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.

At the time of inspection, staff person #1 did not have the required documented Health and Safety Training on file.

Corrected Corrected by Apr 1, 2025

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.

At the time of inspection, staff persons #1 and #2 did not have verification of Emergency Plan Training for the facility.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a childcare position at the facility.

At the time of inspection, staff person #2 was observed caring for children without documentation of PA State Clearance, FBI Clearance, National Sex Offender's Registry Clearance or Mandated Reporter Training.

Corrected Corrected by Apr 1, 2025

Category: background checks. 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a childcare 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. Facility Person #2 may not work in a childcare position at the facility.

At the time of inspection, staff person #2 was observed caring for children without documentation of PA State Clearance, FBI Clearance, National Sex Offender's Registry Clearance or Mandated Reporter Training.

Corrected Corrected by Apr 1, 2025

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

3270.36(b)(1)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

At the time of inspection, staff person #1 did not have verification of experience and education on file.

Corrected Corrected by Apr 1, 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.

At the time of inspection, the cabinet under the bathroom sink had a Zep cleaning solution in its original container that warned, keep out of reach of children that was unlocked and accessible to children.

Corrected Corrected by Apr 1, 2025

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of inspection, the children's cots were not labeled for the use of a specific child.

Corrected Corrected by Apr 1, 2025

Category: physical safety. 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.

At the time of inspection, staff persons #1 and #2 did not have a health assessment on file.

Corrected Corrected by Apr 1, 2025

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.

At the time of inspection, staff persons #1 and #2 did not have the required two nonfamily references on file.

Corrected Corrected by Apr 1, 2025

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#1 shall complete updated health and safety training. Staff person#1 shall complete the required updated training by 10/0/23. Until such training is completed staff person#1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervised staff person#1 may not work in a child care position at the facility.

While conducting a renewal inspection it was observed staff person# 1 file did not include updated health and safety training.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

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

While conducting a renewal inspection it was observed the first aid kit was inaccessible to children in the main child care space.

Corrected Corrected by Oct 4, 2023

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.

While conducting a renewal inspection it was observed the facility emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 12, 2023

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

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

During the inspection on 10/14/2022 toxics (Purell surface cleaner, hand sanitizer and glass cleaner) were observed accessible to children in the bathroom and near the front door of the facility.

Corrected Corrected by Oct 14, 2022

Marked corrected in the state record.

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

During the inspection on 10/14/2022 the hot water temperature measured 112.3° F.

Corrected Corrected by Oct 14, 2022

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the inspection on 10/14/2022 exposed hot water pipes were observed in the bathroom accessible to children. This poses a threat to the health and safety of children.

Corrected Corrected by Oct 14, 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.

During the inspection on 10/12/2022 the file record for child # 2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable on the emergency contact form.

Corrected Corrected by Oct 21, 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.

During the inspection on 10/14/2022 the file records for child # 2,3 and 4 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7)/3270.131(d)(8) · 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.A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During the inspection on 10/14/2022 the file record for child # 2 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease and did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Nov 14, 2022

Category: health medication. 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.

During the inspection on 10/14/2022 the file records for child#1,2,3,4,5,6, and 7 did not include a 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.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. 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.

During the inspection 10/14/2022 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care training.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.101(c)(6) · Play equipment and materials shall include toys and equipment for large muscle development.

During the physical inspection on 11/5/2021 the facility did not have play toys and equipment for large muscle development.

Corrected Corrected by Nov 6, 2021

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

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

During the electronic inspection on 10/22/2021 the file records for child # 1 and 3 did not include an agreement that specified the date of the child's admission.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. 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. Facility Person #1--- may not work in a child care position at the facility.

During the electronic inspection on 10/22/2021 the file for staff person #1 included a FBI clearance that had expired (dated: 7/28/2016). Facility Person #1--- may not work in a child care position at the facility.

Corrected Corrected by Nov 5, 2021

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

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

During the physical inspection on 11/5/2021 the outdoor play space was observed having stairs that led to a apartment above the facility easily accessible to the children. This condition posing a threat to the health and safety of the children.

Corrected Corrected by Nov 4, 2021

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.

During the electronic inspection on 10/22/2021 the file record for child #4 did not include the home and work addresses and telephone numbers of the enrolling parent. on the emergency contact form.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. 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.

During the electronic inspection on 10/22/2021 the file records for child # 4, and 5 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During the electronic inspection on 10/22/2021 the file record for child # 1did not include a health assessment that included 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 Dec 5, 2021

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

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

During the electronic inspection on 10/22/2021 the file record for child #1 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Dec 5, 2021

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the electronic inspection on 10/22/2021 the file record for child # 2 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. 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.

During the electronic inspection 10/22/2021 the file record child#2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 8, 2021

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

During the electronic inspection on 10/22/2021 the file record for child # 2 did not include signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Nov 8, 2021

Category: transportation. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During the physical inspection on 11/5/2021 the facility's emergency plan did not provide

Corrected Corrected by Nov 8, 2021

Category: physical safety. 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.

During the remote inspection on 11/4/2021 the facility did not have the current regulations and the facility did not 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.

Corrected Corrected by Nov 5, 2021

Marked corrected in the state record.

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

During the physical inspection on 11/5/2021 the emergency plan training did not include procedures for lock-down.

Corrected Corrected by Nov 8, 2021

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.

During the electronic inspection on 10/22/2021 the file records for child #2 and 3 did not include the date of the health assessment.

Corrected Corrected by Dec 5, 2021

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