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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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.

Staff person #1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

Corrected Corrected by Nov 7, 2025

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #2, an aide, lacked documentation of education.

Corrected Corrected by Nov 5, 2025

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.

Documentation of the fire alarm system test shows more than 30 days between testing. (3/20/25 and 4/20/25)

Corrected Corrected by Nov 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The toilet seat in the bathroom off the Main Room was loose and unstable.

Corrected Corrected by Apr 1, 2025

Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 files for Child #1, Child #2, and Child #3 contained the original fee agreement form signed by the parent.

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. 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 facility's parent letter explaining the emergency plan lacked information regarding Lockdown procedures.

Corrected Corrected by Dec 14, 2024

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). Staff Person #2 cannot work in a child care position until correct clearances are on file.

The file for Staff Person #1 contained current clearances dated more than 60 months from previous date: PA State Police Clearance dated 7/24/23 and 6/11/18; PA Child Abuse Clearance dated 12/28/23 and 6/20/18; DHS FBI Clearance dated 8/1/23 and 6/26/18. The file for Staff Person #2 lacked a PA Child Abuse Clearance for Employment. The PA Child Abuse Clearance in the file dated 3/14/23 was a Volunteer clearance.

Corrected Corrected by Dec 4, 2024

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

4TH CITATION: 11/12/24, at the time of renewal inspection, the facility lacked a qualified director employed and present at the facility for a minimum of 30 hours per week. PREVIOUSLY CITED ON 4/16/24, 7/3/24, and 7/9/24.

Corrected Corrected by Feb 7, 2025

Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The emergency contact form for Child #3 lacked parental consent for administration of medications or special dietary needs.

Corrected Corrected by Nov 14, 2024

Category: ratio. Marked corrected in the state record.

3270.52/3270.113(a) · 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).

On 11/12/24, at approximately 1:50pm in the infant room, staff Person #3 was responsible for 1 infant and 3 younger toddlers. Staff #3 was observed asleep in the rocking chair and was not supervising the children.

Corrected Corrected by Nov 13, 2024

Category: supervision. Marked corrected in the state record.

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

The water temperature in the infant room was 139°.

Corrected Corrected by Nov 14, 2024

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

The Preschool room lacked a daily schedule of activities posted in the group space.

Corrected Corrected by Nov 12, 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 agreement form for Child #1 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(2)(i)/3270.131(e)(3) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. 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 #2 will be dismissed from care by close of business November 25, 2024 until either the immunization record is updated or a parent provides a written, signed exemption letter.

The file for Child #2 lacked a written statement signed by the parent or physician for exemption from immunization. According to the child care manager, the family "is not vaccinating at this time".

Corrected Corrected by Nov 12, 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 health assessment for Staff Person #1 dated 8/1/23 was obtained more than 24 months from the previous assessment dated 7/8/21.

Corrected Corrected by Nov 12, 2024

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff Person #2 contained only 1 of the 2 required written letters of reference attesting to the person's suitability to work with children.

Corrected Corrected by Nov 12, 2024

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 lacked documentation of the emergency plan and subsequent plan updates were sent to the local municipality and the county emergency management agency.

Corrected Corrected by Nov 14, 2024

Category: physical safety. 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 #1 lacked 6 of the 12 annual training hours required for the review period of December 19, 2022 through December 19, 2023.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

3RD CITATION: At the time of renewal inspection, the facility does not have a director on staff. Provider's correction date on previous inspection summary was 7/8/24, as of 7/9/24 facility is still without a director. PREVIOUSLY CITED ON 4/16/24 and 7/3/24.

Corrected Corrected by Nov 8, 2024

Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

2ND CITATION: At the time of renewal inspection, the facility does not have a director on staff. PREVIOUSLY CITED ON 4/16/24

Corrected Corrected by Jul 8, 2024

Marked corrected in the state record.

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).

2ND CITATION: The files for Child #1, Child #2, Child #3 and Child #4 are lacking reports on information to the family about the child's growth and development in the context of the services being provided. PREVIOUSLY CITED ON 4/16/24

Corrected Corrected by Jul 8, 2024

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.

There was no handwashing sign above the changing table in the bathroom.

Corrected Corrected by Apr 16, 2024

Category: health medication. 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 fee agreement on file for Child #4 was lacking the amount of the fee to be charged per day or per week.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The fee agreement for Child #4 was lacking the specify the date on which the fee is to be paid.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At the time of renewal inspection, the facility does not have a director on staff.

Corrected Corrected by Jun 28, 2024

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 file for Staff Person #1 did not contain the one-hour Health and Safety Update 2022 which was required to be completed by 12/30/22.

Corrected Corrected by Apr 29, 2024

Category: ratio. Marked corrected in the state record.

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

Staff Person #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Getting Started with Center-based Care: building Blocks for Quality Revised 2022. The certificate on file for Staff Person #4 is dated 11/14/23.

Corrected Corrected by May 9, 2024

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

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).

The files for Child #1, Child #2, Child #3 and Child #4 are lacking reports on information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by May 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The fee agreement on file for Child #4 is lacking the arrival and departure times.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form for Child #2 is lacking written consent signed by a parent for emergency medical care.

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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 file for preschool aged Child #4 was lacking an updated health assessment. The most current health assessment on file is dated 9/21/22.

Corrected Corrected by May 13, 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.

It was observed in the infant room that the lidded garbage can used for disposable diapers was not hands-free.

Corrected Corrected by Apr 16, 2024

Category: health medication. 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 emergency contact form on file for Child #2 was lacking signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Apr 16, 2024

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.

The smoke detection log on file contained dates of testing from 7-10-23 to 8-10-23, 10-6-23 to 11-6-23, and 1-5-24 to 2-5-24, all more than 30 days apart.

Corrected Corrected by May 9, 2024

Category: recordkeeping. 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 included 7 of 12 required training hours completed between 12/19/22-12/19/23. The file for Staff Person #3 included 3 of 12 required training hours completed between 12/19/22-12/19/23.

Corrected Corrected by May 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Facility reported that their director resigned and they currently do not have a director.

Corrected Corrected by Oct 30, 2023

Marked corrected in the state record.

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.

The emergency contact form on file for child #2 lacked the address of the child's physician.

Corrected Corrected by Apr 18, 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 emergency contact form on file for child #4 lacked the health insurance coverage and policy number.

Corrected Corrected by Apr 18, 2023

Category: health medication. 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 for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster). The file for staff person #1 lacked completion of the required 1-hour health and safety training update prior to 12/30/22. The file for staff person #3 had documentation of the required 1-hour health and safety training that was completed on 3/19/23, which is past 12/30/22.

Corrected Corrected by Apr 27, 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.

The two most recent emergency plan trainings on file for staff persons #3 and #4 are dated more than 12-months apart. Staff person #3 has completion dates of 1/13/22 and 2/25/23, and staff person #4 has completion dates of 1/7/22 and 2/8/23.

Corrected Corrected by Apr 27, 2023

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.

The two most recent fire safety trainings in the file for staff person #3 are dated more than one year apart: 2/8/22 and 3/27/22.

Corrected Corrected by Apr 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff persons #1, #7, and #8 lacked completion of the required Health and Safety pre-service training by April 29, 2022. The Health and Safety training on file for staff person #1 is dated 10/14//22, staff person #7 has a completion date of 12/21/22, and staff person #8 has a completion date of 12/1/22.

Corrected Corrected by Apr 27, 2023

Category: health medication. 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). Facility person #6 cannot work in the facility until the PA FBI clearance results are verified.

The file for staff person #1 was observed to have documentation Mandated Reporter training that was not renewed before the expiration date of the most current certification required under CPSL. The two most current trainings are dated 6/29/17 and 11/2/22. The file for staff person #4 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET). Mandated Reporter Training on file for staff person #4 is dated 10/14/22. The file for facility person #6 was observed not to contain documentation of application of a PA FBI Clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Facility person #6 cannot work in the facility until the PA FBI clearance results are verified.

Corrected Corrected by Apr 24, 2023

Category: ratio. 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 two most recent staff evaluations on file for staff person #3 are dated more than 12-months apart: 1/7/22 and 2/28/23.

Corrected Corrected by Apr 27, 2023

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.

In the Main room, handwashing signs were not posted at the two toilets in bathroom #1 and were not posted at the diapering area and the toilet in bathroom #2.

Corrected Corrected by Apr 17, 2023

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 the outdoor play space #2, a plastic children's playhouse was cracked near the front door of the playhouse. To the left of the door, a piece of the equipment was observed to be broken off. These conditions expose the children in care to rough edges, sharp corners and pinch points.

Corrected Corrected by Apr 18, 2023

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

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement form on file for child #3 lacked the date on which the fee is to be paid.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement forms on file for children #2 and #3 lacked the child's arrive and departure times. The agreement form on file for child #1 lacked the child's departure time.

Corrected Corrected by Apr 18, 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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the Pre-Preschool Room.

Corrected Corrected by Apr 17, 2023

Category: transportation. 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 file for child #1, with an enrollment date of 1/23/23, lacked documentation of the child's immunized status according to recommendations of the ACIP and has been enrolled more than 60 days at the facility.

Corrected Corrected by Apr 18, 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 medicine cabinet in the kitchen, children's Benadryl for a child enrolled was observed to be expired on 1/2023.

Corrected Corrected by Apr 17, 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 file for staff person #2 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 11/11/20 and 1/11/23. The file for facility person #6 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Apr 27, 2023

Category: ratio. Marked corrected in the state record.

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.

The file for staff person #5 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). The TB screening on file is dated 7/22/22.

Corrected Corrected by Apr 17, 2023

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

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

The health assessments on file for staff persons #1 and #4 lacked an examination for communicable diseases and the results of that examination, and lacked the physician's assessment of the staff person's suitability to provide child care.

Corrected Corrected by Apr 18, 2023

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.

The facility lacked a written statement giving the formula and feeding schedule for an infant observed receiving care.

Corrected Corrected by Apr 17, 2023

Category: nutrition. Marked corrected in the state record.

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

In the Baby Room, an infant's bottle was not labeled with the child's name.

Corrected Corrected by Apr 17, 2023

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's documentation of testing the fire alarm detection system exceeded 30 days from 10/7/22 to 11/7/22 and from 2/20/23 to 3/27/23.

Corrected Corrected by Apr 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.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 persons #1-4 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 person(s) available to supervise staff persons #1-4, staff persons #1-4may not work in a child-care position at the facility.

Staff persons #1, #2, #3, and #4 were observed to be caring for children unsupervised. Staff persons #1-4 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Mandated reporter training.

Corrected Corrected by Oct 28, 2022

Category: supervision. Marked corrected in the state record.

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).

At approximately 10:40 a.m., observed staff person #1 and staff person #2 supervising a group of 17 children in the outdoor gross motor space. Staff person #1 identified responsibility for 2 younger school -age children and staff person #2 identified responsibility for two young toddlers and three older toddlers, leaving ten children not identified by the staff present. Staff person #1 and #2 stated that the remaining 10 children were being supervised by staff person #3, who was observed to be on an excursion with a group of younger and older school-age children at a location off the facility premises. Staff person #3 stated that they left their supervisory group to cover another staff person's group .

Corrected Corrected by Sep 30, 2022

Category: supervision. Marked corrected in the state record.

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

Observed an accessible first aid kit on a bench at the playground where a group of older and younger school-aged children were on an excursion.

Corrected Corrected by Aug 12, 2022

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

3270.124(d) · 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.

The emergency contact information for the group of younger and older school-age children on an excursion to a local playground was not present.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The file for staff person #5 contains verification of Baisic first aid and CPR which lack the pediatric endorsement, making the trainings invalid.

Corrected Corrected by Jun 15, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire: All staff persons shall complete the professional development under subsection (f).

The file for staff person #3 and staff person #4 contain verification of Health and Safety training completed more than 90 days after both staff began in a child care taking position. The verification of Health and Safety training on file for staff person #1 is an expired version of the training, making it invalid.

Corrected Corrected by Jun 15, 2022

Category: health medication. 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 persons #1 and #5 may not work in a child care position at the facility until valid clearances are on file.

The file for staff person #1 contains an expired FBI clearance. The two most recent child abuse and FBI clearances on file for staff person #5 are dated in an interval greater than 5 years or 60 month. Current CPSL requires clearances to be renewed on or before 5 years or 60 months from the date of the previous clearance.

Corrected Corrected by Jun 15, 2022

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 person #3 and staff person #4 contains verification of mandated reporter training completed more than 90 days after staff person #3 began in a child care taking position.

Corrected Corrected by Jun 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained 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 and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #7 lacks verification of one year of experience to qualify as director, the position assigned to and currently being performed by staff person #7.

Corrected Corrected by Jun 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At the time of inspection, the facility lacks a director employed by and present at the facility a minimum of 30 hours per week.

Corrected Corrected by Jun 13, 2022

Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · 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 prior to service at the facility.

The file for staff person #3, staff person #4, #6 and #8 lacks verification of 2 years' experience with children to qualify for the position of assistant group supervisor, the role assigned to and being performed by staff person #3, #4, #6, and #8..

Corrected Corrected by Jun 13, 2022

Category: supervision. Marked corrected in the state record.

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.

The file for child #3, #4, and #7 contain emergency contact information which lacks the complete address of the child's physician.

Corrected Corrected by Jun 13, 2022

Category: health medication. 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 for child #4 contains emergency contact information which lacks the complete work address of the enrolling parent.

Corrected Corrected by Jun 13, 2022

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 #2 and #3 contains emergency contact information which lacks the complete address of the parent-designed release person(s). The file for child #7 contains emergency contact information which lacks the complete address and phone number of the parent-designated release person(s).

Corrected Corrected by Jun 13, 2022

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 following rooms lacked a posting of the emergency transportation plan: pre-preschool and preschool.

Corrected Corrected by Jun 13, 2022

Category: transportation. Marked corrected in the state record.

3270.131(d)(7)/3270.131(d)(8) · 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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #3 and child #4 contains a health report which lacks a statement that the child is able to participate in child care and a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Jun 13, 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 #1 and child #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jun 13, 2022

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

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

The two most recent health assessments on file for staff person #2 are dated more than 24 months apart. The file for staff person #4 is dated after staff person #4 began in a child care taking position.

Corrected Corrected by Jun 13, 2022

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 most recent updates to the emergency contact information and agreement on file for child #1, child #3, child #5 are dated more than 6 months apart.

Corrected Corrected by Jun 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for staff person #8 contains one reference letter dated after staff person #8 began in a child care taking position.

Corrected Corrected by May 16, 2022

Category: recordkeeping. 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 lacks a documented emergency drill held during 2021.

Corrected Corrected by Jun 13, 2022

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.

A review of the fire detection system testing log revealed that during the interval of 8/27/21-9/28/21, the testing occurred more than 30 days from the previous test. The last documented fire detection system testing recorded is dated 3/22/22, more than 30 days ago.

Corrected Corrected by Jun 13, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of inspection, the facility lacked a posting which provided parents information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office

Corrected Corrected by Jun 13, 2022

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 #1 and staff person #5 lack verification of 12 clock hours of child care training completed in the most recent service year.

Corrected Corrected by Jun 15, 2022

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 reports on file for child #1 and child #5 are dated more than 60 and 90 days after the first day of attendance at the facility.

Corrected Corrected by Jun 13, 2022

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

3270.113(b) · The legal entity will ensure that all staff persons will receive a minimum of two hours of training on positive discipline. The training must be approved by the regional office prior to scheduling the training.

** During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

*During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Corrected Corrected by Dec 17, 2021

Marked corrected in the state record.

3270.113(e) · The legal entity is required to create a policy for positive discipline. Nowhere in the policy can restraint be used as a form of discipline. Once the positive discipline policy is approved by the regional office all staff persons will be required to sign the positive discipline policy attesting that they read the policy and will abide by the policy..

** During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Corrected Corrected by Jan 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

*During staff interviews staff stated that while children are standing facing the wall for time out they have held the children's hands behind their backs and placed their knee up against the child so the child stayed against the wall.

Corrected Corrected by Dec 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · 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.

Staff person #1 could only identify four of the seven children she was supervising.

Corrected Corrected by Dec 17, 2021

Category: supervision. Marked corrected in the state record.