Upmc Mercy Child Development

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

There were small pieces of vinyl tearing off a toddler sized sofa in Room 8 (older toddler), accessible to toddlers in care.

Corrected by Oct 7, 2025

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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 4 large strollers (seating 4-6 children) in Room 2, taking up a large portion of the space allowed for child care.

Corrected by Oct 7, 2025

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

The emergency contact form on file for child #2 did not include the child's health insurance information.

Corrected by Oct 14, 2025

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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 current agreements on file for children #1- #4 were reviewed and updated by parents in writing on 2/28/25 and then again on 9/1/25.

Corrected by Oct 7, 2025

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3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The files for Facility Persons #1, #2, and #3 did not include documentation of the child care experience required for the each staff person's noted classification.

Corrected by Oct 22, 2024

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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.

Toilet cleaner was accessible to children in a restroom in the hallway. Children were observed in the hall while the restroom door was open. The toilet cleaner was observed on a low shelf in an unlocked cabinet inside the restroom.

Corrected by Oct 4, 2023

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

Room 13, now used as an early morning drop off room, lacked a posted written schedule.

Corrected by Oct 4, 2023

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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 files for children #1 and #2 lacked documentation that the child service reports on file were shared with the parents. The files for children #3 and #4 contained consecutive service reports which were shared with parents at an interval greater than 6 months.

Corrected by Oct 20, 2023

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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.

The hands free can in the diapering area of Room 5 was not functioning at the time of the inspection. The hinges on the lid appeared to be detached.

Corrected by Oct 4, 2023

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

The files for staff #1 and #2 contained consecutive health assessments dated more than 24 months apart. The most recent health assessments on file for both staff are now current.

Corrected by Oct 20, 2023

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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 address continuity of operations.

Corrected by Jan 15, 2023

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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.

An open box containing several bottles of toilet cleaner was observed on the floor in the rear stall of the restroom near the gross motor room.

Corrected by Oct 31, 2022

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

Exposed foam batting was observed on the back of a bouncy seat cover in the infant room.

Corrected by Oct 31, 2022

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

Plastic Easter basket grass was observed in the sensory bin in the older toddler room 9.

Corrected by Nov 1, 2022

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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 #--- may not work in a child care position at the facility.

The file for Staff #2 contained an NSOR clearance dated after the first day of employment in a child care position. The facility did not have a valid provisional hire waiver at that time.

Corrected by Nov 3, 2021

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

The first-aid kit in Room 2 was observed to lack soap.

Corrected by Oct 19, 2021

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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 and plaster was observed along the baseboard under the waste receptacle in the green 9B bath.

Corrected by Oct 19, 2021

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

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in Room 5.

Corrected by Oct 19, 2021

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

The written consent for Nystatin for Child #1 in Room 2 was observed to lack a parental signature.

Corrected by Oct 19, 2021

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3270.31(f)(10)/3270.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation. 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, an existing staff member, lacked documentation of valid Pediatric first-aid and CPR certification. The certificate present in the file was documented for an online course and was not listed as Pediatric. Certification was due 180 days following the implementation of the current regulations.

Corrected by Dec 12, 2021

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

The observed fire drill log contained dills between 5/21 and 7/21 and 7/21 and 9/21 which were completed more than 60 days apart.

Corrected by Oct 20, 2021

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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.

According to operator report, the observed emergency plan was sent to the county EMA but not to the local municipality.

Corrected by Nov 12, 2021

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