3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #1 will have until 12/11/25 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 7/2020.

Corrected Corrected by Nov 7, 2025

Category: supervision. 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 persons #1 and #2 will have until 3/22/25 to complete the required training. Until such time as the required training has been completed, staff persons #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety basics.

Corrected Corrected by Mar 22, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

Staff person #4 has completed mandated reporter training late. This is evidenced by the previously documented mandated reporter training on file being dated 8/22/22 and completed 8/27/24.

Corrected Corrected by Aug 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.51/3270.113(a) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8. The required staff:child ratios must be maintained at all times. Children must be able to be seen at all times. Children must be supervised at all times.

At 10:00am, 5 infants were in care in the infant room #152. One infant was asleep in a crib that was behind a shelf. The infant was unable to be seen be either staff in the room at that time.

Corrected Corrected by Feb 11, 2025

Category: supervision. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for child #1 contains a health assessment that was obtained late. The updated health assessment was due 8/2024 and was obtained 2/2025. The file for child #2 lacks a current health assessment. The health assessment was due 1/2025. Immunizations are on file.

Corrected Corrected by Apr 1, 2025

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

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

The file for staff #5 lacks a current health assessment. The health assessment was due 2/6/25.The file for staff #4 contains a health assessment that was obtained late. The health assessment was due 3/2024 and was obtained 1/2025.

Corrected Corrected by Apr 1, 2025

Category: ratio. 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.

Staff #3 completed 5 of the annual training hours late (past 3/2024). Staff #3 still lacks 2 hours of annual child care training for the 3/2023-3/2024 period. Staff #6 completed 4 of the annual training hours late (past 3/2024). Staff #6 still lacks 7 hours of annual child care training for the 3/2023-3/2024 period.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Adult scissors were observed accessible to children in Room 136, Room 138, and Room 157.

Corrected Corrected by Feb 16, 2024

Category: health medication. 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 file for Staff #5 lacked Emergency Plan training within 90 days of hire. The training was dated 8/22/23. (SEE LIS CODE SHEET)

Corrected Corrected by Aug 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(ii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The two most recent Pediatric First Aid and CPR trainings on file for Staff #2 are dated 1/19/22 and 2/5/24, more than 24 months apart. The two most recent Pediatric First Aid and CPR trainings on file for Staff #9 are dated 3/2/21 and 2/5/24, more than 24 months apart.

Corrected Corrected by Feb 5, 2024

Category: ratio. Marked corrected in the state record.

3270.67(a) · Trash shall be removed from the facility at least once per day.

Two trash cans located in the outside play area were observed with garbage from days prior.

Corrected Corrected by Feb 16, 2024

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.

Staff #5 did not complete the following required pre-service training within 90 days of their date of hire: Pediatric First Aid and CPR (8/8/23) and Get Started with Center-Based Care -- Revised 2022 (2/1/24). Staff #9 did not complete the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care -- Revised 2022 (SEE LIS CODE SHEET)

Corrected Corrected by Feb 2, 2024

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 disclosure statement on file for Staff #3 is dated 9/3/21, which is more than 2 year prior to the date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 20, 2024

Category: background checks. 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 #5 and Staff #6 contained a NSOR certificates dated 2/2/24, which is more than 45 days beyond date of hire. The file for Staff #7 contained a State Police clearance dated 2/12/24 and a Child Abuse clearance dated 2/13/24, which is more than 45 days beyond date of hire. The file for Staff #8 contained a FBI clearance dated 2/2/24, which is more than 45 days beyond date of hire. The file for Staff #11 did not contain documentation of an FBI clearance. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 20, 2024

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

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 file for Staff #9, classified as an Assistant Group Supervisor, does not include documentation of a high school diploma.

Corrected Corrected by Mar 29, 2024

Category: supervision. 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.

Protective receptacle covers were missing in Room 133 (1 near the bathroom), Room 153 (1 above the garbage can), and Room 237 (2 in an extension cord by window).

Corrected Corrected by Feb 20, 2024

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.

A trash receptacle in Room 125, containing human secretions, was observed without a lid.

Corrected Corrected by Mar 29, 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.

Room 135 did not contain a first-aid kit and the first-aid kit in Room 127 lacked scissors.

Corrected Corrected by Feb 20, 2024

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 facility lacked a handwashing sign at every sink, toilet, and urinal in Room 133, Room 137, Room 237, CDC Girls Bathroom, and DOE Boys Bathroom.

Corrected Corrected by Feb 16, 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.

Foam blocks with teeth marks were observed in Room 125, Room 152, and Room 156. Broken magnatiles, which could be hazardous to children, were observed in Room 136, and Room 157.

Corrected Corrected by Feb 22, 2024

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

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

In Room 137, ripped plastic less than 1 inch on 2 chairs and a couch, books with peeling paper less than one inch in Room 154, and peeling plastic less than one inch on foam balance beams in Room 107 were observed accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 29, 2024

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for Child #7, a young toddler, contains a health assessment dated 6/23/23 and is lacking an updated health assessment within 6 months.

Corrected Corrected by Mar 29, 2024

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

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The facility's outdoor equipment, located in the outdoor play spaces, were observed to be embedded but lacked sufficient documentation from the installer detailing the fall height of the equipment.

Corrected Corrected by Feb 20, 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.

In Room 154, rest equipment lacked labels with the names of the specific children.

Corrected Corrected by Feb 16, 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 emergency contact form for Child #6 did not contain the address and phone number of the child's physician or source of medical care.

Corrected Corrected by Mar 29, 2024

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

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

The emergency contact forms for Child #1, Child #2, Child #3, Child #5, and Child #7 did not contain the enrolling parent's work address and telephone number.

Corrected Corrected by Mar 29, 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 emergency contact form for Child #7 lacked the Health Insurance/MA Coverage and the Health Insurance/MA Policy Number.

Corrected Corrected by Mar 29, 2024

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

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

Room 152 lacked the required emergency contact information for Child #8.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(1) · A health report shall include a review of the child's health history.

The most recent health assessment on file for Child #4 did not contain a review of the child's health history.

Corrected Corrected by Mar 29, 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 two most recent health assessments on file for Staff #1 are dated 3/25/21 and 8/25/23, which is more than 24 months apart. The most recent health assessment on file for Staff #4 is dated 2/8/21, more than 24 month ago. The most recent health assessment on file for Staff #12 is dated 2/18/21, more than 24 months ago. The two most recent health assessments on file for Staff #13 are dated 6/29/20 and 6/30/23, more than 24 months apart.

Corrected Corrected by Mar 29, 2024

Category: ratio. Marked corrected in the state record.

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

The Initial Health Assessment for Staff #10 is dated 10/27/23, which is dated after Staff #10's date of hire. (SEE LIS CODE SHEEET)

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health assessment on file for Staff #8 is not an acceptable format.

Corrected Corrected by Mar 29, 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 TB test dated 2/7/24, which was beyond date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Feb 7, 2024

Category: health medication. 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 current health assessment on file for Staff #7 does not indicate that the staff person was examined for communicable diseases.

Corrected Corrected by Mar 29, 2024

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

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

The current health assessment on file for Staff #7 does not indicate if the staff member is suitable to provide child care.

Corrected Corrected by Mar 29, 204

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

3270.15(a) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements of the Department of Labor and Industry in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

The facility was unable to provide a copy of the certificate of occupancy.

Corrected Corrected by Feb 26, 2024

Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

The file for Staff #12 contained Health and Safety Basic Training (6 Hour Course) dated 8/23/18 and lacked the Get Started With Center-Based Care (10 Hour Course).

Corrected Corrected by Mar 29, 2024

Category: health medication. 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 file for Staff #12 did not contain 12 hours of annual childcare training.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The one-hour Health and Safety update training certificate on file for Staff person #5 is dated 2-2-24 which is after the deadline of 12-30-22.

Corrected Corrected by Feb 2, 2024

Category: ratio. 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), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1, #2 and #4 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1, #2 and #4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, and #4, staff person #1, #2 and #4 may not work in a child-care position at the facility

Staff person #1, #2, and #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started with Center-based Care: Building Blocks for Quality Revised 2022. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. The file for Staff person #2 contains a certificate dated 5/13/23 for a non-approved CPR/1st aid curriculum, making it invalid.

Corrected Corrected by Feb 23, 2024

Category: supervision. Marked corrected in the state record.

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

The 2 most recent mandated report trainings certificates on file for Staff Person #3 are dated 7-24-25 and 2-4-22, which are more than 60 months apart.

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #4 contains a current mandated reporter training that was completed greater than 60 months after the previous training. The file is now current.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #2 contains a health assessment that lacks a physician's statement regarding the individual's suitability to provider child care.

Corrected Corrected by Apr 14, 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 provider is lacking a written policy and procedure on the prevention of Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment.

Corrected Corrected by Mar 31, 2023

Category: ratio. 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 persons #3,4,5,6,7,8 and 11 contain current training regarding the facility emergency plan which was received greater than 12 months following the previous training. The files are now current.

Corrected Corrected by Aug 21, 2022

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 operator has not provided the parents of each enrolled child with a letter explaining the emergency procedures and subsequent updates to the plan.

Corrected Corrected by Mar 31, 2023

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 persons #1 and #8 will have until 4/12/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 and 8 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and 8, staff person #1 and 8 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Update 2022. Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Topics #1-#9.

Corrected Corrected by Apr 12, 2023

Category: supervision. 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 files for staff persons #1, #8 and #14 are lacking approved PFA/PCPR training completed within 90 days of hire however do contain current training. The files for staff persons #4, #10and #13 contain Health and Safety Update 2022 completed after the required date of 12/30/2022 however the training is now current.

Corrected Corrected by Mar 31, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

The file for staff person #2, hire date (see LIS code sheet), is lacking a valid DHS FBI clearance and is lacking an NSOR verification as required under CPSL.

Corrected Corrected by Mar 21, 2023

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

3270.62(b)(2) · The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.

Observed on 3/9/2023 twenty-nine younger and older toddlers receiving care in the Room 194 play space which has a maximum capacity of 22 young and older toddlers.

Corrected Corrected by Mar 10, 2023

Category: ratio. 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 file for child #1, preschool aged, is lacking a health report completed during the previous 12 month period. The file does contain current immunizations.

Corrected Corrected by Mar 6, 2023

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

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

The file for staff person #3 contains a current health assessment that was conducted greater than 24 months after the previous health assessment. The file is now current. The files for staff persons #12 and 13 are lacking health assessments conducted prior to their start date in a child care position. The files are now current.

Corrected Corrected by Mar 31, 2023

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 file for staff person #2 contains a health assessment that lacks verification of an examination for communicable disease and the results of the examination. The file for staff person #9 contains a health assessment with a physician's affirmation of a communicable disease but lacks a statement regarding how this may affect working in child care.

Corrected Corrected by Apr 14, 2023

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.

The operator is lacking documentation regarding submission of the facility's current emergency plan to the local municipality and county emergency management agency.

Corrected Corrected by Mar 31, 2023

Category: physical safety. 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 person #3 contains only 6 of the required 12 hours of child care training during the previous year. The file for staff person #4 contains 3 of the required 12 hours of child care training during the previous year. The file for staff person #6 contains only 7 of the required 12 hours of child care training during the previous year. The file for staff person #7 contains only 9 of the required 12 hours of child care training during the previous year. The file for staff person #11 contains only 4 of the required 12 hours of child care training during the previous year. The file for staff person #13 contains only 7 of the required 12 hours of child care training during the previous year.

Corrected Corrected by Mar 31, 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 staff file for Staff person #3, who has a start date of 1/10/22, contained emergency plan training dated 3/2/22 which was not completed at time of initial employment. The staff file for Staff person #5, who has a start date of 1/31/22, contained emergency plan training dated 2/14/22 which was not completed at time of initial employment.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(c)(4) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum.

The staff file for Staff person #10 and Staff person #11 lacked written documentation from the representative of the training institution certifying that the individuals have completed the required classroom training and is currently enrolled in the curriculum.

Corrected Corrected by Apr 30, 2022

Category: recordkeeping. 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 staff file for Staff person #6 lacked annual fire safety training for 2021; the last two documented trainings on file were dated 1/20/20 and 1/19/22.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children

The staff file for Staff person #4, who has a hire date of 3/22/21, contained health and safety training dated 2/22/22 which was not obtained within 90 days of hire. The staff file for Staff person #9, who has a hire date of 11/16/21, contained health and safety training dated 2/18/22 which was not obtained within 90 days of hire. The staff file for Staff person #11, who has a hire date of 8/31/21, contained health and safety training dated 2/8/22 which was not obtained within 90 days of hire.

Corrected Corrected by Feb 23, 2022

Category: ratio. 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). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The staff file for Staff person #8 contained current mandated reporter training dated 2/8/22 which was not renewed within 60 months from the previously existing certificate dated 7/26/16. The staff file for Staff person #11 contained mandated reporter training dated 2/8/22 which was not obtained within 90 days of hire.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, #4, #11, #13, #18, #21 -- may not work at the facility. 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 #3, #4, #11, #13, #18, #21 --- may not work at the facility.

The staff file for Staff person #3 lacked a valid FBI clearance; a PDE FBI clearance was on file which is no longer considered an acceptable FBI clearance as of 9/23/18 per the Child Protective Service Law (CPSL). The staff file for Staff person #4 lacked a valid Child Abuse clearance; the Child Abuse clearance on file was a volunteer clearance which is not an acceptable clearance for employment purposes. The staff file for Staff person #11 lacked a National Sex Offender Registry (NSOR) certificate. The staff file for Staff person #16 and Staff person #20, who have a start date working with children of 1/3/22, lacked a NSOR certificate as well the application of having applied for the NSOR certificate prior to working with children; a NSOR certificate dated 2/11/22 and 2/14/22 are on file. The staff file for Staff person #13, lacked documentation of having applied for and received an out of State criminal history check, an out of State sex offender registry check, and an out of State child abuse and neglect registry check from the State in which they have resided outside of PA in within the previous five years as required by the CPSL. Staff person #13, Staff person #18, and Staff person #21 lacked a valid FBI clearance; a PDE FBI clearance was on file.

Corrected Corrected by Mar 21, 2022

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 staff file for Staff person #6 lacked a staff evaluation for 2020; the most recent staff evaluation on file is dated 7/1/21. The staff file for Staff person #8 lacked a staff evaluation for 2020; the two most recent staff evaluation on file are dated 6/6/19 and 7/1/21.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(1) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

The staff file for Staff person #15, who is considered a group supervisor lacked proof of education.

Corrected Corrected by Mar 17, 2022

Category: supervision. Marked corrected in the state record.

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

The staff file for Staff person #9 and Staff person #17, both considered an assistant group supervisor, lacked proof of education. The Staff file for Staff person #4 lacked two years experience with children; only 1,913 hours were documented on file.

Corrected Corrected by Apr 19, 2022

Category: supervision. 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 Room 138 a surge protector with 5 electrical outlets located in the circle time area of the room was observe to have one outlet missing a protective cover. Also another electrical outlet in room 138, located to the left of the white board, was observed to be missing one electrical cover.

Corrected Corrected by Feb 23, 2022

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.

Room 137, Room 235, and Room 237 all lacked a written daily activity schedule.

Corrected Corrected by Apr 19, 2022

Marked corrected in the state record.

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

In Room 152 (Infant Room), at approximately 11:15am, an infant was observed to be a sleep in a crib and where staff were positioned in the room, a swing and/or a changing table were obstructing the staffs view of the infant sleeping thus resulting in staff not being able to properly see, direct, and assess the needs of the sleeping infant.

Corrected Corrected by Feb 23, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The child file for Child #6, Child #8, Child #9, and Child #10 contained a financial agreement form that lacked the fee amount.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #6, #7 and Child #10 contained a financial agreement form that lacked the child's admission date.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The child file for Child #1, #2, #3, #4, and #5 lacked a financial agreement form.

Corrected Corrected by Apr 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The child file for Child #1 contained an emergency contact information form that lacked the addresses for 3 of the individuals designated by the parent to whom the child may be released to. The child file for Child #5 contained an emergency contact information form that lacked the addresses for 2 of the individuals designated by the parent to whom the child may be released to.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. 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 child file for Child #6, and Child #8 lacked a flu shot for 2021.

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 staff file for Staff person #5, lacked a health assessment. The staff file for Staff person #8 contained a current health assessment dated 2/12/21 which was updated more than 24 months from the previously dated 5/18/18 health assessment. The staff file for Staff person #11 and Staff person #19 lacked a health assessment. The staff file for Staff person #21, who has a start date working with children of 1/4/22, contained a health assessment dated 2/23/22 which was not obtained prior to providing initial service in a child care setting.

Corrected Corrected by Apr 22, 2022

Category: ratio. Marked corrected in the state record.

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

The staff file for Staff person #14, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 5/10/17 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #15, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/4/15 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #16, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/13/13 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #15, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 9/4/15 which was conducted more than 12 months prior to providing initial service in a child care setting. The staff file for Staff person #21, who has a start date working with children of 1/3/22, contained a tuberculosis screening test results dated 2/23/22 which was not conducted prior to providing initial service in a child care setting.

Corrected Corrected by Apr 22, 2022

Category: health medication. 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 staff file for Staff person #2, Staff person #3, Staff person #4, Staff person #7, Staff person #12, Staff person #17, and Staff person #20 contained a health assessment that lacked an examination for communicable diseases and the results.

Corrected Corrected by Apr 22, 2022

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

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

The staff file for Staff person #2, Staff person #3, Staff person #4, Staff person #12, Staff person #17, and Staff person #20 contained a health assessment that lacked an assessment of the person's suitability to provide child care.

Corrected Corrected by Apr 22, 2022

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

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

The child file for Child #2 contained an emergency contact information form that was not updated at least once in a 6-month period; the dates of the two most recent updates were 7/11/21 and 2/17/22. The child file for Child #6 contained a financial agreement and an emergency contact information form that were not updated at least once in a 6-month period; the dates of the two most recent updates were 7/1/21 and 3/1/22.

Corrected Corrected by Mar 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.61(h)(2)/3270.61(h)(2)(i) · The capacity established for indoor space may not be exceeded except when older toddler, preschool or school-age children are participating in a program activity. The capacity established for an indoor space may be exceeded for no more than two separate 1/2 hour time periods daily when older toddler, preschool or school-age children are participating in a program activity

At approximately 10:20am in Room 233 which has a capacity of 10, 11 children were observed to be utilizing the room for circle time resulting in the capacity being exceeded by 1 child. Upon review of their daily schedule, there was no notation of exceeding capacity for circle time written on the rooms daily schedule.

Corrected Corrected by Feb 23, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)(10)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire: pediatric first aid and pediatric cardiopulmonary resuscitation.

The staff file for Staff person #10 and Staff person #11, both with a hire date of 8/23/21, contained pediatric first-aid/CPR dated 1/19/22 which was not obtained within 90 days of hire.

Corrected Corrected by Feb 23, 2022

Category: health medication. 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 staff file for Staff person #6 and Staff person #8 contained 8 out of 12 hours of child care training for 12/19/20-12/19/21.

Corrected Corrected by Mar 23, 2022

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 child file for Child #6, who has an enrollment date of 7/1/21, lacked an initial health assessment within 90 days; an initial health report dated 3/3/22 is on file. The child file for Child #9, who has an enrollment date of 7/1/21 lacked an initial health assessment.

Corrected Corrected by Feb 23, 2022

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