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 #1 and Staff Person #3 did not contain the Pa. Health and Safety Update 2022 which was required to be completed by 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Feb 5, 2025

Category: ratio. 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.

The restroom lacked handwashing signs above the toilet and the changing table.

Corrected Corrected by Dec 16, 2024

Category: health medication. 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.

In the infant area, rest equipment lacked a label with the name of a specific child.

Corrected Corrected by Dec 16, 2024

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

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

The file for Child #1 did not contain a child service report to document the child's growth and development. The file for Child #2 did not contain a child service report after 12/27/22 to document the child's growth and development.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #1 and Child #4 lacked a work address and work phone number.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form for Child #3 lacked written parental consent for emergency medical care.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #1 and Child #4 lacked information regarding the child's special needs.

Corrected Corrected by Feb 5, 2025

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

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

The file for Child #2 and Child #3 contained an emergency contact form that was not updated within 6 months of the previous update.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent health report forms for Child #2 are dated 12/15/22 and 5/15/24, more than 12 months apart. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 5, 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 initial health assessment provided from Staff Person #1 was dated 6/10/22, more than 12 months prior to the date of hire. The initial health assessment for Staff Person #3 was dated 12/4/24, after the date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 5, 2025

Category: ratio. Marked corrected in the state record.

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

The facility lacked written infant feeding schedules from the parent.

Corrected Corrected by Feb 5, 2025

Category: nutrition. Marked corrected in the state record.

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

The file for Child #2 and Child #3 contained a financial agreement form that was not updated within 6 months of the previous update.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for Child #3 lacked written parental consent for administration of minor first aid procedures.

Corrected Corrected by Feb 5, 2025

Category: ratio. Marked corrected in the state record.

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

The file for Staff Person #2 lacked two written, nonfamily references. The file for Staff Person #3 lacked one written, nonfamily reference.

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #1 contained a health report form dated 10/28/24, more than 60 days after the date of enrollment. The file for Child #4, enrolled more than 60 days, did not contain a health report form. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 5, 2025

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

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

The most recent annual written traffic letter to local safety authorities is dated 12/7/23, more than 12 months prior.

Corrected Corrected by Feb 5, 2025

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.

Adult scissors were accessible to children in an unlocked low storage drawer in the toddler area.

Corrected Corrected by Dec 8, 2023

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

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

The files for staff #1, #2, #3, and #4 contained documentation of completing emergency plan training more than 12 months apart. The trainings were dated 11/02/22 and 12/05/23.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility's letter to parents explaining the emergency procedures did not include details regarding accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Corrected Corrected by Feb 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). 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 # 5, #6, #7, and #8 may not work in a child care position at the facility.

The file for staff #5 contained a state police clearance which lacked a dissemination date, therefore the clearance was incomplete. The file also lacked an out of state South Carolina clearance from the abuse and neglect registry. The file for staff #6, hired provisionally, did not contain a complete child abuse clearance, a complete state police clearance or a complete FBI clearance. The file for staff #7, hired provisionally, did not contain documentation of applying for the NSOR certificate. The file for staff #8 did not contain a DHS FBI clearance. A copy of the individual's Dept. of Education FBI clearance was on file, but is not acceptable. The file also lacked documentation of applying for the NSOR certificate.

Corrected Corrected by Feb 8, 2024

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

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

The file for staff #8, designated as an aide, did not contain documentation of the educational qualifications required for the position.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Four electrical outlets on a power strip in the toddler area lacked protective covers. The power strip was accessible to children on the floor behind the TV cart.

Corrected Corrected by Dec 8, 2023

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.

Liquid White Out, labeled keep out of reach of children, was accessible in an unlocked low storage drawer in the toddler area.

Corrected Corrected by Dec 8, 2023

Marked corrected in the state record.

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

A first aid kit was accessible to children in the PS room. The kit was observed in a toy bin under the window ledge where it is typically stored.

Corrected Corrected by Dec 8, 2023

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

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

Peeling paint was observed in the PS area on the wall near where the cots are stacked and in the toy storage area near the office.

Corrected Corrected by Dec 8, 2023

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.

The toilet's water tank in the rear restroom lacked a lid. The tank opening is currently covered with plastic. The toilet in the restroom where the diapering table is located was not fully secured to the floor and moves when pushed or sat on.

Corrected Corrected by Feb 8, 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.

Two plastic storage bins, observed in the children's cubbies, were cracked or broken.

Corrected Corrected by Dec 8, 2023

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

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

The door on the changing table in the restroom has a disconnected top hinge creating a pinch point. The seat of a blue chair in the infant area was cracked. In the PS area, the top left corner of a shelving unit was no longer secured together creating a pinch point.

Corrected Corrected by Dec 29, 2023

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

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

The file for child #1 lacked a current child service report. The most recent report on file was completed 12/2022.

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #2 did not specify the date of the child's admission.

Corrected Corrected by Feb 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #2 did not include the name of the child's physician or source of medical care.

Corrected Corrected by Feb 8, 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 file for staff #6 contained a health assessment and TB screening conducted more than 12 months prior to their first day in a child care position.

Corrected Corrected by Feb 8, 2024

Category: ratio. Marked corrected in the state record.

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

The files for staff #5, #6, and #8 did not contain written references. The file for staff #7 contained one written reference.

Corrected Corrected by Feb 8, 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 annual test reports for the fire alarm system were dated more than 12 months apart; 8/10/22 and 8/22/23.

Corrected Corrected by Dec 8, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility's current certificate of compliance was not posted. The posted certificate expired in 2022.

Corrected Corrected by Dec 8, 2023

Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not have documentation of sending a copy of the emergency plan updates to the local municipality and to the county emergency management agency. Changes were made to the plan in 2022.

Corrected Corrected by Feb 8, 2024

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

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

The facility's emergency plan did not include details regarding continuity of business operations.

Corrected Corrected by Feb 16, 2023

Category: ratio. Marked corrected in the state record.

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

The facility did not have a written policy for the identification and prevention of shaken baby syndrome, abusive head trauma, and maltreatment of children.

Corrected Corrected by Feb 16, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff #3 contained a child abuse clearance which was not renewed within 60 months as required. The previous child abuse clearance was obtained on 8/30/17 and was renewed on 12/06/22.

Corrected Corrected by Feb 16, 2023

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

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

The file for staff #4, designated as an aide on the staff data sheet, did not contain verification of the education required for the position they are performing.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A first aid kit was accessible children on a small cabinet near the front door.

Corrected Corrected by Feb 16, 2023

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

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

Peeling paint was observed below the windows in the preschool area.

Corrected Corrected by Feb 16, 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.

Cracks, which created pinch points, were observed on a blue plastic storage tub containing books and a white plastic storage bin containing play food and dishes.

Corrected Corrected by Feb 16, 2023

Category: nutrition. Marked corrected in the state record.

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

Tears were observed in the fabric of a nap cot labeled for child #2. The tears were located where the fabric is secured to the frame of the cot creating the risk of breaking away from the frame under the weight of a child.

Corrected Corrected by Feb 16, 2023

Marked corrected in the state record.

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

A high chair lacking straps was observed near the restrooms. Holes for the straps were present indicating the manufacturer intended for them to be in use with the high chair.

Corrected Corrected by Feb 16, 2023

Category: physical safety. 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 file for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine in 2021 or 2022. A written exemption was not on file.

Corrected Corrected by Feb 16, 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 files for staff #2 and #3 contained health assessments which were not updated within 24 months. The most recent health assessments on file for both staff are now current.

Corrected Corrected by Feb 16, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff #4 contained only one written reference.

Corrected Corrected by Feb 23, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not provide documentation of conducting an annual emergency drill.

Corrected Corrected by Feb 16, 2023

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 #1 contained 6 hours of training obtained on time and 4 hours of training obtained after 12/19/21. Staff #1 currently lacks 2 hours of annual training for the time period 12/19/20 to 12/19/21. The file for staff #3 contained 6 hours of training obtained on time and 5 hours of training obtained after 12/19/21. Staff #3 currently lacks 1 hour of annual training for the time period 12/19/20 to 12/19/21.

Corrected Corrected by Feb 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

In the young toddler area of the main child care space, an electrical outlet directly below the window was observed to lack two protective coverings.

Corrected Corrected by Dec 7, 2021

Category: physical safety. 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.

A cove base located on the lower left hand corner of the wall where parent information is posted was observed to be detached from the wall causing it not to be in good repair.

Corrected Corrected by Jan 27, 2022

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

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

The staff file for Staff person #1 contained a current health assessment dated 11/16/20 which was not updated within 24 months of the previously dated 4/23/18 health assessment.

Corrected Corrected by Dec 7, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jan 27, 2022

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

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

The facility lacked a means to provide parents of enrolled children a way to access the regulations in this chapter electronically.

Corrected Corrected by Dec 7, 2021

Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan lacked a lockdown procedure.

Corrected Corrected by Jan 27, 2022

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