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.

Staff #4 was observed to be caring for children unsupervised. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/11/20.

Corrected Corrected by Mar 11, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent Pediatric First Aid/CPR trainings on file for Staff #6 are dated 3/28/20 and 3/2/23, more than 24 months apart.

Corrected Corrected by Mar 31, 2025

Category: ratio. Marked corrected in the state record.

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

At the end of the school hallway, peeling paint and plaster was observed to the right of the exit door and accessible to children. Peeling paint was observed on the wall in the Monkey Room, the doorframe of the Ocean Room, and baseboard of the Gym.

Corrected Corrected by May 17, 2025

Category: physical safety. 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 #2 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care Revised 2022 (dated 11/19/24) and Pediatric First Aid & CPR (dated 9/23/24). Staff #3 did not complete the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care Revised 2022 (dated 11/20/24)

Corrected Corrected by Mar 11, 2025

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.

The disclosure statement on file for Staff #3 lacked a date, making it invalid. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/11/20.

Corrected Corrected by Mar 31, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 may not work in a child care position at the facility.

The two most recent Pennsylvania State Police clearances on file for Staff #1 are dated 11/28/19 and 12/9/24, more than 60 months apart. The file for Staff #5 contained a Pennsylvania State Police Clearance with an incomplete rap sheet, dated 9/14/20, making it invalid.

Corrected Corrected by Apr 4, 2025

Category: background checks. 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 Owl Room lacked scissors. The first aid kit in the Space Room lacked tweezers.

Corrected Corrected by Mar 31, 2025

Category: health medication. 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.

A cracked wood baseboard with splintered edges was observed in the Dinosaur Room. In the Gym, splintered wood was observed on the baseboard and could cause injury to children. In the Rainbow room, an outlet cover was not properly secured to the wall and could be hazardous to children. In the Girl's Bathroom, a hole was observed above the door handle with rough edges, which could cause injury. In the hallway leading to playground, a hole in the wall was observed above the entryway and was not in good repair. In the Cafeteria, a hole in the ceiling was observed with debris and broken ceiling tiles on the floor and accessible to children.

Corrected Corrected by May 17, 2025

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

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

The toilet in the Barnyard Room lacked a handwashing sign. A toilet in the Girl's Bathroom lacked a handwashing sign.

Corrected Corrected by Mar 11, 2025

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 Preschool Playground, a swing was observed to be broken and accessible to children. In the Cafeteria, mats used for sleeping were observed with torn vinyl pieces and not in good repair. In the Toddler Playground, a cracked piece of plastic was observed on a play kitchen, which could cause injury. In the Ocean Room, magnatiles were observed with cracks and not in good repair.

Corrected Corrected by May 17, 2025

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

3270.102(a)/3270.103 · 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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Woodland Room, a climber with torn vinyl edges and a mini trampoline with exposed foam and ripped vinyl was observed and accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 11, 2025

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Mulch pieces with a diameter of less than 1 inch was observed in the Toddler Playground, where toddlers receive care.

Corrected Corrected by May 17, 2025

Category: physical safety. 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 file for Child #1 contained an initial child service report dated 3/20/24, more than 6 months after Child #1's date of enrollment (SEE IS CODE SHEET). The file for Child #2 contained child service reports that are dated 8/28/23 and 3/1/24, more than 6 months apart.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. 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 6-month parent review signatures for the emergency contact forms and financial agreement forms on file for Child #2 (dated 7/10/23-6/7/24), Child #3 (dated 7/23/23-4/16/24), Child #4 (dated 8/28/23-4/15/24) are dated more than 6 months apart.

Corrected Corrected by Mar 31, 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 two most recent health assessments on file for Child #1 (2/22/23 and 5/17/24) and Child #2 (10/12/23 and 11/21/24) are dated more than 12 months apart.

Corrected Corrected by Mar 31, 2025

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 Rainbow Room, a Children's Ibuprofen medication labeled for use by Child #5 was observed at the time of inspection with an expiration date of 1/2025.

Corrected Corrected by Mar 11, 2025

Category: ratio. 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 initial health assessment (dated 6/25/24) and tuberculosis test (6/27/24) on file for Staff #2 are dated beyond their date of hire (SEE IS CODE SHEET).

Corrected Corrected by Apr 4, 2025

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

In the Candyland Room, children's lunch boxes containing potentially hazardous foods (yogurt and various meats) requiring refrigeration, were observed in each child's cubby and not in the refrigerator.

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The operator did not notify the Western Regional Office within 24 hours of the parent's notification that Child #1 was taken to the ER by the parents, as a result of an injury at the facility.

Corrected Corrected by Mar 13, 2025

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

The operator did not provide a written report to the Western Regional Office within 72 hour after the parent's report of an ER visit regarding Child #1.

Corrected Corrected by Mar 13, 2025

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

In the young toddler room, a staff member was observed to not wash hands after changing the children's diapers.

Corrected Corrected by Apr 4, 2024

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 file for staff #2, who has a 10 hour health and safety training dated 9/12/18, lacked the one hour update by 12/30/22. There is now a one hour update on file and dated 1/6/24.

Corrected Corrected by May 1, 2024

Category: ratio. 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 facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Jun 1, 2024

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In the young toddler room, adult scissors were sitting on the counter by the microwave accessible to children. In the middle toddler room in the eating area the unlocked draw to the right of the garbage contained a sharp knife which was accessible to children. On 4/03/24, observed that the drain spouts at the back of the building did not stop the heavy rain from landing in at least three areas of the Preschool/School Age play space where large puddles of standing water were observed. Based on a conversation with staff, the drain spouts need cleaned.

Corrected Corrected by Jun 1, 2024

Category: health medication. 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 #1 and 4 lacked the 10 hour health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated Staff- 1 1/20/24 and Staff 4- 10/18/23. The file for staff #2 lacked Pediatric CPR/FA from a PQAS instructor within 90 days of hire. SEE IS CODE SHEET. There is now training on file and dated 10/23/23.

Corrected Corrected by Apr 4, 2024

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.

The file for staff #1 lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 9/6/23. The file for staff #4 lacked a PA State Police which included a dissemination date. The correct form was obtained at the time of inspection which included a dissemination date.

Corrected Corrected by Apr 4, 2024

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 #3, who holds the title of assistant group supervisor, lacks 2433 hours of child care experience. The files for staff #4 and 5, who hold the title of assistant group supervisor, lack 2500 hours of child care experience.

Corrected Corrected by Apr 5, 2024

Category: supervision. Marked corrected in the state record.

3270.35(e) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.

The maximum number of children served in the facility at any given time is 50 and the facility has 1 group supervisor when 2 are required.

Corrected Corrected by Jun 15, 2024

Category: supervision. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

In the Preschool/School age outdoor play space, observed that the back left corner fence had an opening that did not connect the fence to the facility building and the other opening near the concrete area did not have fencing or a natural barrier to restrict the children from a parking lot and a nearby street. In the Infant Outdoor play space, observed that fencing or natural barriers did not restrict the children from the parking lot used by the parents to enter the building.

Corrected Corrected by Jun 1, 2024

Category: physical safety. 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.

The following areas had uncovered electrical outlets: 2 uncovered outlets in the young toddler room, 3 uncovered outlets on a surge protector on a table in the Pre-K room and 1 outlet in the Pre-K lobby hallway.

Corrected Corrected by Apr 5, 2024

Marked corrected in the state record.

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

In the gym during nap time, the 2 emergency bags containing first aid kits were sitting on a table accessible to children. The emergency bag in the young toddler room that contained the first aid kit was accessible to children.

Corrected Corrected by Apr 5, 2024

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

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

In the young toddler room there were Tums-Chewy bites which say Keep out of reach of children in the outside pocket of a staffs lunch box that was hanging on a low hook that was accessible to children. Rexall Hand Sanitizer which is labeled Keep out of reach of children was attached to the outside of the emergency book bag and was accessible to children. In the Pre-K class on a low wooden shelf by the window accessible to children was Purell Hand sanitizer and Equate Hand sanitizer both labeled keep out of reach of children. On the window sill on the right side of the room were 2 air fresheners that were label keep out of reach of children were accessible to children. In the cafeteria the kitchen door was unlocked and accessible to children. The kitchen contained Clorox Germicidal wipes and Clorox Bleach which were labeled keep out of reach of children. In the art room on top of the portable sink was Patricia Nimocks- Clear Acrylic Sealer which is labeled keep out of reach of children was accessible to children. In a blue bin on a table in the middle of the room accessible to children was White Fardenia Botanical Potpourri which was labeled Keep out of reach of children. In the Middle toddler room a spray bottle that was labeled disinfectant spray was left beside the changing pad on the counters ledge making it accessible to children. Purell Hand sanitizer labeled keep out of reach of children was on the diapering counter ledge accessible to children.

Corrected Corrected by Apr 5, 2024

Category: health medication. 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.

In the cafeteria there was a labeled spray bottle of Fabuloso on top of the refrigerator not contained in a bin and if it was to fall over, could leak onto the refrigerator, where food is stored.

Corrected Corrected by Apr 5, 2024

Category: ratio. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

In the older preschool classroom the Barbasol Thick and Rich Shaving Cream labeled Keep Out of Reach of children was being used by children in their art work.

Corrected Corrected by Apr 5, 2024

Marked corrected in the state record.

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

In the outside toddler play space inside the grey plastic unit with shelves was a pile of used tissues which lacked a closed, plastic-lined receptable. In the girl's bathroom, observed a garbage can with used paper towels which lacked a lid.

Corrected Corrected by Apr 5, 2024

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

3270.70(a) · The indoor temperature shall be at least 65° F.

On 3/26/24, the Pre-K hallway was observed 62.8 degrees F, the Pre-K room was observed at 63 degrees F and the Older preschool room was observed at 63 degrees F.

Corrected Corrected by Mar 27, 2024

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The following areas had hot water pipes for their heating units that were accessible to children that exceeded 110 degrees F: Young toddler room - 125.9 degrees F, Older preschool room -147.2 degrees F, Pre-K room -146.1 degrees F, Art Room -142.5 degrees F.

Corrected Corrected by Apr 27, 2024

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility lacked written notification of safe routes posted at a conspicuous location.

Corrected Corrected by Jun 1, 2024

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 the young toddler room a child was observed licking a red substance off the floor. In the young toddler room there were screws protruding from the white metal gate. In the cafeteria, a sharp metal strip on the heating unit was loose and accessible to children causing a visible hazard. In the school age room in the old hallway, observed that a large carpet was recently removed and there were many particles on the floor from said carpet. In the Infant outdoor play area, observed that there were 3 large 1 to 2 feet deep holes that were underneath of the fence. In the Pre school and School Age outdoor play space, observed that there was a part of the fence near the back left corner which was facing into the play area and had sharp edges on the bottom. In the Infant play space, the chain link fencing was starting to fall over between the grass and cemented area. In the room located in the old hallway which is the first room on the left, observed a hole in the wall underneath the chalkboard.

Corrected Corrected by Apr 27, 2024

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

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

In the older preschool room there was peeling paint by the windows on the right side of the room. In the cafeteria there was peeling paint by the exit door on the foam. In the art room there was peeling paint above the register on the right side. In the girls bathroom, there was peeling paint by the floor register. In the room located in the old hallway and first room on the left, there was peeling paint beside a gray bear sign and a small area of peeling paint in the back of the room near the electrical outlets.

Corrected Corrected by Apr 27, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the young toddler room , a staff was observed holding a child up to the sink to the right in the kitchen area to wash the child's hands and not using a platform or steps.

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

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

In the young toddler room there was a brown ring in the toilet and used toilet paper on the floor. In the middle toddler room there was a brown ring in the toilet and a brown substance along the upper inside part of the toilet bowl. In the room closest to the office which is used for child drop off at the beginning of the day, observed that there was a brown ring around the toilet.

Corrected Corrected by May 1, 2024

Marked corrected in the state record.

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

The following areas lacked hand washing signs: 2 sinks, diapering station, and toilet in young toddler room, 2 sinks and 5 stalls in the girl's bathroom and 4 stalls in the boy's bathroom.

Corrected Corrected by Apr 4, 2024

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

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

In the young toddler room there was no lid on the waste receptacle by the diapering area.

Corrected Corrected by Apr 4, 2024

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.

In the infant room, observed that the exit in the eating area which leads to another room was block by grey plastic four drawer cabinet. In the cafeteria, observed that the exit to the outside by the kitchen was blocked by a room divider panel.

Corrected Corrected by Apr 26, 2024

Marked corrected in the state record.

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

In the outdoor toddler play area, observed wooden mulch that covered the ground which had a diameter of less than an inch.

Corrected Corrected by Jun 1, 2024

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

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

The lock was not working on top and middle drawer on the right counter area of the young toddler room contained batteries, empty plastic grocery bags, push pins accessible to children. In the older Preschool room there were 5 foam blocks that had teeth marks and missing pieces. In the middle toddler room on the counter ledge accessible to children were small colorful plastic hair ties In the eating area on the window ledge with a chair pushed up to it making it accessible to children was screws, staples, brass fasteners, paper clips.

Corrected Corrected by Apr 27, 2024

Marked corrected in the state record.

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

There was a blue and white shelf in the infant room that is used for extra diapers that was not secured to the wall causing it to be unstable with touched.

Corrected Corrected by Apr 27, 2024

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

In the refrigerator of the middle toddler room, the thermometer was observed at 52 degrees F.

Corrected Corrected by Apr 4, 2024

Category: nutrition. Marked corrected in the state record.

3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

No written plan of daily activities was posted in the infant room. Based on a conversation with staff, they are working on a plan of daily activities and routines for the infant room.

Corrected Corrected by Apr 4, 2024

Category: physical safety. 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 3/26/24, observed staff #6 and 7 in the gym with 7 YT and 1 OT. Staff #6 named 4 children in her supervisory group and staff #7 was not able to identify the names to the faces of the children in her supervisory group. This left 4 children who were not named in any supervisory group.

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

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

The fee agreements on file for children #3, 5 and 6 were not signed by the operator.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2)/3270.123(a)(6) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

The fee agreements on file for children #5, 7, 8 and 10 lack the date on which the fee is to be paid. The fee agreements on file for children #3 and 10 lack the date of the child's admission.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3)/3270.123(a)(5) · 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). An agreement shall specify the persons designated by a parent to whom the child may be released.

The fee agreements on file for children #2, 3, 4, 6, 7, 9 and 10 lack the services to be provided to the child. The fee agreements on file for children #2, 6, 8 and 9 lack names of the release persons.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. 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).

There was more than six months between child service reports on file for child #3. There is now a current child service report on file. The files for children #8 and 10 lack a child service report within the past six months.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. 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 information on file for child #6 lacks the phone number of the child's physician or source of medical care.

Corrected Corrected by Jun 1, 2024

Category: health medication. 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 fee agreements on file for children #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were the originals. Therefore, the original was not given to the parents.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. 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 information on file for children #4 lacked the full telephone number of the child's physician or source of medical care. The emergency contact information on file for children #3 and 10 lack the address and phone number of the child's physician or source of medical care.

Corrected Corrected by Jun 1, 2024

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

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 emergency contact information on file for child #1 lacks the enrolling parents work address. The emergency contact information on file for children #2, 5 and 9 lacks the enrolling parents work address and work phone. The emergency contact information on file for child #1 lacks the telephone number and address of all persons designated by the parent to whom the child may be released. The emergency contact information on file for children #2, 5. 6 and 10 lack the address of all persons designated by the parent to whom the child may be released. The emergency contact information on file for child #4 lacks the full telephone number of the persons designated by the parent to whom the child may be released.

Corrected Corrected by Jun 1, 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 file for child #2 lacks written consent signed by a parent for emergency medical care.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information on file for children #1,2, and 6 lack information on the child's special needs.

Corrected Corrected by Jun 1, 2024

Category: health medication. 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 older preschool room.

Corrected Corrected by Apr 4, 2024

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 emergency contact and fee agreements on file for children #1, 3, 4, 5, 6, 7, 8, 9 and 10 lack an update/review of the emergency contact and fee agreement within the past six months.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for children #3 and 10 who were young toddlers at the time, lacked an updated health report within six months of the previous health report. Dates are as follows: Child #3 - 1/5/22 and 5/12/23. Child #10 - 3/22/23 and 12/4/23.

Corrected Corrected by Jun 1, 2024

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

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

The file for child #5 lacks, who is of preschool age, lacks an updated health report within the past 12 months. This is evidenced by the current health report on file with date of 1/3/23. There was more than 12 months between the previous and most current updated health report on file for children #7 and 8, who are of preschool age. Dates are as follows: Child #7 - 1/5/23 and 3/14/24 and Child #8 - 10/4/22 - 1/30/24.

Corrected Corrected by Jun 1, 2024

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

3270.131(d)(5)/3270.131(e)(3) · Child(ren) #2 and 6_ must be dismissed from care by close of business by the date of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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 #2, contains 1 of 2 Hep B, 0 of 1 Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccinations as recommended by the ACIP for the age of the child. The file for child #6, contains 3 of 4 DTAP and 1 of 2 Hep A vaccinations as recommended by the ACIP for the age of the child.

Corrected Corrected by Jun 1, 2024

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

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

The current health report on file for child #6 lacks the statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jun 1, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

In the gym during nap time a staff member left their person bag on the table making it accessible to children and in the bag was Tylenol. In the middle toddler room, a closet to the left of the diapering area was left unlocked and it contained diaper cream on a lower shelf which was labeled keep out of reach of children which was accessible to children.

Corrected Corrected by Apr 4, 2024

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

3270.133(6)/3270.133(7)(iv) · A parent shall provide written consent for administration of medication or a special diet. A medication log shall include the amount of medication administered.

In Older toddler room, Infant Tylenol was administered to child # 12 on 2/22/23 and 9/6/23 and there was no parent signature on the medication log form. Infant pain and fever medication was administered in the young toddler room to child #11 on 11/7/23 and the amount administered was not written on the medication log.

Corrected Corrected by Apr 4, 2024

Category: ratio. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

In the young toddler room, it was observed that the children did not wash their hands before eating or after diapering before nap. The children were laid directly on to their cot after diapering without washing hands.

Corrected Corrected by Apr 4, 2024

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

3270.135(c) · The diapering area may not be used for food preparation or food service.

In the middle toddler room they were using the counter and sink as their diapering area. They also used this counter area and sink to wash children's dishes and utensils. In the infant room they were using the portable sink that they use to wash their hands after diapering to wash baby bottles.

Corrected Corrected by Apr 4, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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 #2 and 4 lack a TB screening within 12 months of initial start date in a childcare position.

Corrected Corrected by Apr 20, 2024

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

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #2 lacked signed parental consent for minor first aid procedures by facility staff and for walking excursions.

Corrected Corrected by Jun 1, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(5)/3270.27(e) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. 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 facilities emergency plan lacked a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions and the parent letter lacked the update regarding accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jun 1, 2024

Category: physical safety. 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.

On 3/26/24, based on a conversation with staff, the facility's fire detection system was not operable and hasn't been working correctly since August of 2023.

Corrected Corrected by Apr 25, 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.

The last 30 day check of the fire detection system on file is dated 2/14/24.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facilities emergency plan lacked a plan that provides for accommodations for shelter of children during an emergency shelter in place at the facility and shelter at locations away from the facility premises, a plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected Corrected by Jun 1, 2024

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

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

The facility file lacked documentation the operator sent a copy of the emergency plan with subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for child #5, and 6 lacked an initial health report within 60 days following the first day of attendance at the facility. There is a current health report now on file for child #6.

Corrected Corrected by Apr 5, 2024

Category: health medication. 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.

Documentation was not on file that the operator notified local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility within the past 12 months.

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

After a discussion with the Director, she confirmed that the facility uses a fenced, large yard and an additional playground that is located onsite directly behind the building where two other licensed play spaces are. The Director was unaware that the open grass area and additional playground were not licensed, as the facility has been using the spaces for a long time.

Corrected Corrected by Oct 18, 2023

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff #3 will have until 11/4/23 to complete the required training. Until such time as the required training has been completed, Staff #3 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 #3, Staff #3 may not work in a child-care position at the facility.

Staff #3 was observed caring for children unsupervised. Staff #3 has not completed the following pre-service trainings required prior to caring for children unsupervised: Pediatric First Aid/Pediatric CPR and Get Started with Center-based Care: Building Blocks for Quality

Corrected Corrected by Oct 23, 2023

Category: supervision. 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 #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR and Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Dec 4, 2023

Category: health medication. 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 most recent mandated reporter training on file for Staff #1 is dated 5/8/18, which is more than 60 months old.

Corrected Corrected by Dec 4, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The fire drill log on file included fire drills conducted 1/27/23-9/20/23, more than 60 days apart.

Corrected Corrected by Dec 4, 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 facility does not have a fire alarm 30-day test log, as required with the 12/19/20 Chapter 3270 regulation updates.

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files for Staff #3 and #4 did not contain a high school diploma or GED.

Corrected Corrected by Jun 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A sharply pointed steak knife was observed in an unsecured drawer in an area accessible to children in the Mid Toddler Room. Two approximately 5'x4' wooden shelving units in areas accessible to children in the Older Preschool and PreK Rooms respectively were observed to be presenting tipping hazards.

Corrected Corrected by Mar 31, 2023

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

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Although the file for Staff #1 contained documentation of the completion of the one-hour health and safety basics training addendum, the completion date was after the due by date of 12/30/22.

Corrected Corrected by Mar 31, 2023

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff persons #4 and #5 will have until 04/25/2023 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS or GS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #4 and #5, staff persons #4 and #5 may not work in a child-care position at the facility.

Staff persons #4 and #5 have not completed the following required pre-service training within 90 days of their date of hire: Health and Safey Basics Training.

Corrected Corrected by Apr 25, 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 and #3 may not work in a childcare position at the facility.

The file for Staff #1 contained an FBI Criminal History Clearance that is not accepted by our department. The file for Staff #3 did not contain PA State Police, DHS Child Abuse, or FBI Criminal History Clearances; nor did said file contain a National Sex Offender Registry Verification. Additionally, the file for Staff #3 did not contain documentation that applications had been submitted for any of the noted clearances/verification. Staff #1 and #3 cannot return to the facility until noted clearances are obtained and placed on file at the facility.

Corrected Corrected by Mar 31, 2023

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Sections of hot water pipes in areas accessible to children in care in the Gross Motor 2 Room and Girl's Restroom were observed.

Corrected Corrected by May 5, 2023

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

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

The first-aid kit located in the PreK Room was observed to be accessible to children in care.

Corrected Corrected by Mar 31, 2023

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.

Sharp edges were observed on the end of a baseboard heater in an area accessible to children in care in the Drop Off Room. A sharply edged metal bracket in an area accessible to children in the gym was observed. Also in the gym, in an area accessible to children, an approximately 5'x3' area of wooden planks were observed to be loose, which created the potential for pinch point injuries.

Corrected Corrected by Apr 3, 2023

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

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

A 2-3" area of peeling paint was observed in an area accessible to children in care along the door frame of the gym egress.

Corrected Corrected by Apr 3, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The Young Preschool Room lacked a hands-free trash can for the disposal of diapers.

Corrected Corrected by Apr 3, 2023

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

3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The file for Staff #3 contained a health assessment that was signed by a person who listed their title as Daycare Worker.

Corrected Corrected by Jun 1, 2023

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

3270.151(c)(2)(ii) · A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

The file for Staff #2 did not contain the results of a chest x-ray and evaluation for chemoprophylaxis.

Corrected Corrected by Jun 1, 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 #4 and #5 did not contain two written, nonfamily references.

Corrected Corrected by Apr 3, 2023

Category: recordkeeping. 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 #1, #3, #4, and #6, each being employed in a child care position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics training.

Corrected Corrected by May 31, 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 #3 and #6 may not work in a child care position at the facility.

The file for Staff #3 did not contain a National Sex Offender Registry verification. The file for Staff #6 did not contain acceptable documentation of an FBI Criminal History clearance. Staff #3 and #6 cannot return to work at the facility until required clearances are on file. The file for Staff #5 contained current DHS Child Abuse and FBI clearances; however, the previously completed clearances were processed more than 60 months prior. The file for Staff #4 contained a disclosure statement that was signed after her first date in a child care position.

Corrected Corrected by Mar 28, 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.

Although the file for Staff #2 contained documentation of the completion of mandated reporter training in the past 60 months, the previous training completion was more than 60 months prior to the date that the current training was completed.

Corrected Corrected by Mar 28, 2022

Category: recordkeeping. 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 files for Staff #7 and #8, each listed as Assistant Group Supervisors, did not contain documentation of two years of child care experience.

Corrected Corrected by Apr 28, 2022

Category: supervision. 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.

An outdoor picnic table located in an area accessible to children in care was observed to have four exposed bolts on the underside of the table. Contact with said bolts could cause laceration injuries.

Corrected Corrected by Apr 1, 2022

Category: ratio. Marked corrected in the state record.

3270.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

The file for Child #3 contained an emergency contact form that did not include written parental consent for emergency medical care.

Corrected Corrected by May 2, 2022

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 #1 through #4 contained immunization records that did not include record of an influenza vaccine in past year. Additionally, said files contained no documentation that reflected a parent/guardian's belief against influenza vaccines or a physician's written statement that indicated a medical reason that an influenza vaccine was not administered.

Corrected Corrected by Jun 27, 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.

Although the file for Staff #2 contained a current health assessment, the previously completed health assessment was administered more that 24 months prior.

Corrected Corrected by Mar 28, 2022

Category: ratio. 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 file for Staff #4 included a health assessment that did not include the results of an examination for communicable diseases or an assessment of Staff #4's suitability to provide child care.

Corrected Corrected by Jun 24, 2022

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 file for Child #3 contained an emergency contact form that did not include written parental consent for the administration of minor first-aid procedures by facility staff members.

Corrected Corrected by Apr 1, 2022

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 #1 did not include two written, nonfamily references.

Corrected Corrected by Apr 13, 2022

Category: recordkeeping. Marked corrected in the state record.