Small World Early Learning & Dev Ctr 2

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. Until such time as the required training has been completed, staff person #8 must be supervised, when interacting with children at a minimum by an AGS or higher 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 #8, staff person #8 may not work in a child-care position at the facility.

Staff person #8 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 10/31/25. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected by Jan 17, 2026

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 most recent fire safety trainings in the files for Staff Person #4 and #10 exceeded 12 months between trainings.

Corrected by Jan 9, 2026

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

The most recent Mandated Reporter Trainings in the files for Staff Person #1 and #3 exceeded 60 months between trainings.

Corrected by Jan 9, 2026

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 most recent updated health reports in the files for Child #2 (preschool) and #3 (older toddler) exceeded 12 months between reports. The file for Child #1, a preschool child, did not contain an updated health report conducted within the past 12 months.

Corrected by Mar 6, 2026

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 most recent required clearances/certificates in the files for the following staff persons exceeded 60 months between clearances/certificates: Staff Person #1: NSOR Certificates. Staff Person #2: State Police, Child Abuse, FBI Clearances and NSOR Certificate. Staff Person #5: FBI Clearances. Staff Person #7: Child Abuse and FBI Clearances. The State Police Clearance in the file for Staff Person #6 and NSOR Certificate in the file for Staff Person #9 were obtained after the staff persons' first day working in child care. The disclosure statements in the files for Staff Person #6 and #9 were signed after the staff persons' first day working in child care (See LIS Code Sheet).

Corrected by Jan 9, 2026

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.

Observed mouse and roach traps, which were accessible to children, on the floor in the kitchen area of the infant room.

Corrected by Jan 9, 2026

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

Observed mouse excrement in the lower kitchen cabinet of the infant room.

Corrected by Jan 9, 2026

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 mouse excrement in the lower kitchen cabinet of the infant room. Observed food and dirt on the floor between the partition and the window of the infant room. Observed a broken table, which creates a potential toppling hazard, propped against the wall across from the PS bathroom. Observed a broken ceiling tile above one toilet in the PreK bathroom.

Corrected by Mar 13, 2026

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 a toy shelf blocking the doorway between the infant and PS rooms.

Corrected by Jan 9, 2026

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.

Observed less than two feet of space on three sides of a pack n play where a child was napping. Space between this and another pack n play was blocked by toy bins.

Corrected by Jan 9, 2026

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 #5 and #6 must be dismissed from care by close of business 2/25/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most current immunization records in the files for Child #5 and Child #6 are not in accordance with the recommendations of the ACIP. Child #5: missing 2nd/3rd Hep B, 4th DTAP, 4th Pneumococcal, 1st, 2nd and 3rd IPV (Polio), 2nd Hep A. Child #6: missing 3rd Hep B, 3rd HIB, 3rd/4th DTAP, 3rd/4th Pneumococcal, 1st/ 2nd Hep A.

Corrected by Feb 25, 2026

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 #2 does not include an updated health assessment conducted within the ast 24 months. The most recent health assessments in the files for Staff Person #4, #5 and #8 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #6 was conducted after the staff person's first day working in child care. The initial health assessment in the file for Staff Person #9 was conducted more than 12 months prior to the staff person's first day working in child care and is not valid (See LIS Code Sheet).

Corrected by Mar 6, 2026

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 first parent updates for the emergency plan and fee agreement in the file for Child #6 were conducted more than 6 months after the child first day of attendance at the facility.

Corrected by Feb 12, 2026

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 emergency contact form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Feb 12, 2026

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 initial health report in the file for Child #4 was conducted more than 60 days after the child's first day of attendance at the facility. The initial health report in the file for Child #5 was not signed or dated by a physician, so it could not be determined in this health report was timely.

Corrected by Mar 3, 2026

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS or higher 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 #2, staff person #2 may not work in a child-care position at the facility

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

Corrected by Sep 11, 2025

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

The most recenty Mandated Reporter Trainings in the file for Staff Person #1 exceeded 60 months between trainings.

Corrected by Sep 10, 2025

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 #2, who has been working for more than 90 days, does not include documentation of emergency plan training. (See LIS Code Sheet).

Corrected by Sep 11, 2025

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

The file for Staff Person #2 lacked a disclosure statement and an NSOR Certificate. The State Police Clearance in the file for Staff Person #2 was in "pending" status and is not valid.

Corrected by Sep 10, 2025

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 gate in the infant room was detaching from the wall, which creates a potential pinch hazard.

Corrected by Sep 12, 2025

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

A visual strip or other visual identification was not placed on the glass door in the 1's room.

Corrected by Sep 10, 2025

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 a child napping in front of the exit door in the 1's room and 2's room.

Corrected by Sep 10, 2025

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.

Observed less than 2 feet of space on three sides of cots for five children who were napping in the 2's room.

Corrected by Sep 11, 2025

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 does not have documentation of a passing fire system inspection conducted within the past 12 months. The most recent fire system inspection, conducted on 6/7/24 notes failures in the following areas: Alarm panel power, booster power supplies, initiating devices, indicating devices, and elevator recall.

Corrected by May 25, 2025

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

A visual strip or other visual identification was not placed on the glass door in the gym.

Corrected by Jan 21, 2025

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 toys and shelves blocking the exit door in the right corner of the gym.

Corrected by Feb 17, 2025

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

The most recent Mandated Reporter Trainings in the files for Staff Person #5 and #7 exceeded 60 months between trainings.

Corrected by Jan 28, 2025

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 most recent NSOR Certificates in the files for Staff Person #2, #4 and #8 exceeded 60 months between certifications. The most recent Child Abuse Clearances in the file for Staff Person #8 exceeded 60 months between clearances. The most recent FBI Clearances in the files for Staff Person #7 and #8 exceeded 60 months between clearances. The State Police Clearance in the file for Staff Person #6 was conducted after the staff person's start date and there was no application for the state police clearance on file for Staff Person #1 to verify a valid provisional hire. The disclosure statement in the file for Staff Person #6 was not witnessed. (See LIS Code Sheet).

Corrected by Jan 28, 2025

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 #3 contained a foreign degree which had not been transcribed/evaluated by a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

Corrected by Mar 21, 2025

3270.75(a) · A first-aid kit shall be in a child care space.

A first aid kit was not present in the gym while children were receiving care in this area.

Corrected by Feb 3, 2025

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 in the gym: sliding closet doors were unhinged and propped against the wall, Toy shelves, one of which a frame was separating, were stacked on top of each other, a box containing an unassembled kitchen playset was stacked on top of another toy shelf. This creates potential toppling hazards.

Corrected by Feb 17, 2025

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.

Observed less than 2 feet of space on three sides of the pack n plays in the infant room where Child #2 and #3 were sleeping.

Corrected by Jan 28, 2025

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 include the name, address, and phone number of the child's physician or source of medical care.

Corrected by Jan 28, 2025

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form in the file for Child #3 did not include the parent's work address or work phone number.

Corrected by Jan 28, 2025

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 #3 did not 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.

Corrected by Jan 28, 2025

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.

Emergency contact forms were not present in the gym while children were receiving care in this room. Emergency contact forms were not present in the Older Toddler Room for Child #4 and Child #5, who were receiving care in this room.

Corrected by Jan 28, 2025

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 most recent health assessments in the files for Staff Person #1, #4 and #7 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #6 was conducted after the staff person's first day providing child care (See LIS Code Sheet).

Corrected by Jan 28, 2025

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

Infant feeding schedules were not present at the facility for Child #1, #2 and #3.

Corrected by Jan 28, 2025

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, who has been enrolled for more than 60 days, did not include an initial health report.

Corrected by Jan 31, 2025

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 most recent pediatric first aid/CPR Certification in the file for Staff Person #2 was conducted after the previous certificate had expired.

Corrected by Jul 2, 2024

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The pediatric first aid/CPR Certification in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

Corrected by Jul 2, 2024

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

The most recent Mandated Reporter Training in the file for Staff Person #4 was conducted more than 60 months after the previous mandated reporter training.

Corrected by Jul 2, 2024

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 TB Screening in the file for Staff Person #1 was conducted after the staff person's first day working in child care. The file for Staff Person #1 does not contain an initial health assessment (See LIS Code Sheet).

Corrected by Jul 3, 2024

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 most recent annual fire system inspections for the facility were conducted more than one year apart: March, 2023-June 2024.

Corrected by Jul 2, 2024

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

The Mandated Reporter Training in the file for Staff Person #5 was conducted more than 90 days after the staff person's start date. (See LIS Code Sheet)

Corrected by Jan 18, 2024

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 most recent State Police, Child Abuse and FBI clearances in the file for Staff Person #7 exceeded 60 months between clearances.

Corrected by Jan 18, 2024

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 one-hour Health and Safety Updates in the files for Staff Person #1, #3, #8 and #9 were after the prescribed timeframe of 12/30/22.

Corrected by Jan 18, 2024

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 most recent fire safety trainings in the files for Staff Person #4 and #8 exceeded 12 months between trainings.

Corrected by Jan 18, 2024

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The pediatric First Aid/CPR Certification in the file for Staff Person #5 was conducted more than 90 days after the staff person's start date. (See LIS Code Sheet)

Corrected by Jan 18, 2024

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 files for Staff Person #5 and #6, assistant group supervisors, lacked verification of two years child care experience.

Corrected by Jan 18, 2024

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).

On 1/10/23 at 9:20 AM, Staff Persons #3 and #10 were observed supervising a mixed group of 14 children (12 younger toddlers and two older toddlers) in the Young Toddler Room. Staff Person #9, who was also assigned to the room was preparing and serving breakfast at this time. Based on sign-in sheets and conversation with staff, the room was over ratio from 9:00 - 9:20 AM.

Corrected by Jan 12, 2024

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

Observed soiled paper towels and Kleenex's in two trash cans, which lacked plastic liners, in the gym.

Corrected by Jan 18, 2024

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 the Infant Room lacked soap.

Corrected by Jan 18, 2024

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 baby gate between the sleeping area and the main area of the Infant Room was broken. Observed dirt and debris along the wall vents below the windows in the Infant and Young Toddler Rooms.

Corrected by Jan 12, 2024

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.

Two toilet stalls in the Preschool Bathroom lacked handwashing signs.

Corrected by Jan 18, 2024

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 emergency contact form and fee agreement in the file for Child #6, who has been enrolled for more than 6 months, have not been updated by the parent.

Corrected by Jan 29, 2024

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.

Observed dirt and debris under the diaper changing mats in the Infant and Young Toddler Rooms. Observed a hole, which created a sharp edge, on the sliding board playset in the gym.

Corrected by Jan 12, 2024

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The fee agreement in the file for Child #2 lacked the names of the release persons.

Corrected by Jan 18, 2024

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 #5, a Preschool Child, did not include an updated health report conducted within the past 12 months.

Corrected by Feb 2, 2024

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 # 4 and #6 must be dismissed from care by close of business 1/10/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization records for Child #4 and Child #6 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Corrected by Jan 12, 2024

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 most recent updated health assessments in the files for Staff Person #2, #3, #4 and #9 exceeded 24 months between health reports. The TB screening in the file for Staff Person #10 was conducted more than one year prior to the staff person's start date and is not valid. (See LIS Code Sheet).

Corrected by Feb 2, 2024

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

The bottle for Child #1 was not labeled.

Corrected by Jan 18, 2024

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, who has been enrolled for more than 60 days, lacked an initial health report.

Corrected by Feb 2, 2024

3270.31(f) · Staff person shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 12/28/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff 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 the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Corrected by Nov 16, 2023

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.

Based on conversations with staff, it was confirmed that Child #1 fell and chipped her teeth causing her lip to bleed on July 3, 2023 and an injury report was given to the parent. This accident/injury was not documented in the accident file or child's file.

Corrected by Dec 13, 2023

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 Person #3 lacked the one-hour Health and Safety Update, which had a prescribed timeframe of 12/30/22. The one-hour Health and Safety Update in the file for Staff Person #4 was conducted on 1/9/23, and the one-hour Health and Safety Update in the file for Staff Person #7 was conducted on 1/4/23, which were not within the prescribed timeframe of 12/30/22.

Corrected by Feb 20, 2023

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 most recent fire safety trainings in the file for Staff Person #9 exceeded one year between trainings: 2/17/21-12/29/22.

Corrected by Feb 20, 2023

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The glass entrance door to the Young Toddler Room lacked a visual strip.

Corrected by Jan 23, 2023

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The pediatric First Aid/CPR certification in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet). The Health and Safety training and Pediatric First Aid/CPR certification in the file for Staff Person #2 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet). The Health and Safety training in the file for Staff Person #6 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

Corrected by Jan 23, 2023

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #6 will have until 2/23/23 to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected by Feb 22, 2023

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 and #6 may not work at the facility.

The most recent State Police Clearances in the file for Staff Person #1 exceeded 60 months between clearances: 11/3/17-1/3/23. The files for Staff Persons #5 and #6 lacked an NSOR Certificate. Staff Persons #5 and #6 were suspended 90 days after start dates (See LIS Code Sheet), rather than 45 days, which is the required provisional hire period. The most recent Child Abuse and FBI Clearances in the file for Staff Person #8 exceeded 60 months between clearances. Child Abuse: 8/18/17-12/16/22. FBI: 6/15/17-12/23/22. The most recent State Police, Child Abuse and FBI Clearances in the file for Staff Person #9 exceeded 60 months between clearances. State Police: 11/15/17-12/15/22. Child Abuse: 11/16/17-12/16/22. FBI: 11/19/17-12/20/22.

Corrected by Jan 23, 2023

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

The Mandated Reporter Training in the file for Staff Person #2 was conducted more than 90 days after the staff persons first day working in child care (See LIS Code Sheet). The most recent Mandated Reporter Trainings in the file for Staff Person #9 exceeded 60 months between trainings: 1/4/18-1/23/23.

Corrected by Jan 23, 2023

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 dirt on the ceiling tiles near the ceiling vents in the Young Toddler Room, Infant Room, and Gym. Observed one loose ceiling tile by the window in the Young Toddler Room. Observed three loose wall partitions in the Preschool 2 Room, which creates a potential pinch hazard.

Corrected by Feb 16, 2023

3270.102(a)/3270.103 · 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. 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.

Observed teeth marks on the foam blocks in the Preschool 1 Room. This creates a potential choking hazard for children who may still be placing objects in their mouths.

Corrected by Jan 23, 2023

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 emergency contact binder in the Young Toddler Room did not contain an emergency contact form for Child #2 who was receiving care in that room. The emergency contact binder in the Older Toddler Room did not contain emergency contact forms for Child #1, #3 and #4 who were receiving care in that room.

Corrected by Jan 23, 2023

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The most recent updated health reports in the file for Child #6, a young toddler, exceeded 6 months between reports.

Corrected by Jan 23, 2023

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The most recent immunization record in the file for Child #7 did not contain documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Corrected by Feb 9, 2023

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed alcohol prep pads in the first aid kit in the Preschool 2 room which did not contain the name of the child for whom the medication was intended.

Corrected by Jan 23, 2023

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 most recent updated health assessments in the files for Staff Person #4 and #7 exceeded 24 months between assessments.

Corrected by Jan 23, 2023

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff Person #4 contained only 4 hours of annual training for the period 1/2/22 through 1/2/23.

Corrected by Feb 15, 2023

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, who has been enrolled for more than 60 days, did not include an initial health report. The initial health report in the file for Child #5 was conducted more than 60 days after the child's first day in care.

Corrected by Feb 15, 2023

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.

On 6/22/22, Staff Person #1 was observed caring for children unsupervised. The Health and Safety Training in the file for Staff Person #1 was 6-hour Health and Safety Basics, dated 3/26/19, which is not valid.

Corrected by Jun 28, 2022

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff Person #2, who has been working in child care for more than 90 days, did not include documentation of Health and Safety Training.

Corrected by Jun 28, 2022

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

Observed one electrical outlet that lacked a protective receptacle cover in the YT Room.

Corrected by Jun 23, 2022

3270.102(a)/3270.103 · 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. 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.

Some of the rest mats in the gym were torn. This exposed the inner foam, which creates a potential hazard for children who are still placing objects in their mouths.

Corrected by Jun 23, 2022

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.

Observed dirt and debris under the mats of the diaper changing tables in the Infant and toddler rooms.

Corrected by Jun 22, 2022

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 #3, lacked an initial health assessment and TB Screening.

Corrected by Jun 28, 2022

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 files for children #1 and #3 contained emergency contact information which did not include health insurance coverage and policy number for the child.

Corrected by Jan 14, 2022

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #2, with a start date of 1/04/22, did not contain documentation of emergency plan training.

Corrected by Jan 14, 2022

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3 did not contain documentation of completing training tops 1-9, as stated in 3270.31(f), within 90 days of hire. Staff #3 started in 8/09/21 and the training was completed on 12/14/21.

Corrected by Jan 12, 2022

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. Staff #3 may not work in a child care position at the facility.

The file for staff #2, with a start date of 1/04/22, did not contain a signed disclosure statement. The file for staff #3, with a start date of 8/09/21, did not contain a DHS FBI clearance. The file contained an FBI clearance obtained from the Department of Education on 7/16/21.

Corrected by Jan 14, 2022

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

The first aid kit in PS2 was accessible to children on the bottom shelf of the cubbies where children place their coats.

Corrected by Jan 12, 2022

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.

An area rug in the older toddler room was observed to have an unraveled binding on one corner which created a loop and a tripping hazard. The folding closet door in the gym's restroom was no longer secured in the top track and the upper middle hinge was broken making the door unstable.

Corrected by Jan 20, 2022

3270.92(a) · Portable space heaters are not permitted.

A portable space heater was observed in an office.

Corrected by Jan 12, 2022

3270.102(a)/3270.103 · 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. 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.

Split seams exposing the inner foam filling were observed on a nap mat in the gym and a mat used for diaper changes in the older toddler room. Two tears exposing the inner foam filling were observed on a black padded adult chair in the infant room.

Corrected by Jan 12, 2022

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Multiple cracks and breaks, which created pinch points and sharp edges, were observed on the seat of a red child size chair in the older toddler room.

Corrected by Jan 12, 2022

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 facility's refrigerator in the kitchen did not contain a thermometer.

Corrected by Jan 14, 2022

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

The files for children #1 and #4 contained agreements which did not specify the date on which the fee is to be paid.

Corrected by Jan 14, 2022

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

The files for children #1 an #2 contained agreements which did not specify the child's arrival and departure times.

Corrected by Jan 14, 2022

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #1 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Corrected by Jan 14, 2022

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 files for children #1, #2, and #3 contained agreements which did not specify the date of the child's admission.

Corrected by Jan 14, 2022

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 files for children #3, #4, an #5 contained emergency contact information which did not include the addresses of each individual designated by the parent to whom the child may be released.

Corrected by Jan 18, 2022

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 informationA 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 #2 contained an emergency contact form which has not been updated in over 6 months. The last review and update occurred 6/21/21.

Corrected by Jan 18, 2022

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The files for children #1, #4, and #5 contained immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

Corrected by Jan 28, 2022

3270.133(7)(i) · A medication log shall include the name of the medication.

In PS2, medication logs intended for child #6 and child #7 did not include the names of the medication.

Corrected by Jan 12, 2022

3270.133(7)(vii) · A medication log shall include the initials of the staff person who administered the medication.

In PS2, the medication log for child #6 did not include the initials of the staff person who administered medication on 11/18/21.

Corrected by Jan 12, 2022

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 #1 contained health assessments conducted more than 24 months apart; 8/29/19 and 10/17/21. The most recent health assessment on file is now current

Corrected by Jan 12, 2022

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 #4 contained the results of a TB screening completed after their first day in a child care position. Staff #4 started on 12/06/21 and the reading of the TB screening occurred 12/09/21.

Corrected by Jan 12, 2022

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 was unable to provide proof of purchase or installation for the facility's fire detection system.

Corrected by Jan 28, 2022

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, enrolled since 7/26/21, did not contain a health report.

Corrected by Jan 18, 2022