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Home › PA › Pittsburgh › Jewish Community Center
5738 Forbes Ave, Pittsburgh PA 15217 · License #CER-00245704 · 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 staff statements and a review of video footage, Staff Person #1 demonstrated aggressive behavior by grabbing and pulling children by their arms to gain their attention. At approximately 12:20 p.m. on March 13, 2026, video footage shows Staff Person #1 holding Child #1 and throwing the child onto a mat, resulting in the child hitting a foot against a storage shelf. It was also observed that Staff Person #1 began to roughly pat the child on the back while the child was screaming and crying, used physical force to reposition the child, including placing an arm across the child's body, and continued repositioning, including turning the child onto a side.
Corrected Corrected by May 4, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.
Based on staff statements and a review of video footage, Staff Person #1 demonstrated aggressive behavior by grabbing and pulling children by their arms to gain their attention. At approximately 12:20 p.m. on March 13, 2026, video footage shows Staff Person #1 holding Child #1 and throwing the child onto a mat, resulting in the child hitting a foot against a storage shelf. It was also observed that Staff Person #1 began to roughly pat the child on the back while the child was screaming and crying, used physical force to reposition the child, including placing an arm across the child's body, and continued repositioning, including turning the child onto a side.
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
Corrected Corrected by May 4, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service training is completed, Staff Person#14 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 persons available to supervise Staff Person #14, Staff Person #14 may not work in a child-care position at the facility.
Staff person #14 was observed to be caring for children unsupervised. Staff person #14 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid/CPR.
Corrected Corrected by Mar 3, 2026
Category: supervision. 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 files for Staff Persons #3, #9, and #11 did not contain emergency plan training at initial employment.
Corrected Corrected by Mar 3, 2026
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.
Staff Person #14 does not have current pediatric first aid/CPR training. This is evidence by the previously documented pediatric first aid/CPR training expiration date of 10/31/25.
Corrected Corrected by Mar 3, 2026
Category: ratio. 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 Persons #1, #5, #7, #12, #13 have not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): Pediatric first aid/CPR. The file for Staff Person #4 contained pediatric first aid/CPR training dated 2/3/26 but was not completed within 90 days of their date of hire (See LIS Code Sheet). The files for Staff Persons #7 and #12 contained documentation of completing the PA Required Health and Safety for Centers-Group Part 2 training but the training was not completed within 90 days of their date of hire (See LIS Code Sheet).
Corrected Corrected by Mar 3, 2026
Category: health medication. 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 files for Staff Persons #2 and #9 contained signed Disclosure Statements but were dated after the staff person's first day working in a child care setting (See LIS Code Sheet). The files for Staff Persons #10 and #11 contained signed Disclosure Statements but were dated more than 180 days prior to the staff person's first day working in a child care setting (See LIS Code Sheet).
Corrected Corrected by Mar 3, 2026
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 Persons #1, #3 may not work in a child care position at the facility.
The file for Staff Person #1, who lived in Maryland during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet). The file for Staff Person #3, who lived in New Jersey and Georgia during the previous 5 years of employment, lacked the out of state's Child Abuse and Sex Offender clearances as required under CPSL prior to working in a child care setting (See LIS Code Sheet).
Corrected Corrected by Mar 3, 2026
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.
Two electrical outlets in the Gym that were accessible to children 5 years of age or younger lacked protective receptacle covers.
Corrected Corrected by Mar 3, 2026
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.
On February 9, 2026, at approximately 9:50 a.m., 3 staff persons and 8 children (4 infants, 4 young toddlers) were observed in Room Q-Infants. When asked to identify their assigned group of children to supervise, Staff Person #15 identified 4 children (2 infants and 2 young toddlers), Staff Person #7 identified 2 children (2 young toddlers), and Staff Person #4 stated they were not assigned a group of children to supervise. As a result, 2 children (both infants) were not accounted for.
Corrected Corrected by Mar 3, 2026
Category: supervision. Marked corrected in the state record.
3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.
The first aid bag located in Room N contained an albuterol inhaler and an EpiPen prescribed for Child #1; however, neither medication was stored in its original container. The first aid bag located in Room J contained an EpiPen prescribed for Child #2; however, the medication was not stored in its original container.
Corrected Corrected by Mar 3, 2026
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.
An albuterol inhaler prescribed for Child #3 was observed in the first aid bag in Room M; the medication had expired in 08/2025.
Corrected Corrected by Mar 6, 2026
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 #3 contained a health assessment dated 9/2/25 but was after the staff person's first day working in a child care setting (See LIS Code Sheet). The file for Staff Person #6 contained a health assessment, dated 1/4/26 with no name on the form; therefore, a determination could not be made that Staff Person #6 had a health assessment conducted at initial employment.
Corrected Corrected by Mar 3, 2026
Category: ratio. 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 #8 contained one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Mar 3, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.
Facility files did not contain documentation of conducting a fire drill within the last 60 days. The most recent documented fire drill was on 12/3/25.
Corrected Corrected by Mar 3, 2026
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.
Facility files did not contain documentation that the fire detection system has been tested every 30 days.
Corrected Corrected by Mar 3, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
*SECOND VIOLATION The file for Staff Person #1 (identified as an Aide) contained documentation of a foreign transcript that has not been translated and evaluated to determine the staff person's qualifications. Previously cited on SIN-00269387 on 7/16/25. The files for Staff Persons #2 and #3 are now current.
Corrected Corrected by Sep 23, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
In Room Q-Infant, two cribs that were observed to be in use lacked at least 2 feet of space on three sides.
Corrected Corrected by Sep 19, 2025
Category: physical safety. 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 files for Staff Persons #8, #10, and #17 did not contain documentation of a written evaluation within the last 12 months.
Corrected Corrected by Aug 5, 2025
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 #8 did not contain documentation of emergency plan training within the last 12 months. The file for Staff Person #16 contained documentation of emergency plan training dated 6/30/25 but was not within 90 days of hire (See IS Code Sheet).
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The parent letter explaining the emergency procedures did not contain information on emergency procedures for shelter in place, lockdown, method to contact families when an emergency has ended, and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.
Corrected Corrected by Aug 5, 2025
Category: physical safety. 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 files for Staff Persons #7 and #11 contained documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification. Staff Person #17 does not have current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 1/31/2025.
Corrected Corrected by Aug 5, 2025
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 files for Staff Persons #7 and #10 did not contain documentation of fire safety training within the last 12 months. The file for Staff Person #17 contained documentation of fire safety training dated 8/13/24 but was not within 12 months of their date of hire (See IS Code Sheet).
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(iv)/3270.115(a)(8) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.
Staff Persons #3, #5, #6, and #10 have not had water safety training within the last 12 months and were observed at the indoor pool counted in the staff-child ratio.
Corrected Corrected by Aug 5, 2025
Category: ratio. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, Staff Person #5 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 persons available to supervise Staff Person #5, Staff Person #5 may not work in a child-care position at the facility.
Staff Person #5 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file at the time of inspection being dated 5/29/20.
Corrected Corrected by Aug 5, 2025
Category: supervision. 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 file for Staff Person #6 contained documentation of NSOR clearance results that was not renewed before the expiration date of the most current certification: 6/22/20 and 6/30/25. The file for Staff Person #9 contained documentation of clearance results for the state of North Carolina, where the staff person resided within 5 years prior to employment, dated 8/13/24 which was after the staff persons date of hire (See IS Code Sheet). The file for Staff Person #14 contained documentation of PA State Police clearance results that was not renewed before the expiration date of the most current certification: 5/20/19 and 4/9/25.
Corrected Corrected by Aug 5, 2025
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 file for Staff Person #6 was observed to contain documentation of mandated reporter training being completed more than 60 months apart: 5/28/20 and 6/26/25.
Corrected Corrected by Aug 5, 2025
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 Persons #4 and #15 may not work in a child care position at the facility.
The file for Staff Person #4 does not contain documentation of current NSOR clearance results. The NSOR clearance results on file for Staff Person #4 was observed to have expired on 7/9/25. The file for Staff Person #15 does not contain documentation of FBI and NSOR clearances results. The documents in the file were not readable to determine the individual's name and the results of each clearance.
Corrected Corrected by Aug 5, 2025
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 #1 and #2 (identified as Aides) and Staff Person #9 (identified as an Assistant Group Supervisor) contained documentation of foreign transcripts that have not been translated and evaluated to determine the staff person's qualifications.
Corrected Corrected by Sep 1, 2025
Category: supervision. 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.
In Room Q, handwashing signs were not posted near the diapering area and sink.
Corrected Corrected by Aug 5, 2025
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.
The diapering pads in Rooms G and P were observed to be ripped, exposing the interior. The foam climbing blocks in Room Q were observed ripped on the corners, exposing the interior. The folding mat in the Gym was observed to be ripped around the edges, exposing the interior. As a result, the diapering pads, climbing blocks, and folding mat were not in good repair.
Corrected Corrected by Aug 5, 2025
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.
In Room Q, several cribs and resting mats that were observed to be in use were not labeled with the child's name and used only by the specified child.
Corrected Corrected by Aug 5, 2025
Category: physical safety. Marked corrected in the state record.
3270.115(a)(5) · The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8.
At approximately 10:20 AM, 4 staff persons and 14 children were observed at the indoor swimming pool. When asked to identify their assigned group of children to supervise in the swimming pool, Staff Person #3 identified 6 preschool aged children and Staff Person #5 identified 8 preschool age children, resulting in Staff Persons #3 and #5 not in the required staff to child ratio.
Corrected Corrected by Aug 5, 2025
Category: supervision. 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 emergency contact forms and the financial agreement forms in the files for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 have not been reviewed and updated by the parent within the last 6 months.
Corrected Corrected by Aug 5, 2025
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 file for Staff Person #9 contained documentation of a health assessment dated 8/15/24 but was after the staff person's date of hire (See IS Code Sheet). The two most recent health assessments in the file for Staff Person #13 are dated more than 24 months apart: 4/6/23 and 6/24/25. The files for Staff Persons #10 and #12 did not contain documentation of a health assessment conducted within the last 24 months.
Corrected Corrected by Aug 6, 2025
Category: ratio. 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 #9 contained documentation of TB screening dated 8/15/24 but was after the staff person's date of hire (See IS Code Sheet).
Corrected Corrected by Aug 5, 2025
Category: health medication. Marked corrected in the state record.
3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.
The facility's fire drill log contained documentation of conducting fire drills 4/15/25, 5/29/25, and 6/27/25 but the hypothetical location of the fire was not rotated around the facility.
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility's documentation of testing the fire detection system exceeded 30 days between testings from 4/15/25 to 5/29/25.
Corrected Corrected by Aug 5, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.
According to staff statements, in August of 2023 there was an incident between child #1 and child #2 in the three-year-old room. Staff reported the incident to staff person #1, who is the supervisor, that gave instructions not to complete an incident report form to give to the parents of child #1 and child #2 because it would ruin rapport with the families.
Corrected Corrected by Sep 24, 2024
Category: supervision. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility's emergency plan did not include a plan for Continuity of Operations in an emergency.
Corrected Corrected by Aug 13, 2024
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
In the Infant room, loose crib sheets were observed in cribs in which infants were sleeping in.
Corrected Corrected by Jul 26, 2024
Category: health medication. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The two most recent emergency plan trainings in the file for staff person #4 are dated more than 12 months apart. Staff person #4: 3/31/23 and 6/11/24.
Corrected Corrected by Jul 25, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff person #5 completed the following required pre-service trainings but were not completed within 90 days of their date of hire (see LIS code sheet): Health & Safety (7/3/24) and Pediatric First Aid/CPR (6/23/24).
Corrected Corrected by Jul 25, 2024
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 will have until 8/31/24 to complete the required trainings. Until such time as the required trainings have been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required trainings related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Staff person #2 has not completed the following required pre-service trainings within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR and Health & Safety.
Corrected Corrected by Aug 16, 2024
Category: supervision. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The two most recent staff evaluations in the file for staff person #4 are dated more than 12 months apart. Staff person #4: 9/27/21 and 6/17/24. The file for staff person #6 has documentation of an evaluation completed on 6/17/24 but was not within 12 months of hire.
Corrected Corrected by Jul 25, 2024
Category: recordkeeping. 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 the Infant room did not contain soap.
Corrected Corrected by Jul 25, 2024
Category: health medication. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
In the Infant room, two cribs in use were observed not to have at least 2 feet of space between them.
Corrected Corrected by Jul 25, 2024
Category: physical safety. 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.
On 7/16/24 at approximately 1:45pm, staff persons #2, #7 and #8 were observed caring for 13 children in the infant room during nap time. Staff person #2 was observed sitting on the floor positioned with their back towards two infant children observed sleeping in their cribs and was unable to properly supervise the children. Staff person #7 was observed positioned on the floor, and their vision was blocked by a wall which resulted in staff person #7 not being able to properly supervise the same two children in their cribs. At approximately 1:55pm, staff person #2 was observed changing an infant's diaper with their back turned away from two children observed on the floor and was unable to properly supervise the children in their assigned group.
Corrected Corrected by Jul 25, 2024
Category: supervision. 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 emergency contact form in the file for child #2 has not been reviewed by the parent within the last 6 months.
Corrected Corrected by Jul 25, 2024
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 two most recent health reports on file for child #1 and #2, who are preschool aged, are dated more than 12 months apart. Child #1: 10/28/22 and 6/17/24. Child #2: 2/10/23 and 4/17/24.
Corrected Corrected by Jul 25, 2024
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 two most recent health assessments on file for staff person #1 are dated more than 24 months apart: 11/11/21 and 12/29/23.
Corrected Corrected by Aug 14, 2024
Category: ratio. Marked corrected in the state record.
3270.151(c)(1) · An adult health assessment must include a physical examination.
The health assessment on file for staff person #3 did not include a physical examination.
Corrected Corrected by Aug 14, 2024
Category: health medication. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The health assessment on file for staff person #1 did not include an examination for communicable diseases and the results of that examination.
Corrected Corrected by Aug 21, 2024
Category: health medication. Marked corrected in the state record.
3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.
The facility's emergency plan was not posted in the facility at a conspicuous location.
Corrected Corrected by Sep 14, 2023
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The agreement forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked an Operator's signature
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The files for Staff Persons #1, #5 and #14 lacked completion of the required health and safety training within 90 days of starting at the facility (refer to LIS Code Sheet).
Corrected Corrected by Oct 4, 2023
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 Disclosure Statements on file for Staff Person #2 and #12 lacked a date. The file for Staff Person #2 also lacked page 1 of the Disclosure Statement. The file for Staff Person #15 lacked a signed Disclosure Statement.
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for Staff Person #9, #10 and #11 lacked a written staff evaluation and the Staff have exceeded 12 months at the facility (refer to LIS Code Sheet). The file for Staff Person #13 lacked a written staff evaluation that had been completed within the last 12 months. The most recent assessment was labeled "Year End 2020", but no date was on the evaluation to verify when it was completed.
Corrected Corrected by Oct 5, 2023
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.
The Facility was observed to have two spray bottles that contained a clear liquid but failed to possess a label or otherwise identify the contents. A blue and white spray bottle was observed in the Q room, and a clear with black combs and scissors design spray bottle was observed in the F room.
Corrected Corrected by Sep 14, 2023
Category: ratio. Marked corrected in the state record.
3270.66(d) · Toxic plants are not permitted in a child care space.
The facility was observed to have 2 toxic plants. A Monstera plant was observed in Room P, and a rubber plant was observed in room J.
Corrected Corrected by Sep 14, 2023
Category: physical safety. Marked corrected in the state record.
3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.
Every childcare space in the facility was observed to have a door with glass located in the traffic area that failed to have a visual strip or other visual identification.
Corrected Corrected by Sep 14, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The facility was observed to have a toilet in their K room that failed to have a hand washing sign posted at the toilet.
Corrected Corrected by Sep 14, 2023
Category: health medication. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The agreement forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked the fee amount to be paid.
Corrected Corrected by Oct 5, 2023
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 forms on file for children #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 lacked the date of admission for the child.
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. 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 emergency contact form for Child #8 lacked the telephone number for the emergency contact person listed.
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. 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 #6, preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health assessment on file for Child #6 was dated 7.7.21.
Corrected Corrected by Oct 5, 2023
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The files for Children #6 and #8 lacked verification that the child had received an annual influenza vaccination as recommended by the ACIP. The last documented influenza vaccination for Child #6 was dated 9.24.20 and the last documented influenza vaccination for Child #8 was dated 10.29.21.
Corrected Corrected by Oct 5, 2023
Category: health medication. Marked corrected in the state record.
3270.133(6)/3270.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
The facility was observed to have an Epi-pen medication for child #12, but no written consent, or medication log for administration was present in Child 12's file.
Corrected Corrected by Oct 5, 2023
Category: ratio. Marked corrected in the state record.
3270.133(8) · If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.
The facility was observed to have postings, and packets relative to a special thickened liquid diet for child #11, but no written instructions or written consent from the parent was observed to be present in child # 11's file.
Corrected Corrected by Oct 5, 2023
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 health assessment on file for Staff Person #8 lacked a date of examination to verify that the examination had been completed within 12 months prior to starting at the facility. The file for Staff Person #11 lacked an updated health assessment that had been completed within the last 24 months. The most recent health assessment on file for Staff Person #11 was dated 7.22.21.
Corrected Corrected by Sep 28, 2023
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 health assessment on file for Staff Person #6 lacked a signature that included the individual's professional title.
Corrected Corrected by Sep 28, 2023
Category: health medication. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The updates to the emergency contact forms for Children #1, #2, #3, #4, #5, #6, #7 and #8 exceeded 6 months between updates occurring in August 2022 and August 2023. The files for Children #1, #2, #3, #5, #6 and #8 only contained a recent agreement from August 2023. Prior agreements were not on file to verify that they had been updated at least once in the prior 6 months. The agreement forms on file for Children #4, #7 and #10 lacked a date to verify when the form had been completed.
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.
The facility was observed to be storing child files in an open, unlocked or restricted area of the facility.
Corrected Corrected by Sep 14, 2023
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 #6 lacked one of their two written, nonfamily reference letters.
Corrected Corrected by Sep 14, 2023
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 does not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Sep 14, 2023
Category: physical safety. 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 Person's #3, #4, #7 and #13 lacked 7.5 of their 12 hours of child care training in their respective training year (12.19.21-12.18.22).
Corrected Corrected by Oct 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.52 · *** The Director shall monitor ratio and supervision in all child care spaces 3 times a week for a period of 4 months. The supervision and ratio checks will be documented. The documentation will include the date, time, room name, staff present in room, number of children present by age and an assessment of the staff ability to meet the definition of supervision per the regulations. The document will be submitted to Certification Representative for approval. The document shall be maintained on file at the facility for review by Certification Representative.
At approximately 11:45 a.m. in the infant room on 4/5/23, staff persons # 1,2,3 were supervising 8 infants and 2 young toddlers. Staff persons #2 and #3 fumble with the supervision cards then staff person # 1 stated they were not assigned a group of children. Staff # 2 stated they were supervising 1 young toddler and 5 infants. Staff # 3 stated they were supervising 1 young toddler and 3 infants.
Corrected Corrected by Aug 11, 2023
Category: supervision. Marked corrected in the state record.
3270.52 · *When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
At approximately 11:45 a.m. in the infant room on 4/5/23, staff persons # 1,2,3 were supervising 8 infants and 2 young toddlers. Staff persons #2 and #3 fumble with the supervision cards then staff person # 1 stated they were not assigned a group of children. Staff # 2 stated they were supervising 1 young toddler and 5 infants. Staff # 3 stated they were supervising 1 young toddler and 3 infants.
Corrected Corrected by Aug 11, 2023
Category: supervision. Marked corrected in the state record.
3270.52 · **The Legal Entity shall develop job descriptions for each directors at the facility. The job descriptions will describe the directors roles to serve at the facility; daily tasks to complete; and specific duties and responsibilities at the child care facility. The documentation will be sent to certification representative for approval.
At approximately 11:45 a.m. in the infant room on 4/5/23, staff persons # 1,2,3 were supervising 8 infants and 2 young toddlers. Staff persons #2 and #3 fumble with the supervision cards then staff person # 1 stated they were not assigned a group of children. Staff # 2 stated they were supervising 1 young toddler and 5 infants. Staff # 3 stated they were supervising 1 young toddler and 3 infants
Corrected Corrected by Apr 28, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · ****The Director shall conduct monthly meetings for a period of 4 months. All staff persons at the facility will be in attendance. The director will discuss prior noncompliance, supervision, ratio and hand free systems to ensure compliance with supervision. Staff meeting dates, agenda, and name of staff in attendance shall be documented. The documentation shall be maintained on file at the facility for review by Certification Representative.
At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.
Corrected Corrected by Aug 14, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · *****The Legal Entity must develop a site-specific supervision policy. The policy shall specifically address how supervision will be maintained in all groups in child care classroom, play spaces and when children move during transition periods. This policy will be discussed in detail with all permanent and temporary staff. All staff will sign and date an attestation that they understand this supervision policy and that the policy is in effect immediately. The policy will be posted conspicuously in all child care rooms of the facility. The documentation will be sent to certification representative for approval within 1 month of the approval of this plan of correction.
At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they were responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.
Corrected Corrected by Aug 14, 2023
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.
At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.
Corrected Corrected by Aug 14, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **The Director shall develop and implement a tangible hands-free system for identifying specific children for whom each staff person is responsible and for tracking children in childcare spaces, play spaces and during transition periods. All staff will utilize the identification method appropriately at all times while on duty at the facility. When a new child enrolls at the facility, a supervision card will be present at the facility on the child's first day of attendance.
At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.
Corrected Corrected by Apr 20, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · ***The Legal Entity shall require all staff persons at the facility to attend a minimum 2-hour in-person training regarding supervision of children presented by the ELRC within 1 month of the approval of this plan of correction. The training may count towards the mandatory 12 training hours required by the Department. Documentation will be maintained on file at the facility for review by the Certification Representative.
At approximately 12:05 p.m. in the toddler room on 4/5/23, staff persons #4 and 5 were supervising 9 older toddlers. Staff # 4 stated they were supervising 5 older toddlers. Staff #5 stated they did not know whom they responsible for because another unknown staff person left the room and did not transfer the supervision cards to help establish the group.
Corrected Corrected by May 11, 2023
Category: supervision. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
Written plans of daily activities were not posted in room H or the young infant room.
Corrected Corrected by Feb 15, 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 G lacked tweezers.
Corrected Corrected by Feb 15, 2023
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.
Although Staff #12, #14, #15, #16, #17, and #18 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #12, #14, #15, #16, #17, and #18 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06.
Corrected Corrected by Mar 31, 2023
Category: ratio. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The file for Staff #10 contained Emergency Plan training that was updated in an interval greater than 12 months.
Corrected Corrected by Feb 15, 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.
Although Staff #1, #2 #3, #4, #5, #6, #8, #9, #13, and #15 had current Pediatric First Aid and CPR at the time of the Renewal Inspection it was observed that Staff #1, #2, #3, #4, #5, #6, #8, #9, #13 and #15 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid and CPR).
Corrected Corrected by Feb 15, 2023
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 files for Staff #2, #5, #10, and #11 contained a written evaluation that was conducted in an interval greater than 12 months.
Corrected Corrected by Feb 15, 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.
Five outlets lacking protective covers were observed on a power strip in room N near the turtle tank.
Corrected Corrected by Feb 15, 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.
In Room E, A + D Ointment, Aquaphor, and Diaper Rash Spray all labeled keep out of the reach of children, were observed to be accessible in the unlocked cabinet under the changing table. Disinfecting wipes, bleach, and glass cleaner were accessible to children in a cabinet under the sink in room H. Though the room is not currently in use, the door and the cabinet were both unlocked leaving them accessible to children. Petroleum jelly, labeled keep out of reach of children, was accessible in a locker in the hall outside the toddler rooms.
Corrected Corrected by Feb 15, 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.
Pieces of metal were observed protruding into the child care space from the base of the radiators in room K and room J. In room K, 3 pieces were observed in the front left hand corner near the windows where children were placing their nap mats.. In room J, 2 pieces were observed near the loft area. The pieces measured approximately 1 in x 3 inches.
Corrected Corrected by Feb 15, 2023
Category: physical safety. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
A broken toy basket was observed in room C. A cracked plastic bin containing paint bottles was observed in room N. The microwave door in the play kitchen in room P was missing screws at the hinge causing the door to be loose and crating pinch points.
Corrected Corrected by Mar 18, 2023
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
In Room C, two large black trash bags were observed next to the changing table accessible to the children in care who are still placing objects in their mouths. In Room F, the diaper changing pad was observed to be ripped with exposed foam. Located in the Gym were three large climbing blocks that had torn edges with exposed foam. The changing pad and the large blocks with exposed foam were accessible to children in care who are still placing objects in their mouths. A broken toy basket was observed in room C. Small broken pieces were accessible to children in the bottom of the basket under the soft toys.
Corrected Corrected by Feb 15, 2023
Category: health medication. 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.
Protruding nails were observed on a free standing wooden cabinet in room J where the backing of the cabinet had pulled away from the frame.
Corrected Corrected by Feb 15, 2023
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 bottom of the inside of the refrigerator in the studio area was heavily soiled at the time of the inspection.
Corrected Corrected by Feb 15, 2023
Category: nutrition. Marked corrected in the state record.
3270.113(a) · *The operator will create a map for any classrooms which utilize nap cots or nap mats. Each map shall identify where children shall be placed and where staff shall be positioned that allows staff to see, hear, direct, and assess children at all times, including nap time.
*During Naptime, Room P was observed to be very dark. The lack of light in the classroom, furniture placement, and teacher positioning made it impossible for Staff #19 to see, hear, direct, and assess all of the children in care.
Corrected Corrected by Mar 18, 2023
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.
During Naptime, Room P was observed to be very dark. The lack of light in the classroom, furniture placement, and teacher positioning made it impossible for Staff #19 to see, hear, direct, and assess all of the children in care.
Corrected Corrected by Feb 15, 2023
Category: supervision. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The files for children #1-#9 contained agreements which were not signed by the operator.
Corrected Corrected by Mar 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.
The files for children #1-#10 contained agreement which did not specify the date on which the fee is to be paid.
Corrected Corrected by Mar 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
The files for children #1-#10 contained agreement which did not include the services to be provided the family.
Corrected Corrected by Mar 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The files for children #1-#9 contained agreements which did not specify the child's arrival and departure times.
Corrected Corrected by Mar 28, 2023
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 file for child #5 contained emergency contact information which did not include the phone number of the child's physician or source of medical care.
Corrected Corrected by Mar 28, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files for children #4 and #8 did not include the full addresses of the individuals designated by the parent to whom the child may be released. The city and zip codes were not listed.
Corrected Corrected by Mar 28, 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).
The files for children #2-#10 contained immunization records which did not include documentation of receiving the influenza vaccine in 2022 or yet in 2023. Written exemptions were not on file.
Corrected Corrected by Apr 7, 2023
Category: health medication. Marked corrected in the state record.
3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The file for child #3 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Corrected Corrected by Apr 7, 2023
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.
Two bottles of expired hydrocortisone, labeled for child #11, were observed in the medication box in Room K. The medications expired Nov 2022 and Dec 2022.
Corrected Corrected by Feb 15, 2023
Category: health medication. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
In the Room F, Staff #12 was observed changing a toddler's diaper. Staff #12 did not ensure the child's hands were washed after being diapered.
Corrected Corrected by Feb 15, 2023
Category: health medication. Marked corrected in the state record.
3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
In the Room F, Staff #12 was observed changing a diaper. Staff #12 did not wash their hands after the diaper change was completed.
Corrected Corrected by Feb 15, 2023
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Written notification of safe routes was not posted in the child care facility.
Corrected Corrected by Feb 17, 2023
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.
Staff #15, designated as the director, lacked current photo identification.
Corrected Corrected by Apr 1, 2023
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 Mar 31, 2023
Category: physical safety. 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, #2, #3, #4, #5, #7, and #8 lacked documentation of the required 12 hours of annual childcare training.
Corrected Corrected by Apr 14, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on conversations with facility staff, staff person #1 has been observed grabbing and yanking a child by the shirt and arm as a means of discipline.
Corrected Corrected by Jan 10, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · The Legal Entity will arrange for facility person #1 to attend a minimum of 3 hours of training on classroom management with children. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.
**Based on conversations with facility staff, staff person #1 has been observed grabbing and yanking a child by the shirt and arm as a means of discipline.
Corrected Corrected by Feb 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Based on conversations with facility staff, staff person #1 has been observed to yell at, and belittle children.
Corrected Corrected by Jan 10, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The requirement of taking an additional one-hour training course titled, "Pennsylvania Health and Safety Update 2022" for facility staff who have taken the "Health and Safety Basics" training or "Get Started with Center- Based Care: Building Blocks for Quality" (taken before 10/4/2022) was not completed for facility staff #1 - 19 and 21 - 30 by 12/30/2022.
Corrected Corrected by Jan 31, 2023
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #20, 21 and 31 will have until 2/11/2023 to complete the required training. Until such time as the required training has been completed, staff person #20, 21 and 31 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #20, 21 and 31, staff person #20, 21 and 31 may not work in a child-care position at the facility.
Staff person #20, 21 and 31 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and pediatric first aid (#21) and health and safety training topics (#20 and 31)
Corrected Corrected by Feb 7, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/ #22 will have until 2/11/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #22 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 #22, staff person #22 may not work in a child-care position at the facility.
Facility person #22 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 1/7/2023.
Corrected Corrected by Jan 16, 2023
Category: supervision. Marked corrected in the state record.
3270.92(a) · Portable space heaters are not permitted.
A portable space heater was observed to be in the director's office in the child care facility.
Corrected Corrected by Jan 11, 2023
Category: physical safety. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
A fire drill was not conducted within 60 days of the visit (1/11/2023). This is evidenced by the most recent fire drill being documented occurring on 10/25/2022.
Corrected Corrected by Jan 31, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.
Corrected Corrected by Dec 1, 2022
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
There were adult scissors accessible to children in the unlocked cabinet of the Young Infant room (former napping room).
Corrected Corrected by Oct 24, 2022
Category: health medication. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff person #3, #7, #8, #10, #20, #21, includes emergency plan training dated 8/16/21 and 10/3/22, more than 1 year apart. The file for staff person #22 includes emergency plan training dated 9/17/21 and 10/3/22, more than 1 year apart. The file for staff person #11 includes emergency plan training dated 9/9/21 and 10/3/22, more than 1 year apart. The file for staff person #25 did not contain documentation of completion of Emergency Plan training within the first 90 days of hire (See LIS CODE SHEET).
Corrected Corrected by Oct 24, 2022
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 #3, #7, #8, #9, #10, #20 includes verification of First Aid/CPR training dated 10/3/22, after the expiration date of 8/17/22.
Corrected Corrected by Oct 24, 2022
Category: ratio. 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 person #21 did not contain documentation of completed Fire Safety Training within 1 year of hire (See LIS CODE SHEET). Staff person #21 completed fire safety training on 8/15/22.
Corrected Corrected by Oct 24, 2022
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.
Staff person #17 did not complete 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. The training was completed on 10/27/22.
Corrected Corrected by Oct 27, 2022
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #14, #15, #23, #24 will have until 12/22/22 15 (days from POC requested date) to complete the required training. Until such time as the required training has been completed, staff person #14, #15, #23, #24 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #14, #15, #23, #24, staff person #14, #15, #23, #24 may not work in a child-care position at the facility.
Staff person #14 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Get Started with Center-based Care: Building Blocks for Quality. Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Get Started with Center-based Care: Building Blocks for Quality. Staff person #23 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. Staff person #24 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.
Corrected Corrected by Jan 4, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The 2 most recent criminal history clearances on file for Staff person #11 are dated 7/25/17 and 7/27/22, more than 60 months apart. The 2 most recent child abuse clearances on file for Staff person #11 are dated 7/26/17 and 8/2/22, more than 60 months apart.
Corrected Corrected by Oct 24, 2022
Category: background checks. 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. Facility Person #12, #18, #19 may not work in a child care position at the facility.
The file for staff person #12 did not include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) required for CPSL compliance. The file for staff person #18 does not contain a valid PA criminal history clearance within 45 days of hire, as the clearance on file does not include a dissemination date. (See IS CODE SHEET). The file for staff person #19 does not contain an NSOR certificate within 45 days of hire (See IS CODE SHEET).
Corrected Corrected by Jan 5, 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 child care experience, education and training following the outset of service at the facility.
The 2 most recent mandated reporter training certificates on file for Staff person #11 are dated 8/25/17 and 10/23/22, more than 60 months apart.
Corrected Corrected by Oct 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for Staff person #11, #21, #22, who were hired more than 1 year ago (See LIS Code Sheet), does not include an annual staff evaluation.
Corrected Corrected by Jan 4, 2023
Category: recordkeeping. 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 3:00 PM in Room K, Staff person #3 left the room with 3 preschool children, leaving Staff person #4 in the room with 11 preschool children. At 3:15 PM in Room J, Staff person #5 left the room with 2 preschool children, leaving Staff person #6 in the room with 11 preschool children.
Corrected Corrected by Oct 24, 2022
Category: ratio. 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 uncovered electrical outlets in the following places in the Gym: in the front by the banner, in the back by the banner, in the back by the bleachers and along the left wall.
Corrected Corrected by Oct 24, 2022
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.
There was an unlabeled spray bottle reported to contain toxic in Room M.
Corrected Corrected by Oct 24, 2022
Category: ratio. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
There was a First aid kit which was accessible to children on a bench in the outdoor play space .
Corrected Corrected by Oct 24, 2022
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.
There was a loose piece of baseboard along the back right wall of the Gym.
Corrected Corrected by Jan 3, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
There was no handwashing sign at the right (far) sink of the Infant Room (island).
Corrected Corrected by Oct 24, 2022
Category: health medication. 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.
There was no lidded can in the bathroom in Room N.
Corrected Corrected by Oct 24, 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.
There was a loose faucet on a toy kitchen sink in Room J. There was a broken yellow plastic base and a broken orange pylon in the Gym, both with sharp edges.
Corrected Corrected by Oct 24, 2022
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
There were plastic bags in an unlocked cabinet in the Young Infant room.
Corrected Corrected by Oct 24, 2022
Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
There was a crib in the Infant room (Room Q) with a sleeping infant that did not have 2 feet on 3 sides of the crib.
Corrected Corrected by Oct 24, 2022
Category: physical safety. Marked corrected in the state record.
3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.
There was no schedule of activities posted in Room H.
Corrected Corrected by Oct 24, 2022
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.
At 2:50 PM in Room N, a child was observed under a tarp, unable to be seen by the staff person.
Corrected Corrected by Oct 24, 2022
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.
At approximately 9:40 AM, Room F was observed to have 8 young and older toddlers. Staff person #1 named 4 children and Staff person #2 named 3 children, leaving one child unaccounted for.
Corrected Corrected by Oct 24, 2022
Category: supervision. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The agreement on file for Child #4, #5, #6, #7, #8, #9, #10, #11, #13, and #12 are not signed by the operator.
Corrected Corrected by Oct 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement on file for Child #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13 does not include the child's arrival and departure times.
Corrected Corrected by Oct 24, 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 form on file for Child #5 does not include a complete telephone number and address for all listed release persons.
Corrected Corrected by Jan 6, 2023
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.
There was no medical emergency transportation plan posted in the Studio.
Corrected Corrected by Oct 24, 2022
Category: transportation. 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 most recent 6 month review signature for the emergency contact form and agreement on file for Child #6, #7, #8 is dated in February 2022, more than 6 months ago.
Corrected Corrected by Oct 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The initial health assessment on file for Child #8 does not include a signature or date from a physician, physician's assistant or a CRNP, making it invalid.
Corrected Corrected by Oct 28, 2022
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
The most recent influenza vaccination on file for Child #8, who is 4 years old, is dated 9/15/20, more than 1 year ago, as is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #10, who is 3 years old, is dated 10/21/19, more than 1 year ago, as is recommended annually by the ACIP.
Corrected Corrected by Jan 6, 2023
Category: health medication. 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 #5, with an enrollment date of 8/22/22, more than 60 days ago, does not include the child's immunization record.
Corrected Corrected by Oct 28, 2022
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
There was no written parental permission for an EpiPen and Benadryl for Child #1 in Room G. There was no written parental consent for an Auvi Q for Child #2 in Room D. There was no written parental consent for an EpiPen for Child #3 in Room C.
Corrected Corrected by Jan 6, 2023
Category: ratio. 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.
A diaper change was observed in Room F, during which the Staff person left the soiled diaper on the table throughout the change and handwashing process, then placed the soiled diaper in the can.
Corrected Corrected by Oct 24, 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 2 most recent health assessments on file for Staff person #8 are dated 7/7/20 and 7/10/22, more than 24 months apart. The file for staff person #13 did not contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #13 was dated 7/31/19.
Corrected Corrected by Oct 24, 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 #13 did not contain documentation of a Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The TB test is dated 8/2/19.The file for staff person #16 did not contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #16 was dated 1/5/21. The file for staff person #23 did not contain documentation of a Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The TB test is dated 5/12/22.
Corrected Corrected by Oct 24, 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 file for Child #5, with an enrollment date of 8/22/22, more than 60 days ago, does not include an initial health assessment.
Corrected Corrected by Oct 28, 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.
The facility file lacked documentation of an emergency plan drill within the past year with all required information on the emergency drill log.
Corrected Corrected by Aug 9, 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 facility does not have proof of purchase for the fire detection system, which is required as per Act 62.
Corrected Corrected by Mar 21, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The first aid kit in Room F was hanging on a hook by the door and was accessible to children.
Corrected Corrected by Oct 6, 2021
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 E did not include gauze pads.
Corrected Corrected by Oct 6, 2021
Category: health medication. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
There were adult scissors in Room G, that were placed in a storage container on the cabinet next to the computer station which were accessible to children.
Corrected Corrected by Oct 6, 2021
Category: health medication. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The 2 most recent emergency plan trainings on file for Staff person #1 are dated 8/21/20 and 9/13/21, more than 1 year apart.
Corrected Corrected by Oct 6, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for Staff #2 and #8, existing staff members, include documentation of certification in pediatric first-aid and CPR dated 9/22/21, more than 180 days following the implementation of the current regulations. The file for Staff person #5, with a hire date of 6/7/21, has documentation of pediatric first aid-CPR certification dated 9/22/21, more than 90 days after hire.
Corrected Corrected by Oct 6, 2021
Category: ratio. 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 most recent fire safety training on file for Staff person #1, dated 8/18/20, is dated more than 1 year ago.
Corrected Corrected by Oct 12, 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 most recent FBI clearance on file for Staff person #4, dated 6/9/20, is dated more than 60 months after the previous clearance, dated 1/27/15.
Corrected Corrected by Oct 6, 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.
The most recent mandated reporter training on file for Staff person #9, dated 8/8/20, is dated more than 60 months after the previous training, dated 5/17/15. The most recent mandated reporter training on file for Staff person #10, dated 8/25/20, is dated more than 60 months after the previous training, dated 4/16/15
Corrected Corrected by Oct 6, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The most recent staff evaluation on file for Staff person #2 is dated 12/20/19, more than 1 year ago. The most recent staff evaluation on file for Staff person #3, dated 1/13/21, is dated more than 1 year after the previous evaluation, dated 11/6/19. The most recent staff evaluation on file for Staff person #4 dated 1/11/21, is dated more than 1 year after the previous evaluation, dated 11/7/19.
Corrected Corrected by Oct 6, 2021
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 was an outlet accessible to children in the Art area that did not have a protective cover. There was a power strip that was accessible to children in the lobby area of the facility that had 5 outlets without protective covers. There was an outlet which is accessible to children in the hall beside Room H that was missing a protective cover.
Corrected Corrected by Oct 6, 2021
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 Room F, there was an accessible, unlocked cabinet containing children's sunscreen containers. In Room G the cabinet under the diaper changing table, which is accessible to children, was unlocked, and contained Desitin, Aquaphor, Butt Paste, and Aveeno lotion, all labeled to keep out of reach of children. In the staff room, which was unlocked and accessible to children, several toxics were located in the cupboard under the sink (unlocked), including 1 bottle of Speedball, 1 bottle of Bactro Kill, Zepamine multi-surface cleanser, 1 container of Ajax, 1 container of Borax, and 2 containers of Bar keepers Friend, all of which are labeled "keep out of reach of children." In the lobby of the facility, by the entrance, there was a container of Virex and hand sanitizer on a counter, accessible to children.
Corrected Corrected by Oct 6, 2021
Category: health medication. 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 an area of peeling paint in the Young Infant room above the baseboard on the right side of the room. There was peeling paint on the radiator in the Room K bathroom.
Corrected Corrected by Nov 7, 2021
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
There was mulch with pieces smaller than an inch in the Levinson Court area, which is used as outdoor playspace by toddlers, creating a choking hazard
Corrected Corrected by Oct 6, 2021
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
There was no written daily activity schedule posted in Room M.
Corrected Corrected by Oct 6, 2021
Category: physical safety. Marked corrected in the state record.
3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.
The agreement on file for Child #1, #2, #3, #5, #6, and #7 does not include the child's date of admission.
Corrected Corrected by Nov 1, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact form on file for Child #5 does not include the home telephone number for the enrolling parent.
Corrected Corrected by Nov 1, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The emergency contact form on file for Child #4 does not include health insurance coverage or policy number for the child's health insurance coverage.
Corrected Corrected by Nov 1, 2021
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form on file for Child #1, #2, and #5 does not include a complete address for all listed release persons.
Corrected Corrected by Nov 12, 2021
Category: recordkeeping. 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.
There was Zyrtek allergy medication labeled for use by a child in Room D that had an expiration date of 4/2021
Corrected Corrected by Oct 6, 2021
Category: ratio. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
During the inspection, a staff person in Room D was observed changing a child's diaper without having the child wash his/her hands.
Corrected Corrected by Oct 6, 2021
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 most recent health assessment on file for Staff person #3, dated 3/10/20, is dated more than 24 months after the previous health assessment, dated 1/23/18.The most recent health assessment on file for Staff person #4, dated 5/14/20, is dated more than 24 months after the previous health assessment, dated 2/9/18. The initial health assessment on file for Staff person #5 is dated 7/10/21, after the hire date of 6/7/21.The most recent health assessment on file for Staff person #7, dated 12/2/19, is dated more than 24 months after the previous health assessment, dated 5/24/17. The most recent health assessment on file for Staff person #9, dated 3/12/20, is dated more than 24 months after the previous health assessment, dated 5/19/17. The most recent health assessment on file for Staff person #10, dated 11/25/20, is dated more than 24 months after the previous health assessment, dated 11/8/18. The most recent health assessment on file for Staff person #11, dated 4/22/21, is dated more than 24 months after the previous health assessment, dated 10/31/18.
Corrected Corrected by Oct 6, 2021
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 initial tuberculosis test on file for Staff person #5, with a hire date of 6/7/21, is dated 7/10/21, after hire.
Corrected Corrected by Oct 6, 2021
Category: health medication. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
The emergency plan on file at the facility does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, as required per updates to 3270 Child Care Center regulations, effective 12/19/20.
Corrected Corrected by Oct 6, 2021
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 facility did not have information on how to access the regulations in this chapter electronically posted, or verification that the information had been shared with parents.
Corrected Corrected by Oct 6, 2021
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 emergency plan on file at the facility does not include lock down procedures, as required per updates to 3270 Child Care Center regulations, effective 12/19/20.
Corrected Corrected by Oct 6, 2021
Category: recordkeeping. Marked corrected in the state record.