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

The files for staff persons #1, #2 and #3 were observed to lack documentation of completion of renewal of Mandated Reporter training, within 60 months. This was evidenced by the presence of a certificate dated 07/25/2019 in staff person #1 and #2's files and a certificate of completion dated 08/02/2019 present the file of staff person #3.

Corrected Corrected by Mar 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

The files for staff persons #1, #2 and #3 were observed to lack written evaluations of staff persons on a regular basis, a minimum of one evaluation every 12 months. This was evidenced by no evaluations present in staff person #1 and #3 and an evaluation dated 11/28/23 present in staff person #2's file.

Corrected Corrected by Mar 2, 2025

Category: recordkeeping. 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.

The facility's bathroom was observed to have 1 sink and 1 toilet but only 1 handwashing sign.

Corrected Corrected by Mar 2, 2025

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

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The file for child #1 was observed to contain a health report that lacked a physician, physician's assistant or a CRNP's signature.

Corrected Corrected by Feb 3, 2025

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

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

The facility was observed to lack documentation of conducted an annual emergency drill.

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility was observed to lack documentation the emergency plan and subsequent plan updates were send to the local municipality and to the county emergency management agency.

Corrected Corrected by Mar 2, 2025

Category: physical safety. 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.

At the time of the inspection, the emergency plan lacked continuity of operations.

Corrected Corrected by Feb 4, 2024

Category: ratio. Marked corrected in the state record.

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

Observed an interior door in room #2 adjacent to the kitchen that was blocked with a shelfing unit in room #2 and contents in front of the doorway in the kitchen. Therefore, an exit from the room was blocked.

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

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

The file of child #1 lacked an emergency contact form with the full address of the enrolling parent.

Corrected Corrected by Feb 4, 2024

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 of child #1 lacked an emergency contact form with the full address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Observed in 2 non-lidded garbage cans in preschool #1 room and 1 non-lidded garbage can in preschool #2 room tissues that children had used to whip or blow their noses.

Corrected Corrected by Jan 3, 2023

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted in preschool room #2.

Corrected Corrected by Jan 3, 2023

Category: physical safety. 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.

At the time of the inspection, there was not a policy for Shaken Baby, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Jan 31, 2023

Category: ratio. 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.

There was no documentation of staff #1, #2, and #3 receiving training regarding the emergency plan annually due to the fact the only documentation showed they completed training 9-5-21.

Corrected Corrected by Jan 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of staff #3 had late clearances due to the fact they were dated 9-1-17 and 11-29-22.

Corrected Corrected by Jan 3, 2023

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

3270.35(b)(1)/3270.192(2)(iii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #2, a group supervisor lacked college transcripts to support the position.

Corrected Corrected by Jan 31, 2023

Category: supervision. Marked corrected in the state record.

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

Observed a power strip under the red rectangle shaped table in preschool #1 room that lacked 4 protective receptacle covers. Observed in the gym used by the children for gross motor, 3 electrical outlets accessible and lacking protective receptacle covers.

Corrected Corrected by Jan 31, 2023

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed in preschool #2 room, bingo dabbers labeled "keep out of the reach of children" stored in a bin on the bottom shelf accessible to children.

Corrected Corrected by Jan 3, 2023

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.

The 2 restrooms lacked hand washing signs at the toilets and sinks.

Corrected Corrected by Jan 31, 2023

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

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Observed in the restroom, a garbage can without a lid.

Corrected Corrected by Jan 3, 2023

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

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

Observed rest equipment labeled for children #2, #3, #4, and #5 that was only bed linens.

Corrected Corrected by Jan 3, 2023

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

During the inspection, cert rep observed staff#3 send a preschool age child to the restroom, which was located adjacent to, but outside the classroom.

Corrected Corrected by Jan 3, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)/3270.182(8) · An agreement shall be signed by the operator and the parent. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The file of child #1 lacked an agreement.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of child #2 lacked documentation of immunizations or an exemption letter.

Corrected Corrected by Jan 31, 2023

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The files of staff #1, #2, and #3 lacked updated health assessments due to the fact the ones on file were dated September 2020.

Corrected Corrected by Jan 31, 2023

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan lacked accommodations for children with special needs.

Corrected Corrected by Jan 31, 2023

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

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

There was no documentation of an emergency plan drill conducted in 2021.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Based on documentation, fire drills were not held every 60 days on the following dates: 10-14-22 to none at the time of inspection on 12-14-22 = 61 days.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. 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.

The facility lacked evacuation routes posted on the floor where child care takes place.

Corrected Corrected by Jan 31, 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.

Teating of the smoke detection system is not done every 30 days based on the following dates recorded: 1-10-22 to 2-10-22 = 31 days; 3-2-22 to 4-8-22 = 37 days; 4-8-22 to 5-9-22 = 31 days; 10-14-22 to 11-16-22 = 33 days.

Corrected Corrected by Jan 3, 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 emergency plan lacked an evacuation to a relocation and maps to the designated location.

Corrected Corrected by Jan 31, 2023

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

At the time of the inspection, Cert Rep was not shown documentation that the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Jan 31, 2023

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

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.

At the time of the inspection, there was no documentation of notification sent to 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.

Corrected Corrected by Jan 31, 2023

Marked corrected in the state record.

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

Staff person #1, #2, and #3 lacked fire safety training conducted by a fire protection professional completed on an annual basis. No current training was observed on file.

Corrected Corrected by Mar 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

"Professional Choice" bathroom cleaner was observed accessible under the bathroom sink for the front room and "Professional choice" bathroom cleaner and "Bathroom Plus" cleaner were observed accessible under the sink for the back room bathroom. All cleaners said keep out of reach of children on the labels.

Corrected Corrected by Dec 22, 2021

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperatures in both bathrooms utilized by the children were observed having water temperatures of 150° F.

Corrected Corrected by Dec 9, 2021

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill log was observed having fire drills completed on 3/5/21 and 10/8/21, exceeding every 60 days.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked a written record showing the fire detection system is being tested on a monthly basis beginning November 2020.

Corrected Corrected by Dec 20, 2021

Category: recordkeeping. Marked corrected in the state record.