1st Years Day Care Center Llc

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.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected by Nov 3, 2025

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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 # 3 lacked a current Pediatric First Aid and Pediatric CPR training. the previous Pediatric First Aid and Pediatric CPR training was dated 8/20/23-8/25.

Corrected by Nov 3, 2025

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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 #2 may not work in a child care position at the facility.

The file for staff # 4 lacked NSOR clearance.

Corrected by Nov 3, 2025

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

There was a Dermasil Labs cream a Vitamin E oil and Lisol disinfecting wipes label " Keep out of reach of children" on top of the desk in the PS room accessible to children.

Corrected by Nov 3, 2025

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

There was a Sanitizing Spray on a shelf among food in the kitchen.

Corrected by Nov 3, 2025

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

There was a cracked blue basket in the SA room.

Corrected by Nov 3, 2025

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The thermometer in the kitchen refrigerator was 50 degrees.

Corrected by Nov 3, 2025

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child #1 lacked a CRS withing 6 months, the last CRS was dated 12/18/24.

Corrected by Nov 3, 2025

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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.

The file for child # 1 contained an agreement form that has not been reviewed withing 6 months period from the last review in 1/10/24. The file for child # 3 contained an emergency contact form that has not been reviewed withing 6 months period 6/12/24-5/22/25.

Corrected by Nov 3, 2025

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator was not maintaining a medication log for a prescription medication Albuterol and nonprescription medication Children's Acetaminophen for child #4.

Corrected by Nov 3, 2025

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff#1 contained a current health report dated 7/18/24 that was not obtained within 24 months off the previous health report dated 5/9/22.

Corrected by Nov 3, 2025

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3270.151(c)(2) · 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 staff # 2 lacked the date of her TB test on her health report.

Corrected by Nov 3, 2025

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3270.192(2)(iii) · 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 #4 lacked proof of education, and verification of childcare experience.

Corrected by Nov 4, 2025

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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 #4 lacked one written recommendation letter.

Corrected by Nov 4, 2025

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3270.131(a)/3270.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #2 must be dismissed from care by close of business 10/14/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 2 a preschooler lacked an initial health report. The child has been in care longer than 60days. The child start dated was 3/17/25.

Corrected by Nov 4, 2025

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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.

There was a toxic plan accessible to children in the playground. There was a Lonicera Xylosteun on the fence.

Corrected by Oct 30, 2024

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3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There was a garbage can that contained contaminated by human secretions trash without a lid in the preschool room.

Corrected by Oct 30, 2024

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

There was a broken ceiling tyle in the preschool room.

Corrected by Oct 30, 2024

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

There was damage plaster and peeling paint on the kitchen wall. There was damage plaster on the school age bathroom ceiling.

Corrected by Oct 30, 2024

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

There was a cracked red plastic basket in the school age room. There was a cracked green pencil box in the YT room.

Corrected by Oct 30, 2024

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for child # 1 a toddler contained a current health report dated 7/1/24 that was not updated within 6 months. The previous report was dated 2/3/23.

Corrected by Oct 30, 2024

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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 a preschooler contained a current health report dated 12/13/23. The report was obtained after 12 months from the prior report dated 9/6/22.

Corrected by Oct 30, 2024

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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 5/24/24 at approximately 9:10 am, there were two staff in the toddler room with 6 older toddlers and 1 young toddler. Staff #1 left the room with 1 older toddler, to go to the bathroom. Staff #2 was left in the toddler room with 5 older toddlers and 1 young toddler. On 5/24/24 at approximately 9:10 am, 8 preschoolers and 1 young school aged child were unsupervised in the preschool room. Staff #3 who was responsible for supervising the children, left the preschool room to open the main entrance door located outside of the preschool room.

Corrected by May 24, 2024

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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.

On 5/24/24 at approximately 9:10 am, 8 preschoolers and 1 young school aged child were unsupervised in the preschool room. Staff #3 who was responsible for supervising the children, left the preschool room to open the main entrance door located outside of the preschool room.

Corrected by May 24, 2024

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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.

On 5/24/24 at approximately 9:10 am, there were two staff in the toddler room with 6 older toddlers and 1 young toddler. Staff #1 left the room with 1 older toddler, to go to the bathroom. Staff #2 was left in the toddler room with 5 older toddlers and 1 young toddler. On 5/24/24 at approximately 9:10 am, 8 preschoolers and 1 young school aged child were unsupervised in the preschool room. Staff #3 who was responsible for supervising the children, left the preschool room to open the main entrance door located outside of the preschool room.

Corrected by Sep 13, 2024

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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 #2 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

Corrected by Jun 1, 2023

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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 # 1 contained a current Health and Safety Updated training dated 9/23/23, that was not completed by 12/30/22.

Corrected by Sep 23, 2023

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

There were 3 uncovered outlets in the room between preschool and YT room accessible to children 5 years of age or younger.

Corrected by Oct 10, 2023

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

There was a damaged heater cover in the school age room. There was a beehive on the playroom stairway deck.

Corrected by Oct 27, 2023

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

There were 2 cracked bins in the preschool room. There was a cracked bin in the YT room. There were two cracked bins and a broken easel in the school age room. There was a cracked bench toy, there were 3 brocken plastic panels on the floor and a green tittle sand box filled with water in the playground.

Corrected by Oct 10, 2023

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3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

There were two highchairs with missing straps in the YT room.

Corrected by Oct 11, 2023

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3270.108(c) · Styrofoam cups and plates may not be used.

There was an OT eating lunch on a Styrofoam plate.

Corrected by Oct 10, 2023

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

The files for child # 1,2,3 and 4 lacked the child's arrival and departure times in the agreement form.

Corrected by Oct 24, 2023

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for child # 1 a young toddler contained a current health report dated 8/18/23 that was not updated withing 6 months from the previous report dated 2/22/22.

Corrected by Aug 18, 2023

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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). Child # 2 and 4 must be dismissed from care by close of business 10/10/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

The files for child # 2 and 4 are missing a dose of the influenza vaccine.

Corrected by Oct 11, 2023

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3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff # 1 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can. The garbage can in the diaper changing area in the YT and the infant room were not operating as hand free.

Corrected by Oct 10, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

According to the Fire Drill Log, the tests were greater than 60 days apart from 5/9/23 to 7/15/23.

Corrected by Oct 12, 2023

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

There was peeling paint on the wall by the infant room door.

Corrected by Oct 4, 2022

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

There was a cracked sink in the upstairs school age bathroom.

Corrected by Oct 4, 2022

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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 files for staff #1 and 2 has a current pediatric first-aid and pediatric CPR certification dated 11/14/21-11/14/23. The certification was not renewed prior to the expiration of the previous certification dated 11/10/19-11/10/21.

Corrected by Nov 14, 2021

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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.

The wooden stairs, not used by the childcare children, are accessible to children in the play space and lead to the school-age area on the second floor, approximately 2 stories above the play space. The wooden staircase and wooden railing had areas of splintering wood and exposed nails. There was a large rectangular air conditioning unit connected to a metal breaker box which had an exposed red leaver accessible to children in the outdoor play space.

Corrected by Nov 7, 2022

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

There were two uncovered electrical outlets in the older toddler room purple wall by the phone accessible to children 5 years of age or younger.

Corrected by Oct 4, 2022

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

There was a dry erase board cleaner label "Keep out of reach of children" on the window frame assessable to children in the preschool room.

Corrected by Oct 4, 2022

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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 School age room lacked scissors.

Corrected by Oct 4, 2022

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

There was a playhouse in pieces on a pile on the left side corner of the playground. There was an aluminum downspout extension that extended into the play space exposing sharp edges. There were two damaged lights in the infant room.

Corrected by Oct 4, 2022

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

There was a cracked purple basket in the school age room. There was a cracked clear bin in the preschool room There was a sand box with chipped sharp edges in the preschool room. There was a blue plastic cracked bin in the older toddler room.

Corrected by Oct 4, 2022

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files for child # 1 and 2 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected by Oct 4, 2022

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

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

Corrected by Nov 7, 2022

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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 # 3 lacked the information on the child's special needs, on the emergency contact form.

Corrected by Nov 7, 2022

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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.

The file for child # 3 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected by Nov 7, 2022

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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 # 1 an older toddler lacked an updated health report . The previous report was dated 2/3/21.

Corrected by Oct 7, 2022

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3270.131(e)(1) · 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 files for Child # 4 lacks documentation of a current influenza immunization as recommended by the ACIP

Corrected by Oct 4, 2022

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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.

The file for staff # 1 lacked an updated health assessment . The prior health assessments is dated 6/3/20.

Corrected by Nov 23, 2022

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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.

The file for child # 2 contained a current health report that was obtained after 60 days following the first day of attendance at the facility. The child start date was 6/29/22 and the health report was dated 9/15/22.

Corrected by Oct 4, 2022

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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.

The operator did not 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. The previous letter was sent on 10/22/20.

Corrected by Oct 4, 2022

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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.

The last two emergency plan trainings in the file for staff person #3 were dated more than 12 months apart.

Corrected by Oct 19, 2021

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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 #5, who had worked more than 45 days, did not include an NSOR certificate. The file also included a disclosure statement and proof of NSOR that were both dated after their first day working with children and there was no witness signature on the disclosure statement..

Corrected by Nov 12, 2021

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3270.32(a)/3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The mandated reporter training in the file for staff person #4 was dated more than 90 days after their first day working with children.

Corrected by Nov 12, 2021

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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 #1 and #2, both working with children for more than 12 months, did not include an evaluation by the director.

Corrected by Dec 17, 2021

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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).

At approximately 9:05 am, upon entering the front door of the facility, 2 young toddlers were observed in the front hallway, which is not measured child care space, one sitting in a highchair and one strapped into an umbrella stroller. 5 children were observed in the breakfast room (first room to the right), a combined group of 3 younger toddlers and 2 older toddlers. At the same time, staff person #6, the director, was observed standing in the front hallway and staff person #3 was observed moving between the breakfast room and the hallway to attend to the children in those two separate spaces. When in the hallway, staff person #3 was not physically present in the same space with the 5 children in the breakfast room. Based on conversation with staff person #6, who was still wearing their coat, they had just arrived at the facility and had run late due to a traffic accident. Based on conversation with staff person #3, they were responsible for all 7 children, placing them out of ratio.

Corrected by Oct 19, 2021

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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.

Based on conversation with the director and on review of attendance sheets, staff person #1 was alone at the facility between approximately 6:45 am and 7:55 am, when staff person #3 arrived. During this time, up to 4 children were in care before the 2nd staff person arrived.

Corrected by Oct 19, 2021

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 9:05 am, upon entering the front door of the facility, 2 young toddlers were observed in the front hallway, which is not measured child care space, one sitting in a highchair and one strapped into an umbrella stroller. Staff person #6, the director, was observed standing in the front hallway and staff person #3 was observed moving between the breakfast room and the hallway to attend to the children in those two separate spaces.

Corrected by Oct 19, 2021

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

The closet in the 1st floor hallway was unlocked, making the following toxics available to the children in care: On the floor were 2 cans of Lysol disinfectant spray, 2 bottles of Lysol all purpose cleaner, several bottles of glass and surface cleaner, a bottle of Lysol with bleach spray, Glade carpet and room freshener, and a can of Kaboom bathroom cleaner. On the 1st shelf was a large jug of Chlorox bleach. On a shelf above the sink in the older toddler room, there was a can of Lysol disinfectant spray and a spray bottle of bleach water, which were accessible to some of the 2 year-olds in the room at the time. In the preschool room, there was a tub of Endust screen and electronic wipes under the staff person's desk, making it accessible to the preschoolers in care. All items included instructions to keep out of the reach of children.

Corrected by Dec 17, 2021

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled spray bottle of clear liquid was observed on a shelf above the sink in the older toddler room. Based on conversation with staff person #4, the liquid was bleach water.

Corrected by Dec 17, 2021

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3270.74 · 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.

There were no emergency phone numbers posted in the preschool room.

Corrected by Oct 19, 2021

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

The first-aid kit was in a bookbag on a low hook in the older toddler room, making it accessible to the children in care.

Corrected by Oct 19, 2021

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

There were small areas of peeling paint observed on the pipes running from floor to ceiling near the window in the infant room. In the rear school-age room on the second floor, there were several small areas of peeling paint on the wall shared with the front room.

Corrected by Dec 17, 2021

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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.

After diapering a young toddler, staff person #6, the director, placed soap on a wipe and wiped the child's hands. Based on conversation with the staff person, there was not enough water in the cooler to wash hands with soap and running water. There was not a handwashing sign at each of the toilets in both downstairs bathrooms.

Corrected by Dec 17, 2021

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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.

There was a large tear in the plastic covering on the seat of the blue vinyl couch in the breakfast room, whose pieces pose a choking hazard to the toddlers in care at the time.

Corrected by Dec 17, 2021

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

There was a large tear in the plastic covering on the seat of the blue vinyl couch in the breakfast room, whose pieces pose a choking hazard to the toddlers in care at the time.

Corrected by Dec 17, 2021

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3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

At approximately 9:05 am, upon entering the front door of the facility, 2 young toddlers were observed in the front hallway, which is not measured childcare space, one sitting in a highchair and one strapped into an umbrella stroller. Neither child was observed eating. Approximately 5 minutes later, staff person #6, the director, dragged the children, still in the stroller and high chair, into the infant room, until this certification representative asked that the children be removed from the equipment at approximately 9:15 am.

Corrected by Oct 19, 2021

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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.

At approximately 9:05 am, upon entering the front door of the facility, 2 young toddlers were observed in the front hallway, which is not measured child care space, one sitting in a highchair and one strapped into an umbrella stroller. 5 children were observed in the breakfast room (first room to the right), a combined group of 3 younger toddlers and 2 older toddlers. At the same time, staff person #6, the director, was observed standing in the front hallway and staff person #3 was observed moving between the breakfast room and the hallway to attend to the children in those two separate spaces. When in the hallway, staff person #3 was not physically present in the same space with the 5 children in the breakfast room. Based on conversation with staff person #6, who was still wearing their coat, they had just arrived at the facility and had run late due to a traffic accident. Based on conversation with staff person #3, they were responsible for all 7 children, placing them out of ratio.

Corrected by Oct 19, 2021

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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.

Based on conversation with the operator, the system is interconnected but was purchased by the previous owner. The previous owner does not have the proof of purchase of the fire detection system.

Corrected by Dec 17, 2021

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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 approximately 9:05 am, upon entering the front door of the facility, 2 young toddlers were observed in the front hallway, which is not measured child care space, one sitting in a highchair and one strapped into an umbrella stroller. 5 children were observed in the breakfast room (first room to the right), a combined group of 3 younger toddlers and 2 older toddlers. At the same time, staff person #6, the director, was observed standing in the front hallway and staff person #3 was observed moving between the breakfast room and the hallway to attend to the children in those two separate spaces. When in the hallway, staff person #3 was not physically present in the same space with the 5 children in the breakfast room. Based on conversation with staff person #6, who was still wearing their coat, they had just arrived at the facility and had run late due to a traffic accident. Based on conversation with staff person #3, they were responsible for all 7 children, placing them out of ratio. The hallway is not measured space.

Corrected by Oct 19, 2021

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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.

There was no emergency transportation plan posted in the preschool room.

Corrected by Oct 19, 2021

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The last flu shot in the file for child #1, a 3 year-old, was in 2019 and there was not a written statement of exemption by a parent.

Corrected by Nov 12, 2021

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was no written parental consent for the nasal spray in the infant room for child #2. There was no written parental consent for the Motrin in the infant room for child #3. There was no written parental consent for the nasal spray and the inhaler in the older toddler room for child #4.

Corrected by Dec 17, 2021

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3270.31(f)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation.

The file for staff person #4, working more than 90 days, did not include evidence of pediatric first-aid and CPR.

Corrected by Nov 12, 2021

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3270.31(h) · All staff persons shall complete the professional development under subsection (f).

The file for staff person #4, working more than 90 days, did not include evidence of the health and safety topics #1 through #9, as required by regulation 31f.

Corrected by Nov 12, 2021

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The last fire drill on the facility's fire drill log was dated more than 60 days ago.

Corrected by Dec 17, 2021

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

The two Mandated Reporter trainings in the file for staff #3 were dated more than 60 months apart.

Corrected by Jul 21, 2020

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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 last evaluation in the file for staff person #2 was dated more than 12 months ago.

Corrected by Aug 21, 2020

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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 curtain hanging between the preschool room and the back of the young toddler room had a tear at the top and one at the bottom.

Corrected by Aug 21, 2020

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3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The agreement in the file for child #5 did not specify the the fee to be charged or the date on which the fee is to be paid.

Corrected by Jul 21, 2020

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

Based on review of the file for child #3 and conversation with the staff, the emergency contact information was dated after the child started attending the program.

Corrected by Jul 21, 2020

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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 emergency contact information in the file for child #3 did not include the name, address or telephone number of the child's physician.

Corrected by Aug 21, 2020

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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 emergency contact information in the file for child #3 did not include the name or number of the health insurance policy for the child.

Corrected by Aug 21, 2020

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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.

The emergency contact information in the file for child #1 did not include the address for one of the release persons.

Corrected by Aug 21, 2020

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3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

The last health report in the file for child #1, a young toddler, was dated more than 6 months ago.

Corrected by Aug 21, 2020

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The list of vaccinations in the file for child #2, #3 and #4 did not include a flu shot in the last 12 months. None of the files included a written statement of exemption by a parent.

Corrected by Aug 21, 2020

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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 last two health assessments in the file for staff person #3 were dated more than 24 months apart.

Corrected by Jul 21, 2020

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3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The signature on the health assessment in the file for staff person #1 did not include the individual's title.

Corrected by Jul 21, 2020

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