3270.113(a) · TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan shall have an immediate correction date. 2. The facility will update their emergency plan to include specific steps for ensuring that all children and staff have been evacuated during both shelter-in-place and evacuation, subsequently ensuring that all requirements for 3270.27 are met. The operator shall provide a date for when this update will be completed. 3. The facility will conduct a training on the updated Emergency Plan, focusing on the evacuation for shelter-in-place and evacuations. The operator shall provide a date for when this training will be completed. 4. Subsequent to this training, the facility shall conduct an emergency drill requiring shelter-in-place, with the director and Manager observing. The Emergency drill shall be documented on the department-provided form and submitted to the regional office, with a written review of the drill by the Director and the Regional Manager. The correction date for this portion of the plan is to be within two weeks of when the emergency plan training was conducted.

According to staff statements, on 3-11-26, child #1, a preschooler, was left alone in the pre-k room for approximately 10 minutes without a staff person present in the room. During naptime, there was a tornado drill and staff person #2 took 10 preschoolers to the front hallway. Staff person #1 was waking up 3 preschoolers to take them to the front hallway. It was during the transition of staff person #1 taking the 3 preschoolers to the front hallway that child #1 was left alone in the room sleeping until the staff person returned to the room.

Corrected Corrected by Jul 1, 2026

Category: supervision. 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.

According to staff statements, on 3-11-26, child #1, a preschooler, was left alone in the pre-k room for approximately 10 minutes without a staff person present in the room. During naptime, there was a tornado drill and staff person #2 took 10 preschoolers to the front hallway. Staff person #1 was waking up 3 preschoolers to take them to the front hallway. It was during the transition of staff person #1 taking the 3 preschoolers to the front hallway that child #1 was left alone in the room sleeping until the staff person returned to the room.

Corrected Corrected by Jun 9, 2026

Category: supervision. Marked corrected in the state record.

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

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 5-28-25 to 3-2-26.

Corrected Corrected by Jun 4, 2026

Category: recordkeeping. Marked corrected in the state record.

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

Based on staff statements, Child #1, a toddler, was not provided with individual rest equipment and instead slept in a chair while in care at the facility. Staff indicated that a cot was never assigned because the child's parent did not provide a sheet, as required by the facility.

Corrected Corrected by Aug 27, 2025

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

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

Based on video recording, Staff Person #1 was observed in the Young Toddler Room grasping a child by the wrist and pulling the child across the room toward their cot. As the child was being pulled, the child's legs lost balance, and the child landed on their hands and knees. Then, Staff Person #1 pushed the child onto their back causing the child's head to make contact with the back of the cot.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Based on staff statements, multiple staff persons were reported to interact with children using an aggressive and harsh tone of voice. It was determined multiple staff persons screamed in children's faces and made statements such as, "You're a bad kid! Go sit down! Go lay down! Stop crying! Enough."

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed sweeping the floor with a broom and then used the broom that had been visibly soiled to sweep food off tables where children were seated and eating.

Corrected Corrected by Aug 27, 2025

Category: health medication. 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.

Based on video recording , on 6/17/25 in the Young Toddler Room, a container of Swiffer wet pads that are labeled Keep Out of Reach of Children was accessible to children in care. Multiple children were also observed playing with a mop that had a Swiffer wet pad attached and were observed pushing the mop around the room.

Corrected Corrected by Aug 27, 2025

Category: recordkeeping. 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.

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Persons #1 and #2 were observed changing diapers without washing their hands or assisting the children with handwashing. Handwashing also did not occur between diaper changes.

Corrected Corrected by Aug 27, 2025

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Based on video recording, on 6/17/25 at approximately 12:13pm in the Young Toddler Room, Staff Person #2 was occupied with a diaper change in the restroom and out of view of the children. During this time, Staff Person #1 was observed with their back turned to the children and their head facing downward while placing a sheet on rest equipment. As a result, 9 children in the room were momentarily not under active supervision.

Corrected Corrected by Aug 27, 2025

Category: supervision. Marked corrected in the state record.

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

Based on video recording, on 6/17/25 in the Young Toddler Room, Staff Person #2 was observed discarding a soiled diaper without using a hands-free covered trash can at approximately 12:22pm and then again at 12:35pm.

Corrected Corrected by Aug 27, 2025

Category: health medication. 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.

The door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made uncovered outlets on the surge strip located in this room accessible to children.

Corrected Corrected by Jun 10, 2025

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 most recent Pediatric First Aid/CPR Certifications in the files for Staff Person #19 and 20 were acquired after the previous certifications had expired.

Corrected Corrected by Jun 10, 2025

Category: ratio. 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 most recent Fire Safety Trainings in the files for Staff Person #1, 2, 3, 4, 5, 6, 7, 10, 16, 18 and 22 exceeded 12 months between trainings.

Corrected Corrected by Jun 10, 2025

Category: recordkeeping. 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 Health and Safety Training in the files for Staff Person #14, 17 and 18 were conducted more than 90 days after the staff persons' first day working in child care. (See LIS Code Sheet).

Corrected Corrected by Jun 10, 2025

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

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #8, 14 and 15 must be supervised, when interacting with children at a minimum by an AGS or higher who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #8, 14 and 15, staff person #8, 14 and 15 may not work in a child-care position at the facility.

Staff person #8, 14 and 15 have not completed the following required pre- service training within 90 days of their date of hire Staff Person #8 and 15: Health and Safety Training. Staff Person #14: Pediatric First Aid/CPR (see LIS code sheet):

Corrected Corrected by Jun 10, 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 disclosure statement in the file for Staff Person #9 was not witnessed. The disclosure statement in the file for Staff Person #11 was dated after the staff person's first day working in child care. The NSOR Certificate in the file for Staff Person #15 was dated more than 45 days after the staff person's first day working in child care. The most recent State Police, Child Abuse, FBI Clearances and NSOR Certificate in the file for Staff Person #6 exceeded 60 months between clearances/certificate. The most recent NSOR Certificates in the files for Staff Person #1, 5, 13 and 21 exceeded 60 months between certificates. (See LIS Code Sheet).

Corrected Corrected by Jun 10, 2025

Category: background checks. 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 most recent Mandated Reporter Trainings in the files for Staff Person #1, 2, 6 and 10 exceeded 60 months between trainings. The Mandated Reporter Training in the file for Staff Person #14 was conducted more than 90 days after the staff person's first day working in child care. (See LIS Code Sheet).

Corrected Corrected by Jun 10, 2025

Category: recordkeeping. 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 #8 did not include documentation of education and experience.

Corrected Corrected by Jun 10, 2025

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 evaluations in the file for Staff Person #10 exceeded one year between evaluations.

Corrected Corrected by Jun 10, 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 door to the staff lounge, which is connected to Room #8, was opened and does not lock. This made disinfectant wipes, which were located on a table in the room, accessible to children.

Corrected Corrected by Jun 10, 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.

Observed a nail protruding from the window frame in the turf playground.

Corrected Corrected by Jun 10, 2025

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

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

Observed flaking green paint near the classroom entrances in the turf and climber playgrounds.

Corrected Corrected by Jun 13, 2025

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

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

Observed wobbly kitchen playsets in the climber and turf playgrounds and a wobbly toy shelf in the middle playground, which presents potential toppling hazards for children in care.

Corrected Corrected by Jun 10, 2025

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 in the file for Child #2 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Jun 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form in the file for Child #5 did not include the health insurance policy number.

Corrected Corrected by Jun 13, 2025

Category: health medication. 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 for Child #1, a young toddler, does not contain an updated health report conducted within the past six months.

Corrected Corrected by Jun 13, 2025

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 most recent updated health reports in the file for Child #2, a preschool child, exceeded one year between reports.

Corrected Corrected by Jun 13, 2025

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

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #1 must be dismissed from care by close of business 5/21/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization record in the file for Child #1 (Young Toddler, 15 months) did not include documentation of the following immunizations recommended by the ACIP or a letter of exemption from the parent or physician: HepB: 2nd and 3rd doses, DTAP: 2nd, 3rd and 4th doses. HIB: 1st, 2nd and 3rd doses. Pneumococcal: 2nd, 3rd and 4th doses. Polio (IPV): 1st, 2nd and 3rd doses.

Corrected Corrected by May 22, 2025

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

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

The file for Staff Person #8 did not include an initial health assessment and TB screening. The files for Staff Person #18, 19 and 21 do not include an updated health assessment conducted within the past 24 months. The initial health assessment and TB screening in the file for Staff Person #12, 14, 17 were conducted after the staff persons' first day working in child care. The initial health assessment in the file for Staff Person #15 was conducted after the staff person's first day working in child care. The most recent health assessments in the files for Staff Person #6, 13 and 22 exceeded 24 months between assessments. (See LIS Code Sheet).

Corrected Corrected by Jun 13, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The most recent health assessment in the file for Staff Person #20 does not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Jun 13, 2025

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 most recent parent update for the emergency contact form in the file for Child #6 exceeded 6 months between updates. The most recent parent update for the fee agreement in the file for Child #3 exceeded 6 months between updates. The emergency contact forms in the files for Child #3, 5 and 7 have not been updated by the parents in the past six months.

Corrected Corrected by Jun 13, 2025

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 #14 included only one letter of reference.

Corrected Corrected by Jun 13, 2025

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 files for Staff Person #6 and #13 did not include documentation of 12 annual hours of child care training for the most recent full years of service. Each file contained 9 annual hours of training.

Corrected Corrected by Jun 13, 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 initial health reports in the files for Child #4 and 5 were conducted more than 60 days after the child's first day of attendance at the facility. The file for Child #3, who has been enrolled for more than 60 days, lacks an initial health report.

Corrected Corrected by Jun 13, 2025

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

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

The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

Corrected Corrected by Jul 8, 2024

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

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

The file for staff person #1 was observed to have documentation of PA State Police Clearance results that were not renewed before the expiration date of the most current certification: 12/13/18 and 1/18/24. The files for staff persons #2 and #3 were observed to have documentation of PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification: 12/19/18 and 1/16/24. The file for staff person #9 was observed to have documentation of PA State Police and PA Child Abuse Clearance results that were not renewed before the expiration date of the most current certification. PA State Police: 12/24/18 and 1/16/24. PA Child Abuse: 12/26/18 and 1/17/24. The file for staff person #13 was observed to have documentation of PA Child Abuse clearance results that were not renewed before the expiration date of the most current certification: 12/11/18 and 1/18/24. The file for facility person #14 completed the following required pre-service training on 4/25/24 but was not completed within 90 days of their date of hire (See LIS CODE SHEET): Mandated Reporter training. The file for staff person #18 was observed to have documentation of PA State Police clearance results that were not renewed before the expiration date of the most current certification: 8/9/17 and 6/13/23.

Corrected Corrected by Jun 2, 2024

Category: ratio. 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 #6 lacked documentation of education to qualify in a position in the facility.

Corrected Corrected by Jun 2, 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 file for staff person #17 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022. The file for staff person #18 had documentation of completion of the pre-service training, Pennsylvania Health and Safety Update 2022, on 7/24/23, but was not completed on the required date of December 30, 2022.

Corrected Corrected by Jun 2, 2024

Category: ratio. 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 two recent emergency plan trainings in the files for staff persons #15 and #16 were observed to be more than 12 months apart.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #8 had documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification: 3/2/20 and 3/8/23.

Corrected Corrected by Jun 2, 2024

Category: ratio. 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 two most recent fire safety trainings in the files for staff persons #7, #8, #9 and #17 exceeded 12 months between trainings. The file for staff person #18 has not completed fire safety training within the last 12 months. The most recent fire safety on file was dated 1/16/23.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #6, #12, and #17 may not work in a child care position at the facility.

The file for staff person #6 lacked FBI clearance results. The file for staff person #6 contained documentation of NSOR application dated 4/22/24, which was after the staff person's date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #6 lacked out of state clearances for the state of West Virginia where the staff person resided in the 5 years prior to employment. The file for staff person #12 was observed not to contain documentation of application of the PA State Police clearance prior to date of hire (See LIS CODE SHEET) required for provisional hiring under the CPSL. The PA State Police clearance results in the file are dated 5/2/24. The file for staff person #12 lacked NSOR clearance results. The file was observed to contain an application for the NSOR clearance that was dated 4/22/24, which was after the staff person's date of hire. The file for staff person #17 was observed not to contain valid NSOR clearance results.

Corrected Corrected by Jun 2, 2024

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

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

The file for staff person #6 has a TB screening dated 4/25/24, but was not at initial employment.

Corrected Corrected by Jun 2, 2024

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

3270.35(b)(3)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field 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 file for staff person #8 included an associate's degree from an accredited university in early childhood but lacked 2 years' experience with children to qualify for the position.

Corrected Corrected by Jun 2, 2024

Category: supervision. Marked corrected in the state record.

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

The poured-in-place surface on Playground A and the PS Playground was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

Corrected Corrected by Jul 3, 2024

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

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

The resting mats in the PreK, PS 2, and PreK Readiness rooms were observed to be ripping and not in good repair.

Corrected Corrected by Jun 2, 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.

The diaper changing pad in the Newborn Room was observed to be torn exposing the children to foam interior, which poses a choking hazard to the children in the room who are still placing objects in their mouths.

Corrected Corrected by Jun 2, 2024

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 #2 lacked the health insurance coverage and policy number for the child. The emergency contact form on file for child #3 lacked the health policy number for the child.

Corrected Corrected by Jun 2, 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.

Staff person #3 has not had a health assessment conducted within the last 24 months: 4/12/21. The two most recent health assessments on file for staff person #4 are dated more than 24-months apart: 3/5/21 and 11/17/23. Staff person #5 has not had a health assessment conducted within the last 24 months: 4/14/22. The file for staff person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. The health assessment on file is dated 4/25/24. Staff person #11 has not had a health assessment conducted within the last 24 months: 6/22/21. Staff person #18 has not had a health assessment conducted within the last 24 months: 10/1/21.

Corrected Corrected by Jun 24, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person #2 lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected Corrected by Jun 2, 2024

Category: health medication. 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 #6 lacked one of two written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person. The file for staff person #10 lacked two written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facilities documentation of annual testing of the fire detection system from a fire safety professional exceeded 12 months between testing: 3/7/23 and 5/1/24.

Corrected Corrected by Jun 2, 2024

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 files for children #1 and #3, who have been enrolled at the facility for more than 60 days, lack an initial health report.

Corrected Corrected by Jun 2, 2024

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

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

The files for facility persons #3 and #4 did not complete the required pre-service training by 12/30/22: Pennsylvania Health and Safety Update 2022. Facility person #3 completed the training on 4/21/23 and facility person #4 completed the training on 12/31/22. The file for facility person #10 did not complete the following required pre-service training by 12/30.22: Pennsylvania Health and Safety Update 2022.

Corrected Corrected by May 31, 2023

Category: ratio. 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 files for facility persons #1, #2, #3, and #4 had fire safety training that exceeded a year between trainings.

Corrected Corrected by May 31, 2023

Category: recordkeeping. 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.

Facility persons #5 and #7 did not complete the following required pre-service training within 90 days of their date of hire (See LIS code sheet): Health and Safety training. Facility person #5 completed the training on 12/7/22. Facility person #7 completed the training on 3/17/23.

Corrected Corrected by May 31, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility persons #7 and #9 shall be removed from care effective 5/18/23.

The file for facility person #7 was observed not to contain a valid FBI and NSOR clearance within 45 days of hire (See IS CODE SHEET). The file for facility person #9 lacked documentation of FBI clearance results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. The FBI clearance on file was observed to be through the PDE. The file for facility person #9 was observed not to contain criminal history clearance results from the state of South Carolina where the facility person resided in the 5 years prior to employment (See IS CODE SHEET).

Corrected Corrected by Jun 6, 2023

Category: background checks. 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). Facility person #2 will have until 6/13/23 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #2 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 persons available to supervise facility person #2, facility person #2 may not work in a child-care position at the facility.

Facility person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/19/17. The file for facility person #7 was observed not to contain documentation of completion of Mandated Reporter training within the first 90 days of hire (See LIS CODE SHEET). The training on file for facility person #7 was dated 5/16/23.

Corrected Corrected by May 26, 2023

Category: supervision. Marked corrected in the state record.

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

The poured-in-place surface on the PS playground and Playground A was observed to have multiple areas with holes and tears in the surface causing potential tripping hazards and was not in good repair.

Corrected Corrected by Jul 28, 2023

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 toilet in restroom one and restroom two in Room 6.

Corrected Corrected by May 31, 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 forms on files for children #2 and #3 lacked the enrolling parent's work address and telephone number.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The files for children #2, #3, and #5 lacked an updated health report conducted within 12 months of previous health report. The most recent health report on file for child #2 is dated 10//6/20, child #3 is dated 3/22/22 and child #5 is dated 1/13/21.

Corrected Corrected by Jun 30, 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 file for facility person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 12/17/19 and 10/18/22. Facility persons #3 and #4 have not had a health assessment completed within the last 24 months. This is evidenced by the previously documented health assessment on file being dated 9/1/20 for facility person #3 and 3/5/21 for facility person #4. The files for facility persons #6 and #7 do not have documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #8 has documentation of a health assessment being completed on 4/24/23, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet). The file for facility person #9 has documentation of a health assessment being completed on 10/20/22, which was not conducted within 12 months prior to providing initial service in a child care setting (See LIS code sheet).

Corrected Corrected by May 31, 2023

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 files for facility persons #6 and #7 were observed not to have documentation of a tuberculosis screening at initial employment (See LIS code sheet). The file for facility person #8 has documentation of a tuberculosis screening being completed on 4/24/23 but was not at initial employment (See LIS code sheet). The file for facility person #9 has documentation of a tuberculosis screening being completed on 10/20/22 but was not at initial employment (See LIS code sheet).

Corrected Corrected by Jun 30, 2023

Category: health medication. 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 facility person #6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Facility persons #5, #7, and #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Facility person #5, #7, and #9 completed the training on 3/8/23.

Corrected Corrected by May 31, 2023

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

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

The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility. The file for child #4 had an initial health assessment that was dated over 60 days after the child's start date.

Corrected Corrected by Jun 30, 2023

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the Pre-K/PS 2 room, four pairs of adult scissors were observed on desks which were accessible to children under the age of 5.

Corrected Corrected by Jun 1, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 and #4 will have until 7/16/22 to complete the required training. Until such time as the required training has been completed, staff person #2 and #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 #2 and #4, staff person #2 and #4 may not work in a child-care position at the facility.

Staff person #2 and #4 has not completed the following required pre-service training within 90 days of their date of hire (See LIS CODE SHEET): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jul 16, 2022

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 file for staff #2 and #3 was observed to lack documentation of NSOR results prior to date of hire (See LIS CODE SHEET) required for provisional hiring under CPSL. Staff person #3 did not completed the mandated reporter training within 90 days of their date of hire (See IS CODE SHEET). Staff person #3 has documentation of mandated reporter training dated 4/25/22.

Corrected Corrected by Jul 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.61(g) · Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

In the PS 1/PS Readiness room, it was observed a preschool child was laying down, resting on a mat in the same group space as preschool children participating in small muscle activity.

Corrected Corrected by Jun 1, 2022

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

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

In the Toddler 3 room, according to staff statement the Isopropyl Alcohol is used for crafts where staff mix it with paint and have the children use Q-tips to dip it in and paint with.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

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

In the PS 1/PS Readiness room, a window was observed to be ripped and not in good repair.

Corrected Corrected by Jun 1, 2022

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.

In the Toddler 2 room, the first-aid kit was observed to lack tape.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

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

In the outdoor PS Playground, observed a large cracked cemented wall that was not in good repair.

Corrected Corrected by Jun 2, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the Pre-K/PS 2 room, the toilet paper holder was broken and not connected to the wall and was not in good repair.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

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

In the PS 1/PS Readiness room, it was observed a clear plastic bin was cracked and not in good repair. In the Pre-K/PS 2 room, observed a floor carpet edge was fraying causing a tripping hazard and was not in good repair.

Corrected Corrected by Jun 1, 2022

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

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

In the School Age room, the refrigerator lacked an operating thermometer.

Corrected Corrected by Jun 3, 2022

Category: nutrition. 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 file for child #3, #5, and #8 contained an agreement which lacked the release persons for the child.

Corrected Corrected by Jun 2, 2022

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.

In the file for child #6, the agreement form lacked the date of the child's admission.

Corrected Corrected by Jun 2, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 lacked the address and telephone number of the child's physician.

Corrected Corrected by Jun 2, 2022

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 file for child #1 and #9 lacked information on the enrolling parent's work address.

Corrected Corrected by Jun 2, 2022

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 file for child #1 lacked the address of in the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present for 7 preschool children in the PS 1/PS Readiness room and 8 preschool children in the PS Playground where children were receiving care.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for child #9 lacked an updated health report conducted within 12 months of previous health report.

Corrected Corrected by Jun 1, 2022

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

3270.131(e)(1)/3270.182(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.A child's record shall contain initial and subsequent health reports.

The file for child #4, #7, and #9 lacked documentation of the yearly Influenza shot with no letter of exemption in file.

Corrected Corrected by Jun 7, 2022

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.

In the Infant room, it was observed a child's hands were not washed after being diapered.

Corrected Corrected by Jun 1, 2022

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

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

In the Infant room, observed a staff diapering a child then used their hands to open a hands-free can to dispose of the diaper. The PS 1/PS Readiness room lacked an operable plastic-lined, hands-free covered can for soiled diapers.

Corrected Corrected by Jun 3, 2022

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

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

The file for staff #1 was observed to have documentation of a health assessment dated more than 24 months apart. The two most recent health forms are dated 3/11/20 and 4/14/22.

Corrected Corrected by Jun 1, 2022

Category: ratio. 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.

Fire drills were conducted in the same hypothetical location for each drill.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

A copy of how to access the DHS regulations electronically was observed not to be posted in a conspicuous place.

Corrected Corrected by Jun 2, 2022

Marked corrected in the state record.