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.

A written injury report was not provided to the parents on the day of the incident.

Corrected Corrected by Jun 19, 2025

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The initial emergency plan training in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day in child care (See LIS Code Sheet).

Corrected Corrected by Jul 18, 2024

Category: recordkeeping. 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 most recent Pediatric CPR/First Aid Certificates in the files for Staff Person #4 and #7 were dated after the previous certificates had expired.

Corrected Corrected by Jun 24, 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 file for Staff Person #6 did not have documentation of annual fire safety training conducted within the past 12 months.

Corrected Corrected by Jul 3, 2024

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. Staff person #6 will have until 7/4/24 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 or higher 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: Health and Safety Training (see LIS code sheet):

Corrected Corrected by Jul 3, 2024

Category: supervision. Marked corrected in the state record.

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

The file for Staff Person #8, a rehire, did not include a current disclosure statement.

Corrected Corrected by Jul 18, 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 most recent written evaluations in the file for Staff Person #4 exceeded 12 months between evaluations.

Corrected Corrected by Jun 27, 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.

Observed two damaged ceiling tiles in the Art Room.

Corrected Corrected by Jun 25, 2024

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The most recent fee agreements in the files for Child #1, 2, 3 and 4 did not specify the date of the child's admission.

Corrected Corrected by Jul 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The timeliness of the initial health report in the file for Child #3 cannot be assessed because the report is missing the date.

Corrected Corrected by Jul 18, 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 initial health assessments in the files for Staff Person #1 and #2 were conducted after the staff person's first day working in child care (See LIS Code Sheet). The most recent health assessments in the files for Staff Person #5 and #6 exceeded 24 months between assessments.

Corrected Corrected by Jun 26, 2024

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Pick-up and drop-off procedures were not posted at the facility.

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

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

The most recent parent updates for the emergency contact form and fee agreement in the file for Child #2 exceeded 6 months between updates. August 2023 - June 2024.

Corrected Corrected by Jul 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact form in the file for Child #1 did not include signed parental consent for emergency medical care for the child or administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 17, 2024

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 most recent documented emergency drills exceeded 12 months between drills: 3/10/23 - 6/2/24.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire drill/fire system check log did not have documentation of thirty-day fire system tests from 4/3/23 through 6/10/24.

Corrected Corrected by Jul 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

2nd CITATION: Based on staff interviews the facility has not had a director since November 2023. PREVIOUSLY CITED ON 3/7/24.

Corrected Corrected by Apr 1, 2024

Marked corrected in the state record.

3270.113(a) · **The legal entity must create a written active supervision policy statement that includes the following regulations: 3270.4 (definition of supervision), 3270.113 (Supervision of children). The policy must be submitted to DHS. Each staff must review and sign the supervision policy and a copy of the policy shall be included in the child and staff handbooks.

**3rd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

Corrected Corrected by Jun 10, 2024

Category: supervision. 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.

THIRD CITATION Upon arrival to the Facility with Staff Person #2, school age children were observed to enter the room with Staff Person #1 while Staff Person #2 waited in the hallway for a child using the restroom. Staff Person #1 was also observed to leave the classroom to take a child to the restroom across the hallway. Staff Person #1 does not have mandated reporter training on file that would allow them to be unsupervised with children. FACILITY PREVIOUSLY CITED ON 12/13/23 and 3/7/24.

Corrected Corrected by May 27, 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.

One of the two exits from the classroom to the hallway was observed to be obstructed by a large white board.

Corrected Corrected by Jun 5, 2024

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.

Emergency contact forms were not present for children receiving care in the Classroom. Staff Person #2 reported that the emergency forms are kept in the office down the hallway.

Corrected Corrected by May 27, 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. Until such time as the required pre-service trainings are completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. Staff person #2 was observed to be caring for children unsupervised. 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/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1 -- 10) within 90 days of hire. Staff person #2 will have until 3/26/24 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

2nd CITATION: Continued Non-Compliance: 12/13/23 an unannounced complaint investigation was conducted at the facility. 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/CPR. The facility's acceptable plan of correction indicated the correction would be implemented by 3/2/24. On 3/7/24 an unannounced inspection was conducted. Staff person #2 still has not completed the following required pre-service training: Pediatric First Aid/CPR prior to caring for children unsupervised. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Based on staff interviews the facility has not had a director since November 2023.

Corrected Corrected by May 10, 2024

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.

*2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Mar 7, 2024

Category: ratio. Marked corrected in the state record.

3270.51 · **The facility is required to develop and maintain a system of visual cues to be present in all childcare spaces regarding supervision and ratio. The system must alert staff not to leave children alone in a space or let children leave a space alone. The system must also alert children not to leave a space without an adult. This system must be posted at all entrances/ exits of all childcare spaces. (postings)

**2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway with no staff person present thus resulting in the staff: child ratio being 0:1. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Apr 1, 2024

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.

*2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Mar 7, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The legal entity must create a written active supervision policy statement that includes the following regulations: 3270.4 (definition of supervision), 3270.113 (Supervision of children). The policy must be submitted to DHS. Each staff must review and sign the supervision policy and a copy of the policy shall be included in the child and staff handbooks.

**2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway without being supervised by any staff person. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by May 10, 2024

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.

2nd CITATION: At approximately 3:30pm, a young school age child told Staff person #2 that they had to go to the bathroom and Staff person #2 gave the child permission to use the bathroom. The young school age child was then observed to leave the classroom, by themselves, and use the restroom which was located in the hallway. No staff person was physically present with the child. PREVIOUSLY CITED ON 12/13/23.

Corrected Corrected by Mar 7, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 and Staff person #2 will have until 3/2/24 to complete the required training. Until such time as the required training has been completed, Staff person #1 and Staff person #2 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 and Staff person #2, Staff person #1 and Staff person #2 may not work in a child-care position at the facility.

During a complaint investigation conducted on 12/13/23, Staff person #1 and Staff person #2 self-disclosed that they have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Corrected Corrected by Mar 2, 2024

Category: supervision. 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.

During a complaint investigation conducted on 12/13/23, staff disclosed that over the past two months, on multiple occasions, they have exceeded ratio by one or more young school age children for approximately 15 to 20 minutes while getting the children off of the school bus in the afternoon. Once those 13 or 14 young school age children are off of the bus, a staff person would walk those children from the bus stop back down to the facility thus resulting in the staff: child ratio being 1:13 or 1:14 depending on the number of children who get off the first school bus. Also, during the complaint investigation, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves with no staff person present resulting in the staff: child ratio being 0:1.

Corrected Corrected by Dec 13, 2023

Category: ratio. 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 #2 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 #2, Staff person #2 may not work in a child-care position at the facility.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Mar 2, 2024

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.

During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves without being supervised by any staff person.

Corrected Corrected by Dec 13, 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.

During the complaint investigation conducted on 12/13/23, at approximately 4:15pm, a young school age child had left the gym, was observed walking down the hallway, and into an empty classroom by themselves. No staff person was physically present with the child.

Corrected Corrected by Dec 13, 2023

Category: supervision. 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.

There were chipped paint spots on the blue wall in the big room.. There was chipped plater on the white wall under the window in the big room.

Corrected Corrected by Jul 14, 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 # 6 and 8 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

Corrected Corrected by Jul 14, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for staff # 1 lacked an annual emergency plan training. The prior training was dated. 6/1/22. The file for staff # 2 lacked an annual emergency plan training. The prior training was dated. 6/9/22. The files for staff # 3 and 4 lacked an annual emergency plan training. The prior training was dated. 7/1/21.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. 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 file for staff # 4 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21. The file for staff # 5 lacked and updated CPR and First Aid training certificate. The prior certificate is dated 5/6/21.

Corrected Corrected by Jul 14, 2023

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 # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(iv) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

The file for staff # 1,2,3,4,5,6,7 and 8 lacked the completion of basic instruction in water safety training from a certified lifeguard.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

The small room lacked play equipment and materials appropriate to the developmental needs, individual interests and ages of the children.

Corrected Corrected by Jul 14, 2023

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

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

The file for staff # 1 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 2 contained a current Health and Safety Updated training dated 5/8/23, that was not completed by the deadline of 12/30/22 The file for staff # 3 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 4 contained a current Health and Safety Updated training dated 2/15/23, that was not completed by the deadline of 12/30/22. The file for staff # 5 contained a current Health and Safety Updated training dated 2/7/23, that was not completed by the deadline of 12/30/22. The file for staff # 6 contained a current Health and Safety Updated training dated 2/9/23, that was not completed by the deadline of 12/30/22.

Corrected Corrected by Jul 14, 2023

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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

The file for staff #1 contained a current FBI clearance dated 2/8/23, that was not renewed within 60 months of the prior FBI clearance dated 6/5/17. The file for staff #4 contained a current FBI clearance dated 3/14/19, that was not renewed within 60 months of the prior FBI clearance dated 5/7/12. The file for staff # 5 contained a current mandated reporter training certificate dated 1/20/20 that was not obtained within 60 months of the previous certificate dated 1/9/15.

Corrected Corrected by Jul 14, 2023

Category: supervision. 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 # 1 lacked an evaluation within 12 months. The last evaluation is dated 6/1/22. The file for staff # 3 lacked an evaluation within 12 months. The last evaluation is dated 10/4/21. The file for staff # 4 lacked an evaluation within 12 months. The last evaluation is dated 3/10/21.

Corrected Corrected by Jul 14, 2023

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.

There was a multiplug with 3 uncovered electrical outlets by the staff desk in the big room accessible to children 5 years of age or younger. There were 2 uncovered electrical outlets on the wall under the window in the right-side of the big room accessible to children 5 years of age or younger.

Corrected Corrected by Jul 14, 2023

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was contaminated trash by human secretions in the uncovered garbage can in the big room.

Corrected Corrected by Jul 14, 2023

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.

There was a hole on the wooden frame that contains the air conditioner in the small room at the second floor. The wooden frame around the air conditioner had chipped plaster exposing a sharp metal edge on the corner of the frame. There were two ceiling tiles falling off, one in the big room and one in the small room.

Corrected Corrected by Jul 14, 2023

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

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

There was a cracked blue bin holding Legos in the big room. There was a cracked pencil box holding crayons in the big room.

Corrected Corrected by Jul 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.

The furniture in the small room was not child sizes appropriate. The room had adult rolling chairs available to children.

Corrected Corrected by Jul 14, 2023

Marked corrected in the state record.

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

The small and the large rooms both lacked daily activities scheduled posted.

Corrected Corrected by Jul 14, 2023

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

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

The files for children #1,3,4,5 and 6 lacked the operator's signature on the agreement form. The files for children # 4 lacked the parent's signature on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 lacked the amount of the fee to be charged per day or per week. on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #4 lacked the date on which the fee is to be paid on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The files for child #1and 4 lacked the arrival and departure times on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. 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 #1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for children #1,2,3,4,5 and 6 lacked the date of the child's date of admission on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child # 4 lacked services which are to be considered as extra on the agreement form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child # 2 lacked the name of the child's physician or source of medical care on the emergency contact form. The files for child # 1,2 and 4 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Jul 14, 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 children # 1,4 and 6 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Jul 14, 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 files for children # 1,2 and 4 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Jul 14, 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.

The files for children #1 and 2 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator was not maintaining a medication log for an Albuterol Sulfate Inhalation Aerosol medication for child #6.

Corrected Corrected by Jul 14, 2023

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff # 1 contained a current health assessment dated 4/7/22. It was not obtained within 24 months of the previous assessment dated 1/24/20. The file for staff # 3 contained a current health assessment dated 1/15/22. It was not obtained within 24 months of the previous assessment dated 5/15/19. The file for staff # 4 lacked an updated health assessment, the prior report was obtained more than 24 following the date of signature. The prior report was dated 2/29/21. The file for staff # 5 contained a current health assessment dated 1/3/23. It was not obtained within 24 months of the previous assessment dated 12/22/20. The file for staff # 6 contained a current health assessment dated 2/10/23. It was not obtained within 24 months of the previous assessment dated 3/12/20. The file for staff # 7 contained a current health assessment dated 9/14/22. It was not obtained within 24 months of the previous assessment dated 7/9/19.

Corrected Corrected by Jul 14, 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.

There were 4 different lunchboxes out of the refrigerator that contained cheese and lunch meat.

Corrected Corrected by Jul 14, 2023

Category: nutrition. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The child files were stored at the staff desk in the big room. The files were not in a locked cabinet.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the Fire Drill Log the fire drill has not been conducted once every 60 days. The last fire drill was conducted on 4/3/23.

Corrected Corrected by Jul 14, 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.

On the day of the inspection, the provider was unable to demonstrate the fire alarm system. The fire alarm system was not operable.

Corrected Corrected by Jul 14, 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.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 4/3/23 to 6/12/23.

Corrected Corrected by Jul 14, 2023

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.

The emergency contact form was not present in the pool where the children were receiving care.

Corrected Corrected by Jul 21, 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.

The emergency contact form for child # 6 was not present in the Main room where the child was receiving care.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked a policy to identify and Prevent Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Jul 20, 2022

Category: ratio. Marked corrected in the state record.

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

The Emergency plan was not posted in a conspicuous location at the facility.

Corrected Corrected by Jul 20, 2022

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 file for staff #1 has a current pediatric first-aid and pediatric CPR certification dated 8/5/21-8/5/23. .The certification was not renewed prior to the expiration of the previous certification dated 8/21/17-8/21/19.

Corrected Corrected by Jun 6, 2022

Category: ratio. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #1 lacked written evaluation for 2020.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

At 9:00 am, Staff #3 and staff #4 were caring for 25 children with a mixed age level of PS to school age, in room #2. Staff #5, had left the room, to take 4 children to the restroom located in the hallway across from the room.

Corrected Corrected by Jul 20, 2022

Category: ratio. 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 room # 2 upstairs the window on the back of the room by the wall on the left have a cracked glass.

Corrected Corrected by Jul 20, 2022

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The main room lacked a written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Corrected Corrected by Jul 20, 2022

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.

Staff #4 refused to identify his group.

Corrected Corrected by Jul 20, 2022

Category: supervision. 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 files for child #1,2 and 5 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for child # 1 and 5 lacked the date of the child's admission on the agreement form.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 lacked the address of the child's physician on the emergency contact form.

Corrected Corrected by Jul 20, 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 #3 lacked the work address and telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child # 3 lacked the information on disabilities on the emergency contact form.

Corrected Corrected by Jul 20, 2022

Category: health medication. 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 lacked the child's health insurance coverage and policy number on the emergency contact form.

Corrected Corrected by Jul 20, 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 files for child #1,2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. 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 #1 contained a current health assessment that was renewed after 24 months dated 7/9/19-4/14/22.

Corrected Corrected by Jul 20, 2022

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.

There was a pink and purple lunchbox in the main room that contained lunch meat and cheese sandwich. The lunchbox was not in a refrigerator.

Corrected Corrected by Jul 20, 2022

Category: nutrition. 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 # 2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 11/17/21 and 2/22/22.

Corrected Corrected by Jul 20, 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 binder with that contained the certificate of compliance, the information on how to access the regulations and DHS information, was not in a conspicuous location accessible to the parents.

Corrected Corrected by Jul 20, 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 files for staff #1 and #2 lacked the annual 12 clock hours of child care training certificates.

Corrected Corrected by Jul 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child # 5 lacked the initial health report.

Corrected Corrected by Jul 20, 2022

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

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

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by Mar 2, 2022

Category: supervision. 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.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by Mar 2, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity will initiate and complete monthly staff meetings to discuss supervision with the staff for 3 months. The legal entity will provide documentation of the staff meeting which includes a staff roster and the topics discussed. This information will be made available to the Regional Office of Child Development and Early Learning.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by May 3, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity will create and implement a system for staff to identify when children have left the program for the day. This information will be made available to the Regional Office of Child Development and Early Learning.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by Mar 8, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · The legal entity must arrange for all facility staff to receive training regarding supervision of children through a referral made by the regional office to the ELRC. The training will be submitted for approval prior to initiating the training. The legal entity will confirm completion of the training by sending a staff roster and proof of the completed training to the Regional Office of Child Development and early learning.

Based on a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by Mar 4, 2022

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 a self-report: On December 15, 2022 at approximately 4:00 pm, child #1 left the child care space unsupervised and alone. Child #1 walked from the second floor to the first floor and then outside the building to look for his/her parent. Child #1 mistakenly believed that their parent was enroute for end of the day pickup. When their parent did not arrive, Child #1 returned to the first floor lobby area to await their parent's arrival. Child #1 was alone and unsupervised for a period of 20-30 minutes before it was discovered that he/she had left the supervisory group of Staff #1. Also, based on a self-report: the facility had allowed children to leave the child care space on the second floor and walk to the first floor lobby area alone and unsupervised alone and unsupervised after receiving a call from the front desk stating the parents were soon arriving for pick up.

Corrected Corrected by Mar 2, 2022

Category: supervision. Marked corrected in the state record.