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 three exposed bolts observed on the inside of the fence between the cement area and the mulched area.

Corrected Corrected by Oct 25, 2024

Category: physical safety. 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.

There was more than 12 months between fire safety trainings on file for staff #5. This is evidenced by the fire safety trainings on file which are dated 8/29/23 and 9/17/24.

Corrected Corrected by Sep 17, 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). Facility Person # -7 and 8- may not work in a child care position 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.

The file for staff #7, who was a provisional hire, lacks an NSOR within 45 days of hire. SEE IS CODE SHEET. The file for staff #8 lacks a DHS FBI clearance within the past 12 months. This is evidenced by the most current FBI clearance on file which is dated 8/21/2019.

Corrected Corrected by Oct 25, 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, who holds the title of aide, lacks verification of an 8th grade education. The file for staff #3, who holds the title of assistant group supervisor, lacks 500 hours of child care experience. The file for staff #6, who holds the title of aide, lacks verification of an 8th grade education and 2500 hours of child care experience.

Corrected Corrected by Oct 25, 2024

Category: supervision. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Observed a toxic Peace Lily located in the Green Room.

Corrected Corrected by Oct 25, 2024

Category: physical safety. 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.

In the cafeteria where the children eat their lunch, observed food, previously eaten by the children in a receptacle that did not have a lid.

Corrected Corrected by Oct 25, 2024

Category: nutrition. Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

On 9/30/24, naptime was observed. The orange and yellow room were not lighted enough to be able to see the children who were napping in the room.

Corrected Corrected by Oct 25, 2024

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.

In the Yellow Room, where toddlers receive care, observed foam blocks and wooden pegs that had a diameter of less than an inch.

Corrected Corrected by Oct 8, 2024

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.

On 9/30/24, naptime was observed. The orange and yellow room were not lighted enough to be able to supervise the children who were napping in the room.

Corrected Corrected by Sep 30, 2024

Category: supervision. Marked corrected in the state record.

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

The file for child #1 lacked a child service report within the past six months. The last child service report was completed in the Fall of 2023.

Corrected Corrected by Oct 25, 2024

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 fee agreements on file for children #1 and 2 were the originals. Therefore, the original was not provided to the parent.

Corrected Corrected by Oct 25, 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 information on file for child #1 lacked the address and phone number of the child's physician or source of medical care. The emergency contact information on file for children #2 and 3 lacked the name, address and phone number of the child's physician or source of medical care.

Corrected Corrected by Oct 25, 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 information on file for child #2 lacked the work address of the enrolling parent.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact information on file for child #7 lacked information on the child's special needs, as specified by the parent, physician, physician's assistant or CRNP.

Corrected Corrected by Oct 25, 2024

Category: health medication. 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.

There was more than six months between reviews of the emergency plan and fee agreements for children # 3, 4, 5, and 6. Dates were as follows: Child #3 - 9/6/23 and 4/24/24, Child #4 - 3/21/24 and 10/1/24, Child #5 - 1/4/24 and 8/20/24, and Child #6 - 11/23/23 and 7/29/24.

Corrected Corrected by Oct 25, 2024

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.

There was more than six months between health reports on file for child #7, who is a young toddler. This is evidenced by the health reports on file which are dated 8/16/23 and 10/2/24.

Corrected Corrected by Oct 2, 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.

There was more than 12 months between health reports on file for child #3, who an older toddler. This is evidenced by the health reports on file which are dated 9/11/23 and 10/3/24.

Corrected Corrected by Oct 3, 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 most current health assessment on file for staff #9 lacks an examination for communicable diseases and the results of that examination.

Corrected Corrected by Oct 25, 2024

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.

There was more than 30 days between fire detection tests on file for dates of 12/22/23 and 1/26/24.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. 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 file lacked documentation that the operator sent the most recent copy of the emergency plan to the county emergency management agency.

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. 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 files for staff #2 and 3 lack two of the required 12 annual hours of child care training. The file for staff #8 lacks four of the required annual hours of child care training.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Nov 3, 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 files for staff #2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18. 19, 20, 21, 22, 23, 24 and 25 lack the one hear health and safety updated which was required by 12/30/22.

Corrected Corrected by Nov 3, 2023

Category: ratio. Marked corrected in the state record.

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

There was more than 60 months between the previous mandated reporter training and the current mandated reporter trainings on file for staff #17 and 18. This is evidenced by the previously documented mandated reporter training on file being dated - Staff #17 - 11/8/17 and 11/27/22 and Staff #18 - 8/19/21 and 8/30/23.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #1 lacked an FBI on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 9/19/23. There was more than 60 months between PA State Police clearances on file for staff #25. This is evidenced by the dates of 8/2/18 and 8/4/23.

Corrected Corrected by Nov 3, 2023

Category: background checks. 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.

In the outdoor play space, observed that the grey climbing wall was starting to crack on two sides.

Corrected Corrected by Nov 3, 2023

Category: physical safety. 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 #6, who is of preschool age, lacks an updated health assessment within the past 12 months. There was more than 12 months between the previous and most current and updated health assessment on file for child #3.

Corrected Corrected by Nov 3, 2023

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).Children #1 and 5 must be dismissed from care by close of business date of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The files for children #1 and 4 lack documentation of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 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.

There was more than 24 months between the previous and most current and updated health assessments on file for staff #7, 10, 11 and 22.

Corrected Corrected by Nov 3, 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.

There was more than six months between reviews of the emergency plan and fee agreements on file for children #2 and 6. There are now current updates on file. The last update of the fee agreement and emergency contact information on file for children #4 and 5 was not dated within the past 6 months.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Oct 24, 2022

Category: ratio. 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 persons #1 and 8 did not complete the following required pre-service training within 90 days of their date of hire. CPR/FA. There is now training on file and dated - Staff #1 - 9/12/22. Staff #8 -6/26/22. Staff persons #5 and 6 did not complete the following required pre-service training within 90 days of their date of hire. Building Blocks for Quality Health and Safety Training. There is now training on file and dated - #5 - 2/23/22. #6- 2/9/22. SEE LIS CODE SHEET

Corrected Corrected by Oct 20, 2022

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

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

The file for staff #1 lacked an NSOR on or before initial start date in a child care position. There is now an NSOR on file and dated 3/8/22. SEE LIS CODE SHEET. The file for staff #6, who was a provisional hire, provided an application for the NSOR. However, the NSOR was not on file within 45 days. NSOR is now on file and dated 3/4/22. SEE LIS CODE SHEET. There was more than 60 months between the State Police and Child Abuse clearances on file for staff #7. Dates are as follows: PSP - 10/14/16 and 1/13/22. Child Abuse - 11/1/16 and 1/13/22. The file for staff #8, who was a provisional hire, contained an application for a Child Abuse clearance on or before start date. However, the Child Abuse clearance was not on file within 45 days. There is a current Child Abuse clearance on file and dated 3/2/22. Additionally, staff #8 lacked an out of state National Sex Offender Registry check and out of state Child Abuse clearance on or before start date in a child care position. There is now an out of state NSOR check on file and dated 10/12/22 and out of state Child Abuse clearance and dated 1/14/22. DHS FBI is on file and Florida is NFF state. SEE LIS CODE SHEET.

Corrected Corrected by Oct 20, 2022

Category: background checks. 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.

Mandated reporter training for staff #6 was not provided within 90 days of hire. There is current mandated reporter on file and dated 3/4/22. SEE LIS CODE SHEET.

Corrected Corrected by Oct 20, 2022

Category: recordkeeping. 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.

In the green room, observed a lizard in a glass terrarium which had a heat lamp on top of the terrarium. The lamp measured at 136 degrees Fahrenheit and there were not protective guards or insulation to prevent direct contact.

Corrected Corrected by Oct 20, 2022

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.

On the outside of the Brown exit door which leads directly to the outdoor play space, observed that the weather strip on the bottom of the door was coming loose, causing a tripping hazard to the children in care. In the blue room, observed that the top landing area of the reading loft had fraying carpet at the edge of the landing causing a tripping hazard to the children in care.

Corrected Corrected by Oct 20, 2022

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

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

The outside doors which lead from the Blue and Brown room directly to the outside play space, had peeling paint around each of the door frames.

Corrected Corrected by Oct 20, 2022

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

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

The emergency contact information on file for child #6 lacks the addresses of all persons designated by the parent to whom the child may be released

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1)/3270.182(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.A child's record shall contain initial and subsequent health reports.

The files for children #1, 2, 3 and 6 lack a flu shot within the past year as in accordance with the schedule recommended by the ACIP. The file for child #1 lacks 1 of the 2 required HEP A vaccinations as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 20, 2022

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 #1 lacks a health assessment conducted within 12 months prior to providing initial service in a child care setting. There is no health assessment on file. There was more than 24 months between the previous and most current and updated health assessments on file for facility persons #3 and 4.

Corrected Corrected by Oct 20, 2022

Category: ratio. 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 #4 lacked a TB screening by the Mantoux method and the results of that results of the test.

Corrected Corrected by Oct 20, 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.

There was more than 6 months between the previous and most current reviews of the emergency contact information and the financial agreement on file for children #3, 4, 5, 7 and 8. Reviews are now current.

Corrected Corrected by Oct 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The two references on file for staff #4 were references from family.

Corrected Corrected by Oct 20, 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 initial health report for child #6 was not provided within 90 days of enrollment (regulatory suspensions allowing 90 days for initial health report. A health assessment is now on file and dated 8/24/22. SEE LIS CODE SHEET.

Corrected Corrected by Oct 20, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed an expired Epi-Pen in the locked medicine box in the Green Room.

Corrected Corrected by Oct 14, 2021

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 verification of initial emergency plan training on file for staff person #14 is dated more than 7 days after staff person #14 began in a child care taking position.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 two most recent verification of fire safety training on file for staff person #5, staff person #6, staff person #7, and person #8 are dated in an interval greater than 12 months.

Corrected Corrected by Oct 14, 2021

Category: recordkeeping. 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 file for staff person #14 lacks verification of current mandated reporter training. Staff person #14 has been employed in a child care taking position more than 90 days.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #-3 and staff person #9 may not work in a child care position at the facility until a valid state police clearance is on file at the facility.

The file for staff person #1 contains a state police and a child abuse clearance that were updated in an interval greater than 5 years or 60 months as required by the current CPSL. The file for staff person #3 lacks a valid state police clearance. The file for staff person #4, staff person #8 contains a child abuse clearance that was updated in an interval greater than 5 years or 60 months as required by the current CPSL. The file for staff person #5, staff person #6, and staff person #8 contains a state police, a child abuse, and an FBI clearance that were updated in an interval greater than 5 years or 60 months as required by current CPSL. The file for staff person #7 contains an FBI clearance that was updated in an interval greater than 5 years or 60 months as required by the current CPSL. The file for staff person #9, a staff person who was hired provisionally, lacks verification of FBI fingerprinting prior to beginning in a child care taking position. The file for staff person #14 contains verification of fingerprinting for an FBI clearance that is dated after staff person #14 began in a child care taking position and a signed disclosure statement dated after staff person #14 began in a child care taking position.

Corrected Corrected by Oct 25, 2021

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.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 #9, a staff person who is identified as and performing the role of an assistant group supervisor, lacks verification of 2 year's experience with children to qualify for the position.

Corrected Corrected by Oct 25, 2021

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. 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 #16 lacks verification of an 8th grade education to qualify for the position of an Aide, which is the position staff person #16 is identified as performing at the facility.

Corrected Corrected by Oct 25, 2021

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.

Observed an accessible bottle of BioFreeze labeled 'keep out of the reach of children' in an unlocked cubby in the side hallway.

Corrected Corrected by Oct 14, 2021

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 lunch area lacked gloves and tweezers.

Corrected Corrected by Oct 25, 2021

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.

Observed a sharp corner near the steps on the wooden climber in the Brown Room.

Corrected Corrected by Oct 25, 2021

Category: physical safety. 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 #3 contains an agreement which lacks the child's date of admission.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1, child #2, and child #4 contains emergency contact information which lacks the address of the child's physician.

Corrected Corrected by Oct 25, 2021

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

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

The file for child #2 contains emergency contact information which lacks the enrolling parent's home address and work place location.

Corrected Corrected by Oct 25, 2021

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 #2 and #4 contains emergency contact information which lacks the parent designated release person's complete address.

Corrected Corrected by Oct 25, 2021

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 file for child #1 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #5 lacks verification of a current DTAP, HIB, Pneumococcal, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #6 lacks verification of a current Pneumococcal and a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP. The file for child #7 lacks verification of a current Hepatitis B, Hib, Pneumococcal, and Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 26, 2021

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Observed an albuterol inhaler in the locked medicine box in the Green Room which lacks written instructions from the individual who prescribed the medication.

Corrected Corrected by Nov 4, 2021

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.

The two most recent health assessments on file for staff person #2, staff person #3, staff person #4, staff person #6, staff person #7, staff person #10, staff person #11, and staff person #13 are dated in an interval greater than 24 months.

Corrected Corrected by Nov 4, 2021

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 results of tuberculosis screening on file for staff person #16 is dated more than 12 months prior to staff person #16 beginning in a child care taking position.

Corrected Corrected by Nov 4, 2021

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

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

The letters of reference on file for staff person #9 are dated after staff person #9 began in a child care taking position. The file for staff person #16 contains one reference letter dated after staff person #16 began in a child care taking position.

Corrected Corrected by Nov 4, 2021

Category: recordkeeping. 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.

A review of the fire drill log revealed that a fire drill was conducted more than 60 days apart during the interval from 03/08/21-05/14/21.

Corrected Corrected by Nov 4, 2021

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.

A review of the fire detection system testing log revealed that during the intervals of 03/15/21-05/14/21, 05/14/21-06/14/21, and 07/13/21-08/13/21, the testing was performed at more than 30 days as required by current regulation.

Corrected Corrected by Nov 4, 2021

Category: recordkeeping. Marked corrected in the state record.