3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

An astronauts and solar system lunch box was observed on the pink shelf in the School Age Room closet. This lunch box contained a "Lunch Makers" ham and American cheese lunch pack and Danimals smoothie that were labeled, "keep refrigerated". On the same shelf was a butterflies lunch box that had a "Lunchly" pizza meal which was labeled, "keep refrigerated". All of these perishable food items were required to be refrigerated.

Corrected Corrected by Sep 18, 2025

Category: nutrition. 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.

During the renewal inspection, there were four Multi-Function School Activity Buses used by the facility to provide transportation. The facility did not have proof that these vehicles were inspected annually by the Pennsylvania State Police (PSP), nor did they provide proof that the drivers had the proper required CDL license to drive the vehicles. Staff #5 acknowledged that the vehicles have been used to transport children to field trips and school.

Corrected Corrected by Aug 13, 2025

Category: ratio. Marked corrected in the state record.

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

The facility provided parents with a letter explaining some emergency procedures. However, the letter did not include all of the required information. It was observed to be missing lock-down procedures and an explanation about how the facility would accommodate infants, toddlers, children with disabilities, and those with chronic medical conditions during an emergency.

Corrected Corrected by Sep 18, 2025

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

3270.31(b) · A staff person shall be 18 years of age or older.

Staff Person #23 (see code sheet for date of birth and date of hire), who was hired as an aide, was not at least 18 years of age when they started working.

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. 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 #2 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the mandated reporter trainings on file being dated 3/11/2020 and 7/16/2025.

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Persons #20 and #21 may not work in a childcare position that involves direct contact and routine interaction with children until all required paperwork is completed and on file at the facility.

The NSOR Clearances on file for Staff #3 were dated 6/8/2020 and 6/13/2025. The NSOR Clearances on file for Staff #4, #6, and #12 were dated 6/5/2020 and 6/13/2025. More than 60 months had lapsed between each clearance. Staff #20 (see code sheet for first day with children) had a completed disclosure statement on file that was dated 6/18/23. Staff #21 (see code sheet for first day with children) had a completed disclosure statement on file that was dated 6/18/24. However, the disclosure statements for Staff #20 and #21 were required to be completed within the 6 months prior to each staff's first day working with children.

Corrected Corrected by Aug 13, 2025

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

3270.66(a)/3270.66(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

A yellow mop bucket with cleaner was observed in the Older Toddler Restroom. Staff #14 acknowledged that the cleaner in the bucket was Mr. Clean All Purpose Floor Cleaner. The label on this cleaner said to "keep out of reach of children." However, the cleaner in the mop bucket was accessible to the children who were using the restroom. An unlabeled red and white spray bottle was observed on the top of a wooden cubby shelf in the Older Toddler Room. Staff #19 said this bottle contained soapy water used for cleaning. This cleaner was required to be labeled.

Corrected Corrected by Aug 14, 2025

Category: ratio. Marked corrected in the state record.

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. 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 library was observed to be missing a first aid kit and the first aid kit in the Older Toddler Room was observed to be missing scissors.

Corrected Corrected by Aug 14, 2025

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

The Infant Room was observed to have one dusty air vent near the refrigerator and the Pre-K Restroom had one dusty air vent. The Young Toddler Room had three dusty air vents and one water-stained ceiling tile. Also, the alphabet carpet in this room was observed to be dirty. The Pre-K Room had three dusty air vents. The School Age Restroom was observed to have one water-stained and three brown stained ceiling tiles. The School Age 1 Room was observed to have one dusty air vent near the telephone and the School Age 2 Room had two dusty air vents. The white fence in the Small Outdoor Play Area had a crack towards the bottom of the fence. The Preschool Room had two dusty ceiling vents near the television and one brown stained ceiling tile near the alphabet wall. The Preschool Restroom had one dusty air vent, one cracked ceiling tile, and chipped paint on the wall near the toilet paper holder. The Older Toddler Restroom was observed to have two dusty air vents and peeling paint near the mirror. Also, two dusty air vents were observed in the hallway outside of the Older Toddler Restroom. Near the calendar in the Older Toddler Room, there was chipping paint along the green colored wall.

Corrected Corrected by Sep 18, 2025

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A train bucket in the Older Toddler Room was observed to have a torn lid. The blue Fisher Price table with the wooden top in the Pre-K Room was observed to have chipping wood. This room also had two cracked turquoise chairs.

Corrected Corrected by Sep 18, 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.

The rest equipment used by toddlers and preschoolers in the Older Toddler Room was numbered. However, the list of children's names which coincides with the numbers on the rest equipment was observed to be missing.

Corrected Corrected by Aug 15, 2025

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

3270.123(a)(3) · An agreement signed by the operator and the parent must specify the following: 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 information on file for Child #5 did not indicate which services would be provided to the family and the child.

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.133(1)/3270.133(3) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

During a water activity inspection, inhaler medication for Child #11 was present at the pool. However, this medication was not labeled with the child's name, and it was not in its original container with the label and instructions.

Corrected Corrected by Aug 4, 2025

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

3270.151(a)/3270.151(c)(5) · 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 the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessments on file for Staff #12 were dated 6/26/23 and 7/25/25. More than 24 months had lapsed between health assessments. The only health assessment on file for Staff #14 was dated 6/15/23. This staff was required to have an updated health assessment completed by 6/2025. The health assessment on file for Staff #3, dated 6/14/25, did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 19, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The health assessment on file for Staff #3, dated 6/14/25, did not include an examination for communicable diseases and the results of that examination. Also, it did not indicate whether or not the staff had medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Aug 19, 2025

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

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A bottle in the Infant Room, that had a white lid and clear body, which belonged to Child #2, was observed to be missing a label with the child's name on it.

Corrected Corrected by Aug 14, 2025

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 financial agreements on file for Child #2 were dated 8/13/24 and 3/11/25. More than 6 months had lapsed since a parent last reviewed, updated, and signed a financial agreement form.

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff #3 had 4 hours of annual child care training on file, and not the required 12 clock hours of child care training.

Corrected Corrected by Aug 14, 2025

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 initial health assessment on file for Child #6 (see code sheet for admission date) was dated 12/9/24. This was required to be completed within 60 days of the child's first day of attendance at the facility.

Corrected Corrected by Aug 14, 2025

Category: health medication. 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). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Staff #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 4/20/2020. Also, Staff person #6 had not completed mandated reporter training prior to the previous training expiring. This is evidenced by the mandated reporter trainings on file being dated 11/8/2019 and 4/25/2025.

Corrected Corrected by May 9, 2025

Category: supervision. 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 person #6 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #6 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by May 20, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff person #2 will have until 9/11/2024 to complete the required training. Until such time as the required training has been completed, staff person #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 person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 had a Pediatric First Aid/CPR training on file which expired 7/2024. There was no proof on file which showed that updated Pediatric First Aid/CPR training had been completed.

Corrected Corrected by Aug 21, 2024

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)(10) within 90 days of hire.

Staff persons #13 and #15 had not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Pediatric First Aid/CPR.

Corrected Corrected by Aug 21, 2024

Category: health medication. 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 #9 had Mandated Reporter trainings on file dated 6/11/19 and 8/1/24 and Staff person #11 had Mandated Reporter trainings on file dated 3/2/19 and 7/23/24. More than 60 months had lapsed between each training.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Staff #13 (see code sheet for date of hire) had a Child Abuse Clearance on file dated 12/11/23, which was obtained after the staff began working with children.

Corrected Corrected by Aug 21, 2024

Category: background checks. 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.

Hand sanitizer, labeled keep out of reach of children, was observed about shoulder height, on a wooden shelf, in the Preschool Room. Sanitizing solution, labeled "two teaspoons (of bleach) to one gallon of water" was observed, about shoulder height, on a wooden shelf in the Pre-K Room. Both of these cleaning materials were accessible to children.

Corrected Corrected by Aug 21, 2024

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

3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Decaying leaves and trash (i.e. Chips Ahoy wrapper, tissues, a plastic bag) were observed in the Small Play Yard. A blue colored plastic wall border in the Preschool Room, that was about shin height, was observed to be torn. A hole, that was about shin height, was observed on the yellow-colored wall in the Older Toddler Room. A blue colored plastic wall border that was near the wooden shelf in the Young Toddler Room was observed to be ripped and coming off the wall. A brown colored stain was observed on a ceiling tile in the Young Toddler Room. The yellow wall in the Infant Room was observed to have chipping paint. The restroom across from the Infant Room was observed to have a hole in the ceiling tile. A brown colored stain was observed on five ceiling tiles in the School Age Restroom and on two ceiling tiles in the School Age 1 Room and School Age 2 Room. In the School Age 2 Room, peeling paint was observed on the green and blue walls and there was one ceiling tile that had a crack, and another ceiling tile had a hole. The School Age Restroom was observed to have one ceiling tile with a hole and there was a hole on the wall where the door's handle hit the wall.

Corrected Corrected by Sep 13, 2024

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

3270.102(a)/3270.104(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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Nine soft, assorted color play cubes in the Young Toddler Room were observed to be ripped and had exposed foam. Five blue cots in the Preschool Room were observed to have torn mesh. The restroom, across from the Infant Room, was observed to have a rusted paper towel dispenser. The fourth-row driver's side seat and the second and third row passenger side seats, in Van #5, were observed to be torn. The second-row driver's side seat, in Van #11, was observed to be torn. A purple chair and six blue cots in the Older Toddler Room were cracked. The table legs of a white and blue colored table in the Pre-K Room were cracked.

Corrected Corrected by Sep 13, 2024

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

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

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not observed in the Small Room or the School Age 2 Room.

Corrected Corrected by Aug 21, 2024

Category: transportation. Marked corrected in the state record.

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

The emergency contact information and financial agreement on file for Child #6 was dated 8/2/23 and 3/12/24. More than 6 months had passed since a parent last reviewed, updated, and signed emergency contact and financial agreement forms.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. 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.

Staff person #11 had health assessments on file dated 6/16/22 and 7/23/24 and Staff person #18 had health assessments on file dated 6/2/22 and 8/9/24. More than 24 months had lapsed between health assessments.

Corrected Corrected by Aug 21, 2024

Category: ratio. 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 fire detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 8/1/23 to 9/1/23, 12/8/23 to 1/8/24, 1/8/24 to 2/8/24, 3/8/24 to 4/8/24, 5/7/24 to 6/7/24, and 7/5/24 to 8/5/24.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10): 1 hour health and safety update and center based health and safety training, respectively. Staff person #1, #3, #6, #9, and #14 will have until 9/14/23 to complete the required training.

A renewal inspection was conducted on 8/3/23. Staff person's #1, #6, #9, #14, have not completed the health and safety 1 hour update. Staff person's #5, #7, #8, #10, #11, #12, #13, # 15 and #16 (see code for date of hire) has a Health and Safety update date of 1/24/23,1/16/23, 1/25/23, 2/1/23,1/26/23, 1/25/23, 1/29/23,1/25/23, and 1/24/23. These were required to completed by 12/30/22.

Corrected Corrected by Sep 14, 2023

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 9/14/23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

A renewal inspection was conducted on 8/3/23. Staff person #3 has not completed the health and safety training.

Corrected Corrected by Sep 14, 2023

Category: supervision. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

A renewal inspection was conducted on 8/3/23. Child #1 does not have an updated health report in the last 12 months. The last health report is dated 5/2/23. Please see code sheet for child 1's DOB.

Corrected Corrected by Aug 30, 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 #4 may not work in a childcare position at the facility.

A renewal inspection was conducted on 8/3/23. Staff #4 had PSP clearance with volunteer purposes instead of employment. (See code sheet for DOH). FBI clearance were requested after start date, but completed clearance is on file.

Corrected Corrected by Aug 3, 2023

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

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

A renewal inspection was conducted on 8/3/23. Staff #3 (see code sheet for DOH) completed Mandated reporter training on 7/23/23, more than 90 days after DOH.

Corrected Corrected by Aug 3, 2023

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.

A renewal inspection was conducted on 8/3/23. The first aid kit in the infant room did not contain tweezers.

Corrected Corrected by Aug 3, 2023

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

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

A renewal inspection was conducted on 8/3/23. Peeling paint was observed in the following areas: In the older toddler bathroom behind the yellow chairs, In the Preschool/PreK bathroom on the wall to the right of the bathroom sink and behind the bathroom door. In the School Age classroom downstairs on the end of the long red wall, paint is peeling off in strips.

Corrected Corrected by Aug 30, 2023

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

A renewal inspection was conducted on 8/3/23. In the preschool room, the first drawer of the plastic three drawer cabinet was cracked and had sharp plastic edges exposed. In the large outdoor play space, the plastic window on top of the slide was cracked and could pinch a child's fingers.

Corrected Corrected by Aug 30, 2023

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

3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection was conducted on 8/3/23. The parent handbook did not contain the supervision policy and was not given to the parents in writing.

Corrected Corrected by Aug 30, 2023

Category: supervision. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted on 8/3/23. In the preschool room, the diaper changing mat had a rip preventing the mat from being properly sanitized.

Corrected Corrected by Aug 30, 2023

Category: health medication. 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.

During the renewal inspection on 8/3/23, Staff person #2 does not have a health assessment and tb screening at initial hire. (See code sheet for DOH).

Corrected Corrected by Aug 8, 2023

Category: ratio. Marked corrected in the state record.

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

A renewal inspection was conducted on 8/3/23. Staff #1 had one nonfamily reference.

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection was conducted on 8/3/23. The operator did provide the parent of each child enrolled with information on how to access the regulations electronically.

Corrected Corrected by Aug 30, 2023

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 #7 shall complete the required one-hour 2022 update to the health and safety training by August 2, 2023.

The following staff persons did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022: Staff person #1: obtained training on 1/25/2023. Staff person #2: obtained training on 1/24/2023. Staff person #3: obtained training on 1/24/2023. Staff person #4: obtained training on 1/25/2023. Staff person #5: obtained training on 2/6/2023. Staff person #6: obtained training on 2/1/2023. Staff person #7 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022:

Corrected Corrected by Jul 19, 2023

Category: health medication. 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 #1 will have until 9/17/22 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 or above 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.

As of the renewal inspection on 8/31/22, Staff #1 has not completed an approved mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Sep 17, 2022

Category: supervision. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

As of the renewal inspection on 8/31/22, the most recent health assessment on file for child #1 was dated 7/13/2020.

Corrected Corrected by Sep 12, 2022

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.

On 8/31/22 during the renewal inspection, there was no parental written consent for the administration of Ibuprofen that was at the center for child #2.

Corrected Corrected by Sep 12, 2022

Category: ratio. 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.

As of the renewal inspection on 8/31/22, there was no health assessment on file for staff #2.

Corrected Corrected by Sep 12, 2022

Category: ratio. Marked corrected in the state record.

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

As of the renewal inspection on 8/31/22, the files of staff #2, #3, #4, and #5 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On a complaint investigation conducted on 2/22/2022, Staff #1 indicated that he was unaware of the names of the children in his assigned group and was unable to identify them by name. Staff #1 indicated that he does a headcount when transporting children.

Corrected Corrected by Mar 14, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1)/3270.182(7) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. 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. The provider shall develop and implement a supervision policy specific to transportation and submit it for review and approval to the Regional Office. Policy shall include a driver's responsibility for reporting accidents, injuries, and illnesses during transportation. Once approved, supervision policy shall be reviewed with any staff who currently provide transportation and any new staff hired thereafter.

On a complaint investigation conducted on 2/22/2022, Staff #1 acknowledged an incident on his bus while transporting children in which two children got into a physical altercation. Staff #1 was unable to provide names of the children involved in the incident and indicated that he typically does a headcount during transportation. Staff #1 advised that he did see a bruise on one of the children's faces and that he reported it to staff at the facility. Staff #1 reports that he did not complete an injury report.

Corrected Corrected by Mar 14, 2022

Category: supervision. 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.

On unannounced monitoring conducted on 2/22/2022, last documented fire drill was 1/17/2022. Facility tests alarms at the same time as the fire drill. The fire system has not been tested within the last 30 days.

Corrected Corrected by Feb 24, 2022

Category: recordkeeping. Marked corrected in the state record.