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.

Handwashing signs were not posted at the changing table in the toddler classroom or the sink in the 2-year-old classroom.

Corrected Corrected by Mar 3, 2025

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

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

A storage cabinet approximately 5 feet tall was not anchored to the wall and was unsteady, wobbling when touched.

Corrected Corrected by Mar 4, 2025

Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record of child #1 contained 2 of 3 Hepatitis B immunizations and the record of child #2 contained 3 of 4 DTaP vaccinations each lacking documentation of 1 dose according to the recommendations of the ACIP or an acceptable exemption.

Corrected Corrected by Mar 3, 2025

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

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

The health assessment of staff #1 contained information an examination was conducted but did not include the full results of that examination.

Corrected Corrected by Mar 3, 2025

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

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

The individual bottles observed in the infant room refrigerator were not labeled with the names of the children for whom they are intended.

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for staff person #1 lacked current emergency plan training dated within the last year.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

In the infant room, there was a child observed sleeping in a crib that lacked 2 feet of space on three sides.

Corrected Corrected by Apr 3, 2024

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

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files for child #1, #2, #3, #4, and #5 had an agreement that lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business on 4-3-24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #3, a 20 month old child enrolled more than 60 days at the facility, lacked documentation of the 3rd Hepatitis B vaccination and the 1st MMR vaccination being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Apr 3, 2024

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

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.

In the 1 year old room, staff person #2 changed a child's diaper on the changing table and left the soiled diaper on the changing table to wash the child's hands. After washing the child's hands, staff person #2 discarded the diaper into the hands-free covered can.

Corrected Corrected by Apr 3, 2024

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

In the infant room, child #1, an infant, lacked a written statement obtained from the parent giving the formula and feeding schedule.

Corrected Corrected by Apr 3, 2024

Category: nutrition. Marked corrected in the state record.

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

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

In the 1 year old room located on the ground floor, there were 3 windows that were observed open that lacked a screen.

Corrected Corrected by Jun 13, 2023

Marked corrected in the state record.

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

On the outdoor preschool play space, the frame around the door to enter the building had peeling paint in multiple areas.

Corrected Corrected by Jun 14, 2023

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

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

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

Corrected Corrected by Jun 13, 2023

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

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

The file for staff person #1 had the out of state Child Abuse & Neglect registry check dated 6-2-23 that was after the staff person's start date.

Corrected Corrected by Jun 13, 2023

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

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

In the 1 year old room, there was a staff person observed with 4 young toddlers on the floor doing an activity that included small pieces of paper and pom poms that had a diameter of less than 1 inch and were located in 2 plastic bins on the floor accessible to the children who are still placing objects in their mouths.

Corrected Corrected by Jun 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency transportation plan was not posted in the infant, 1 year old, 2 year old, and preschool rooms.

Corrected Corrected by Jun 13, 2023

Category: transportation. Marked corrected in the state record.

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

The emergency plan lacked requirements for volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Mar 20, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff person #1 and #2 had a disclosure statement that lacked the date the form was signed.

Corrected Corrected by Mar 20, 2023

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

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

The back steps and landing area through the back exit of the preschool room had peeling red paint in multiple areas on the railing and doorframe and peeling white paint in multiple areas along the wall of the building. The bottom step and railing on the landing area through the back exits of the infant and 1 year old rooms had peeling red paint in multiple areas.

Corrected Corrected by Mar 21, 2023

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

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

Handwashing signs were not posted at the 2 toilets in the bathroom in the preschool room and the 2 toilets in the bathroom in the 2 year old room.

Corrected Corrected by Mar 20, 2023

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

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.

The facility's preschool outdoor play space had embedded equipment that was mounted over unitary playground protective surface covering (turf) and lacked documentation that the covering meets the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Mar 22, 2023

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

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

In the 1 year old room, there were connected fabric blocks that had multiple tears with small pieces coming apart with a diameter of less than 1 inch and were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 20, 2023

Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes were not posted in the basement of the facility.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The operator lacked documentation of proof of purchase for the interconnected fire detection system.

Corrected Corrected by Mar 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.

Corrected Corrected by Mar 20, 2023

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