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 #4 contained an emergency contact form that was lacking the parent's work address and phone number. The file for Child #5 contained an emergency contact form that was lacking the parent's work address.

Corrected Corrected by Aug 11, 2025

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 #6 contained a Pediatric First Aid/CPR that had expired.

Corrected Corrected by Jun 2, 2025

Category: ratio. 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 #3, whose start date was more than 90 days ago(see LIS code sheet) was lacking the required 2 part Health and Safety training. The file for Staff #7 contained Health and Safety training that was obtained more than 90 days after their start date.

Corrected Corrected by Aug 12, 2025

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

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

The file for Staff#1 and #4 both contained two NSOR clearances that were more than 60 months apart.

Corrected Corrected by Aug 11, 2025

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

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

In the Preschool Room Foam blocks with bite marks and frayed parts were observed. In the Toddler Room foam blocks with bite marks were observed.

Corrected Corrected by Aug 11, 2025

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.

There was a child sized couch in the Toddler Room that was observed to be cracking and peeling.

Corrected Corrected by Aug 11, 2025

Marked corrected in the state record.

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

The Infant Too, School Age and Preschool 4 group spaces were all lacking a posted written daily schedule.

Corrected Corrected by Aug 11, 2025

Category: physical safety. 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 #3 contained an agreement that was lacking the fee amount to be charged.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The file for Child #1 and 2 were lacking the child's admission date.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for Child #3 and 7 both contain emergency contact forms that were lacking signed parental consent for emergency medical care.

Corrected Corrected by Aug 11, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #8 contains an emergency contact form that was lacking the policy number of the child's medical insurance.

Corrected Corrected by Aug 12, 2025

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, who is a preschool aged child contained two health assessments that were more than 12 months apart.

Corrected Corrected by Aug 12, 2025

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.

The file for Child #6 contained a child health report that was lacking a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 12, 2025

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

3270.133(7)(ii) · A medication log shall include the name of the child receiving the medication.

In the Infant Too Room there were two medication logs for Motrin and Mylicon that did not have the name of the child receiving the medication on the log.

Corrected Corrected by Aug 12, 2025

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 and #4 both contained two health assessments that were more than 24 months apart.

Corrected Corrected by Aug 12, 2025

Category: ratio. Marked corrected in the state record.

3270.182(5) · 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 file for Child #3 and 7 contain emergency contact forms that are lacking signed parental consent for the administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 12, 2025

Category: ratio. Marked corrected in the state record.

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

The file for staff #5 and #7 contained Pediatric first aid/CPR that was obtained more than 90 days after their start date(see LIS code sheet.)

Corrected Corrected by Aug 12, 2025

Category: health medication. 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 (relating to similar age level).

* On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3270.52 · ** The required staff:child ratios must be maintained at all times. The legal entity will be responsible for writing a policy that addresses how ratio requirements will be maintained to ensure regulatory staff to child ratio during staff breaks, including staff restroom breaks. The policy will be added to the staff handbook and all existing staff will be required to sign off that they reviewed the policy. The sign off sheet will be submitted to the Regional Office.

** On 9/17/2024, staff #1 was observed alone in the infant room with 2 infants and 4 young toddlers.

Corrected Corrected by Sep 19, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At nap time on 9/9/2-24, staff #1 was observed caring for 14 preschool age children. Staff #1 named 12 of the 14 children and was unable to name two of the children in staff #1's supervisory group.

Corrected Corrected by Sep 9, 2024

Category: supervision. 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 most current parent letter explaining emergency procedures including updates to the plan, lacked an explanation of lockdown and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

Corrected Corrected by Jun 28, 2024

Category: physical safety. 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 #12 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person # 12 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 #12-, staff person #12 may not work in a child-care position at the facility

Staff person # 12 has not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): 10 hour health and safety training.

Corrected Corrected by Jul 17, 2024

Category: supervision. 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 #3, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/9/24 and pediatric CPR/FA training date of 3/18/24. The file for staff #4 lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training on file date of 6/11/24. The file for staff #5, lacked health and safety training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 6/11/24. The file for staff #8, lacked health and safety training and pediatric CPR/FA training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the health and safety training date of 2/19/24 and pediatric CPR/FA training date of 3/18/24.

Corrected Corrected by Jun 20, 2024

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). Facility Person # 14 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The files for staff #6 and 10 lack the full disclosure statement. Not all pages were in the file. The file for staff #11, who was a provisional hire, lacked FBI fingerprint receipt on or before initial start date in a child care position. FBI fingerprint date is 6/17/24. SEE IS CODE SHEET. There is now an FBI on file and dated 6/17/24. The file for staff #13 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 6/17/24. The file for staff #14, who was a provisional hire, lacked a DHS FBI fingerprint receipt on or before initial start date in a child care position. SEE IS CODE SHEET. FBI fingerprint date is 6/13/24. The FBI clearance on file dated 9/1/22 is from DOE and not DHS as required by the CPSL and NSOR on file was not provided on or before initial start date in a child care position. There is now an NSOR on file and dated 6/10/24. There is no DHS FBI clearance on file.

Corrected Corrected by Jun 28, 2024

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

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

The files for staff 3 and 4 lacked mandated reporter training within 90 days of start date. SEE IS CODE SHEET. This is evidenced by the mandated reporter training date of - Staff #3- 2/7/24 and Staff #4 - 6/10/24.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #3, who holds the title of AGS, lacks verification of a high school diploma or GED. The file for staff #4, who holds the title of AGS, lacks 2500 hours of child care experience. The file for staff #8, who holds the title of AGS, lacks verification of a high school diploma or GED. the file for staff #13, who holds the title of AGS, lacks 335 hours of child care experience.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. 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 lacks a staff evaluation within the past 12 months. This is evidenced by the current staff evaluation on file dated 12/20/22.

Corrected Corrected by Jul 22, 2024

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 (relating to similar age level).

On 6/20/24, observed staff #9 alone in the OT room with 8 OT and 1 PS. Eight of the children were on rest mats. Based on staff interviews, the 9th child was sitting in a chair because the child was not going to nap and was waiting for their parent to pick them up. Therefore, nap ratio does not apply.

Corrected Corrected by Jun 20, 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.

In the PS 4 room. observed an electrical outlet near a child's easel which lacked a protective receptacle cover.

Corrected Corrected by Jun 20, 2024

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.

Observed a toxic Golden Pothos plant in the PS 4 room which was in reach of children. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care. On a back shelf in the PS 4 Room, observed 2 bottles of hand sanitizer that were accessible to the children in care.

Corrected Corrected by Jun 20, 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.

The first aid kit in the PS 3 room lacked tweezers.

Corrected Corrected by Jun 24, 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.

The area rug in the PS 4 room, which is beige with black spots, had two areas which were fraying causing a tripping hazard.

Corrected Corrected by Jun 24, 2024

Category: physical safety. 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.

The Young Toddler exit door which leads to the outside was blocked by a garbage can and 3 floor cleaning devices. The back door of the preschool 3 room, which leads to the back hallway was obstructed by a child's table and rest equipment and the other side of said door was blocked by toys and cardboard boxes.

Corrected Corrected by Jun 20, 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 most current emergency contact information on file for child #6 lacks the phone number of the child's physician or source of medical care.

Corrected Corrected by Jul 22, 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 most current emergency contact information on file for child #1 lacks the enrolling parents work address. The most current emergency contact information on file for children #2, 6 and 7 lack the enrolling parents work address and work phone. The most current emergency contact information on file for child #4 lacks the enrolling parents work phone.

Corrected Corrected by Jul 22, 2024

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.

There was more than 12 months between health reports on file for child #1, who is of preschool age. This is evidenced by health report dates of 1/9/23 and 6/26/24.

Corrected Corrected by Jun 26, 2024

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The most current immunization record on file for child #3 contains 2 of 4 Pneumococcal immunizations for the age of the child as in accordance with the recommendations of the ACIP.

Corrected Corrected by Aug 5, 2024

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.

The most current health reports on file for children #1 and 8 lack the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Aug 5, 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.

There was more than 24 months between health assessments on file for staff #7 and 9. This is evidenced by the health assessment dates of- Staff #7 - 9/17/21 and 10/30/23 and Staff #9 - 6/10/21 and 10/30/23.

Corrected Corrected by Jun 27, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff #13, who was a rehire, lacks a TB within the past 12 months of rehire date. SEE IS CODE SHEET.

Corrected Corrected by Aug 5, 2024

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff #2 lacks an assessment of the person's suitability to provide child care and an examination for communicable diseases.

Corrected Corrected by Jun 27, 2024

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

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

Observed 5 infant bottles which lacked a label with the child's name.

Corrected Corrected by Jun 21, 2024

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.

There was more than 30 days between testing of the fire detection system which were completed as follows: 9/12/23 and 10/17/23, 11/8/23 and 12/29/23 and 2/12/24 and 3/22/24.

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #7 lacks 5 hours of child care training from 12/2022 - 12/2023.

Corrected Corrected by Aug 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

In the restroom it was observed that a handwashing sign was not posted above the toilet in the middle stall.

Corrected Corrected by Jun 7, 2023

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

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

The file for staff person #2 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/24/23.The file for staff person #5 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 5/27/23. The file for staff person #7 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training. The file for staff person #9 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training taken prior to the deadline date of 12/30/22. The Pennsylvania Health and Safety Update 2022 training in the file was dated 1/11/23.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1, whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked an FBI Clearance that was completed 60 months from the previous FBI Clearance. The FBI Clearances in the file are dated 3/19/18 and 5/25/23. The file for staff person #8, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked a valid FBI Clearance. The FBI Clearance in the file was completed through the Public Department of Education instead of the Department of Human Services as required.

Corrected Corrected by Jul 13, 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 person #4 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/7/21 and 12/20/22. The file for staff person #7 lacked a written evaluation that was completed 12 months from the previous written evaluation. The written evaluations in the file are dated 12/17/21 and 12/20/22.

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #6 lacked a high school diploma.

Corrected Corrected by Aug 11, 2023

Category: supervision. Marked corrected in the state record.

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

In Preschool 4 it was observed that a protective receptacle cover was missing in the outlet near the kitchen play area.

Corrected Corrected by Jun 7, 2023

Marked corrected in the state record.

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

In the school-age classroom a lego was observed to be broken creating rough edges and sharp corners. In Preschool 4 a bin with wooden blocks in it was observed to be broken causing rough edges and sharp corners. In Preschool 4 a bin with legos in it was observed to be broken causing rough edges, sharp corners, and pinch and crush points.

Corrected Corrected by Jun 7, 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.

The file for child #1 lacked emergency contact information that included the address and telephone number of the child's physician.

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 file for child #1 lacked emergency contact information that included the work addresses and work telephone numbers of the enrolling parent.

Corrected Corrected by Jul 14, 2023

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 #2 lacked a child health report that was updated 12 months from the previous child health report. The child health reports in the file are dated 8/31/21 and 3/14/23.

Corrected Corrected by Jun 7, 2023

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

In the older toddler room an albuterol inhaler was observed not to be in an original container.

Corrected Corrected by Jul 21, 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 person #1 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/24/20 and 11/21/22. The file for staff person #7 lacked health assessments that were completed 24 months from the previous health assessment. The health assessments in the file are dated 7/2/20 and 11/11/22.

Corrected Corrected by Jun 7, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff person #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. There was one nonfamily reference letter in the file.

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #4 lacked an annual minimum of 12 clock hours of child care training. There were 6 child care training hours in the file.

Corrected Corrected by Jun 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

The file for staff person #1 lacks valid training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f). The training in the file is dated 8/29/16. The file for staff person #2 lacked training in health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) within 90 days of hire (See LIS CODE SHEET). The training in the file is dated 5/31/22.

Corrected Corrected by Jul 15, 2022

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.

In the Preschool 3 room wooden toy blocks were observed that were splintered causing rough edges.

Corrected Corrected by Jun 3, 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 children #1, #2, and #3 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

Corrected Corrected by Jun 10, 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 #4 lacked emergency contact information that included 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.

Corrected Corrected by Jun 10, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

In the Preschool 3 room Motrin and an Epi pen was observed to be expired. In the Older Toddler room a Tylenol was observed to be expired.

Corrected Corrected by Jun 10, 2022

Category: health medication. 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.

It was observed that the smoke detection system was checked more than 30 days in between the following dates 3/14/22 and 4/22/22.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left alone on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

Corrected Corrected by Jun 1, 2022

Category: ratio. 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 on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

Corrected Corrected by Jun 1, 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.

During the complaint investigation on 6/3/22 a video of an incident was viewed by the certification representative. Staff person #1 and staff person #2 took 8 older toddlers inside after playing on the playground. After the staff and children left the playground child #1 came out of a playhouse and was left unsupervised on the playground from 11:50am until 12:21pm. At 12:21pm staff person #1 came back out to the playground to get child #1 to take child #1 back inside the childcare.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.