Berks Area Youth Recreation

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

The walls in the boys bathroom were black particularly next to the sink and behind the toilets.

Corrected by Oct 26, 2025

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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 shaken baby/abusive head trauma/child maltreatment policy did not include information on the prevention and identification of child maltreatment.

Corrected by Oct 28, 2025

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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.

There was "Disinfex", disinfecting wipes, rubbing alcohol, and hand sanitizer accessible to children in the front room.

Corrected by Oct 14, 2025

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3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There was no handwashing sign in the boys bathroom.

Corrected by Oct 28, 2025

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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. TIERED LIS: 1. Children must be supervised at all times. The staff person shall be physically present with the children in his group. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for staff #1 to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to the training. The operator shall provide a date for when this training will be completed.

Staff #1 walked out of the front room leaving two children unsupervised.

Corrected by Nov 3, 2025

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

The parent's work address and phone number were missing from the emergency contact information for child #1 and #2.

Corrected by Oct 28, 2025

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

On 7/14/25, two children got stung by bees while playing outside, one getting stung multiple times. On 7/17/25. two additional children got stung while playing outside.

Corrected by Aug 6, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Staff #1 (see code sheet for start date), who was in ratio at the facility on 7/30/25, had volunteer state police and child abuse clearances.

Corrected by Aug 13, 2025

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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). Tiered LIS: 1. Staff:child ratios must be followed at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS demonstrating that the facility is maintaining ratios at all times. Once approved, the form shall be submitted by close of business on Monday for the previous week for a period of three (3) months. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the format.

Staff #2 was alone in a classroom with 14 children, the youngest identified as a preschooler and the oldest a school ager.

Corrected by Nov 30, 2025

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3270.69(a)/3270.82(g) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Toilet areas and fixtures shall be cleaned daily and be in good repair.

Upon arrival at the facility at approx. 10:30am on 7/30/25, there was no running water and the toilets were not able to be used due to a plumbing issue. Children and staff had been at the center since 7am with no running water.

Corrected by Jul 30, 2025

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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.

Staff #3 had 2 written references, however, both were from family members.

Corrected by Aug 1, 2025

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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.

There was a gap of greater than 60 days for fire drills. One was done 1/2/25 and the next one was 3/14/25.

Corrected by Aug 1, 2025

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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 a gap of greater than 30 days for the fire alarm test. One was done 1/2/25 and the next one was 3/14/25.

Corrected by Aug 1, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

There was insufficient documentation of an approved Pediatric 1st Aid/Pediatric CPR for staff #1.

Corrected by Dec 19, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

There was no written evaluation from the previous year on file for staff #1.

Corrected by Dec 19, 2024

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3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). The facility was previously cited during an unannounced inspection ending on 9/4/24. The plan of corrections stated that by 10/31/24 "We will either have on file a yearly letter from DEP stating that we are not a PWS or have the form from DEP stating that the water has been tested."

Corrected by Jan 28, 2025

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #1 did not include the health insurance policy number.

Corrected by Dec 19, 2024

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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 a gap of greater than 6 months in the review/update of the emergency contact information and fee agreement for child #2, #3, and #4. The emergency contact information and fee agreement for child #2 were updated on 8/29/23 then on 6/18/24. For child #3, the emergency contact information was updated on 8/28/23 then on 6/14/24; the fee agreement was updated on 5/1/23 then on 6/4/24. For child #4, the emergency contact information was updated on 9/5/23 then on 5/15/24; the fee agreement was updated on 9/11/23 then on 5/15/24.

Corrected by Dec 19, 2024

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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.

The most recent health report on file for child #2 is dated 8/30/23.The most recent health report for child #4 is dated 9/5/23.

Corrected by Jan 20, 2025

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

There was frozen corn with a "best by" date of 7/2024, and frozen meat of some kind with a "use by" date of 7/31/23 in a freezer.

Corrected by Dec 19, 2024

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

Staff #2 stated that they did not retain a third copy of the incident reports in a separate incident file.

Corrected by Jan 20, 2025

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

There was no initial health assessment on file for child #5 (see code sheet for start date).

Corrected by Jan 20, 2025

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

On 9/30/24 during an unannounced inspection, staff #1 was working alone with children. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety topics, and Pediatric First Aid and Pediatric CPR.

Corrected by Oct 21, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

During an unannounced inspection on 9/30/34, staff #1 was working alone with children and had a volunteer state police clearance. Staff #1 has been employed for more than 45 days (see code sheet for hire date).

Corrected by Oct 6, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch. An acceptable plan of corrections was submitted with a correction date of 8/30/24. On 9/30/24, during an unannounced inspection, there were uncovered outlets in an outlet strip in the back child care room.

Corrected by Sep 30, 2024

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3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

During an unannounced inspection on 9/30/24, question #2 on the health assessment stating that staff person #1 is free from communicable disease was not checked by the physician and no explanation was provided.

Corrected by Oct 7, 2024

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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 on 6/24/24, there was no continuity of operations plan. An acceptable plan of corrections was received that stated, "A plan of continuity of operations will be established and provided to all enrolled families by Aug 5, 2024. A continued update and renewal of continuity of operations will be facilitated during the August In Service period of each year." The date of correction was 8/5/24. During an unannounced inspection on 8/13/24, there was no continuity of operations plan.

Corrected by Aug 30, 2024

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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.

As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8. An acceptable plan of corrections was received that stated, "The mentioned staff that did not have documentation in their files regarding emergency plan training will have that signature on their files by Aug 5, 2024. Going forward, all new hires will have the signature that indicates they have received Emergency Plan training upon hire, in their file." During an unannounced inspection on 8/13/24, there was no documentation of emergency plan training for staff #2, #5, and #7.

Corrected by Aug 30, 2024

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3270.31(e)(4)(iii)/3270.115(a)(6) · Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. When children are swimming, supervision shall include one person certified in lifeguard training, as described in § 3270.31(e)(4)(iii) (relating to age and training).

On 8/1/24 during an unannounced inspection at Sills Family Campground, staff #4 was asked if she had a lifeguard. She stated that she did, but could not remember her name. Staff #4 was instructed to provide the file for the lifeguard. The file was not received. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. When asked who the lifeguard was, they stated that staff #11 was the lifeguard. During all visits to the camp, children were observed wearing swimsuits. The manager of the campground stated that the program buses the children to the campground to use the pool weekly.

Corrected by Sep 26, 2024

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3270.31(e)(4)(iv) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing swimsuits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. Staff data sheet and review of the staff files indicated that no staff had water safety training.

Corrected by Sep 26, 2024

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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 #7 will have until 9/20/24 to complete the required training. Until such time as the required training has been completed, staff person #7 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 available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

On 6/24/24 a renewal inspection was conducted at the facility. Staff person #7 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety topics. The facility's acceptable plan of correction indicated the correction would be implemented by 8/8/24. On 8/13/24 an unannounced inspection was conducted. Staff person #7 still had not completed the following required pre-service training: health and safety topics.

Corrected by Sep 3, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 9/10/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 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 #7, staff person #7 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. Staff #8 must be removed from care.

As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children. An acceptable plan of corrections was received that stated, "Staff person as identified will undergo the Mandated Reporter training within the specified time as realized was required at this documentation. That staff will not be left unsupervised until that time. Staff #8 will get updated State Police, child abuse and FBI clearances before working with children." The correction date provided was 8/8/24. During an unannounced inspection on 8/13/24, staff #7 still had not completed the Mandated Reporter training. The previous citation required the training to be completed by 7/18/24. On 8/13/24, staff #8 was observed working with children at the Sills Family Campground and did not have an updated child abuse clearance or FBI clearance, or sufficient documentation of an updated state police clearance.

Corrected by Sep 3, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year. An acceptable plan of corrections was received that stated, "A written evaluation for staff 8 will be given by August 5, 2024. Staff 9 is no longer employed or serving here. Going forward, written evaluations for staff will be given within their hire anniversary year." During an unannounced inspection on 8/13/24, there was no written evaluation for staff #8.

Corrected by Aug 30, 2024

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3270.51/3270.52 · 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. 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).

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care. An acceptable plan of corrections was submitted that stated, "Qualified staff have been arranged in care groups as of 6/25/24. Going forward, qualified staff will be in ratio placed groups." During an unannounced inspection on 8/13/24, staff #6 and facility person #10 were in a classroom with 12 preschool and school age children. Facility person #10 was identified as a volunteer and does not count in ratio leaving staff #6 supervising 12 preschool and school age children. At Sills Family Campground on 8/13/24, staff #8 and staff #2 were the only qualified staff with 30 preschool and school age children.

Corrected by Aug 30, 2024

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3270.51/3270.52 · 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. 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). A representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required ratios.

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care. An acceptable plan of corrections was submitted that stated, "Qualified staff have been arranged in care groups as of 6/25/24. Going forward, qualified staff will be in ratio placed groups." During an unannounced inspection on 8/13/24, staff #6 and facility person #10 were in a classroom with 12 preschool and school age children. Facility person #10 was identified as a volunteer and does not count in ratio leaving staff #6 supervising 12 preschool and school age children. At Sills Family Campground on 8/13/24, staff #8 and staff #2 were the only qualified staff with 30 preschool and school age children.

Corrected by Dec 20, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room. An acceptable plan of corrections was received that stated, "Mentioned outlet was covered. Going forward, all outlets will have protective coverings." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there were several uncovered outlets including one in the front room under the cubbies where children were being cared for, and one in the back room near the hallway opening where children ate lunch.

Corrected by Aug 30, 2024

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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.

During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication. An acceptable plan of correction was received that stated, "Handbag was removed and stored out of children access. Going forward, all hazardous items will be kept out of children's reach." The correction date provided was 6/24/24. During an unannounced inspection on 8/13/24, there was hand sanitizer and disinfecting wipes labeled "keep out of reach of children" on an open shelf in the front room accessible to children.

Corrected by Aug 30, 2024

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3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

The facility does not have current documentation from Dept of Environmental Protection that it meets the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Corrected by Oct 31, 2024

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3270.115(a)(2) · An in-ground swimming pool accessible to children shall be fenced with a locked gate.

On 8/1/24 during an unannounced inspection at Sills Family Campground, children were observed wearing bathing suits. On 8/13/24, during an unannounced inspection at Sills Family Campground, children stated that they were going to go swimming. The manager of the campground stated that the program buses the children to the campground to use the pool weekly. The pool has a fence around it but it is not locked. The manager of the pool also stated that the pool is not locked during the day so that campers can access the pool.

Corrected by Sep 26, 2024

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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 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance. An acceptable plan of correction was received that stated, "Stated health form was returned for signature. Going forward, all staff will have completed health forms on file at all times- updated." During an unannounced inspection on 8/13/24, the health assessment of staff #7 had not been updated.

Corrected by Aug 30, 2024

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3270.31(a)/3270.31(b) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person. A staff person shall be 18 years of age or older.

During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old. An acceptable plan of corrections was received that stated, "Qualified staff have been placed in ratio groups. Going forward, qualified staff will be placed in ratio groups." The correction date provided was 6/25/24. During an unannounced inspection on 8/13/24, staff #1 and #3 were acting in the role of staff/camp counselors at Sills Family Campground.

Corrected by Aug 30, 2024

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3270.31(a) · A volunteer shall be 16 years of age or older and shall be directly supervised at all times by a staff person.

During the renewal inspection on 6/24/24, staff #1 and #3 were initially identified as volunteers, however, both are younger than 16 years old.

Corrected by Jun 25, 2024

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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 on 6/24/24, there was no continuity of operations plan.

Corrected by Aug 5, 2024

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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.

As of the renewal inspection on 6/24/24, there was no documentation on file of training on the emergency plan at hire for staff #2, #5, #6, #7, #9. There was no documentation of emergency plan training for staff #8.

Corrected by Aug 5, 2024

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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 #7 will have until 7/17/24 to complete the required training. Until such time as the required training has been completed, staff person #7 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 available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

As of the renewal inspection o n 6/24/24, staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training.

Corrected by Aug 8, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7 will have until 7/18/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7 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 #7, staff person #7 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. Staff #8 must be removed from care.

As of the renewal inspection on 6/24/24, Staff person #7 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff #8 had expired state police, child abuse, and FBI clearances, and was working alone with children.

Corrected by Aug 8, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

As of the renewal inspection on 6/24/24, there was no written evaluation for staff #8 and staff #9 who have been employed for more than a year.

Corrected by Aug 5, 2024

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3270.51/3270.113(a)(2) · 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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55.

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care.

Corrected by Jun 25, 2024

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3270.51/3270.113(a)(2) · 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. The required staff:child ratios must be maintained at all times. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3270.51--3270.55. A representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required ratios.

During the renewal inspection on 6/24/24, there were 15 preschool children in the front room with staff #1 and staff #2, however, staff #1 does not qualify as a staff person due to her age, leaving 15 children with one staff. Staff #3 was alone with 11 school age children, however, staff #3 does not qualify as a staff person due to her age. Upon arrival at the facility, there were 9 children in room 2 with no staff. The 9 children were sent outside with staff #4, who already had 10 school age children in her care.

Corrected by Oct 25, 2024

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3270.51/3270.113(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. Children must be supervised at all times. 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. The required staff:child ratios must be maintained at all times. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

Corrected by Aug 23, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the renewal inspection on 6/24/24, there was an uncovered outlet accessible to children in Room 2 under the fire extinguisher by the door to the front room.

Corrected by Jun 24, 2024

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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.

During the renewal inspection on 6/24/24, the handbag of staff #4 was open and accessible to children, and contained several prescription bottles with medication.

Corrected by Jun 24, 2024

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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.

During the renewal inspection on 6/24/24, the green turf carpet on the outdoor play space had huge tears throughout the carpet creating a tripping hazard. The plastic climber had a large hole in one of the slide beds and on the side climbing part. The fenced play area had so many items in it, there was little space for children to move freely and safely.

Corrected by Sep 3, 2024

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3270.82(h)/3270.134(a) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the renewal inspection on 6/24/24, there was no handwashing sign at the sink in the kitchen. Children went to the bathroom unattended and did not wash hands after using the toilet due to there being no soap or paper towels in the bathroom.

Corrected by Jun 24, 2024

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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. Children must be supervised at all times. 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 representative from the Bureau of Certification Services will conduct three unannounced inspections over the next three months to verify compliance with required supervision.

During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

Corrected by Jul 23, 2024

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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. Children must be supervised at all times. 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.

During the renewal inspection on 6/24/24 there were 9 children in a section of the room with no staff. Children left the front room unattended to use the bathroom and with no staff aware of them leaving. Children moved freely and frequently throughout the rooms, and inside and outside, that staff were unable to accurately identify the children in their care at all times. Staff #1 identified 8 children in her primary care group, however, staff #1 is 15 years old and does not qualify as a staff person.

Corrected by Jun 25, 2024

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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).

As of the renewal inspection on 6/24/24, there was no documentation of information about the child's growth and development on the Department's approved form provided to the parents of child #1 (see code sheet for start date) in the previous 6 months.

Corrected by Aug 30, 2024

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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.

As of the renewal inspection on 6/24/24, the most recent date of review of the emergency contact information for child #2 was 9/28/23.

Corrected by Aug 30, 2024

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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 6/24/24, the file of staff #7 had an initial health assessment dated 6/17/22. There was a second health assessment on file with no date so assessor could not determine compliance.

Corrected by Jun 30, 2024

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3270.51/3270.173(c) · 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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the NE Region Office on a weekly basis for a period of 60 days after DHS approves the documentation format. When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51.

It was observed and stated by facility staff that on Monday, January 22, there were 28 school aged children transported in the afternoon on the facility owned bus with only 2 total staff persons present.

Corrected by Feb 1, 2024

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3270.51/3270.173(c) · 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. The required staff: child ratios must be maintained at all times. When school-age children are transported, the driver may be considered part of the staff-child ratio required in §3270.51.

It was observed and stated by facility staff that on Monday, January 22, there were 28 school aged children transported in the afternoon on the facility owned bus with only 2 total staff persons present.

Corrected by Feb 5, 2024

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area. The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was determined that the submitted plan was not implemented.

Corrected by Feb 3, 2024

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On 1/23/24, during a correction verification visit, continued noncompliance was observed. Previously on 12/6/23, it was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route". The facility submitted a plan of correction on 1/2/24, which was accepted, but upon review on 1/23/24, it was observed that the submitted plan was not implemented. Although the pillows, carpet, and boxes were removed from the stairwell area, additional boxes and furniture were now being stored in the adjoining hallway leading to that same stairwell.

Corrected by Feb 7, 2024

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

It was observed and stated that the facility has a mice and fruit fly infestation. Mice droppings were observed throughout the building. They were noticed in the kitchen area where meals are prepared for the children in care. The droppings were observed on the floor and throughout the lower level cabinets in that kitchen space. In addition to the mice droppings, several fruit flies were present in the kitchen space most noticeable around the sink area.

Corrected by Dec 29, 2023

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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.

It was observed in the kitchen area that the floor and cabinets were unclean due to visible mice droppings present.

Corrected by Dec 29, 2023

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

It was observed that an opened jar of jelly dated 8/22/22 was left stored in the refrigerator used by the facility. It was observed and stated that a opened gallon of milk containing a sell by date of 11/29/23 was still being used for children on 12/6/23.

Corrected by Dec 7, 2023

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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 #1 will have until 01/03/2024 to complete the required training. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. 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 person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of September 2023.

Corrected by Jan 2, 2024

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3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

File for staff person #2, who was hired as an assistant group supervisor, contained verification of education but did not contain adequate or written verification of at least 2 years of experience working with children.

Corrected by Jan 2, 2024

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

It was observed that the facility had pillows, a large room-sized rolled up carpet, and boxes stored on a stairwell that contained a sign which read "alternate evacuation route".

Corrected by Dec 14, 2023

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3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

Corrected by Aug 30, 2023

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3270.124(d)/3270.181(e) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

Corrected by Aug 30, 2023

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3270.182(8) · 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.

Repeated noncompliance observed; facility did not implement their plan of correction from inspection dated 6/16/23. File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

Corrected by Aug 30, 2023

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training topic.

Corrected by Jun 20, 2023

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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. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility.

File for staff person #2, see code sheet for hire date, contained the application for an NSOR verification certificate, but the file did not contain the results of that application. Staff person #2 was observed to be working alone with children the day of inspection. Staff person #4, see code sheet for hire date, did not contain a completed criminal history clearance, a DHS FBI clearance, or the NSOR verification certificate. Although current mandated reporter training is on file dated 4/24/23, for staff person #3, they had not re-completed mandated reporter training within the 60 month requirement. This is evidenced by the previously documented mandated reporter training on file being dated 4/17/18.

Corrected by Jun 20, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

File for staff person #1 did not contain a written evaluation completed by the director within the last 12 months.

Corrected by Jun 16, 2023

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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.

It was observed that sunscreen was left accessible to children in care.

Corrected by Jun 16, 2023

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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.

It was observed that the facility van's window, located on the passenger side door, was broken. It was observed in the outdoor play space that several areas of the outdoor carpet were folded up and not longer properly anchored causing a tripping hazard.

Corrected by Jul 20, 2023

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

It was observed that paint above the window in Room 1 was peeling and damaged.

Corrected by Jul 8, 2023

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3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Equipment must immediately be made inaccessible to the children in care until adequate anchoring and loose-fill requirement is met according to both the recommendations of the United States Consumer Product Safety Commission and the manufacturer's recommendations.

It was observed in the outdoor play space that several pieces of equipment would require embedding, but were not anchored firmly into the ground. The equipment was also not mounted over loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Corrected by Jul 14, 2023

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

It was observed in the outdoor play space that several pieces of equipment would require embedding, but were not anchored firmly into the ground. The equipment was also not mounted over loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission.

Corrected by Jul 14, 2023

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed that a thermometer was not present in the kitchen refrigerator used by the facility.

Corrected by Jul 7, 2023

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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).

File for child #4 did not contain a child service report completed within the last 6 months.

Corrected by Jun 16, 2023

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3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

It was observed that current emergency contact information was not present for children in Room 1 or Room 2.

Corrected by Jul 7, 2023

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3270.124(d)/3270.181(e) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

It was observed that the current emergency contact forms for children are not present when staff and children leave the facility on excursions.

Corrected by Jul 7, 2023

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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.

File for child #4, see code sheet for date of birth, contained a physical dated 4/18/22, but an updated health report completed within the last 12 months was not found on file.

Corrected by Jun 16, 2023

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3270.131(e)(3)/3270.182(1) · 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). A child's record shall contain initial and subsequent health reports.

File for child #5, see code sheet for enrollment date, did not contain a health assessment or documentation of recommended immunizations.

Corrected by Jul 14, 2023

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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.

File for staff person #4 did not contain a health assessment or the written results of a TB test.

Corrected by Jun 16, 2023

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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.

It was observed that the facility did not have the current certificate of compliance posted.

Corrected by Jul 24, 2023

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3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

It was observed that child #1 and child #3 did not have an individual file established or maintained at the facility.

Corrected by Jun 16, 2023

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3270.182(8) · 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.

File for child #2 did not contain a copy of the initial or subsequent agreements between the parent and the operator.

Corrected by Jun 16, 2023

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3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

File for staff person #4 did not contain verification of experience or education.

Corrected by Jun 16, 2023

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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.

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

Corrected by Jun 16, 2023

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3270.61 · Measurement and use of inodoor child care space.

It was observed that approximately 17 children were signed in on the facility's attendance sheet the day of inspection, but were observed to be present in a separate space within the building. That space was not measured and therefore was not part of the established capacity under the facility's license as usable childcare space.

Corrected by Jun 17, 2023

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

It was observed that a current copy of the facility's comprehensive general liability insurance policy was not on file at the facility at the time of inspection.

Corrected by Feb 24, 2023

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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.

It was observed that the facility could not provide documentation verifying that an emergency plan letter, explaining all required emergency procedures, was created and provided to all currently enrolled families.

Corrected by Feb 27, 2023

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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.

It was observed that hand sanitizer was accessible to children in room #2.

Corrected by Feb 24, 2023

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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.

It was observed that florescent glass lighting on the ceiling in both rooms did not contain the protective light covering and tiles were missing from the ceiling in room #2 creating a visible hazard. It was observed that paint on the ceiling in room #1 was also chipped and peeling.

Corrected by Feb 26, 2023

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

It was observed that a milk crate filled with paper and other office supply materials was left sitting in front of the rear gated exit causing this exit to be partially obstructed.

Corrected by Feb 24, 2023

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed that the inside of the refrigerator in the kitchen space was unclean and staff stated this refrigerator was being used to store food for the children at the facility.

Corrected by Feb 27, 2023

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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.

It was observed that the facility did not provide to families in writing the facility's general daily schedule, hours for which care is provided, responsibilities for meals, clothing, health policies, supervision policies, dismissal policies, or transportation and pick-up arrangements. The documentation on file shown during inspection was created for another facility and did not contain any details for this location or legal entity.

Corrected by Mar 1, 2023

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3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Agreement for child #1 was not signed by the operator and did not contain the child's admission date.

Corrected by Feb 24, 2023

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

File for child #1 did not contain documentation of an emergency contact form detailing all emergency contact information as required.

Corrected by Feb 27, 2023

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

It was observed that the emergency contact form for child #6 was not present in either room where the child was receiving care at the time of inspection.

Corrected by Feb 24, 2023

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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.

File for child #4, see code sheet for date of birth, contained one health report dated 7/8/21 and the updated health report dated 9/28/22; therefore an updated health report was not on file every 12 months as required.

Corrected by Feb 24, 2023

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

Files for child #2, #3, and #4 did not contain a written review of all immunizations recommended by the ACIP; these files did not contain any current documentation regarding the influenza vaccine.

Corrected by Feb 28, 2023

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

It was observed in the refrigerator in the kitchen space that an open container of mayonnaise was labeled as expired as of 1/2023, and appeared to be discolored.

Corrected by Feb 24, 2023

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3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

It was observed that the facility did not have posted in a conspicuous location used by parents the facility's safe routes, or pick up and drop off procedures.

Corrected by Feb 27, 2023

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3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

It was observed that the facility van contained expired booster seats.

Corrected by Feb 24, 2023

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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.

File for child #2 and #4 did not contain a dated parental signature within the last 6 month period verifying that the agreements and emergency contact forms for these children were reviewed.

Corrected by Feb 27, 2023

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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.

It was observed that the facility did not provide to parents of each enrolled child information on how to access the regulations in Chapter 3270 electronically.

Corrected by Feb 27, 2023

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

File for staff person #1 did not contain 12 clock hours of annual child care training.

Corrected by Feb 28, 2023

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

It was observed and stated that the facility did not submit to local traffic authorities the facility's annual traffic letter.

Corrected by Feb 27, 2023

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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.

It was observed that diaper cream with a label stating, "keep out of reach of children," was being stored for a child on the lower level shelf under the changing table allowing it to be accessible to the children in care.

Corrected by Feb 1, 2023

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3270.75(b) · A first-aid kit must be inaccessible to children.

It was observed that the first aid kit in the front room was left lying on the floor making it accessible to the children in care.

Corrected by Feb 1, 2023

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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.

It was observed in the front room that a bin housing toys for the children on a lower level shelf was broken.

Corrected by Feb 1, 2023

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

On 12/1/22, continued noncompliance observed from inspection conducted on 9/28/22. On 9/28/22, file for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance. On 12/1/22, a criminal history clearance for staff person #5 was observed on file, however, file for facility person #7 did not contain all required paperwork under the CPSL. File for facility person #7, (see code sheet for first day volunteering in care with children), contained an application for their NSOR verification certificate but did not contain the certificate itself and facility person #7 was present at the facility for more than 45 days. The facility did not follow their plan of correction that was accepted on 11/7/22.

Corrected by Dec 5, 2022

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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 Director and/or Legal Entity representative responsible for hiring new staff are required to register for and attend the Existing Provider Orientation training conducted by the NE OCDEL Regional Office.

On 12/1/22, continued noncompliance observed from inspection conducted on 9/28/22. On 9/28/22, file for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance. On 12/1/22, a criminal history clearance for staff person #5 was observed on file, however, file for facility person #7 did not contain all required paperwork under the CPSL. File for facility person #7, (see code sheet for first day volunteering in care with children), contained an application for their NSOR verification certificate but did not contain the certificate itself and facility person #7 was present at the facility for more than 45 days. The facility did not follow their plan of correction that was accepted on 11/7/22.

Corrected by Feb 22, 2023

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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 legal entity will submit complete files for any new hires, including volunteers or other facility persons, for a period of 60 days to the NE Regional Office. During that time, new hires or volunteers may not be with the children in care until their file has been approved by the NE Regional Office. Submitted files will be reviewed by the NE regional office within 1 week of submission.

On 12/1/22, continued noncompliance observed from inspection conducted on 9/28/22. On 9/28/22, file for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance. On 12/1/22, a criminal history clearance for staff person #5 was observed on file, however, file for facility person #7 did not contain all required paperwork under the CPSL. File for facility person #7, (see code sheet for first day volunteering in care with children), contained an application for their NSOR verification certificate but did not contain the certificate itself and facility person #7 was present at the facility for more than 45 days. The facility did not follow their plan of correction that was accepted on 11/7/22.

Corrected by Mar 1, 2023

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

It was observed that the secondary exit was partially blocked by several large boxes, a stroller, and a large plastic outdoor garbage can.

Corrected by Dec 1, 2022

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3270.163(a)(2) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

It was observed at the time of inspection that the facility provided lunch to the children which did not include a protein.

Corrected by Dec 2, 2022

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed on the facility's fire alarm testing log that a fire alarm test was conducted on 8/31/22 and then the next test logged was conducted on 10/7/22. This is more than the 30 day testing requirement to meet compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected by Dec 1, 2022

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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.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. Although staff person #4 is no longer employed at the facility, staff person #5 was observed to be caring for children unsupervised and staff person #6 stated they have worked with children unsupervised. Staff person #5 and #6 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #5 has also not completed Mandated Reporter Training. The facility's plan of correction submitted on 8/22/22, was not implemented.

Corrected by Nov 4, 2022

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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.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that the facility did not provide to each enrolled family a letter explaining all parts of the facility's emergency plan procedures. The parent letter did not contain lockdown procedures or specify the accommodations for toddlers, those with special needs, or chronic medical conditions. These were procedures observed in the facility's overall emergency plan, but were not provided in the letter to the parent of each enrolled child. The facility's plan of correction submitted on 8/22/22, was not implemented.

Corrected by Sep 28, 2022

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

File for staff person #5, (see code sheet for date of hire), contain neither a completed criminal history clearance nor the request for the criminal history clearance.

Corrected by Sep 28, 2022

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3270.36(b)(5)/3270.37(c) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

File for staff person #5, (see code sheet for date of hire), did not contain documentation verifying that they are qualified to be an assistant group supervisor. Documentation observed on file for staff person #5 verified they were qualified to be employed as an aide only. Staff person #5 was observed to be unsupervised caring children at the time of inspection. File for staff person #6, (see code sheet for date of hire), did not contain documentation verifying that they are qualified to be an assistant group supervisor. Documentation observed on file for staff person #6 verified they were qualified to be employed as an aide only. Staff person #6 stated they are at times left unsupervised while caring for children in the outdoor play space at the facility.

Corrected by Sep 28, 2022

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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). The required staff:child ratios must be maintained at all times. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group and a written definition of child care. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22.. On 6/29/22, it was observed in the main room that staff person #2 was present with 1 older toddler, 6 preschoolers, and 4 older school agers. Staff person #2 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. It was observed in the art room that staff person #4 was present in the art room with 16 school aged children. Staff person #4 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. Although ratios were maintained during the inspection conducted on 9/28/22, the facility has not established a supervision and ratio policy approved by the department and has not trained their staff on this policy. The facility's plan of correction submitted on 8/22/22, was not implemented.

Corrected by Nov 4, 2022

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3270.64 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

It was observed that a stack of tables, a piece of plywood, and other garbage items/materials were left sitting on the outside walkway at the rear door of the facility.

Corrected by Nov 4, 2022

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the main room that an electric outlet by the doorway was left uncovered and outlets on a power strip in the classroom were left uncovered, both accessible to children under the age of 5.

Corrected by Sep 28, 2022

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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.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed in the kitchen/office area of the main room that the following were left accessible to children in care: a gallon sized bottle of bleach and a quart of diesel fuel were observed together on the floor between the play space and kitchen area, cleaning products were stored in the cabinet under the kitchen sink, and medication bottles were stored on a waste-high shelf between the office and kitchen spaces. The facility's plan of correction submitted on 8/7/22, was not implemented.

Corrected by Nov 7, 2022

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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. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS-approved in-person training, including technical assistance, regarding a training in healthy and safe childcare environments. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed in the kitchen/office area of the main room that the following were left accessible to children in care: a gallon sized bottle of bleach and a quart of diesel fuel were observed together on the floor between the play space and kitchen area, cleaning products were stored in the cabinet under the kitchen sink, and medication bottles were stored on a waste-high shelf between the office and kitchen spaces. The facility's plan of correction submitted on 8/7/22, was not implemented.

Corrected by Jan 6, 2023

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that the inside of the facility refrigerator was left unclean. The facility's plan of correction submitted on 8/7/22, was not implemented.

Corrected by Sep 28, 2022

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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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of 60 days after DHS approves the documentation format. Documentation must be completed by individual staff persons, in real time, noting the number of children and age of the youngest child in their primary care group. 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 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. On 6/29/22, it was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. On 6/29/22, it was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that the child was child #5. Although it was observed that the facility was adequately supervising children on 9/28/22, the facility is not adequately completing the documentation, e.g count sheets, proving that the facility's procedure for counting children is followed at all times. These accepted forms were not completed at the time of inspection on 9/28/22 at 11am and children were observed in care.

Corrected by Jan 6, 2023

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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.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. Emergency contact form for child #3 did not include release person's address.

Corrected by Sep 28, 2022

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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.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that although the facility's emergency transportation plan is now posted in the art room, it was stated that the plan is not accompanying staff who leave with a group of children on an excursion away from facility property. The facility's plan of correction submitted on 8/7/22, was not implemented.

Corrected by Nov 11, 2022

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3270.135(a)(3) · 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.

It was observed that the facility's garbage can, located by the bathroom changing table and observed to be used to dispose of soiled diapers, was broken and no longer hands-free.

Corrected by Oct 31, 2022

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

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was observed that perishable food items requiring refrigeration were being stored in the classroom space and not in the refrigerator. The facility's plan of correction submitted on 8/22/22, was not implemented.

Corrected by Sep 28, 2022

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3270.192(3) · 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.

File for staff person #5, (see code sheet for hire date), did not contain a health assessment or results of a TB test or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Corrected by Oct 14, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

On 9/28/22, continued noncompliance observed from inspection conducted on 6/29/22. It was stated that the facility did conduct an emergency drill after 6/29/22 however, documentation of this drill was not found on file. The facility's plan of correction submitted on 8/7/22, was not implemented.

Corrected by Sep 28, 2022

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact form for child #1 did not include the child's health insurance policy number.

Corrected by Jun 29, 2022

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

Agreement for child #4 and #5 did not specify the child's admission date.

Corrected by Aug 22, 2022

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #4 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Topics, pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum, and Mandated Reporter Training.

Corrected by Aug 22, 2022

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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.

It was observed and stated that the facility did not provide to each enrolled family a letter explaining all parts of the facility's emergency plan procedures.

Corrected by Aug 22, 2022

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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.

Emergency contact form for child #4 did not include the address of the child's physician.

Corrected by Aug 22, 2022

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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). The required staff:child ratios must be maintained at all times.

It was observed in the main room that staff person #2 was present with 1 older toddler, 6 preschoolers, and 4 older school agers. Staff person #2 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. It was observed in the art room that staff person #4 was present in the art room with 16 school aged children. Staff person #4 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space.

Corrected by Jun 29, 2022

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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). The required staff:child ratios must be maintained at all times. The Legal Entity / Director will establish a supervision and ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while maintaining appropriate ratio at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include the required staff:child ratios for each age group. The policy must include how the facility will ensure appropriate supervision and ratios during transition times and while in the outdoor play area. The policy must include how the facility will ensure appropriate supervision and ratios during nap time. The policy must also include a plan for each staff to be assigned the responsibility for supervision of specific children, including the requirement that the staff person know the names and whereabouts of the children in his assigned group and be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The policy must also address how these groups will be transitioned from one staff person to another during staffing changes. This supervision and ratio policy must be submitted to the Department prior to implementation for approval. Once approved by the Department, the director will ensure that all current employees and any new hires are trained on this policy.

It was observed in the main room that staff person #2 was present with 1 older toddler, 6 preschoolers, and 4 older school agers. Staff person #2 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space. It was observed in the art room that staff person #4 was present in the art room with 16 school aged children. Staff person #4 was the only staff person present in that space and was over the ratio requirements due to the ages of the children present in that space.

Corrected by Aug 22, 2022

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3270.54(b) · At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.

No staff persons were present when children were on an excursion away from the facility property for approximately 10 minutes. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility.

Corrected by Aug 22, 2022

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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.

It was observed in the kitchen/office area of the main room that disinfectant spray and medication bottles were left accessible to children in care.

Corrected by Jun 29, 2022

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3270.75(b) · A first-aid kit must be inaccessible to children.

It was observed that the first aid kits in both the main room and art room were accessible to children.

Corrected by Aug 22, 2022

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3270.75(d)/3270.124(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3270.75(c).When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

It was observed that a first aid kit and emergency contact forms were not present and did not accompany staff when taking children off facility property.

Corrected by Aug 22, 2022

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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.

It was observed in the kitchen that the stove was turned on and the kitchen was left accessible to children in the main room causing a visible hazard. It was observed that the corner shelf in the main room by the bathroom hallway was unclean; it was dusty and contained cobwebs.

Corrected by Aug 22, 2022

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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.

It was observed in the facility hallway that mats, which staff stated are used by the children for tumbling, were ripped and not in good repair.

Corrected by Jun 29, 2022

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed that the inside of the facility refrigerator was left unclean.

Corrected by Jun 29, 2022

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

It was observed that the daily activities were not posted in the art room for the child care group observed in that room.

Corrected by Aug 22, 2022

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

Emergency contact form for child #1-#4 did not include the enrolling parent's work address. Emergency contact form for child #1-#3 did not include the enrolling parent's work telephone number.

Corrected by Jun 29, 2022

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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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

It was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. It was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that the child was child #5.

Corrected by Nov 29, 2022

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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. The legal entity must arrange for all facility staff to receive a minimum of three hours of PQAS-approved in-person training, including technical assistance, regarding supervision of children. This training must be completed as a live training or in-person. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not be conducted while children are in care. 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.

It was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. It was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that the child was child #5.

Corrected by Aug 22, 2022

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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. Children must be supervised at all times. 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.

It was observed during inspection that staff person #1 was walking 8 children across the street back to the facility property. A few minutes prior to observing staff person #1 walking these 8 children back to the facility, staff person #1 was observed inside the building and the 8 children were not present. Staff person #1 stated they walked 8 children over to the public play ground and left them there unsupervised, no staff person employed by the facility was present at the playground, for approximately 10 minutes. Staff person #1 then went back over to the park after approximately 10 minutes to walk the children back to the facility. It was observed that staff person #3 sent a child inside from the facility's outdoor play space to use the bathroom. The child entered the facility via the art room and staff person #4 sent the child into the bathroom from the art room, through the art room doors, reclosing the doors to the art room behind the child, as the child walked down the hallway to the bathroom alone, leaving that child unsupervised. It was later stated by staff that the child was child #5.

Corrected by Aug 22, 2022

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3270.123(a) · An agreement shall be signed by the operator and the parent.

Agreement for child #4 was not signed by the operator.

Corrected by Jun 29, 2022

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3270.123(a)(1)/3270.123(a)(4) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

Agreement for child #4 did not specify the fee amount that is to be charged by the facility or the arrival or departure times for the child.

Corrected by Jun 29, 2022

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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.

Emergency contact form for child #3 and #4 did not include the release person's address. Child #4 has since unenrolled.

Corrected by Jun 29, 2022

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3270.124(c)/3270.181(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

It was observed that the emergency contact forms located in the child care spaces were not updated with the information from the children's master files, and there was not emergency contact forms present for every child receiving care in their classroom space.

Corrected by Sep 12, 2022

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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.

It was observed that the facility's emergency transportation plan was not posted in the art room, and did not accompany staff who left facility property with a group of children on an excursion to the park.

Corrected by Sep 9, 2022

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

It was observed that medication, labeled for child #6, was present in the kitchen space, and no medication log or signed parental consent was observed or provided by facility for this medication.

Corrected by Jun 29, 2022

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

It was observed that a child was sent inside to use the bathroom, no staff were present, and the child did not wash their hands after toileting. It was later stated by staff that the child was child #5.

Corrected by Aug 22, 2022

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

It was observed in the main room that perishable food items requiring refrigeration were being stored in the children's cubbies.

Corrected by Aug 22, 2022

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3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

It was observed that the facility did not have a menu posted, and it was stated that the facility does not provide families with a copy of a menu at least 1 week in advance. Facility was observed providing meals to the children during inspection.

Corrected by Jun 29, 2022

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3270.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

It was observed that child #7 was present during the inspection but did not have an established individual record observed at the facility.

Corrected by Jun 29, 2022

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3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Agreement and emergency contact form for child #4 contained a dated signature verifying the forms were reviewed in November 2021, but no subsequent dated signature was obtained by the parent verifying that these forms were reviewed within the last 6-months as required.

Corrected by Aug 22, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

It was observed and stated that the facility did not conduct or document at least one annual emergency drill.

Corrected by Jul 15, 2022

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

It was observed that the facility did not maintain their proof of purchase from their fire alarms and did not document the testing of their fire alarms at least once every 30 days as required under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected by Aug 22, 2022

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

File for child #2, see code sheet for enrollment date, contained a physical dated 1/28/22, and did not contain a review of the child's immunization status according to the recommendations of the ACIP. The initial physical and immunization records for child #2 were to be on file no later than 12/20/21 according to the child's documented enrollment date.

Corrected by Jul 7, 1922

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3270.106(b) · Bed linens may not be used alone as age-appropriate rest equipment.

Children were using blankets alone as rest equipment.

Corrected by Sep 7, 2021

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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.

The following toxic materials were all observed: multiple bottles and boxes of hand sanitizer were stored throughout the facility in both rooms, sunscreen was stored in cubbies in both rooms and a plastic box containing approximately 10 bottles of sunscreen was placed on a shelf, essential oil wipes were stored on a shelf under parent board in the main room indicating "keep out of reach of children", disinfecting wipes were stored in the art room on a piano indicating "keep out of reach of children", a closet by the art room contained a dozen cans of shaving cream which indicated "keep out of reach of children", and male deodorant was stored in a cubbie indicating "keep out of reach of children". All of these items observed were stored at a height and location that were accessible to the children in care.

Corrected by Aug 6, 2021

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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.

It was observed that a closet in the art room, near the bathroom, contained large poorly stacked items that were falling out of the closet towards the door, and another closet in the art room, near the rear exit, contained car seats and large boxes which were falling off the shelves in that closet. These closets were accessible to the children in care causing a visible hazard.

Corrected by Aug 13, 2021

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

It was observed in the women's bathroom that visually the floor around the toilet looked dirty and the bathroom area smelled unclean.

Corrected by Jul 29, 2021

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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.

It was observed in the main room that the shelves and large toys such as the toy high chair, play cash register and racetrack were all excessively dusty therefore unclean. It was observed that the bin in the play kitchen sink and two bins housing linking blocks were cracked and broken therefore not in good repair.

Corrected by Aug 10, 2021

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3270.106(b) · Bed linens may not be used alone as age-appropriate rest equipment.

Children were using blankets alone as rest equipment.

Corrected by Aug 20, 2021

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3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

Emergency contact form for child #1 did not contain the parent's work address, work telephone number, or the release person's address.

Corrected by Jul 29, 2021

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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.

Files for staff person #1 and #2, both observed in care the day of inspection, did not contain documentation of a tuberculosis screening.

Corrected by Aug 25, 2021

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3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

It was observed that a grocery bag located on the art room table contained approximately six apples and two pears. When the bag was opened, a large number of fruit flies exited the bag. The fruit flies present along with the brown coloring of the fruit indicated that the fruit was spoiled and was left accessible to children. It was observed on the same table, also accessible to children, that another grocery bag containing individually wrapped bags of room-temperature baby carrots were discolored and stated "keep refrigerated" on the packaging.

Corrected by Jul 29, 2021

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

It was observed that yogurt and a lunchmeat sandwich brought in from a child's home was being stored in a lunchbox in the art room and were not placed in the facility refrigerator.

Corrected by Jul 29, 2021

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

It was observed that several of the required postings in the facility, which were laid out on the shelf at a conspicuous location at the facility's entrance, were printed on the back of a child's emergency contact form and incident reports; therefore parts of those children's record were not being kept confidential or stored in a locked cabinet.

Corrected by Aug 9, 2021

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