cleaning materials were observed in the cabinet.

Corrected Corrected by Mar 13, 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.

Peeling paint was observed on the loft/climbing structure and on the wooden train in the outdoor play space. Peeling paint was also observed on the wall behind the water fountain in the outdoor play space.

Corrected Corrected by May 2, 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 Classroom 2 (Music Room) one cracked bin, with a potential pinch point, was observed.

Corrected Corrected by Mar 15, 2024

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

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

The agreement on file for Child #5 lacked a parent signature.

Corrected Corrected by Mar 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Children #1, #2, #3, #4, #5 and #6 were observed to contain the original agreements.

Corrected Corrected by Mar 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for Child #5, a young toddler, lacked an updated health report that had been completed within the last 6 months. The most recent health report was completed in June 2023.

Corrected Corrected by Mar 19, 2024

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 #3, a preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health report was completed in September 2022.

Corrected Corrected by Mar 15, 2024

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

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

In Classroom 9, Staff Person #1 was observed to remove a soiled diaper from a child and placed it on the changing table while then finished changing the child and then washing their hands. The soiled diaper was then placed in a small bag that was tied and then discarded into the hands free covered can. This did not meet the requirement for the soiled diaper to be immediately placed into the plastic-lined, hands-free covered can.

Corrected Corrected by Mar 6, 2024

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 and financial agreements for Children #1, #2, #3, #4, #5 and #6 have exceeded 6 months since their last documented review and update. The most recent updates for Children #1 and #3 were completed in January 2023. The most recent updates for Children #5 and #6 were completed in February 2023. The most recent update for Child #2 was completed in February 2022 and the most recent update for Child #4 was completed in August 2023.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. 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 file for Staff Person #2 lacked verification of education and experience to qualify them for the position they were observed to be performing. The files for Staff Persons #3 and #5 lacked verification of education and experience to qualify them for the position they were reported to be hired to perform.

Corrected Corrected by Apr 29, 2024

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 4.21.23, 5.26.23, and 6.26.23, and then on 10.20.23, 11.21.23 and 12.28.23, and again on 1.9.24 and 2.20.24.

Corrected Corrected by Mar 19, 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.

The file for Staff Person #5 lacked 2.5 of their 12 hours of annual child care training in their respective training year of January 2023 and January 2024. The file for Staff Person #7 lacked 6.5 hours of their 12 hours of annual child care training in their respective training year of December 2022 and December 2023.

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency plan on file lacked continuity of operations as required by Federal Regulation.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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. Until such time as the required pre-service trainings are completed, staff person #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 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 person(s) available to supervise staff persons #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13, staff persons #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 may not work in a child-care position at the facility.

Staff person #2, #3, #4, #6, #8 and #12 were observed to be caring for children unsupervised. Staff persons #2, #3, #4, #6, #8 and #12 has not completed the following pre-service training required prior to caring for children unsupervised: 31(f)(10). The Pediatric First Aid and CPR training on file were not completed in an approved curriculum. The file for Staff Person #6 also lacked acceptable health and safety training as the 6-hour health and safety training on file was not completed within the acceptable time frame: 31(f)(1-9). The files for Staff Person's #4, #6, #7, #8 and #13 lacked the required 1-hour health and safety training update prior to 12.30.2022.

Corrected Corrected by Mar 23, 2023

Category: supervision. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A copy of the current insurance policy was not on file at the facility at the time of the inspection.

Corrected Corrected by Mar 23, 2023

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 file for Staff Person #1 and #9 lacked verification that they had received emergency plan training within 90 days of starting at the facility. The emergency plan training for Staff Person #1 was completed 113 days after starting at the facility and the emergency plan training for Staff Person #9 was completed 202 days after starting at the facility. The file for Staff Person #13 exceeded 12 months between emergency plan reviews on 5.18.20 and 4.14.22.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(b) · A staff person shall be 18 years of age or older.

Facility Person #10 was identified as an Aide; however, they are not 18 years of age or older. They do not meet the requirements to qualify them for the position they were reported to be hired to perform. Facility Person #10 qualifies as a Volunteer until they turn 18 years of age.

Corrected Corrected by Mar 18, 2023

Category: recordkeeping. 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 updates to the fire safety trainings on file for Staff Person #6 and #13 exceeded 12 months between trainings. The trainings on file for Staff Person #6 were dated 9.14.21 and 10.24.22. The trainings on file for Staff Person #13 were dated 7.5.20 and 10.27.22.

Corrected Corrected by Mar 26, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #1 lacked completion of their Pediatric First Aid and CPR training within 90 days of starting at the facility. The Pediatric First Aid and CPR training was completed 115 days after starting at the facility.

Corrected Corrected by Mar 16, 2023

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

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

A cabinet door above the changing area in Classroom #8 was observed to be loose as the screw is coming out of the wall. There is concern the cabinet door may disconnect as it is not secured.

Corrected Corrected by Mar 26, 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 person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #6 will have until March 31, 2023 to complete the required training. Until such time as the required training has been completed, staff person #6 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 #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9). The 6-hour health and safety training that was on file was not completed in the acceptable time frame for that specific training.

Corrected Corrected by Mar 26, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -10), within 90 days of hire. Staff person #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 will have until March 31, 2023 to complete the required training. Until such time as the required training has been completed, staff persons # 2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 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 persons #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13, staff persons #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 may not work in a child-care position at the facility.

Staff person #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(10). The Pediatric First Aid and CPR on file were not completed in an approved curriculum.

Corrected Corrected by Mar 16, 2023

Category: supervision. Marked corrected in the state record.

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

The file for Facility Person #1 lacked a request for their NSOR certificate prior to starting at the facility. A completed NSOR certificate was not on file until 102 days after starting at the facility. The file for Staff Person #9 lacked verification that they had requested their Child Abuse Clearance, NSOR Certificate and State Police Clearance prior to starting at the facility. A completed State Police was not on file until 59 days after starting at the facility. A completed Child Abuse Clearance was not on file until 171 days after starting at the facility. A completed NSOR certificate was not on file until 17 days after starting at the facility. The file for Facility Person #10 lacked completion of their mandated reporter training within 90 days of starting at the facility. The mandated reporter training was completed 260 days after starting at the facility. The file for Staff Person #13 lacked verification that they had been fingerprinted for their FBI clearance and requested their NSOR certificate prior to starting at the facility. The FBI clearance on file was dated 40 days after starting and the NSOR was dated 1 day after starting. The file for Facility Person #10 lacked a current disclosure statement that included a date. The file for Staff Person #12 lacked a current disclosure statement. The disclosure statements on file were an older version and they do not meet the requirements of the CPSL.

Corrected Corrected by Mar 26, 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 file for Staff Persons #12 and #13 lacked a written staff evaluation that had been completed by the Director within the last 12 months.

Corrected Corrected by May 3, 2023

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 observed to leave Staff Person #12, who was designated as an Aide, alone on multiple occasions in Classroom #7 to answer the front door and to take children to the restroom.

Corrected Corrected by Mar 21, 2023

Category: supervision. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation that an annual emergency drill had occurred prior to 2.15.23.

Corrected Corrected by May 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 8:55 am Staff Person #1 was observed to leave Classroom #1 unattended to open the front door. Staff Person #1 was also observed to leave the classroom unattended and go to the Infant Room to tell the Director of Cert Reps arrival. Staff Person #1 was caring for 3 preschool age and 2 older toddler age children. Another Staff Person was not present in the classroom to meet the required Staff:Child Ratio when Staff Person #1 left the classroom unattended.

Corrected Corrected by Mar 20, 2023

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.

In Classroom #2 a power strip next to the television was observed to be missing 2 protective receptacle covers. Also in Classroom #2 one wall outlet was observed to be missing a receptacle cover.

Corrected Corrected by Mar 21, 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.

In Classroom #2 the lock on the cabinet under the sink was observed to be in disrepair allowing access to two bottles of NI-712 Odor Eliminator. The Kitchen door was observed to be propped open with a garbage can. Cleaning products were observed in an unlocked cabinet under the sink. In Classroom #5 a bucket of 100% Tropi-cool white roof coating was observed in the classroom. All toxic items were labeled Keep Out of Reach of Children.

Corrected Corrected by Mar 23, 2023

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.

A spray bottle in Classroom #3 was labeled "Cleaner" and spray bottles in Classrooms #6, #7 and #9 were labeled "Disinfectant". The spray bottles did not specify what the content of those toxics were.

Corrected Corrected by Mar 26, 2023

Category: ratio. Marked corrected in the state record.

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

The hot water in Classroom #1 was observed to measure at 128° F. The hot water in Classroom #2 was observed to measure at 118° F. The hot water in Classroom #7 was observed to measure at 112.4° F. The hot water in Classroom #9 was observed to measure at 116° F. The hot water in Classroom #10 was observed to measure at 120.1° F. The hot water in the restroom outside Classroom #7 was observed to measure at 124° F. The hot water in the restroom next to Classroom #8 was observed to measure at 112.3° F.

Corrected Corrected by Mar 16, 2023

Category: physical safety. 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 #4 lacked tape. The first aid kits in Classrooms #5, #6, #7 and #9 lacked an assortment of adhesive bandages. The first aid kit in Classroom #5 was also missing tweezers.

Corrected Corrected by Mar 26, 2023

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

3270.82(h)/3270.134(a) · 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. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff Person #8 was observed to change a child's diaper in Classroom #9 and the child's hands were not washed following the change. Staff Person #8 reported that wipes are used following diapering and before meals. The children, young and older toddler, were all determined to be able to wash their hands at the sink with Staff assistance. A hand washing sign was missing from the toilet in the small gym restroom.

Corrected Corrected by Mar 23, 2023

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

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

At approximately 8:55 am Staff Person #1 was observed to leave Classroom #1 unattended to open the front door. Staff Person #1 was also observed to leave the classroom unattended and go to the Infant Room to tell the Director of Cert Reps arrival. Staff Person #1 was caring for 3 preschool age and 2 older toddler age children. Another Staff Person was not present in the classroom to allow for supervision of the children receiving care in the space during their absence.

Corrected Corrected by Mar 23, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 8:55 am Staff Person #1 was observed to leave Classroom #1 unattended to open the front door. Staff Person #1 was also observed to leave the classroom unattended and go to the Infant Room to tell the Director of Cert Reps arrival. Staff Person #1 was caring for 3 preschool age and 2 older toddler age children. Another Staff Person was not present in the classroom to allow for supervision of the children receiving care in the space during their absence.

Corrected Corrected by Mar 23, 2023

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 file for Child #6 lacked a current child service report for the child. The most recent child service report on file was dated 5.20.22.

Corrected Corrected by May 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Children #1, #2, #3, #4, #5, #6 and #7 were observed to contain the original agreements.

Corrected Corrected by Mar 26, 2023

Category: recordkeeping. 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 #5, a preschool age child, lacked a current health assessment. The last health assessment on file was dated 3.19.21. The updates to the health assessments on file for Child #4, a preschool age child, exceeded 12 months between updates on 12.30.21 and 3.14.23.

Corrected Corrected by May 3, 2023

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Children #3, #4 and #5 must be dismissed from care close of business 3.15.23.

The immunization records for Children #3, #4 and #5 lacked documentation that the children have received an annual influenza vaccination in 2022 as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Corrected Corrected by Mar 26, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for Child #4 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable diseases.

Corrected Corrected by Mar 24, 2023

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

3270.131(e)(3) · 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). Children #3, #4 and #5 must be dismissed from care close of business 3.15.23.

The immunization records for Children #3, #4 and #5 lacked documentation that the children have received an annual influenza vaccination in 2022 as recommended by the ACIP. Written exemptions were not on file at the time of the inspection.

Corrected Corrected by Mar 22, 2023

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

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

Staff Person #8 was observed to change a soiled diaper, place it to the side with the used wipes and then roll up the diaper in the changing paper and place in a tied grocery style bag. The soiled diaper was not discarded by placing it into the hands free covered can.

Corrected Corrected by Mar 26, 2023

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 for Staff Person's #1 and #9 lacked an initial health assessment within 12 months prior to starting at the facility. The initial health assessment for Staff Person #1 was completed 16 days after starting at the facility. The health assessment on file for Staff Person #9 was completed 201 days after starting at the facility. The updated to the health assessment on file for Staff Person #6 exceeded 24 months between updates occurring on 12.8.20 and 12.13.22.

Corrected Corrected by Mar 26, 2023

Category: ratio. Marked corrected in the state record.

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

The files for Staff Person's #1 and #9 and Facility Person #10 lacked a tuberculosis screening within 12 months prior to starting at the facility. The tuberculosis screening on file for Staff Person #1 was completed 16 days after staring at the facility. The tuberculosis screening on file for Staff Person #9 was completed 201 days after staring at the facility. The tuberculosis screening on file for Facility Person #10 was completed 9 days after staring at the facility.

Corrected Corrected by Mar 26, 2023

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

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

The health assessment on file for Staff Person #1 lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected Corrected by May 3, 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 and financial agreement for Children #3 exceeded 6 months between updates occurring on 11.4.21 and 1.30.23. The updates to the emergency contact form and financial agreement for Child #5 have exceeded 6 months since last review.

Corrected Corrected by May 3, 2023

Category: recordkeeping. 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 file for Staff Person #12 lacked verification of education and experience to qualify them for a position at the facility.

Corrected Corrected by May 3, 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 last documented fire system testing was 3.1.22.

Corrected Corrected by Mar 16, 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 the emergency plan had been submitted to the local municipality.

Corrected Corrected by May 3, 2023

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

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

The file for Staff Person #6 lacked 6 of their 12 hours of child care training in their respective training year.

Corrected Corrected by Mar 26, 2023

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.

Observed a loose hanging window blind cord which poses a strangulation hazard n the 4-year-old Room.

Corrected Corrected by Mar 23, 2022

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 for staff person #2 lacks verification of current emergency plan training.

Corrected Corrected by May 6, 2022

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). Law. 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 facility person #2 lacks current mandated reporter training.

Corrected Corrected by Mar 29, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Facility person #2 may not work in the facility until a valid FBI clearance is on file.

A review of the file for facility person #2, a person who serves in a volunteer capacity, revealed that no FBI clearance is on file. A review of staff person #1's file revealed that the disclosure statement on file is an expired version of the statement, making it invalid.

Corrected Corrected by Apr 5, 2022

Category: ratio. 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 two most recent evaluations on file for staff person #4 and staff person #5 are dated in an interval which exceeds 12 months.

Corrected Corrected by May 1, 2022

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.

At approximately 12:00 p.m., observed staff person #1 alone in the preschool room with three preschool-aged children while staff person #4 took a group of preschoolers to the restroom which is located in the hallway outside of the classroom. Staff person #1 is qualified as an aide.

Corrected Corrected by Mar 23, 2022

Category: supervision. 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 kits in the school age room and the 4 year-old room both lack gloves.

Corrected Corrected by Mar 23, 2022

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

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

Observed three water-damaged tiles in the Music Room: one tile above the TV, one above the cubbies, and one near the door to the Pre-K room.

Corrected Corrected by May 2, 2022

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 damaged dry wall behind the door in the school age classroom. Observed areas of peeling paint on the wooden play structures in both the preschool and toddler outdoor play spaces. Observed a small area of damaged dry wall below the window on the front right wall near the orange toy bin.

Corrected Corrected by May 1, 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 torn cushion in disrepair at the end of the slide in the indoor gym space.

Corrected Corrected by Apr 29, 2022

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

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 11;00 a.m., observed a group of 12 preschool-aged children in the indoor gym area being supervised by staff person #1 and staff person #4. Staff person #4 identified responsibility for 9 children and staff person #1 did not identify responsibility for any children, leaving 3 children not identified in a supervisory group.

Corrected Corrected by May 2, 2022

Category: supervision. Marked corrected in the state record.

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

The file for child #1 and child #2 lacks verification of a current flu vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #3 lacks verification of a current DTAP and a current Pneumococcal vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by May 2, 2022

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

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

Observed an anti-seizure medication in the preschool room which lacks written parental consent for administration.

Corrected Corrected by May 6, 2022

Category: ratio. 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 two most recent health assessments on file for staff person #3 are dated in an interval greater than 24 months.

Corrected Corrected by Mar 28, 2022

Category: ratio. Marked corrected in the state record.

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

The Tb testing on file for staff person #1 is dated more than 12 months prior to staff person's #1 first day of employment in a child care taking position.

Corrected Corrected by May 6, 2022

Category: health medication. 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.

During the following intervals 4/2/21-6/2/21, 6/2/21-8/2/21, 10/1/21-12/1/21, and 12/1/21-2/1/22, fire drills were held more than 60 days apart.

Corrected Corrected by Mar 23, 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.

At the time of inspection, the facility lacked a proof of purchase for the hardwired, interconnected system installed and currently in use in the facility. During the following intervals 4/2/21-5/3/21, 7/2/21-8/2/21, 10/1/21-11/1/21, and 12/1/21-1/3/22, testing of the fire detection system occurred more than 30 days apart.

Corrected Corrected by Mar 23, 2022

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.

The file for staff persons #4, #5, #6, and #7 lack verification of 12 hours of child care training completed in the most recent service year.

Corrected Corrected by May 6, 2022

Category: recordkeeping. Marked corrected in the state record.