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 #9 and #10 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 person #9 and #10, staff person #9 and #10 may not work in a child-care position at the facility.

Staff person #9 was observed to be caring for children unsupervised. Staff person #9 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first-aid/CPR training, Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric first-aid/CPR training, Health and Safety Training in the topics of 3270.31(f)(1-9), Mandated Reporter Training.

Corrected Corrected by Sep 10, 2024

Category: supervision. 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 files for staff person #1 and #2 had emergency plan training that exceeded a year between trainings.

Corrected Corrected by Aug 28, 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 operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by Sep 18, 2024

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

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The files for staff person #2 and #3 had current pediatric first-aid/CPR training with a completion date of 6-7-24 that was after the May 2024 expiration of the prior training.

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

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

The files for staff person #1 and #2 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Aug 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #6 will have until 9-25-24 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): Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Sep 25, 2024

Category: supervision. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

In the main room, the exit door from the room leading to the front main road was obstructed by chairs in the lobby area outside the exit door from the room.

Corrected Corrected by Aug 28, 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. Staff Person #4 may not work in a child care position at the facility.

The file for staff person #4 had an FBI clearance with a rap sheet that lacked the required disposition. (See LIS CODE SHEET) At the time of hire, the file for staff person #5 had a volunteer child abuse clearance dated 12-19-23 and lacked a child abuse clearance for employment at their start date. A child abuse clearance for employment was completed on 7-8-24. (See LIS CODE SHEET) The file for staff person #6, hired provisionally, had an FBI clearance and NSOR verification certificate dated after their start date and lacked verification of being fingerprinted for the FBI clearance or verification of application for the NSOR verification certificate at their start date to be a provisional hire. (See LIS CODE SHEET) The file for staff person #7 had a child abuse clearance that was dated after their start date. (See LIS CODE SHEET) The file for staff person #8 had a state police clearance that was dated after their start date. (See LIS CODE SHEET)

Corrected Corrected by Aug 28, 2024

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

3270.33(a)/3270.192(2)(ii) · 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 verification of child care experience, education and training prior to service at the facility.

The file for staff person #5, functioning as an aide, lacked verification of education to qualify as an aide. The file for staff person #4, functioning as an aide, lacked verification of experience to qualify as an aide. The file for staff person #2, functioning as an assistant group supervisor, lacked verification of experience to qualify as an assistant group supervisor.

Corrected Corrected by Aug 29, 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 the older toddler area in the main room, the changing table had an unlocked cabinet with multiple toxics, including disinfectant sprays and wipes, labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Aug 28, 2024

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 the infant room lacked tweezers.

Corrected Corrected by Aug 29, 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 basement, there was one area of peeling paint/damaged plaster on the left wall.

Corrected Corrected by Aug 28, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the infant room with young and older toddlers that were walking and able to wash their hands, the sink next to the changing table lacked a platform or steps and was unable to be reached by the children after diapering to wash their hands.

Corrected Corrected by Aug 28, 2024

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.

In the infant room, the refrigerator that was observed storing bottles of milk for children in the room lacked a thermometer.

Corrected Corrected by Aug 28, 2024

Category: nutrition. Marked corrected in the state record.

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

A daily activity schedule was not posted in the infant room.

Corrected Corrected by Aug 28, 2024

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

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

The file for child #2 had an agreement that lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Aug 29, 2024

Category: recordkeeping. 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.

In the infant room, the emergency contact forms were not present in the room for the 3 children receiving care in the room.

Corrected Corrected by Aug 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

An emergency transportation plan was not posted in the infant room.

Corrected Corrected by Aug 28, 2024

Category: transportation. 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 #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Aug 28, 2024

Category: health medication. 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 must be dismissed from care by close of business on 8-28-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #3, a 2 year old enrolled more than 60 days at the facility, lacked documentation of the 2nd Hepatitis A vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Aug 29, 2024

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

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

At approximately 2:06 p.m., staff person #9 changed a 3 year old child's diaper, and it was observed that the child did not wash their hands afterwards.

Corrected Corrected by Sep 19, 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 files for staff person #9 and #10 had a tuberculosis screening by the Mantoux method that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and require a current tuberculosis screening by the Mantoux method.

Corrected Corrected by Nov 6, 2024

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 file for staff person #1 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for staff person #10 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Sep 11, 2024

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 files for staff person #4 and #10 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 13, 2024

Category: health medication. 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 #9 lacked two written, nonfamily references.

Corrected Corrected by Sep 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.

Staff persons #6, and #7's files lacked the updated health and safety training which was required by12/30/2022.

Corrected Corrected by Sep 20, 2023

Category: ratio. Marked corrected in the state record.

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

It was observed in the furnace room that there were flammable paints and rags close to the gas hot water tank. A pair of adult's scissors were on the desk accessible to children in the infant room that which was being used for preschoolers.

Corrected Corrected by Sep 14, 2023

Category: health medication. 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.

It was observed that there was chipping and peeling paint around the side exit door. There was a sign on the exit ramp that had peeling paint that was accessible to the children. There was a shelving unit at the front entrance that has peeling paint.

Corrected Corrected by Sep 14, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #5 contained a Dept of Education FBI clearance dated 3/15/21 which is not an acceptable DHS FBI clearance. The file for Staff person #5 was observed to not contain documentation of application of an NSOR certificate prior to date of hire (See IS Code sheet). The file for Staff person #8 contained a State Police Clearance dated 1/25/23 which was after hire date (See IS Code sheet).

Corrected Corrected by Aug 17, 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 person #2 did not contain a yearly evaluation. The file for staff person #3, and staff person #4 contained staff evaluations dated more than 12 months after hire.

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

Corrected Corrected by Aug 17, 2023

Category: supervision. 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.

It was observed in the downstairs gross motor room that two outlet receptacles lacked protective receptacle covers that were accessible to children under the age of 5.

Corrected Corrected by Aug 17, 2023

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

It was observed that the gate that was leading into the kitchen was not secure which made the stove accessible to the children in care.

Corrected Corrected by Sep 14, 2023

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

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

It was observed in the basement gross motor space that in the corner by the restroom a piece of baseboard trim is loose. The radiator cover in the basement gross motor space and in the infant room were loose and have exposed screws. It was observed that the push bar on the door exiting the facility was loose and had pinch points. It was observed in the basement hallway leading out to the outside exit that there was unidentified black substance on the wall.

Corrected Corrected by Sep 14, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

It was observed that the sink that the toddler children use to wash their hands does not have a stool for the children to be able to reach the sink independently.

Corrected Corrected by Aug 17, 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.

In the preschool room there was a grey bin that contained blocks, and a dustpan that was accessible to the children that were cracked with sharp edges. In the toddler room there was a black lid of the train container, green bin with dinosaurs, a container of blocks, that were all cracked and had sharp edges.

Corrected Corrected by Sep 14, 2023

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

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

It was observed that in the basement gross motor space that there were folding chairs stacked against the wall that contained sharp points on the bottom of the chairs, also since the chairs were stacked against the wall and not used appropriately, they could fall over on a child which causes a hazard.

Corrected Corrected by Aug 17, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

It was observed during naptime that the cots of the preschool school class were not two feet apart on three sides while in use.

Corrected Corrected by Aug 17, 2023

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

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

At approximately 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

Corrected Corrected by Aug 17, 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 9:45 AM it was observed that Staff person #1 was in the upstairs preschool room with 10 preschool children. When interviewed Staff person #1 named and identified all 10 children as being in their designated group. Then at approximately 9:50 AM it was observed that Staff person #2 was in the downstairs gross motor room with 11 preschool children. When interviewed Staff person #2 named and identified all 11 children as being in their designated group. Certification rep pointed out that they named 11 preschoolers and Staff person #2 quickly identified child #4 that was supposed to be in Staff person #1's group upstairs. Staff person #1 stated that child #4 must have gone downstairs when another child was using the restroom. Child #4 was not under supervision of any staff person when child #4 left the upstairs preschool room and walked downstairs to the gross motor room.

Corrected Corrected by Aug 17, 2023

Category: supervision. 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 immunization records for child #1, child #2 and child #3, lacked a current influenza vaccination.

Corrected Corrected by Sep 20, 2023

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

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

It was observed that the children in the toddler room did not wash their hands before lunch. It was observed that staff used wipes to wash the hands of children who are not infants.

Corrected Corrected by Aug 17, 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.

It was observed in the infant and toddler diapering areas that there isn't a working hands-free covered garbage can in which to dispose of diapers.

Corrected Corrected by Aug 17, 2023

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

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

The two most recent health assessments on file for Staff person #1 were dated 9/17/20 and 2/3/23 are more than 24 months apart.

Corrected Corrected by Aug 17, 2023

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

It was observed in the cubbies of toddler classroom and preschool classroom that there were lunch boxes that contained potentially hazardous foods such as yogurt, string cheese, and ham and cheese sandwiches that were not refrigerated.

Corrected Corrected by Sep 14, 2023

Category: nutrition. Marked corrected in the state record.

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

Observed an accessible uncovered electrical outlet in the infant area of the main child care room.

Corrected Corrected by Oct 31, 2022

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 lacks the following updates which were required by 7/01/22: Volunteer training, a plan for practice drills, and a plan for continuity of operations. The emergency plan also lacks accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by Nov 8, 2022

Category: ratio. Marked corrected in the state record.

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

Observed two young toddlers eating at a feeding table without the safety straps being engaged.

Corrected Corrected by Oct 31, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #2, #3, #4, and #5 may not work at the facility until complete, valid clearances are on file.

The file for staff person #2 contains an application for a state police clearance which is dated after staff person #2 began in a childcare taking position (See IS CODE SHEET). The file for staff person #3 lacks verification of application for an NSOR prior to beginning in a childcare taking position (see IS code sheet) required for provisional hiring under the CPSL. The file for staff person #4 contains an expired state police clearance, an expired child abuse clearance, and lacks proof of application for an NSOR (SEE IS CODE SHEET). The file for staff person #5 contains verification of FBI fingerprinting dated after staff person #5 began in a childcare taking position (SEE IS CODE SHEET) as required for provisional hiring under the CPSL.

Corrected Corrected by Sep 21, 2022

Category: background checks. 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 mandated reporter training on file for staff person #4 is an unacceptable version of the training, making it invalid.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)/3270.192(2)(ii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

The file for staff person #3 lacks verification of college major to qualify as a group supervisor, the role assigned to and being performed by staff person #3.

Corrected Corrected by Nov 2, 2022

Category: supervision. Marked corrected in the state record.

3270.37(b)/3270.192(2)(ii) · An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). 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 lacks proof of education to qualify for the role of aide, the role assigned to and being performed by staff person #2.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Observed accessible Clorox dish soap labeled 'keep out of the reach of children" at the right handwashing sink in the main child care room.

Corrected Corrected by Oct 31, 2022

Category: health medication. 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 temperature at both bathroom sinks which are used by children measured at 112° F.

Corrected Corrected by Oct 31, 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 chipping paint on the lower part of the exterior doorframe surrounding the entrance door to the facility.

Corrected Corrected by Nov 2, 2022

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Observed the waste receptacle in the main bathroom lacks a lid.

Corrected Corrected by Nov 2, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed 4 Pack n Plays blocking the front exit of the building.

Corrected Corrected by Sep 21, 2022

Marked corrected in the state record.

3270.106(a)/3270.119 · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Observed an infant sleeping in an incline rocker.

Corrected Corrected by Sep 21, 2022

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

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

The file for child #2 and #4 contains emergency contact information which lacks the complete work address of the enrolling parent.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 contains emergency contact information which lacks the name of the child's health insurance. The file for child #3 contains emergency contact information which lacks the name and policy number of the child's health insurance.

Corrected Corrected by Nov 2, 2022

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

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

The file for child #1, #2, #3, #4, and #5 contains emergency contact information which lacks the address(es) of the parent-designated release person(s).

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. 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.

Observed children receiving care in the gross motor space without emergency contact information being present.

Corrected Corrected by Nov 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The gross motor space lacks an emergency transportation plan posting.

Corrected Corrected by Nov 1, 2022

Category: transportation. 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 report on file for child #1 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 2, 2022

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 file for child #3 lacks verification of a current DTAP, Pneumococcal, Influenza. MMR, Varicella, and Hepatitis A vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #4 and #5 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 2, 2022

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

3270.151(c)(1)/3270.151(c)(3) · An adult health assessment must include a physical examination. An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment on file for staff person #1 lacks documentation of a physical examination and an examination for communicable diseases and the results of that examination.

Corrected Corrected by Nov 2, 2022

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 lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 2, 2022

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Observed an infant child being fed from a bottle which was not labeled with the child's name.

Corrected Corrected by Sep 21, 2022

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.

During the following intervals, testing of the fire detection system occurred more than 30 days apart:5/11/22-6/13/22, 7/5/22-8/5/22, 8/5/22-9/7/22.

Corrected Corrected by Sep 21, 2022

Category: recordkeeping. 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 lacks verification of 2 year's child care experience to qualify for the position of assistant group supervisor.

Corrected Corrected by May 9, 2022

Category: supervision. 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 one of the smoke detectors installed and currently in use at the facility.

Corrected Corrected by May 9, 2022

Category: recordkeeping. Marked corrected in the state record.