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

The letter provided to the parent of each enrolled parent explaining the emergency procedures did not contain accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by May 19, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff #1's file contained an FBI clearance that was unclear making it impossible to verify the date on the clearance. A clear copy of the clearance was found and submitted on 5/20/25.

Corrected Corrected by May 20, 2025

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

3270.66(d) · Toxic plants are not permitted in a child care space.

In the outdoor space within the grass area just past the tires was poison ivy which is toxic to children.

Corrected Corrected by May 20, 2025

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

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

In the PS 1 room the right window was open without a screen.

Corrected Corrected by May 19, 2025

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 press bar on the hallway door going upstairs was missing the end cap exposing screws and making it a pinching hazard. The bracket at the top of the first handrail on the left-hand side was broken causing it to be loose and unstable when grasped.

Corrected Corrected by May 19, 2025

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.

In the PS/SA room upstairs there was peeling paint under the middle window. In the outside area along the building wall was peeling paint.

Corrected Corrected by May 19, 2025

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the PS 1 room there were small Linkin logs and small pieces of crayons that had a diameter of less than 1 inch accessible to children who are still placing objects in their mouths.

Corrected Corrected by May 19, 2025

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.

In both upstairs toddler rooms are tall cabinets that are not secured and unstable when touched. In the upstairs PS/SA room there were 2 tall red and white shelves that were not secured and unstable when touched. The cubbies in the upstairs and downstairs hall were not secured and unstable when touched. In the infant 1 room there was a tall shelf between two cribs that was not secured and unstable when touched.

Corrected Corrected by Jun 20, 2025

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.

In the infant 3 room an infant was asleep in a pack and play with less than 2 feet of space on 3 sides.

Corrected Corrected by May 19, 2025

Category: physical safety. 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.

Child #1's file was missing one address of an individual designated by the parent to whom the child may be released.

Corrected Corrected by May 30, 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 facility shall have an emergency plan that provides for continuity of operations in the event of an emergency.

There was no plan for continuity of operations in the facility's emergency plan.

Corrected Corrected by Jun 11, 2024

Category: ratio. Marked corrected in the state record.

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

There was no letter to the parents to explain the emergency plan.

Corrected Corrected by May 15, 2024

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

3270.32(a)/3270.192(4) · 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 Persons #1-#4 may not work at the facility without complete, signed disclosure statements on file.

The disclosure statements on file for Facility Persons #1, #2, #3 and #4 were incomplete as only one page was present in the staff file.

Corrected Corrected by May 14, 2024

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.

Facility Person # 5 was classified as an assistant group supervisor. There was no documentation of any education and or child care experience on file for Facility Person #5.

Corrected Corrected by May 14, 2024

Category: supervision. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There was a piece of detached trim on a wall near the door in the infant room.

Corrected Corrected by May 15, 2024

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

3270.82(j)/3270.135(c) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day. The diapering area may not be used for food preparation or food service.

In the Infant 2 room, a crockpot used for heating bottles was located on the surface next to the sink used for handwashing after diapering. In the the Infant 3 room, the folding changing table was mounted on the wall directly above the table used for meals. Food brought into the room for lunch was set on the surface at the sink used for handwashing after diapering. In the transition room, the sink used for food prep and dishwashing was also used for handwashing after diapering.

Corrected Corrected by May 14, 2024

Category: ratio. 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.

There were torn soft blocks in the infant room with exposed foam.

Corrected Corrected by May 14, 2024

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.

There was a bookshelf in the Preschool room with a broken shelf, creating a hazard to children.

Corrected Corrected by May 15, 2024

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.

In both the Infant 3 and Transition rooms, the names on the drawers where the rest mats were stored were different, for several children, from the names on the charts corresponding to the number on the mat in the drawer. It was unclear as to which mats were assigned to which children.

Corrected Corrected by May 14, 2024

Category: physical safety. 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.

There was less than 2 feet of space on three sides of a crib in use in the Infant 2 room.

Corrected Corrected by May 14, 2024

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreements on file for children #1-#5 were the originals.

Corrected Corrected by May 15, 2024

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 most recent health assessment on file for child #5, a preschooler, was completed more than 12 months after the previous health assessment on file.

Corrected Corrected by May 14, 2024

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

3270.151(a)/3270.151(c)(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. An adult health assessment must include an examination for communicable diseases and the results of that examination.

The current complete health assessment on file for Facility Person #4 was completed in April 2024. There were also health assessments completed in October 2021 and October 2023 on file for Facility Person #4, but the health assessment completed in October of 2023 did not include an exam for communicable disease and the results of that examination or the physician's assessment of the staff person's suitability to work in child care.

Corrected Corrected by May 14, 2024

Category: ratio. Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The children's files were not kept in a locked filing cabinet.

Corrected Corrected by May 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

The staff files were not kept in a locked filing cabinet.

Corrected Corrected by May 15, 2024

Category: recordkeeping. 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 fire drills recorded on the fire drill log indicated fire drills were conducted on 9/14/23 then again on 11/14/23 and also on 1/12/24 and 3/12/24, more than 60 days apart.

Corrected Corrected by Jun 28, 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 fire alarm testing recorded indicated that alarm testing was conducted on 12/1/23 then again on 1/2/24 and also on 3/1/24 and 4/1/24 more than 30 days apart.

Corrected Corrected by Jun 7, 2024

Category: recordkeeping. 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.

The second door that serves as an exit in the upstairs Preschool Classroom does not open.

Corrected Corrected by May 16, 2023

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.

The middle upper window in the Multi-purpose Room had a large crack that ran most of the length of the window and created a cutting hazard to the children in care. In the front Toddler Classroom along the right wall, there was an electrical outlet that had detached from the wall allowing the children to have access to the wires. The tall cabinet in the Older Toddler Classroom was extremely wobbly and created a toppling hazard to the children in care.

Corrected Corrected by Jul 14, 2023

Category: health medication. 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.

Although Staff #2 and #3 had the Pennsylvania Health and Safety Updated training at the time of the Renewal Inspection it was observed that Staff #2 and #3 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

Corrected Corrected by May 15, 2023

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 #1 contained an FBI Clearance that was not obtained within 60 months of the previous clearance.

Corrected Corrected by May 15, 2023

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

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

The file for Staff #3 lacked a written evaluation.

Corrected Corrected by May 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed two electrical outlets that lacked protective receptacle covers in the Upstairs Preschool Classroom near the Veterinarian Center. These outlets were accessible to children 5 years of age and younger.

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In Infant Room 2 and Transition Room, a bleach spray bottle was observed on the changing table and was accessible to children. In Infant Room 2, there were ant traps laying on the two window sills and accessible to the children in care.

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

Observed an open window in the Multi-purpose Room that was not screened.

Corrected Corrected by May 15, 2023

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 Infant Room 1 lacked tape. The first aid kit located in Young Toddler Room 1 lacked nonporous gloves.

Corrected Corrected by May 15, 2023

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In Infant Room 2 there was fraying carpet that ran the length of the classroom and created a tripping hazard to the children in the classroom. In Preschool Room 1A there were broken kitchen cabinet doors that created a pinching hazard to the children in care. In Preschool Room 1B there was a ceiling tile that had become loose from the ceiling and was hanging, creating a crushing hazard. In Infant Room 4, there were 6 screws that were coming loose on the tack strip at the entrance to the classroom and created a scratching hazard to the children. In the Toddler Room upstairs there was a piece of tile missing at the entrance to the room and created a tripping hazard. In the outdoor play space, there were two metal poles that were sticking out the ground and creating a protrusion hazard. The fence in the outdoor play space was bent and had metal spikes sticking in toward the play area and created a cutting hazard.

Corrected Corrected by May 24, 2023

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.

In the upstairs Older Toddler Classroom there was peeling paint to the right of the doorway when you entered the classroom. In Preschool Room 1A, there was peeling paint underneath the window. In Preschool Room 1B, there was peeling paint next to the doorway on the wall.

Corrected Corrected by May 16, 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.

In the Transition Classroom there was a red chair located in the table of highchairs that was broken and created a pinch point for the children in care. In Infant Room 2 there was a bouncy seat that was bent and created a crushing hazard for the children in care.

Corrected Corrected by May 15, 2023

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

The highchair in the Mutli-purpose Room did not have straps.

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The rest equipment in upstairs Toddler Classroom and upstairs hallway had pieces of vinyl and a powdery substance that was coming off of them when touched.

Corrected Corrected by May 15, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator located in the Transition Classroom and Infant Room 2 lacked an operating thermometer.

Corrected Corrected by May 25, 2023

Category: nutrition. 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.

In the Preschool 1 A classroom, there were two smoke detectors. It was observed that the one smoke detector did not have a battery in place. Operator placed battery in smoke detector, and it was operable at the time of the inspection.

Corrected Corrected by May 15, 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.

Based on conversations with the owner, it was observed that the facility did not send their emergency plan to the local municipality.

Corrected Corrected by Jun 30, 2023

Category: physical safety. 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 #3, lacked documentation of the annual 12 clock hours of childcare training.

Corrected Corrected by May 25, 2023

Category: recordkeeping. 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 #1 contained a Health Report and Immunization Record at the time of inspection, it was observed they did not have a Health Report and Immunization Record within 60 days of enrollment.

Corrected Corrected by May 15, 2023

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

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. · Child #1 must be dismissed from care by close of business on 3/3/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Child file #1 was found to be noncompliant with the immunizations according to recommendations of the ACIP.

Corrected Corrected by Mar 6, 2023

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

3270.131(e)(3) · 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 must be dismissed from care by close of business on 3/3/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Child file #1 was found to be noncompliant with the immunizations according to recommendations of the ACIP.

Corrected Corrected by Mar 6, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The files for Staff Person's #1, #3 and #4 lacked verification that they had completed the required 1-hour health and safety training update. Staff Person's #1, #3 and #4 were observed to be caring for children alone.

Corrected Corrected by Feb 7, 2023

Category: ratio. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

The files for Staff Person's #1, #2, #3 and #4 lacked the 1-hour health and safety training update prior to 12.30.22.

Corrected Corrected by Feb 7, 2023

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

Child #1, age 4 months, was observed being fed a bottle while seated in a bouncy seat, rather than being held by the staff person who was feeding the child.

Corrected Corrected by Dec 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · 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 Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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 last fire drill recorded on the facility's fire drill log was conducted on 7/6/22.

Corrected Corrected by Dec 16, 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.

There was no documentation that the operator had tested the facility's interconnected fire alarm system. Testing is required to be conducted at least every 30 days under Act 62.

Corrected Corrected by Dec 21, 2022

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.

Staff person #4--- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 7/28/21.

Corrected Corrected by May 26, 2022

Category: ratio. Marked corrected in the state record.

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

Staff person #5 and #6--- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jul 16, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for facility person #1 completed mandated reporter training on 8/3/21 (SEE LIS for Hire Date).

Corrected Corrected by Aug 3, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #3 had an evaluation completed on 7/1/19 and 7/1/21, staff person #4 had an evaluation completed on 8/1/19 and 8/2/21, which is not annually.

Corrected Corrected by Jul 1, 2021

Category: recordkeeping. 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.

In the preschool 1 room, it was observed that the ceiling tiles were damaged and sagging.

Corrected Corrected by Jul 9, 2022

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The trash can in the toddler bathroom upstairs lacked a lid.

Corrected Corrected by May 30, 2022

Category: health medication. 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.

It was observed that the cafeteria lacked emergency contact forms.

Corrected Corrected by Jul 1, 2022

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.

It was observed in the infant 2 classroom, that an infant was sleeping in a crib with less than 2 feet of space on three sides. The crib had an exersaucer in front of it and cribs on each side.

Corrected Corrected by May 30, 2022

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The older toddler room and the cafeteria lacked a written plan of daily activities.

Corrected Corrected by May 30, 2022

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

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement for child #2 lacked the date of admission.

Corrected Corrected by May 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #3 lacked the birth date.

Corrected Corrected by May 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form for child #4 and child #5 lacked the physician's address.

Corrected Corrected by May 30, 2022

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 for child #1 lacked the health insurance policy number.

Corrected Corrected by May 30, 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 #2 lacked the release person's address.

Corrected Corrected by May 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The immunization record for child #3 and child #5 lacked an influenza vaccination in accordance with the ACIP.

Corrected Corrected by Jul 1, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for staff person #4 had a health assessment completed on 10/4/19 and 4/13/22, which is not every 24 months.

Corrected Corrected by Apr 13, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility lacked an emergency plan that provides for accommodations for infants and toddlers.

Corrected Corrected by May 30, 2022

Category: physical safety. 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 completed an emergency drill on 4/27/22, with no documentation of completing one prior.

Corrected Corrected by Apr 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file for staff person #5 and staff person #6 lacked pediatric first aid and pediatric cardiopulmonary resuscitation by a PQAS approved instructor.

Corrected Corrected by Jul 16, 2022

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

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Facility lacked proof of purchase of the inter-connected smoke alarm system.

Corrected Corrected by Jul 8, 2022

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.

Facility lacked the current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by May 30, 2022

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 person #2 and staff person #4 lacked 12 training hours from 12/19/20-12/19/21.

Corrected Corrected by May 26, 2022

Category: recordkeeping. Marked corrected in the state record.