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's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03.

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide a method for informing parents that the emergency has ended and how they can reunite with their child(ren).

Corrected Corrected by Apr 23, 2025

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

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

The parent letter explaining the emergency procedures lacked information on lockdown procedures.

Corrected Corrected by Apr 25, 2025

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. Until such time as the required training has been completed, staff person # 1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 (See LIS Code Sheet) has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected Corrected by Apr 26, 2025

Category: supervision. Marked corrected in the state record.

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

The spray bottle labeled "Bleach Water" was accessible to preschool and toddler children on the counter next to the sink utilized for washing their hands.

Corrected Corrected by Apr 23, 2025

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

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

The fittings around the pipes behind the toilets in the 2nd and 3rd stalls on the boys side of the restroom were loose creating gaps where children's fingers could be injured. The fence in the upper far corner of the outdoor play area had tree branches/limbs protruding through it. In the preschool room, a sharp wire was protruding above the hinge on the art supply storage cabinet which was accessible to children.

Corrected Corrected by Apr 26, 2025

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.

The curved walls in the toddler room had several areas where the paint is peeling.

Corrected Corrected by Apr 28, 2025

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.

The plastic tunnel connecting the two outdoor slides was cracked on the top and bottom creating sharp edges.

Corrected Corrected by Apr 28, 2025

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 top of the wooden shelf in the toddler room was splintering on the front edge.

Corrected Corrected by Apr 28, 2025

Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The current health report on file for Child #1, a preschooler, dated 3/21/25 which is more than 12 months from the previous health report dated 3/9/23.

Corrected Corrected by Apr 23, 2025

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff Person #1 lacked documentation about medical problems that might threaten the health of children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by May 1, 2025

Category: health medication. 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 contained a current Pediatric First Aid and Pediatric CPR training dated 11/10/23. The training was not obtained prior to the expiration of the previous certificate dated 10/28/21.

Corrected Corrected by Apr 2, 2024

Category: ratio. 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 were 4 uncovered electrical outlets accessible to children 5 years of age or younger in the office entry.

Corrected Corrected by Apr 2, 2024

Marked corrected in the state record.

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

There was a Coppertone sunscreen, an Epi-Clenz and an All-purpose cleaner label " keep out of reach of children". accessible to children in the office entry.

Corrected Corrected by Apr 2, 2024

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 ceiling leaking water in the kitchen.

Corrected Corrected by Apr 16, 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.

There was damage plaster on the kitchen door frame.

Corrected Corrected by Apr 16, 2024

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 broken green plastic bin in the toddler room.

Corrected Corrected by Apr 2, 2024

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.

The file for child # 1 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Apr 2, 2024

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 Apr 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child # 3 a preschooler lacked a current health report.

Corrected Corrected by Apr 16, 2024

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.

The facility emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by Apr 2, 2024

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

3270.131(a)/3270.131(e)(3) · 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 facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 1 must be dismissed from care by close of business 4/2/24 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 2 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The child start date was 1/17/22.

Corrected Corrected by Apr 22, 2024

Category: health medication. 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 # 2 contained a current pediatric first aid and pediatric cpr certificate dated 5/6/21. The file lacked documentation of a prior pediatric first aid and pediatric cpr certificate.

Corrected Corrected by May 6, 2023

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.

There was litter around the playground, plastic water bottles, and wrappers. There was rubber baseboard pulling off of the wall in the toddler room and on the wall along the hallway by the indoor play space and the preschool room. There are pieces of damaged rubber board along the infant room wall. There were rusted pipes on the wall behind the last toilet in the preschooler's and toddler's bathroom. There was a sink bowl with 3 cracks in the bathroom. The counter formica laminate was pulling off behind the sink in the toddler room. There was a hole on the right wall by the sink in the toddler room.

Corrected Corrected by Apr 13, 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 pink pencil holder, a cracked red plastic bin and a cracked clear toy pan lid in the preschool room. There was a cracked blue horse-riding toy and a Minnie mouse helicopter riding toy with foam propellers with teeth marks. There were two small holes on top of white toy shelf with exposed splinters in the toddler room.

Corrected Corrected by Apr 11, 2023

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for child # 2 lacked the emergency contact information, who shall be contacted in an emergency on the Emergency contact form.

Corrected Corrected by Apr 12, 2023

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 files for child # 1 and 3 lacked the 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 on the Emergency contact form.

Corrected Corrected by Apr 12, 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 2/26/22. It was not obtained within 24 months of the previous assessment dated 2/24/20.

Corrected Corrected by Apr 11, 2023

Category: ratio. 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 (7/7/22 to 8/12/22 and 9/7/22 to 10/11/22).

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Per staff statements, on 8/29/22, staff #1 restrained child #1 in a small storage room by placing the child in the dark room and closing the door. The child remained in the room for approximately 45 seconds, until another staff opened the door and escorted the child back to her group.

Corrected Corrected by Jan 16, 2023

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.

There was two cracked plastic bins in the toddler room and a cracked bin lid in the preschool room.

Corrected Corrected by Apr 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 5/6/21-5/6/23. The certification was not renewed prior to the expiration of the previous certification dated 8/14/18-8/14/20. The file for staff #2 has a current pediatric first-aid and pediatric CPR certification dated 5/27/20-5/27/22. The certification was not renewed prior to the expiration of the previous certification dated 4/13/18-4/13/20.

Corrected Corrected by May 11, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff #2 contained a Mandated Reporter training that was not renewed prior expiration date. The current certificate is date 1/21/20 and the prior certificate was dated 1/14/15.

Corrected Corrected by Apr 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.

There were 7 damaged ceiling tiles in the bathroom. There's was a hole on the right bottom corner of the wall in the girls side of the bathroom. There was rusted around the toilet in the boys bathroom. The rubber wall baseboard was loose and coming off the wall in the toddler curve wall and in the block area in the preschool room. The portable sink in the preschool room was dirty creating a sticky rusted surface. ther was an expose screw and a broken piece of wood exposing splinters creating a hazard in the playground accessible to children.

Corrected Corrected by May 10, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was two hole with peeling plater in the toddler room wall. There was a hole with peeling plater by the red door in the preschool and two peeling paint spots by the phone.

Corrected Corrected by Apr 22, 2022

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

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

The files for child #1 and 2 lacked work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Apr 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 files for child #1 and 2 lacked special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation in the emergency contact form.

Corrected Corrected by Apr 20, 2022

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child # 4 an older toddler lacked an updated health report. The las health report on file is dated 3/17/21.

Corrected Corrected by Apr 25, 2022

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

3270.131(e)/3270.131(e)(1) · 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.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child # 3 lacks documentation of a current influenza immunization as recommended by the ACIP.

Corrected Corrected by Apr 20, 2022

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 # 2 contained a current health assessment dated 5/27/20. It was not obtained within 24 months of the previous assessment dated 4/13/18.

Corrected Corrected by May 11, 2022

Category: ratio. Marked corrected in the state record.

3270.192(4) · 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 lacked the signature and date on the disclosure statement.

Corrected Corrected by Apr 20, 2022

Category: background checks. 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 certificate of compliance posted in a conspicuous location was dated 7/24/20-7/24/21.

Corrected Corrected by Apr 20, 2022

Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #2 lacked an initial health report. The child admission date was 2/8/22.

Corrected Corrected by Apr 22, 2022

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