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

Upon entry into the facility for the purpose of a renewal inspection, it was observed that the most currently updated emergency plans were not posted, but rather a copy of an outdated emergency plan.

Corrected Corrected by Jul 28, 2025

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

3270.32(a)/3270.192(4) · Staff Person #1 must be removed from a childcare position by the close of business following the expiration of the 6.18.20 record because she/he does not have all the required clearances or requests for clearances. Staff Person #2 must be removed from a childcare position by the close of business [effective 7.28.25]. Staff Person #4 must be removed from a childcare position by the close of business following the expiration of the 5.18.20 record because she/he does not have all the required clearances or requests for clearances.

The file of Staff Person #1 contains a NSOR dated 6.18.20 which is more than 60 months old. There is an updated NSOR dated 7.15.25, but the facility director admitted that Staff Person #1 was working with children after the expiration of the 6.18.20 document and prior to receiving the updated record. The file of Staff Person #2 does not contain a completed DHS required FBI clearance [Dept. of Education record on file dated 5.30.24]. The file of Staff Person #4 contains a DHS FBI clearance dated 5.18.20 which is more than 60 months old. There is an updated DHS FBI clearance dated 7.16.25, but the facility director admitted that Staff Person #4 was working with children after the expiration of the 5.18.20 document and prior to receiving the updated record.

Corrected Corrected by Jul 30, 2025

Category: ratio. 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.

Upon inspection of the physical site area hallways, it was found that multiple containers of sunscreen and diaper ointment had been placed into cubby's that were accessible to children in care.

Corrected Corrected by Jul 30, 2025

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

3270.75(b) · A first-aid kit must be inaccessible to children.

Upon inspection of each childcare space, it was found that the first aid kits [2] for both portions of the school-aged childcare space were being kept in locations that were within easy access to the children in care.

Corrected Corrected by Jul 30, 2025

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

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

Upon inspection of each childcare space, it was found that a written plan of daily activities and routines was not posted within the school-aged childcare space.

Corrected Corrected by Jul 30, 2025

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

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

Upon inspection of children's files, it was found that the agreement on file for Child #1 - Child #6 did not specify the services which are to be considered as extra.

Corrected Corrected by Aug 29, 2025

Category: recordkeeping. 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 childcare and appears to be free from contagious or communicable disease.

Upon inspection of children's files, it was found that the health assessment on file for Child #1 [dated 2.28.25] did not include a response to the statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 29, 2025

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Upon inspection of children's files, it was found that the health assessment on file for Child #1 [dated 2.28.25] did not include a response to the statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Aug 29, 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.

Upon inspection of Staff Person records, it was found that the file for Staff Person #3 included a health assessment dated 5.17.23 [expired 5.31.25].

Corrected Corrected by Jul 17, 2025

Category: ratio. 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. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring (8.6.22). Documentation of updated Pediatric first aid and CPR training is not on file, however a document indicating completion of an online component of the required training dated 4.27.24 was on file.

Corrected Corrected by Mar 17, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · Facility person #3 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility Person #3 must complete the required training and must remained supervised by a qualified and trained facility person at all times. Facility person #4 must be removed from a childcare position by the close of business [3.12.25]. Facility person #5 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #6 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #7 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #8 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances. Facility person #9 must be removed from a childcare position by the close of business [3.12.25] because she/he does not have all the required clearances or requests for clearances.

The file of facility person #3 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. In addition, the file for facility person # 3 does not contain an up-to-date verification of the completion of Mandated Reporter Training [certificate on file expired on 2.25.25]. The file of facility person #4 does not contain a completed NSOR verification. The file does not contain copies of request(s) for the clearances/verification. The file of facility person #5 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #6 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #7 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #8 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. The file of facility person #9 contains a NSOR dated 1.9.2020 which is more than 60 months old. There is no application in the file for an updated child abuse clearance.

Corrected Corrected by Mar 14, 2025

Category: supervision. Marked corrected in the state record.

3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.

Upon inspection of each childcare space, it was observed in the Fireflies space that two types of plants were present that were easily accessible to children in care. Staff Person # 1 identified the plants as Narcissus and Amaryllis, which upon further investigation are found to be toxic to humans.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Upon inspection of each childcare space, it was observed in the Ladybugs space that some cardboard blocks were ripped/torn and not in good condition.

Corrected Corrected by Mar 13, 2025

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

3270.113(a)/3270.113(a)(1) · 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. The legal entity must arrange for Staff Person #2 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Immediately upon arrival at the facility for an Unannounced Monitoring, it was observed that one group [Dragonflies] was playing outdoors. Three staff persons were observed in ratio with 14 children. When Staff Person #2 was asked to name and identify her primary childcare group, she indicated that she could not fully understand the instructions [language barrier], but she could not clearly identify the 5 specific children in her primary care group [however she could identify all 14 children in the outdoor space by name].

Corrected Corrected by Mar 26, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Children must be supervised at all times. The staff person shall know the names and whereabouts of the children in his/her assigned group.

Immediately upon arrival at the facility for an Unannounced Monitoring, it was observed that one group [Dragonflies] was playing outdoors. Three staff persons were observed in ratio with 14 children. When Staff Person #2 was asked to name and identify her primary childcare group, she indicated that she could not fully understand the instructions [language barrier], but she could not clearly identify the 5 specific children in her primary care group [however she could identify all 14 children in the outdoor space by name].

Corrected Corrected by Mar 13, 2025

Category: supervision. 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.

Upon entry to the facility for an Unannounced Monitoring, it was immediately observed that an expired copy [expired 10.28.24] of the Facility Certificate of Compliance was posted at the entryway door.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

3270.32(a)/3270.192(4) · Staff Person #1 must be removed from a childcare position by the close of business [7.16.24].

The file of Staff Person #1 does not contain a completed NSOR verification. The file does not contain copies of request(s) for the clearances/verification.

Corrected Corrected by Jul 15, 2024

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

3270.75(b) · A first-aid kit must be inaccessible to children.

Upon inspection of each of the physical childcare spaces, it was found that the first aid kit in the school-aged space was accessible to children in care.

Corrected Corrected by Jul 15, 2024

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

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

Upon inspection of each of the physical childcare spaces, it was found that there was 1 ceiling tile missing and 8 damaged in the Lady Bugs [OT] childcare space.

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.

Upon inspection of each of the physical childcare spaces, it was found that there was peeling paint near the sink in the school-aged childcare space.

Corrected Corrected by Jul 15, 2024

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).

Upon inspection of children's files, it was found that an updated [within 6 months] Child Service Report was not completed or on file for Child #1.

Corrected Corrected by Aug 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Upon inspection of each of the physical childcare spaces, it was found that there was prescription medication accessible to children in the backpack of the school-aged childcare space.

Corrected Corrected by Jul 15, 2024

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.

Upon inspection of personnel files, it was found that the results of an initial TB screening were not included in the file of Staff Person #1. The record did show that a screening had been initiated, but no results were found anywhere in the file.

Corrected Corrected by Aug 30, 2024

Category: health medication. 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.

Upon investigation of the self-reported non-compliance concerns resulting in child injury on 6.5.24, it was confirmed that the facility did have scooters that did not have rubberized grip protection [as originally equipped by the manufacturer] on the handlebars, which contributed to the injury of Child #1 when two children collided while at play.

Corrected Corrected by Jun 6, 2024

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

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

Upon inspection of the facility first aid kits, it was found that the first aid kit used by the school aged children did not contain soap.

Corrected Corrected by Aug 20, 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.

Upon inspection of the facility emergency plans, it was found that a continuity of operations plan was not included in the most recently revised plans.

Corrected Corrected by Sep 22, 2023

Category: ratio. 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), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #4 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #6 will have until 8.2.23 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(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #8 will have until 8.2.23 complete the required training. Until such time as the required training has been completed, staff person #8 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #1 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 2022 update; Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training; Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR training ; 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 2022 Update. Staff person #8 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 2022 Update.

Corrected Corrected by Aug 20, 2023

Category: supervision. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Upon inspection of the exterior play space, it was found that the area used by the older toddlers and preschool aged children had embedded playground equipment with a mulch depth of less than 1" directly under the equipment.

Corrected Corrected by Sep 29, 2023

Category: physical safety. 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.

Upon inspection of the children's files, it was found that the emergency contact document for child #6 did not contain the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Aug 20, 2023

Category: health medication. 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.

Upon inspection of the children's files, it was found that the designated area for special needs/disabilities on the emergency contact document for child #6 was blank.

Corrected Corrected by Sep 15, 2023

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.

Upon inspection of the children's files, it was found that the emergency contact document for child #6 did not include the address[s] of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Child #1 is no longer in care at the facility.

Upon inspection of children's files, it was found that the emergency contact document for child #1 was last reviewed on 12.27.22 and the financial agreement was last reviewed on 12.27.22; Upon inspection of children's files, it was found that the emergency contact document for child #2 was last reviewed on 1.11.23 and the financial agreement was last reviewed on 1.11.23; Upon inspection of children's files, it was found that the emergency contact document for child #3 was last reviewed on 8.3.22; Upon inspection of children's files, it was found that the emergency contact document for child #4 was last reviewed on 12.29.22 and the financial agreement was last reviewed on 12.29.22; Upon inspection of children's files, it was found that the emergency contact document for child #5 was last reviewed on 8.5.22 and the financial agreement was last reviewed on 8.5.22; Upon inspection of children's files, it was found that the emergency contact document for child #6 was last reviewed on 12.27.22 and the financial agreement was last reviewed on 12.27.22;

Corrected Corrected by Aug 20, 2023

Category: recordkeeping. 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.

Upon inspection of the children's files, it was found that the health assessment on file for child #3 was dated 3.10.21 and therefore expired on 3.10.22. No updated health assessment is on file after that date.

Corrected Corrected by Aug 20, 2023

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

3270.134(a)/3270.134(d) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Liquid or powdered soap shall be used for handwashing.

Upon inspection of the infant childcare space, two diaper changes were observed and in both cases, the child's hands were wiped with a diaper wipe, but no soap and water were used prior to returning the child to the childcare space.

Corrected Corrected by Aug 20, 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.

Upon inspection of staff files, it was found that no initial health assessment or TB test was on file for staff person #4. Facility director confirmed that staff person #4 had been working with children. Also, it was found that the health assessment on file for staff person #6 was dated 4.5.21 and therefore expired on 4.5.23.

Corrected Corrected by Aug 20, 2023

Category: ratio. Marked corrected in the state record.

3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Upon inspection of each individual childcare space, it was found that multiple emergency contact documents on file in each space was old/expired and did not match the master file documentation.

Corrected Corrected by Aug 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Upon inspection of staff files, it was found that the records for staff persons #1, #2, #3, #4, #6, #7 and #8 did not contain verification of childcare experience either prior to OR from the outset of service at the facility.

Corrected Corrected by Aug 20, 2023

Category: recordkeeping. 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.

Upon inspection of the facility person's files, it was found that facility person #3 had only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person; that facility person #4 had no written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person; that facility person #5 had only one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 20, 2023

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.

Upon inspection of the facility emergency plans, it was found that accommodations for infants and toddlers was not included in the most recently revised plans.

Corrected Corrected by Aug 20, 2023

Category: physical safety. 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.

Upon inspection of the facility's emergency drill logs, it was found that no emergency drill had been performed since the last renewal inspection.

Corrected Corrected by Sep 11, 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.

Upon inspection of the facility fire safety logs, it was found that the minimum testing limit of 30 days was exceeded between the testing on 2.20.23 and 3.23.23

Corrected Corrected by Aug 20, 2023

Category: recordkeeping. 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.

Upon inspection of each child care space, it was found that the refrigerator in the young toddler room [Bumblebees] was at/above 50 degrees.

Corrected Corrected by Aug 2, 2022

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 informationA 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.

Upon inspection of the children's files, it was found that the emergency contact document for child #2 - #5 had not been reviewed/updated within the past six months and the parental agreement for child #3 had not been reviewed/updated within the past six months.

Corrected Corrected by Aug 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Upon inspection of the children's files, it was found that the health assessment for child #2 was dated 1.11.21 and therefore expired.

Corrected Corrected by Sep 15, 2022

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

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Upon inspection of the children's files, it was found that the record for influenza vaccination for child #2 was missing with no exemption on file AND for child #4, the last influenza vaccination was dated from 2020.

Corrected Corrected by Sep 15, 2022

Category: health medication. 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)).

Upon inspection of the facility fire safety logs, it was found that testing of the alarm system was conduct on the following dates: 10.28.21, 11.30.21, 2.14.22, 2.15.22, 3.8.22, 3.14.22, 4.21.22, 5.25.22, 6.21.22. Therefore the required 30 day testing threshold was exceeded on multiple occasions.

Corrected Corrected by Aug 2, 2022

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

3270.133(8) · If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

Child #1 was served and did consume a fish-based product, despite the fact that facility records showed that the child did have a seafood allergy.

Corrected Corrected by Feb 28, 2022

Category: nutrition. 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 employee #1 AND #2 must be removed from childcare position by close of business. All required clearances must be obtained before facility person#1 and #2 may resume a child care position.

Facility person #1 was hired on 2.7.21. The file for facility person # 1 does not contain a valid PA Child Abuse Clearance [volunteer clearance dated 1.8.21] AND was missing a criminal and child abuse clearance, as well as a sexual offender clearance from Nebraska. Further, Facility person #2 was hired on 6.6.21. The file for facility person #2 did not contain criminal and child abuse clearances, as well as sexual offender registry from either the state of Colorado or Indiana. Although the LE has an approved waiver on file effective 7.20.21, the requirement to have either the completed out of state clearances or valid PA child abuse clearance has not been met.

Corrected Corrected by Jul 27, 2021

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

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

During an inspection of the preschool classroom, it was found that one electrical outlet did not have a protective cover in place. Also, it the large indoor space being utilized for play, it was found that at least 6 outlets did not have protective covers in place.

Corrected Corrected by Jul 27, 2021

Category: physical safety. 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.

Upon inspection of the younger school aged classroom and the large indoor play space, it was found that toxics were accessible to children [gel beads, hand sanitizer].

Corrected Corrected by Jul 27, 2021

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

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

Upon inspection of the handwashing sinks in the childcare spaces, it was found that the water temperature exceeded 110 degrees in five of the seven spaces [temperature range 112 - 126+ degrees].

Corrected Corrected by Jul 28, 2021

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.

Upon inspection of the childcare spaces, it was found that there was peeling paint on the doors of the preschool and young toddler spaces.

Corrected Corrected by Aug 16, 2021

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

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

Upon review of the children files, it was found that both the health insurance coverage and policy number were not included on the emergency contact form for child #1 and #2.

Corrected Corrected by Jul 28, 2021

Category: health medication. 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.

Upon review of the facility plans, it was found that a written plan identifying the means of transporting a child to emergency care and staffing provisions was not developed or displayed in a conspicuous location in each child care space.

Corrected Corrected by Jul 28, 2021

Category: transportation. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Upon review of the children files, it was found that the health record provided for child #3 was not signed by a physician, physician's assistant or a CRNP.

Corrected Corrected by Aug 9, 2021

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

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

Upon review of the children files, it was found that the health report for child #3 did not include a statement indicating the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 9, 2021

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Upon review of the children's files, it was found that the health report for child #3 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

Corrected Corrected by Aug 9, 2021

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Upon review of the children files, it was found that the immunization record for child #2 last influenza vaccination was in 2018.

Corrected Corrected by Aug 16, 2021

Category: health medication. 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.

During a review of the facility emergency plan, it was found that specific accommodations for infants, toddlers and children with disabilities and/or chronic medical conditions was not developed.

Corrected Corrected by Jul 27, 2021

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

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

During review of the facility emergency plan, it was found that specific accommodations of children during a lock down and shelter in place were not developed.

Corrected Corrected by Jul 27, 2021

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