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

In the Daycare Room a stapler was observed on top of a cabinet that was accessible to the children.

Corrected Corrected by Jan 23, 2025

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The staff file for Staff person #3 was observed to not have received training on the facility emergency plan training within 90 days of hire.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan was observed not to be posted in a conspicuous location.

Corrected Corrected by Jan 23, 2025

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

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

The staff file for Staff person #4 contained fire safety trainings that were not completed on an annual basis; the dates of the two most recent trainings are 8/24/24 and 1/25/23.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 2/19/25 to complete the required training. Until such time as the required training has been completed, Staff person #2 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 #2, Staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; First Aid/CPR training dated 1/29/24 was on file but it was not an approved curriculum nor conducted by a PQAS instructor.

Corrected Corrected by Feb 3, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #1 was observed to contain a current State sex offender check dated 9/16/24 from the State in which they resided in within the previous five years however lacked documentation of having applied for the State sex offender check prior to working with children as required by the Child Protective Service Law (CPSL).

Corrected Corrected by Jan 23, 2025

Category: background checks. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The child file for Child #1 contained a current emergency contact information form that lacked the addresses for two of the individuals listed as a designated release person.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed on 3/12/24 and 8/28/23 and the financial agreement form were reviewed and signed on 8/16/24 and 8/28/23. The child file for Child #2 contained a current financial agreement that weas not reviewed and signed by the parent every 6 months; the two most recent reviews of the financial agreement form were reviewed and signed on 8/19/24 and 12/23/23.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The child file for Child #3 contained a current emergency contact form that lacked signed parental consent for emergency medical care for the child.

Corrected Corrected by Jan 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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 child file for Child #3 contained a current emergency contact form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 24, 2025

Category: ratio. Marked corrected in the state record.

3270.15(a) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

The facility was discovered to be operating with an occupancy permit that restricts services to school-age only children.

Corrected Corrected by Apr 4, 2025

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

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

Upon review of the facility's fire drill log, more than 60 days has passed since the last fire drill that was conducted on 11/20/24.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(3) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

Upon review of the facility's fire drill log the following drills conducted on 9/24/24, 10/8/24, and 10/26/24 all occurred at 10:00am.

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

According to statements from other staff persons Facility Person #1 frequently raises their voice at the children, yelling at them or speaking to them in a harsh tone of voice.

Corrected Corrected by Aug 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

According to the statements of other staff persons, Facility Person #1 calls children in care "bad," and makes degrading comments regarding their clothing, race, and disability to the children and in the presence of other children. Staff state Facility Person #1 told a child who was disruptive at naptime that they were "going to come to the child's home and wake up their baby brother."

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Fire drills were recorded as having occurred on 1/2/24 and then next on 3/12/24.

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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 fire drills recorded on the fire drill log for 1/2/24 and then next on 3/12/24 specified the same hypothetical location of the fire.

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There most recent evaluation on file for Facility Person #4 was dated "2022-2023." The date the evaluation was completed was not documented.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 criminal history clearance on file for Facility Person #3 was completed more than 45 days after their start date. There was no proof of application for a criminal history clearance on file for Facility Person #3.

Corrected Corrected by Feb 18, 2024

Category: background checks. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's emergency plan does not address the continuity of operations in the event of an emergency.

Corrected Corrected by Mar 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The most recent emergency plan training documented and on file for Facility Person #4 was showing completed more than 12 months after the previous documented emergency plan training.

Corrected Corrected by Jan 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Mar 1, 2024

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

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

The most recent firesafety training completed and documented on file for Facility Person #4 was completed more than 12 months after the previous firesafety training documented on file.

Corrected Corrected by Jan 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The health and safety training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date.

Corrected Corrected by Jan 18, 2024

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

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

There was no documentation of child care experience on file for Facility Person #2, classified as the facility's director, required for the staff classification.

Corrected Corrected by Feb 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreements on file for children #1-#5 were the originals.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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 forms on file for children #2 and #3 did not include the addresses of all release persons listed.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The medical emergency transportation plan was not posted in the main child care space.

Corrected Corrected by Jan 18, 2024

Category: transportation. Marked corrected in the state record.

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

The program's breakfast menu was not posted or shared with parents at least week in advance.

Corrected Corrected by Jan 22, 2024

Marked corrected in the state record.

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, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 1, 2024

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

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

There was no documentation of an emergency drill conducted in the previous 12 months.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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 is unable to test their smoke detectors due to a valid reason. The current professional fire alarm inspection documented and on file at the child care facility was completed more than 12 months after the previous inspection documented and on file.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There was no documentation the emergency plan had been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Mar 1, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The provider must have a written policy must include: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma. Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

There was no written policy regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Jan 24, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The facility must have an emergency plan that includes a plan for continuity of operations in the event of an emergency.

The emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected Corrected by Jan 25, 2023

Category: ratio. Marked corrected in the state record.

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

There was no letter available to provide to the parent of each enrolled child explaining the emergency procedures.

Corrected Corrected by Jan 26, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #2 and #4 may not work at the facility without all completed clearances on file.

Mandated reporter training completed and on file for Facility Person #1 indicates the training was completed on 6/22/15 and 8/10/21, more than 60 months apart. The FBI Clearance on file for Facility Person #2 was invalid as it was completed through the Department of Education. There was no state police clearance on file for Facility Person #4. The FBI clearance on file for Facility Person #4 was invalid as it was completed through the Department of Education.

Corrected Corrected by Jan 9, 2023

Category: background checks. Marked corrected in the state record.

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

Facility Persons #2 and #4 were classified as assistant group supervisors without documentation of the education and/or experience on file required under 3270.36(b)for the classification.

Corrected Corrected by Jan 24, 2023

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There were two staff evualtions on file for Facility Person #3. One was dated 12/15/21. The other was not dated. It was not documented that the second evaluation was completed within 12 months of the first evaluation.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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 a small area of damaged plaster on the wall behind the trash can in the restroom.

Corrected Corrected by Jan 6, 2023

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

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

There were no emergency contact forms located in the main child care space for three of the infants in care in that space.

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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 immunization record on file for child #1 did not indicate the child had sufficient doses of the following immunizations as recommended by the ACIP for the child's age: pneumococcal, polio, varicella, and hepatitis A.

Corrected Corrected by Jan 26, 2023

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

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.

There was no health assessment on file for Facility Person #4.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

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

There were no written feeding schedules at the facility from the parents of two of the infants in care.

Corrected Corrected by Jan 25, 2023

Category: nutrition. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

There were no fire drills recorded as occurring between 12/9/21 and 8/24/22. (Program operates during the school year only.)

Corrected Corrected by Jan 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(3) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted during various program activity times.

The fire drills recorded as conducted in the last year did not occur during various program activity times.

Corrected Corrected by Jan 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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 firesafety professional inspections of the facility's fire alarm system documented and on file at the facility were dated as occurring on 6/17/21 and again on 9/22/22, more than 12 months apart. Inspections are required annually under Act 62 as the operator is unable to test the facility's fire alarm system at least every 30 days and demonstrate operability at the annual renewal inspection.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact for of child #1 did not contain the work telephone number and child #2 did not contain the work address of the enrolling parents.

Corrected Corrected by Jan 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

The file of facility person #1 (start date 8/30/2021) did not contain documentation of submission or a completed PA state police clearance, FBI clearance or NSOR verification certificate.

Corrected Corrected by Jan 12, 2022

Category: background checks. Marked corrected in the state record.

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.

Wet Jet floor cleaner, labeled "keep out of the reach of children," was accessible to children on a low shelf of an unlocked cabinet. Behind an unlocked door by the bathroom, Best Press Starch and hand sanitizer was accessible to children.

Corrected Corrected by Jan 12, 2022

Marked corrected in the state record.

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.

Tall plastic kitchen trash bags were accessible to children still placing objects in their mouths on a low shelf in an unlocked cabinet.

Corrected Corrected by Jan 12, 2022

Marked corrected in the state record.

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 immunization record of child #3 did not contain vaccines in accordance with the schedule recommended by the ACIP or acceptable exemption.

Corrected Corrected by Jan 12, 2022

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

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 of facility person #1 did not contain verification of education.

Corrected Corrected by Jan 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

An annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Jan 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of facility person #1, who had been employed for more than 90 days, does not have documentation of pediatric first aid and CPR.

Corrected Corrected by Jan 12, 2022

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