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.

SECOND CITATION PREVIOUSLY CITED ON 1/7/25: On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

Observed a pothos plant in the Preschool Classroom. Pothos is on the list of plants toxic to humans.

Corrected Corrected by Feb 14, 2025

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 Purple PS/SA room is lacking adhesive bandages.

Corrected Corrected by Feb 14, 2025

Category: health medication. 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 in the Preschool classroom one of the 3 doors that exit into the hallway was blocked by a toy shelf.

Corrected Corrected by Feb 14, 2025

Marked corrected in the state record.

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

The written plan of daily activities was not posted in the indoor play space.

Corrected Corrected by Feb 14, 2025

Category: physical safety. 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 hand sanitizer labeled 'keep out of reach of children' on the teacher's desk in the Purple PS/SA room and accessible to children in care. Observed a pothos plant accessible to children in the Preschool Classroom. Pothos is on the list of plants toxic to humans.

Corrected Corrected by Feb 14, 2025

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. Facility Person #1 and #2 may not work in a child care position at the facility.

The files for staff persons #1 and #2, hire dates (see IS code sheet), contain disclosure statements with signatures that were not witnessed and therefor are not valid.

Corrected Corrected by Feb 14, 2025

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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, serving as an assistant group supervisor, is lacking valid documentation of education to qualify for the position in which she is serving. Staff #3 may serve as an aide until documentation of AGS qualifications is obtained.

Corrected Corrected by Feb 14, 2025

Category: supervision. 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 #3, #4 and #5 are lacking written evaluations completed in the past 12-month period.

Corrected Corrected by Feb 14, 2025

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 facility play space.

Corrected Corrected by Feb 14, 2025

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for children #1-#5 contain financial agreements and emergency contact information that has not been reviewed an updated during the previous 6-month period.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. 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 files for children #2,#3 and #4, all older toddler and preschool age, are lacking health reports completed during the previous 12-month period.

Corrected Corrected by Feb 21, 2025

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 #5 is lacking a health assessment conducted during the previous 24-month period. The file for staff person #3 contains a current health assessment that was completed greater than 24 months after the previous health assessment. The file is now current.

Corrected Corrected by Mar 13, 2025

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 #1 is lacking two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Feb 21, 2025

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.

The fire drill log identified that the most recent fire drills were conducted on 9/20/2024 and 11/21/2024, exceeding 60 days between drills.

Corrected Corrected by Feb 14, 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.

The fire alarm test log identified that the alarm was tested 10/21/2024 and 11/21/2024, exceeding 30 days between tests.

Corrected Corrected by Feb 14, 2025

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.

The file for staff person #3 contains only 6.5.hours of training during the year 8/2023 to 8/2024. The file for staff person #4 contains only 5.5 hours of training during the year 5/2023 to 5/2024.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. 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.

The last notification submitted to local traffic safety authorities was submitted greater than 12 months ago.

Corrected Corrected by Feb 5, 2025

Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Dec 16, 2024

Category: supervision. 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.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · ***The legal entity will develop a policy for allowing children a safe space to de-escalate behaviors and emotions where supervision can be maintained.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Apr 11, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The Legal entity will ensure that all staff members participate in supervision training including on-site Technical Assistance provided by ELRC #2. Proof of completion shall be submitted to the DHS Certification Representative.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Mar 27, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · *The legal entity will conduct mandatory staff meetings at least once per month for a period of 4 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as the Department of Human Services' regulations relating to supervision. An agenda will be prepared for each staff meeting and a log identifying the date, time, and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to the DHS Certification Representatives upon request.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Jul 18, 2025

Category: supervision. 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.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · *The legal entity will post the definition of supervision and ensure that it will remain posted in all indoor childcare spaces. The legal entity will also post reminders in all classrooms for the staff to count and identify the children in their group to ensure that children are supervised at all times.

On 12/16/24 Staff #1 and Staff #2 were assigned responsibility for supervising 11 preschoolers, including Child #1 who left the classroom and walked out of the facility. Neither Staff #1 or Staff #2 were aware the child had left until 8:30am. At approximately 8:12am, video footage taken at the facility displayed Child #1 leaving the facility alone. At 8:15am, a community member located the child walking 1 mile away from the facility. The community member immediately contacted local authorities. At 9:00am the police took custody of Child #1. According to staff statements, after realizing the child was missing, they searched the premises and called the child's family. At 9:30am, a missing child report was called in by the childcare facility.

Corrected Corrected by Mar 21, 2025

Category: supervision. Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

A first aid kit was not present with the Toddler Group while receiving care on the playground.

Corrected Corrected by Dec 1, 2024

Category: health medication. 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 files for staff persons #1, #2 and #3 are lacking documentation of emergency plan training during the previous 12 month period.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed in the toddler bathroom an open basket containing plastic trash bags on the toilet tank accessible to children who still place objects in their mouths.

Corrected Corrected by Dec 1, 2024

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 #5 will have until 12/6/2024 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by a director, GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatrics First Aid Pediatrics CPR and PA Health and Safety Topic #1-10.

Corrected Corrected by Dec 1, 2024

Category: supervision. 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. Facility persons #4 and #5 may not serve in a childcare position at the facility.

The file for staff person #4, hire date (see IS code sheet) is lacking documentation of request for the NSOR verification and is lacking FBI fingerprinting at the time of hire and is lacking completed NSOR and FBI clearance. Staff #4 may not serve in a child care position at the facility. The file for staff person #5, hire date (see IS code sheet), is lacking a state police clearance as required under CPSL. Staff person #5 may not serve in a child care position.

Corrected Corrected by Dec 13, 2024

Category: background checks. 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).

Upon arrival at the facility at ~10:00am on 11/5/2024 staff person #2 answered the door and gave cert rep access to the facility. Staff person #2 then guided cert rep to the Toddler Room which is up the stairs and down the hallway to where staff person #6 (the director) and staff #4 were caring for children. Staff person #2 then took 2 infants from the Toddler Room into the Infant Room. In the Toddler Room this left staff person #6 who claimed 5 young toddlers in their supervision group and staff #4 who claimed 2 young toddlers and 2 older toddlers in their supervision group. During the time that the 2 infants were in the Toddler Room with staff #4 and #6, the ratio of 1:4 required when infants are in care was exceeded.

Corrected Corrected by Dec 1, 2024

Category: supervision. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Observed in the Older Toddler Room 3 bottles of disinfectant spray to be stored on top of the refrigerator in which food is stored.

Corrected Corrected by Dec 1, 2024

Category: ratio. 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.

Observed in the Infant Room which is located above the ground floor a window that was not restricted from opening more than 6 inches.

Corrected Corrected by Dec 1, 2024

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Two pack n plays identified by staff as infant rest equipment were not labeled with the names of the children using them.

Corrected Corrected by Dec 1, 2024

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.

Emergency contact information was not present on the playground with the 7 young toddlers and 2 older toddlers receiving care.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the medication box in the Older Toddler Room observed Equate Pain Reliever to be lacking the name of the child for whom it was intended.

Corrected Corrected by Dec 1, 2024

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 medication box in the Older Toddler Room observed Equate Pain Reliever with an expiration date of 6/2024, Zarbees Cough Syrup with an expiration date of 8/2023 and Highlands Tiny Cold Tablets with an expiration date of 2/2024.

Corrected Corrected by Dec 1, 2024

Category: ratio. 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.

According to the fire drill log, fire drills exceeded 60 days from 3/20/24-5/21/24 and 7/19/24-9/20/24.

Corrected Corrected by Dec 1, 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.

According to the fire alarm test log, alarm tests exceeded 30 days between tests 1/19/24-2/20/24, 4/10/24-5/21/24, 7/19/24-8/19/24, 8/19/24-9/20/24 and 9/20/24-10/21/24.

Corrected Corrected by Dec 1, 2024

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.

Observed that the posted certificate of compliance expired 4/30/2024.

Corrected Corrected by Dec 1, 2024

Marked corrected in the state record.

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

The file for staff person #2 contains mandated reporter training that was completed greater than 90 days after the hire date. The training is now current.

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. 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 #5, serving as an aide, is lacking verification of a high school diploma or an 8th grade education with 2 years child care experience to qualify as an aide.

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 9:50am a preschool aged child was observed alone in the boy's bathroom down the hall from the preschool classroom. Staff person #6 was observed still standing in the classroom talking with another person and then went to the bathroom with the child. The child was alone in the bathroom for an unknown period of time.

Corrected Corrected by Jan 30, 2024

Category: ratio. 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.

Observed on the outdoor play space a Step 2 slide / climber that was cracked on the blue floor section causing a sharp edge and pinch point with potential risk of injury to children using the equipment.

Corrected Corrected by Jan 30, 2024

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.

*At approximately 9:50am a preschool aged child was observed alone in the boy's bathroom down the hall from the preschool classroom. Staff person #6 was observed still standing in the classroom talking with another person and then went to the bathroom with the child. The child was alone in the bathroom for an unknown period of time.

Corrected Corrected by Jan 30, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

**At approximately 9:50am a preschool aged child was observed alone in the boy's bathroom down the hall from the preschool classroom. Staff person #6 was observed still standing in the classroom talking with another person and then went to the bathroom with the child. The child was alone in the bathroom for an unknown period of time.

Corrected Corrected by Feb 23, 2024

Category: supervision. 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.

At approximately 9:50am a preschool aged child was observed alone in the boy's bathroom down the hall from the preschool classroom. Staff person #6 was observed still standing in the classroom talking with another person and then went to the bathroom with the child. The child was alone in the bathroom for an unknown period of time.

Corrected Corrected by Jan 30, 2024

Category: supervision. Marked corrected in the state record.

3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The file for child #1, school aged, is lacking a health report conducted at the time of entrance into kindergarten. The only health report in the file was conducted when child #1 was 3 years old.

Corrected Corrected by Feb 9, 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 files for staff persons #1 and #3 contain current health assessments that were conducted greater than 24 months after the previous health assessment. The files are now current.

Corrected Corrected by Jan 30, 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 #5 contains only one of the required two written reference letters. The file for staff person #4 is lacking two written reference letters.

Corrected Corrected by Feb 9, 2024

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.

The file for staff person #1 contains verification of only 4 of the required 12 hours of child care training during the year 12/19/22 to 12/19/23.

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Staff Person #1 made a statement that a parent "should have known better" after forgetting to bring their children in their field trip shirts. This statement was said in the presence of other children and overheard by another parent in the facility. This statement was considered demeaning to the parent who did not bring the children in their field trip shirts.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

At approximately 1:10pm Staff Person's #1 and #2 were observed in the Infant Classroom with 5 infants. The blinds in the classroom were closed and there was no source of artificial or natural light present.

Corrected Corrected by Sep 26, 2023

Category: recordkeeping. 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.

At approximately 1:10pm in the Infant room, Staff Person's #1 and #2, both seated in rocking chairs, were present with 5 infants. One infant was being rocked by Staff Person #2; however, the remaining 4 infants occupied pack and plays located behind both rocking chairs. There was no source of lighting in the classroom that would have allowed staff to properly see and assess the children, as the blinds were closed and all lights were turned off. Also, blankets were observed to have been placed over the sides of the pack and play where the infants were resting. Staff were unable to see, direct and assess the children due to staff positioning seated with their backs towards the children, the placement of the blankets to cover the sides of the rest equipment and the lack of lighting.

Corrected Corrected by Aug 21, 2023

Category: supervision. 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 last documented fire drill was completed on 1.20.23.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The last documented monthly testing of the fire alarm system was completed on 9.29.22. The facility does complete the annual inspections and reports that they were unaware they also needed to test the alarms. The facility does not have an acceptable reason not to test their alarms as doing so does not have an impact on the church or other businesses.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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 files for Staff #5, #7, and #8 did not contain documentation of the completion of fire safety training in the past 12 months.

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 files for Child #2 and #5 did not contain documentation of an influenza vaccine complete in the past year.

Corrected Corrected by Mar 17, 2023

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

3270.31(f) · Staff persons #1, #2, #3, #4, and #6 shall complete professional development in the topics of 3270.31(f) (1-10) within 90 days of hire. Staff person ##1, #2, #3, #4 and #6 will have until 03/13/2023 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, #4, and #6 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 1, #2, #3, #4, and #6-, staff persons #1, #2, #3, #4, and #6 may not work in a child-care position at the facility.

Staff person #1, #2, #3, #4, and #6 have not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Topics including pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Mar 10, 2023

Category: supervision. 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. Facility Person #1, #2, and #3 may not work in a childcare position at the facility.

The file for Staff #3 did not contain a PA State Police Clearance. The file for Staff #1 did not contain a PA State Police Clearance, DHS Child Abuse Clearance, or National Sex Offender Registry Verification. The file for Staff #2, who has resided in the State of New York in the past 60 months, did not contain clearances required by the State of New York that are required to work in a childcare position. Staff #1, #2, and #3 cannot work at the facility until required clearances are obtained and placed on file at the facility.

Corrected Corrected by Mar 10, 2023

Category: background checks. 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 #7 and #8 did not contain written evaluations completed in the past 12 months.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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.

In areas accessible to children in care, unused, unprotected electrical outlets were observed in the main hallway and hallway leading to the indoor play space.

Corrected Corrected by Mar 17, 2023

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

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

In areas accessible to children in care, sharply edged metal pieces bordering an announcement board in the hallway and along the railing of a stairway were observed. Contact with said areas could result in laceration injuries.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for Child #1, #2, #3, and #5 did not contain documentation that emergency contact and financial agreement had been reviewed in the past six months.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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 file for Staff #2 did not contain a health assessment.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The files for Staff #1 and #3 id not contain documentation of the completion of High School or a General Equivalency Diploma.

Corrected Corrected by Mar 10, 2023

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 files for Staff #1, #2, and #3 did not contain two written nonfamily references.

Corrected Corrected by Mar 17, 2023

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 has not conducted an annual emergency drill during the previous 12 month period.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff person #5, hire date 9/1/2021, and staff person #8, hire date 3/16/2021 are lacking mandated reporter training completed within 90 days of hire as required under CPSL.

Corrected Corrected by Mar 18, 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 #5 is lacking 2 written references.

Corrected Corrected by Mar 18, 2022

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 operator has not provided to the parents of enrolled children a letter explaining the facility emergency procedures.

Corrected Corrected by Mar 18, 2022

Category: physical safety. 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 #2 contains expired pediatric first aid / CPR training but does not contain current training.

Corrected Corrected by Mar 18, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

The files for staff persons #5 and #8 do not contain training in the 10 health and safety topics and the staff have been employed for greater than 90 days.

Corrected Corrected by Mar 18, 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. Facility Person #5 may not work in a child care position at the facility.

The file for staff person #5, hire date 9/1/2021, is lacking a signed disclosure statement and contains a criminal history status report but does not contain the criminal history clearance.

Corrected Corrected by Mar 18, 2022

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.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 #5, serving as an assistant group supervisor, is lacking documentation of education and experience to qualify for the position. Staff #5 may only work as a supervised aide unless qualifications for AGS are obtained.

Corrected Corrected by Mar 18, 2022

Category: supervision. Marked corrected in the state record.

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

The heat vent in the stall in the hallway boys bathroom is rusted.

Corrected Corrected by Feb 21, 2022

Category: physical safety. 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 older toddlers room it was observed that a red vinyl chair was worn in several places and exposing the foam interior.

Corrected Corrected by Mar 18, 2022

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The cots used as rest equipment in the older toddler room were not labeled with the individual names of the children who use them.

Corrected Corrected by Feb 21, 2022

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 file for child #5 contains emergency contact information that is lacking health insurance information.

Corrected Corrected by Mar 18, 2022

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 file for child #6 contains emergency contact information that is lacking the address for the emergency release persons.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. 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 files for children #1, 2, 4 and 5, all preschool aged and #3, young toddler aged are lacking verification of a flu immunization during the previous year as required for all children ages 6 months and older.

Corrected Corrected by Mar 18, 2022

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

3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Observed in the young toddler room an EpiPen for child #7 that was lacking the prescription label or prescriber instructions.

Corrected Corrected by Feb 21, 2022

Category: ratio. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Observed in the older toddler room a package of acetaminophen tablets lacking the name of the child for whom they were intended.

Corrected Corrected by Feb 21, 2022

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.

Observed in the older toddler room Peoples Choice Gas Relief, 2 infants Tylenol containers, Peoples Choice infants ibuprophen and mupirocin ointment all with expired expiration dates.

Corrected Corrected by Feb 21, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(iii) · 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 #2 contains expired pediatric first aid / CPR training but does not contain current training. The files for staff persons #5 and #8 do not contain training in the 10 health and safety topics and has been employed for greater than 90 days. The files for staff persons #3,#4,#5,#6 and #8 do not contain pediatric first aid and pediatric CPR certification and have been employed for greater than 90 days. The files for staff persons #5, hire date 9/1/2021, and #8, hire date 3/12/2021 are lacking mandated reporter training completed within 90 days of hire as required under CPSL. The file for staff person #1 contains only 4 of the required 12 hours and the files for staff persons #6 and #7 contain only 6 of the required 12 training hours during the year 12/19/20 to 12/19/2021.

Corrected Corrected by Mar 18, 2022

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

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The files for staff persons #3,#4,#5,#6 and #8 do not contain pediatric first aid and pediatric CPR certification and have been employed for greater than 90 days. The files for staff persons #1 and #7 contain first aid cards that identify the certification as basic life support.

Corrected Corrected by Mar 18, 2022

Category: health medication. 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 director demonstrated an operational hard-wired interconnected fire detection system but does not have a log documenting 30 day tests of the system and does not have a current annual fire system inspection report. The operator does not have proof of purchase of the interconnected fire detection system.

Corrected Corrected by Jan 25, 2022

Category: ratio. 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 provider has not sent a copy of the facility emergency plan to the local municipality.

Corrected Corrected by Mar 18, 2022

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 contains only 4 of the required 12 hours and the files for staff persons #6 and #7 contain only 6 of the required 12 training hours during the year 12/19/20 to 12/19/2021.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.