3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Per staff statements and observation, on 5/2/25 Child #1 fell on the artificial turf in the play space and scraped their head. Staff #1 completed an injury report. The injury report was not given to Child #1's parent on 5/2/25.

Corrected Corrected by Aug 18, 2025

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #1 has completed the health and safety course titled Health and Safety Basics: Requirements for Certification (6 hours) dated 9/30/2016 -- 6/30/2018, but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Aug 18, 2025

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.

The file for Staff person #2 contained Health and Safety training dated 12/12/24 and pediatric FA/CPR training dated 1/15/25 which were obtained more than 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 18, 2025

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

3270.32(a) · Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 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 5/3/20.

Corrected Corrected by Aug 18, 2025

Category: supervision. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

During the Renewal Inspection on 8.22.24, the 2-Year-Old Room, with a capacity of nine (9) children, was exceeded, as ten (10) older toddlers were present with two (2) staff.

Corrected Corrected by Nov 19, 2024

Category: ratio. 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 #2, did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

A crib, which was in use in the Infant Room, had 14" of space on one (1) of the three (3) open sides.

Corrected Corrected by Oct 28, 2024

Category: physical safety. 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 files for Staff #1, Staff #5, and Staff #7 contained evaluations dated 1.10.23 and 5.14.24, which exceeded 12 months. The files for Staff #2, Staff #3, and Staff #8 contained evaluations dated 1.4.23 and 5.14.24, which exceeded 12 months.

Corrected Corrected by Oct 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #1, Staff #2, Staff #3, Staff #5, Staff #6, Staff #7, and Staff #8, contained Fire Safety training which exceeded 12 months.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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 NSOR Certificate, in the file for Staff #9 (see IS Code Sheet), was dated 8.14.24, no application was available, and it exceeded the first date working with children.

Corrected Corrected by Oct 29, 2024

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, in the file for Child #1, did not contain the name of the physician or source of medical care.

Corrected Corrected by Oct 28, 2024

Category: health medication. 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 and Agreement information was not reviewed/updated within a 6-month period, for Child #2: 12.1.22 & 7.7.23, 1.4.24 & 8.1.24.

Corrected Corrected by Oct 28, 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 (2) most recent Health Assessments in the fie for Staff #8 exceeded the 24-month renewal requirement. The Health Assessment and Tuberculin Test in the file for Staff #9 (see IS Code Sheet), were dated 7.2.24, following initial service with children.

Corrected Corrected by Oct 28, 2024

Category: ratio. 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 contained documentation of seven (7) hours of the required, annual, 12 clock hours of professional development between 12.19.22 and 12.18.23. The file for Staff #2 contained documentation of the ten (10) hours of the required, annual, 12 clock hours of professional development between 12.19.22 and 12.18.23. The file for Staff #7 contained documentation of eight (8) hours of the required, annual, 12 clock hours of professional development between 8.29.23 and 8.28.24.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. 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 lacked documentation of education and/or experience to qualify them in a position in the facility.

Corrected Corrected by Nov 24, 2023

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 Pre-K children's bathroom, peeling paint was observed on the wall next to the toilet.

Corrected Corrected by Nov 30, 2023

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

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

A Little Tikes Cozy Coupe In the toddler outdoor play space was observed to have a nail protruding out from the top that was a visible hazard.

Corrected Corrected by Nov 13, 2023

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

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for children #2 and #3 lacked the address for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #1 who had an admission date of 8/14/23 and has been enrolled in the facility for more than 60 days, does not include a copy of the child's immunization record.

Corrected Corrected by Nov 24, 2023

Category: health medication. 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 health assessment on file for staff person #1 lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected Corrected by Nov 13, 2023

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The facilities documentation of conducting fire drills exceeded 60 days from 5/5/23 to 8/16/23 and 8/16/23 to 10/16/23.

Corrected Corrected by Nov 13, 2023

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 facilities documentation of testing the fire detection system exceeded 30 days from 5/5/23 to 6/5/23 and 6/5/23 to 7/12/23.

Corrected Corrected by Nov 13, 2023

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.

The file for facility person #4 had documentation of emergency plan training that exceeded 12 months between reviews: 2/21 and 1/10/23.

Corrected Corrected by Jul 25, 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 two most recent fire safety trainings on file for facility person #4 are dated more than one year apart: 9/7/20 and 1/10/23. The two most recent fire safety trainings on file for facility person #7 are dated more than one year apart: 9/7/21 and 1/10/23.

Corrected Corrected by Jul 25, 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). Facility person #2 and #4 shall be removed from care effective 7/17/23.

The file for facility person #2 was observed to have documentation of FBI clearance results that were not renewed before the expiration date of the most current certification: 3/5/18 and 3/28/23. The file for facility person #2 was observed to have documentation of PA Criminal History clearance results dated 3/13/18, in which the clearance results have expired and are not current. The file for facility person #4 lacked documentation of current PA Child Abuse clearance results.

Corrected Corrected by Jul 25, 2023

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 two most recent staff evaluations for facility persons #1, #2, #3, #4, #6, and #7 were completed more than 12 months apart. The file for facility person #5 had documentation of a staff evaluation written by the director dated 1/4/23 but was not within the first 12 months of hire.

Corrected Corrected by Jul 25, 2023

Category: recordkeeping. 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.

In two-year-old room, an Epinephrine Injection medication did not include the health professional's instructions on the original label.

Corrected Corrected by Jul 25, 2023

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

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

The two most recent health assessments on file for facility person #4 were dated more than 24-months apart: 5/26/20 and 9/19/22.

Corrected Corrected by Jul 25, 2023

Category: ratio. Marked corrected in the state record.