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

In the preschool 2 room was a tall wooden cabinet near the door that was unstable when touched.

Corrected Corrected by Jul 11, 2025

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. Until such time as the required pre- service trainings are completed, staff person #5 and 6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5 and 6, staff person #5 and 6 may not work in a child-care position at the facility.

Staff person #5 and 6 was observed to be caring for children unsupervised. Staff person #5 and 6 has not completed the following pre- service training required prior to caring for children unsupervised: Staff #5 Pediatric first-aid/CPR and Health and Safety training, Staff #6 Health and Safety training

Corrected Corrected by Jul 11, 2025

Category: supervision. 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 kitchen area that was not blocked and accessible to children were 2 drawers that did not have locks and contained sharp kitchen knives inside.

Corrected Corrected by Jul 11, 2025

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's parent letter explaining the emergency procedure did not contain a statement about accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jul 12, 2025

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 #1, 3 and 4's two most recent fire safety trainings are dated 1/18/24 and 5/8/25 which are more than 12 months apart.

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 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

Corrected Corrected by Jul 21, 2025

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).

Staff #2 file contained a disclosure statement with no date. The file for Staff #5 contained a state police clearance dated 12/5/24, a child abuse clearance dated 12/13/24, a DHS FBI clearance dated 12/17/24, an NSOR certificate dated 12/8/24, and a signed disclosure statement dated 12/5/24, which were all received after date of hire(See LIS Code Sheet). The file for Staff #6 was observed not to contain documentation of application of an FBI clearance prior to date of hire (See LIS CODE SHEET). The file for Staff person #7 contained an NSOR certificate dated 6/20/25 which was after date of hire(See LIS Code Sheet). The file for staff #7 contained a Department of Education FBI clearance dated 2/4/25 which is not an acceptable DHS FBI clearance.

Corrected Corrected by Jul 21, 2025

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

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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 #6 did not contain proof of education.

Corrected Corrected by Jul 11, 2025

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 130pm it was observed that Staff #5 and 6, both classified as Aides, were alone in the infant/toddler room.

Corrected Corrected by Jul 11, 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.

There were glade plug ins, which state keep out of reach of children, accessible to children in the upstairs school age room, by the diaper table in the toddler room, in the Preschool 1 room, and by the sink the children use in the Preschool 2 room. In the upstairs school age room, there was a bottle of spray Lysol, which stated keep out of reach of children, on the sink accessible to children.

Corrected Corrected by Jul 1, 2025

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the upstairs school age room did not contain nonporous gloves.

Corrected Corrected by Jul 1, 2025

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.

In the infant and toddler room on the toddler side below the chalk board was peeling paint.

Corrected Corrected by Jul 11, 2025

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.

In the infant and toddler room at approximately 1:30pm 2 cribs that were in use did not have at least 2 ft of space on 3 sides of the crib.

Corrected Corrected by Jul 1, 2025

Category: physical safety. 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.

Child #1, 2, 3, 4, and 5's file contains the original financial agreement

Corrected Corrected by Jul 11, 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.

Child #2 file did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In the preschool 1 room the emergency transportation plan was not posted.

Corrected Corrected by Jul 11, 2025

Category: transportation. 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.

In the infant and toddler room on the toddler side 3 children did not wash their hands before morning snack.

Corrected Corrected by Jul 1, 2025

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

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

The file for staff #2 contained an initial health assessment dated 4/10/23 which is more than 12 months prior to date of hire(See LIS Code Sheet). The file for staff person #5 contained an initial health assessment that was dated 12/11/24, which is after date of hire(See LIS Code Sheet). The file for staff person #7 contained an initial health assessment dated 6/19/25 which was after date of hire(See LIS Code Sheet).

Corrected Corrected by Jul 11, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 2 most recent health assessments on file for Staff person #1 were dated 1/25/23 and 5/10/25, which are more than 24 months apart. The two most recent health assessments on file for staff person #3 were dated 2/13/23 and 5/15/25, which are more than 24 months apart. The two most recent health assessments on file for staff person #4 were dated 3/15/23 and 5/15/25 which are more than 24 months apart.

Corrected Corrected by Jul 11, 2025

Category: health medication. 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 #5 contained an initial TB test dated 12/11/24 which is after date of hire(See LIS Code Sheet). The file for staff person #7 contained an initial TB test dated 6/16/25 which is after date of hire(See LIS Code Sheet).

Corrected Corrected by Jul 11, 2025

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.

The facility did not have information posted on how to access the center regulations electronically.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

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

The facility emergency plan did not address continuity of operation.

Corrected Corrected by Jul 12, 2024

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/young toddler room loose crib sheets that tent when pulled up in the middle were observed in 1 infant crib causing a suffocation hazard. In the infant/young toddler diaper table in which the lock was broken an electric hand drill was observed accessible to the children causing a hazard. In the hallway, between the lower School-age room and the kitchen area, on the table, accessible to children, were 3 large sharp kitchen knives. In the kitchen area that was not blocked and accessible to children were 2 drawers that did not have locks and contained sharp kitchen knives inside.

Corrected Corrected by Jul 15, 2024

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility did not have a letter explaining the emergency procedures to provide to the parents. They provided a parent handbook to the parents that only included their evacuation plan.

Corrected Corrected by Jul 15, 2024

Category: physical safety. 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 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 12/29/18 and 1/4/24, more than 60 months apart.

Corrected Corrected by Jul 15, 2024

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).

Staff #1 file did not contain a signed disclosure statement. Staff #4 file contained state police clearances dated 2/16/18 and 1/4/24 more than 60 months apart.

Corrected Corrected by Jul 15, 2024

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 2 most recent staff evaluations on file for staff #2 are dated 1/22/23 and 5/2024 more than 12 months apart. The 2 most recent staff evaluations on file for staff #4 are dated 1/22/23 and 5/2024 more than 12 months apart.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff #5, who was working as an aide, file did not contain proof of education or experience.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. 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 the upstairs school age room 2 electrical outlets did not have protective receptacle covers and were accessible to children 5 years of age or younger.

Corrected Corrected by Jul 15, 2024

Marked corrected in the state record.

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

In the kitchen area that was accessible to children a bottle of bleach, which states keep out of reach of children, was observed on the floor. In the young toddler/infant room the cabinet under the portable sink was not locked making it accessible to children contained Lysol spray, Windex, and Disinfecting Bleach Water spray which all stated Keep out of reach of children. In the preschool/older toddler room A & D ointment, which state keep out of reach of children, was observed sitting on top of a shelf that contained the nap blankets accessible to children.

Corrected Corrected by Jul 15, 2024

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.

In the infant/young toddler room the baseboard next the wooden climber was peeling away from the wall. In the preschool/older toddler room bathroom 6 out of 6 ceiling tiles were covered in a brown substance. In the art area of the preschool/older toddler room a wooden border to the bulletin board was coming off exposing nails making them accessible to children.

Corrected Corrected by Jul 15, 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.

In the older toddler/preschool room outside the bathroom near the stored rest equipment was peeling paint and damaged plaster. There was also damaged plaster under the circle time board next to a small file cabinet.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. 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.

There were no hand washing signs posted near the sink in the upstairs school age room bathroom and the lower school age room bathroom.

Corrected Corrected by Jul 15, 2024

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the older toddler/preschool room under the bulletin board by the dramatic play area 9 staples were found on the floor accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jul 15, 2024

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.

On 6/26/24 at approximately 10:45am observed Staff #6 and 7 in the fenced outside play space with 11PS and 2OT. Staff #6 named 5 children in her supervisory group and Staff #7 named 7 children in her supervisory group. When asked to check and name their groups again Staff #6 named the same 5 children. Staff #7 named 8 children but renamed a child in Staff #6's group. This left one child who was not named in any supervisory group.

Corrected Corrected by Jul 15, 2024

Category: supervision. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

In the older toddler/preschool room at approximately 12:55pm while completing nap time ratio, child #5, a preschool age child (See LIS code sheet) was observed to be restrained in a highchair. When staff was asked why he was in a highchair they said because he bites and disturbs the other children if no one can be with him. Staff said they put him in the highchair because they did not have anyone to be one on one with him at that time.

Corrected Corrected by Jul 15, 2024

Category: ratio. 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.

Child #3 file did not contain enrolling parents work address or work phone number.

Corrected Corrected by Jul 15, 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.

Child #1-5 files did not contain information on disabilities.

Corrected Corrected by Jul 15, 2024

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.

Child #2 file did not contain the house number and street name of one individual designated by the parent to whom the child may be released. Child #5 file did not contain the house number of one individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The two most recent health assessments on file for Child #1, who is a young toddler age child(See LIS Code Sheet), are dated 9/6/23 and 5/13/24, more than 6 month apart. The two most recent health assessments on file for Child #3, who is a young toddler age child(See LIS Code Sheet), are dated 5/12/23 and 5/17/24, more than 6 months apart.

Corrected Corrected by Jul 15, 2024

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Observed dirt/debris under the mats of the diaper changing tables in the Infant/young toddler Room on the young toddler side.

Corrected Corrected by Jul 15, 2024

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 file for staff person #1 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #1 was dated 6/13/22.

Corrected Corrected by Jul 15, 2024

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 #1 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #1 was dated 6/16/22.

Corrected Corrected by Jul 15, 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.

Child #4 financial agreement was reviewed 2/6/23 and 2/30/24 which is longer than a 6-month period.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Child #1-5 file did not contain sign parental consent for administration of medication or special dietary needs.

Corrected Corrected by Jul 15, 2024

Category: ratio. Marked corrected in the state record.

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

Staff #3 file only contained 1 written nonfamily reference.

Corrected Corrected by Jul 15, 2024

Category: recordkeeping. 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 documentation on file for the most recent emergency drill does not allow for documentation of the following required elements: Name of Staff that participated, if any special accommodations for children with special needs were required, and any observations or problems encountered during the drill.

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. 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 rectangular rug in the Toddler Room with with the alphabet print was observed to be darkened with dirt spots. A raised broken metal grate on the ground located outside the main exterior door created a tripping hazard for children in care.

Corrected Corrected by Oct 4, 2023

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

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

The file for Staff Person #1and #2 did not contain the PA Health and Safety Update 2022, which was required to be completed by 12.30.22, as per Announcement C-22-06. Staff #1 and #2 will have until October 7, 2023 to complete this training.

Corrected Corrected by Oct 13, 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).

The file for Staff #2 does not include a signed disclosure statement

Corrected Corrected by Oct 13, 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 file for Staff #2 lacked documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for Staff #2 was dated 10/19/21.

Corrected Corrected by Oct 19, 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 #2 lacked documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for Staff #2 was dated 05/19/19.

Corrected Corrected by Oct 19, 2023

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

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

Staff person # 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Oct 31, 2023

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

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

The facility was lacking a policy on shaken baby, abusive head trauma and child maltreatment. Staff #1, 2, 3, 5, and 6 all need the one hour Health and Safety update training.

Corrected Corrected by Jun 19, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a position at the facility.

The file for Staff #4 contained an FBI clearance from the Department of Aging. Staff cannot work until she has the FBI clearance back from the Department of Human Resources. The file for Staff #6 contains a State Police Clearance that is under review. Staff cannot work until the final clearance is obtained.

Corrected Corrected by Jun 19, 2023

Category: background checks. 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.

On the outside playspace that was being used, there was a piece of play equipment that was broken in pieces, this could cause a hazard to the 2 and 3 year olds playing out there to fall or get trapped under it.

Corrected Corrected by Jun 16, 2023

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

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

The files for Child #1, 2 and 3 all contain fee agreement forms that are lacking the services provided to the families.

Corrected Corrected by Jun 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #5 contained an emergency contact form that was lacking the policy number of the child's medical insurance.

Corrected Corrected by Jun 19, 2023

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 #4 contained an immunization record that was lacking the annual influenza vaccine.

Corrected Corrected by Jun 19, 2023

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

There was an inhaler at the facility that was lacking instructions from the doctor who prescribed it. There was a label that showed it was from Children's hospital but it had no instructions and no doctor name on it.

Corrected Corrected by Jun 19, 2023

Category: ratio. 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 failed to conduct an emergency drill in the last 12 months.

Corrected Corrected by Jun 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility was lacking instructions for the parents on how to access the regulations electronically.

Corrected Corrected by Jun 19, 2023

Marked corrected in the state record.

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Staff #1 and #2 failed to change Child #1's, who is 2 years old, diaper all day. The child was dropped off at 7am and picked up at approximately 3pm.

Corrected Corrected by Apr 13, 2023

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

After complaint investigation was completed, it was found that the facility failed to complete an incident report after Child #1 was bitten by another child. Also, no incident report was completed when child #1 fell and marks appeared on the child's eyebrow and mouth.

Corrected Corrected by Jan 10, 2023

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 files for Child #1, 2, 3, 4, and 5 all contain emergency contact forms that were lacking the parents work address and phone numbers.

Corrected Corrected by Jul 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facilities emergency plan was lacking accommodations for infants/toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jul 27, 2022

Category: physical safety. 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 was lacking proof of purchase of their fire detection system.

Corrected Corrected by Jul 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility had the old regulations posted. They were lacking instructions on how to access the regulations electronically.

Corrected Corrected by Jul 27, 2022

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 #1 contained 10 annual clock hours of child care training, therefor lacking 2 hours. The file for Staff #3 contained 6 hours of annual clock hours of child care training, therefore lacking 6 hours. And the file for Staff #5 contained 8 annual clock hours of child care training, therefore lacking 4 hours.

Corrected Corrected by Jul 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.51 · Children on the facility premises and on the 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.

Based on interviews, it was it was determined that child #1 was able to willfully run from the facility when staff #1 turned his back to the classroom to speak to the staff in kitchen. Child #1 was gone approximately 10-15 minutes before he was returned to his home by his former head start teacher who observed him walking with a stranger in the neighborhood near the facility. Staff #2 observed child #1 run up the stairs and out of the facility. Child #1 did not respond to verbal redirection to stop and return. Staff #2 immediately followed child #1 up the stair, however, when staff #2 reached the outdoors, the child could not be seen.

Corrected Corrected by Jul 24, 2021

Category: supervision. 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.

Based on interviews, it was it was determined that child #1 was able to willfully run from the facility when staff #1 turned his back to the classroom to speak to the staff in kitchen. Child #1 was gone approximately 10-15 minutes before he was returned to his home by his former head start teacher who observed him walking with a stranger in the neighborhood near the facility. Staff #2 observed child #1 run up the stairs and out of the facility. Child #1 did not respond to verbal redirection to stop and return. Staff #2 immediately followed child #1 up the stair, however, when staff #2 reached the outdoors, the child could not be seen.

Corrected Corrected by Jul 24, 2021

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.

Based on interviews, it was it was determined that child #1 was able to willfully run from the facility when staff #1 turned his back to the classroom to speak to the staff in kitchen. Child #1 was gone approximately 10-15 minutes before he was returned to his home by his former head start teacher who observed him walking with a stranger in the neighborhood near the facility. Staff #2 observed child #1 run up the stairs and out of the facility. Child #1 did not respond to verbal redirection to stop and return. Staff #2 immediately followed child #1 up the stair, however, when staff #2 reached the outdoors, the child could not be seen.

Corrected Corrected by Jul 25, 2021

Category: supervision. Marked corrected in the state record.