3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for Staff Person #2 does not contain documentation of current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training on file being dated 8/16/23.

Corrected Corrected by Nov 28, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for Staff Person #2 lacked documentation of fire safety training within the last 12 months.

Corrected Corrected by Nov 28, 2025

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

The file for Staff Person #1 lacked documentation of FBI clearance results. The most recent FBI clearance results on file were observed to be dated 5/18/20, which have expired.

Corrected Corrected by Nov 6, 2025

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 #1, identified as an Assistant Group Supervisor, lacked qualification documents for the position in which the staff person is performing.

Corrected Corrected by Nov 7, 2025

Category: supervision. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in Room 1 did not contain soap and tape, and the first aid kit in Room 2 did not contain soap.

Corrected Corrected by Nov 6, 2025

Category: health medication. 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.

The diapering mat in Room 2 was observed to be tearing, exposing the interior and was not in good repair.

Corrected Corrected by Nov 7, 2025

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

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact form in the file for child #1 did not contain emergency contact information on who shall be contacted in an emergency.

Corrected Corrected by Nov 7, 2025

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 #4 did not contain documentation of the address of the child's physician.

Corrected Corrected by Nov 7, 2025

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 forms in the files for children #3 and #4 did not contain documentation of the enrolling parent's work address and telephone number.

Corrected Corrected by Nov 7, 2025

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 form in the file for child #5 did not contain documentation on the child's special needs that is needed in an emergency situation.

Corrected Corrected by Nov 7, 2025

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 form in the file for child #2 did not contain documentation of the policy number for the health insurance coverage for the child.

Corrected Corrected by Nov 7, 2025

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 forms in the files for children #2 and #3 did not contain documentation of the addresses designated by the parent to whom the child may be released. The emergency contact form in the file for child #4 did not include documentation of the addresses and telephone numbers designated by the parent to whom the child may be released.

Corrected Corrected by Nov 7, 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 emergency contact form in the file for child #2 has not been reviewed or updated by the parent within the last 6 months.

Corrected Corrected by Nov 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

In Room 2, a soiled diaper was observed in a hands-free covered can but was not plastic-lined.

Corrected Corrected by Nov 6, 2025

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 file for Staff Person #1 lacked documentation of a health assessment conducted at initial employment (See LIS Code Sheet).

Corrected Corrected by Nov 19, 2025

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 children #1, #2, and #5 did not contain documentation of signed parental consent for emergency medical care for the child. The files for children #1 and #2 did not contain documentation of signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 7, 2025

Category: ratio. Marked corrected in the state record.

3270.182(8) · 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 children #2 and #4 did not contain a copy of an initial financial agreement form between the parent and the operator.

Corrected Corrected by Nov 7, 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 fire detection system has not been tested within the last 30 days. The most recent documented testing on file at the facility at the time of inspection was dated 4/8/25.

Corrected Corrected by Nov 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.131(e) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. The 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 files for children #2, #4, and #5 did not contain documentation of an initial health report and have been enrolled for more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Nov 7, 2025

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #3 did not contain documentation of an initial health report and has been enrolled more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Nov 7, 2025

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 file for staff person #1 did not include documentation of a health assessment conducted at initial employment (See LIS Code Sheet).

Corrected Corrected by Feb 10, 2025

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 #1 did not include documentation of a TB screening and the results of the screening at initial employment (See LIS Code Sheet).

Corrected Corrected by Feb 10, 2025

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

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

The facility's emergency plan was not posted in the facility at a conspicuous location.

Corrected Corrected by Dec 9, 2024

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

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Two children were observed in care at the time of inspection with only staff person #1 present at the facility.

Corrected Corrected by Jan 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

In Room 1, the receptacle near the door contained trash that was observed to be contaminated by human secretion was plastic-lined but did not have a closed lid.

Corrected Corrected by Dec 9, 2024

Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted near the toilet in the children's restroom next to the Gym. A handwashing sign was not posted near the diapering area in Room 1.

Corrected Corrected by Dec 9, 2024

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 forms in the files for children #1 and #2 did not include the enrolling parents work address and telephone number.

Corrected Corrected by Dec 9, 2024

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 form in the file for child #2 did not include the health insurance policy number.

Corrected Corrected by Dec 10, 2024

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 in the file for child #2 did not include the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 9, 2024

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.

In Room 1, emergency contact information was not present in the child care space where children were observed receiving care.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in Room 1, Room 2, and in the Gym.

Corrected Corrected by Dec 18, 2024

Category: transportation. 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.

Written notification of safe routes was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Dec 9, 2024

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 of testing the fire detection system within the last 30 days. The most recent testing was 8/19/24.

Corrected Corrected by Dec 9, 2024

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.

The facility's current certificate of compliance was not posted in the facility.

Corrected Corrected by Dec 9, 2024

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 operator did not have documentation of sending a copy of the facility's emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 20, 2024

Category: physical safety. 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 lacked documentation of proof of purchase of the fire detection system.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.