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 persons #3 and #4 will have until 9/13/25 to complete the required training. Until such time as the required training has been completed, staff persons #3 and #4 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 available to supervise staff persons #3 and #4, staff persons #3 and #4 may not work in a child-care position at the facility.

Staff persons #3 and #4 have 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 Corrected by Sep 15, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons #1 and #2 will have until 9/13/25 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons #1 and #2must 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 persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff person #5 has current mandated reporter training dated 6/24/25, which is more than 60 months after the previous mandated reporter training dated 6/14/20. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/3/20. Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/20/20.

Corrected Corrected by Sep 15, 2025

Category: supervision. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for child #3 did not include documentation that a parent reviewed and updated the emergency contact information and financial agreement at least once in a 6-month period.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. 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.

Staff person #1 did not receive training regarding the emergency plan at the time of initial employment. (See LIS code sheet)

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL Staff person #3 may not work in a childcare position at the facility until the updated clearances are obtained.

The file for staff person #1 did not include a disclosure statement. The file for staff person #3 did not include updated Child Abuse and DHS FBI clearances. The date on both clearances included in the file is 6/20/19.

Corrected Corrected by Mar 5, 2025

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

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

The emergency contact information for child #2 and child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant, or CRNP, which is needed in an emergency situation.

Corrected Corrected by Feb 28, 2025

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

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The most recent health assessment for child #3, a young toddler, is dated 7/29/24.

Corrected Corrected by Mar 3, 2025

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

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

The file for staff person #2 did not include documentation showing the annual completion of 12 clock hours of child care training.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment for child #1 is dated 8/6/2024, which is more than 60 days after the date of enrollment (see LIS code sheet).

Corrected Corrected by Mar 5, 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.

2nd CITATION: Staff person #3's health assessment dated 3/15/24, which was provided as part of a citation correction, had question #2 marked off as 'Yes' to having a communicable disease and additional information describing the condition and the risk it might pose was not provided. PREVIOUSLY CITED ON 2/14/24.

Corrected Corrected by Mar 26, 2024

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

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

The child file for Child #1 and Child #5 contained a financial agreement form that lacked the child's admission date.

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. 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 child file for Child #5 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The child file for Child #5 contained a financial agreement form that lacked the operator's signature.

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The child file for Child #5 contained a financial agreement form that lacked the fee amount.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility's emergency plan was observed to have not been reviewed annually; the last two reviews were dated 1/28/23 and 2/1/24.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. 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 staff file for Staff person #3 lacked documentation of having received emergency plan training in 2023; training for 2024 is on file.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. 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 through Staff person #8 contained current fire safety training that was not completed annually; the two most recent fire safety trainings were completed in January 2023 and February 2024.

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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 #2 will have until 3/6/24 to complete the required training. Until such time as the required training has been completed, staff person #2 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour Health and Safety training.

Corrected Corrected by Feb 24, 2024

Category: supervision. 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.

In the Preschool/School Age room disinfectant wipes labeled 'Keep Out of Reach of Children' were observed on the top shelf of a children's small wooden dress up unit accessible to the preschool age children in care.

Corrected Corrected by Feb 14, 2024

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The left window in Classroom #2, which is located on the second floor of the facility, was observed to contain modifications to limit the window from opening 6 or fewer inches, however at time of inspection those modifications were positioned to allow the window to open up more than 6 inches.

Corrected Corrected by Feb 14, 2024

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in the Infant room lacked soap. The first-aid kit in Classroom #1 lacked soap and gloves.

Corrected Corrected by Feb 14, 2024

Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In Classroom #2 a blue vinyl toddler couch was observed to have part of the fabric on the front left armrest become detached from couch causing it to not be in good repair.

Corrected Corrected by Feb 23, 2024

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

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 child file for Child #1 and Child #3 contained an emergency contact information form that lacked the health insurance policy name and/or number.

Corrected Corrected by Feb 23, 2024

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

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

The child file for Child #1 and Child #3 contained an emergency contact information form that lacked the address and/or phone numbers for the designated release persons listed.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #2, who was a young toddler at the time, was observed to contain health reports that were conducted more than 6 months apart; those health report dates are dated 6/22/22 and 9/8/21.

Corrected Corrected by Mar 15, 2024

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The child file for Child #1 lacked an updated health report; two health reports are on file, one is dated 12/8/22 and the other lacked a date therefore it cannot be determined if the health report was obtained timely. The child file for Child #3 lacked an updated health report, the most recent health report on file is dated 11/14/22 which is more than 12 months old.

Corrected Corrected by Mar 18, 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.

The hands-free covered can that staff self-reported was used for disposing of soiled diapers was observed to lack a plastic lining inside.

Corrected Corrected by Feb 14, 2024

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 staff file for Staff person #1, contained a current health assessment dated 3/3/22 which was conducted more than 24 months from the previously dated 2/3/20 health assessment on file. The staff file for Staff person #3 lacked an updated health assessment; the most recent health assessment on file is dated 3/11/21 which is more than 24 months old. The staff file for Staff person #7 lacked an updated health assessment; the most recent health assessment on file is dated 2/4/21 which is more than 24 months old.

Corrected Corrected by Mar 15, 2024

Category: ratio. 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 staff file for Staff person #1 contained a current health assessment that lacked examination for communicable diseases and the results of that examination.

Corrected Corrected by Mar 15, 2024

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

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

In the Infant room, one bottle used by an infant in care, was observed to not be labeled with the child's name.

Corrected Corrected by Feb 14, 2024

Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The child file for Child #5 contained a current financial agreement and emergency contact form that were not reviewed and updated by the parent every 6 months; the date of the last review was on 7/31/23.

Corrected Corrected by Mar 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The child file for Child #5 contained an emergency contact information form that lacked signed parental consent for emergency medical care.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The child file for Child #1 and Child #5 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 23, 2024

Category: ratio. 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 had not participated in an annual emergency drill for 2023; the last documented emergency drill on file was dated 6/15/22.

Corrected Corrected by Feb 23, 2024

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.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 3/10/23 - 4/10/23 (31 days), 6/9/23 - 7/10/23 (31 days), and 9/8/23 - 10/10/23 (32 days).

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The child file for Child #1 and Child #3 contained an initial health report that is dated more than 60 days after initial enrollment. The child file for Child #4 lacked a valid initial health report on file.

Corrected Corrected by Mar 15, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

2nd CITATION: The child file for Child #2, Child #3, and Child #4 contained a current health report that lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. PREVIOUSLY CITED ON 2/9/23

Corrected Corrected by Apr 21, 2023

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit located in the infant room was observed to lack scissors.

Corrected Corrected by Feb 9, 2023

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

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 child file for Child #1 and Child #3 contained an emergency contact information form that lacked the health insurance name and policy number. The child file for Child #4 contained an emergency contact information form that lacked the health insurance policy number.

Corrected Corrected by Mar 20, 2023

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

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

The child file for Child #1 contained an emergency contact information form that lacked addresses for two of the designated release persons listed. The child file for Child #3 contained an emergency contact information form that lacked addresses for five of the designated release persons listed and lacked two phone numbers for the designated release persons listed.

Corrected Corrected by Mar 1, 2023

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 #1 and Child #2 must be dismissed from care by close of business 2/9/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #1 lacked a flu shot for 2022. The child file for Child #3 lacked an immunization record.

Corrected Corrected by Feb 10, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The child file for Child #2 and Child #4 contained a current health report that lacked a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 20, 2023

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

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

In the preschool room, a prescription bottle of ADHD medication for Child #5 was observed to be expired as of March 2022.

Corrected Corrected by Feb 10, 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 staff file for Staff person #1 lacked an updated health assessment; the last health assessment on file is dated 12/29/20 and is more than 24 months old. The staff file for Staff person #2, contained a current health assessment dated 3/10/22 which was conducted more than 24 months from the previously dated 3/9/20 health assessment on file.

Corrected Corrected by Feb 27, 2023

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The child file for Child #1 contained an emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the date of the most recent review was 2/23/22.

Corrected Corrected by Feb 27, 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.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 2/11/22 - 3/16/22 (33 days), 5/13/22 - 6/15/22 (33 days), 8/12/22 - 9/14/22 (33 days), 10/14/22 - 11/14/22 (31 days).

Corrected Corrected by Feb 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

The child file for Child #3, was observed to not contain documentation of an initial health report within 60 days of enrollment (See IS CODE SHEET).

Corrected Corrected by Feb 10, 2023

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

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record shall contain initial and subsequent health reports.

The file for child #2 whose enrollment date was 8-31-2020 contained a health assessment date of 9-14-2020 and an updated health assessment was not observed in the file.

Corrected Corrected by Mar 2, 2022

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

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3 and staff #7 contained a fire safety training date of 1-18-2021 and 1-29-2022 which exceeded the annual fire safety training date of 1-18-2021. The file for staff #4 and staff #6 contained a fire safety training date of 1-15-2021 and 1-29-2022 which exceeded the annual fire safety training date of 1-15-2021. The file for staff #8 had a fire safety training date of 1-13-2021 and 1-29-2022 which exceeded the annual training date of 1-13--2021.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #3 had an FBI Clearance date of 1-19-2017 and 2-11-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #2 had a State police Clearance date of 12-19-2016 and 1-21-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #11 hired on 6-1-2019 had a Child Abuse Clearance date of 6-10-2019. Staff #11 was hired without all their clearances and the facility did not have the approved waiver.

Corrected Corrected by Apr 18, 2022

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

3270.32(a)/3270.192(4) · The operator shall develop a checklist for the paperwork needed in a staff file at the time of hire. This form will be submitted to the regional office for approval prior to its use. Once approved the checklist will be used to obtain the correct paperwork for all future staff.

The file for staff #3 had an FBI Clearance date of 1-19-2017 and 2-11-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #2 had a State police Clearance date of 12-19-2016 and 1-21-2022 which exceeded the allowable 60 months to renew the clearance. The file for staff #5 had a Child Abuse Clearance date of 2-20-2015 and 1-28-2021 which exceeded the allowable 60 months to renew the clearance. The file for staff #11 hired on 6-1-2019 had a Child Abuse Clearance date of 6-10-2019. Staff #11 was hired without all their clearances and the facility did not have the approved waiver.

Corrected Corrected by Apr 11, 2022

Category: background checks. 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 #5 contained a disclosure statement that was not signed by a witness. Therefore, it was not a valid document at the time of hire.

Corrected Corrected by Mar 1, 2022

Category: background checks. 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.

In Classroom #3, a spray bottle labeled " bleach and water" was observed on a low shelf in an unlocked closet and was accessible to children.

Corrected Corrected by Mar 1, 2022

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

In the Toddler and Preschool Room, the first aid kit did not contain gloves.

Corrected Corrected by Mar 1, 2022

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

In the infant room diapering area a sink was observed, but there was no running water.

Corrected Corrected by Mar 1, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In Classroom #1 the backing on the top and bottom right side of the white cubby was coming apart and could cause a pinch point.

Corrected Corrected by Apr 4, 2022

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

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.

In the Preschool Room, there was no emergency contact form for child #1 who was being cared for in the room.

Corrected Corrected by Mar 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

The file for child #2 whose enrollment date was 8-31-2020 contained a review of the child's immunized status, but has not been updated since 9-14-2020.

Corrected Corrected by Mar 2, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #3 contained a Influenza Vaccine date of 11-20-2020 and has not been updated since.

Corrected Corrected by Mar 1, 2022

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

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

The file for staff #1 had a health assessment date of 1-31-2019 and 2-4-2021 which exceeded the allowable 24 months for a health assessment. The file for staff #2 had a health assessment date of 2-21-2020 and has not had an updated health assessment since 2-21-2020 which exceeds the allowable 24 months between health assessments. The file for staff#4 had a health assessment date of 2-3-2020 and has not had an updated health assessment since 2-3-2020 which exceeds the allowable 24 months between health assessments. The file for staff #5 had a health assessment date 1-9-2019 and 2-21-2022 which exceeded the allowable 24 months between health assessments.

Corrected Corrected by Apr 22, 2022

Category: ratio. Marked corrected in the state record.

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

There was no proof of purchase for the interconnected fire detection system.

Corrected Corrected by Apr 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

All staff listed below have a date of hire prior to 10/19/2020. The file for staff #1, staff#2, staff #5, staff #6, staff #9, staff#10 and staff #11 did not have any of the required 12 clock hours of annual training hours completed by the mandatory training date of 12-19-2021..The file for staff#3 had 2 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021. The file for staff #7 had 7 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021. The file for staff #4 had 2 hours of the required 12 clock hours of annual training completed by the mandatory training date of 12-19-2021.

Corrected Corrected by Apr 22, 2022

Category: recordkeeping. Marked corrected in the state record.