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, #3, and #4 may not work in a child care position at the facility.

The file of staff person #1 did not contain a completed disclosure statement. The file of staff person #2 contained a child abuse clearance dated 2/24/2020 but did not contain documentation of an updated clearance within 60 months. The file of staff person #3 contained a child abuse clearance dated 3/26/2020 but did not contain documentation of an updated clearance within 60 months. The file of staff person #4 contained an FBI clearance dated 6/15/2020 but did not contain documentation of an updated clearance within 60 months.

Corrected Corrected by Aug 6, 2025

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

3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file of staff person #1, identified as an assistant group supervisor, did not contain documentation of education and experience to serve in the position they were working.

Corrected Corrected by Sep 15, 2025

Category: supervision. Marked corrected in the state record.

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

A pink and white craft cart with a metal frame and plastic drawers rocked to the left and to the right approximately 4-5 inches each way. The cart was not stable.

Corrected Corrected by Sep 30, 2025

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

In the main classroom, an albuterol inhaler and Epi-pen, both labeled "keep out of the reach of children'" were in an uncovered bin in a cubby accessible to children in care.

Corrected Corrected by Jul 31, 2025

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Written parental consent was not on file for administration of an albuterol inhaler or Epi-pen which were at the facility for child #1.

Corrected Corrected by Jul 30, 2025

Category: ratio. 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 of staff person #1 did not contain an initial health assessment prior to working at the facility.

Corrected Corrected by Sep 30, 2025

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

After a conversation with staff person #1, it was determined the 2 written references on file were from family members. The file of staff person #1 did not contain 2 written, nonfamily references.

Corrected Corrected by Sep 30, 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.

Based on documentation of testing the fire detection system, the system was tested on 5/2/2025 and again on 6/2/2025 which exceeded 30 days. The last documented test of the system was dated 6/2/2025 which was more than 30 days prior to 7/29/2025, the date of the inspection.

Corrected Corrected by Jul 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Multiple cigarette butts were located inside the fence of the outdoor play space.

Corrected Corrected by Mar 15, 2025

Category: ratio. Marked corrected in the state record.

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

The evacuation backpack, which contained a first aid kit, was on a shelf accessible to the children in care in the main childcare classroom.

Corrected Corrected by Feb 4, 2025

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

Based on a conversation with a staff person, 4 cans of "Shave Foam" shaving cream, labeled keep out of the reach of children, were used with the children for art activities. Two cans were located were located in a cabinet in the back of the main room and 2 cams were on the shelf in the back classroom.

Corrected Corrected by Feb 4, 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. Staff person #3 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2).

Staff person #3 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Mar 29, 2025

Category: ratio. 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. Until such time as the required pre- service trainings are completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: 1 hour health and safety training update

Corrected Corrected by Mar 31, 2025

Category: supervision. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Documentation of current comprehensive general liability insurance was not on file at the facility.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file of staff #1, employed for more than 90 days (see coded LIS sheet), did not contain documentation of initial emergency plan training. The file of staff #3 contained documentation of emergency plan training dated 2/2/2025, more than 90 days from their start date at the facility.

Corrected Corrected by Feb 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of staff #2, #4, #5 and #7 did not contain documentation of fire safety training within the past 12 months.

Corrected Corrected by Mar 12, 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.

A trash can with a missing lid contained a partially eaten donut as well as tissues containing human secretions.

Corrected Corrected by Mar 14, 2025

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. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #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 and pediatric CPR and health and safety training.

Corrected Corrected by Feb 24, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

The file of staff #5 did not contain documentation of updated mandated reporter training within 60 months of the previous training dated 5/24/2019.

Corrected Corrected by Feb 4, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS, who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Staff person #1 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Mar 31, 2025

Category: supervision. 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 of staff #1 contained a signed disclosure statement which did not have the date it was signed. The file of staff #6 contained documentation of a PA state police clearance dated 1/30/2025, more than 45 days from their start date, and mandated reporter training dated 1/27/2025, more than 90 days from their start date at the facility (see LIS code sheet).

Corrected Corrected by Feb 7, 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 of staff #1 and #6, both identified as assistant group supervisors, did not contain documentation of education or experience to qualify them for the position.

Corrected Corrected by Mar 10, 2025

Category: supervision. Marked corrected in the state record.

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

The file of staff #4, #5 and #7 did not contain documentation of an annual evaluation completed by the director within the past 12 months.

Corrected Corrected by Mar 31, 2025

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.

An empty bottle of alcohol and 2 black stake-like poles which had sharp and rough areas were on the ground in the fenced area of the outdoor play space.

Corrected Corrected by Mar 7, 2025

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

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

A handwashing sign was not posted at the changing table in the main classroom.

Corrected Corrected by Feb 4, 2025

Category: health medication. 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 main classroom, plastic bags were accessible to children who are placing objects in their mouths in the unlocked bottom drawer of a plastic organizer next to the changing table and in the back classroom, foam swimming pool noodles were observed to have teeth marks.

Corrected Corrected by Feb 4, 2025

Marked corrected in the state record.

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

The financial agreement of child #4 did not contain persons designated by the parent to whom the child may be released.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. 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 files of child #1, #3 and #4 contained the original financial agreements.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. 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 file of child #2 did not contain emergency contact information.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information of child #1, #3, #4 and #5 did not contain the work address and telephone number of the enrolling parent or documentation it is not applicable.

Corrected Corrected by Feb 4, 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 information of child #3 did not include information on the child's special needs or documentation this is not applicable to the child.

Corrected Corrected by Feb 4, 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 information of child #3 did not contain the addresses of the persons designated by the parent to whom the child may be released.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

The emergency contact form of child #6, who was picked up and brought to the center from school, was not present in the van while the child was being transported.

Corrected Corrected by Feb 4, 2025

Category: transportation. Marked corrected in the state record.

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 file of child #1, was identified as a young toddler (see LIS code sheet), contained a health assessment dated 5/5/2024 but did not have an updated health assessment within 6 months from the prior assessment.

Corrected Corrected by Feb 14, 2025

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Based on the recommendations of the ACIP, the immunization record on file for child #1 lacks 1 of 4 DTaP and 1/2 Hep A vaccinations. The immunization record of child #4 and #5 both lacked documentation of 1/3 DTaP and 1/3 pneumococcal as recommended by the ACIP.

Corrected Corrected by Feb 5, 2025

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A and D Ointment, ibuprofen and acetaminophen packets, and Bactine Max, all labeled keep out of the reach of children, were in the evacuation bag on a shelf accessible to children.

Corrected Corrected by Feb 28, 2025

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

The hands of the infants and young toddlers placed in the feeding table were not washed prior to eating snack.

Corrected Corrected by Feb 4, 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 of staff #2 and #5 did not contain documentation of a current health assessment completed in the past 24 months.

Corrected Corrected by Mar 31, 2025

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Documentation of the last review and/or update of the emergency contact information of child #1 was dated 2/7/2024 and child #2's most recent agreement update was dated 2/20/2024, both lacking documentation of a current review and/or update within the past 6 months.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of child #5 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of child #1 and #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 4, 2025

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file of staff #1 did not contain 2, and staff #6 did not contain 1 written nonfamily reference.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of the most recent emergency drill conducted at the facility was dated 3/2/2023 lacking documentation of a drill being conducted in the last 12 months.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 of staff #2 contained documentation of 5.5 hours (lacking 6.5 hours) and staff #4 contained 4.5 hours (lacking 7.5 hours) of training between their annual training year of 12/2023 to 12/2024. The file of staff #5 contained documentation of 2 training hours between their annual training year of 12/2023 to 12/2024 and an additional 8 hours dated 1/21/2025 and 2 hours dated 1/25/2025 and now has 12 training hours.

Corrected Corrected by Mar 31, 2025

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 of child #5 contained a health assessment dated 8/26/2024, which was more than 60 days from their start date at the facility (see LIS code sheet).

Corrected Corrected by Feb 4, 2025

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

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

The financial agreement of child #4 did not contain their arrival and departure times.

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement of child #2 did not contain their admission date.

Corrected Corrected by Mar 13, 2024

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 of child #2 contained the birth date of the child's sibling and not the child listed on the form.

Corrected Corrected by Feb 16, 2024

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. Until such time as the required pre-service trainings are completed, staff person #4 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first aid and pediatric CPR

Corrected Corrected by Mar 13, 2024

Category: supervision. Marked corrected in the state record.

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

The file of staff person #4 contained fire safety training dated 1/7/2024 which was more than 12 months from their start date (see coded LIS sheet).

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility.

The file of staff person #3 did not contain documentation of a current child abuse clearance or the current signed and dated disclosure statement. The file of staff person #1 contained a signed disclosure statement which was not dated.

Corrected Corrected by Apr 15, 2024

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 of staff person #2 did not contain documentation of the 2 most recent annual evaluations and staff person #4 did not contain documentation of an annual evaluation within 12 months.

Corrected Corrected by Apr 15, 2024

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.

An electrical outlet on the left side of the main classroom by the kitchen area, did not contain a protective receptacle cover.

Corrected Corrected by Feb 14, 2024

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 new fence surrounding the outdoor play space contained approximately 51 bolts which extended out between 1-2 inches and were not covered. These could cause injury to a child.

Corrected Corrected by Apr 30, 2024

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

3270.92(b) · A fixed space heater shall be approved for use by a local fire safety professional. Written approval of the installation and written approval for use shall be on file at the facility.

Written approval of the installation and written approval for use of the fixed space heater in the back room play space was not presented at the time the inspection. When asked about the documentation, facility person #5 stated the letter was not current and had an expiration date and they were no longer using the heater.

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

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

The back classroom did not have a written plan of daily activities posted in the space.

Corrected Corrected by Apr 1, 2024

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

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The financial agreement of child #5 did not contain the amount of the fee to be charged per day or week.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement of child #2 and #5 did not include the date on which the fee is to be paid.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of child #1 contained documentation of a child service report to provide information to the family about the child's growth and development dated 11/22/2023, more than 6 months from their start date at the facility (see coded LIS sheet) and the file of child #4 did not contain documentation of a child service report since starting at the facility (see coded LIS sheet).

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. 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 form of child #3 did not contain the work address and child #4 did not contain the work address or telephone number of the enrolling parent.

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The health assessment of child #1, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 3/21/2023 and an updated assessment dated 1/17/2024 which exceeded 6 months.

Corrected Corrected by Jan 17, 2024

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

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

The file of child #4, now identified as an older toddler (see coded LIS sheet), contained a health assessment dated 8/19/2022 and an updated health assessment dated 2/5/2024, which exceeded 12 months.

Corrected Corrected by Feb 5, 2024

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 initial health assessment of staff person #3 did not contain a date to determine when the assessment was completed.

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The tuberculosis screening of staff person #3 was dated 1/28/2021, which was more than 12 months prior to their rehire date at the facility (see coded LIS sheet),

Corrected Corrected by Apr 30, 2024

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

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of child #1 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file of child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 22, 2024

Category: ratio. 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 of staff person #4, employed for more than 90 days, did not contain documentation of acceptable pediatric first aid and pediatric CPR.

Corrected Corrected by Mar 7, 2024

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The "front room" was listed as the hypothetical location of the fire on the fire drill log for consecutive locations multiple times.

Corrected Corrected by Feb 14, 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 posted certificate of compliance expired on 5/1/2023.

Corrected Corrected by Feb 14, 2024

Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The emergency plan did not include evacuation routes to the location away from the facility premises.

Corrected Corrected by Mar 25, 2024

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 of staff person #2 contained 8 training hours and staff person #4 contained 1 hour between their annual training year of 12/2022 to 12/2023. The file of staff person #2 also contained documentation of an additional 5 hours taken on 1/8/2024 and they now have 12 hours. The file of staff person #4 contained an additional 3 hours dated 1/1/2024, but still lacked 8 hours.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement of child #4 was not signed by the parent.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The financial agreement of child #4 did not specify the amount to be charged per day or week.

Corrected Corrected by Feb 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.

The facility did not have documentation the emergency plan was sent to the county emergency management agency.

Corrected Corrected by Mar 6, 2023

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

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

The emergency plan did not contain a continuity of operations plan which may include backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills or a contingency plan/contingency fund which may include how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency.

Corrected Corrected by Mar 6, 2023

Category: ratio. 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 did not have a policy which must include but is not limited to the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child and addresses the prevention and identification of child maltreatment.

Corrected Corrected by Mar 6, 2023

Category: ratio. Marked corrected in the state record.

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

Documentation of the last review and/or update to the emergency plan was dated 1/2022 which is more than 12 months ago.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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 #4 will have until 3/4/2023 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Facility person #4 did not have documentation of completion of the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics.

Corrected Corrected by Mar 3, 2023

Category: supervision. Marked corrected in the state record.

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

The requirement of taking an additional one-hour training course titled, "Pennsylvania Health and Safety Update 2022" for facility staff who have taken the "Health and Safety Basics" training or "Get Started with Center- Based Care: Building Blocks for Quality" (taken before 10/4/2022) was not completed by facility person #2 and 3.

Corrected Corrected by Mar 6, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in the facility.

The PA state police clearance on file for facility person #2 stated it was "under review" and did not have a dissemination date and the signed disclosure statement of facility person #1 was not on the current form.

Corrected Corrected by Mar 6, 2023

Category: background checks. 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 of facility person #4 contained documentation of mandated reporter training being dated 7/8/2015, but did not contain documentation the training has been updated within 60 months as per the CPSL.

Corrected Corrected by Mar 6, 2023

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 most recent written evaluation completed by the director for facility person #2 was dated 3/15/2021.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Hand sanitizer, labeled keep out of the reach of children, was on the sign in table at the entrance accessible to the children.

Corrected Corrected by Mar 6, 2023

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 main classroom, glue sticks and markers (both with removable caps), foam craft pieces (all less than an inch in diameter or with a removable part less than an inch in diameter) and plastic trash bags which were stored in the bottom of a cart, were all accessible to toddlers who were being cared for in this space and are still placing objects in their mouths.

Corrected Corrected by Feb 15, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file of child #1 did not contain documentation of the child's growth and development in the context of the services being provided to families on the Department's approved form.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement of child #4 did not specify the persons designated by the parent to whom the child may be released.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. 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 original financial agreement was in the file of child #2.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form of child #5 did not contain the address of the child's physician.

Corrected Corrected by Feb 17, 2023

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 form of child #1 did not contain the work address of the enrolling parent and child #2 did not contain the work address or work telephone number of the enrolling parent,

Corrected Corrected by Feb 15, 2023

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 of child #5 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 or documentation this is not applicable to the child.

Corrected Corrected by Feb 15, 2023

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 of child #4 had the policy number but did not have the health insurance policy name for which the child was covered.

Corrected Corrected by Feb 16, 2023

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

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

The emergency contact form of child #1 and 3 did not include addresses and #4 did not include telephone numbers of individuals designated by the parent to whom the child may be released.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. 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 health assessment of facility person #1 did not include a tuberculosis screening at initial employment (see coded LIS sheet).

Corrected Corrected by Mar 24, 2023

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

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact form (last dated 10/13/2021) and financial agreement (last dated 4/13/2022) of child #1 have not been updated within the past 6 months.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file of facility person #1 contained only 1 of the 2 required written, nonfamily references.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not have documentation of previous or current emergency drills.

Corrected Corrected by Feb 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of testing the fire detection system exceeded 30 days on the following occasions: 3/1/2022 to 4/2/2022 and 5/1/2022 to 6/1/2022 to 7/9/2022 to 9/6/2022 to 11/2/2022 to 1/20/2023.

Corrected Corrected by Feb 20, 2023

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 did not have documentation of how they provide parents of enrolled children information to access the Chapter 3270 regulations electronically.

Corrected Corrected by Mar 6, 2023

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 of facility person #2 did not include 12 annual hours of professional development between 12/19/2021 to 12/19/2022.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The facility did not have documentation of providing the local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility at least annually.

Corrected Corrected by Mar 10, 2023

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.

There was no documentation of any child care training hours completed between 12/19/20 and 1219/21 on file for Facility Person #2.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was no documentation on file of the emergency plan update between 2016 and 1/27/22.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of emergency plan training completed at initial hire for Facility Person #1.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of the required health and safety training completed by Facility Person #1 indicates it was completed more than 90 days after she began employment.

Corrected Corrected by Feb 15, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work at the facility without all completed clearances on file

There was no signed disclosure statement on file for Facility Persons #1 and #4. There was no NSOR clearance on file for Facility Person #1, who began employment at the facility on 7/1/21. The child abuse clearance on file for Facility Person #2 was completed more than 60 months after the previous child abuse clearance.

Corrected Corrected by Feb 15, 2022

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

3270.33(a) · 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.

Facility Persons #1 and #4 were both classified as assistant group supervisors without documentation of qualifications required for the classification.

Corrected Corrected by Feb 15, 2022

Category: supervision. Marked corrected in the state record.

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

At approximately 11:30 am, before entering the facility, Facility Person #5 was observed in the alley outside of the building. After waiting approximately 30-60 seconds for someone to answer the front door, Facility Persons #1, #3, and #5 were observed in the toddler/preschool area of the main child care space with 11 children, a combined group of 4 preschoolers, 4 older toddlers and 3 younger toddlers. When asked to identify which children they were each supervising, Facility Person #1 identified 5 children, Facility Person #3 identified 4 children and Facility Person #5 identified 2 children. When asked to identify the supervision groups while Facility Person #5 was still outside, Facility Person #1 and #3 had difficulty identifying their groups, each identifying more than one different group of the children as their responsibility. At one point, Facility Person # 3 identified 6 children total, a combined group of 3 young toddler and 3 older toddlers.

Corrected Corrected by Feb 15, 2022

Category: supervision. Marked corrected in the state record.

3270.62(c)/3270.76 · Outdoor or indoor play space shall be safe for large muscle activity. 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.

Many large items were observed in the gross motor space, making it unsafe for children to participate in gross motor activities in the space, including 6 chairs, including a rocking chair, 2 vacuum cleaners, two strollers and 6 easels.

Corrected Corrected by Feb 15, 2022

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

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

In the facility's kitchen, there was a container of Member's Mark disinfectant wipes sitting on the microwave next to a container of graham crackers.

Corrected Corrected by Feb 15, 2022

Category: ratio. Marked corrected in the state record.

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

There was no first aid kit in the gross motor space of the facility.

Corrected Corrected by Feb 15, 2022

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was a small area of damaged plaster on the wall on the right side of the gross motor room.

Corrected Corrected by Feb 22, 2022

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

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

There was only one handwashing sign near the two sinks in the children's bathroom.

Corrected Corrected by Feb 15, 2022

Category: health medication. 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 approximately a dozen large foam puzzle pieces on a low cabinet shelf in the front of the toddler/preschool area of the main room, making them accessible to the toddlers in care in the area at the time of the inspection. There were several teeth marks observed on various pieces. There were approximately a dozen cotton balls in a low drawer of a plastic cart in the rear of the toddler/preschool area of the main room, making them accessible to the toddlers in care in the area at the time of the inspection. The cotton balls were less than an inch in diameter. There were approximately 3-4 foam blocks in a low drawer of a plastic cart near the sink in the infant area of the main room, making them accessible to the young toddlers in care in the area at the time of the inspection. There were several tears in the cushion of the rocking chair in the infant area of the main room, making the foam inside accessible to the toddlers in care in the area at the time of the inspection.

Corrected Corrected by Feb 15, 2022

Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 11:30 am, before entering the facility, Facility Person #5 was observed in the alley outside of the building. After waiting approximately 30-60 seconds for someone to answer the front door, Facility Persons #1, #3, and #5 were observed in the toddler/preschool area of the main child care space with 11 children, a combined group of 4 preschoolers, 4 older toddlers and 3 younger toddlers. When asked to identify which children they were each supervising, Facility Person #1 identified 5 children, Facility Person #3 identified 4 children and Facility Person #5 identified 2 children. When asked to identify the supervision groups while Facility Person #5 was still outside, Facility Person #1 and #3 had difficulty identifying their groups, each identifying more than one different group of the children as their responsibility. At one point, Facility Person # 3 identified 6 children total, a combined group of 3 young toddlers and 3 older toddlers.

Corrected Corrected by Feb 15, 2022

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

At approximately 11:40 AM, in the toddler/preschool area of the main child care space, when child #3, a young toddler, was leaning to the side in her chair at the table, Facility Person #3 was observed forcefully pulling her up by on arm and forcefully positioning her in her seat so she was seated upright at the table.

Corrected Corrected by Feb 15, 2022

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

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

The emergency contact information in the file for Child #2 did not include the address and phone number for the child's physician.

Corrected Corrected by Feb 15, 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 information in the file for Child #2 did not include the child's health insurance information.

Corrected Corrected by Feb 15, 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 information in the file for Child #1 did not include the address and phone number for one of the release persons listed on the form. The emergency contact information in the file for Child #2 did not include the address for two of the release persons listed on the form.

Corrected Corrected by Feb 15, 2022

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 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 last updates in writing by a parent on the emergency contact forms and agreements on file for children #1 and #3 were dated more than 6 months ago.

Corrected Corrected by Feb 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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 record of immunizations on file for child #2 indicated insufficient doses of the DTAP, Pneumococcal and Hepatitis A vaccinations.

Corrected Corrected by Mar 15, 2022

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

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.

There were medications in the first-aid kit in the main room of the facility and in the vehicle used to transport children unlabeled with the names of the individual children for whom they were intended.

Corrected Corrected by Feb 15, 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 health assessment on file for Facility Person #1 was completed more than 24 months prior.

Corrected Corrected by Apr 30, 2022

Category: ratio. 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.

There was no documentation of pediatric first aid/CPR training on file for Facility Person #1, employed at the facility more than 90 days. The documentation of pediatric first aid/CPR training on file for Facility Person #2 was completed online and is therefore not acceptable.

Corrected Corrected by Apr 30, 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.

Based on the testing log and on conversation with the operator, there were 5 times that the fire detection system was tested beyond 30 days since March 2021.

Corrected Corrected by Feb 15, 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 proof of purchase for the interconnected fire alarm system on file at the facility.

Corrected Corrected by Apr 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The most recent letter on file used to provide notification to traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 1/1/21.

Corrected Corrected by Feb 16, 2022

Category: recordkeeping. Marked corrected in the state record.