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.

The file for Staff Person #1 contained a mandated reporter training dated 5/19/25 which was obtained more than 60 months from the previous training dated 12/16/19. The file for Staff Person #2 contained a mandated reporter training dated 8/7/19 which was obtained more than 60 months ago.

Corrected Corrected by May 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The facility lacked written documentation of fire drills conducted at least every 60 days. The last written record of a fire drill was recorded in July 2024.

Corrected Corrected by May 23, 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 facility lacked documentation of fire alarm testing completed at lease every 30 days. The last written record of the fire alarm being tested is from July 2024.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency plan was not posted at the facility.

Corrected Corrected by Aug 19, 2024

Category: physical safety. 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 parent letter explaining emergency procedures did not include information about lockdown procedures, method to contact parents at the beginning and end of the emergency and how to reunite with their child(ren), or accommodations for infants, toddlers, children with disabilities/chronic medical conditions.

Corrected Corrected by Sep 10, 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 was an uncovered receptacle in the infant/toddler room near the changing station accessible to children 5 years of age or younger.

Corrected Corrected by Aug 19, 2024

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 outdoor play area, the seat on the white riding toy was torn exposing the foam/cushion.

Corrected Corrected by Aug 19, 2024

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

3270.108(c) · Styrofoam cups and plates may not be used.

There were styrofoam cups located in the blue preschool room available to serve the preschool children drinks.

Corrected Corrected by Aug 19, 2024

Marked corrected in the state record.

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

The agreement form in the file for Child #3 did not specify the persons designated by the parent to whom the child may be released.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms.

Corrected Corrected by Aug 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #3 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

Corrected Corrected by Aug 19, 2024

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.

The emergency contact forms were not present in the green room, blue room or in the outdoor play space while the children were outside. The emergency contact forms were located in the children's files in a locked closet.

Corrected Corrected by Aug 19, 2024

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, a preschooler, contained a current health assessment that was completed more than 12 months after the previous health assessment.

Corrected Corrected by Aug 19, 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.

Staff #1 did not immediately discard the soiled diaper into a plastic-lined, hands-free covered can. The soiled diaper was placed on the changing pad and discarded after the diaper change and clean up.

Corrected Corrected by Aug 19, 2024

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.

The fire drill log on file included fire drills conducted more than 60 days apart: 1.5.24 - 3.8.24 and 3.8.24 - 5.15.24

Corrected Corrected by Aug 19, 2024

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 fire alarm test log includes test dates more than 30 days apart: 1.1.24 - 2.1.24;3.1.24 - 4.1.24; and 5.1.24 - 6.1.24

Corrected Corrected by Aug 19, 2024

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

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

The facility lacked annual written notification to local traffic safety authorities of the location of the facility and about the program's use of pedestrian and vehicular routes around the center.

Corrected Corrected by Sep 10, 2024

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 at the facility.

The file for staff person #2, who began working as an assistant group supervisor on (See LIS Code Sheet), lacked a fingerprinting receipt that was completed prior to the date of hire (See LIS Code Sheet). The fingerprinting receipt in the file was dated 11/30/23.

Corrected Corrected by Dec 8, 2023

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 #2 lacked a high school diploma.

Corrected Corrected by Dec 12, 2023

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.

A bottle of liquid White Out was observed on the teacher's desk accessible to children. The bottle was labeled "Keep Out of the Reach of Children."

Corrected Corrected by Dec 7, 2023

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.

A plastic bin containing play food was observed to be cracked causing rough edges, sharp corners, and pinch and crush points.

Corrected Corrected by Dec 7, 2023

Category: nutrition. 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 file for child #1 lacked a 6-month parental update to the emergency contact information and the financial agreement. The last update in the file was completed on 6/3/23.

Corrected Corrected by Dec 7, 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).

The file for child #2 lacked an influenza immunization according to recommendations of the ACIP. The facility did not 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).

Corrected Corrected by Dec 7, 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 #1 lacked a health assessment that was updated 24 months from the previous health assessment. The health assessments in the file were dated 7/6/21 and 10/26/23. The file for staff person #2 lacked an initial health assessment that was completed prior to the hire date (See LIS Code Sheet). The health assessment in the file is dated 12/22/23.

Corrected Corrected by Dec 7, 2023

Category: ratio. Marked corrected in the state record.

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

The files for staff persons #1 and #2 lacked the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). The training was not in an approved first-aid and CPR curriculum.

Corrected Corrected by Jan 10, 2023

Category: ratio. 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 #4 lacked state police and child abuse clearances that were completed within 60 months of the previous clearance. The state police clearances in the file were dated 6/8/15 and 11/17/20. The child abuse clearances in the file were dated 6/19/15 and 11/18/20.

Corrected Corrected by Jan 10, 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 files for staff persons #1, #2, #4, #6, #7, and #8 had written staff evaluations that were more than 12 months in between. The dates of the staff evaluations were 11/12/21 and 11/14/22.

Corrected Corrected by Jan 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff person #4, #5, #6, and #8 lacked health assessments that were completed within 24 months of the previous health assessment. The health assessments in the file for staff person #4 were dated 1/14/20 and 11/18/22. The health assessments in the file for staff person #5 were dated 9/7/19 and 11/18/21. The health assessments in the file for staff person #6 were dated 1/18/19 and 11/30/21. The health assessments in the file for staff person #8 were dated 8/21/18 and 11/7/22.

Corrected Corrected by Jan 10, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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 #3 lacked a tuberculosis screening by the Mantoux method at initial employment (See LIS Code Sheet for DOH). The tuberculosis screening by the Mantoux method at initial employment was dated 10/13/22.

Corrected Corrected by Jan 10, 2023

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

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 #3 lacked completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). The pediatric first aid and pediatric cardiopulmonary resuscitation was dated 11/1/22.

Corrected Corrected by Jan 10, 2023

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.

The fire drill log was observed and there were 62 days between 2/1/22 and 4/4/22 and 64 days between 6/2/22 and 8/5/22.

Corrected Corrected by Jan 10, 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 30 day smoke detector check log was reviewed. There were 31 days between 3/1/22 and 4/1/22, 31 days between 5/1/22 and 6/1/22, 31 days between 7/1/22 and 8/1/22, 31 days between 8/1/22 and 9/1/22, and 31 days between 10/1/22 and 11/1/22.

Corrected Corrected by Jan 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A copy of the facility's current Emergency Plan was not posted in a conspicuous place.

Corrected Corrected by Dec 18, 2021

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

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The two most recent Pediatric First-Aid/CPR trainings for Staff #1 and #2 were dated more than 24-months apart.

Corrected Corrected by Dec 18, 2021

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 last fire safety training for Staff #1 and #2 was dated more than one year ago.

Corrected Corrected by Dec 18, 2021

Category: recordkeeping. 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.

Mandated Reporter Training for staff #2 was dated more than 60 months apart.

Corrected Corrected by Dec 18, 2021

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).

The two most recent PA State Police, Child Abuse and FBI clearances for Staff #2 were dated more than 60 months apart.

Corrected Corrected by Dec 18, 2021

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 two most recent staff evaluations for Staff #2 were completed more than one year apart.

Corrected Corrected by Dec 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

In the infant room, two ripped screens were observed.

Corrected Corrected by Dec 18, 2021

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 fee agreement for child #2 lacked the names of the persons designated by the parent to whom the child may be released.

Corrected Corrected by Dec 18, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact Form for Child #3 lacked the Address of the Physician or Medical Care Provider.

Corrected Corrected by Dec 18, 2021

Category: health medication. 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 immunization record of Child #3 lacked a yearly Influenza shot with no Letter of Exemption in File.

Corrected Corrected by Dec 18, 2021

Category: health medication. 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.

A copy of how to access the DHS regulations electronically was not posted in a conspicuous place.

Corrected Corrected by Dec 18, 2021

Marked corrected in the state record.