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 was observed on the wall within reach of the children in the preschool room at the back of the building.

Corrected Corrected by Feb 3, 2025

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

Staff person #3 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 Feb 7, 2025

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff person #2's fire safety training was due to be completed in June of 2024, but was not completed until December of 2024.

Corrected Corrected by Feb 3, 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)1-9. (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Staff person #5 did not completed the required pre- service trainings (f-1-9) within 90 days of their date of hire. The trainings were completed 144 days after the date of hire.

Corrected Corrected by Feb 3, 2025

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). Facility Person #1 may not work in a child care position at the facility until complete clearances are on file.

Staff person #1 has been employed for more than 45 days and did not have a complete DHS FBI clearance on file. Staff person #1's state police clearance was for volunteer purposes only. (CORRECTED ON SITE) Staff person #2 has been employed for more than 45 days and did not have a complete state police clearance on file. (CORRECTED ON SITE) Staff person #3 began employment with a PDE FBI clearance on file, in lieu of the required DHS FBI clearance. The correct clearance was obtained 8 day after start date. Staff person #5 did not complete a mandated reporter training within 90 days of their date of hire. The training was completed 141 days after the date of hire. At the time the staff person #6 began work in the facility, her record did not contain the applicable completed out-of-state child abuse clearance information required under the CPSL and did not contain a copy of request for the out-of-state child abuse history clearance required for provisional hiring under the CPSL. The clearance has since been obtained. Staff person 7 - Clearances were not updated timely during the previous year. The state police clearance expired 9/9/24, but was not updated until 12/4/24. The child abuse clearance expired 9/27/24, but was not updated until 12/11/24. The DHS FBI clearance expired 9/13/24, but was not updated until 12/18/24.

Corrected Corrected by Feb 7, 2025

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

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff person #1 was observed changing a diaper. After the diaper change, the staff person did not wash her hands, and also did not wash the child's hands.

Corrected Corrected by Jan 24, 2025

Category: health medication. 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.

Staff person #1 was observed changing a child's diaper. The diaper changing surface was not cleaned after the child's diaper was changed.

Corrected Corrected by Jan 24, 2025

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The initial health assessment on file for staff person #1 was not dated within the 12 months prior to providing initial service in the child care setting. The health assessment 3 months after start date. The health assessments on file for staff person #7 were dated in April of 2022, and subsequently more than 24 months later in January of 2025.

Corrected Corrected by Jan 24, 2025

Category: ratio. Marked corrected in the state record.

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

The health assessment on file for staff person #4 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 7, 2025

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 record for staff person #4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Manual tests of the fire detection system took place on 6/7/24 and subsequently more than 30 days later on 7/8/24.

Corrected Corrected by Feb 3, 2025

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

The record for staff person 2 did not contain documentation that the staff person has completed the required PA Health and Safety update training. The staff person has been employed for more than 90 days.

Corrected Corrected by Feb 7, 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 protective services).

Staff person 1 did not complete the mandated reporter training within 90 days of hire. The training was completed 158 days after the date of hire.

Corrected Corrected by Feb 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.82(i)/3270.135(a)(3) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The trash cans located in the bathrooms did not have operable lids (would not close). One of the trash cans contained a disposable pull-up.

Corrected Corrected by Feb 7, 2024

Category: health medication. 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.

The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the back preschool room. (CORRECTED ON SITE)

Corrected Corrected by Feb 7, 2024

Category: transportation. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person 2 did not include an examination for communicable diseases and the results of that examination. The health assessment also did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 7, 2024

Category: health medication. 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 children 1 and 2 did not include complete addresses for listed release persons.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 may not work in a child care position at the facility until complete clearances are on file.

According to documentation on file at the time of inspection, the child abuse clearance, the DHS FBI clearance and the mandated reporter training on file for staff person 2 were not updated timely during the previous year. Child abuse clearance - Dated 9/17/2017, and subsequently more than 60 months later on 10/12/2022 DHS FBI clearance - Dated 8/16/17, and subsequently more than 60 months later on 10/19/2022 Mandated reporter training - Dated 10/18/2017 and subsequently more than 60 months later in December of 2022. The most recent DHS FBI clearance on file for staff person 3 was dated 8/5/2017 and has expired. The record included a clearance for another purpose (Department of Education).

Corrected Corrected by Feb 1, 2023

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

Two of the BINGO dotters in the preschool room (1st on right) were labeled "Keep out of the reach of children". The BINGO dotters were observed on the desk within reach of the children in the room. (CORRECTED ON SITE)

Corrected Corrected by Jan 26, 2023

Marked corrected in the state record.

3270.131(e)(1)/3270.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of inspection, the immunization records on file for children 1, 2, and 3 were not in accordance with the schedule recommended by the ACIP, nor did they include any appropriate exemption letters. Child 1 - Did not include documentation of having received the Hepatitis A vaccine. Child 2 - Did not include documentation of annual flu vaccine (most recent was from 12/2021). Child 3 - Did not include 2 and 4 month vaccines.

Corrected Corrected by Jan 31, 2023

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.

At the time of inspection, the record for staff person 1 included just one written, nonfamily reference attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care. 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.

At the time of inspection, none of the eight staff that work at the facility had a current pediatric first aid and CPR training. Staff persons 1 and 8 have the following training card on file - CPR and AED (did not include pediatric first aid). Staff persons 2, 3, 4, 5 and 6 have the following training on file: "CPR, AED, and Basic First Aid, adult, child and infant". The cards state, "This program is not designed to meet pediatric first aid regulatory requirements." Staff person 7 has the following training on file "CPR/AED/First-aid (Adult / Child / Infant / Choking / AED / Injury & Universal Precautions). This training does not meet the requirements of a "pediatric first aid and CPR" course.

Corrected Corrected by Feb 7, 2022

Category: ratio. 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 Persons # 3 may not work in a child care position at the facility until complete clearances are on file.

The record for staff person 3 did not include a Pennsylvania NSOR certificate, nor the required out of state clearances (Maryland resident). Staff person 1 has been employed at this location since December of 2019. Staff person 3 was observed working alone in a room with children. The PA state police clearances on file for staff person 4 were dated 5/2016 (expired 5/2021) and subsequently 1/6/2022. The update was not obtained timely (within 60 months / 5 years). The record for staff person 5 did not include a mandated reporter training that has been approved for child care purposes. A partial training was on file for PDE purposes. Staff person 5 has been employed for more than 90 days.

Corrected Corrected by Jan 14, 2022

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

3270.51/3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 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.

A single staff person was observed alone with a mixed age group of 14 preschool and school-aged children. The second staff person from the room had left to answer the front door.

Corrected Corrected by Jan 14, 2022

Category: ratio. 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 was observed in areas accessible to the children in both preschool rooms, and in the school-age room. In the toddler room, diaper cream and baby powder were observed in an unlocked cabinet underneath the changing table (accessible to toddlers). (CORRECTED ON SITE)

Corrected Corrected by Jan 14, 2022

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

3270.102(e)/3270.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

Mulch (less than 1 inch in diameter) was observed on the the fenced in playground that is used by toddlers.

Corrected Corrected by Feb 14, 2022

Category: physical safety. 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.

Health assessments for staff person 1 were dated 3/19/2019 and subsequently 5/27/2021. The health assessment update was not obtained timely (within 24 months). The health assessments on file for staff persons 2 and 3 were past due to be updated. The most recent health assessment on file for staff 2 was dated 10/24/2019. The most recent health assessment on file for staff person 3 was dated 12/17/2019.

Corrected Corrected by Feb 3, 2022

Category: ratio. Marked corrected in the state record.

3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Infant bottles were being hand washed at the facility in between uses. Sufficient bottles were not provided by parents for all feedings, nor were the bottles being washed in a commercial dishwasher (or bottle sanitizer).

Corrected Corrected by Jan 18, 2022

Marked corrected in the state record.