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Home › PA › Pittsburgh › Hope Academy Powered By Hosanna House
807 Wallace Ave, Pittsburgh PA 15221 · License #CER-00250689 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on the investigation, staff statements and footage reviewed staff #1 was observed lifting from under the arms child # 1 from the ground.
Corrected Corrected by Mar 10, 2026
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.
Based on, staff statements and footage reviewed staff #1 was observed lifting from under the arms child # 1 from the ground while yelling and making the statement " I'm not nice like the other teacher's, I'm not going to let you do whatever you want".
Corrected Corrected by Mar 10, 2026
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.
Based on staff statements staff #1 was yelling at child #1 so hard that child # 1 wet himself. Staff # 1 told child #1." I'm not nice like the other teacher's, I'm not going to let you do whatever you want"
Corrected Corrected by Mar 10, 2026
Marked corrected in the state record.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
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 may not work in a child care position at the facility.
The file for facility person #1 lacked a PA State Police clearance, an FBI clearance and an NSOR clearance. Facility person #1 has direct contact and routine interaction with children in care.
Corrected Corrected by Feb 13, 2026
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.
There was a damage ceiling tyle and broken floor tyle that creates a tripping hazard in the girl's bathroom in the school age area. There was an uncovers heater box in room 101.
Corrected Corrected by Dec 1, 2025
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.
The door in room 101 had peeling paint. There was peeling paint on the green countertop on the girl's bathroom sink in the school age area.
Corrected Corrected by Nov 21, 2025
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.
There were a broken bookshelf and broken clear bin in room 101. There was a broken garbage can in the girl's bathroom in the school age area. There was a cracked lid in the OT toddler room. There was a cracked blue lid in room 321. The was a damage green bench wall with exposed splinters in room 104.
Corrected Corrected by Nov 13, 2025
Category: physical safety. Marked corrected in the state record.
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 thermometer in room 321 was not operable.
Corrected Corrected by Nov 14, 2025
Category: nutrition. 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 policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.
Corrected Corrected by Nov 28, 2025
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
Staff person #-3 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 8/16/23. Current Pediatric first aid and CPR training is dated 11/11/25.
Corrected Corrected by Nov 14, 2025
Category: ratio. 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). Staff person #13 will have until 11/28/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #13 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 #13, staff person #13 may not work in a child-care position at the facility.
The file for staff # 3 contained a current mandated reporter training certificate dated 11/11/25 that was not obtained within 60 months of the previous certificate dated 8/16/23. The file for staff # 6 contained a current mandated reporter training certificate dated 11/2/25 that was not obtained within 60 months of the previous certificate dated 7/27/20. Staff # 13 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 10/16/20.
Corrected Corrected by Nov 28, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 10 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 #10 may not work in a child care position at the facility.
The file for staff # 4 contains a current State Police clearance dated 3/18/25.That was not renewed within 60 months of the prior State Police clearance dated 2/19/20. The file for staff # 10 lacked FBI clearance and the application.
Corrected Corrected by Nov 12, 2025
Category: background checks. 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.
There was a power strip with 4 uncovered outlets in room 320 accessible to children 5 years of age or younger.
Corrected Corrected by Nov 13, 2025
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 hand sanitizer on top of a table by the entry door label " Keep out of reach of children" accessible to children. There was a hand sanitizer in room 319 label " Keep out of reach of children" accessible to children. There was a bag of wipes on top of the cubbies in room 308 label " Keep out of reach of children" accessible to children. There was a shea butter curling cream, Hyland's Kids cough & mucus, Vitamin A&D ointment, round lip moisturizer, an Epinephrine and an Albuterol in the cubbies in room 314 label " Keep out of reach of children" accessible to children.
Corrected Corrected by Dec 10, 2025
Marked corrected in the state record.
3270.66(a)/3270.66(d) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Toxic plants are not permitted in a child care space.
There were 4 trees of Euonymus alatus plants also known as burning bush consider toxic at the playground accessible to children.
Corrected Corrected by Nov 21, 2025
Category: physical safety. Marked corrected in the state record.
3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.
There were 2 cleaners' bottles on top of the counter in the kitchen food preparation area in the school age kitchen.
Corrected Corrected by Dec 10, 2025
Category: ratio. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated or excrement shall be contained in closed, plastic-lined receptacles.
There was an unlidded garbage can that contains used plates, oranges, milk cartons, contaminated by human secretions on the hallway.
Corrected Corrected by Dec 10, 2025
Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
Room 319 lacked a first aid kit.
Corrected Corrected by Nov 14, 2025
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 102 was on top of a table accessible to children.
Corrected Corrected by Dec 12, 2025
Category: health medication. Marked corrected in the state record.
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 room 320 lacked scissors.
Corrected Corrected by Dec 1, 2025
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 file for child #2 lacked work addresses and telephone numbers of the enrolling parent on the emergency contact form.
Corrected Corrected by Dec 1, 2025
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 files for child # 1 and 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 Corrected by Nov 14, 2025
Category: health medication. 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 # 3 lacked the health insurance policy number on the emergency contact form.
Corrected Corrected by Nov 14, 2025
Category: health medication. Marked corrected in the state record.
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 # 2 and 8 must be dismissed from care by close of business 11/13/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.
The file for child # 2 a preschooler lacked an updated health report. The previous report was dated 7/31/24. The file for child # 8 a preschooler lacked an updated health report. The previous report was dated 5/14/24.
Corrected Corrected by Dec 1, 2025
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.
The file for staff # 1 contained a current health assessment dated11/7/25 It was not obtained within 24 months of the previous assessment dated 10/13/23. The file for staff # 2 contained a current health assessment dated 6/7/24. It was not obtained within 24 months of the previous assessment dated 3/17/22. . The file for staff # 4 lacked an updated health report. The previous heath report was dated 10/11/23. The file for staff # 11 contained a current health assessment dated 11/12/25. It was not obtained within 24 months of the previous assessment dated 6/29/23. The file for staff # 12 contained a current health assessment dated 6/8/24. It was not obtained within 24 months of the previous assessment dated 5/18/22.
Corrected Corrected by Dec 1, 2025
Category: ratio. Marked corrected in the state record.
3270.192(2)(iii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. 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 files for staff # 7,8 and 10 lacked proof of education and verification of childcare experience.
Corrected Corrected by Dec 1, 2025
Category: recordkeeping. Marked corrected in the state record.
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 # 5,7,8,9,10 and 11 lacked two written, nonfamily references.
Corrected Corrected by Nov 28, 2025
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.
The facility lacked an annual emergency drill log.
Corrected Corrected by Dec 18, 2025
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.
A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.
Corrected Corrected by Dec 9, 2025
Category: physical safety. 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 # 7 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The child start date was 11/8/24.
Corrected Corrected by Dec 1, 2025
Category: health medication. Marked corrected in the state record.
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.
The facility did not notify the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.
Corrected Corrected by Dec 12, 2025
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.
Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): · Get Started with Center-Based Care: Building Blocks for Quality (10 hours)
Corrected Corrected by Aug 7, 2025
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 after-school program girls bathroom lacked a washing hand signs.
Corrected Corrected by Nov 4, 2024
Category: health medication. 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 policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the child maltreatment statement.
Corrected Corrected by Nov 5, 2024
Category: ratio. Marked corrected in the state record.
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.
The facility emergency plan was not reviewed within a year from the previous review. The review dates were 1/20/23-6/3/24.
Corrected Corrected by Nov 15, 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).
The file for staff # 4 contained a current State Police clearance dated 10/14/24 that was not renewed within 60 months of the prior State Police clearance dated 8/2/19.
Corrected Corrected by Nov 15, 2024
Category: background checks. 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.
There was a multiplug with 3 uncovered electrical outlets in room 306 the kindergarten room accessible to children 5 years of age or younger. There was a multiplug with 2 uncovered electrical outlets in room 312 the PreK 2 room accessible to children 5 years of age or younger. There was one uncovered electrical outlet by the microwave in room 319 the Preschool room accessible to children 5 years of age or younger.
Corrected Corrected by Nov 4, 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 Desitin diaper rash cream and an Aquaphor cream in the cubbies accessible to children in room 313 the OT room.
Corrected Corrected by Nov 4, 2024
Category: health medication. Marked corrected in the state record.
3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.
There were gnats' insects in the OT room entrance and in the bathroom.
Corrected Corrected by Nov 4, 2024
Marked corrected in the state record.
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 room 308 the Pre K3 lacked tweezer.
Corrected Corrected by Nov 4, 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.
The countertop in the after-school program boy's bathroom is damaged and exposing splinters.
Corrected Corrected by Nov 21, 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.
There was peeling paint on the blue wall in the OT room. There was peeling paint on the playground equipment.
Corrected Corrected by Nov 21, 2024
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.
There were 3 cracked bins in room 106 the Make a Space room. There were 2 cracked bins in room 101 the SA room. There was a cracked bin lid and a cracked bin in room 306 the kindergarten room. There was a cracked lid in room 308 the Pres k 3 room. There was a cracked bin in room 312 the Perk 2 room. There were 2 cracked bins and foam blocks with teeth marks in room 313 the OT room. There was a cracked bin in room 319 the Preschool room. There was a cracked bin and a cracked tray in room 320 the Pre k 1 room. There was a playground equipment rusted with rough, sharp metal edges.
Corrected Corrected by Nov 4, 2024
Category: physical safety. Marked corrected in the state record.
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 temperature in the room 319 the Preschool room refrigerator was 48 degrees.
Corrected Corrected by Nov 4, 2024
Category: nutrition. 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 files for children # 1,2,3,4 and 5 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form.
Corrected Corrected by Nov 8, 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.
Room 306 the kindergarten room lacked the emergency transportation plan.
Corrected Corrected by Nov 4, 2024
Category: transportation. Marked corrected in the state record.
3270.131(b)(2) · 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 file for child # 1 a preschooler contained a current health report dated 10/9/24. The report was obtained after 12 months from the previous report dated 8/21/23.
Corrected Corrected by Nov 4, 2024
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There was a Neoprene and a Benadryl medication in the first -Aid kit in room 306 the kindergarten room that lacked the name of the child for whom the medication is intended.
Corrected Corrected by Nov 4, 2024
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
The Albuterol Sulfate medication for child # 8 was expired. The medication expiration date was 4/24.
Corrected Corrected by Nov 4, 2024
Category: ratio. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
The operator was not maintaining a medication log for prescription medication, Albuterol HFA Ventolin for child #6. The operator was not maintaining a medication log for a prescription medication, Albuterol Sulfate for child # 7.
Corrected Corrected by Nov 4, 2024
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.
The file for staff #6 contained a current health assessment dated 4/26/23. It was not obtained within 24 months of the previous assessment dated 2/3/21.
Corrected Corrected by Nov 4, 2024
Category: ratio. Marked corrected in the state record.
3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.
There was a yogurt and a sandwich with lunch meat on top of the counter in room 306 the kindergarten room.
Corrected Corrected by Nov 4, 2024
Category: nutrition. Marked corrected in the state record.
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 # 7 lacked proof of education.
Corrected Corrected by Nov 6, 2024
Category: recordkeeping. Marked corrected in the state record.
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 # 2 and 3 lacked two written, nonfamily references.
Corrected Corrected by Nov 5, 2024
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.
The facility emergency plan lacked documentation of the emergency drill.
Corrected Corrected by Nov 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
The files for staff #1 and 5 lacked 12 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.
Corrected Corrected by Nov 4, 2024
Category: recordkeeping. 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 # 3 a preschooler contained a current health report dated 10/18/24 that was provided after 60 days. The child was in care longer that 60 days without initial health report. The child start date was 7/15/24.
Corrected Corrected by Nov 4, 2024
Category: health medication. Marked corrected in the state record.
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.
Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.
Corrected Corrected by Aug 7, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a) · *The legal entity will schedule and participate in onsite technical assistance regarding supervision, including supervision during transitions. The technical assistance will be provided by ELRC 5. The Director and all staff will participate. Documentation of the completed technical assistance will be provided to the OCDEL-DHS representative by email upon completion.
*Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.
Corrected Corrected by Sep 17, 2024
Category: supervision. 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.
Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.
Corrected Corrected by Aug 7, 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.
Based on a self-reported noncompliance and staff statements, on 7/31/24, 5-year-old child #1, was left unsupervised, on a nap mat in Room #10, for approximately 45 minutes. Staff #1, who was responsible for supervising child #1, did not see the child asleep on a mat, when she left the room with the other children to go to the outdoor play space. Another staff saw child #1 standing in the hallway unsupervised. The staff returned child #1 to staff #1 in the outdoor play space.
Corrected Corrected by Aug 7, 2024
Category: supervision. Marked corrected in the state record.
3270.51 · *The legal entity will require all staff persons at the facility to attend, a minimum 2 hour training regarding supervision and ratio, within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.
*On 7/25/24 at approximately 9:00 am, staff #1 was supervising 11 preschool aged children at the restroom, located outside of the classroom. Staff #1 was in the hallway directly outside of the restroom while 6 of the children were in the restroom and the other 5 children were waiting in the hallway.
Corrected Corrected by Jul 25, 2024
Category: supervision. Marked corrected in the state record.
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.
On 7/25/24 at approximately 9:00 am, staff #1 took a group of 11 preschoolers to the bathroom. CR observed staff #1 on the hallway waiting outside the restroom with 5 preschoolers and the other 6 children were in the restroom. CR asked staff #1 if she was alone caring for the 11 children and staff #1 confirmed.
Corrected Corrected by Jul 25, 2024
Category: ratio. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
It was self-reported and verified through staff interviews that staff person #1 used physical punishment when they struck child #1 on the back side while providing care in the Toddler 2 room on 11/22/2023.
Corrected Corrected by Jan 2, 2024
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 #7 contained a current Emergency Plan training dated 8/16/23, that was updated after a year from the previous Emergency Plan training dated 6/6/22.
Corrected Corrected by Nov 17, 2023
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 files for staff # 5 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 5 is date 8/16/22.. The files for staff # 7 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 7 is date 1/27/22.
Corrected Corrected by Nov 17, 2023
Category: health medication. 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 # 6 contained a current State Police clearance dated 6/22/21. Staff #6 began employment prior to 6/22/21. The file for staff # 6 contained a current Child Abuse clearance dated 7/21/21. Staff #6 began employment prior to 7/21/21. The file for staff # 6 contained a current FBI clearance dated 10/25/21. Staff #6 began employment prior to 10/25//21. The file for staff # 6 contained a current NSOR clearance dated 6/23/21. Staff #6 began employment prior to 6/23/21. The file for staff # 7 contained a current State Police clearance dated 9/2/21. Staff #6 began employment prior to 9/2/21. The file for staff # 7 contained a current Child Abuse clearance dated 9/7/21. Staff # 7 began employment prior to 9/7/21. The file for staff # 7 contained a current NSOR clearance dated 9/10/21. Staff # 7 began employment prior to 9/10/21.
Corrected Corrected by Nov 17, 2023
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 childcare experience, education and training following the outset of service at the facility.
The file for staff # 1 contained a current mandated reporter training certificate dated 2/27/20 that was not obtained within 60 months of the previous certificate dated 1/5/15. The file for staff # 2 contained a current mandated reporter training certificate dated 3/20/23 that was not obtained within 60 months of the previous certificate dated 2/19/18. The file for staff # 4 contained a current mandated reporter training certificate dated 8/21/22 that was not obtained within 60 months of the previous certificate dated 6/5/17.
Corrected Corrected by Nov 17, 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.
There were 2 uncovered outlets in Preschool 1 room, 1 uncovered outlet in Pre k 3 room, a large, black outlet, in room 104, on the wall under the pool table cue sticks that did not contain a protective cover, 5 uncovered outlets between the hanging, wall monitors, and 1 uncovered outlet in room 15 accessible to children 5 years of age or younger.
Corrected Corrected by Nov 17, 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.
There was a backpack in a toddler two-room cubby that contained a Diaper Rash Ointment cream label " keep out of reach of children " accessible to children. There was a backpack in a cubby in the Pre-K 3 room that contained Tylenol and Benadryl accessible to children. There was a Lysol Disinfectant can, located on a metal storage cart in room 104, labeled "Keep out of reach of children," accessible to children. The unlocked office, in the Makers' Space Room, contained: Dynaflex Sealant, 10.1. fl. Oz., Clorox Cleaner Bleach, 24 oz., Pine-Sol, 28 oz. Gorilla Wood Glue, 18 fl. Oz. , Dawn Dishwashing Liquid, 7 fl. oz. label "Keep out of reach of children," and were accessible to children in care. The unlocked storage room, in the Makers' Space Room, contained (6) gallon cans of paint labeled, "Keep out of reach of children," and were accessible to children in care. An open cardboard box with nine (9) paint containers of varying sizes, labeled, "Keep out of reach of children," and were accessible to children in care.
Corrected Corrected by Nov 14, 2023
Category: health medication. Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
The water in the Pre k 4 room sink exceeded 110° F, the water temperature was 113.9° F.
Corrected Corrected by Nov 22, 2023
Category: physical safety. Marked corrected in the state record.
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 Room 101, lacked scissors and soap. The first-aid kit, in Room 104, lacked rubber gloves.
Corrected Corrected by Nov 15, 2023
Marked corrected in the state record.
3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.
The toilet handle in the toddler 2 room bathroom was damaged creating a sharp edge. The pipes under the sink in the toddler 2 room bathroom appeared to be corroded.
Corrected Corrected by Dec 8, 2023
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.
There was a broken garbage can lid, on the gray, Rubbermaid trash container, located in the playground area, created a scraping/cutting hazard for children in care. There were several green and red sections, of the playground surface, that were deteriorated/peeling/unsecured/peeling, which created tripping and choking hazards for children in care. There was a cracked clear bin in Pre k 3 room.
Corrected Corrected by Dec 8, 2023
Category: physical safety. Marked corrected in the state record.
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 Preschool 1 room lacked a thermometer. The refrigerator in the toddler two room contained sticky yellow and pink spots.
Corrected Corrected by Nov 16, 2023
Category: nutrition. Marked corrected in the state record.
3270.108(c) · Styrofoam cups and plates may not be used.
There was a bag of styrofoam cups in the Pre k 3 cabinet.
Corrected Corrected by Nov 14, 2023
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.
Around 8:35am on 11/15/23, 3 children were observed to be unsupervised in the hallway between the Preschool 1 room and the bathroom. Staff # 8 was in the bathroom with a group of 7 preschoolers, unaware of the 3 children sent from the preschool room. Staff # 9 sent the 3 children alone to the bathroom and the children stay in the hallway playing together, until Staff # 8 was notified by the certification representative, that the children were playing in the hallway unsupervised. CR also, asked staff # 9 to not sent children to the bathroom unsupervised.
Corrected Corrected by Nov 14, 2023
Category: supervision. Marked corrected in the state record.
3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.
The file for child # 2 lacked the emergency contact information, who shall be contacted in an emergency on the Emergency contact form.
Corrected Corrected by Nov 16, 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 files for children # 1,2,3 and 4 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The files for children # 5 lacked the work telephone numbers of the enrolling parent on the emergency contact form.
Corrected Corrected by Nov 16, 2023
Category: recordkeeping. 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). Child # 1,2,3 and 5 must be dismissed from care by close of business 11/14/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter
The files for child # 1, 2,3 and 5 are missing a dose of the influenza vaccine.
Corrected Corrected by Nov 15, 2023
Category: health medication. Marked corrected in the state record.
3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.
There was a yogurt in a backpack in the Pre k 3 room.
Corrected Corrected by Nov 14, 2023
Category: nutrition. 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.
According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 8/17/23 to 9/18/23 and 9/18/23 to 10/27/23..
Corrected Corrected by Nov 20, 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). Facility Person # -1may 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 for staff # 1 lacked a Child Abuse clearance. The prior Child Abuse clearance was dated 7/9/18.
Corrected Corrected by Jul 20, 2023
Category: background checks. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
There were two Albuterol Sulfate inhalers that were not label with the names of the children whom the medication was intended for. The medication was intended for child # 2 and 3.
Corrected Corrected by Jul 20, 2023
Category: health medication. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
The operator was not maintaining a medication log for the prescription medications, Epinephrine 0.3 and Albuterol Sulfate inhalers for children #1, 2, and 3.
Corrected Corrected by Jul 20, 2023
Category: health medication. 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.
A piece of metal was observed to be broken off and inside an electrical outlet hole in the Toddler 2 room.
Corrected Corrected by Nov 30, 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.
One clear plastic storage bin and lid containing markers and dry erasers were observed to be cracked in the PreK-3 room exposing the children to rough edges and sharp corners.
Corrected Corrected by Nov 28, 2022
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 emergency plan for the facility lacked requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).
Corrected Corrected by Dec 9, 2022
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 and #7 will have until 11/30/22 to complete the required training. Until such time as the required training has been completed, staff persons #4 and #7 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 persons #4 and #7, staff persons#4 and #7 may not work in a child-care position at the facility.
Staff person #4 and #7 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.
Corrected Corrected by Nov 30, 2022
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).
The file for staff person #2 lacked documentation of NSOR clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The files for staff persons #5 and #6 were observed not to contain documentation of application of PA State Police Clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL
Corrected Corrected by Nov 28, 2022
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.
The files for staff persons #3 and #4 were observed to lack documentation of verification of child care experience in order to meet staff qualification for the position in which the staff persons are performing.
Corrected Corrected by Dec 9, 2022
Category: recordkeeping. 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.
Two unlabeled spray bottles of cleaning fluid were observed in a cabinet above the sink in the PreK-3 room. The staff person in the room identified the contents in the bottles as bleach water. Four unlabeled spray bottles of fluids were observed to be stored next to children's food in a low cabinet below the sink in the Toddler 1 room. The staff persons in the room could not confirm the content in each spray bottle.
Corrected Corrected by Nov 28, 2022
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.
The diaper changing pad was observed to be torn exposing the children to foam interior and poses a choking hazard to the children in the room who are still placing objects in their mouths in the Toddler 1 room.
Corrected Corrected by Dec 9, 2022
Category: health medication. Marked corrected in the state record.
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.
The rest equipment in the Toddler 2 room and PreK-5 room was observed to lack labels with the names of specific children in care.
Corrected Corrected by Nov 28, 2022
Category: physical safety. Marked corrected in the state record.
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 PreK-5 room was observed to lack an operating thermometer.
Corrected Corrected by Nov 28, 2022
Category: nutrition. 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 children #1, #2, #3, #5, #6, #7, #8 and #9 lacked the enrolling parent's work address. The emergency contact form on file for children #1, #2, #3, #4, #5, #6, #7, #8 and #9 lacked the enrolling parent's work telephone number.
Corrected Corrected by Dec 9, 2022
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 emergency contact forms on file for child #1, #2, #3, #4, #5, #6, #7, #8 and #9 lacked information of the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed for an emergency.
Corrected Corrected by Dec 9, 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.
Soiled diapers were observed to be discarded in a trash can that was not a plastic-lined, hands-free covered can in the Toddler 2's bathroom.
Corrected Corrected by Nov 28, 2022
Category: health medication. 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 file for staff person #1 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #1 are dated 10/16/20 and 10/17/22.
Corrected Corrected by Nov 28, 2022
Category: ratio. 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 file for staff person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.
Corrected Corrected by Nov 30, 2022
Category: ratio. 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 person #6 lacked documentation of a tuberculosis screening at initial employment (See LIS CODE SHEET).
Corrected Corrected by Nov 30, 2022
Category: health medication. Marked corrected in the state record.
3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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.
Staff person #4 was observed to have a health assessment on file that displayed the individual has a communicable disease. The file for staff person #4 lacked documentation from the physician on the staff person's conditions and the risk it might pose to others exposed.
Corrected Corrected by Nov 28, 2022
Category: health medication. 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 emergency contact form on file for child #7 was observed to lack parental consent for minor first aid.
Corrected Corrected by Dec 9, 2022
Category: ratio. Marked corrected in the state record.
3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
The file for staff person #5 lacked pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training within 90 days of hire.
Corrected Corrected by Nov 28, 2022
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 files for children #2 and #3 lacked an initial health report within 60 days following the first day of attendance at the facility.
Corrected Corrected by Dec 9, 2022
Category: health medication. Marked corrected in the state record.
3270.51 · ***The operator will create a visual, hands-free system to identify the children assigned to each staff. The system will be approved by DHS, then implemented in each classroom.
***On 7/19/22, at approximately 3:00 pm, in Preschool Summer Camp A, Staff #1 was observed alone with 14 preschool aged children.
Corrected Corrected by Nov 14, 2022
Marked corrected in the state record.
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.
**On 7/19/22, at approximately 3:00 pm, in Preschool Summer Camp A, Staff #1 was observed alone with 14 preschool aged children.
Corrected Corrected by Nov 14, 2022
Category: ratio. Marked corrected in the state record.
3270.51 · *The legal entity will develop a room ratio check document and submit it for approval by DHS to demonstrate the facility is maintaining the required staff:child ratios. The ratio checks must occur at least three times a week in all classrooms for a period of three months after DHS approves the documentation format. The legal entity will confirm continuing compliance by ensuring copies of the documentation are available on site and at the request of the certification representative.
*On 7/19/22, at approximately 3:00 pm, in Preschool Summer Camp A, Staff #1 was observed alone with 14 preschool aged children.
Corrected Corrected by Nov 14, 2022
Category: ratio. Marked corrected in the state record.
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 director, the emergency plan was reviewed, but the review was not documented.
Corrected Corrected by Jan 31, 2022
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 last 2 emergency plan trainings in the file for staff person #1, #16 and #17 were dated more than 12 months apart. The emergency plan training in the file for staff person #4, #5 and #13 was dated beyond their initial employment.
Corrected Corrected by Nov 19, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The file for staff person #1, employed seasonally since 2017, did not include evidence of pediatric first-aid and CPR.
Corrected Corrected by Jan 31, 2022
Category: ratio. 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 last fire safety training in the file for staff person #1, #16 and #17 was dated more than 12 months ago.
Corrected Corrected by Jan 31, 2022
Category: recordkeeping. 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.
The mandated reporter training in the file for facility person #13 was presented by a school district and was not one of the acceptable trainings for DHS. The last two mandated reporter trainings in the file for staff person #18 were dated more than 60 months apart.
Corrected Corrected by Jan 31, 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). 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, hired seasonally since 2017 included an NSOR certificate dated after 6/17/21. The FBI clearance in the file for facility person #5 was dated after their first day of employment and did not include proof of request of their FBI clearance before they started working at the facility. The file for facility person #13, observed in the childcare office on 11/19/21, did not include proof of request of their state police clearance before their first day of work. There was also no child abuse clearance on file, and the file included only a DOE FBI clearance. The proof of request for the NSOR certificate in the file for staff person #7 was dated after their first day of employment. The FBI clearance in the file for staff person #9 was dated after their first day of employment and there was no proof of request for the clearance dated before they began working with children. The file for staff person #10, observed caring for children on 11/19/21, only included a DOE FBI clearance.
Corrected Corrected by Dec 8, 2021
Category: background checks. 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 last two evaluations in the file for staff person #19 were dated more than 12 months apart.
Corrected Corrected by Nov 22, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.
The file for staff person #10, holding the title of AGS, included a bachelor of arts diploma that didn't specify the degree obtained and 2078 hours of verified childcare experience.
Corrected Corrected by Dec 8, 2021
Category: supervision. Marked corrected in the state record.
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.
On 11/19/21, staff person #12, holding the title and qualifications of an aide, was observed escorting 2 children down the hall alone. On 12/8/21, staff person #12, holding the title and qualifications of aide was observed supervising 5 children outside of the 3rd floor children's bathrooms.
Corrected Corrected by Dec 8, 2021
Category: supervision. Marked corrected in the state record.
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.
At approximately 11:05 am, staff person #21 was observed standing in the young toddler room, leaving staff person #22 alone and out of ratio with 7 older toddlers in the older toddler room.
Corrected Corrected by Dec 8, 2021
Category: ratio. 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.
The maintenance closet was unlocked and slightly ajar, making the 7 cans of paint and the bottle of Krud Kutter graffiti remover spray accessible to the children. All items included instructions to keep out of the reach of children.
Corrected Corrected by Dec 31, 2021
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 telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted in the Pre-K 3 room or in the the preschool 2 room (#321).
Corrected Corrected by Dec 8, 2021
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.
On the 3rd floor, there was not a handwashing sign by one of the sinks in the children's bathrooms to left and by one of the sinks in the children's bathrooms to the right.
Corrected Corrected by Dec 8, 2021
Category: health medication. Marked corrected in the state record.
3270.92(a) · Portable space heaters are not permitted.
There was an operational portable space heater in the office for facility person #5.
Corrected Corrected by Dec 8, 2021
Category: ratio. Marked corrected in the state record.
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 #4, a 5 year-old, and no written statement of exemption by a parent.
Corrected Corrected by Jan 31, 2022
Category: health medication. 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.
In the older toddler room, a child was observed carrying the lid from a colored marker, which was less than one inch in diameter. A bin holding markers and their lids were in a bin on a low shelf, making them accessible to the older toddlers. On the apartment sized refrigerator sitting on the floor in the older toddler room, there was a layer of plastic on the top of it and along the left side, making it accessible to the older toddlers in the room. Tiny areas of the plastic were missing or peeling.
Corrected Corrected by Jan 31, 2022
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.
There was a light blue bean bag chair in the younger toddler room.
Corrected Corrected by Dec 8, 2021
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 form in the file for child #1 did not specify the persons designated by a parent to whom the child may be released.
Corrected Corrected by Jan 31, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreement form in the file for child #2 and #6 did not specify the child's date of admission.
Corrected Corrected by Jan 31, 2022
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 information in the file for child #4 did not include the name and address of the child's physician.
Corrected Corrected by Jan 31, 2022
Category: health medication. Marked corrected in the state record.
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 #5 did not include the written parental consent for emergency medical care
Corrected Corrected by Jan 31, 2022
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 information in the file for child #4 does not include the addresses for the three release persons.
Corrected Corrected by Jan 31, 2022
Category: recordkeeping. 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.
The last two health assessments in the file for staff person #1, #11, #15 and #20 were dated more than 12 months apart. The file for staff person #4 did not include a health assessment. The file for staff person #9 included a health assessment dated after they began working with children. The last health assessment in the file for staff person #20 was dated more than 24 months ago.
Corrected Corrected by Dec 8, 2021
Category: ratio. Marked corrected in the state record.
3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.
The signature on the health assessment in the file for staff person #9 did not include the individual's professional title.
Corrected Corrected by Nov 22, 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 #4 did not include the results of a TB screening. The file for facility person #5 and staff person #7 and #9 included a health assessment dated after they began working with children.
Corrected Corrected by Dec 8, 2021
Category: health medication. Marked corrected in the state record.
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 was one car seat observed in the van used to transported school-agers from school to the facility. Based on conversation with the driver of the van and the director, 6 children are transported at a time from 2 different schools. Out of the 12 children, 6 of them are 7 years old or younger.
Corrected Corrected by Jan 31, 2022
Category: transportation. Marked corrected in the state record.
3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).
Insurance for the vehicle used to transport school-age children was not available at the time of the inspection.
Corrected Corrected by Jan 31, 2022
Category: transportation. 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 file for child #5 did not contain signed parental consent for minor first-aid procedures by staff.
Corrected Corrected by Jan 31, 2022
Category: ratio. 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 for staff person #10, holding the title of AGS, included a bachelor of arts diploma that didn't specify the degree obtained and 2078 hours of verified childcare experience.
Corrected Corrected by Dec 8, 2021
Category: recordkeeping. Marked corrected in the state record.
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 verification of experience in the file for staff person #2, holding the title of AGS, was not signed by a representative of the of the experiential entity.
Corrected Corrected by Dec 8, 2021
Category: recordkeeping. Marked corrected in the state record.
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 person #3 included only one letter of reference. The file for facility person #13, who works in the childcare facility's office, did not include 2 letters of reference.
Corrected Corrected by Dec 8, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.
On 11/22/21, the PA driver's license presented by staff person #14, the director, had expired on 11/20/21.
Corrected Corrected by Dec 8, 2021
Category: recordkeeping. 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 include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Jan 31, 2022
Category: physical safety. Marked corrected in the state record.
3270.31(f)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation.
The first-aid/CPR training in the file for staff person #6, employed more than 90 days, did not specify that the training was "pediatric." The pediatric first-aid/CPR in the file for staff person #7, hired in March 2021, was dated beyond their first 90 days working with children.
Corrected Corrected by Jan 31, 2022
Category: health medication. Marked corrected in the state record.
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 #1, hired in 2017, was dated after 6/17/21. The health and safety training in the file for staff person #4, hired in 2021, was dated beyond their first 90 days working with children. There was no evidence of health and safety training in the file for staff person #6, employed more than 90 days. The health and safety training in the file for staff person #8, hired in 2021, was dated beyond their first 90 days working with children. The health and safety training in the file for staff person #11, hired in 2019, was dated after 6/17/21. There was no evidence of health and safety training in the file for staff person #12, hired in 2020.
Corrected Corrected by Jan 31, 2022
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's fire detection system is interconnected and there was not proof of purchase.
Corrected Corrected by Jan 31, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
The link to the current regulations was not posted at the time of the inspection. Based on conversation with the director, parents have not been provided with information on how to access the regulations in this chapter electronically.
Corrected Corrected by Jan 31, 2022
Marked corrected in the state record.
3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.
The facility's emergency plan did not include accommodations for shelter of children during a lock-down.
Corrected Corrected by Jan 31, 2022
Category: physical safety. 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.
Based on conversation with the director, they did not send a copy of the emergency plan updates to the county emergency management agency or the local municipality.
Corrected Corrected by Jan 31, 2022
Category: physical safety. Marked corrected in the state record.
3270.94(a)(7) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children in attendance participate in the fire drill.
Based on review of the fire drills documented in the previous 12 months and on conversation with the director, all facility persons and children in attendance were not participating in every fire drill. Nine out of the last 12 drills involved only certain classroom staff and children. On the 3 documented drills in which all facility persons participated, the names of the staff were not documented; The log read "All teachers." None of the 12 fire drills specified the hypothetical location of the fire; the log listed the specific classrooms that participated in the drills instead.
Corrected Corrected by Nov 30, 2021
Category: recordkeeping. Marked corrected in the state record.
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.
Based on review of the fire drills documented in the previous 12 months and on conversation with the director, all facility persons and children in attendance were not participating in every fire drill. Nine out of the last 12 drills involved only certain classroom staff and children. On the 3 documented drills in which all facility persons participated, the names of the staff were not documented; The log read "All teachers." None of the 12 fire drills specified the hypothetical location of the fire; the log listed the specific classrooms that participated in the drills instead.
Corrected Corrected by Oct 26, 2021
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 file for facility person #2, a lifeguard for the school-age summer camp at Sherwood Event Center, did not include a National Sex Offender Registry. The file for staff person #3, a maintenance person for the summer school-age camp at Sherwood Event Center, employed by the facility, included a Department of Education FBI clearance and a child abuse clearance dated after their first day working at the facility.
Corrected Corrected by Aug 12, 2021
Category: background checks. 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.
The health assessment in the file for individual #1, a lifeguard for the school-age summer camp at Sherwood Event Center, was dated after the first day they began working. The health assessment in the file for individual #2, a lifeguard for the school-age summer camp at Sherwood Event Center, was dated from 2016 Both individuals are seasonal staff.
Corrected Corrected by Aug 12, 2021
Category: ratio. Marked corrected in the state record.
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 individual #1, a lifeguard for the school-age summer camp at Sherwood Event Center, did not include the physician's assessment of the person's suitability to provide suitability to provide childcare. The individual is a seasonal staff.
Corrected Corrected by Aug 12, 2021
Category: health medication. Marked corrected in the state record.
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 individual #1, a lifeguard for the school-age summer camp, did not include any letters of reference. The file for individual #2 a lifeguard for the school-age summer camp, included only one letter of reference.
Corrected Corrected by Aug 12, 2021
Category: recordkeeping. Marked corrected in the state record.