3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the training was completed on 2.17.25.

Corrected Corrected by May 29, 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 #2 may not work in a child care position at the facility.

The file for Staff person #2 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

Corrected Corrected by May 30, 2025

Category: background checks. 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.

There was no lidded trashcan in the Preschool room where children were observed throwing away disposable cups after drinking water and where food remains were observed.

Corrected Corrected by May 30, 2025

Category: nutrition. 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 staff person in the toddler area, where no source of running water is located for handwashing stated she uses hand sanitizer to clean the children's hands before eating and after diapering.

Corrected Corrected by May 30, 2025

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

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

There was a bottle of Tylenol in the young toddler area that was not labeled with the name of the child for whom the medication was intended.

Corrected Corrected by May 30, 2025

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 teething gel in the Infant classroom which did not have written parental permission to administer.

Corrected Corrected by May 30, 2025

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

The file for staff person #1 did not include a Criminal History clearance, Child Abuse clearance, and state Sex Offender registry search from Washington DC, where Staff person #1 resided in the 5 years prior to hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Oct 22, 2024

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.

The file for staff person #2 included documentation of application for an NSOR certificate following the first date working with children (See IS CODE SHEET) required for provisional hiring under the CPSL; The application is dated 4.6.24 and the NSOR certificate is dated 5.8.24.

Corrected Corrected by Oct 22, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sink used for handwashing in the Main childcare space, in the young toddler area, did not include a stool for the children to utilize when washing their hands, but rather, a staff person was observed holding a young toddler over the sink to wash their hands.

Corrected Corrected by Oct 22, 2024

Category: health medication. 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.

There was no thermometer in the refrigerator in the infant room where infant bottles are stored.

Corrected Corrected by Oct 22, 2024

Category: nutrition. 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.

There were emergency contact forms in the Main childcare space for 3 children that could not be read, as the copies were too faint.

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. 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 diaper changes in the Main childcare space, in the toddler diaper changing area, a staff person was observed opening the hands free can for diaper disposal with their hands.

Corrected Corrected by Oct 22, 2024

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

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

The two most recent annual fire detection system inspection reports are dated 9.15.23 and 9.20.24, more than 1 year apart and is required annually as the provider is unable to test the alarm every 30 days.

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

One restroom in the lobby area lacked soap.

Corrected Corrected by Oct 11, 2023

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

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

Motrin observed in the infant room was not labeled with the name of the child it was intended for. The medication was in a baggy, which was labeled for child #3, but the medication bottle itself was not labeled.

Corrected Corrected by Oct 11, 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.

Staff #1 did not complete the 1 hour training titled Pennsylvania Health and Safety Update 2022 by 12/30/22, the deadline set forth in Announcement C-22-06. Current training dated 10/09/23 is now on file.

Corrected Corrected by Oct 9, 2023

Category: ratio. 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 lacked a written policy addressing the recognition and prevention of shaken baby syndrome, abusive head trauma and maltreatment of children as required by Announcement C-22-03.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3270.102(a)/3270.103 · 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. 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.

Three nap mats stored in the PS restrooms were observed to have cracks and tears which exposed the inner foam filling.

Corrected Corrected by Oct 11, 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.

In the preschool room, a red Lego roof piece with a broken corner was observed. The break created sharp edges on the plastic.

Corrected Corrected by Oct 11, 2023

Category: physical safety. 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 the infant room, child #2 was observed asleep in crib that was labeled for child #3.

Corrected Corrected by Oct 11, 2023

Category: physical safety. 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.

Two cribs in use by children in the infant room lacked 2 feet of space on 3 sides. An inclined chair was observed between the two cribs.

Corrected Corrected by Oct 11, 2023

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for child #1 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 11, 2023

Category: health medication. 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 #2 contained results from a TB screening conducted more than 12 months before their date of rehire.

Corrected Corrected by Oct 31, 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.

The facility's emergency plan did not address continuity of business operations.

Corrected Corrected by Dec 5, 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 #4 contained consecutive fire safety trainings conducted more than 12 months apart. The training certificates were dated 3/27/21 and 5/23/22.

Corrected Corrected by Oct 4, 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(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 10/29/22 to complete the required training. Until such time as the required training has been 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 available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training topics 1-9. The certificate on file was titled Health and Safety Basics: Requirements for Certification and was dated 1/22/19 which is after the validity date of 6/30/18.

Corrected Corrected by Oct 29, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #6 may not work in a child care position at the facility.

The file for staff #2 contained clearances which were not updated within 60 months as required. This is evidenced by the previous state police clearance being dated 1/25/17 and the updated state police clearance being dated 2/6/22. The previous child abuse clearance being dated 1/27/17 and the updated child abuse clearance being dated 2/17/22. And the previous FBI clearance being dated 2/07/17 and the updated FBI clearance being dated 2/21/22. The clearances on file for staff #2 are now current. The file for staff #6 contained a state police clearance and a child abuse clearance obtained for the purpose of volunteering. Staff #6 was observed alone with children on the day of the inspection.

Corrected Corrected by Oct 4, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The faucets on two sinks in the toddler area were not fully attached to the sink creating pinch points. Cracked porcelain with sharp edges was observed in the basin of the rear sink in the corner of the room.

Corrected Corrected by Dec 5, 2022

Marked corrected in the state record.

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

A broken child size couch was observed in the right hand PS area. The fabric seat was ripped where it supports weight and the right arm was not attached to the frame.

Corrected Corrected by Oct 4, 2022

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 #4 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Oct 4, 2022

Category: ratio. Marked corrected in the state record.

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

The file for staff #5 contained a health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Oct 5, 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.

An emergency drill has not been conducted. The deadline for an initial drill was 12/19/21.

Corrected Corrected by Dec 5, 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's annual inspections of the fire alarm system were conducted more than 12 months apart. The reports are dated 8/26/21 and 9/30/22.

Corrected Corrected by Oct 4, 2022

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.

Based on documentation on file, staff #1 completed 2 of the 12 hours of training annually., however 10 hours were completed late. The training on file for staff #1 is now current.

Corrected Corrected by Oct 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation.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 #1 lacks current first aid and CPR training.

Corrected Corrected by Dec 15, 2021

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