3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Preschool #2 Room and Preschool #3 Rooms a stapler was observed stored on an art supply shelving unit accessible to preschool age children in care.

Corrected Corrected by Aug 28, 2024

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency plan does not address annual emergency drills or the method of how to contact parents in an emergency.

Corrected Corrected by Aug 28, 2024

Category: physical safety. 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 was observed to lack documentation of having received a State Child Abuse and Neglect check from the State in which they resided in within the previous five years as required by the Child Protective Service Law (See IS Code Sheet).

Corrected Corrected by Aug 28, 2024

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #1, who is functioning as an Assistant Group Supervisor, lacked two years of experience working with children.

Corrected Corrected by Aug 28, 2024

Category: supervision. 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 child file for Child #3, who is a young toddler, was observed to contain an updated health report dated 7/9/24 which was conducted more than 6 months from the previously dated 1/28/23 health report on file.

Corrected Corrected by Aug 28, 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 child file for Child #1, who is a preschool age child, was observed to contain an updated health report dated 7/9/24 which was conducted more than 12 months from the previously dated 6/27/23 health report on file. The child file for Child #2, who is a preschool age child, was observed to contain an updated health report dated 9/1/23 which was conducted more than 12 months from the previously dated 5/12/22 health report on file.

Corrected Corrected by Aug 28, 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 1 hour health and safety update training in the file for staff person #1, #2 and #5, all hired before 10/4/22, were dated in June 2023.

Corrected Corrected by Jul 20, 2023

Category: ratio. Marked corrected in the state record.

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

The last two mandated reporter trainings in the file for staff #4 were dated 4/10/18 and 6/21/23.

Corrected Corrected by Jul 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 9:30 am, upon walking up to the second floor of the facility, this cert rep observed staff person #3 standing at the wall at the top of the stairs, which is several feet outside of the schoolage classroom, leaving 4 school-aged children briefly alone in the room.

Corrected Corrected by Jul 20, 2023

Category: ratio. Marked corrected in the state record.

3270.91(c) · If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

On the first floor of the facility, the door leading to the basement was unlocked. The door opens directly into a stairwell and does not have a landing beyond the door.

Corrected Corrected by Jul 20, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 9:30 am, upon walking up to the second floor of the facility, this cert rep observed staff person #3 standing at the wall at the top of the stairs, which is several feet outside of the schoolage classroom, leaving 4 school-aged children briefly alone in the room.

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 9:30 am, upon walking up to the second floor of the facility, this cert rep observed staff person #3 standing at the wall at the top of the stairs, which is several feet outside of the schoolage classroom, leaving 4 school-aged children briefly alone in the room.

Corrected Corrected by Jul 20, 2023

Category: supervision. 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.

There were four times since July 2022 when the facility's fire detection system was tested more than 30 days apart: 10/10/22 and 11/15/22; 1/9/23 and 2/14/23; 4/11/23 and 5/16/23,

Corrected Corrected by Jul 20, 2023

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 #1, #2 and #3 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety training.

Corrected Corrected by Jul 19, 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 FBI clearance in the file for staff person #6 indicated a record existed, but there was no rap sheet attached. The clearances in the file for the following staff were dated more than 60 months apart: State police and child abuse clearances in the file for staff person #1 and #5. Child abuse clearance in the file for staff person #2 and #4. State police clearance in the file for staff person #3.

Corrected Corrected by Jun 8, 2022

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement in the file for child #2 did not specify the fee to be charged.

Corrected Corrected by Jul 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement in the file for child #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Jul 19, 2022

Category: recordkeeping. 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 and #4 included an incomplete address for the child's physician, as there was no city or zip code.

Corrected Corrected by Jul 19, 2022

Category: health medication. 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 most recent health report in the file for child #1, an infant, did not include a date, so timeliness could not be assessed.

Corrected Corrected by Aug 25, 2022

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

3270.131(d)(3) · A health report shall include a list of the child's current medication and the reason for the medication.

The most recent health report in the file for child #1 did not include information regarding the child's medication and diet, as the box on the form was left unchecked.

Corrected Corrected by Aug 25, 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, the fire detection system was being tested every 30 days, but was not documented.

Corrected Corrected by Jul 19, 2022

Category: recordkeeping. 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 #1, with a hire date of 12/1/20, does not include emergency plan training at hire.

Corrected Corrected by Oct 26, 2021

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

The file for Staff person #1 has a child abuse clearance which was obtained for volunteer purposes. Staff person #1 will not work until the correct clearance is received.

Corrected Corrected by Jul 19, 2021

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 #2, classified as an assistant group supervisor, does not include verification of a high school diploma or general educational development certificate.

Corrected Corrected by Jul 19, 2021

Category: supervision. Marked corrected in the state record.

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

The first aid kit in the school age room next to the bathroom was on a shelf that is accessible to children.

Corrected Corrected by Jul 20, 2021

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 areas of peeling paint and/or damaged plaster in the following locations: in the older toddler room on the tree mural; in the young toddler room under the alphabet strip.

Corrected Corrected by Aug 4, 2021

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

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

There were several loose screws on the side of the washer/dryer in the dramatic play area in preschool 1, making a pinch point.

Corrected Corrected by Jul 19, 2021

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.

In the older toddler room there were staples on the tree mural and circle time wall that were loose and could be pulled out by child, creating a choking hazard. There were also 3 small, less than 1 inch, ladybug clings on the tree mural in the older toddler room, which are a choking hazard. There were also pieces of tape/paper that were falling off the tree mural wall in the older toddler room on the tree mural that created a choking hazard.

Corrected Corrected by Jul 19, 2021

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 refrigerator in the infant room, where infant feeding bottles are kept, measured at 50 degrees Fahrenheit.

Corrected Corrected by Jul 19, 2021

Category: nutrition. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement on file for Child #1 does not include the date that the fee is to be paid.

Corrected Corrected by Jul 23, 2021

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 an address for the enrolling parent's place of employment.

Corrected Corrected by Jul 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The most recent influenza vaccination on record for Child #2, which is recommended annually by the ACIP, is dated 12/11/19, more than 1 year ago. The immunization record on file for Child #2, who is 2 years old, includes 1 of 2 Hepatitis A vaccinations, as recommended for a child this age.

Corrected Corrected by Aug 6, 2021

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have the current regulation chapter posted and did not have information for the parents regarding how to access the regulations electronically

Corrected Corrected by Jul 19, 2021

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 updates to the emergency plan regarding lock-down procedures, which were required effective 12/19/20, as per current Chapter 3270, were not added until 6/30/21.

Corrected Corrected by Jul 19, 2021

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The updates to the emergency plan regarding accommodations to infants, toddlers, children with disabilities, and children with chronic medical conditions, which were required effective 12/19/20, as per current Chapter 3270, were not added until 6/30/21.

Corrected Corrected by Jul 19, 2021

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