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 does not include the child's date of admission.

Corrected Corrected by Dec 6, 2024

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 #2 does not include the work address and telephone number for the enrolling parent.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #3 may not work in a child care position at the facility.

The file for Staff person #3 includes an incomplete criminal history clearance indicating that it is under review, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Dec 9, 2024

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations on file for Staff person #3 are dated3/10/22 and 3/1/24, more than 1 year apart.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.61(h)(3)(ii) · When the capacity of a space is exceeded while children are eating, the meal time shall be designated on the facility's schedule of daily activities.

The CR observed 16 preschool children eating lunch in the Preschool room that has a measured capacity of 11; the daily schedule for the room did not indicate that the capacity is to be exceeded while children are eating.

Corrected Corrected by Dec 4, 2025

Category: ratio. Marked corrected in the state record.

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

The closet in the Preschool room that contains cleaning products labeled "Keep out of reach of children" was observed to be unlocked while children were in the room, making the toxics accessible to children in care.

Corrected Corrected by Dec 6, 2024

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 #1 and #2 does not include the child's arrival and departure times.

Corrected Corrected by Nov 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The current emergency contact form on file for Child #2 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Dec 6, 2024

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

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for Child #1 does not include the child's health insurance coverage and policy number for the child's health care benefits.

Corrected Corrected by Dec 6, 2024

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

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

The emergency contact form on file for Child #1 does not include a complete address for all listed release persons.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A preschool child was observed receiving care in the Preschool room without their emergency contact form being in the classroom. A child was observed receiving care in the Young Toddler classroom without their emergency contact form being in the classroom.

Corrected Corrected by Dec 6, 2024

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 an Albuterol inhaler in the Older Toddler room that was not labeled for use by a specific child.

Corrected Corrected by Nov 14, 2024

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.

The children in the Young Toddler room were observed being served snack without having washed their hands first.

Corrected Corrected by Dec 6, 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 2 most recent health assessments on file for Staff person #2 were dated 6/2/21 and 11/7/23, more than 24 months apart. The most recent health assessment on file for Staff person #3 is dated 6/9/22, more than 24 months ago.

Corrected Corrected by Nov 13, 2024

Category: ratio. 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 most recent documentation of an emergency drill on file at the facility is dated 9.5.24, more than 1 year following the previous emergency drill, dated 6.13.23.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The two most recent annual fire detection system inspection reports are dated 8.9.23 and 9.5.24, more than 1 year apart and is required annually as the provider is unable to test the alarm every 30 days.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff person #3 includes 6 of 12 required annual training hours completed between 12/2022-12/2023.

Corrected Corrected by Dec 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(1) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 1/20/24 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

Corrected Corrected by Dec 9, 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 file for Staff Person #2 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06.

Corrected Corrected by Jul 30, 2024

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 person #3 and #4 did not complete the following required pre-service training, which was required to be completed by 6/17/21, as per the updates to Chapter 3270 Child Care Center regulations, effective 12/19/20: Get Started with Center-Based Care; Building Blocks for Quality. The training for staff person #3 was completed on 8/28/16 and the training for staff person #4 was completed on 9/2/16 which was not within the approved 6-hour training date window of 9/30/16 to 6/30/18.

Corrected Corrected by Aug 7, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff person #1 was observed to have a disclosure statement with no signature from a witness.

Corrected Corrected by Jul 27, 2024

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

3270.35(b)(4)/3270.192(2)(iv) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff person #1 did not have the qualifications needed to be a group supervisor.

Corrected Corrected by Jul 30, 2024

Category: supervision. 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.

Tacky glue and glue spray which was labeled "keep out of reach of children" were observed in a cabinet in the preschool room that had a lock that was broken and not actually keeping the cabinet shut.

Corrected Corrected by Jul 30, 2024

Marked corrected in the state record.

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

A broken pipe was observed to be sticking up from the pavement in the play area that preschool children were observed to be playing in, which could be a potential hazard.

Corrected Corrected by Jul 29, 2024

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

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

A low cabinet, used to shelve toys, contained a broken, plastic side/corner protector, which created a scraping/cutting hazard for child in care, in the Older Toddler Room.

Corrected Corrected by Nov 8, 2023

Category: physical safety. 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 Health Report, for Child #1 was not signed by a physician, physician's assistant or a CRNP, and it did not contain a date or title.

Corrected Corrected by Nov 9, 2023

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 (2) most recent Health Assessments, in the files for Staff #1 and Staff #2, exceeded the 24-month renewal requirement.

Corrected Corrected by Nov 16, 2022

Category: ratio. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The Emergency Contact form, in the file for Child #1, did not contain signed parental consent for administration of minor first-aid.

Corrected Corrected by Nov 8, 2023

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.

The file for Staff #4 contained documentation of Health & Safety training on 8.1.22, which exceeded the 90-day requirement (see IS Code Sheet).

Corrected Corrected by Nov 16, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff #2 contained a Disclosure Statement dated 6.7.21, which was signed after the first date of caring for children (see IS Code Sheet). The file for Staff #3 contained a Disclosure Statement dated 1.24.22, which was signed after the first date of caring for children (see IS Code Sheet). The file for Staff #3 contained a Child Abuse Clearance dated 2.4.22, which was after the first date of caring for children (see IS Code Sheet). The file for Staff #6 contained FBI Clearances dated 5.29.15 and 6.2.20, which exceeded the 60-month renewal requirement.

Corrected Corrected by Nov 16, 2022

Category: background checks. 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.

A handwashing sign was not posted at the toilet in the upstairs restroom.

Corrected Corrected by Nov 16, 2022

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.

Zarbees Cough Syrup & Mucus was located in the medication bin in the Toddler Front room, with an expiration date of July 2021.

Corrected Corrected by Nov 16, 2022

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The two most recent Health Assessments in the file for Staff #1 exceeded the 24-month renewal requirement. The file for Staff #5 contained a Health Assessment dated 4.6.22, which was after the first date of caring for children (see IS Code Sheet).

Corrected Corrected by Nov 16, 2022

Category: ratio. 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 pediatric First Aid/CPR certification on file for Staff #1, with a hire date of 3/1/21, is dated 9/23/21, which was due to be completed by 5/30/21, within 90 days of hire. The pediatric First Aid/CPR certification on file for Staff #2 and Staff person #3, with a hire date of 6/7/21, is dated 9/23/21, which was due to be completed by 9/5/21, within 90 days of hire.

Corrected Corrected by Nov 17, 2021

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The 2 most recent child abuse clearances on file for Staff person #5 are dated 3/9/21 and 1/28/15, more than 60 months apart.

Corrected Corrected by Nov 17, 2021

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

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

The most recent mandated reporter training on file for Staff person #4, dated 10/11/21, is dated more than 60 months after the previous mandated reporter training, dated 4/8/16.

Corrected Corrected by Nov 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #1, classified as an assistant group supervisor, does not include verification of an associate degree or bachelor degree in education or a related human services field; or an associate degree or bachelor degree and the required number of credits in education or a related field.

Corrected Corrected by Nov 17, 2021

Category: supervision. Marked corrected in the state record.

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

There was an outlet accessible to children 5 years old and younger in the preschool room by the light table that did not have an outlet cover.

Corrected Corrected by Nov 17, 2021

Marked corrected in the state record.

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

The emergency contact form on file for Child #1 does not include the complete address for all listed release persons.

Corrected Corrected by Nov 17, 2021

Category: recordkeeping. 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 current health assessment on file for Staff person #3 does not indicate if the staff person was examined for contagious or communicable disease.

Corrected Corrected by Dec 9, 2021

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The current health assessment on file for Staff person #3 does not include the physicians assessment of the staff person's suitability to provide child care.

Corrected Corrected by Dec 16, 2021

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