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

There was 1 uncovered outlet accessible to children 5 years of age or younger in classroom#1.

Corrected Corrected by Apr 1, 2025

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a desinfex multi- purpose wipes can label "Keep out of reach of children" accessible to children in room # 3.

Corrected Corrected by Apr 1, 2025

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 bifold closet door falling of the track in in room #1.

Corrected Corrected by Apr 1, 2025

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

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

A written record was not maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Corrected Corrected by Apr 2, 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 operator was not maintaining a written log for testing the fire detection system every 30 days at the facility .

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

There was a Children's Zyrtec medication in room #2 that lacked the name of the child for whom the medication is intended.

Corrected Corrected by Sep 24, 2024

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

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a bottle of hand sanitizer labeled, "keep out of reach of children," on the table by room #2 entrance door accessible to children.

Corrected Corrected by Sep 24, 2024

Marked corrected in the state record.

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

The emergency numbers were not posted by the telephone in room #3.

Corrected Corrected by Sep 24, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There was a broken blue mat with expose foam in room #4. There was a blue chair with a ripped cushion exposing foam in room # 3. There was a ripped trampoline in room # 3.

Corrected Corrected by Sep 24, 2024

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The health report for staff # 4 lacked that date when the TB test was read.

Corrected Corrected by Sep 25, 2024

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

3270.192(2)(iii) · 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 # 3 lacked documentation of the FBI clearance. The clearance dated 8/31/22 was review last year.

Corrected Corrected by Sep 25, 2024

Category: background checks. 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 file for staff # 1 lacked 11 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23. The files for staff # 2 and 3 lacked 5.5 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Corrected Corrected by Nov 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Fire Safety Trainings, in the file for Staff #1, were dated 3.5.22 and 3.10.23, which exceeded the annual requirement.

Corrected Corrected by Oct 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact forms, in the files for Child #1 and Child #2, did not include the release person's phone number.

Corrected Corrected by Oct 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 approximately 10:45 am a 3 year old child was observed alone in the hallway restroom. The child was receiving care in classroom #2 and a Staff Person was not present in the restroom to allow for the Staff:Child ratio to be in compliance.

Corrected Corrected by Sep 28, 2022

Category: ratio. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The written plan of daily activities was not posted in the group space in Classroom #3.

Corrected Corrected by Sep 28, 2022

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

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

The file for Staff Person #5 lacked a current disclosure statement. The signed disclosure statement on file was a prior version and did not include all required information in accordance with the CPSL.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. 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 approximately 10:30am a 3 year old child was observed alone in the hallway restroom. The child was receiving care in classroom #2 and a Staff Person was unable to properly see, hear, direct and assess the child from the classroom while they were in the restroom.

Corrected Corrected by Sep 28, 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 10:30am a 3 year old child was observed alone in the hallway restroom. The child was receiving care in classroom #2 and a Staff Person was not physically present with the child in the restroom.

Corrected Corrected by Sep 28, 2022

Category: supervision. 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 for Child #1 lacked the fee amount.

Corrected Corrected by Sep 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3, #4 #6, #8 and #9 will have until October 15, 2022 to complete the required training. Until such time as the required training has been completed, staff person #3, #4, #6, #8 and #9 must be supervised, when interacting with children, who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, #4, #6, #8 and #9 , staff person #3, #4, #6, #8 and #9 may not work in a child-care position at the facility.

Staff persons #3, #4, #6, #8 and #9 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(10). The first aid and CPR training on file were not completed in an approved curriculum with an approved PQAS instructor.

Corrected Corrected by Oct 15, 2022

Category: supervision. Marked corrected in the state record.

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

The last documented fire drill was conducted on 7.12.22. The facility had a Shelter In Place Emergency Drill on 9.9.22 and thought this was acceptable for both.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The files for Staff Person's #1, #3 and #7 lacked 12 hours of child care training in their respective hire years.

Corrected Corrected by Oct 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(h) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.All staff persons shall complete the professional development under subsection (f).

The files for Facility Person's #1, #2 and #3 lacked verification that they have participated in current pediatric first aid and CPR training.

Corrected Corrected by Dec 9, 2021

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Cleaning products were observed on a low shelf in an unlocked closet off of Classroom #1.

Corrected Corrected by Sep 20, 2021

Marked corrected in the state record.

3270.133(2)/3270.133(6) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. A parent shall provide written consent for administration of medication or a special diet.

An EpiPen intended for an enrolled child was observed to be missing the physicians instructions and written consent from the parent for administration.

Corrected Corrected by Sep 20, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan lacked information specifying lock-down procedures and accommodations for infants, toddlers, children with disabilities, and child with chronic medical conditions.

Corrected Corrected by Oct 17, 2021

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