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

*SECOND VIOLATION A sharp kitchen knife and a crockpot in use were observed on the counter in the kitchen area accessible to children in care. Previously sited on SIN-00269287 on July 7, 2025.

Corrected Corrected by Sep 8, 2025

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Tiered LIS: 1. The required staff:child ratios must be maintained at all times. 2. The director will collaborate with the ELRC to develop and implement a hands-free staff-child ratio tracking system, such as wristbands, lanyards, or clip-on tags, to ensure staff can identify all children in their assigned groups. Staff will conduct name checks during transitions---including moving between the playground and classroom, going to the restroom, changing activity areas, preparing for meals, and dismissal---to confirm that each child is accounted for. In addition, staff with assigned groups will verify the list of children in their care at key points throughout the day, such as morning arrival, after lunch, outdoor play, and before dismissal. The director will also complete additional verifications of group lists throughout the day to reinforce accountability, accuracy, and compliance. 3. The legal entity and director will collaborate with the ELRC to develop a monitoring system to ensure staff-to-child ratios remain in compliance at all times. No child will be admitted until ratios are confirmed by counting the children present, comparing that number to staff on duty, and verifying that the group is within the required ratio. The director will conduct daily monitoring at key times, including morning arrival, mid-day, and before dismissal. During these checks, staff assignments will be reviewed against the children present, and staff will be required to accurately identify each child by name. All monitoring will be documented in a log, which will be available for review by the Certification Representative. This monitoring system will be implemented and maintained for a period of 3 months. 4. The legal entity and director will arrange all staff persons at the facility, including the legal entity and director, to attend a minimum of two hours of in-person training presented by the ELRC. The training will focus on staff-to-child ratio requirements, strategies for maintaining compliance during transitions and staff breaks, and how to respond when ratios are at risk. The training will provide practical techniques, such as using rosters, name-to-face checks, and hands-free tracking to ensure staff always know who is in their care with a particular emphasis on accountability during playground, meal, and restroom transitions. It will also reinforce staff responsibility, effective teamwork, and clear communication with parents when a child cannot be admitted until ratios are met. The training may count towards the mandatory 12 training hours required by the Department. 5. The director shall conduct monthly meetings for a period of 4 months. All staff persons at the facility will be in attendance. The director will discuss prior noncompliance, supervision, ratio and hands-free systems to ensure compliance with supervision and ratio. Staff meeting dates, agenda, and names of staff in attendance shall be documented. The documentation shall be maintained on file at the facility for review by the Certification Representative.

*SECOND VIOLATION On August 11, 2025, at approximately 10:05 AM, Staff Person #2 was observed in the Main Room supervising 10 children (1 infant, 1 older toddler, 7 preschool age, and 1 school-age), resulting in the staff person being out of the required staff to child ratio. When asked to identify their assigned group of children, Staff Person #2 identified 6 children (5 preschool age, 1 school-age) and said they did not know the names of 4 children (1 infant, 1 older toddler, 2 preschool age). Previously cited on SIN-00269287 on July 7, 2025.

Corrected Corrected by Jan 31, 2026

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.

*SECOND VIOLATION On August 11, 2025, at approximately 10:05 AM, Staff Person #2 was observed in the Main Room supervising 10 children (1 infant, 1 older toddler, 7 preschool age, and 1 school-age), resulting in the staff person being out of the required staff to child ratio. When asked to identify their assigned group of children, Staff Person #2 identified 6 children (5 preschool age, 1 school-age) and said they did not know the names of 4 children (1 infant, 1 older toddler, 2 preschool age). Previously cited on SIN-00269287 on July 7, 2025.

Corrected Corrected by Oct 15, 2025

Category: supervision. 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.

*SECOND VIOLATION The files for Staff Persons #1, #2, and #3 lacked 6 of their 12 hours of child care training in their respective training year. Previously sited on SIN-00269287 on July 7, 2025.

Corrected Corrected by Oct 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A sharp kitchen knife was observed on the counter in the kitchen area accessible to children in care.

Corrected Corrected by Jul 7, 2025

Category: health medication. 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 file for Staff Person #4 did not contain documentation of emergency plan training at the time of initial employment.

Corrected Corrected by Jul 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 9:30am, 2 Staff Persons were observed supervising 12 children in the Main room. Staff Person #1 identified 5 children (1 infant, 3 young toddlers, and 1 older toddler) in their assigned group of children to supervise. Staff Person #2 identified 3 children (3 young school-age) in their assigned group. As a result, 4 children (2 older toddlers, 2 preschoolers) were not identified.

Corrected Corrected by Jul 7, 2025

Category: supervision. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature in the bathroom sink read 120° F.

Corrected Corrected by Jul 21, 2025

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.

A yellow bin containing children's toys was observed to be cracked with sharp edges and was not in good repair.

Corrected Corrected by Jul 11, 2025

Category: physical safety. 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 9:30am, 2 Staff Persons were observed supervising 12 children in the Main room. Staff Person #1 identified 5 children (1 infant, 3 young toddlers, and 1 older toddler) in their assigned group of children to supervise. Staff Person #2 identified 3 children (3 young school-age) in their assigned group. As a result, 4 children (2 older toddlers, 2 preschoolers) were not identified.

Corrected Corrected by Jul 23, 2025

Category: supervision. 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 financial agreement in the files for children #1 and #2 lacked the amount of the fee to be charged per day or per week.

Corrected Corrected by Jul 7, 2025

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 financial agreement in the file for child #2 lacked the date on which the fee is to be paid.

Corrected Corrected by Jul 7, 2025

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 financial agreement in the file for child #2 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 23, 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 file for child #3 contained documentation that the parent reviewed and updated the emergency contact form on 4/14/24 and 5/26/25, which is more than 6 months apart. The file for child #4 contained documentation that the parent reviewed and updated the financial agreement on 2/8/24 and 2/3/25, which is more than 6 months apart.

Corrected Corrected by Jul 28, 2025

Category: recordkeeping. 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 two most recent health reports in the files for children #4 and #5, who are preschool aged, are dated more than 12 months apart.

Corrected Corrected by Jul 25, 2025

Category: health medication. 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 files for Staff Persons #1, #2, and #3 lacked 6 of their 12 hours of child care training in their respective training year.

Corrected Corrected by Jul 7, 2025

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 emergency plan on file at the facility did not include a plan for continuity of operations in an emergency.

Corrected Corrected by Feb 26, 2025

Category: ratio. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The medication box In the bathroom contained a child's Albuterol Inhaler that expired in 07/2024.

Corrected Corrected by Feb 18, 2025

Category: health medication. 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 hypothetical location for the three most recent fire drills conducted (11/8/24, 12/6/24, and 1/3/25) were the same and were not rotated around the facility for each drill.

Corrected Corrected by Feb 26, 2025

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 operator did not have documentation on file of testing the fire detection system within the last 30 days. The most recent testing on file at the time of inspection was dated 1/6/25.

Corrected Corrected by Feb 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

*SECOND VIOLATION The files for staff persons #6 and #7, who were identified as aides, lacked documentation of education prior to service at the facility. Previously cited on SIN-00246960.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility's emergency plan has not been reviewed within the last 12 months. The most recent update was observed to be dated 7/1/22.

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. 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.

Staff persons #1, #2, #3, and #4 have not had emergency plan training within the last 12 months. The most recent documentation of training in the files for staff persons #1, #2, #3, and #4 are dated 6.23.23.

Corrected Corrected by Jul 29, 2024

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 files for staff persons #1 and #3 had documentation of pediatric first aid/CPR training was not renewed before the expiration date of the most current certification. Staff person #1: 3/26/22 and 5/25/24. Staff person #3: 3/26/22 and 5/25/24. Staff persons #2 and #4 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 3/31/24.

Corrected Corrected by Jul 31, 2024

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). Facility Persons #5 and #7 may not work in a child care position at the facility.

The file for staff person #5 lacked documentation of PA State Police and NSOR clearance results prior date of hire (See LIS Code Sheet). The PA State Police Clearance in the file for staff person #7 lacked the disseminated date making the clearance not complete. The file for staff person #7 lacked FBI clearance results prior to date of hire (See LIS Code Sheet).

Corrected Corrected by Aug 8, 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 file for staff person #5, who was identified as an AGS, lacked documentation of education prior to service at the facility.

Corrected Corrected by Jul 31, 2024

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for staff persons #6 and #7, who were identified as aides, lacked documentation of education prior to service at the facility.

Corrected Corrected by Jul 31, 2024

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.

In the outside play space, peeling/chipping paint was observed around the door frame where children enter and exit the facility.

Corrected Corrected by Jul 29, 2024

Category: physical safety. 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 emergency contact form in the file for child #1 has not been reviewed or updated by the parent within the last 6 months. The most recent update was documented on 11/21/23.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent health assessments on file for staff person #1 are dated more than 24 months apart: 5/1/22 and 6/26/24. The two most recent health assessments on file for staff person #2 are dated more than 24 months apart: 12/30/21 and 1/9/24. The file for staff person #7 lacked documentation of a health assessment at initial employment.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · 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.

The file for staff person #7 lacked documentation of a TB screening and the results of the screening at initial employment.

Corrected Corrected by Jul 31, 2024

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 #5 lacked one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person. The file for staff person #7 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Aug 22, 2024

Category: recordkeeping. 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 did not have documentation of conducting an emergency drill within the last 12 months.

Corrected Corrected by Jul 30, 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 facility's documentation of testing the fire detection system exceeded 30 days from 10/1/23 to 11/1/23, 11/1/23 to 12/30/23, 2/1/24 to 3/5/24, and 3/5/24 to 4/11/24.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. 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 did not have documentation of sending a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 1, 2024

Category: physical safety. 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 child care facility.

The operator did not have documentation of notifying local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Aug 2, 2024

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 #2 lacked the Pennsylvania Health and Safety Update training that was required by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

Corrected Corrected by Jul 19, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · 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 Child #1, #3, #4, and #5 contained Agreement Forms that had not been updated within the last 6 months.

Corrected Corrected by Jul 18, 2023

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 files for Staff #1, #2, #4, and #5 did not contain documentation of training in fire safety in the last year.

Corrected Corrected by Jul 19, 2023

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 at the facility.

The file for Staff #1 lacked a current Child Abuse clearance. The file for Staff #1 contained State Police Clearances that that were updated in an interval greater than 60 months. The file for Staff #3 contained a disclosure statement that had no witness signature.

Corrected Corrected by Jul 11, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 7/21/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated (2/2/18).

Corrected Corrected by Jul 14, 2023

Category: supervision. Marked corrected in the state record.

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

The two most recent staff evaluations for Staff #1 and #2 were completed more than one year apart.

Corrected Corrected by Jul 18, 2023

Category: recordkeeping. 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.

Located on the half wall in the middle of the Main Classroom were two containers of disinfecting wipes, labeled "keep out of reach of children." Both of these containers were accessible to the children in care.

Corrected Corrected by Jul 7, 2023

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.

Observed trash scattered throughout the play space and multiple weeds coming through the fence, both creating a tripping hazard to the children in care.

Corrected Corrected by Jul 11, 2023

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.

Located in the unlocked bathroom cabinet, accessible to the children in care were Diaper Genie refills, labeled "Warning: To avoid danger of suffocation, keep away from babies and children."

Corrected Corrected by Jul 6, 2023

Category: health medication. 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 for Child #1 lacked the amount of the fee to be charged.

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. 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 Child #1 and #5 lacked a child service form that provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Jul 17, 2023

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 for Child #4 and #5 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jul 18, 2023

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 Form for Child #5 lacked the telephone number of the child's physician.

Corrected Corrected by Jul 12, 2023

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

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

The Emergency Contact Form for Child #1 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 17, 2023

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 Child #1, #3, #4, and #5 contained Emergency Contact Forms that had not been updated within the last 6 months.

Corrected Corrected by Jul 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child #3, a preschooler, lacked an updated health report within the last 12 months.

Corrected Corrected by Jul 17, 2023

Category: health medication. 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, #3, #4, and #5 must be dismissed from care by close of business 7/6/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1, #3, #4, and 5, enrolled more than 60 days at the facility, did not contain documentation of an influenzas vaccination within the past year, as required per the ACIP recommended schedule.

Corrected Corrected by Jul 17, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The Health Report for Child #3 lacked a statement indicating the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jul 12, 2023

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 #3, contained one written, nonfamily reference and one written, family reference from individuals attesting to the suitability to serve as a facility person.

Corrected Corrected by Jul 7, 2023

Category: recordkeeping. 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 Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the county municipality that the emergency plan was shared.

Corrected Corrected by Jul 18, 2023

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

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

Located in an unlocked cabinet in the main classroom were push pins and a stapler that were accessible to the children in care and creating a puncture hazard.

Corrected Corrected by Aug 26, 2022

Category: health medication. 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.

Staff #1, #2, #3, #4, and #5 had current emergency plan training at the time of renewal inspection, they did not have training within their 90 days of hire.

Corrected Corrected by Aug 18, 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 #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety

Corrected Corrected by Aug 18, 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. Facility Person #5 may not work in a child care position at the facility.

The file for Staff #1 and #3 contained a NSOR certificate obtained after the required date of 7/1/20. The files for Staff #1, #2, #3, and #4 lacked a disclosure statement. The file for Staff#5 lacked a FBI clearance and contained an incomplete disclosure statement without a date. (See LIS Code Sheet)

Corrected Corrected by Aug 17, 2022

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

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 12:25 PM Staff #3 and #5 left the main classroom to enter the back kitchen and office area, leaving Staff #1 and #2 alone in the main classroom with 14 children; 1 infant, 3 young toddlers, 4 older toddlers, 4 preschoolers, and 2 school aged children.

Corrected Corrected by Aug 17, 2022

Category: ratio. 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 the Main room lacked soap.

Corrected Corrected by Aug 18, 2022

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.

Located in the Outdoor Play Space was a large hole next to the steps when entering the facility and overgrown weeds located all along the fence creating a tripping hazard.

Corrected Corrected by Aug 12, 2022

Category: physical safety. 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.

The bathroom lacked a hand washing sign posted at the toilet.

Corrected Corrected by Aug 1, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed the side exit door from the kitchen was blocked due to a deep freezer being in front of the door.

Corrected Corrected by Aug 18, 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.

Located in the Main Classroom was a toy bench that had a loose hitch on the top section creating a pinching hazard for the children in care.

Corrected Corrected by Aug 2, 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.

Child #6, an infant, lacked labeled individual rest equipment.

Corrected Corrected by Aug 1, 2022

Category: physical safety. 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 for Child #4 lacked the amount of the fee to be charged.

Corrected Corrected by Aug 18, 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 file for Child #1 and # 3 contained Agreements which did not specify the child's arrival or departure times.

Corrected Corrected by Aug 19, 2022

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 for Child #5 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Aug 19, 2022

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 for Child #5 lacked the date of the child's admission.

Corrected Corrected by Aug 17, 2022

Category: recordkeeping. 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 for Child #3, #4, ad #5 lacked the health insurance coverage policy number for the child.

Corrected Corrected by Aug 22, 2022

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

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

The emergency contact form for child #1, #2, and #4 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The main room lacked a file containing emergency contact information for Child #6 while they were present and receiving care in the space.

Corrected Corrected by Aug 19, 2022

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 contained a health assessment that had not been updated within the last two years. The file for Staff #5 contained a health assessment that lacked that statement that the individual was suitable for childcare.

Corrected Corrected by Aug 26, 2022

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The file for Child #6, an infant, lacked a written formula and feeding schedule obtained from the parent.

Corrected Corrected by Aug 26, 2022

Category: nutrition. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A bottle which was not labeled with the infant child's name was observed in the main room.

Corrected Corrected by Aug 1, 2022

Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Observed the facility did not have written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Aug 18, 2022

Marked corrected in the state record.

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

The Emergency Contact form for Child #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Aug 19, 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 contained documentation of conducting an annual emergency drill after the required date of 12/19/21.

Corrected Corrected by Aug 17, 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 lacked a smoke detection system testing log.

Corrected Corrected by Aug 24, 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 and #3 lacked documentation of the annual 12 clock hours of child care training.

Corrected Corrected by Aug 26, 2022

Category: recordkeeping. 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.

The white, cubby stand in the entrance, accessible to children, was unstable, posing a toppling hazard.

Corrected Corrected by Aug 31, 2021

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

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The files of Child #1 and Child #5 did not address parental consent for medications or dietary needs.

Corrected Corrected by Aug 31, 2021

Category: ratio. Marked corrected in the state record.

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

The files for Child #1 and Child #5 did not contain parental consent for minor first-aid.

Corrected Corrected by Aug 31, 2021

Category: ratio. 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 contained two staff evaluations that were dated in excess of 12 months: 10/15/18 and 8/25/20.

Corrected Corrected by Aug 31, 2021

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.

Staff #2 was alone in the facility with ten children: 2 infants, 2 young toddlers, 4 preschoolers, and 2 school-agers.

Corrected Corrected by Aug 31, 2021

Category: ratio. Marked corrected in the state record.

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

In the infant room, two mattresses had loose sheets, which could be a suffocation hazard, when in use.

Corrected Corrected by Aug 31, 2021

Category: health medication. 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 files for Staff #1, Staff #2, and Staff #3 did not indicate any emergency plan training initially, or at any subsequent time.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

An emergency plan, with all required components, was not posted.

Corrected Corrected by Aug 31, 2021

Category: physical safety. 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 files for Staff #1 and Staff #2 did not indicate any fire safety training initially, or at any subsequent time.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Health and Safety.

The file for Staff #1 did not indicate training in Health and Safety initially, or at any subsequent time.

Corrected Corrected by Aug 31, 2021

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

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

The file for Staff #3 did not have a completed Disclosure Statement, as it was missing the date and witness signature.

Corrected Corrected by Aug 31, 2021

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility.

The file for Staff #1 indicated that her Mandated Reporter training is beyond 60 months, with a previous date of 06/11/15, and is due immediately. The file for Staff #2 indicated that she was hired on 8/22/17, but her state police clearance was dated 8/28/17, FBI clearance was dated 11/2/17, and the NSOR was dated 2/10/21, which indicate that they were not completed on or before working with children as required. The file for Staff #3 indicated that her hire date was 6/15/21, and there was no record of an FBI or NSOR clearance, which were not completed on or before working with children as required, and therefore cannot return due to provisional hire regulations.

Corrected Corrected by Aug 31, 2021

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

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

No lock was present on the gate in the outdoor play space, which was held together by a bungee cord, which stretched wide enough to allow children to exit the play space, leading directly out to the street.

Corrected Corrected by Aug 31, 2021

Category: physical safety. 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.

A power strip, in the front entrance, did not have a protective receptacle cover, which was accessible to toddlers in care.

Corrected Corrected by Aug 31, 2021

Marked corrected in the state record.

3270.66(a)/3270.133(4) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

The following toxic items and medications were located on a shelf to the left of the sink in the restroom, accessible to children in care: Comet Foaming Bleach, Procyon Spot and Stain Remover, Fantastik Multi-Cleaner, Clorox Hydrogen Peroxide Cleaner Disinfectant, Spray Bleach, Comet with Bleach, Zaibees Cough Syrup, Infant Tylenol Grape, Children's Pain Relief Plus, Children's Tylenol Cherry, DG Heath Children's Cold and Cough Grape, Robitussin Honey Cough and Chest Congestion.

Corrected Corrected by Aug 31, 2021

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

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A container, located on an accessible shelf in the bathroom, to the left of the sink, along with toxics and medication, was in an unlabeled container with a greasy substance inside.

Corrected Corrected by Aug 31, 2021

Category: ratio. 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 following items were accessible to children in care: A sharp screw, used to attach a cord guide in the infant room, was accessible to children, because it was no longer secured to the wall. Sharp tree branches were protruding into the outdoor play space. An empty, plastic bag was on the ground near the garbage dumpster, in the outdoor play space. An empty, 2-liter, plastic ginger ale bottle was on the porch to the play space. Standing water was present in the toy, dump truck, in the outdoor play space.

Corrected Corrected by Aug 31, 2021

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 near the cord guide in the infant room.

Corrected Corrected by Aug 31, 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.

A cracked bin, in the front room, used to store dress-up clothes, had a sharp edge, creating a cutting hazard.

Corrected Corrected by Aug 31, 2021

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.

Two infant beds were not labeled.

Corrected Corrected by Aug 31, 2021

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.

Staff #2 was alone in the facility with ten children: 2 infants, 2 young toddlers, 4 preschoolers, and 2 school-ager. Staff #1 and Staff #3 were outside the facility engaged in a conversation with a parent. When Staff #2 was alone in the facility with ten children, from infant through age 9, one young child was alone in the restroom asking for assistance, and could not be observed by Staff #2. The child's sister went into the restroom to assist her in getting dressed.

Corrected Corrected by Aug 31, 2021

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.

When Staff #3 was asked to identify the children she was supervising, Staff #3 did not know the names of the children in her care.

Corrected Corrected by Aug 31, 2021

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

An infant was sleeping in a bouncer, supervised by Staff #1 and not in a supine position. When Staff #1 placed the infant into the pack-n-play to continue sleeping, Staff #1 placed the child directly on the child's stomach.

Corrected Corrected by Aug 31, 2021

Category: supervision. Marked corrected in the state record.

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

The Agreements for Child #1 and Child #5 lacked the signature of the operator. The Agreements for Child #1 and Child #5 lacked the signature of the parent.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. 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 Agreements for Child #1 and Child #3 did not contain the fee amount.

Corrected Corrected by Aug 31, 2021

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 Agreements for Child #1 and Child #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. 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 Agreements for Child #2 and Child #5 did not contain information regarding services provided.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Agreements for Child #1, Child #3, and Child #5 did not specify the child's arrival time. The Agreements for Child #1, Child #3, and Child #5 did not specify the child's departure time.

Corrected Corrected by Aug 31, 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 Agreements for Child #1, Child #2, and Child #5 did not specify the release persons.

Corrected Corrected by Aug 31, 2021

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 for Child #1 and Child #3 did not specify the date of admission.

Corrected Corrected by Aug 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreement.

Corrected Corrected by Aug 11, 2021

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 for Child #3 and Child #4 did not contain the name of the physician. The Emergency Contact Information for Child #2, Child #3, and Child #4 did not contain the address of the physician. The Emergency Contact Information for Child #3 and Child #4 did not contain the phone number of the physician.

Corrected Corrected by Aug 11, 2021

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 Information for Child #2, Child #3, Child #4, and Child #5 did not contain the enrolling parent's work address. The Emergency Contact Information for Child #2, Child #3, Child #4, and Child #5 did not contain the enrolling parent's work phone number.

Corrected Corrected by Aug 11, 2021

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 Emergency Contact Information for Child #1 and Child #5 did not contain parental consent for emergency medical care.

Corrected Corrected by Aug 11, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact Information for Child #2, Child #3, and Child #5 did not contain information regarding special needs.

Corrected Corrected by Aug 11, 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 for Child #1, Child #2, Child #3, and Child #4 did not contain health coverage information. The Emergency Contact Information for Child #1, Child #2, Child #3, and Child #4 did not contain an health insurance policy number.

Corrected Corrected by Aug 31, 2021

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

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

The Emergency Contact Information for Child #1, Child #2, and Child #3 did not contain the release person's address. The Emergency Contact Information for Child #3 did not contain the release person's phone number.

Corrected Corrected by Aug 11, 2021

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 Emergency Contact Information for Child #3 did not verify parental review of the emergency contact information, in writing. The Agreement for Child #2, Child #3, and Child #5 did not verify parental review of the financial agreement, in writing.

Corrected Corrected by Aug 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(2) · A health report shall include a list of the child's allergies.

The Child Health Report for Child #3 did not address allergies.

Corrected Corrected by Aug 31, 2021

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

3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.

The Child Health Report for Child #3 did not address medications and special diet.

Corrected Corrected by Aug 31, 2021

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

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The Child Health Report for Child #3 and Child #5 did not address health problems.

Corrected Corrected by Aug 31, 2021

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The Child Health Report for Child #3 did not include a statement that the child may participate in child care and appears to be free from contagious / communicable disease.

Corrected Corrected by Aug 31, 2021

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The Child Health Report for Child #3 did not address developmental screenings.

Corrected Corrected by Aug 31, 2021

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 indicated health assessments beyond 2 years with dates of 6/27/19 and 6/30/21. The file for Staff #3 indicated that no health assessment was completed within 12 months of being hired, with a hire date of 6/15/21 and a health assessment dated 11/2/19.

Corrected Corrected by Aug 31, 2021

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 #3, on the health assessment dated 11/2/19, did not indicate that Staff #3 is suitable for child care.

Corrected Corrected by Aug 31, 2021

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The current, and 1 week in advance, menu was not posted or provided to parents.

Corrected Corrected by Aug 31, 2021

Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

No infant feeding schedule was present for any of the infants in the facility.

Corrected Corrected by Aug 31, 2021

Category: nutrition. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The files for Child #1 and Child #5 did not contain parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Aug 31, 2021

Category: transportation. Marked corrected in the state record.

3270.192(2)(ii) · 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 #2 did not include proof of qualifications.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #2 did not include hours / years of experience in child care. The file for Staff #3 did not include level of education or hours / years of experience in child care.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. 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 #3 did not include two written, nonfamily references.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · Fire drills are conducted at least once every 60 days. A written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log from 2018 was presented as the most recent log that was able to be located. Therefore, there was not proof of drills being conducted since 9-11-2018. The log presented lacked the hypothetical location of the fire, the names of the facility persons, and the number of children who participated in the fire drill.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. 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.

Parental, electronic access to the regulations was not provided to the parents, as confirmed by the Director.

Corrected Corrected by Aug 31, 2021

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.

There was no documentation provided that the operator submitted a copy of the emergency plan to the local municipality and county emergency management agency, which was also confirmed by the Director.

Corrected Corrected by Aug 31, 2021

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