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Home › PA › Pittsburgh › Two Hands Are Better Than One Learning
325 S Trenton Ave, Pittsburgh PA 15221 · License #CER-00251699 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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 policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the Strategies for coping with a crying, fussing or distraught child.
Corrected Corrected by Dec 31, 2025
Category: ratio. Marked corrected in the state record.
3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.
The facility current liability of insurance is dated 10/2/25. The liability insurance was due on7/8/25.
Corrected Corrected by Dec 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
The facility did not review the emergency plan at least annually. The last emergency plan review was dated 1/10/23.
Corrected Corrected by Dec 31, 2025
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Category: recordkeeping. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files for staff # 1,2,3,4,5,6,7 and 8 lacked emergency plan training.
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 staff # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional.
Corrected Corrected by Jan 3, 2026
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 #2 may not work in a child care position at the facility.
The file for staff #2 lacked a current NSOR clearance. The previous NSOR clearance is dated 2/20/20. The file for staff#7 contained a current state police clearance dated 11/18/25 the was not renewed within 60 months of the prior state police clearance dated 2/2/20. A current Child abuse clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 3/17/20 and a current NSOR clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 1/30/20.
Corrected Corrected by Dec 17, 2025
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The files for Staff # 2 and 7 and & lacked a written evaluation.
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
There was a broken phone box under the computer table in the main room. The bathroom light in the toddler room is pulling of the ceiling. One of the doors in the upstairs bathroom is exposing splinters and the other door is cracked; the radiator box has sharp edges. There was a sharp metal edge on the bottom of the stairs on the upstairs entry.
Corrected Corrected by Jan 2, 2026
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.
There was damaged plaster along the sink wall in the main room bathroom. There was peeling paint on the upstairs kitchen wall .
Corrected Corrected by Jan 2, 2026
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.
There was a cracked lid in the main room. There was a green cracked lid, a broken cubby hook creating a sharp edge, and a broken sleeping cot in the toddler room. There were 4 broken tricycles in the playground.
Corrected Corrected by Jan 2, 2026
Category: physical safety. Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
There was a yellow highchair with missing straps in the main room.
Corrected Corrected by Dec 18, 2025
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.
The sleeping cots in the toddler room were not labeled for the use of a specific child and used only by the specified child.
Corrected Corrected by Dec 18, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file for child #5 lacked an agreement form.
Corrected Corrected by Jan 2, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
The file for child # 1 lacked information to the family about the child's growth and development in the context of the services being provided.
Corrected Corrected by Dec 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.
The file for child #4 lacked the parent's name on the emergency contact form.
Corrected Corrected by Dec 31, 2025
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 # 4 lacked the name, and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child #5 lacked the name, and address of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by Dec 31, 2025
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 # 4 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child # 5 lacked the work addresses and telephone numbers of the enrolling parent. on the emergency contact form.
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The file for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on the emergency contact form.
Corrected Corrected by Dec 17, 2025
Category: ratio. 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 file for child # 4 lacked the 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, on the Emergency contact form.
Corrected Corrected by Dec 31, 2025
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 files for children # 1,4 and 5 lacked the health insurance policy number on the emergency contact form.
Corrected Corrected by Dec 31, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files for children # 2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 5 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The files for children #1,2 and 3 emergency contact form and agreement form were not reviewed once in a 6-month period .
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2)/3270.131(e)(3) · 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 facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 1 must be dismissed from care by close of business 12/17/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.
The file for child # 1 lacked an updated health report. The previous report was dated 5/28/24. The file for child #2 contained a current health report dated 9/3/25. The previous report was dated 8/13/24.
Corrected Corrected by Dec 17, 2025
Category: health medication. Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The files for children # 4 and 5 lacked signed parental consent for emergency medical care for the child. Written consent is required prior to admission on the emergency contact form.
Corrected Corrected by Dec 31, 2025
Category: recordkeeping. 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 emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Dec 31, 2025
Category: physical safety. 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 lacked an emergency drill log.
Corrected Corrected by Dec 31, 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 staffs # 2,3 and 7 lacked 7out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.
Corrected Corrected by Jan 30, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.131(e)(3) · 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings)..Children # 3,4 and 5 must be dismissed from care by close of business 12/17/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.
The file for child #3 a school age lacked an initial health report. The child was in care longer that 60 days without initial health report The files for children #4 and 5 a YT and a Preschooler lacked an initial health report. The child was in care longer that 60 days without initial health report.
Corrected Corrected by Dec 17, 2025
Category: health medication. 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 emergency plan lacked the emergency drill log.
Corrected Corrected by Dec 30, 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 facility policy to identify the Prevention of Shaken Baby Syndrome, lacked The Abusive Head Trauma and The Child Maltreatment Statement.
Corrected Corrected by Dec 30, 2024
Category: ratio. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
The facility emergency plan was not reviewed annually. The previous review was done on 1/10/23.
Corrected Corrected by Dec 30, 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 #3 will have until 12/18/24 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, 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 # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Mandated Reporter Training.
Corrected Corrected by Dec 18, 2024
Category: supervision. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The files for staff # 1,2, and 3 lacked a written evaluation.
Corrected Corrected by Dec 30, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
There was a garbage can that contained contaminated by human secretions trash without a lid in the main room.
Corrected Corrected by Dec 30, 2024
Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first- aid kit in the main room lacked, an assortment of adhesive bandages, tweezers, tape, and gloves. The first- aid kit in the Toddler room lacked, gloves, tape and gloves.
Corrected Corrected by Dec 13, 2024
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
There was a cracked window glass on the front entrance in the toddler room.
Corrected Corrected by Dec 13, 2024
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.
There was damage plaster on the wall by the computers in the main room.
Corrected Corrected by Dec 16, 2024
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The bathroom in the main room lacked washing hand signs above the toilet, above the training chair and above sink.
Corrected Corrected by Dec 4, 2024
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
There were 2 cracked trucks, 3 cracked bin lids, 1 broken pink chair and one cracked pencil box in the main room.
Corrected Corrected by Dec 3, 2024
Category: physical safety. 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.
The coats in the main room were not labeled for the use of a specific child and used only by the specified child.
Corrected Corrected by Dec 4, 2024
Category: physical safety. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file for child # 1 lacked telephone number of the child's physician or source of medical care on the emergency contact form. The file for child # 5 lacked the address of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by Dec 30, 2024
Category: health medication. 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 files for children # 1,3 and 4 lacked written consent signed by a parent for emergency medical care on the emergency contact form.
Corrected Corrected by Dec 30, 2024
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 # 5 lacked the health insurance policy number on the emergency contact form.
Corrected Corrected by Dec 30, 2024
Category: health medication. 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.
A copy of the facility emergency plan was not sent to the local municipality and the county emergency management agency.
Corrected Corrected by Dec 30, 2024
Category: physical safety. 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 the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Dec 30, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The main room and the toddler room lacked emergency transportation plan posted.
Corrected Corrected by Dec 30, 2024
Category: transportation. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The file for child #1 Contained an emergency contact and an agreement forma that has not been review since 10/3/23. The file for child # 2 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/23 and the current review was dated 11/17/24. The file for child #3 Contained an emergency contact and an agreement forma that has not been review since 9/6/22. The file for child # 4 contained an emergency contact and an agreement form that was not reviewed within 6 months. The previous review was dated 11/21/21 and the current review was dated 11/17/24. The file for child # 5 contained an emergency contact and an agreement forma that has not been review since 12/19/23.
Corrected Corrected by Dec 30, 2024
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 # 2 a preschooler contained a current health report dated 11/21/24. The report was obtained after 12 months the prior report was dated 4/12/22.
Corrected Corrected by Dec 3, 2024
Category: health medication. 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 files for children # 1,3 and 4 lacked signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.
Corrected Corrected by Dec 30, 2024
Category: ratio. Marked corrected in the state record.
3270.192(2)(iv) · 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 staff # 2 and 3 lacked verification of experience.
Corrected Corrected by Dec 30, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.131(e) · 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. 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.
The file for child # 1 an old toddler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 3 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 4 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report and immunizations. The file for child # 5 a preschooler lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the health report.
Corrected Corrected by Dec 30, 2024
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.
Staff # 3 did not wash the child's hands after diapering.
Corrected Corrected by Aug 27, 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. Until such time as the required trainings are completed, staff persons #1,2,4,5 and 6 must be supervised, when interacting with children, by a (AGS,) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1,2,4,5 and 6, staff persons #1,2,4,5 and 6 may not work in a child care position at the facility.
Staff persons # 1,2,4,5, and 6 were observed to be caring for children unsupervised. Staff persons #1,2,4,5 and 6 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/26/22 to 2/26/24.
Corrected Corrected by Sep 23, 2024
Category: supervision. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
There was a broken white and black motorcycle toy in the playground.
Corrected Corrected by Aug 27, 2024
Category: physical safety. 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 9/11/24 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, 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 # 3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety, Mandate Reported Training and Pediatric First Aid and Pediatric CPR.
Corrected Corrected by Sep 23, 2024
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 will have until 9/11/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person # 1 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 (8/14/19).
Corrected Corrected by Sep 12, 2024
Category: supervision. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
On 8/27/24 around 9: 10 am staff #2 was observed caring for 1 YT,3 OT and 3 PS in the toddler room.
Corrected Corrected by Aug 27, 2024
Category: ratio. 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.
There was a hair gel bottle on top of the sink counter labeled " keep out of reach of children" accessible to children.
Corrected Corrected by Aug 27, 2024
Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
There was peeling plaster on the wall above the sink in the preschool room.
Corrected Corrected by Aug 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The preschool room bathroom lacked a hand washing sign above the toilet.
Corrected Corrected by Aug 27, 2024
Category: health medication. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
The exit back door in the preschool room was obstructed with a few gallons of water.
Corrected Corrected by Aug 27, 2024
Category: physical safety. 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.
Staff # 3 kept a soiled diaper on the couch until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.
Corrected Corrected by Aug 27, 2024
Category: health medication. Marked corrected in the state record.
3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.
Staff # 3 did not use a changing pad or other surface covering. Staff # 3 changed the child on the couch. The surface was not sanitized
Corrected Corrected by Aug 27, 2024
Category: health medication. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · 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. 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 # 7 contained a health report dated 9/11/23 that lacked a TB test.
Corrected Corrected by Sep 10, 2024
Category: health medication. Marked corrected in the state record.
3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.
Staff #3 did not wash her hands after diapering a child.
Corrected Corrected by Aug 27, 2024
Category: health medication. Marked corrected in the state record.
3270.192(2)(ii) · 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 # 7 lacked proof of education and verification of childcare experience.
Corrected Corrected by Sep 18, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for staff # 7 lacked two written, nonfamily references.
Corrected Corrected by Sep 10, 2024
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 files for children # 1,2 and 5 lacked 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 on the emergency contact form.
Corrected Corrected by Dec 12, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The files for children # 4 and 5 lacked the health insurance policy number on the emergency contact form.
Corrected Corrected by Dec 12, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files for children # 1 and 5 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Dec 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The files for children #1,3 and 5 emergency contact form and agreement form have not been updated once in 6 months period.
Corrected Corrected by Dec 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).
The file for child #1a school age lacked an initial health report. The file for child # 5 a school age lacked an initial health report.
Corrected Corrected by Dec 12, 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 facility emergency plan lacked the updates regarding the Continuity of Operations requirements. The facility lacked a policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. The file for staff # 4 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.
Corrected Corrected by Dec 24, 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 staff # 2,3 and 4 lacked a current Fire Safety training. The prior certificate was dated 2/26/23.
Corrected Corrected by Dec 27, 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.
The file for staff # 1 contained a current Health and Safety Updated training dated 11/10/23 , that was not completed by 12/30/22. The file for staff # 3 contained a current Health and Safety Updated training dated 11/15/23 , that was not completed by 12/30/22. The file for staff # contained a current Health and Safety Updated training dated , that was not completed by 12/30/22.
Corrected Corrected by Dec 24, 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). 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 # 2 contained a current FBI clearance dated 3/1/21, that was not renewed within 60 months of the prior FBI clearance dated 6/13/15. The file for staff # 3 contained a current Child Abuse clearance dated 2/25/21, that was not renewed within 60 months of the prior Child Abuse clearance dated 6/4/15. The file for staff # 4 contained a current FBI clearance dated 7/2/19, that was not renewed within 60 months of the prior FBI clearance dated 11/5/09. The file for staff # 4 contained a current State Police clearance dated 10/15/21, that was not renewed within 60 months of the prior State Police clearance dated 3/6/15
Corrected Corrected by Dec 24, 2023
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The files for staff # 2 and 3 lacked documentations of the previous and current written staff evaluation.
Corrected Corrected by Dec 24, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
The nursery room lacked a first-aid kit.
Corrected Corrected by Dec 11, 2023
Category: physical safety. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first-aid kit in the main room lacked scissors.
Corrected Corrected by Dec 11, 2023
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
There were 6 ceiling tiles with water damaged in the main room. There was a cracked light cover close to the kitchen area in the main room.
Corrected Corrected by Dec 24, 2023
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.
There was damage plaster above the bathroom sink.
Corrected Corrected by Dec 24, 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.
There was a cracked plastic table, a rusted cracked easel, 2 broken plastic bins, a broken storage lid, and a bin filled with water in the playground. There were 2 blues cracked bins and a cracked toy truck in the main room.
Corrected Corrected by Dec 11, 2023
Category: physical safety. Marked corrected in the state record.
3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.
The Nursery room lacked a written daily activities schedule posted.
Corrected Corrected by Dec 11, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file for child # 4 was not signed by the operator and the parent.
Corrected Corrected by Dec 24, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.
The files for children # 2 and 4 lacked the date of the child's date of admission on the agreement form.
Corrected Corrected by Dec 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The files for children # 1 and 5 lacked the name, address and telephone number of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by Dec 12, 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 files for children # 1 and 5 lacked the work addresses of the enrolling parent on the emergency contact form.
Corrected Corrected by Dec 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The file for child # 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.
Corrected Corrected by Dec 12, 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 file for child # 3 a school age lacked an updated health report. The previous report was dated 4/20/21. The file for child # 4 a preschooler lacked an updated health report. The previous report was dated 2/1/22.
Corrected Corrected by Jan 31, 2024
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
The file for staff # 2 lacked an updated health report. The previous report date was 11/4/21. The file for staff # 3 contained a current health report dated 2/4/22.The file lacked documentation of the previous health report. The file for staff # 4 lacked an updated health report. The previous report was dated 4/7/21.
Corrected Corrected by Jan 31, 2024
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
Th file for staff #5 lacked tuberculosis screening by the Mantoux method at initial employment.
Corrected Corrected by Dec 12, 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 staff # 5 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Dec 15, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · 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.
The file for child # 2 a preschooler lacked an initial health report. Per directors' statement the child has been in care for long time.
Corrected Corrected by Dec 12, 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.
Staff persons #1 and #2 have not completed the Pennsylvania Health & Safety Update 2022 which was required to be completed by 12/30/2022.
Corrected Corrected by Nov 13, 2023
Category: ratio. 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 #5 contained an agreement form that was lacking the persons whom the child can be released to.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.
The file for Child #4 contained an agreement form that was lacking the child's admission date.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files for Staff #1, 2, 3, and 4 were all lacking documentation of annual emergency plan training.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. 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 restroom down by the toilet on the main older children side of the facility.
Corrected Corrected by Feb 15, 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 Mickey Mouse table on the main side of the facility was observed to be peeling all on the top of the table.
Corrected Corrected by Feb 1, 2023
Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The nursery side of the facility was lacking a posted written daily schedule. When certification Rep. asked if they had one the staff answered that they don't follow one in that room.
Corrected Corrected by Feb 1, 2023
Category: physical safety. 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 files for Child #1, 3, and 4 all contain emergency contact forms that are lacking signed parental consent for emergency medical care for the children.
Corrected Corrected by Feb 1, 2023
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 #5 contained an emergency contact form that was lacking the policy number for the child's health insurance.
Corrected Corrected by Feb 1, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The file for Child #3 contains an emergency contact form that was lacking the addresses of the persons to whom the child can be released.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The file for Child #3 was lacking 6 month signed updates of the child's emergency contact form and agreement form.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
The file for Child #5 who is a young toddler age child contained a health assessment that was more than 6 months old.
Corrected Corrected by Mar 1, 2023
Category: health medication. Marked corrected in the state record.
3270.131(e) · 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.
The file for Child #2 who has been enrolled at the facility for more than 60 days was lacking a health assessment.
Corrected Corrected by Feb 1, 2023
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 file for Child #3 contained an immunization record that was lacking the annual influenza immunization. The file for Child #5 contained an immunization record that was lacking 2-3 doses of the rotovirus vaccine.
Corrected Corrected by Feb 1, 2023
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 #4 contains 2 health assessments that are more than 24 months apart.
Corrected Corrected by Jan 11, 2023
Category: ratio. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
The facility was lacking documentation of an annual emergency drill.
Corrected Corrected by Feb 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The facility lacked documentation of sending the annual traffic letters to the local traffic safety authorities.
Corrected Corrected by Feb 1, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
There was no agreement form in the file for child #1. The agreement form in the file for child #3 was not signed by a parent.
Corrected Corrected by Mar 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement form in the file for child #2 and #3 did not specify the child's arrival and departure time.
Corrected Corrected by Dec 29, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The agreement in the file for child #2 did not specify the release persons.
Corrected Corrected by Jan 18, 2022
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 last first-aid/CPR training in the file for staff person #1 expired in May 2021.
Corrected Corrected by Mar 4, 2022
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 last fire safety training in the file for staff person #1 through #5 was dated more than 12 months ago.
Corrected Corrected by Mar 4, 2022
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 last evaluation by the director in the file for Staff #1 through #4 was dated more than 12 months ago.
Corrected Corrected by Mar 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
In the toddler kitchenette, there was a can of Lysol disinfecting spray and Suave hand sanitizer sitting on a small table next to a loaf of bread and canned food items.
Corrected Corrected by Dec 29, 2021
Category: ratio. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in the toddler room did not contain gauze pads.
Corrected Corrected by Dec 29, 2021
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.
There were 2 small areas of flooring missing in the main room's bathroom.
Corrected Corrected by Mar 4, 2022
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.
There were several areas of peeling paint on the railing in the outdoor play space.
Corrected Corrected by Mar 4, 2022
Category: physical safety. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The emergency contact information in the file for child #1 and #4 did not include an address for the child's physician. The emergency contact information in the file for child #2 and #5 did not include any information for the child's physician. The emergency contact information in the file for child #3 did not include a street number for the child's physician.
Corrected Corrected by Mar 4, 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 emergency contact information in the file for child #1 did not include a work phone number for the child's mother. The emergency contact information in the file for child #2, #4 and #5 did not include a work phone number or address for the child's mother. The emergency contact information in the file for child #3 did not include a street number for the mother's work address.
Corrected Corrected by Mar 4, 2022
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 information in the file for child #1, #2, #3 and #5 did not include written parental consent for emergency medical care.
Corrected Corrected by Mar 4, 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 emergency contact information in the file for child #2 and #5 did not include any health insurance information. The emergency contact information in the file for child #3 did not include a work policy number for the child's health insurance
Corrected Corrected by Mar 4, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact information in the file for child #2 did not include the last names of the release persons and both addresses were incomplete. The emergency contact information in the file for child #3 did not include complete addresses for the release persons, as there was no city or zip code, and there was no street number for one of the release persons. The emergency contact information in the file for child #4 did not include addresses for the release persons.
Corrected Corrected by Mar 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The health report in the file for child #1 was signed but the individual's title was not legible.
Corrected Corrected by Mar 4, 2022
Category: health medication. Marked corrected in the state record.
3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The health report in the file for child #1 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Corrected Corrected by Mar 4, 2022
Category: health medication. Marked corrected in the state record.
3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.
There was no evidence of a flu shot in the file for child #1, a 3 year old. There was no evidence of a flu shot in the file for child #2, a 3 year old and they were missing 2 of 2 Hep A vaccinations. Neither file included a written statement of exemption by a parent.
Corrected Corrected by Mar 4, 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 last health assessment in the file for staff person #1, #3 and #4 more than 24 months ago. The last two health assessments in the file for staff person #2 were dated more than 24 months apart.
Corrected Corrected by Mar 4, 2022
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 health assessment in the file for staff person #2 did not include the results of an examination for communicable disease as the box next to the statement was left blank.
Corrected Corrected by Mar 4, 2022
Category: health medication. Marked corrected in the state record.
3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.
The menu posted at the facility was for the current week.
Corrected Corrected by Dec 29, 2021
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 information in the file for child #1, #2, #3 and #5 did not include written parental consent for minor first-aid by staff.
Corrected Corrected by Mar 4, 2022
Category: ratio. Marked corrected in the state record.
3270.31(h) · All staff persons shall complete the professional development under subsection (f).
The file for staff person #1 through #5 included health and safety training on topics #1 through #9 required by regulation 31f dated after 6/17/21. All 5 staff were hired before 12/19/20.
Corrected Corrected by Dec 29, 2021
Category: health medication. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Based on review of the facility's fire drill log and on conversation with the operator, the fire detection system was tested in March, August and December 2021.
Corrected Corrected by Dec 29, 2021
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 certificate posted at the facility was from the previous certification year, 2020-21.
Corrected Corrected by Mar 4, 2022
Marked corrected in the state record.
3270.131(a) · 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.
The file for child #2, enrolled more than 90 days, did not include a health report for the child.
Corrected Corrected by Jan 18, 2022
Category: health medication. Marked corrected in the state record.