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.

During the renewal inspection on 04/03/25 the file reviewed for staff person #1 did not reflect annual emergency plan training.

Corrected Corrected by May 14, 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.

During the renewal inspection on 04/03/25 the file reviewed for staff person #1 did not contain pediatric first aid/CPR training conducted by a PQAS certified instructor.

Corrected Corrected by May 14, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

During the renewal inspection on 04/03/25 the file reviewed for staff person #1 did not include annual fire safety training.

Corrected Corrected by May 14, 2025

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.

During the renewal inspection on 04/03/25 the file reviewed for staff person #1 did not include a written annual evaluation.

Corrected Corrected by May 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 04/03/25 the fee agreement reviewed for child #1 did not include child's arrival and departure times.

Corrected Corrected by May 14, 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.

During the renewal inspection on 04/03/25 the file reviewed for child #1 and child #2 did not include the child's date of admission.

Corrected Corrected by May 14, 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.

During the renewal inspection on 04/03/25 the emergency contact form reviewed for child #1 and child #2 did not contain signed parental consent for emergency medical care.

Corrected Corrected by May 14, 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.

During the renewal inspection on 04/03/25 the emergency contact form reviewed for child #1 and child #2 did not include child's health insurance policy coverage and policy number.

Corrected Corrected by May 14, 2025

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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.

During the renewal inspection on 04/03/25 the file reviewed for staff person #1 did not include an updated health assessment with physical examination.

Corrected Corrected by May 14, 2025

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 renewal inspection the emergency contact form and fee agreement for child #1 and child #2 was not updated/reviewed within 6-month period. The file for child #4 did not contain an emergency contact form or fee agreement.

Corrected Corrected by May 14, 2025

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 renewal inspection on 04/03/25 the file reviewed for staff person #1 did not reflect 12 hours of annual childcare training.

Corrected Corrected by May 14, 2025

Category: recordkeeping. 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.

During the renewal inspection on 04/03/25 the file reviewed for child #3 and child #4 did not include initial health assessment.

Corrected Corrected by May 14, 2025

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

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

During the renewal inspection on 04/03/24 the file reviewed for child #1, child #2 and child #3 did not contain a fee agreement.

Corrected Corrected by Apr 26, 2024

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.

During the renewal inspection the file reviewed for child #1, child #2 and child #3 did not include date of admission.

Corrected Corrected by Apr 26, 2024

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.

During the renewal inspection on 04/03/24 the emergency contact form reviewed for child #2 and child #3 did not include child's health insurance coverage and policy number.

Corrected Corrected by Apr 26, 2024

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

3270.124(f)/3270.181(c) · 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.

During the renewal inspection on 04/03/24 the emergency contact form reviewed for child #2 and child #3 were not reviewed/updated within 6-month time period. The file reviewed for child #1 did not contain an emergency contact form.

Corrected Corrected by Apr 26, 2024

Category: recordkeeping. 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.

During the renewal inspection on 04/03/24 the file reviewed for staff person #1 did not include initial health assessment at time of hire.

Corrected Corrected by Apr 26, 2024

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

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection on 04/03/24 provider did not provide documentation confirming annual emergency drill.

Corrected Corrected by Apr 26, 2024

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 renewal inspection on 04/03/24 the file reviewed for child #2 and child #3 did not contain a health report.

Corrected Corrected by Apr 26, 2024

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

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

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

Corrected Corrected by Jul 16, 2023

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. The legal entity must hire an additional staff person. Submit a completed staff file for the new hire. Ensure that staff/child ratios are maintained at all times.

On 6/1/6/23, one staff person was observed caring for two children and there were no other facilty persons present in the facility.

Corrected Corrected by Jul 17, 2023

Category: ratio. Marked corrected in the state record.

3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Amend the parent handbook to include all of the required policies in accordance with 55 PA Code 3270. Submit a copy of the amended parent handbook for verification of compliance.

Written parental information to be given to parents at the time of enrollment did not include all of the policies as specified in this regulation.

Corrected Corrected by Jul 16, 2023

Category: supervision. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Develop and submit written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. Post the plan in each child care space and ensure that it accompanies staff persons who leave on excursions with children.

The facility lacked a written, posted plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency in accordance with this regulation.

Corrected Corrected by Jul 16, 2023

Category: transportation. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. . Develop, post and submit written safe routes notification as specified.

Safe routes, including safe pedestrian crossways, pick-up and drop-off points and bike routes were not appropriately determined in the vicinity of the facility, communicated to the children and parents in writing and posted.

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.

3270.191 · An individual record is required for each facility person. Obtain and submit a copy of the completed file for the identified facility person. Ensure that each facility person has a completed individual record.

The operator indicated that there was a second facilty person hired to work at the facility and the facility person did not have an individual record that was presented at the time of the inspection.

Corrected Corrected by Jul 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. 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 childcare office.

The operator 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 Jul 16, 2023

Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Provide and submit verification of written notification of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility to the local safety authorities as specified. Ensure that this notification is sent annually.

The operator lacked verification of the annual written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Corrected Corrected by Jul 16, 2023

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. Provide and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

One staff person's record did not contain written verification of initial emergency plan training. (staff #2)

Corrected Corrected by Dec 18, 2022

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. Obtain and submit acceptable, legible written verification of education for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification of education and for their assistant group supervisor position. (staff #2)

Corrected Corrected by Dec 18, 2022

Category: supervision. 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. Obtain and submit a current up-to-date health assessment for the identified staff persons. Ensure that staff health assessments are completed within the required timeframes as specified in this regulation.

Two staff person's records did not contain a health assessment completed within 12 months prior to the date of hire.

Corrected Corrected by Dec 18, 2022

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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Each only contained one. (Staff #1 and #2)

Corrected Corrected by Dec 18, 2022

Category: recordkeeping. Marked corrected in the state record.