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 #1 contained a Child Abused clearances that expired on 11/5/25.

Corrected Corrected by Nov 12, 2025

Category: background checks. 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 peeling paint on the purple wall by the window.

Corrected Corrected by Nov 5, 2025

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

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

One of the two toilets in the children bathroom across from the preschool room had a broken toilet tank.

Corrected Corrected by Nov 12, 2025

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 gray cracked bin in the playroom.

Corrected Corrected by Nov 5, 2025

Category: physical safety. 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 thermometer in the kitchen refrigerator was not operable.

Corrected Corrected by Nov 5, 2025

Category: nutrition. 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 # 2 and # 4 lacked a form provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Nov 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

the file for child #1 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

Corrected Corrected by Nov 20, 2025

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 files for children # 2 and #4 have not been reviewed with 6 months period. the file for child #2 last review was dated 11/14/24. The file for child # review was past the 6-month period. 10/29/24-10/8/25.

Corrected Corrected by Nov 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file for child #3 a school age lacked a health report dated in accordance with the requirements for medical examinations for school attendance. the previous health report was dated 1011/22.

Corrected Corrected by Dec 3, 2026

Category: health medication. 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 #1 a preschooler contained a current health report dated 1/10/25 that was not obtained within 12 months from the previous health report dated 7/22/22. The file for child #2 a preschooler lacked a current health report. the previous report was dated 11/21/23.

Corrected Corrected by Nov 5, 2025

Category: health medication. 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 file for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Corrected Corrected by Nov 20, 2025

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 operator was unable to provide a current annual fire alarm test report. The previous report was dated 10/4/24.

Corrected Corrected by Nov 12, 2025

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 file for staff #1 lacked 2 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

Corrected Corrected by Nov 20, 2025

Category: recordkeeping. 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 peeling paint on the wall in the playroom .

Corrected Corrected by Nov 12, 2024

Category: physical safety. 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.

The school age bathroom contained a garbage can with no lid.

Corrected Corrected by Nov 12, 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.

The facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the Child Maltreatment statement.

Corrected Corrected by Nov 15, 2024

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The facility lacked a current liability insurance.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. 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 file for staff #1 lacked a current fires safety training, the previous training was dated 10/6/23. The file for staff #4 lacked a current fires safety training, the previous training was dated 1/23/22.

Corrected Corrected by Nov 22, 2024

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 # 3 and 4 lacked written evaluation.

Corrected Corrected by Nov 15, 2024

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 a power strip with 5 uncovered electrical outlets and two uncovered outlets on the wall by the table accessible to children 5 years of age or younger in the main room. There were 2 uncovered electrical outlets accessible to children 5 years of age or younger in the infant room.

Corrected Corrected by Nov 13, 2024

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 hair spray can and a fragrance mist on top of the sink and Fabric Refresher under the unlocked sink cabinet in the school age bathroom label " Keep out of reach of children" accessible to children.

Corrected Corrected by Nov 12, 2024

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 contaminated by human secretion trash in an open garbage can in the main room.

Corrected Corrected by Nov 13, 2024

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 big blue cracked bin in the playroom.

Corrected Corrected by Nov 13, 2024

Category: physical safety. 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 # 1 lacked information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Nov 18, 2024

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 file for child #3 lacked the date of the child's date of admission on the agreement form.

Corrected Corrected by Nov 12, 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 file for child #1 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 9/7/23. The file for child #2 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 9/7/23. The file for child #3 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 6/2020. The file for child #4 contained an emergency contact form and an agreement form that was not renewed withing 6 months. The current review was dated 8/7/18.

Corrected Corrected by Nov 15, 2024

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 file for staff # 4 lacked a health report.

Corrected Corrected by Nov 18, 2024

Category: ratio. 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 fire drill log lacked hypothetical locations .

Corrected Corrected by Nov 15, 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 annual fire detection system test was dated 10/22/24, the previous report was dated 8/31/23.

Corrected Corrected by Nov 12, 2024

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 file for staff # 2 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23. The file for staff # 3 lacked 9 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23. The file for staff # 4 lacked 8 out of 12 required hours of annual childcare training, from 12/19/22 to 12/19/23.

Corrected Corrected by Dec 20, 2024

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 # 1 lacked a minimum of one written staff evaluation every 12 months.

Corrected Corrected by Jan 12, 2024

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 file for staff #3 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22. The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

Corrected Corrected by Dec 4, 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.

Staff # 1 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. Health and Safety training the certificate is dated 10/10/23.

Corrected Corrected by Oct 23, 2023

Category: health medication. 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 file for staff # 3 lacked an updated Mandated Reporter training. The previous report was dated 11/21/17.

Corrected Corrected by Dec 3, 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.

There were 4 uncovered electrical outlets on the power strip on top of the table in the preschool room accessible to children 5 years of age or younger.

Corrected Corrected by Dec 29, 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.

There were Desitin, Aquaphor, and Remedy Protectant diaper rash creams labeled " keep out of reach of children" accessible to children in the infant toddler room.

Corrected Corrected by Dec 29, 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.

There was rubber baseboard pulling of the wall in the bathroom.

Corrected Corrected by Dec 29, 2023

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

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

The toilet in the left side of the wall lacked the tank cover.

Corrected Corrected by Dec 29, 2023

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 cracked clear bin, a cracked pencil box lid in the preschool room and a cracked toy castle in the gross motor room.

Corrected Corrected by Dec 29, 2023

Category: physical safety. 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 file for child # 2 lacked Emergency contact information required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The file for child # 1 lacked the birthdate of the child on the emergency contact form.

Corrected Corrected by Dec 29, 2023

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 file for child # 2 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Dec 29, 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 file for child # 2 lacked the name, address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for child # 2 a young toddler contained a health report dated 2/15/23. The file lacked a 6-month updated health report.

Corrected Corrected by Jan 19, 2024

Category: health medication. 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 # 3 a preschooler lacked an updated health report. The previous report was dated 10/11/22. The file for child # 4 a school age lacked an updated health report. The previous report was dated 8/2/22. The child started kindergarten in September of 2023.

Corrected Corrected by Jan 19, 2024

Category: health medication. 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 file for staff # 1 lacked an initial health report. The file for staff # 2 lacked an updated health report. The previous report was dated 1/21/21.

Corrected Corrected by Dec 29, 2023

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.

A copy of the facility Emergency Plan was not sent to the county emergency management agency.

Corrected Corrected by Dec 29, 2023

Category: physical safety. 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 # 1 and 2 lacked the emergency plan training. The previous training was dated 10/23/21.

Corrected Corrected by Nov 1, 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 # 2 lacked a written evaluation. The previous evaluation is dated 10/22/21.

Corrected Corrected by Nov 1, 2022

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 uncovered outlets accessible to children 5 years of age or younger in the infant room.

Corrected Corrected by Nov 1, 2022

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.

The was a hole made by the door handle on the right-side wall at the entry way. There was a hole on the bottom of the yellow door in the playroom. There was a light cover glass cracked in the staff bathroom.

Corrected Corrected by Nov 1, 2022

Category: physical safety. 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 peeling paint on the purple wall under the window in the main room, the wall with the alphabet stickers, the left side wall on the main room and the walls in the playroom.

Corrected Corrected by Nov 1, 2022

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

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

In the children' s bathroom one of the toilet handles is damaged preventing it for been able to flush.

Corrected Corrected by Nov 1, 2022

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 cracked plastic oven window on the kitchen in the playroom.

Corrected Corrected by Nov 1, 2022

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.

The sleeping cots were not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Nov 1, 2022

Category: physical safety. 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 file for child # 1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected Corrected by Nov 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · 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 file for Child #2 lacks documentation of a 2021 influenza immunization as recommended by the ACIP.

Corrected Corrected by Nov 1, 2022

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.

Staff # 2 did not wash the child's hands after diapering.

Corrected Corrected by Nov 1, 2022

Category: health medication. 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.

Staff #2kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Nov 1, 2022

Category: health medication. 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 files for staff # 1 contained a current health report dated 1/30/21. The previous report was dated 11/28/18. The files for staff # 2 contained a current health report dated 10/4/22. The previous report was dated 1/10/20.

Corrected Corrected by Nov 1, 2022

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 facility lacked annual emergency drill documentation.

Corrected Corrected by Nov 1, 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 file for staff #1 lacked 9 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21. The file for staff #2 lacked 12 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21.

Corrected Corrected by Nov 1, 2022

Category: recordkeeping. 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 # 3 contained an initial health report that is dated later than 60 days following the first day of attendance at the facility.

Corrected Corrected by Nov 1, 2022

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

The facility lacked the letters to the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility.

Corrected Corrected by Nov 1, 2022

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 thermometer in the facility's 2nd refrigerator was broken.

Corrected Corrected by Jan 14, 2022

Category: nutrition. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

There was no agreement in the file for child #1.

Corrected Corrected by Jan 14, 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 in the file for child #2 and #3 did not specify the child's arrival and departure times.

Corrected Corrected by Nov 9, 2021

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 in the file for child #3 did not designate to whom the child may be released.

Corrected Corrected by Nov 9, 2021

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 #1, hired before 12/19/21, did not include evidence of pediatric first-aid and CPR.

Corrected Corrected by Jan 14, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 last fire safety training in the file for staff person #1 was more than 12 months ago. The last two fire safety trainings in the file for staff person #2 and #3 were dated more than 12 months apart.

Corrected Corrected by Jan 14, 2022

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 indoor gross motor room did not contain gloves.

Corrected Corrected by Nov 9, 2021

Category: health medication. 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 information in the file for child #3 did not include any information for the child's physician.

Corrected Corrected by Nov 9, 2021

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 information in the file for child #4 did not include the name of the child's health insurance.

Corrected Corrected by Nov 9, 2021

Category: health medication. 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 #1 did not include 2 written nonfamily references. The letters were reviewed at a previous inspection, but were not on file at the facility at the time of this inspection.

Corrected Corrected by Jan 14, 2022

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 or chronical medical conditions.

Corrected Corrected by Nov 9, 2021

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

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

The file for staff person #1, employed before 12/19/20, did not include training in health and safety topics #1 through #9.

Corrected Corrected by Jan 14, 2022

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.

Based on conversation with the operator, they are not able to demonstrate operability of the fire detection system or test the fire detection system every 30 days because they rent space in a very large commercial building which houses apartments. The last testing report by a fire safety professional was dated from January 2020 and was expired. Based on conversation with the operator, the building's fire detection system is a pull-down alarm system, which is considered an interconnected system, and they did not have proof of purchase of the fire detection system.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. 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 facility's emergency plan did not include accommodations for shelter of children during a lock-down.

Corrected Corrected by Nov 9, 2021

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.

2nd citation: The file for staff person #1, hired before 12/19/21, did not include evidence of pediatric first-aid and CPR. Previously cited on 11/9/21.

Corrected Corrected by Feb 5, 2022

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.

2nd citation: The last fire safety training in the file for staff person #1 was more than 12 months ago. Previously cited on 11/09/21.

Corrected Corrected by Feb 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.

2nd citation: Based on conversation with the operator, they are not able to demonstrate operability of the fire detection system or test the fire detection system every 30 days because they rent space in a very large commercial building which houses apartments. The last testing report by a fire safety professional was dated from January 2020 and was expired. Previously cited 11/9/21.

Corrected Corrected by Feb 5, 2022

Category: recordkeeping. Marked corrected in the state record.