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

Observed three electrical outlets that lacked receptacle covers.

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

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 in the gymnasium: a large hole in the wall on the left side where four of the blocks had been removed. In this gap, exposed pipes and pieces of cracked cinder blocks were observed. Observed a leaking water pipe on the ceiling, which was creating a puddle on the floor on the far left side. Observed a cracked electrical outlet cover on the far wall, and another electrical cover, which were held on with blue tape that was peeling. A gap in the wall near this same outlet exposed crumbling cinder. Several smaller holes, which had previously been taped, were observed along the lower walls of the gym, primarily in the far right corner below the pull-up bars. Observed wrestling equipment (a portable rink with metal components), which was accessible to children, on the near right corner of the gymnasium.

Corrected Corrected by Dec 2, 2024

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

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).

While assessing supervision and ratio during a complaint investigation on 11.4.24, at approximately 10:40 AM, in a mixed age group, staff member #1 named 1 young school-age child and 2 preschool children they were responsible for. Staff person #2 named 3 preschool children, 3 older toddlers, and 1 young toddler who they were responsible for. Staff member #3 was to have responsibility for the young toddler but had left the room for several minutes after the CR's arrival.

Corrected Corrected by Nov 13, 2024

Category: supervision. 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.

The most recent fire drill documented is dated 9.3.24, more than 60 days ago.

Corrected Corrected by Nov 4, 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 most recent documented fire alarm test is dated 9.3.24, more than 30 days ago.

Corrected Corrected by Nov 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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 second window from the far end in Room 119, which is above the ground floor, was able to be opened more than 6 inches.

Corrected Corrected by Sep 18, 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 Shaken Baby/Abusive Head Trauma Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment.

Corrected Corrected by Sep 20, 2024

Category: ratio. Marked corrected in the state record.

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

There were 2 pairs of adult scissors on the teacher desk in Room 119 which were accessible to children.

Corrected Corrected by Sep 16, 2024

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #1 includes verification of First Aid/CPR training dated 8.14.24, after the expiration date of 3.31.24.

Corrected Corrected by Sep 16, 2024

Category: ratio. 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.

The file for Staff person #2, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by Sep 17, 2024

Category: supervision. Marked corrected in the state record.

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).

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised and no staff present to maintain ratio.

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

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

In Room 119 there was a missing outlet cover on the wall opposite the windows and there were 2 missing outlet covers in the power strip beneath the air conditioning unit, accessible to children 5-years or younger.

Corrected Corrected by Sep 16, 2024

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.

There was a bottle of White-Out, labeled "keep out of reach of children" in an unlocked drawer on the teacher's desk, making it accessible to children.

Corrected Corrected by Sep 16, 2024

Marked corrected in the state record.

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

There was no lidded trashcan in Room 119 where children were observed throwing away soiled facial tissues, used plastic utensils, and unfinished food from lunches.

Corrected Corrected by Sep 18, 2024

Category: nutrition. Marked corrected in the state record.

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

In the outside playground, there was a piece of wood bordering the edge of the poured surface that was splintered and had a sharp exposed shard that stuck out several inches creating a tripping or injury hazard. There was also a strip of wood on the border around the poured surface that was pulling away from the border and sticking up, creating a tripping hazard. In the gym there were floorboards pulling up from the floor, creating a tripping hazard. The cover on the end of the heating unit in Room 119 had broken, causing pinch points and sharp metal corners to be exposed.

Corrected Corrected by Dec 13, 2024

Category: physical safety. 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.

Peeling paint was observed on the wall above the sink in the food preparation area in room 118.

Corrected Corrected by Sep 19, 2024

Category: ratio. 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.

Several plastic figurines smaller than 1 inch were observed in the toy bin in Room 118 and 119, where children who are still placing items in their mouths.

Corrected Corrected by Sep 17, 2024

Marked corrected in the state record.

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.

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised.

Corrected Corrected by Sep 19, 2024

Category: supervision. Marked corrected in the state record.

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.

Staff person #1, #2, and #3 were observed in Room 119, with 2 Older Toddlers and 4 preschool children. Staff person #3 and #1 both exited the room. At 11:49 AM, Staff person #2 left the classroom for approximately 15 seconds, leaving the 6 children unsupervised and no staff present person was present with the children.

Corrected Corrected by Sep 17, 2024

Category: supervision. Marked corrected in the state record.

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

The agreement on file for Child #1 and #2 does not include the persons to whom the child can be released.

Corrected Corrected by Sep 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

Corrected Corrected by Sep 22, 2024

Category: health medication. 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 form on file for Child #1 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Sep 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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 current emergency contact form on file for Child #1 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Sep 22, 2024

Category: health medication. 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 form on file for Child #1 does not include a complete address for all listed release persons.

Corrected Corrected by Sep 22, 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 fire alarm 30-day test log includes test dates 10.27.23-11.27.23; 5.17.24-6.17.24; and 7.15.24-8.15.24, more than 30 days apart.

Corrected Corrected by Sep 16, 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.

While testing the 2 independent smoke detectors, the smoke detector in Room 118 did not appear to be functioning.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff person #1 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/19/23. A 2-hour training from 7.15.24 (Physical Activities for Young Children) is borrowed to complete the required training hours.

Corrected Corrected by Sep 16, 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.

The file for staff #1 did not contain a written evaluation completed in 2022. The most recent evaluation on file dated 7/24/23 is now current.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

One electrical outlet on a power strip in room 119 lacked a protective cover. The power strip was accessible to children 5 years of age or younger.

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.

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.

A reusable spray bottle observed in room 119 was not labeled with the contents. Based on statements made by staff, the bottle contained sanitizer.

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The posting in room 119 listing the emergency numbers did not include phone numbers for the poison control center or the nearest hospital.

Corrected Corrected by Sep 22, 2023

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

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

Two pieces of wood surrounding the perimeter of the outdoor play space were observed to be lifting away from the foundation below exposing sharp screws and creating a tripping hazard.

Corrected Corrected by Oct 22, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The boys restroom lacked posted handwashing signs at two sinks.

Corrected Corrected by Sep 22, 2023

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

3270.92(a) · Portable space heaters are not permitted.

A portable space heater was observed in the storage area of the staff room. Based on statements made by staff, the heater has been used when the rooms are cool because the heat in the building has not yet been turned on for the winter.

Corrected Corrected by Sep 22, 2023

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

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.

Loose screws which created pinch points were observed on a triangular book shelf in room 118.

Corrected Corrected by Sep 22, 2023

Category: physical safety. 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.

The following items with a diameter of less than 1 inch were observed to be accessible to an older toddler who was present in care on the day of the inspection; In room 118 and 119, a Lego bin with small pieces, a bin of Barbie accessories including small shoes, short Lincoln Logs, a bin with various small items including a rubber tire from a toy car, and small pieces of hard macaroni in the sensory bin. Large pieces of scrap plastic wrap were observed on the floor of the gym.

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.

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

A flat screen television on a table in room 119 was not anchored and was easily tipped forward. In the gym, large wooden platforms with protruding nails and a large piece of unknown green equipment were observed. The green item was constructed of hard plastic and seemed be be overturned which exposed multiple large protruding bolts.

Corrected Corrected by Oct 22, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for child #3 did not include the telephone number of the child's physician.

Corrected Corrected by Sep 22, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for children #1 and #2 contained immunization records which lacked documentation of receiving the influenza vaccine since 2021. No record for the influenza vaccine was on file for 2022 or yet for 2023. Written exemptions were not on file.

Corrected Corrected by Sep 25, 2023

Category: health medication. 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.

Documentation of the 30 day tests of the fire detection devices indicated consecutive tests conducted more than 30 days apart.; 4/10/23 and 5/12/23 = 32 days.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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 did not address continuity of operations.

Corrected Corrected by Oct 28, 2022

Category: ratio. Marked corrected in the state record.

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

A pedestal fan, which lacked a protective netting, was observed in the hall outside room 118. The fan was plugged in.

Corrected Corrected by Sep 16, 2022

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #2 and #3 did not contain documentation of being trained on the emergency plan within 90 days of hire. (SEE LIS CODE SHEET) The only documented training on file for both staff was dated 6/15/22.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained documentation of fire safety training completed more than 12 months apart; 7/13/21 and 8/24/22.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. 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.

The file for staff #1, designated as an assistant group supervisor, did not contain documentation of the qualifications required for the position.

Corrected Corrected by Oct 30, 2022

Category: supervision. Marked corrected in the state record.

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

Five electrical outlets in the gym lacked protective covers. The outlets are accessible to children 5 years of age or younger.

Corrected Corrected by Sep 16, 2022

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.

Upon arrival, the door to the maintenance closet was open leaving multiple toxics accessible to children (bleach, sanitizer, disinfectant and batteries). The closet is beside the entrance to the girls' restroom used by children in care.

Corrected Corrected by Sep 16, 2022

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

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

Room 119 lacked a first aid kit.

Corrected Corrected by Sep 16, 2022

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

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

The first aid kit in room 118 was accessible to children on a child sized table.

Corrected Corrected by Sep 16, 2022

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

3270.102(a)/3270.103 · 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. 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.

Accessible foam was observed on multiple gymnastics mats stored in the gym. Crumbling pieces of foam were observed on the gym floor around the mats.

Corrected Corrected by Oct 28, 2022

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

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.

A torn seam was observed in the seat of the gray hammock chair in room 118.

Corrected Corrected by Sep 16, 2022

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

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

The operator was unable to provide documentation of the manufacturer's ASTM F1292 test data for the unitary playground protective surface covering for the outdoor play space.

Corrected Corrected by Oct 30, 2022

Category: physical safety. 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.

Plastic bags were accessible to children under 2 cabinets in room 118 and in one child's locker in the hall.

Corrected Corrected by Sep 16, 2022

Marked corrected in the state record.

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

The files for children #1, #3, and #4 contained agreements which did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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 #1 contained an emergency contact form which did not include a health insurance policy number.

Corrected Corrected by Sep 16, 2022

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

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).A child's record shall contain initial and subsequent health reports.

The file for child #1, a school age child, contained a health report which was not dated therefore compliance could not be determined.

Corrected Corrected by Oct 24, 2022

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

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

The file for child #5 contained a health report which has not been updated in the past 12 months.

Corrected Corrected by Sep 19, 2022

Category: health medication. 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 files for children #2 and #5 contained immunization records which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 28, 2022

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

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 #2 did not contain the results of a tuberculosis screening.

Corrected Corrected by Oct 28, 2022

Category: health medication. 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 lacked accommodations for toddlers. Two older toddlers were observed in care.

Corrected Corrected by Oct 28, 2022

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.

The facility conducted an initial annual emergency on 6/16/22 which was after the deadline on 12/19/21.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #1 contained 12 annual hours of training which were completed late, but are now current.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. 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.

Observed 3 bottles of spray cleaning products in the sink in the classroom that was accessible to children.

Corrected Corrected by Sep 21, 2021

Marked corrected in the state record.

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

Staff did not have a first aid kit with her when she was providing care for children outside.

Corrected Corrected by Sep 21, 2021

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The toilets in the restroom lacked handwashing signs.

Corrected Corrected by Sep 21, 2021

Category: health medication. 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 operator indicated that the fire detection system has not been tested at least once every 30 days.

Corrected Corrected by Sep 21, 2021

Category: recordkeeping. Marked corrected in the state record.