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 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 #5 must be dismissed from care by close of business on 11-18-25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
The file for child #5, a 15 month old enrolled more than 60 days at the facility, lacked documentation of the 3rd DTAP and Pneumococcal vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.
3270.131(e)(1)/3270.131(e)(3) · Corrected Dec 1, 2025
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 files for child #1, #3, and #4 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.
The file for child #2 had an emergency contact form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.
3270.182(3)/3270.182(5) · Corrected Dec 1, 2025
Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person #1, #2, #3, and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, and #4, staff person #1, #2, #3, and #4 may not work in a child-care position at the facility.
The file for staff person #1 had pediatric first-aid/CPR training with an expiration date of September 2024 and lacked current training.
The files for staff person #2, #3, and #4 had pediatric first-aid/CPR training with an expiration date of October 2024 and lacked current training.
3270.31(e)(4)(i) · Corrected Nov 11, 2024
An agreement shall specify the persons designated by a parent to whom the child may be released.
The files for child #1, #2, #3, #4, and #5 had an agreement that lacked the persons designated by a parent to whom the child may be released.
3270.123(a)(5) · Corrected Nov 7, 2024
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 file for child #3 lacked a current emergency contact form updated by the parent within the last 6 months.
The file for child #6 lacked a current agreement updated by the parent within the last 6 months.
The files for child #1 and #6 had an emergency contact form that exceeded 6 months between parent updates.
The files for child #1, #3, and #5 had an agreement that exceeded 6 months between parent updates.
3270.181(c) · Corrected Nov 7, 2024
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 files for child #1, #3, and #5, preschoolers, had a health assessment that exceeded 12 months between assessments.
3270.131(b)(2)/3270.182(1) · Corrected Nov 6, 2024
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. 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.
The file for facility person #6, who regularly interacts with enrolled children at the facility, lacked a health assessment and tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current health assessment and tuberculosis screening by the Mantoux method.
The files for staff person #3 and #4 had a health assessment that exceeded 24 months between assessments.
3270.151(a)/3270.151(c)(2) · Corrected Nov 18, 2024
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. Facility Person #1, #5, #6 may not work in a child care position at the facility.
The file for Staff person #1 did not include a criminal history clearance, child abuse clearance, or sex offender clearance from Delaware, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance. The file for Staff person #2 includes FBI clearances dated 7/24/18 and 8/3/23, more than 60 months apart. The file for Staff person #5 included a Criminal history clearance dated 10/9/23; a Child abuse clearance dated 10/11/13, both dated after the first day working with children (See LIS Code Sheet); and did not include an NSOR certificate, and the signed Disclosure statement was not dated, making it invalid. The file for Staff person #6 did not include a child abuse clearance, or sex offender clearance from West Virginia, where the staff person resided in the 5 years prior to hire (See IS CODE SHEET) required for CPSL compliance.
3270.32(a)/3270.192(4) · Corrected Dec 22, 2023
A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff person #1 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment is not dated, making it invalid. The 2 most recent health assessments on file for Staff person #3 were dated 2/25/20 and 3/17/22, more than 24 months apart.
3270.151(a)/3270.192(3) · Corrected Dec 4, 2023
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 #6 and #7 does not indicate if the child has special needs as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
3270.124(b)(5) · Corrected Feb 16, 2023
The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #2, are dated 12/28/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #3 are dated 12/29/21 and 7/25/22, more than 6 months apart. The two most recent 6 month review signatures for the emergency contact form and agreement on file for Child #5 are dated 1/10/22 and 8/4/22, more than 6 months apart.
3270.124(f)/3270.181(c) · Corrected Jan 19, 2023
A health report shall include a review of the child's immunized status according to 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 immunization record on file for Child #1, who is 15 months old, does not include an influenza vaccination, which is recommended annually by the ACIP for a child this age. The most recent influenza vaccination on file for Child #2, who is 2 years old, is dated 11/2/21, more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #7, who is 3 years old, is dated 12/2/21, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #6, who is 6 months old, includes 1 of 2 Hepatitis B immunizations; 1 of 2 Rotavirus immunizations; 1 of 2 DTAP immunizations; 1 of 2 HIB immunizations; 1 of 2 Pneumococcal immunizations; and 1 of 2 Polio immunizations, recommended for a child this age by the ACIP.
3270.131(d)(5)/3270.131(e)(1) · Corrected Feb 21, 2023
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 files for Staff #5, an existing staff member, included certification in pediatric first-aid and CPR dated 2/25/22;. Certification was due 6/17/21, 180 days following the implementation of the current regulations.
3270.31(e)(4)(i) · Corrected Jan 19, 2023
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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The 2 most recent emergency plan trainings on file for Staff person #5 are dated 1/8/21 and 10/25/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #7 are dated 1/6/21 and 10/24/22, more than a year apart. The 2 most recent emergency plan trainings on file for Staff person #9 are dated 12/10/20 and 10/10/22, more than a year apart.
3270.27(c)/3270.192(2)(iii) · Corrected Jan 19, 2023
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 Disclosure Statement on file for Staff person #2 is not dated, making it invalid. The file for Staff person #4 includes a criminal history clearance dated 7/11/22, a child abuse clearance dated 7/13/22, and an NSOR certificate dated 4/13/22, all dated after the first date working with children (See LIS Code Sheet). The file for Staff person #10, who was a re-hire, does not include a new signed Disclosure Statement signed upon the re-hire date.
3270.32(a)/3270.192(4) · Corrected Feb 16, 2023
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 2 most recent health assessments on file for Staff person #1 were dated 1/12/21 and 1/16/23, more than 24 months apart. The initial health assessment on file for Staff person #2 is dated more than 1 year prior to hire (See LIS Code Sheet). The 2 most recent health assessments on file for Staff person #3 were dated 3/5/19 and 4/15/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 10/22/18 and 2/25/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 2/25/20 and 3/17/22, more than 24 months apart. The initial health assessment and Tuberculosis test on file for Staff person #10 are dated more than 1 year prior to the staff person's re- hire date. (See LIS Code Sheet).
3270.151(a)/3270.192(3) · Corrected Feb 16, 2023
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 person #11, classified as an Assistant Group Supervisor, does not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or a high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience. The file for Staff person #7, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.
3270.33(a)/3270.192(2)(ii) · Corrected Feb 17, 2023
The file for Staff #2, with a hire date of 6.12.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
The file for Staff #3, with a hire date of 10.10.18, obtained Pediatric First-Aid/CPR trainings on 10.11.18 and 11.29.21, which was beyond the expiration date of the 2018 training.
The file for Staff #5, with a hire date of 2.25.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19, which has expired, and no additional training has been taken.
The file for Staff #8, with a hire date of 3.11.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
The file for Staff #9, with a hire date of 10.21.19, obtained Pediatric First-Aid/CPR trainings on 8.20.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
The file for Staff #10, with a hire date of 5.6.19, obtained Pediatric First-Aid/CPR trainings on 10.29.19, which has expired, and no additional training has been taken.
The file for Staff #12, with a hire date of 5.21.18, obtained Pediatric First-Aid/CPR trainings on 9.19.17 and 10.29.19, which was beyond the expiration date of the 2017 training, and the 2019 certification has expired.
The file for Staff #13, with a hire date of 9.30.13, obtained the most recent Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
The file for Staff #14, with a hire date of 12.21.17, obtained Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
The file for Staff #15, with a hire date of 8.19.08, obtained the most recent Pediatric First-Aid/CPR trainings on 10.29.19 and 11.29.21, which was beyond the expiration date of the 2019 training.
Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
A Borax cleaner, located in the bottom blue, unlocked base cabinet in the back of the school-age room, was accessible to children and contained the statement, "Keep out of reach of children."
3270.66(a) · Corrected Jan 19, 2022
The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by a telephone in the school-age room.
3270.74 · Corrected Jan 19, 2022
Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The emergency contact form for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 did not contain the telephone number of the child's physician or source of medical care.
3270.124(b)(2) · Corrected Feb 3, 2022
A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #2, with Health Assessments dated 7.5.18 and 9.28.20, did not show that they were completed within 24 months.
The file for Staff #3, with Health Assessments dated 10.9.18 and 1.11.22, did not show that they were completed within 24 months.
The file for Staff #4, with a hire date of 2.9.21 and a start date of 2.23.21, did not show an Health Assessment until 3.23.21.
The file for Staff #9, with Health Assessments dated 2.5.19 and 1.13.22, did not show that they were completed within 24 months.
The file for Staff #11, with a hire date of 11.30.20 and a start date of 12.7.20, did not show an Health Assessment until 12.12.20.
3270.151(a)/3270.192(3) · Corrected Feb 9, 2022
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.
Staff #4, with a hire date/start date of 2.23.21, did not obtain a State Police Clearance until 12.6.21, and did not provide proof of applying for missing clearance.
Staff #6, with a hire date/start date of 5.8.19, did not obtain a Child Abuse Clearance until 5.14.19, and did not provide proof of applying for missing clearance.
Staff #9, with a hire date/start date of 10.21.19, did not obtain a Child Abuse Clearance until 10.22.19, an FBI Clearance until 10.22.19, and an NSOR Certificate until 12.24.19, and did not provide proof of applying for missing clearance and certificate.
Staff #11, with a hire date of 11.30.20 and a start date of 12.7.20, did not obtain an NSOR Certificate until 12.8.20, and did not provide proof of applying for the missing certificate.
3270.32(a)/3270.192(4) · Corrected Feb 9, 2022