Abk Learning And Development Center Llc

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

There was no lid on the trash can in the girls' restroom in the Main room.

Corrected by Mar 13, 2026

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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 two exposed bolts on a water trellis used as play equipment in the outdoor playspace.

Corrected by Apr 17, 2026

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

The agreement on file for child #4 did not specify the arrival and departure times.

Corrected by Mar 26, 2026

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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 an unlidded trash can in the Preschool room that contained cups used for drinking.

Corrected by Mar 13, 2026

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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 Main room, there was damaged plaster and peeling paint on the wall behind the cots. In the outdoor playspace, there was peeling paint on the surface of a wooden water trellis used as play equipment.

Corrected by Apr 3, 2026

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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.

There was no documentation the emergency plan has been reviewed and updated by the operator in the previous 12 months.

Corrected by Apr 16, 2026

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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.

There was no documentation of initial emergency plan training on file for Facility Person #2.

Corrected by Apr 16, 2026

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

There was no letter to the parents explaining the emergency plan.

Corrected by Apr 17, 2026

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 current firesafety training completed and documented on file for Facility Person #4 was completed more than 12 months after the previous firesafety training.

Corrected by Apr 17, 2026

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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 was an uncovered outlet on the wall in the main room, near the entry door.

Corrected by Mar 13, 2026

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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 were foam blocks with teeth marks, indicating they had been bitten by children, in the older toddler area of the infant/toddler room.

Corrected by Mar 13, 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 the main room, there were cots labeled with numbers, but there was no chart present to indicate which number corresponded to which child.

Corrected by Mar 13, 2026

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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.

The was no daily activity schedule posted in the Preschool rooms for the child care portions of the day.

Corrected by Mar 26, 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 12:30 PM in the Main room, Facility Person #1 was supervising five preschoolers who were resting on cots. Facility Person #1 was cleaning up after lunch and was in an area of the room where they were unable to see two children, due to the placement of the children/cots and other furniture in the room obstructing their view

Corrected by Mar 26, 2026

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for child #2 did not specify the fee amount.

Corrected by Mar 26, 2026

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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).

There was no approved form to provide information to the family about the child's growth and development (Child Service Report ) on file for child #1, enrolled at the facility more than 6 months. The current child service reports on file for children #3 and #4 were completed more than 6 months after the previous CSR's on file for these children.

Corrected by Mar 26, 2026

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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 form on file for child #4 did not include the health insurance information.

Corrected by Mar 26, 2026

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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 emergency contact forms and agreements on file for children #1 and #2 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Mar 26, 2026

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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 #4 must be dismissed from care by close of business 3/13/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter

The immunization record on file for child #4 did not indicate that the child had sufficient doses of any required immunizations.

Corrected by Mar 13, 2026

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3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

At approximately 12:35 PM, Facility Person #5 was observed diapering a child in the infant/young toddler area of the Infant/Toddler room when another child they were supervising climbed onto a shelf. Facility Person #5 removed the child from the changing table, set that child on the floor, and assisted the child on the shelf to get down safely without first washing the child's hands.

Corrected by Mar 26, 2026

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

At approximately 12:35 PM, Facility Person #5 was observed diapering a child in the infant/young toddler area of the Infant/Toddler room when another child they were supervising climbed onto a shelf. Facility Person #5 removed the child from the changing table, set that child on the floor, and assisted the child on the shelf to get down safely without first washing their hands.

Corrected by Apr 23, 2026

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The menu was not posted at least a week in advance.

Corrected by Mar 13, 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.

There were no written nonfamily references on file for Facility Person #6.

Corrected by Mar 26, 2026

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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 operator has a valid reason they are unable to test the facility's smoke detectors. The most recent fire protection professional inspection of the smoke detectors documented and on file at the facility was dated 2/9/25.

Corrected by Mar 13, 2026

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was documentation of 7 of the 12 required child care training hours on file for Facility Person #1 during the most recent review period (December 2024-December 2025.) There was documentation of one of the 12 required child care training hours on file for Facility Person #3 during the most recent review period (February 2025-February 2026.)

Corrected by Apr 20, 2026

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3270.36(b)/3270.192(2)(ii) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Persons #1 and #4 were classified as assistant group supervisors based on completion of high school and at least 2 years of child care experience. Facility Person #3 was classified as an assistant group supervisor based on completion of 15 credits in human services and year of child care experience. There was no documentation of child care experience on file for Facility Persons #1, #3 and #4.

Corrected by Mar 26, 2026

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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 most recent documentation of first aid/CPR training on file for Facility Person #1 was completed in June of 2023 and expired in June of 2025.

Corrected by Aug 29, 2025

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

There was an exit from the main room to the outdoor playspace that was blocked by a bucket and mop and a broom.

Corrected by Aug 7, 2025

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

There were toothbrushes used by children stored in a cabinet in the infant/toddler room, and in baggies in the main room

Corrected by Aug 7, 2025

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3270.94(a)(1)/3270.94(a)(9) · 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 Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The most recent fire drill recorded was listed as completed on 2/19/25.

Corrected by Aug 21, 2025

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

The health assessment on file for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Apr 7, 2025

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

There were knives in a drawer in the kitchen area of the preschool room, which were accessible to children due to a faulty lock on the drawer.

Corrected by Mar 18, 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 in subsection (a). 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 families explaining the program's emergency plan did not include informaiton on the plan for a lockdown or accommodations planned in the event of an emergency.

Corrected by Apr 4, 2025

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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 documentation of health & safety training completed and on file for Facility Person #1 indicates it was completed more than 90 days after their start date.

Corrected by Mar 19, 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 #6 may not work in a child care position at the facility without all completed clearances on file.

The signed disclosure statement on file for Facility Person #1 was not dated. The criminal history and FBI clearances on file for Facility Person #1 were incomplete. The signed disclosure statement on file for Facility Person #2 was not dated or signed by a witness. The child abuse and FBI clearances on file for Facility Person #4 were completed after their start date. There was no proof of application for an FBI clearance on file for Facility Person #4. The most recent mandated reporter training on file for Facility Person #4 was completed more than 60 months after the previous mandate reporter training. The child abuse clearance on file for Facility Person #5 was completed after their start date. There was no FBI or NSOR clearance on file for Facility Person #6. The current child abuse clearance on file for Facility Person #7 was completed more than 60 months after the previous child abuse clearance. The current criminal history clearance on file for Facility Person #8 was completed more than 60 months after the previous criminal history clearance. The current NSOR clearance on file for Facility Person #9 was completed more than 60 months after the previous NSOR clearance.

Corrected by Mar 19, 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 current emergency contact form and agreement on file for child #2 were reviewed and updated by a parent in writing more than 6 months after the previous documented review.

Corrected by Mar 19, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Facility Person #1 was classified as an aide without the documentation of the education required for the classification on file at the facility. Facility Person #6 was classified as an assistant group supervisor without the documentation of education and experience required for the classification on file.

Corrected by Mar 19, 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 were cleaning supplies in a cabinet under the sink in the kitchen area in the preschool room, accessible to children due to a faulty lock on the cabinet.

Corrected by Mar 19, 2025

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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.

There was a crib used by a child in the infant/toddler room not labeled with the child's name, or a number corresponding to the child's name on a chart.

Corrected by Mar 19, 2025

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

The agreement on file for child #3 did not specify the child's admission date.

Corrected by Mar 20, 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 emergency contact form on file for child #3 did not include the addresses of all release persons listed.

Corrected by Mar 21, 2025

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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.

There was no emergency contact form in the infant/toddler room for one of the children receiving care in that space.

Corrected by Mar 19, 2025

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3270.151(a)/3270.151(c)(5) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment completed and on file for Facility Person #2 prior to their start date did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Mar 19, 2025

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no written feeding schedule from the parent of the infant in care.

Corrected by Mar 21, 2025

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3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There were two infant's bottles not labeled with the child's name in the infant/toddler room.

Corrected by Mar 19, 2025

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The children's records were not stored in a locked cabinet.

Corrected by Mar 19, 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.

There was only one written nonfamily reference on file for Facility Person #2. One of the references on file for Facility Person #4 was a text screenshot printed out that did not include the name of the staff person or the person making the reference.

Corrected by Mar 24, 2025

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

The facility persons' records were not stored in a locked cabinet.

Corrected by Mar 19, 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 operator is unable to test the building's interconnected fire alarm system due to a valid reason. The most recent annual professional inspection of the fire alarm system documented and on file was completed more than 12 months after the previous professional fire alarm system documented.

Corrected by Mar 19, 2025

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3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The operator stated communication with parents during an emergency would occur using the Brightwheel Child Care App, however this information was not present in the facility's emergency plan.

Corrected by Apr 5, 2024

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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.

A letter to parents explaining emergency procedures, including accommodations for infants and toddlers and communication with parents during an emergency, was not on file at the facility.

Corrected by Apr 5, 2024

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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 #1 contained a child abuse clearance which was not updated with 60 months. The previous clearance was dated 12/11/17 and was updated on 1/31/23.

Corrected by Apr 5, 2024

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #2 did not update mandated reporter training within 60 months. Certificates on file were dated 1/09/19 and 1/31/24.

Corrected by Apr 5, 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.

Liquid White-Out, labeled keep out of reach of children, was observed in a bin accessible to children in the large daycare room. Three cans of paint were accessible to children in the unlocked maintenance closet in the hall. The door was propped open slightly and the cans of paint were observed on the floor.

Corrected by Apr 5, 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.

Two electrical outlet plate covers were not fully secured to the walls in the infant/toddler room. An extension cord, which created a tripping hazard, was observed across the floor in the diapering area shared by the infant and toddler care spaces.

Corrected by Apr 5, 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.

Multiple coat hooks in the cubbies were loose creating pinch points. A clear plastic window piece of the reading nook was not secured in place in the frame. The changing table in the restroom had a door which is loose at the hinge creating a pinch point.

Corrected by Apr 5, 2024

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

The main room and the Infant/Toddler spaces lacked posted written plans of daily activities.

Corrected by Apr 5, 2024

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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 files for children #2, #3, #4, and #5 did not contain documentation of sharing a child service report with the parents in the last 6 months.

Corrected by Apr 8, 2024

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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 form for child #2 did not include the address of the child's physician or source of medical care.

Corrected by Apr 5, 2024

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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 emergency contact forms for children #3 and #4 did not address the boxes intended for information on the child's special needs.

Corrected by Apr 5, 2024

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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 form for child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected by Apr 5, 2024

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for child #4, a young toddler, contained consecutive health reports dated more than 6 months apart. The most recent health report on file is now current.

Corrected by Apr 5, 2024

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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).

The file for child #3 contained an immunization record indicating missing doses of the following vaccines; Hep B, DTAP, HIB, Pneumococcal, Polio, and Hep A. A written exemption was not on file.

Corrected by Apr 19, 2024

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3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #3 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Apr 5, 2024

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3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Documentation of submitting the emergency plan to the local and county EMA was not on file. Changes were made to the emergency plan in 2023.

Corrected by Apr 8, 2024

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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.

The file for child #1 contained an initial health report dated more than 60 days following their first day of attendance at the facility. A current health report is now on file.

Corrected by Apr 5, 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.

One electrical outlet in the OT/PS room lacked a protective cover. The outlet was accessible to children 5 years of age or younger.

Corrected by Mar 24, 2023

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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 details regarding continuity of operations as required by Announcement C-22-04.

Corrected by Apr 21, 2023

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

A bucket containing dirty mop water was observed in the meal prep area. The area was accessible to children due to a removed gate.

Corrected by Mar 24, 2023

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3270.31(e)(4)(i)/3270.192(2)(iii) · 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. 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 #3 contained Pediatric CPR and First Aid training that was not renewed on or before the expiration. The pervious certification expired on 1/17/21 and was renewed on 3/01/23. Staff #3 now has current training on file.

Corrected by Mar 24, 2023

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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.

An empty Clorox bleach bottle was discarded on the floor beside the trash can in the meal prep area. The area was accessible to children due to a removed gate.

Corrected by Mar 24, 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.

Peeling paint was observed on the crawl-through tube in the outdoor play space.

Corrected by Apr 21, 2023

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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.

Two plastic grocery bags were observed in the outdoor play space.

Corrected by Mar 24, 2023

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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.

A refrigerator in the infant care space lacked a thermometer.

Corrected by Mar 24, 2023

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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 #3 did not include a child service report completed in the last 6 months. The last report on file was dated 10/29/21.

Corrected by Mar 24, 2023

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

The agreements for children #1 and #2 did not include their dates of admission.

Corrected by Mar 24, 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).

The files for children #1, #2, and #3 contained immunization records which lacked documentation of receiving the influenza vaccine at any time in 2022 or yet in 2023. The files for children #1 and #2 did not contain written exemptions. The file for child #3 contained an exemption, however the exemption was specific to the year 2021.

Corrected by Apr 21, 2023

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3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility is not maintaining an accident file.

Corrected by Mar 29, 2023

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3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

The photo and temporary ID for staff #1, the director, were expired at the time of the inspection.

Corrected by Mar 29, 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.

Based on the facility's fire drill log, consecutive drills were conducted more than 60 days apart; 6/10/22 and 8/16/22 = 67 days, 8/16/22 and 10/25/22 =70 days.

Corrected by Mar 24, 2023

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3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 #2 contained 9 of the 12 required training hours for the period of 12/19/21 to 12/19/22. Three additional credit hours are needed.

Corrected by Mar 24, 2023

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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 INF/YT/OT Room was observed to lack gloves.

Corrected by Mar 24, 2022

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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.

Plastic bags were observed to be accessible to young children in an unlocked cabinet in the INF/YT/OT Room.

Corrected by Mar 24, 2022

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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 file for Staff #2 contained documentation of consecutive fire safety trainings done more than 1 year apart.

Corrected by Apr 8, 2022

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).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 #2 contained documentation of consecutive child abuse mandated reporter trainings dated more than 60 months apart.

Corrected by Apr 8, 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.

An electrical outlet was observed to be uncovered on the back wall of the Main room, in the OT area. An electrical outlet strip was observed to have uncovered outlets in the PS Room.

Corrected by Apr 8, 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.

An open bag of toxic ice melt was observed to be accessible to children on the patio in the outdoor play space.

Corrected by Apr 15, 2022

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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.

The emergency telephone numbers were not posted by the telephone in the PS classroom.

Corrected by Apr 8, 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.

Exposed nails and bolts were observed on the wood and steel pieces on the ground next to the fence in the outdoor play space. Splintered wood was observed on the bridge post in the outdoor play space.

Corrected by Apr 15, 2022

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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.

The sink in the PS Room lacked a hand washing sign.

Corrected by Apr 15, 2022

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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.

Small plastic discs with a diameter of less than 1 inch were observed in a bin in the OT area of the Main Room, accessible to children who may still place objects in their mouths.

Corrected by Apr 8, 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 files for Child #2 and #3 contained emergency contact forms which lacked complete addresses for the release persons.

Corrected by Apr 15, 2022

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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.

Emergency contact forms were not present in the Main Room for the children receiving care in that space on the day of the inspection.

Corrected by Apr 15, 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 file for Child #1 contained a health visit summary which lacked a signature of the medical provider.

Corrected by Apr 20, 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 file for Staff #4 contained a health visit summary which lacked a signature of the medical provider.

Corrected by Apr 20, 2022

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

The file for Child #1 contained a health visit summary which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Apr 20, 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 files for Staff #1, #2 and #3 contained consecutive health assessments dated more than 24 moths apart.

Corrected by Apr 11, 2022

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for Staff #4 contained a health visit summary which lacked the medical provider's assessment of the person's suitability to provide child care.

Corrected by Apr 20, 2022

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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 #3 contained 2 references, one of which was written by a family member.

Corrected by Apr 18, 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 proof of purchase for the interconnected fire detection system was not available at the time of the inspection.

Corrected by Apr 22, 2022

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