3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on interviews with staff, it was verified that Child #1 was left alone in the Carnegie Room on 10/2/25 at 4:30 PM when Staff Person #1 transitioned the other children in their group to the Heinz Room next door. Child #1 was alone and unsupervised for approximately one minute before Staff Person #1 returned to the room to find the child.

Corrected Corrected by Jan 31, 2026

Category: supervision. 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 interviews with staff, it was verified that Child #1 was left alone in the Carnegie Room on 10/2/25 at 4:30 PM when Staff Person #1 transitioned the other children in their group to the Heinz Room next door. Child #1 was alone and unsupervised for approximately one minute before Staff Person #1 returned to the room to find the child.

Corrected Corrected by Jan 31, 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.

Based on interviews with staff, it was verified that Child #1 was left alone in the Carnegie Room on 10/2/25 at 4:30 PM when Staff Person #1 transitioned the other children in their group to the Heinz Room next door. Child #1 was alone and unsupervised for approximately one minute before Staff Person #1 returned to the room to find the child.

Corrected Corrected by Jan 31, 2026

Category: supervision. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Based on conversations with staff, it was determined a staff person in a classroom caring for children closed their eyes for a short period of time (approximately 30 seconds) which caused them not to be able to supervise the children in the classroom.

Corrected Corrected by Dec 23, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 7/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Aug 31, 2025

Category: ratio. 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 #2 exceeded 12 months between evaluations. The file for Staff Person #3, who has been working at the facility for more than 12 months, did not include a written evaluation (See LIS Code Sheet).

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sinks in Room #103, 104 and 105, in which children in care are now standing on their own, could not be easily approached by means of platforms or steps.

Corrected Corrected by Apr 4, 2025

Marked corrected in the state record.

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

On 3/19/25, at 1:00 PM, Staff Person #9 was observed supervising 5 Young Toddlers and 1 Infant during naptime in Room #103.

Corrected Corrected by Mar 19, 2025

Category: supervision. 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 current Pediatric CPR/First Aid Certification in the file for Staff Person #5 was conducted after the previous certification had expired.

Corrected Corrected by Mar 19, 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 file for Staff Person #1, who has been working at the facility for more than 12 months, did not include documentation of annual fire safety training. The file for Staff Person #6 did not include documentation of annual fire safety training conducted within the past year (See LIS Code Sheet).

Corrected Corrected by Apr 4, 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. Facility Person #7 may not work in a child care position at the facility.

The file for Staff Person #7, who has resided outside of Pennsylvania within the past five years, did not include an out of state criminal history clearance for the state in which she resided (Virginia). The file for Staff Person #8, a rehire, did not include an updated disclosure statement.

Corrected Corrected by Apr 4, 2025

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

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

The refrigerator in Room #103 lacked a thermometer.

Corrected Corrected by Mar 19, 2025

Category: nutrition. 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.

The emergency contact binder in Room #110, did not contain emergency contact forms for Child #2 and #3, who were receiving care in that room. The emergency contact binder in Room #109, did not contain an emergency contact form for Child #1, who was receiving care in that room.

Corrected Corrected by Mar 19, 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 most recent health assessments in the file for Staff Person #4 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #8, a rehire, were conducted more than 12 months prior to the staff person's new start date and is not valid (See LIS Code Sheet).

Corrected Corrected by Apr 11, 2025

Category: ratio. 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 facility lacked documentation of an annual fire inspection conducted within the past 12 months (3/13/24).

Corrected Corrected by Apr 4, 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 report in the file for Child #3 was conducted more than 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Mar 19, 2025

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)(1 -- 10) within 90 days of hire. Staff person #3 will have until 1/15/24 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 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 in an approved curriculum from a certified PQAS instructor.

Corrected Corrected by Jan 15, 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. Facility Person #5 may not work in a child care position at the facility.

The FBI Clearance and NSOR Certificate in the file for Staff Person #1 were processed after the staff person's first day working with children and the file for Staff Person #1 did not include a receipt for fingerprints or NSOR application. The out-of-state clearances in the file for Staff Person #1 were received more than 45 days (provisional hire period) after the staff person's first day working with children. The out-of-state clearances and applications for out-of-state clearances in the file for Staff Person #2 were processed after the staff person's first day working with children. The FBI Clearance in the file for Staff Person #4 was dated more than 45 days (provisional hire period) after the staff person's first day working with children. The state police clearance in the file for Staff Person #5 is for volunteer purposes. (See LIS Code Sheet).

Corrected Corrected by Dec 11, 2024

Category: background checks. 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 TB screening in the file for Staff Person #3 was conducted after the staff person's first day working with children. The initial health assessment in the file for Staff Person #5 was conducted after the staff person's first day working with children. (See LIS Code Sheet).

Corrected Corrected by Jan 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 file for Staff Person #1 exceeded 12 months between trainings.

Corrected Corrected by Nov 23, 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. Facility Person #5 may not work in a child care position at the facility.

The application for the NSOR in the file for Staff Person #3 was submitted after the staff person's first day working in child care at the facility. The file for Staff Person #5 did not include copies of clearances from New Jersey, where staff person has resided within the past five years. The disclosure statements in the files for Staff Person #5, #6 and #7 were not dated or witnessed.

Corrected Corrected by Mar 20, 2024

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

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Observed Lysol and Febreez, which were stored next to food items, in the cabinets in Room #101 and 102.

Corrected Corrected by Mar 12, 2024

Category: ratio. 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.

Observed soiled diapers in a trash can with no liner in the bathroom of Room #103.

Corrected Corrected by Mar 12, 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.

Observed dirt and debris under the diaper changing mats in Room #101, 102, 103 and 104.

Corrected Corrected by Mar 12, 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 most recent updated health assessments in the files for Staff Person #2 and #4 exceeded 24 months between assessments.

Corrected Corrected by Mar 27, 2024

Category: ratio. Marked corrected in the state record.

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

The facility did not have an annual traffic letter on file.

Corrected Corrected by Mar 26, 2024

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 will have until 2/6/24 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum

Corrected Corrected by Jan 23, 2024

Category: supervision. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 1/22/24 at approximately 10:30 AM in the Infant Room, Child #1 was observed sleeping in a crib with less than 2 feet of space between the cribs to the left and right of Child #1's crib.

Corrected Corrected by Jan 22, 2024

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

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact forms in the files for Child #1, #2, #3 and #5 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Apr 4, 2023

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

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

The one hour update in the files for Staff Person #4, #5,,#8 and #12. were conducted in January, 2023. This was after the prescribed timeframe of 12/30/22.

Corrected Corrected by Apr 4, 2023

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.

The six-hour health and safety training in the files for Staff Person #1, #3, #11 and #13 was conducted prior to 9/30/16 and is not valid. The 10-hour required health and safety training in the files for Staff Person #1, #3, #11 and #13 was conducted more than 90 days after the staff person date of hire (See LIS Code Sheet) The Pediatric CPR/First Aid in the files for Staff Person #4 and #8 was conduced more than 90 days after the staff person's date of hire (See LIS Code Sheet).

Corrected Corrected by Apr 4, 2023

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)(1) within 90 days of hire. Staff person #6 will have until 5/3/23. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

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

Corrected Corrected by May 3, 2023

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

The file for Staff Person #2 did not contain documentation of the required clearances for Virginia and Missouri, where Staff Person has resided within the past five years. The State Police and FBI Clearances in the file for Staff Person #7 were conducted after the staff person's first day in child care (See LIS Code Sheet). The file for Staff Person #7 did not include documentation of an application for State Police Clearance or receipt for fingerprinting prior to start date, which are required for a provisional hire period.

Corrected Corrected by Apr 4, 2023

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

During naptime, Staff Person #12 was observed supervising 10 Young Toddlers. 4 of the Young Toddlers were awake and not on their rest equipment.

Corrected Corrected by Mar 28, 2023

Category: supervision. Marked corrected in the state record.

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

The glass doors in the gym did not include visual strips or other identification at floor level.

Corrected Corrected by Apr 4, 2023

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

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

Observed dirt and debris under the mats of the diaper changing tables in Room 101 and 102.

Corrected Corrected by Apr 4, 2023

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The initial health assessment in the file for Staff Person #10 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Apr 7, 2023

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

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

The most recent parental updates for the emergency plan and fee agreement in the file for Child #4 exceeded 6 months between updates: 6/14/22-2/10/23.

Corrected Corrected by Mar 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The files for the following staff did not include the experience/education noted: Staff #2: Bachelor's degree and three years experience. Staff #4: High School Diploma and one year experience. Staff #5: Bachelor's in Education. Staff #10: High School Diploma and 8 years experience.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #4 included only one letter of reference.

Corrected Corrected by Apr 7, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The documentation for emergency drills conducted at the facility did not include accommodations for infants, toddlers and special needs children or problems encountered/observations during the drills.

Corrected Corrected by Mar 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Information on how to access the regulations in this chapter electronically were not posted at the facility.

Corrected Corrected by Mar 28, 2023

Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The following staff files contained CPR and first aid certification which was not renewed by the expiration; staff #1 expired March 2021 and was renewed late on 4/03/21. Staff #8 expired May 2021 and was renewed late on 2/19/22. Staff #11 expired March 2021 and was renewed late on 7/31/21. The file for staff #4 has no current certification on file. Certification expired May 2021.

Corrected Corrected by May 2, 2022

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.

Facility staff did not participate in fire safety training on as annual basis as required. The training was previously completed by staff on 8/31/20 and again on 9/03/21.

Corrected Corrected by Apr 1, 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. Staff #9 may not work in a child care position at the facility.

The file for staff #9, with a start date of 12/16/21, did not contain a completed state police clearance. Staff #9 was observed alone with children on the day of the inspection.

Corrected Corrected by Mar 28, 2022

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

3270.33(a)/3270.36(b)(5) · 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.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for staff #13, designated as an assistant group supervisor on the staff data sheet, did not contain a high school diploma.

Corrected Corrected by Apr 6, 2022

Category: supervision. Marked corrected in the state record.

3270.35(b)/3270.35(b)(2) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A group supervisor shall have a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file for staff #10, designated as a group supervisor on the staff data sheet, contained an unrelated BA degree with only 14 related credits.

Corrected Corrected by Mar 25, 2022

Category: supervision. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff #9, who based on the contents of their file qualifies as an aide, was observed alone with children on 3/25/22.

Corrected Corrected by Mar 28, 2022

Category: supervision. Marked corrected in the state record.

3270.102(a)/3270.103 · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Cracks and holes, allowing the inner foam filling to be accessible to children, were observed on a nap mat in room 105 and a nap mat in room 109.

Corrected Corrected by Mar 25, 2022

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.

Pet Shop toys with a diameter of less than 1 inch were observed in room 109. Older toddlers were observed in care in the room on the day of the inspection.

Corrected Corrected by Mar 25, 2022

Marked corrected in the state record.

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

The file for child #5 contained an agreement which did not specify the date of the child's admission.

Corrected Corrected by Mar 25, 2022

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 file for child #1 contained emergency contact information which did not include the health insurance policy number.

Corrected Corrected by Mar 25, 2022

Category: health medication. 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 files for children #2, #3, #4, and #6 contained immunization records which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. The file for child #4 also lacked documentation of receiving the Hep B, DTAP, HIB, Pneumococcal, and polio vaccines in accordance with the schedule recommended by the ACIP. Written exemptions were not on file for these four children.

Corrected Corrected by Apr 6, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The following expired medication, intended for child #7, was observed in room 104; Auvi-Q expiration 3/21/22 and Cetirizine Hcl use by date 2/26/22.

Corrected Corrected by Mar 25, 2022

Category: ratio. Marked corrected in the state record.

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

The files for staff #1, #3, #5, #12, and #14 contained health assessments which were not updated within 24 months. The most recent health assessments on file are now current. The files for staff #2 and #4 do not contain current health assessments conducted within the last 24 months.

Corrected Corrected by Mar 25, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The following staff files contained pediatric CPR and first aid training completed more than 90 days after hire; Staff #6 hired 2/21/21 and training completed 6/14/21. Staff #7 hired 10/25/21 and training completed 2/27/21 Staff #10 hired 9/24/21 and training completed 3/26/22. Staff #13 was hired 11/06/21 and acceptable training has not yet been completed. The following staff were employed prior to 12/19/20, but did not complete CPR and first aid training until after the 6/17/21 deadline; Staff #2 and #5 training completed 6/25/21, staff #14 training completed 7/31/21.

Corrected Corrected by May 2, 2022

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

3270.94(a)(4)/3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Based on the facility's fire drill log, the hypothetical location of the fire has not been rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not provide proof of purchase or proof of installation of the hardwired interconnected fire detection system at the time of renewal.

Corrected Corrected by May 1, 2022

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#12 contained 6 of 12 required annual clock hours. The file for staff #14 contained 8 of 12 required annual clock hours.

Corrected Corrected by May 2, 2022

Category: recordkeeping. Marked corrected in the state record.