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's shaken baby syndrome, abusive head trauma and child maltreatment policy did not include the prevention and identification of child maltreatment.

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

Incident reports involving children in care at the facility were not given to the parents.

Corrected Corrected by Feb 21, 2025

Category: health medication. 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.

The operator did not document in writing their annual review and update of the emergency plan.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Feb 21, 2025

Category: physical safety. 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.

All existing staff did not participate, at least annually, in fire safety training between 12/2023 to 1/2025.

Corrected Corrected by Feb 21, 2025

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).

Staff #3 completed their mandated reporter training on 10/17/2024, more than 60 months following the date of their previous training completed on 9/4/2019. Staff #4 completed their mandated reporter training on 1/6/2025, more than 90 days following their first day working in child care.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 record for staff #1, who has worked in child care more than 45 days, included an invoice for a state police clearance, which is not considered a valid clearance. The record for staff #3 included a current state police clearance dated 11/10/2024, more than 60 months following their previous clearance dated 8/25/2019; and a current FBI clearance dated 11/11/2024, more than 60 months following their previous clearance dated 9/1/2019.

Corrected Corrected by Feb 21, 2025

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

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of 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 record for staff #3 included verification of education from a foreign country that had not been evaluated by a service that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE) and it was unable to be determined whether staff #3 had the equivalent of the minimum of an 8th grade education.

Corrected Corrected by Apr 1, 2025

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.

The following cleaning and other toxic materials were labeled keep out of the reach of children and observed in areas accessible to children in care: A container of cleaning wipes were in an unlocked cabinet in a bathroom on the upper level of the building; and packages of baby wipes were on the window sill in the gym and on a shelf in room #129.

Corrected Corrected by Feb 21, 2025

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.

Open receptacles containing trash that appeared to be contaminated by human secretions were observed in the gym, room #114 and room #115.

Corrected Corrected by Feb 21, 2025

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 each sink in the bathrooms on the upper level of the building and at the changing table in the bathroom on the lower level of the building.

Corrected Corrected by Feb 21, 2025

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

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

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the gym.

Corrected Corrected by Feb 21, 2025

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information for child #1 and #2 was not reviewed by a parent at least once in a 6-month period between 5/2024 to 12/2024.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The record for staff #4 included a health assessment and results of initial TB test dated more than 12 months prior to their first day working in child care. The record for staff #2 and #5 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted at the facility.

Corrected Corrected by Feb 28, 2025

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 financial agreement for child #1 and #2 was not reviewed by a parent at least once in a 6-month period between 5/2024 to 12/2024.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The fire detection system was not tested at least once every 30 days during the time periods between 10/15 to 11/15/2024 and 12/13 to 1/13/2025.

Corrected Corrected by Feb 21, 2025

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 operator did not 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.

Corrected Corrected by Feb 21, 2025

Marked corrected in the state record.

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

There was a shelving unit in Room 127 that had loose trim along the edge of the shelves.

Corrected Corrected by Jan 22, 2024

Category: physical safety. 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 on file for Child #5 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Feb 22, 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.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pennsylvania Health and Safety Update 2022; the training was completed on 1/11/24.

Corrected Corrected by Jan 22, 2024

Category: ratio. Marked corrected in the state record.

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

Staff person #2 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the pre-service training on file for staff person # 2 was dated 1/3/24.

Corrected Corrected by Jan 22, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The NSOR certificate on file for Staff person #1 was not dated within 45 days of hire (See IS CODE SHEET); the NSOR was dated 12/27/23. The file for Staff person #3 includes criminal history clearances dated 11/7/18 and 12/7/23; child abuse clearances dated 11/7/18 and 12/17/23; and FBI clearances dated 11/8/18 and 12/19/23, all more than 60 months apart.

Corrected Corrected by Jan 22, 2024

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

3270.72(c) · Screens shall be in good repair.

There were 2 torn window screens in Room 128, which are on occasion opened for ventilation.

Corrected Corrected by Feb 19, 2024

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.

Peeling paint was present in the following locations, accessible to children in care: Room 114, left of the chalkboard; and in Room 115, under the chalkboard.

Corrected Corrected by Jan 22, 2024

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 no handwashing sign at the sink in Room 114.

Corrected Corrected by Jan 22, 2024

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

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

There were two Magna Tiles that were cracked in Room 114. There was a broken plastic toy spider that had a broken leg and a toy plastic ape that was broken in Room 115. The plastic sink in the play kitchen was cracked, creating a pinching hazard in Room 129. There were 1 pieces of plastic toy pizza slices that had the tips broken off in Room 129.

Corrected Corrected by Jan 22, 2024

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

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

There was a wooden block measuring smaller than 1 inch in size, on a shelf in Room 127, accessible to children still putting things in their mouths.

Corrected Corrected by Jan 22, 2024

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 for Child #1, with an enrollment date of 9/6/22, does not include a child service report on an approved form to provide information to the family about the child's growth and development. The file for Child #5, with an enrollment date of 9/8/21, does not include a child service report on an approved form to provide information to the family about the child's growth and development.

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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 agreement on file for Child #2, #6, #7, #8 does not include the child's date of admission.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #3 and #4 does not include a complete address for all listed release persons.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. 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 two most recent health assessments on file for Child #5, who is a preschool age child, are dated 7/19/21 and 8/3/23, more than 12 months apart. The two most recent health assessments on file for Child #6, who is a preschool age child, are dated 7/27/22 and 8/3/23, more than 12 months apart.

Corrected Corrected by Jan 22, 2024

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1 and #6 must be dismissed from care by close of business on 1/22/24, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

The immunization record on file for Child #1, who is 4 years old, includes 3 of 4 HIB vaccines recommended by the ACIP for a child this age and 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 5 years old, includes 0 of 3 Hepatitis B vaccines recommended for a child this age; 1 of 4 DTAP vaccines recommended by the ACIP for a child this age ; 1 of 4 HIB vaccines recommended by the ACIP for a child this age; 0 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 3 Polio vaccines recommended by the ACIP for a child this age; 0 of 2 MMR vaccines recommended by the ACIP for a child this age; 0 of 2 Varicella vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Feb 19, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for Child #5 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Feb 22, 2024

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 2 most recent health assessments on file for Staff person #4 were dated 8/26/21 and 10/10/23, more than 24 months apart.

Corrected Corrected by Jan 22, 2024

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.

The file for Child #1, with an enrollment date of 9/6/22, more than 6 months ago, does not include a 6-month review of the financial agreement. The most recent 6-month review signature for the financial agreement on file for Child #5, and #6 is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Feb 22, 2024

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 for Staff person #1 includes only 1 written nonfamily reference.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire drill log on file included fire drills conducted 1/13/23-2/15/23, more than 60 days apart.

Corrected Corrected by Jan 22, 2024

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 for Staff person #4 includes 10.5 of 12 required annual training hours completed between 12/19/22-12/31/23.The file for Staff person #5 includes 10.5 of 12 required annual training hours completed between 12/19/22-12/31/23. The file for Staff person #6includes 11.5 of 12 required annual training hours completed between 12/19/22-12/31/23.

Corrected Corrected by Feb 9, 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.

The Health and Safety professional development training update on file for Staff person #13, #15 is dated 1/11/23, after the deadline of 12/30/22, as per Announcement C-22-06

Corrected Corrected by Mar 10, 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 emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Mar 17, 2023

Category: ratio. Marked corrected in the state record.

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

The file for Staff person #5 includes verification of First Aid/CPR training dated 12/10/22, after the expiration date of 9/30/21.

Corrected Corrected by Mar 10, 2023

Category: ratio. Marked corrected in the state record.

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

The 2 most recent Fire Safety trainings on file for Staff person #2 are dated 3/6/20 and 12/2/22, more than 1 year apart.

Corrected Corrected by Mar 10, 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 #1, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15 will have until 3/14/23 to complete the required training. Until such time as the required training has been completed, staff person #1, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15 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 #1, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15, staff person #1, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15 may not work in a child-care position at the facility.

Staff person #1, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR.

Corrected Corrected by Apr 17, 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.

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed on 12/10/22. Staff person #16 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 12/23/22. Staff person #16 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & Pediatric CPR; the training was completed on 12/10/22.

Corrected Corrected by Mar 10, 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 Child Protective Services). Staff person #16 will have until 3/14/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #16 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 #16, staff person #16 may not work in a child-care position at the facility.

Staff person #16 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Mar 10, 2023

Category: supervision. Marked corrected in the state record.

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

The 2 most recent mandated reporter training certificates on file for Staff person #2 are dated 5/4/15 and 8/29/22, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #4 are dated 1/31/16 and 5/18/21, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #5 are dated 4/17/15 and 3/30/21, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #6 are dated 4/26/15 and 5/9/21, more than 60 months apart. The 2 most recent mandated reporter training certificates on file for Staff person #7 are dated 5/10/15 and 1/9/23, more than 60 months apart. The initial mandated reporter training on file for Staff person #14 is dated more than 90 days after hire (See LIS Code Sheet).

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #2 includes criminal history clearances dated 3/7/16 and 12/1/22; and child abuse clearances dated 3/18/16 and 12/12/22, more than 60 months apart. The file for Staff person #3 includes FBI clearances dated 9/6/17 and 12/8/22, more than 60 months apart. The file for Staff person #7 includes child abuse clearances dated 2/8/15 and 6/1/20; and FBI clearances dated 5/5/15 and 4/10/21, more than 60 months apart. The NSOR on file for Staff person #14 is dated 1/12/22, more than 90 days after the hire date (See LIS Code Sheet). The criminal history on file for Staff person #16 is dated 12/5/22, more than 90 days after hire, with no proof of application prior to working with children (See LIS Code Sheet).

Corrected Corrected by Mar 10, 2023

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #1, #9, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

Corrected Corrected by Mar 30, 2023

Category: supervision. Marked corrected in the state record.

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 Agreement on file for Child #1, #2, #5, #6, #7, and #8 does not include the child's date of admission.

Corrected Corrected by Mar 10, 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 on file for Child #6 does not include the address for the child's pediatrician/source for medical care.

Corrected Corrected by Mar 10, 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 on file for Child #1, #2, #3, #4, #5, #6, #7, and #8 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. 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 for Child #6 does not include written parental permission for the facility to obtain emergency medical care.

Corrected Corrected by Mar 10, 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 current emergency contact form on file for Child #6 does not indicate if the child any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Mar 10, 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 on file for Child #6 does not include the health insurance coverage and policy number for the medical insurance policy.

Corrected Corrected by Mar 10, 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 on file for Child #6 does not include a complete address for all listed release persons.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for Child #2 does not include a 6-month review signature for the emergency contact form or agreement.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. 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 most recent health assessment on file for Child #8, who is 4 years old, is dated 9/28/21, more than 12 months ago.

Corrected Corrected by Mar 10, 2023

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

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

The 2 most recent health assessments on file for Staff person #2 were dated 1/23/20 and 1/1/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 1/24/19 and 6/14/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 2/3/20 and 2/9/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 8/22/18 and 8/26/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #11 were dated 2/1/20 and 2/11/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #13 were dated 12/14/20 and 12/19/22, more than 24 months apart.

Corrected Corrected by Mar 10, 2023

Category: ratio. 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 for Child #6 does not include written parental permission for the facility to administer minor first aid procedures.

Corrected Corrected by Mar 10, 2023

Category: ratio. 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 documentation on file for the most recent emergency drill does not allow for documentation of the following required elements: the length of time of the drill; the names of the staff participants; if any special accommodations for children with special needs were required; any observations or problems encountered during the drill.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff person #1 includes 9 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #2 includes 0 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09. The file for Staff person #7 includes 8 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09.

Corrected Corrected by Mar 17, 2023

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 child files for Child #1 contained an updated immunization record that lacked a flu shot for 2021.

Corrected Corrected by Feb 11, 2022

Category: health medication. 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 staff file for Staff person #2 through #7, all who have a hire date of 9/9/21, lacked documentation of having received emergency plan training at time of initial employment.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. 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 staff file for Staff person #3 and Staff person #5, both who have a hire date of 9/9/21, contained mandated reporter training dated 1/8/22 and 1/9/22 which were completed more than 90 days from hire.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 staff file for Staff person #1, who has a hire date of 9/9/21, contained a child abuse clearance dated 1/5/22 and a National Sex Offender Registry (NSOR) certificate dated 9/14/21 and there was no proof of having applied for a child abuse clearance nor NSOR certificate on file prior to working with children as required by the Child Protective Service Law (CPSL). The staff file for Staff person #3, who has a hire date of 9/9/21, contained a DHS FBI clearance dated 1/6/22 and there was no receipt of having been finger printed on file prior to working with children as required by the CPSL. The staff file for Staff person #5, who has a hire date of 9/9/21, lacked a State Police clearance at time of hire; a State Police clearance dated 1/6/22 is on file. The staff file for Staff person #6, who has a hire date of 9/9/21, lacked a valid Child Abuse clearance at time of hire; a Child Abuse clearance dated 1/8/22 is on file. Staff person #6 also contained a current DHS FBI clearance dated 1/11/22 which was renewed more than 60 months from the previous DHS FBI clearance on file dated 9/14/16. The staff file for Staff person #11 contained a valid State Police clearance dated 10/3/21 which was renewed more than 60 months from the previous State Police clearance on file dated 2/3/16.

Corrected Corrected by Feb 16, 2022

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

3270.35(b)(1)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #2, Staff person #5, and Staff person #6, who are all considered a Group Supervisor, lacked proof of education and/or years of experience working with children to determine if they meet the qualifications to be a Group Supervisor.

Corrected Corrected by Mar 1, 2022

Category: supervision. Marked corrected in the state record.

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 staff file for Staff person #7, who is considered an Assistant Group Supervisor, lacked documentation of two years experience working with children.

Corrected Corrected by Mar 1, 2022

Category: supervision. Marked corrected in the state record.

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

The first-aid kit in Room 115 lacked disposable nonporous gloves.

Corrected Corrected by Jan 18, 2022

Marked corrected in the state record.

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

Room 128 lacked a written daily activity schedule.

Corrected Corrected by Jan 18, 2022

Category: physical safety. 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 staff file for Staff person #5, who has a hire date of 9/9/21, contained an initial health assessment dated 2/3/20 which was conducted more than 12 month prior to providing service in a child care setting. The staff file for Staff person #8 lacked a valid health assessment; the last health assessment on file dated 2/1/20 is more than 24 months old. The staff file for Staff person #9 contained a current health assessment dated 3/25/21 which was conducted more than 24 months from the previously dated 11/27/18 health assessment on file. The staff file for Staff person #10 contained a current health assessment dated 1/20/21 which was conducted more than 24 months from the previously dated 12/28/18 health assessment on file.

Corrected Corrected by Feb 16, 2022

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 staff file for Staff person #4, who has a hire date of 9/9/21, contained a tuberculosis screening and result dated 9/13/21 which was not obtained prior to caring for children. The staff file for Staff person #5, who has a hire date of 9/9/21, lacked a tuberculosis screening and results.

Corrected Corrected by Feb 14, 2022

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

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. All staff persons shall complete the professional development under subsection (f).

The staff file for Staff person #1, who has a hire date of 9/9/21, contained pediatric first-aid/CPR training that was not obtained within 90 days of hire.

Corrected Corrected by Feb 11, 2022

Category: health medication. 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 lacked a means to provide parents of enrolled children a way to access the regulations in this chapter electronically.

Corrected Corrected by Jan 18, 2022

Marked corrected in the state record.