A Childs View

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 5/15/26 to complete the required training. Until such time as the required training has been 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 supervise Staff person #1, Staff person #1 may not work in a child-care position at the facility.

2nd CITIATION: On 4/9/26 a renewal inspection was conducted at the facility. Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. The facility's acceptable plan of correction indicated the correction would be implemented by 4/25/26. On 4/29/26 an unannounced inspection was conducted. Staff person #1 still has not completed the following required pre-service training: Pediatric First Aid and CPR training; only the online portion was completed. PREVIOUSLY CITED ON 4/9/26.

Corrected by May 8, 2026

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3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

2nd CITATION: The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working with children. PREVIOUSLY CITED ON 4/9/26

Corrected by May 1, 2026

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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.

2nd CITATION: The staff file for Staff person #5, was observed to lack one non-family reference. The staff file for Staff person #1 was observed to lack two non-family references. PREVIOUSLY CITED ON 4/9/26

Corrected by May 1, 2026

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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 staff file for Staff person #1, Staff person #4, and Staff person #5 were observed to lack two non-family references.

Corrected by Apr 17, 2026

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 4/25/26 to complete the required training. Until such time as the required training has been 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 supervise Staff person #1, Staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR; a training on file dated 5/4/24 was neither an approved curriculum nor a PQAS instructor.

Corrected by Apr 25, 2026

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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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

The staff file for Staff person #2 contained a current DHS FBI clearance dated 7/31/24 which was not renewed within 60 months of the previously dated 7/30/19 DHS FBI clearance expiring. The staff file for Staff person #3 was observed to lack a valid Child Abuse clearance; the Child Abuse clearance on file dated 6/28/21 was a volunteer clearance.

Corrected by Apr 22, 2026

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

The staff file for Staff person #4 who is functioning as an Assistant Group Supervisor, lacked proof of education and years of experience working with children.

Corrected by Apr 16, 2026

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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.

An infant was observed being cared for in Room 306, which used to be the director's office, and is not measured for childcare space.

Corrected by Apr 9, 2026

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

In Room 306, the sink located in the eating area was observed to have a steady leak from the base of the faucet when turned on resulting in water pooling around the base and handles.

Corrected by Apr 9, 2026

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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.

In Room 306, a crib was observed to not be labeled for the use of a specific child.

Corrected by Apr 9, 2026

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3270.106(f) · TIERED LIS: 1.) At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. This portion of the plan shall have an immediate correction date. 2.) The operator will develop a layout for naptime mat placement in all rooms, to include furniture placement, to allow for proper spacing of 2 feet on 3 sides of each rest equipment when in use. The operator shall provide a date for when this training will be completed.

At approximately 11:45am, during naptime in Room 312 the following mats were observed to not have at least 2 feet of space on 3 sides while in use: three toddlers were observed sleeping on their individual mats which were each positioned with one side directly against the wall and another side had approximately half an inch to an inch of spacing between either a shelving unit and/or low bookshelf.

Corrected by Apr 23, 2026

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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 11:45am, during naptime in Room 312, where staff was positioned in the room, they could not adequately supervise one of the napping children due to a shelving unit obstructing the Staff's ability to see and assess that child who was napping.

Corrected by Apr 9, 2026

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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.

In Room 306, a written plan identifying the means of transporting a child in an emergency was observed not to be posted.

Corrected by Apr 9, 2026

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3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The staff files, which are kept in the human resources office, were observed stored in cabinets that were not locked at the time of inspection and the key to lock the cabinets was unable to be located.

Corrected by Apr 20, 2026

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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 facility emergency plan lacked information regarding continuity of operations included in their emergency plan per announcement C-22-04.

Corrected by May 7, 2025

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency procedures does not address annual emergency drills, lockdown, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by May 7, 2025

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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.

The staff file for Staff person #1 through Staff person #5 was observed to contain fire safety trainings that were conducted more than 12 months apart; those fire safety trainings are dated 8/16/24 and 7/31/23.

Corrected by May 8, 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.

The staff file for Staff person #6 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/11/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required for under the Child Protective Service Law (CPSL.) The staff file for Staff person #7 was observed to contain a current National Sex Offender Registry (NSOR) check dated 2/7/25 which was not obtained prior to first day working with children (See IS CODE SHEET) as required under the CPSL.

Corrected by Apr 23, 2025

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

The staff file for Staff person #6 who is functioning as an Assistant Group Supervisor, lacked documentation of two years of experience with children.

Corrected by May 9, 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.

In the hallway just outside of the doorway to the Great Room, which is their gross motor space, were 3 Sani-Cloth wipes labeled, 'Keep Out of Reach of Children' and a bottle of disinfectant spray were observed stored on a mobile tray accessible to the children.

Corrected by Apr 23, 2025

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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.

In Room 310, one ceiling tile was observed to not be kept clean as evidence by having a water spot from condensation from the air conditioning unit that has since been repaired.

Corrected by Apr 23, 2025

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At approximately 11:10am in Room 314 two infants were observed to be asleep in a crib that were place less than a foot from the wall and had rocking chairs in-between the cribs thus not allowing for at least 2 feet of space on three sides of the crib while it was in use.

Corrected by Apr 23, 2025

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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 child file for Child #1 was observed to contain a current emergency contact information form that lacked the addresses for two of the designated release persons listed.

Corrected by May 8, 2025

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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 child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 11/21/24 which was conducted more than 12 months from the previously dated 10/5/23 health report on file.

Corrected by May 7, 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 staff file for Staff person #3 lacked a valid health assessment.

Corrected by Apr 24, 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 staff file for Staff person #6 contained a current tuberculosis screening and results dated 2/6/25 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #8 contained a current tuberculosis screening and results dated 5/1/24 which was not conducted prior to providing initial service in a childcare setting.

Corrected by May 7, 2025

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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.

The facility has not been testing their fire detection system every 30 days and documenting those tests as required under section 1016(c) of Act 62.

Corrected by Apr 24, 2025

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The liability insurance policy at the facility did not have the address for childcare facility on the policy.

Corrected by Apr 15, 2024

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Emergency buckets that were under all children's bathroom sinks in each room contained a hammer that poses a threat to the safety of the children and were accessible to the children.

Corrected by Apr 12, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1- may not work in a child care position at the facility.

Staff #1 state police clearance and Child Abuse Clearance was more then 60 months apart. State police dated 10/1/2018 and 11/7/23. Child Abuse dated 10/1/2018 and 11/7/2023. Staff #1 file contained a DOE FBI Clearance dated 3/1/24 which is not accepted. Staff #2 has a disclosure statement that is dated 9/13/19 which is after their start date(See LIS Code Sheet).

Corrected by Apr 12, 2024

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

In the great room play space 4 outlet covers where missing. 2 under the phone and 2 by the outlet by the window.

Corrected by Apr 12, 2024

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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.

Emergency buckets that were under all children's bathroom sinks in each room contained Hand Sanitizer labeled Keep out of reach of children were accessible to children. In room 308 the drawer on the left of the counter was not locked and accessible to children contained Bic White Out that was labeled Keep Out of Reach of Children.

Corrected by Apr 12, 2024

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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.

In room 308 three spray bottles of Contact Plus Disinfectant was stored in the middle cabinet not in a bin and above a food prep area.

Corrected by Apr 12, 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.

In the outside garden play space the wooden singing bench had splintering wood on the top in the middle of the seat causing a visible hazard to children. A cement boarder near the pergola was cracked with sharp edges and loose pieces on the ground. In room 312 and 308 the black cushion mat on the floor was uneven and had tape peeling up causing a tripping hazard. In the great room play space there were splintered holes in 10 of the closet doors along the bottom.

Corrected by Apr 17, 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.

In the great room play space near the floor on the corner by the window had chipping plaster.

Corrected by Apr 12, 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.

In room 312 there were loose protruding screws from the dramatic play sink. In room 308 there was a splintered lid on puzzle box and splintered wooden block that could cause a child to get a splinter. In the outside garden play space there was a wooden boarder missing on a garden box near the covered swing exposing 9 nails.

Corrected by Apr 15, 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 #2, young toddler, contained health reports in an interval greater than 6 months. Health Reports were dated 1/31/23 and 10/31/23 (SEE LIS CODE SHEET)

Corrected by Apr 12, 2024

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The outside garden play space had embedded equipment. The Director was unable to provide the ASTM letter to show compliance with the recommendations of the United States Consumer Product Safety Commission for the unitary playground protective surface covering.

Corrected by Apr 23, 2024

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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.

In room 314 a box of Ziplock plastic bags were observed on the edge of the bathroom sink and accessible to children who are still placing objects in their mouths. In room 310 toys that were less than 1 inch were accessible to children still placing objects in their mouth: small insect toys in science area, small broken pieces of crayon, small chalk pieces, and small candy mints(in emergency bucket under bathroom sinks) Foam road ways with broken pieces in blocks and 2 half circle foam sponges in art, were accessible to children who are still placing objects in their mouths.

Corrected by Apr 12, 2024

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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.

In room 314 the diapering table had cracks on both right side corners that caused a pinching hazard. One high chair had loose bolts on the right side causing it to be unstable when touched. In room 308 2 chairs in dramatic play area had loose bolts causing them to be wobbly and unstable

Corrected by Apr 12, 2024

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3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In room 308 they did not have 2ft on 3 sides of 4 children rest equipment while the equipment was in use.

Corrected by Apr 12, 2024

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

3 children were receiving care in room 314 without emergency contact information present in the child care space.

Corrected by Apr 12, 2024

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child # 1, a preschool aged child, contained health reports in an interval greater than 12 months. (SEE LIS CODE SHEET) Health reports were dated 12/29/22 and 2/20/24

Corrected by Apr 12, 2024

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3270.134(f) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

5 children tooth brushes that had been used were placed back into the original packaging not being stored with the bristles up and exposed to circulating air.

Corrected by Apr 12, 2024

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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.

Staff #2 file contained a health assessment that was more than 24 months from previous health assessment. Dates 7/29/21 and 11/11/23

Corrected by Apr 12, 2024

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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.

Child #1, 2, and 3 all had financial agreements that where reviewed and updated longer than 6 months between dates. Child #1 agreement dates 3/10/23 and 10/11/23. Child #2 agreement dates 3/12/23 and 10/19/23. Child #3 agreement dates 3/10/23 and 10/19/23.

Corrected by Apr 29, 2024

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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.

The emergency plan did not contain accommodations for infants and toddlers.

Corrected by Apr 15, 2024

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

There was more than 12 months between emergency drills on 5/22/22 and 1/2/24.

Corrected by Apr 15, 2024

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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 person #1 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting. The health assessment in the file was dated 3/4/24 and staff person #1 was hired on (See LIS Code Sheet). The file for staff person #2 lacked a health assessment that was conducted within 12 months prior to providing initial service in a childcare setting. The health assessment in the file was dated 3/14/24 and the TB test in the file was dated 3/18/24 and staff person #2 was hired on (See LIS Code Sheet).

Corrected by May 7, 2024

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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 person #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by May 7, 2024

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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.

The Fire Drill and Fire Detection Log was observed for the 30 day smoke detector checks. There were 34 days between 6/1/23 and 7/5/23, 39 days between 8/4/23 and 9/12/23, 41 days between 9/12/23 and 10/23/23, 42 days between 11/21/23 and 1/2/24, 31 days between 1/2/24 and 2/2/24, and 54 days between 2/2/24 and 3/27/24.

Corrected by Apr 12, 2024

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

The files for staff persons #1 and #2 lacked valid disclosure statements. The disclosure statements were completed on the wrong form not the most recent disclosure statement. The file for staff person #1 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance and was not removed from the position within 45 days. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance. The file for staff person #2 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance.

Corrected by Apr 29, 2024

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3270.192(4) · 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.

The files for staff persons #1 and #2 lacked valid disclosure statements. The disclosure statements were completed on the wrong form not the most recent disclosure statement. The file for staff person #1 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance and was not removed from the position within 45 days. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance. The file for staff person #2 whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid FBI Clearance. The FBI Clearance is a Department of Education clearance instead of a Department of Human Services clearance.

Corrected by Apr 29, 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 facility's emergency plan did not include information regarding continuity of operations. The facility did not have a shaken baby sydrome policy.

Corrected by Jun 16, 2023

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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.

The last two fire safety trainings in the file for staff #1 through #8 were dated 8/1/21 and 8/5/22.

Corrected by Jun 16, 2023

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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 #3.

The last two clearances in the file for staff person #3 were dated 3/13/18 and 3/28/23 for state police, 3/19/18 and 3/30/23 for child abuse and 3/28/18 and 4/4/23 for FBI. The current FBI on file for staff person #3 was for the purpose of "retail services." The last two clearances in the file for staff person #7 were dated 11/14/17 and 3/27/23 for state police, 11/15/17 and 3/27/23 for child abuse and 11/15/17 and 3/28/23 for FBI.

Corrected by Apr 27, 2023

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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 last two health reports in the file for child #2, a preschooler, were dated 8/5/21 and 11/17/22.

Corrected by Jun 16, 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 #1must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The last flu shot in the file for child #1, 4 year-old, was dated in 2021 and did not contain a written exemption letter by a parent.

Corrected by Apr 27, 2023

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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.

At the time of the inspection, the operator could not locate the information provided to parents on how to access the regulations electronically.

Corrected by Jun 30, 2023

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The last two reviews of the emergency plan documented in writing were slightly more than 12 months apart.

Corrected by May 23, 2022

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The garbage can in the bathroom in room 308 was not lidded.

Corrected by Apr 29, 2022

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The most recent health report in the file for child #1 did not include the title of the individual who signed the report.

Corrected by May 19, 2022

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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 health assessments dated in 2018 and 2020 in the file for staff person #1 were dated more than 24 months apart.

Corrected by Apr 29, 2022

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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.

The facility's emergency plan did not include accommodations for infants and toddlers.

Corrected by May 23, 2022

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

Based on conversation with the operator, the last emergency drill was conducted in February 2021 and was not documented.

Corrected by May 23, 2022

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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.

The facility did not have proof of purchase of their fire detection system.

Corrected by Apr 29, 2022

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