Each One Teach One Learning Center

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 air freshener and hand sanitizer label " Keep out of reach of children " accessible to children in the entry way. There was a bag of Garden soil label " Keep out of reach of children " accessible to children in the playgrond.

Corrected by Jan 22, 2026

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

There were two windows with inactivated stoppers allowing the windows to opened more than 6" in the preschool 1 and on the stairway on the second floor.

Corrected by Jan 23, 2026

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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 middle room was missing bandages.

Corrected by Jan 22, 2026

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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 an exposed screw accessible to children in the OT room. There was a removed ceiling tile in the Toddler room bathroom exposing peeling paint and a hole on the ceiling. There was a ceiling tile pulling of the frame exposing wires in the preschool 1 room. There was a damaged wooden fence with a split and cracked section on the bottom partially separated from the rest of the fence exposing the underneath of the wood and splinters.

Corrected by Mar 26, 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.

There was peeling paint on the blue wall by the garbage can in the OT 3 room bathroom.

Corrected by Jan 22, 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 was a cracked white basket in the SA room. There were foam blocks with teeth marks in the middle room. There was a broken bike in the playground .

Corrected by Jan 22, 2026

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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.

There were 5 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the preschool room. There were 3 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the Toddler 3 room. There were 2 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the YT room.

Corrected by Jan 22, 2026

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The YT room was missing a daily schedule.

Corrected by Jan 22, 2026

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3270.124(f) · 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.

The file for child #3 contained an emergency contact form that was not reviewed within 6 months of the prior reviewed dated 6/9/25.

Corrected by Jan 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.

On 1/22/26 at approximately 10:30 am, observed staff #3 in the toddler room bathroom with 6 older toddlers. The open bathroom has one toilet, one sink and a changing table. The changing table is located along the wall by the door. Staff #3 was changing a toddler's diaper at the changing table. The staff was facing the wall with their back to the rest of the room. The staff was unable to supervise the other 5 toddlers crawling around on the bathroom floor. One toddler was playing under the sink pulling on the pipes and hoses. Staff # 3 was unable to see, hear, direct and assess the activities of the 5 toddlers on the bathroom floor.

Corrected by Jan 22, 2026

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

The files for children #1,2,3,4,5, and 6 lacked the operator's signature on the agreement form.

Corrected by Jan 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 file for child #4 lacked the fee amount on the agreement form.

Corrected by Jan 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).

The files for children # 3 and 5 lacked an updated child service report. Child # 3 last child service report was dated 8/1/24. Child #5 last child service report was dated 9/15/24.

Corrected by Jan 26, 2026

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

Corrected by Jan 26, 2026

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3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The files for children # 1,2,3,4,5 and 6 lacked the services which are to be considered as extra on the agreement form.

Corrected by Jan 26, 2026

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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 file for child #3 lacked the name, address and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child #4 lacked the name and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child # 6 lacked the address of the child's physician or source of medical care on the emergency contact form.

Corrected by Jan 26, 2026

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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 file for children #3 and 6 lacked the telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Jan 26, 2026

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3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

The files for children # 2 and 4 lacked written consent signed by a parent for emergency medical care for the emergency contact form.

Corrected by Jan 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 file for child # 3 lacked the health insurance coverage and policy number on the emergency contact form. The file for child #4 lacked policy number on the emergency contact form.

Corrected by Jan 26, 2026

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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 children # 3 and 4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 6 lacked he name, address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected by Jan 26, 2026

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3270.131(b)(2)/3270.131(e)(3) · 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 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 #3 must be dismissed from care by close of business 1/22/26 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 #3 a preschooler lacked and updated health report. The previous health report was dated 12/19/24. The file for child # 4 a preschooler contained a current health report dated 11/13/25 that was obtained after 12 months from the previous health report dated 9/16/24.

Corrected by Jan 26, 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.

Children in the preschool 1 room did not wash their hands before eating lunch.

Corrected by Jan 22, 2026

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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 files for staffs #1 and 2 lacked TB test date.

Corrected by Jan 22, 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. 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 completed the health and safety course titled Get Started with Center-based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected by Sep 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. Facility Person #1, #2 may not work in a child care position at the facility.

The file for Staff person #1 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The file for staff person #2 did not include a rap sheet with the FBI clearance, dated 1.12.24 which indicated the person has a record (See IS CODE SHEET), and which is required for CPSL compliance.

Corrected by Sep 8, 2025

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

Staff person #3 completed her current mandated reporter training on 4.3.25, more than 60 months after the previous training dated 3.9.20.

Corrected by Sep 8, 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 fire alarm 30-day test log includes test dates 1.2.25-2.24.24, 2.24.25-3.28.25, and3.28.25-4.29.25, more than 30 days apart

Corrected by Sep 8, 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.

There were 3 cots in the preschool room that were not at least 2 feet of space is required on three side of a cot.

Corrected by Jan 27, 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 infant 2 room was 50 degrees.

Corrected by Jan 27, 2025

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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 files for children #1,2,3 and 4 lacked the amount of the fee to be charged per day or per week. on the agreement form.

Corrected by Jan 27, 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 was an exposed bolt on the bottom right side of the toilet in the second-floor bathroom. There were 2 cribs with loose sheets in the infant room.

Corrected by Jan 27, 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 #4 may not work in a child care position at the facility.

The file for volunteer # 4 lacked an updated State Police Clearance. The previous State Police Clearance was dated 8/1/19. The file for volunteer # 4 lacked an updated Child Abuse Clearance. The previous Child Abuse Clearance was dated 8/13/19. The file for volunteer # 4 lacked an updated FBI Clearance. The previous FBI Clearance was dated 10/22/19.

Corrected by Jan 24, 2025

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

Volunteer #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8/19/19.

Corrected by Jan 27, 2025

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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).

Around 12:00pm CR observed staff #5 and Volunteer #4 caring for 7 children 2YT and 5 OT.

Corrected by Jan 27, 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 hand sanitizer on top of the desk in the preschool 1 room label "keep out of reach of children. There were a Dimetapp Nighttime Cold & Congestion, Griseofulvin Oral Scisperision and a Petroleum Jelly Skin Protector label "keep out of reach of children in 2 backpacks hanging on the cubbies in the toddler 2 room.

Corrected by Jan 27, 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.

There was a hole on the wall behind the bathroom door on the second-floor bathroom. There was a ceiling tyle with water damaged in the teacher bathroom on the second floor. There was a ceiling tyle that appears to be holding water in the preschool 2 room. There was a cracked window glass in the preschool 2 room.

Corrected by Jan 27, 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 were 3 cracked bins in the preschool room. There was a ripped black chair with expose foam, and a table with a shipped corner exposing splinters in the SA room. There was a ripped black chai with exposed foam in the Toddler 3 room. There was a broken garbage can in the toddle 1 room.

Corrected by Jan 27, 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 were 7 cots in the preschool room that were not labeled for the use of a specific child and used only by the specified child.

Corrected by Jan 27, 2025

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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 file for child #3 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.

Corrected by Jan 27, 2025

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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 file for child #3 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Jan 27, 2025

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The files for children #3 and 4 lacked the written consent signed by a parent for emergency medical care on the emergency contact form.

Corrected by Jan 27, 2025

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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 # 4 lacked the 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, on the Emergency contact form.

Corrected by Jan 27, 2025

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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 file for child # 3 lacked the health insurance policy number on the emergency contact form.

Corrected by Jan 27, 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 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 Jan 27, 2025

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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.

Staff # 2 did not wash the child's hands after diapering. Staff #3 did not wash the child's hands after diapering.

Corrected by Jan 27, 2025

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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 #2 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. Staff #3 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.

Corrected by Jan 27, 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 files for staff # 1 contained a current health report dated 1/8/24. Staff # 1 file lacked an initial health report. Staff #1 start date was 12/5/23.

Corrected by Jan 27, 2025

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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 files for children # 3 and 4 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Corrected by Jan 27, 2025

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3270.95(a) · 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 facility lacked a record of the 30-day fire alarm testing as outlined in Announcement C-23-02 requiring child care centers to manually test all fire detection devices or systems at least once every thirty days and maintain a written record of testing with the facility's fire drill logs.

Corrected by Oct 31, 2024

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3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff Person #1 lacks an examination for communicable diseases and the results of the examination, and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children

Corrected by Oct 21, 2024

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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 health assessment on file for Staff Person #1 lacks the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Oct 21, 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. Until such time as the required pre-service trainings are 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter, health and safety training topics and acceptable pediatric first aid and pediatric CPR training.

Corrected by Aug 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). LACKING REQUIRED HIRING DOCUMENTS: 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 file of staff person #1, employed for more than 45 days (see LIS code sheet), did not contain a completed child abuse clearance, completed NSOR verification certificate or documentation of submission and the PA state police clearance was a volunteer clearance. The file of staff #1 also did not contain documentation of completed mandated reporter training or a completed disclosure statement.

Corrected by Aug 5, 2024

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical location of the fire drill was documented as "emergency at 2nd floor back door" for 3 consecutive drills dated 2/23/2024, 3/30/2024 and 4/29/2024.

Corrected by Sep 5, 2024

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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 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 fire drill log did not contain documentation of the specific time of day of the drill on 2/23/2024, 3/30/2024, 4/29/2024, 5/30/2024, 6/30/2024 and 7/31/2024. The fire drill log did not contain documentation of the evacuation time on 2/23/2024, 3/30/2024 and 4//29/2024.

Corrected by Aug 5, 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 facility did not have documentation of a current annual inspection of the fire detection system, or of the system being tested at least every 30 days.

Corrected by Aug 5, 2024

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Two toys were observed in the crib with Child #1, an infant, while they were sleeping.

Corrected by May 7, 2024

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

Cert Rep observed an infant's bottle that did not contain a label with the child's name.

Corrected by May 7, 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 #6 contained a disclosure statement that lacked a witness.

Corrected by Jan 29, 2024

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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 files for Staff #2 and Staff #4, both volunteers, did not contain documentation of receiving training regarding the emergency plan within the past 12 months.

Corrected by Jan 29, 2024

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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 files for Staff #2 and Staff #4, who have been volunteers for more than 12 months, did not contain documentation of training in fire safety.

Corrected by Jan 29, 2024

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3270.33(a) · 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.

Staff #3 and Staff #5 were observed acting as an AGS in the Toddler Classrooms. The file for Staff #3 and Staff #5, lacked verification of child care experience, education and training prior to service at the facility, to qualify as an AGS.

Corrected by Jan 29, 2024

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #3 and Staff #6, both qualified as aides, were observed to be together unsupervised in the Toddler Classroom.

Corrected by Jan 29, 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 Infant Room 2, there was an electrical outlet that lacked protective receptacle cover. In the School Age Classroom there was an electrical outlet that lacked a protective receptacle cover. The outlets were accessible to children 5 years of age and younger.

Corrected by Jan 29, 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 Infant Room 1 there were two unlabeled bottles that did not specify the content. Staff identified the liquid as a cleaning material. Located in the School Age room was a cleaning material that was not in a container that specifies the content.

Corrected by Jan 29, 2024

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed a window on the second floor right outside the School Age Classroom that was accessible to children and was not modified to limit the opening to 6 inches or fewer.

Corrected by Jan 29, 2024

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3270.75(a) · A first-aid kit shall be in a child care space.

Infant Room 2 and the School Age Room lacked first aid kits.

Corrected by Jan 29, 2024

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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 located in the Preschool Room lacked nonporous gloves.

Corrected by Jan 29, 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 Infant Room Two a cracked face plate was observed allowing the children to have access to the electrical wires creating an electrocution hazard.

Corrected by Jan 29, 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.

Observed a broken wooden chair in the outdoor play space that created a splintering hazard to the children in care.

Corrected by Jan 29, 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.

Observed small beads with less than an inch in diameter, in a low unlocked cabinet in the Back Toddler Room. These Items were accessible to children who are still placing objects in their mouths.

Corrected by Jan 29, 2024

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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 refrigerator in the lunch room at the facility lacked a thermometer.

Corrected by Jan 29, 2024

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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 files for Child #1, #2, #3, #4, #5, #6, and #7 included agreements which did not specify the amount of the fee to be charged per day or per week.

Corrected by Jan 29, 2024

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for Child #6 included an agreement which did not specify the date on which the fee is to be paid.

Corrected by Jan 29, 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 Child #4 and #5 lacked a child service forms that provides information to the family about the child's growth and development in the context of the services being provided.

Corrected by Jan 29, 2024

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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 Agreement in the files for Child #1, #2, #3, and #6 lacked the persons designated by a parent to whom the child may be released.

Corrected by Jan 29, 2024

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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 for Child #6 lacked the health insurance coverage for the child.

Corrected by Jan 29, 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.

The Emergency Contact Forms were not present in the Toddler Room for Child #8. The Emergency Contact Forms were not present in the Back Toddler Room for Child #9 and Child #10. The Emergency Contact Forms were not present in the Preschool Room for Child #11, Child #12, and Child #13. These children were all present in their classroom and receiving care in that room.

Corrected by Jan 29, 2024

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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 #2 contained an emergency contact form that had not been updated within the last 6 months.

Corrected by Jan 29, 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.

Although the files for Child #4, #5, and #7 contained Health Reports at the time of the Renewal Inspection, it was observed that the health reports for preschool aged, Child #4, #5, and #7 were updated in an interval greater than 12 months.

Corrected by Jan 29, 2024

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3270.131(d)(5)/3270.131(e)(1) · 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 childcare group settings). Child #4 must be dismissed from care by close of business 1/18/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #4, enrolled for more that 60 days at the facility, did not contain documentation of a 3rd dose of the HIB vaccination and a 2nd dose of Hep A vaccination as required based on the child's age as per the ACIP recommended schedule.

Corrected by Jan 29, 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 #1 lacked a Health Assessment completed within the previous 24 months.

Corrected by Jan 29, 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.

The file for Child #2 contained an Agreement form that had not been updated within the last 6 months.

Corrected by Jan 29, 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. Facility Person #1, #2, #3, and #4 may not work in at the facility.

The file for Staff #1 (volunteer) lacked a signed disclosure statement, FBI Clearance, and a NSOR Certificate or requests for the FBI or NSOR, and therefore was incorrectly provisionally hired. The file for Staff #2 lacked a disclosure statement that was signed by a witness or dated, a Child Abuse Clearance, and a State Police Clearance or request for either of those clearances, and therefore was incorrectly provisionally hired. The file for Staff #3 had only requests for both the FBI Clearance and State Police Clearance and therefore was incorrectly provisionally hired. The file for Staff #3 contained a disclosure statement that had no date. The file for Staff #4 contained a FBI Clearance and State Police Clearance that lacked dispositions.

Corrected by Aug 8, 2023

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

At approximately 12:00PM, Staff #5 left 8 Preschool aged children alone and unsupervised where she could not see, hear, direct, or assess the children in Preschool Room 2 to retrieve cots from the School Age Classroom next door. Therefore, ratio was 0:8.

Corrected by Aug 9, 2023

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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 12:00PM, Staff #5 left 8 Preschool aged children alone and unsupervised where she could not see, hear, direct, or assess the children in Preschool Room 2 to retrieve cots from the School Age Classroom next door.

Corrected by Aug 9, 2023

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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 12:00PM, Staff #5 left 8 Preschool aged children alone and unsupervised where she could not see, hear, direct, or assess the children in Preschool Room 2 to retrieve cots from the School Age Classroom next door.

Corrected by Aug 9, 2023

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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 and Staff #2 lacked a Health Assessment.

Corrected by Aug 9, 2023

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #1 and Staff #2 lacked a tuberculosis screening by the Mantoux method at initial employment.

Corrected by Aug 9, 2023

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3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff # 3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

Corrected by Aug 9, 2023

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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 files for Staff #1(volunteer) and Staff #2, lacked two written, nonfamily references from individuals attesting to the suitability to serve as a facility person. The file for Staff #3, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

Corrected by Aug 9, 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. Until such time as the required pre-service trainings are completed, staff person #4 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 person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basic Training).

Corrected by Jun 2, 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 and #4 may not work at the facility.

Although the file for Staff #1 contained complete clearances at the time of the inspection, it was observed that Staff #1 lacked a complete Child Abuse Clearance and an FBI Clearance request prior to working with children and therefore, was incorrectly provisionally hired. The file for Staff #2 a State Police clearance or request prior to working with children and therefore, was incorrectly provisionally hired. The file for Staff #3 lacked an FBI clearance or request prior to working with children and therefore, was incorrectly provisionally hired. The file for Staff #3 contained a Disclosure statement that had no witness signature. Although the file for Staff #4 contained a Child Abuse Clearance, FBI Clearance, and State Police Clearance and a NSOR request at the time of hire, it was observed that the file for Staff #4 did not contain a complete NSOR certificate after the 45-day provisional period, therefore Staff #4 was incorrectly provisionally hired. The file for Staff # 4 contained a Disclosure Statement that had no witness signature. Staff # 4 was observed to be caring for children unsupervised at the time of inspection. The file for Staff #5 contained a Disclosure Statement that lacked a date.

Corrected by Jun 1, 2023

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff Person #4, qualified to be an Aide, was observed to be unsupervised, caring for children in the Infant Classroom.

Corrected by Jun 2, 2023

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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 files for Staff #3 and #4 lacked a Health Assessment.

Corrected by Jun 2, 2023

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3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #3 and #4 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis. The file for staff #5 contained a Health Report that included a date for a TB Screening that was not eligible and therefore, the date of the screening could not be determined to be acceptable.

Corrected by Jun 5, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #4 was observed acting as an AGS in the Infant Classroom. The file for staff person #4, lacked verification of child care experience, education and training prior to service at the facility, to qualify as an AGS.

Corrected by Jun 2, 2023

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3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #3 lacked proof of qualifications for education in the form of a diploma, transcript, or letter signed by a representative or the experiential, educational or training entity.

Corrected by Jun 1, 2023

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

Corrected by Jun 1, 2023

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

Observed a pair of sharp teacher scissors in Room #5 that were in a low unlocked cabinet in reach of the children, posing a threat to any child that was in care.

Corrected by Jan 5, 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 #4, #7, #8, #9, and #10 may not work in at the facility.

Staff #4 lacked a NSOR certificate at the time of Renewal Inspection. Staff #7 lacked an FBI clearance. Staff #8 and #9, both volunteers, lacked NSOR certificates. Staff #10 contained clearances that included rap sheets that were required by CPSL to be reviewed by the Department of Human Services legal department prior to providing childcare.

Corrected by Jan 5, 2023

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

The file for Staff #3 contained current Mandated Reporter training at time of Renewal Inspection but lacked Mandated Reporter training within 90 days of hire.

Corrected by Jan 5, 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.

In Room #7 there were two electrical outlets that lacked protective receptacle covers, one was located under the window, and one was by the TV in the corner. In #5 there was a protective outlet cover missing from an extension cord. These outlets were accessible to children 5 years of age and younger.

Corrected by Jan 5, 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.

Observed Gorilla Glue and Raid Fly Ribbon both labeled Keep Out of Reach of Children, on a shelf in the Lunch Room that was accessible to the children in care.

Corrected by Jan 4, 2023

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3270.66(e) · Arts and crafts materials shall be nontoxic.

Observed a can of shaving cream, labeled keep out of the reach of children, in Room #6 with the other art/craft supplies. Staff stated the children had used it for fingerpainting the alphabet.

Corrected by Jan 4, 2023

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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.

The file for Child #3 contained a financial agreement form that was not updated within 6 months of the previous update.

Corrected by Jan 12, 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 located in Room #7 lacked soap. The first aid kit located in Room #8 lacked tape. The first aid kit located in Room #9 lacked soap. The first aid kit located in Room #2 lacked tweezers.

Corrected by Jan 5, 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.

Observed a torn and frayed carpet in Room #5 that created a tripping hazard.

Corrected by Jan 5, 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.

Observed a large, cracked plastic bin creating a pinch point in Room #7.

Corrected by Jan 5, 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.

Observed small plastic cubes and small paper clips, both less than an inch in diameter, in a low unlocked cabinet in Room #1. Items were accessible to children who are still placing objects in their mouths. Observed empty plastic bags on a low shelf in the bathroom of Room #1 and accessible to children who are still placing objects in their mouths. Observed two foam carpets in Room #3 that had multiple places where they were torn, and foam was exposed. These carpets were accessible to children still placing objects in their mouths.

Corrected by Jan 5, 2023

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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.

Observed in a tall bookshelf in the middle of the room and a low bookshelf under the window in Room #7 that were both wobbly and creating a topple hazard for the children in care.

Corrected by Jan 5, 2023

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

The highchair in Room #1 did not have straps. Four of the highchairs located in a child sized table did not have straps in Room #4.

Corrected by Jan 10, 2023

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3270.182(1) · A child's record shall contain initial and subsequent health reports.

The file for Child #5 lacked an initial health report and immunization record within 60 days of attendance.

Corrected by Jan 12, 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.

Observed the thermometer in the Lunch Room refrigerator to read 49 degrees. Cert Rep checked refrigerator a second time and observed the thermometer to read 50 degrees. The refrigerator located Room #3 lacked a thermometer.

Corrected by Jan 5, 2023

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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 for Child #3 lacked the amount of the fee to be charged.

Corrected by Jan 5, 2023

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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 Agreement for Child #3 lacked the persons designated by a parent to whom the child may be released.

Corrected by Jan 10, 2023

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The Emergency Contact Form in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

Corrected by Jan 10, 2023

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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 for Child #2 and #4 lacked the health insurance coverage for the child.

Corrected by Jan 11, 2023

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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 #3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected by Jan 10, 2023

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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 #3 contained an emergency contact form that was not updated within 6 months of the previous update.

Corrected by Jan 12, 2023

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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 health report for the following child lacked verification of ongoing vaccines in accordance with the schedule recommended by the ACIP. The report for Child #2 lacked an influenza vaccination and a 3rd dose of the Polio vaccination.

Corrected by Jan 12, 2023

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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.

At the time of the Renewal Inspection the most current Health Assessment in Staff #1's file was dated more than 24 months ago. The file for Staff #5 contained a Health Assessment at the time of inspection, but it was observed they did not have a Health Assessment before their first day working in childcare. The file for Staff #6 lacked a Health Assessment.

Corrected by Jan 12, 2023

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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 #5 contained a tuberculosis screening by the Mantoux method at the time of inspection, but it was observed they did not have a tuberculosis screening by the Mantoux method prior to their first day working in childcare.

Corrected by Jan 12, 2023

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The file for Staff #2 contained a Health Assessment that stated they had a communicable disease. There was no accompanying documentation stating the condition and the risk it might pose to others exposed to this individual.

Corrected by Jan 12, 2023

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Observed a lunchable labeled "keep refrigerated," stored in a child's lunch box in Room #7 not in the refrigerator as required by regulation.

Corrected by Jan 5, 2023

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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 Emergency Contact Form in the file for Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jan 12, 2023

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

Corrected by Jan 5, 2023

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3270.61(h) · The capacity established for an indoor space may not be exceeded.

Room #3, a childcare space, has a measured capacity of 3 children. On the day of the Renewal Inspection, Cert Rep observed 4 children being care for in Room #3.

Corrected by Jan 5, 2023

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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.

The file for Child #5 lacked an initial health report and immunization record within 60 days of attendance.

Corrected by Jan 12, 2023

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

3rd citation: The emergency contact information in the file for child #1 did not include the written consent signed by a parent for emergency medical care. Previously cited 2/2/22 and 4/5/22.

Corrected by Apr 27, 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.

3rd citation: The emergency contact information in the file for child #2 did not include an address for one of the release persons. The emergency contact information in the file for child #3 did not include an address for two of the release persons. Previously cited 2/2/22 and 4/5/22.

Corrected by Apr 27, 2022

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

3rd citation: The emergency contact information in the file for child #1 and #2 did not include the written consent signed by a parent for walking excursions. Based on conversation with the operator, all children go on walking excursions. Previously cited 2/2/22 and 4/5/22.

Corrected by Apr 27, 2022

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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.

2nd citation: Based on conversation with the operator, the emergency plan was reviewed in the last 12 months, however, the review was not documented. Previously cited 2/2/22.

Corrected by Apr 15, 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.

2nd citation: The emergency contact information in the file for child #3 did not include a work address or phone number for the child's father. Previously cited 2/2/22.

Corrected by Apr 15, 2022

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3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

2nd citation: The emergency contact information in the file for child #1 and #2 did not include written parent consent for emergency medical care. Previously cited 2/22/22.

Corrected by Apr 15, 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.

2nd citation: The emergency contact information in the file for child #2 and #3 did not include the address for all release persons. Previously cited on 2/2/22.

Corrected by Apr 15, 2022

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

2nd citation: The emergency contact information in the file for child #1 and #2 did not include written parent consent for walking excursions. Based on conversation with the operator, all children go on walking excursions. Previously cited 2/2/22.

Corrected by Apr 15, 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.

2nd citation: The facility's emergency plan did not provide for accommodations for infants, only toddlers. Previously cited 2/2/22.

Corrected by Apr 15, 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 emergency contact information in the file for child #3 did not include a work address or phone number for the child's father.

Corrected by Apr 4, 2022

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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.

There was not a current copy of the general liability insurance policy on file at the facility at the time of the inspection.

Corrected by Apr 4, 2022

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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.

Based on conversation with the operator, the emergency plan was reviewed in the last 12 months, however, the review was not documented.

Corrected by Apr 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 emergency plan training in the file for staff person #6 and #10 was signed but not dated, so it could not be determined if the training was completed at initial employment. There was no emergency plan training in the file for facility person #11.

Corrected by Apr 4, 2022

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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 last fire safety training in the file for staff person #4, the operator, was dated more than 12 months ago.

Corrected by Apr 4, 2022

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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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 may not work in a child care position at the facility

The state police and child abuse clearance in the file for staff person #3, hired provisionally, were both dated after the individual began working with children. There was no proof of request for those clearances prior to working with children. The file for staff person #8, hired provisionally and within their 45-day provisional hire period, included only the request for a state police clearance and the individual was observed in the toddler 3 room alone with a child. The facility has a provisional waiver. The disclosure statement in the file for staff person #10 was dated after they began working children. The file for facility person #2, a volunteer who began working in June 2021, did not include a signed disclosure statement or an NSOR certificate.

Corrected by Apr 4, 2022

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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 file for staff person #6 and #9, both holding the title of assistant group supervisor, included proof of high school diploma, but did not include 2500 hours of child care experience.

Corrected by Apr 4, 2022

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3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

During nap time on 2/2/22, staff person #9, whose file included proof of high school diploma, but did not include 2500 hours of child care experience which gave them the title of aide, was observed alone with 9 preschoolers in the preschool 2 classroom.

Corrected by Feb 2, 2022

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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 8:45 am on 2/2/22, staff person #3 and #4 were observed in toddler room 1 with12 children, a combined group of 7 preschoolers and 5 young toddlers.Approximately 2 minutes later, staff person #3 walked to the front door of the facility to let a parent in and then stepped outside the facility to hold the door open, leaving staff person #4 out of ratio. Upon entering the infant 1 room at approximately 12:10 pm on 2/2/22, two children, an infant and a young toddler, were observed sleeping in cribs and there was no adult in the room. After waiting about 15-20 seconds, this certification representative went into the adjacent infant 2 room, where staff person #1 was changing an infant's diaper. When asked if they always change diapers in the infant 2 room, staff person #1 said yes. When staff person #1 was asked about the 2 unsupervised children in the next room, staff person stated that staff person #10 must have left the room.

Corrected by Feb 2, 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.

The accessible first-aid kit on the window sill in the preschool room contained packets of burn cream, triple antibiotic ointment and antiseptic towelettes. There was a large bottle of hand sanitizer on the microwave in the unlicensed space on the 2nd floor. The preschool children pass through the room to get to their classroom and the bathroom they use is located in the unlicensed space.an unlocked storage closet in the unlicensed room on the second floor which included Windex and several cans of paint.All items included instructions to keep out of the reach of children.

Corrected by Apr 4, 2022

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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 the closet in the infant 1 room, there were two children's spoons observed in the same plastic container as diaper cream. and there was a tub of diaper cream setting on a shelf next to baby food. There was a can of Lysol disinfectant sitting next to a can of powdered Similac. In the unlicensed room on the second floor, there was a large container of hand sanitizer sitting on top of the microwave on a table of food items, including a bag or Oreos sitting right next to the hand sanitizer.

Corrected by Apr 4, 2022

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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.

The trash can in the 2nd floor bathroom was unlidded.

Corrected by Apr 4, 2022

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3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The following windows, which are on the 2nd floor and open directly to the outdoors, were unlocked and were not modified to limit the opening to 6 inches. The windows in the school-age room were approximately 4 feet off the floor and opened approximately 16 inches. preschool 1 and 2 hallway

Corrected by Apr 4, 2022

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

The first-aid kit in the preschool 2 room was sitting on a low window sill, making it accessible to the preschoolers in the room at the time.

Corrected by Apr 4, 2022

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3270.75(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).

The first-aid kit on the mini-bus used to transport school-age children did not contain a bottle of water.

Corrected by Apr 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.

The flooring at the doorway between the toddler 1 room and the hallway had several small cracks. There was an area of loose baseboard in the far right hand corner of the toddler 2 room and in the far left hand corner of the toddler 3 room. There was a small area of carpeting in the preschool room that was torn and frayed.

Corrected by Apr 4, 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.

At approximately 8:55 am on 2/2/22, the 9 preschoolers and 2 preschool staff did not wash their hands before serving and eating breakfast.

Corrected by Apr 4, 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 trash can in the 2nd floor bathroom was not lidded.

Corrected by Apr 4, 2022

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreement forms in the file for child #1 through #5 included different colors of ink and highlighting. Based on conversation with the operator, the forms were the original agreements.

Corrected by Apr 4, 2022

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3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

The following rooms did not have a source of running water anywhere in the room: Toddler 1, Toddler 3, Infant 1 and Infant 2.

Corrected by Apr 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.

In the preschool 1 room, there was a cracked red plastic toy bin on a low shelf and a slightly unstable wooden doll house as the house could sway back and forth slightly when pressure was applied

Corrected by Apr 4, 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.

A one-year old child was observed carrying a foam letter "C" they found under the table in toddler 1 room.

Corrected by Feb 2, 2022

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

There was not a daily schedule posted in the toddler 1 room.

Corrected by Apr 4, 2022

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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.

Upon entering the infant 1 room at approximately 12:10 pm on 2/2/22, two children, an infant and a young toddler, were observed sleeping in cribs and there was no adult in the room. After waiting about 15-20 seconds, this certification representative went into the adjacent infant 2 room, where staff person #1 was changing an infant's diaper. When asked if they always change diapers in the infant 2 room, staff person #1 said yes. When staff person #1 was asked about the 2 unsupervised children in the next room, staff person stated that staff person #10 must have left the room.

Corrected by Feb 2, 2022

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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 8:45 am on 2/2/22, staff person #3 and #4 were observed in toddler room #1 with12 children, a combined group of 7 preschoolers and 5 young toddlers. Approximately 2 minutes later, staff person #3 walked to the front door of the facility to let a parent in and then stepped outside the facility to hold the door open and was unable to see, hear. direct or assess the 5 young toddlers they identified in their group. Upon entering the infant 1 room at approximately 12:10 pm on 2/2/22, two children, an infant and a young toddler, were observed sleeping in cribs and there was no adult in the room. After waiting about 15-20 seconds, this certification representative went into the adjacent infant 2 room, where staff person #1 was changing an infant's diaper. When asked if they always change diapers in the infant 2 room, staff person #1 said yes. When staff person #1 was asked about the 2 unsupervised children in the next room, staff person stated that staff person #10 must have left the room.

Corrected by Feb 2, 2022

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact information in the file for child #1, #2 and #4 did not include written parental consent for emergency medical care.

Corrected by Apr 4, 2022

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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 #2, #3 and #4 did not include the name of the child's health insurance.

Corrected by Apr 4, 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 emergency contact information in the file for child #1 through #5 did not include an address for the release persons.

Corrected by Apr 4, 2022

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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 #2, a young toddler, was dated more than 6 months ago.

Corrected by Apr 4, 2022

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3270.131(d)(2) · A health report shall include a list of the child's allergies.

The health report in the file for child #4 did not include a list of the child's allergies. The appropriate box on the form was left blank.

Corrected by Mar 28, 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 health report in the file for child #2 and #4 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 4, 2022

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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.

The 9 children and 2 staff in the preschool 2 room did not wash their hands before breakfast was served.

Corrected by Apr 4, 2022

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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.

There was no evidence of a flu shot in the file for child#2 and #4, both more than 6 months old. The files did not include a written statement of exemption by a parent.

Corrected by Apr 4, 2022

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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.

The 9 children and 2 staff in the preschool 2 room did not wash their hands before breakfast was served.

Corrected by Apr 4, 2022

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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.

The diaper can used to discard soiled diapers in the infant 1, infant 2, toddler 1 and toddler 2 rooms was not hands-free, as there was a plastic liner that a soiled diaper must be pushed through to be discarded.

Corrected by Apr 4, 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 initial health assessment in the file for staff person #5 was dated more than 12 months prior to their first day working with children. The health assessment in the file for staff person #3 was not dated, so it could not be determined if the exam was conducted before the individual began working with children. The health assessment in the file for staff person #7 was dated after they began working with children.

Corrected by Apr 4, 2022

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment in the file for staff person #9 did not include an examination for communicable diseases and the results of the examination.

Corrected by Mar 28, 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 health assessment in the file for staff person #9 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Mar 28, 2022

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3270.175(a) · A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

There were no booster or car seats on the facility's mini bus, used to transport school-agers before and after school. Based on conversation with the operator, there are 4 children who ride the bus and are 7 years of age or younger.

Corrected by Apr 4, 2022

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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 emergency contact information in the file for child #1, #2 and #4 did not include written parental consent for minor first-aid procedures by staff.

Corrected by Apr 4, 2022

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #6 and #9, both holding the title of assistant group supervisor, included proof of high school diploma, but did not include 2500 hours of child care experience.

Corrected by Apr 4, 2022

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3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The pediatric CPR and First Aid training in the file for staff person #6 did not include the signature of the individual who provided the training, only the name of the agency.

Corrected by Apr 4, 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 facility person #2, a volunteer, did not include 2 letters of reference.

Corrected by Apr 4, 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 provide for accommodations for infants, only toddlers.

Corrected by Apr 4, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The only pediatric first-aid and CPR training in the file for staff person #3 was dated beyond their first 90 days of working with children.

Corrected by Mar 28, 2022

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3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

The pediatric CPR and First Aid training in the file for staff person #6 did not include the signature of the individual who provided the training, only the name of the agency.

Corrected by Apr 4, 2022

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

The health and safety training in the file for staff person #6 was dated beyond their first 90 days working with children.

Corrected by Apr 4, 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 the proof of purchase for the facility's interconnected fire detection system. The last two testing letters by a fire safety professional were dated 10/21/20 and 12/29/21.

Corrected by Apr 4, 2022

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #4, the operator, did not include 12 hours of training between 12/19/20 and 12/19/21.

Corrected by Mar 28, 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.

Based on conversation with the operator, they did not notify local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility in the last 12 months.

Corrected by Apr 4, 2022

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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.

At approximately 1:30 pm in the toddler room, where staff person #1 was present with 5 young toddlers, child #1 was sleeping in a bean bag chair. Based on conversation with staff, the child was placed on their cot for nap, but moved of their cot and onto the bean bag chair and fell asleep.

Corrected by Sep 16, 2021

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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.

At approximately 1:30 pm in the toddler room, where staff person #1 was present with 5 young toddlers, child #1 was sleeping in a bean bag chair. Based on conversation with staff, the child was placed on their cot for nap, but moved of their cot and onto the bean bag chair and fell asleep.

Corrected by Sep 16, 2021

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