3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 4 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 #4 may not work in a child care position at the facility.

The file for Staff Person #2 contained Child Abuse Clearances dated 3/8/15 and 9/23/23 which are more than 60 months apart. The file for Staff Person #4 contained a State Police Clearance dated 10/22/24, which is after hire date (see LIS code sheet), and a Child Abuse Clearance which was obtained for volunteer purposes and is invalid for employment. The file for Staff Person #5 contained Child Abuse Clearances dated 5/14/18 and 10/11/23 and State Police Clearances dated 5/23/18 and 11/19/23 which are both more than 60 months apart. The file for Staff Person #6 contained Child Abuse Clearances dated 9/2/19 and 9/5/24 and State Police Clearances dated 9/6/19 and 10/3/24 which are both more than 60 months apart.

Corrected Corrected by Nov 25, 2024

Category: background checks. 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.

It was observed in the upstairs school age room that there were wires that were exposed from a phone jack.

Corrected Corrected by Nov 25, 2024

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

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

It was observed that there were two strollers that were blocking the stairs to the egress from the lower level to outside.

Corrected Corrected by Nov 25, 2024

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 on file for Child #1 and Child #2 does not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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 two most recent health assessments on file for Staff Person #1 are dated 7/2/22 and 10/30/24, for Staff Person #2 are dated 9/21/22 and 10/23/24 and for Staff Person #6 are dated 7/16/21 and 8/16/23, which are all more than 24 months apart. The heath assessment on file for Staff Person #3 is dated 2/23/23 and Tuberculosis skin test reading is dated 3/13/23 which are both after hire date (see LIS code sheet).

Corrected Corrected by Nov 25, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

It was observed in the file for Staff # 6 that professional development in pediatric first-aid and pediatric CPR was not completed within 90 days of hire. This is evidenced by DOH: 2/17/2023 and First Aid/CPR training completed on 10/7/2023.

Corrected Corrected by Nov 29, 203

Category: ratio. Marked corrected in the state record.

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

The mandated reporter on file for Staff #3 was observed to be greater than 60 days. This is evidenced by 4/7/2018--10/18/2023. The mandated reporter on file for Staff #4 and Staff #5 were not completed within 90 days of Starting with children. This is evidenced by Staff #4, 6/1/18--2/10/2020; Staff #5, 9/20/19--2/10/2020.

Corrected Corrected by Nov 29, 2023

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 FBI clearance for Staff person #1, Staff person #2, Staff person #3, Staff person #4, Staff person #5 were observed to be greater than 60 months. This is evidenced by Staff person #1, 3/2/18--9/12/23; Staff person #2, 2/20/18--9/13/23; Staff person #3, 2/23/18--9/14/23; Staff person #4, 6/1/15--10/16/20; Staff person #5, 5/21/2015--10/17/20.

Corrected Corrected by Nov 29, 2023

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

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Located in the outdoor play area, a long, large gray pipe was lying on the ground and could cause a tripping hazard.

Corrected Corrected by Dec 4, 2023

Category: physical safety. 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.

It was observed in the upstairs classroom off the kitchen that there was not a protective receptacle cover in the electrical outlet.

Corrected Corrected by Nov 29, 2023

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.

It was observed that three gallons of paint in the upstairs closet was not locked and accessible to children.

Corrected Corrected by Dec 4, 2023

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 in the upstairs classrooms and kitchen area on the closet doors and all of the baseboards and threshold trim and windowsills. Peeling paint was also observed above the sink in the preschool room.

Corrected Corrected by Feb 15, 2024

Category: physical safety. 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 #3 and Child #4 were observed not to contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. 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 health assessment on file for Staff #6 was completed after the initial hire date. This is evidenced by Date of Hire/Working with Children: 02/17/2023. The Health assessment was conducted on 2/23/23 and the tuberculin skin test was done 3/13/2023.

Corrected Corrected by Mar 13, 2023

Category: health medication. 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.

In the younger toddler room, a storage closet was unlocked and inside was a bag of Safe Step Ice Melter and on the label it stated: "Keep out of reach of children."

Corrected Corrected by Nov 15, 2022

Marked corrected in the state record.

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

Located in the school age room. the first aid kit was observed on a brown table and was accessible to children in care.

Corrected Corrected by Nov 15, 2022

Category: health medication. 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, staff #2, and staff #3 contained a fire safety training date of 5-28-2021 and 6-5-2022 which exceeded the mandatory date of 5-28-2022 to receive the training.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Located in the rear playspace, a long, large gray pipe was lying on the ground and could cause a tripping hazard.

Corrected Corrected by Dec 9, 2022

Category: physical safety. 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.

Located on the upper level of the facility, a bathroom which was located on the right side contained one outlet which was not covered by an outlet cover and was accessible to children 5 years and younger.

Corrected Corrected by Nov 15, 2022

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.

The upper area of the front door of the facility contained an area which was sharp and rusted. On the lower area of the front door, there was an area which was rusted, sharp, and cracked, and both areas could cause a laceration to occur in a child.

Corrected Corrected by Dec 9, 2022

Category: ratio. 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.

In the younger toddler room, the storage closet door contained twelve areas of chipped accessible paint. Located to the left of the rear playspace two blue railings on the left and right side of the steps contained chipped, accessible paint.

Corrected Corrected by Nov 15, 2022

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

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

The bathrooms located on the upper floor of the facility both contained one waste receptacle which did not contain a lid as both lids were broken and were lying on the floor.

Corrected Corrected by Nov 15, 2022

Category: health medication. 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.

Located in the school-age room, a white closet contained a left handle which was broken.

Corrected Corrected by Nov 15, 2022

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

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 and financial agreement form date of 11-1-2021 and 10-18-2022 which exceeded the mandatory date of 5-1-2022 to update the emergency contact and financial agreement information.

Corrected Corrected by Nov 19, 2022

Category: recordkeeping. 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 #1 who is a preschool aged child contained a health assessment that was not updated at least every 12 months.

Corrected Corrected by Nov 17, 2022

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

3270.131(e)(1)/3270.182(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. A child's record shall contain initial and subsequent health reports.

The file for child #1 did not contain an updated Influenza Vaccine in 2021 or an exemption form.

Corrected Corrected by Nov 17, 2022

Category: health medication. 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.

Based on conversations with the operator, there was not an initial emergency drill conducted and documented by the required date of 12-19-2021.

Corrected Corrected by Dec 19, 2022

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 smoke detection log contained the following dates: 4-2-2022 and 5-7-2022, 7-2-2022 and 8-6-2022, 9-3-2022 and 10-15-2022 all of which exceeded the mandatory thirty days to test the smoke detection system.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #3 had an initial health assessment that lacked an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Dec 24, 2021

Category: health medication. 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 person #1 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by Dec 16, 2021

Category: recordkeeping. 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 file for staff person #2, with a start date of 11-1-21, lacked initial emergency plan training at the time of initial employment and requires current training.

Corrected Corrected by Nov 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The file for staff person #1 had pediatric first-aid training dated 7-11-20 and lacked pediatric CPR training conducted by a certified trainer and requires current pediatric CPR training.

Corrected Corrected by Dec 2, 2021

Category: ratio. 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 had state police clearances dated 4-4-16 and 4-22-21 that were over 60 months between clearances.

Corrected Corrected by Oct 17, 2021

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

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

Staff person #1 had mandated reporter trainings dated 5-11-15 and 10-17-20 that were over 5 years between trainings.

Corrected Corrected by Apr 22, 2021

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.

In the Kindergarten/preschool room, the middle window was not restricted to open 6 inches or less and was accessible to children.

Corrected Corrected by Nov 27, 2021

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.

In the backyard play space, there was PVC piping on the ground that had a hole with sharp edges that was accessible to children.

Corrected Corrected by Nov 27, 2021

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.

In the preschool room, there was peeling paint in one area above the sink.

Corrected Corrected by Nov 27, 2021

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the infant room, the handwashing station was on a shelf that the young and older toddlers in the room that were observed walking and able to wash their hands, were unable to reach the handwashing station to wash their hands.

Corrected Corrected by Nov 29, 2021

Category: health medication. 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.

In the Kindergarten/preschool room upstairs, the top hinge on the microwave door of the play kitchen was unattached resulting in the microwave door being unstable.

Corrected Corrected by Nov 27, 2021

Category: physical safety. 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 file for child #2 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released. The file for child #3 had an emergency contact form that lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · 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 #1, with a start date of 2-22-21, had an immunization record dated 11-15-21 that was over 60 days after their start date.

Corrected Corrected by Nov 29, 2021

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

3270.131(e)(1)/3270.131(e)(2)(i) · 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. 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.

The files for child #1, a 2 year old, and child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months, the 4th dose of the Pneumococcal vaccination by age 15 months, and the 3rd dose of the Polio vaccination by age 18 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Feb 4, 2022

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

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.

In the infant room, the staff person stated that they place the soiled diapers in a plastic bag first before throwing away in the hands-free diapering can, and not immediately discarding.

Corrected Corrected by Nov 29, 2021

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

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 person #3, with a start date of 11-8-21, lacked a tuberculosis screening by the Mantoux method at initial employment & requires a current tuberculosis screening by the Mantoux method.

Corrected Corrected by Nov 24, 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 facility lacked proof of purchase of the interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

Corrected Corrected by Feb 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

On 11-23-21 with children observed in care, the facility did not have at least one person that completed pediatric CPR training.

Corrected Corrected by Dec 2, 2021

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

3270.131(a) · 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 file for child #1, with a start date of 2-22-21, had an initial health assessment dated 11-15-21 that was over 90 days after their start date. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

Corrected Corrected by Nov 29, 2021

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