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.

The doorway between the kitchen and the preschool room has holes in the wall where the safety gate is attached, that result in exposed plaster and drywall.

Corrected Corrected by Oct 30, 2025

Category: physical safety. 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.

There was an unlocked door in the school-age room that opened to a room that contained an electrical box, which is accessible to children.

Corrected Corrected by Nov 30, 2025

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

The file for staff person #1 did not contain documentation of a complete PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The signed disclosure statement on file for Staff person #1 does not include a witness signature, making it invalid.

Corrected Corrected by Oct 30, 2025

Category: background checks. 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.

There were 4 uncovered outlets observed in the gym that were accessible to children 5 years of age and under.

Corrected Corrected by Oct 29, 2025

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 no lidded trash can in the toddler room are where the children eat for the disposal of the trash contaminated by human secretions or excrement.

Corrected Corrected by Oct 29, 2025

Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

The temperature in the school age classroom measured 60° Fahrenheit and the temperature in the gym measured 61° Fahrenheit, where children were observed receiving care.

Corrected Corrected by Oct 30, 2025

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.

Peeling paint was observed pipes in the school-age room and in the Toddler room, in the corner behind the food area.

Corrected Corrected by Oct 29, 2025

Category: nutrition. 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 person #1 does not include documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET).

Corrected Corrected by Nov 21, 2025

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

3270.191 · An individual record is required for each facility person.

Staff person #2 was observed in the Toddler classroom without having a staff file. The operator stated Staff person #2 was observing, however, they were also observed carrying a child and actively interacting with children.

Corrected Corrected by Oct 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement on file for Child #2, #4 does not include the date that the fee is due to be paid by the parent/guardian.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent fire safety trainings on file for Staff person #1 are dated 1.21.24 and 1.24.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #2 are dated 1.19.24 and 1.24.25, more than 12 months apart.

Corrected Corrected by Apr 24, 2025

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.

Staff person #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality; the training was completed on 2.19.25

Corrected Corrected by Apr 24, 2025

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 #3 may not work in a childcare position at the facility.

The file for Staff person #3 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid

Corrected Corrected by Mar 25, 2025

Category: background checks. 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.

There was no daily schedule in the gym when children were observed in the gym for gross motor activity.

Corrected Corrected by Apr 16, 2025

Marked corrected in the state record.

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

The file for Staff person #3, #4, #5, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by Apr 16, 2025

Category: supervision. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Two radiator covers in the school-age room on the left, side of the classroom and accessible to children measured 131 degrees Fahrenheit and 121 degrees Fahrenheit.

Corrected Corrected by Apr 18, 2025

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

3270.75(a) · A first-aid kit shall be in a child care space.

While children were observed playing in the gym, there was no first-aid kit located in the gym.

Corrected Corrected by Apr 16, 2025

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Along the bottom edge of a divider in the Toddler room, there was a loose piece of metal with a sharp edge accessible to children. Several radiator covers in the school-age classroom had sharp edges accessible to children posing a hazard of a child being injured.

Corrected Corrected by Apr 18, 2025

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 were 2 wooden blocks in the toddler room that had splintered edges, creating a potential hazard to children.

Corrected Corrected by Mar 24, 2025

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.

An infant was observed in the Infant room sleeping in a crib not labeled for their individual use and staff stated it was the infant's first day and they were switching infants back and forth for naps.

Corrected Corrected by Mar 26, 2025

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

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

The most recent child service report on file for Child #1 is dated 12.16.24, more than 6 months after the date of admission. The 2 most recent child service reports on file for Child #2 are dated 1.3.24 and 12.4.24, more than 6 months apart. The 2 most recent child service reports on file for Child #4 are dated 1.17.24 and 12.14.24, more than 6 months apart.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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.

Children were observed in the gym during gross motor time without their emergency contact forms being present.

Corrected Corrected by Apr 16, 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 most recent 6-month review signature for the emergency contact form and agreement on file for Child #1, #2, #4, #5 is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. 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, a young toddler, includes child health assessments dated 1.11.24 and 8.6.24, more than 6 months apart.

Corrected Corrected by Mar 24, 2025

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

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

The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 5.23.23 and 12.18.24, more than 12 months apart. The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 7.7.23 and 11.19.24, more than 12 months apart.

Corrected Corrected by Apr 23, 2025

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

3270.131(d)(5)/3270.131(e)(3) · ·Child # 1 must be dismissed from care by close of business on 3.24.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 16 months old, included 2 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; 2 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 2 of 3 Polio (IPV) vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Mar 25, 2025

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health report on file for Child #1 indicates that the child has not had all required age-appropriate screenings recommended by the American Academy of Pediatrics.

Corrected Corrected by Mar 25, 2025

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.

Children were observed in the toddler room eating lunch without their hands being washed prior to eating.

Corrected Corrected by Mar 25, 2025

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

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The file cabinet where the child files are stored was not locked at the time of the inspection.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The most recent fire detection system annual inspection report on file is dated 9.5.23, more than 1 year ago.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The school age restroom lacked a lidded waste receptacle.

Corrected Corrected by Apr 4, 2024

Category: health medication. 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 for child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 4, 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. Until such time as the required pre-service trainings are 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 person(s) available to supervise staff person #3. then staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised in the infant room. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics 1-9.

Corrected Corrected by Apr 10, 2024

Category: supervision. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The operator stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in the facility's emergency plan.

Corrected Corrected by Apr 4, 2024

Category: physical safety. 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 stated communication with parents during and after an emergency would occur through the Brightwheel App, however this information was not present in letter for parents explaining the facility's emergency procedures.

Corrected Corrected by Apr 4, 2024

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

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

The file for staff #3 contained a disclosure statement for the purpose of volunteering.

Corrected Corrected by Apr 4, 2024

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

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

The file for staff #1, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

Corrected Corrected by Apr 11, 2024

Category: supervision. Marked corrected in the state record.

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

Staff #3, who qualifies as an aide based on their file contents, was observed caring for children unsupervised.

Corrected Corrected by Apr 12, 2024

Category: supervision. Marked corrected in the state record.

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

At approximately 10:30AM staff #2 was observed leaving the infant room and entering the office. This resulted in staff #3 being left alone with 5 infants in care in the infant room.

Corrected Corrected by Apr 8, 2024

Category: ratio. 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.

Two electrical outlets in the preschool room lacked protective covers. The outlets were accessible to children 5 years of age or younger and were located under the teacher's work table.

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

3270.66(a)/3270.66(e) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Arts and crafts materials shall be nontoxic.

A can of DG brand shaving foam, labeled keep out of reach of children, was observed in an unlocked accessible drawer in the preschool room. Based on statements made by staff, the shaving foam has been used by children for art projects.

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

3270.101(a) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Two pairs of adult scissors were accessible to children in an unlocked drawer in the preschool room. The scissors were located in a plastic storage tower in a drawer with children's scissors.

Corrected Corrected by Apr 4, 2024

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

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

Empty plastic bags were observed on the bottom shelf of a changing table in the preschool restroom.

Corrected Corrected by Apr 4, 2024

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.

A small sharp protruding nail was observed under the seat pad at the front of an adult rocking chair in the infant room.

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

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

A crib in use by a child in the main care space lacked 2 feet of space on 3 sides. One side was obstructed by an infant swing.

Corrected Corrected by Apr 4, 2024

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

3270.108(c) · Styrofoam cups and plates may not be used.

Styrofoam cups were observed in the breakfast set up area in the school age room.

Corrected Corrected by Apr 4, 2024

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 agreement for child #1 did not include the services to be provided.

Corrected Corrected by Apr 12, 2024

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 #3 contained consecutive child service reports dated more than 6 months apart; 7/25/23 and 2/06/24. A current report is now on file.

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Apr 8, 2024

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 emergency contact form for child #5 did not include the health insurance policy number.

Corrected Corrected by Apr 8, 2024

Category: health medication. 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 #4 does not contain a current health report.

Corrected Corrected by Apr 30, 2024

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

3270.131(c)/3270.131(d)(7) · 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. 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 file for child #4 contained a health report which 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 and was not signed by the physician.

Corrected Corrected by Apr 30, 2024

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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).

The file for child #1 contained an immunization record indicating missing doses of DTAP and Pneumococcal vaccines. A written exemption was not on file.

Corrected Corrected by Apr 30, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Staff medication Midol and Benadryl cream were accessible to children on the counter in the preschool restroom. The medication was located in a plastic countertop storage unit that was not locked.

Corrected Corrected by Apr 4, 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 file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Apr 8, 2024

Category: ratio. Marked corrected in the state record.

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.

Based on the facility's fire drill log, consecutive drills conducted on 12/15/23 and 2/15/24 were more than 60 days apart.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. 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 school age room lacked tweezers.

Corrected Corrected by Apr 30, 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 #2 has not completed the 1 hour training titled Pennsylvania Health and Safety Update 2022 as required in Announcement C-22-06.

Corrected Corrected by Apr 30, 2023

Category: ratio. Marked corrected in the state record.

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

The facility's emergency plan did not include details regarding continuity of operations as required by Announcement C-22-04.

Corrected Corrected by Apr 30, 2023

Category: ratio. 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 #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualification required for the position.

Corrected Corrected by Apr 30, 2023

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.

Based on documentation at the facility, the director has not been conducting the annual staff evaluations. Evaluations are currently being conducted by another staff person.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. 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.

Two bottles of liquid White-Out, labeled keep out of reach of children, were observed in unlocked drawers in the PS room. Ice melt was observed in an open bucket near the bottom of the stairs used by children to access the gym.

Corrected Corrected by Apr 30, 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.

Two of the four wall mounted braces on a handrail were loose or no longer attached to the wall. The handrail is on the right side of the steps leading up to the school age room from the gym. A protruding screw was observed on a separate handrail in the gym.

Corrected Corrected by Apr 30, 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.

Peeling paint was observed on the wall under the windows in the PS room.

Corrected Corrected by Apr 30, 2023

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.

A handwashing sign was not posted at the toilet in the restroom near the gym.

Corrected Corrected by Apr 30, 2023

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.

Two stacks of child size chairs were observed blocking the rear exit in the front room.

Corrected Corrected by Apr 30, 2023

Marked corrected in the state record.

3270.92(a) · Portable space heaters are not permitted.

A portable space heater was observed in the school age room under a table along the wall.

Corrected Corrected by Apr 30, 2023

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

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

The door of a wooden cabinet in the PS room was loose creating pinch points.

Corrected Corrected by Apr 30, 2023

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.

An infant was observed in a bassinet which was not labeled with their name. In the nap room, a child was observed in a crib which was labeled for a different child.

Corrected Corrected by Apr 30, 2023

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

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

A written plan of daily activities was not posted in the school age room.

Corrected Corrected by Apr 30, 2023

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

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

The file for child #5 did not contain a child service report. The files for children #1 and #2 contained service reports conducted after the reinstatement date of 10/31/22 as stated in Announcement C-21-09. The file for child #4 contained a service report completed more than 6 months after their first day of attendance. Children #1, #2, and #4 now have current service reports on file.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 contained an agreement which did not specify the date of the child's admission.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for children #1-#6 contained original agreements.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #4 and #5 contained an emergency contact form which did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Apr 30, 2023

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 file for child #4 contained an emergency contact form which lacked the full name of one of the individuals designated to whom the child may be released. The file for child #5 contained an emergency contact form which lacked the address of one of the individuals designated to whom the child may be released.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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).

The files for children #1, #2, #4, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine at any time in 2022. Written exemptions were not on file.

Corrected Corrected by Apr 30, 2023

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

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

An Auvi-Q Pen intended for child #5 was observed in the office. Witten parental consent for administration was not on file.

Corrected Corrected by Apr 30, 2023

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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 file for staff #2 contained an initial health assessment and TB screening conducted more than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Apr 30, 2023

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 file for staff #3 contained an initial health assessment dated after their first day in a child care position. The health assessment on file is now current.

Corrected Corrected by Apr 30, 2023

Category: ratio. Marked corrected in the state record.

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

The file for child #4 contained an agreement which was not updated within 6 months. The updates occurred 7/01/22 and 2/02/23.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Copies of incident reports are not being retained at the facility in an accident file.

Corrected Corrected by Apr 30, 2023

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained documentation of three hours of training completed between 12/19/21 and 12/19/22. Nine additional hours were completed after 12/19/22. Staff #1 is now current on required hours of annual training.

Corrected Corrected by Apr 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #1 contains a health assessment that was updated late . The health assessment was due 2/2021 but was obtained 6/2021.

Corrected Corrected by Mar 15, 2022

Category: ratio. Marked corrected in the state record.

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

The files for staff #2 and #3 contain first aid and CPR training that was obtained late. The trainings were due 12/1/21 and were obtained 2/11/22.

Corrected Corrected by Mar 15, 2022

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.

The facility did not have proof of purchase for the fire detection system.

Corrected Corrected by Mar 15, 2022

Category: recordkeeping. Marked corrected in the state record.