3270.14/3270.21 · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Jun 6, 2025

Category: supervision. 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 bottle of Fridababy saline nasal spray in the infant room that was not labeled for use by a specific child.

Corrected Corrected by May 5, 2025

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. Facility Person #1, #2 may not work in a child care position at the facility.

The file for staff person #1 did not contain documentation of application and receipt of a criminal history clearance, child abuse clearance, and sex offender clearance from Indiana, where Staff person #1 resided in the last 5 years prior to hire (See IS CODE SHEET) required under the CPSL. The signed Disclosure Statement on file for Staff person #2 is not the Disclosure Statement that was current at the time of hire (See LIS Code Sheet).

Corrected Corrected by May 6, 2025

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

3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file for Staff person 1, observed acting in the role of an assistant group supervisor and unsupervised, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by May 5, 2025

Category: supervision. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Used disposable cereal bowls, disposable spoons, and food waste was observed in an unlidded trashcan in Room 106.

Corrected Corrected by May 6, 2025

Category: nutrition. Marked corrected in the state record.

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

In the bathroom in Room 106 there was a dried brown substance smeared on the floor of the toilet stall.

Corrected Corrected by May 2, 2025

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.

The bottom drawer of a dresser in the far corner of the infant room was unlocked and contained an empty ziploc plastic bag and a bag containing yarn pompoms smaller than an inch in size, both accessible to children and considered a choking hazard for still placing objects in their mouths. An unlocked cabinet in Room 105 contained a sheet of plastic bubble wrap on the bottom shelf which is considered a choking hazard and was accessible to children still placing objects in their mouths.

Corrected Corrected by May 5, 2025

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

3270.108(c) · Styrofoam cups and plates may not be used.

Used Styrofoam bowls were observed in a trash can in room 106 and were observed in Rooms 104 and 105 which staff stated are used for serving food to toddler and preschool children.

Corrected Corrected by May 6, 2025

Category: nutrition. Marked corrected in the state record.

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

The file for staff person #1 does not include 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 #1 was dated 4.21.25.

Corrected Corrected by May 5, 2025

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 #1 does not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET).

Corrected Corrected by May 5, 2025

Category: health medication. 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 #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 8.31.24.

Corrected Corrected by Sep 6, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 and Staff person #5 were observed to be in the same classroom caring for children. Staff person #3 was observed to be caring for children unsupervised. Staff person #3 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Sep 13, 2024

Category: supervision. 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 #4 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet).

Corrected Corrected by Sep 13, 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 most recent fire safety training on file for Staff person #1 is dated 7.16.23, more than 1 year ago. The most recent fire safety training on file for Staff person #2 is dated 6.21.23, more than 1 year ago.

Corrected Corrected by Sep 13, 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 #2, #3, #5 may not work in a child care position at the facility.

The file for Staff person #2 contains an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The file for Staff person #3 includes a criminal history clearances dated 8.9.19, more than 60 months ago. The file for staff person #5 was observed not to contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Sep 13, 2024

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 file for Staff person #5, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Sep 6, 2024

Category: supervision. Marked corrected in the state record.

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

During the inspection, the Toddler 2 room was observed in the outdoor playground and the first aid kit was observed on the ground, accessible to children.

Corrected Corrected by Sep 6, 2024

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 were 2 areas of peeling paint in Toddler 2, under the family pictures and by the table, under the bulletin board. There was peeling paint in Toddler 1, by the rest cots.

Corrected Corrected by Oct 4, 2024

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 yarn pom-pom's in Toddler 2 smaller than 1 inch in diameter, used for arts and craft projects. There were empty garbage bags in Toddler 1 in an unlocked drawer on the changing table, accessible to children.

Corrected Corrected by Sep 6, 2024

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.

While observing a diaper change in the Infant room, the staff person set the soiled diaper on the end of the changing table and did not dispose of it until after the diaper change was completed and was not immediately thrown away.

Corrected Corrected by Sep 6, 2024

Category: health medication. 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 file for Child #2, who began receiving care on 1.2.24, more than 6 months ago, does not include a Child Service report. The file for Child #3, who began receiving care on 9.5.23, more than 6 months ago, does not include any Child Service reports. The file for Child #5, who began receiving care on 10.2.23, more than 6 months ago, does not include any Child Service reports.

Corrected Corrected by Sep 13, 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, #2, and #3 does not include the persons to whom the child can be released.

Corrected Corrected by Sep 13, 2024

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 #1 and #3 does not include a complete address for all listed release persons.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. 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 financial agreement on file for Child #2, #3, and #5 is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #2, who is a Young Toddler, is dated 1.22.24, more than 6 months ago. The most recent health assessment on file for Child #3, who is a Young Toddler, is dated 8.21.23, more than 6 months ago.

Corrected Corrected by Sep 13, 2024

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1, #2, and #3 must be dismissed from care by close of business on 9.6.24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 5 months old, included 1of 2 Rotavirus vaccines recommended by the ACIP for a child this age; 1 of 2 DTAP vaccines recommended by the ACIP for a child this age; 1 of 2 HIB vaccines recommended by the ACIP for a child this age 1 of 2 pneumococcal vaccines recommended by the ACIP for a child this age; and 1 of 2 Polio vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #2, who is 19 months old, included 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; and 1/2 Hepatitis A vaccines recommended for a child this age. The immunization record on file for Child #3, who is 21 months old, included 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 HIB vaccines recommended by the ACIP for a child this age 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; and 1/2 Hepatitis A vaccines recommended for a child this age.

Corrected Corrected by Sep 13, 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.

Following an observed diaper change in the Infant room, the staff person did not ensure the child's hands were washed before returning the child to the floor.

Corrected Corrected by Sep 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 initial health assessment on file for Staff person #2 does not include the date of the examination (See LIS Code Sheet). The file for staff person #5 did not contain documentation of a health assessment and Tuberculosis screening being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment and Tuberculosis test on file for staff person #5 was dated 9.4.24.

Corrected Corrected by Sep 6, 2024

Category: ratio. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the county emergency management agency.

Corrected Corrected by Sep 9, 2024

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and Child #3 must be dismissed from care by close of business on 11.20.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The Immunization Record, in the file for Child #1 and Child #3, did not contain documentation of the influenza vaccination.

Corrected Corrected by Dec 1, 2023

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #4, did not contain the enrolling parent's work address.

Corrected Corrected by Nov 22, 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 form, in the file for Child #1, did not contain the release person's address.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. 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, in the file for Child #1, Child #2, Child #3, Child #4, and Child #5, did not contain the date of admission.

Corrected Corrected by Nov 22, 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.

Protective outlet covers were missing on the top and bottom outlets, on the window wall, in Room 106.

Corrected Corrected by Dec 20, 2023

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, located in Room 106, did not contain tweezers.

Corrected Corrected by Nov 21, 2023

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.

The Emergency Transportation Plan was not posted in Room 107.

Corrected Corrected by Nov 21, 2023

Category: transportation. 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 Health Assessment, in the file for Staff #1 (see IS Code Sheet), was dated 11.4.23, which was beyond initial service.

Corrected Corrected by Nov 22, 2023

Category: ratio. 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 Fire System Testing Log contained documentation of testing on 9.20.23 and 10.31.23, which exceeded the 30-day requirement for manual testing.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.