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Home › PA › Sarver › Evangel Heights Childcare Center
120 Beale Rd, Sarver PA 16055 · License #CER-00241847 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.123(a) · An agreement shall be signed by the operator and the parent.
The financial agreement of Child #6 was not signed by the operator.
Corrected Corrected by Apr 20, 2026
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.
Due to a broken lock on cabinet, 2 pairs of adult scissors were accessible to children. In Room 304, and a sharp knife was accessible to children in Room 402g in a drawer with a broken lock.
Corrected Corrected by May 22, 2026
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 file of Staff #4, employed for more than 90 days (see LIS code sheet), did not contain documentation of emergency plan training.
Corrected Corrected by Apr 22, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Documentation of consecutive annual fire safety trainings for Staff #10 were dated more than 12 months apart.
Corrected Corrected by Apr 22, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
The file of Staff #1 contained documentation of the health and safety topics trainings dated 11/30/2025 and 12/4/2025 and Staff #11's were dated 3/24/2026 and 3/27/2026, more than 90 days from their hire date at the facility (see LIS code sheet).
Corrected Corrected by Apr 22, 2026
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 #2 may not work in a child care position at the facility.
The file of Staff #1 contained a signed disclosure statement which was not on the current form dated 1/1/2025. The file of Staff #2 contained an NSOR verification certificate dated 11/14/2025, after their start date at the facility (see LIS code sheet) and an incomplete PA criminal history as it did not include the second page of the rap sheet. Additionally, the disclosure statement for Staff #2 was signed and dated on 9/13/2023, more than 6 months prior to their employment at the facility (see LIS code sheet). The file of Staff #4 contained an NSOR verification certificate dated 3/27/2026, after their start date at the facility (see LIS code sheet) and their signed disclosure statement was not on the current form dated 1/1/2025. The consecutive PA criminal history clearances for Staff #5 were dated more than 60 months apart (3/16/2021 and 3/27/2026). The file of Staff #6 contained consecutive NSOR verification certificates (11/14/2020 and 12/4/2025) dated more than 60 months apart. The file of Staff #7 contained consecutive child abuse clearances (11/13/2020 and 12/5/2025), PA criminal history clearances (11/2/2020 and 12/3/2025), FBI clearances (11/13/2020 and 11/14/2025) and NSOR verification certificates (6/18/2020 and 9/18/2025) all dated more than 60 months apart. The file of Staff #11 contained consecutive FBI clearances (11/7/2020 and 2/24/2026) dated more than 60 months apart. The file of Staff #12 contained an NSOR verification certificate dated 6/5/2025, after their start date at the facility (see LIS code sheet) and a signed disclosure statement which was not on the current form dated 1/1/2025.
Corrected Corrected by Apr 22, 2026
Category: background checks. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file of Staff #1 contained mandated reporter training dated 11/14/2025, more than 90 days from their hire date at the facility (see LIS code sheet). The file of Staff #7, #22 and #24 contained consecutive mandated reporter trainings dated more than 60 months apart. (Staff #7 - 6/15/2020 and 9/12/2025 / #22 - 8/11/2020 and 9/14/2025 / Staff #24 - 9/7/2019 and 11/10/2024)
Corrected Corrected by Apr 20, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
Dated documentation of consecutive written evaluations for Staff #7, #8, #9, #10, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, and #23 were more than 12 months apart.
Corrected Corrected by Apr 22, 2026
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.
An electrical outlet in the gym, accessible to children under 5 years old, did not have a protective receptacle cover.
Corrected Corrected by Apr 20, 2026
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.
The unlocked door to the small hallway kitchen provided children access to bleach on the counter, Lysol Disinfectant Wipes, Comet and Clorox Clean-Up Spray in the unlocked cabinet below the sink. The unlocked door to the large kitchen off the gym provided children access to bleach stored under the sink and Lysol spray in an unlocked cabinet. All of the cleaning products were labeled "keep out of the reach of children." A broken drawer lock in Room 402g allowed children access to Liquid White Out and lavender spray, both labeled "keep out of reach of children."
Corrected Corrected by May 24, 2026
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 unlocked doors to the small kitchen in the hallway and the large kitchen off of the gym provided children access to the stoves in each area.
Corrected Corrected by Apr 22, 2026
Category: physical safety. 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.
The thermometer in the refrigerator located in Room 402b read 50° F and it was determined the thermometer was broken.
Corrected Corrected by Apr 20, 2026
Category: nutrition. 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 wall to the left of a door in the gym had a hole with rough edges approximately the size of a golf ball which could fit a small hand. Also in the gym, the carpet was torn from the wall exposing plywood beneath. Newly constructed bathroom walls off Room 202 remained unpainted, leaving cracking and chipping joint compound which was observed on the floor accessible to children. The underlying drywall mesh was also exposed in various areas of the walls. The corner of the carpet with the planets in Room 301 was curling creating a tripping hazard.
Corrected Corrected by Apr 22, 2026
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.
Peeling paint was observed on the ledge of the wall by the pink couch in Room 305.
Corrected Corrected by Apr 22, 2026
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.
A handwashing sign was not posted at the sink in Room 302.
Corrected Corrected by Apr 22, 2026
Category: health medication. Marked corrected in the state record.
3270.92(a) · Portable space heaters are not permitted.
Room 202 contained 2 portable space heaters that were not in use; however, staff confirmed these are used during cooler months to maintain classroom temperatures when there was a heating problem. The child care office also contained a portable space heater which was said to be used because the office did not have heat.
Corrected Corrected by Apr 20, 2026
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.
The corner of a green bin containing dinosaurs was broken off creating rough edges in Room 402b. Room 402f contained a cracked and broken bin with miscellaneous toys.
Corrected Corrected by Apr 20, 2026
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.
In Room 402b, several foam blocks with visible teeth marks were found on a shelf accessible to the toddlers in care who are still placing objects in their mouths.
Corrected Corrected by Apr 20, 2026
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.
An unstable white shelf in Room 207. measuring approximately 4 feet tall and used to store board games, posed a tipping hazard.
Corrected Corrected by Apr 22, 2026
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 approved Child Service Reports for Child #5 were dated more than 6 months apart. The file of Child #6, enrolled for more than 6 months (see LIS code sheet), did not contain documentation of a Child Service Report. The file of Child #9 contained a Child Service report dated 8/20/2025 but did not contain any within the last 6 months. The file of Child #10 enrolled for more than 6 months (see LIS code sheet) did not contain documentation of any Child Service Reports.
Corrected Corrected by Apr 22, 2026
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 form for Child #2 did not contain the telephone number of the child's physician.
Corrected Corrected by Apr 20, 2026
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact form for Child #3 did not include the enrolling parents work address and work telephone number.
Corrected Corrected by Apr 20, 2026
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 form for Child #11 did not contain the name and policy number of the health insurance coverage for the child.
Corrected Corrected by Apr 20, 2026
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file of Child #5 and Child #10, both identified as preschool age (see LIS code sheet), contained consecutive health assessments exceeding 12 months. (Child #5 - 7/31/2024 and 8/22/2025 / Child #10 - 4/8/2024 and 6/4/2025)
Corrected Corrected by Apr 20, 2026
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child #11 must be dismissed from care by close of business 5/6/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
The file of child #11, enrolled for more than 60 days (see LIS code sheet), did not contain documentation of any immunizations or documentation of an acceptable parent or medical exemption.
Corrected Corrected by Apr 20, 2026
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 health assessment for Child #8 did not state they were free from contagious or communicable disease and able to participate in child care.
Corrected Corrected by Apr 22, 2026
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
Written parental consent was not on file for Motrin in Room 402g labeled for Child #1.
Corrected Corrected by Apr 20, 2026
Category: ratio. 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 trash can at the changing table in Room 402b was not hands-free.
Corrected Corrected by Apr 20, 2026
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 of Staff #8, #10 and #17 contained consecutive health assessments which were dated more than 24 months apart. (Staff #8 - 1/26/2023 and 3/31/2025 / Staff #10 - 8/15/2023 and 9/17/2025 / Staff #17 - 12/7/2023 and 1/8/2026)
Corrected Corrected by Apr 20, 2026
Category: ratio. 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 health assessment for Staff #3 contained the name but not the professional title of the person that signed the assessment.
Corrected Corrected by Apr 22, 2026
Category: health medication. 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.
String cheese, labeled keep refrigerated, was in a child's lunch bag located on the counter in Room 402a.
Corrected Corrected by Apr 20, 2026
Category: nutrition. Marked corrected in the state record.
3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.
Consecutive financial agreements for Child #3, #5 and #10 were signed and dated by the parent more than 6 months apart. Consecutive emergency contact forms and financial agreements for Child #4, #6, #7, #8, and #9 were signed and dated by the parent more than 6 months apart.
Corrected Corrected by Apr 20, 2026
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 of Staff #12 did not contain 2 written nonfamily reference attesting to the individual's suitability to be a staff person.
Corrected Corrected by Apr 22, 2026
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 ensure fire drills are conducted at least once every 60 days.
Based on documentation on the fire drill log, consecutive fire drills were conducted on 10/9/2025 and 12/17/2025, more than 60 days apart.
Corrected Corrected by Apr 22, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(2) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at different times of the day or night, or both, if applicable.
Based on documentation on the fire drill log, all fire drills conducted in the past 12 months occurred in the morning, between 9:00am and 11:15am and none occurred in afternoon while children were in care.
Corrected Corrected by Apr 22, 2026
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.
Based on documentation on the fire drill log, consecutive testing of the fire detection system occurred on 6/20/2025 and 9/10/2025, more than 30 days apart.
Corrected Corrected by Apr 22, 2026
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 of Staff #9 contained one training hour during their annual training year between 12/2024 and 12/2025.
Corrected Corrected by Apr 20, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)/3270.192(2)(ii) · An assistant group supervisor shall have attained one of the qualification levels specified at § 3270.36(b)(1-5). 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 #12, identified as an assistant group supervisor, did not contain documentation of education.
Corrected Corrected by Apr 22, 2026
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 ensure fire drills are conducted at least once every 60 days.
Fire drills were conducted on 3/14/2025 and 6/20/2025, which was more than 60 days apart; and the most recent fire drill was conducted on 6/20/2025, which was more than 60 days ago.
Corrected Corrected by Dec 17, 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 detection system was tested on 3/14/2025 and 6/20/2025, which was more than 30 days apart.
Corrected Corrected by Dec 10, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
A daily schedule was not posted in the School-Age classroom (room 404).
Corrected Corrected by May 22, 2025
Category: physical safety. 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.
The refrigerator in the School-Age classroom (room 202) did not contain a thermometer.
Corrected Corrected by May 22, 2025
Category: nutrition. 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.
A plastic basket, which contained play instruments, in the All-Day Preschool classroom (room 303) was cracked. A plastic bin on a shelf in the Little Explorers classroom (room 402b) was cracked in the corner.
Corrected Corrected by May 22, 2025
Category: physical safety. 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.
A shelf, which contained multiple bins of toys, was not stable and would sway to the right or left when touched in the 3 Day All Day classroom (room 201).
Corrected Corrected by May 22, 2025
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 drawer in the small kitchen contained 2 sharp knives in an unlocked drawer. Due to the door of the kitchen being open, they were accessible to children in the facility. Outside in toddler play space, a child was seen playing in standing water in sink of the play kitchen.
Corrected Corrected by May 22, 2025
Category: health medication. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
Documentation of a review and/or update to the facility emergency plan was dated 3/5/2025, but the facility lacked documentation of the previous review making it unable to determine if the current review and/or update was within 12 months of the prior.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The files of the following staff contained documentation of emergency plan dated 1/2/2024 and updated on 4/25/2025, more than 12 months from the prior: staff #1 through staff #10, staff #12 through staff #26 and staff #30. The file of staff #11 contained documentation of emergency plan training dated 1/2/2024 but did not have verification of updated training within 12 months.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
Pediatric first aid and pediatric CPR of staff #6 was renewed on 4/29/2025, which was after the 2/2025 expiration of the prior training.
Corrected Corrected by May 22, 2025
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
Documentation of fire safety training of the following staff exceeded 12 months: staff #2 (1/17/2024 & 3/3/2025), staff #8 (1/26/2024 & 3/31/2025), staff #10 (1/31/2024 & 4/30/2025), staff #11 (1/4/2024 & 2/21/2025), staff #13 (1/19/2024 & 3/31/2025) and staff #16 (2/1/2024 & 3/1/2025)
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #15 and #16 may not work in a child care position at the facility. 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 #15 and #16 may not work in a child care position at the facility.
The files of the following staff contained clearances and/or verification certificates which were renewed after the expiration date of the previous clearance/certificate: staff #1's PA criminal history clearance (9/9/2019 & 12/31/2024), staff #5's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #7's PA criminal history clearance (11/18/2018 & 11/30/2023) and child abuse clearance (12/3/2018 & 12/8/2023), staff #12's child abuse clearance (6/10/2019 & 7/6/2024), staff #14's child abuse clearance (7/18/2019 & 7/26/2024), FBI clearance (7/16/2019 & 7/25/2024) and NSOR verification certificate (11/6/2019 & 11/27/2024), staff #21's NSOR verification certificate (11/6/2019 & 4/8/2025), staff #23's NSOR verification certificate (1/16/2020 & 1/30/2025), staff #24's NSOR verification certificate (11/6/2019 & 12/3/2024), staff #26's child abuse clearance (11/28/2019 & 12/6/2024), staff #28's NSOR verification certificate (2/3/2020 & 3/19/2025) The PA criminal history clearance of staff #5 was incomplete, lacking a dissemination date. The file of staff #15 contained a PA criminal history clearance (1/6/2019), child abuse clearance (8/20/2019), FBI clearance (8/29/2019) and NSOR verification certificate (11/6/2019) and the file of staff #16 contained a PA criminal history clearance (11/4/2019) and child abuse clearance (11/22/2019) but did not contain documentation of being renewed within the last 60 months. The NSOR verification certificate of staff #27 was dated 3/18/2025, after their start date with children (See LIS code sheet). The FBI clearance of staff #29 was dated 3/21/2025 more than 45 days from their state date with children (see LIS code sheet). The PA criminal history clearance of staff #31 was dated 5/1/2025 after their start date with children (see LIS code sheet) and did not contain documentation of submission.
Corrected Corrected by May 22, 2025
Category: ratio. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file of staff #10 contained consecutive annual evaluations dated 12/20/2023 & 3/17/2025, staff #15's were dated 12/11/2023 & 3/21/2025 and staff #21 dated 12/1/2023 & 3/14/2025, all exceeding 12 months. The file of staff #16, employed for more than 12 months (see LIS code sheet), did not contain an annual evaluation.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Hand sanitizer was on a refrigerator and disinfecting wipes, labeled "keep out of the reach of children," were in an unlocked drawer in the School-Age classroom (room 404) accessible to children. Hand sanitizer, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in the Little Explorers classroom (room 402b). The open door to the small kitchen contained Lysol, disinfecting spray and additional cleaning products labeled "keep out of the reach of children" in the unlocked cupboard below the sink accessible to children. Desitin diaper cream, labeled "keep out of the reach of children," was stored in a drawer with a broken lock making it accessible to children in room 402c.
Corrected Corrected by May 22, 2025
Category: health medication. Marked corrected in the state record.
3270.66(e) · Arts and crafts materials shall be nontoxic.
In the storage cupboard of the 3 Day All Day classroom (room 201), shaving cream labeled "keep out of the reach of children," was said to be used for art.
Corrected Corrected by May 22, 2025
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 door to the small kitchen was left open making the stove accessible to children.
Corrected Corrected by May 22, 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.
A handwashing sign was not posted at the changing table in the Adventurers classroom (room 402c).
Corrected Corrected by May 22, 2025
Category: health medication. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
The file of child #1, #3, #4, #5 and #9, all enrolled for more than 12 months, contained current Child Service Reports which provide information to the family about the child's growth and development but did not contain the prior reports which were to be completed 6 months prior. Based on a conversation with staff #32, it is believed they were not completed due to changing assessment tools.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact form of child #6 did not contain the work addresses and work telephone numbers of the enrolling parents.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form of child #2 and #6 did not contain an address of a release person.
Corrected Corrected by May 22, 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 a conspicuous location in room 402a.
Corrected Corrected by May 22, 2025
Category: transportation. Marked corrected in the state record.
3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
The health assessments of the following children, identified as young toddlers at the time of the assessments (see LIS code sheet), were dated more than 6 months apart: child #3 (5/8/2023 and 4/15/2025), child #4 (3/15/2024 and 1/15/2025) and child #9 (3/19/2024 and 11/19/2024)
Corrected Corrected by May 22, 2025
Category: health medication. 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 Tiny Tots classroom (room 402g), The medication called "Genexa" was not labeled with the name of the child for whom it was intended.
Corrected Corrected by May 22, 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.
The Little Critters classroom (room 402a) contained medication (labeled for specific children) which have expired: Tylenol (expiration 8/2024), Tylenol (expiration 3/2025), Tylenol (expiration 4/2025), Parent's Choice Pain Reliever (expiration 12/2024) and Motrin (expiration 11/2024). The Friends First B classroom (room 402e) contained expired Tylenol (expiration10/2024).
Corrected Corrected by May 22, 2025
Category: ratio. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
The 4-Year-Old Preschool classroom (room 305) contained a bottle of Tylenol labeled with the name of a child but did not contain written consent from the parent.
Corrected Corrected by May 22, 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 files of the following staff contained health assessments which were updated more than 24 months from the prior: staff #2 (6/1/2022 & 3/9/2025), staff #7 (8/7/2022 & 11/26/2024), staff #11 (4/4/2022 & 12/26/2024), staff #12 (9/30/2022 & 3/9/2025), staff #15 (10/29/2021 & 11/8/2023), staff #21 (12/16/2022 & 3/21/2025) and staff #23 (3/31/2022 & 4/4/2024). The file of staff #27 was dated 3/12/2025, which was after their start date at the facility (see LIS code sheet).
Corrected Corrected by May 22, 2025
Category: ratio. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
Documentation of the review and/or update of the emergency contact forms, and financial agreements exceeded 6 months for child #1, #3, #4, #5, #7, #8 and #9.
Corrected Corrected by May 22, 2025
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 of staff #31 contained a reference which, based on the content of the reference, was written by their aunt
Corrected Corrected by May 22, 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.
Based on documentation, testing the fire detection system exceeded 30 days by one day with testing be conducted on 2/7/2025 and again on 3/10/2025.
Corrected Corrected by May 22, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.
The health assessment of child #6 was dated 11/21/2024, more than 60 days from their start date at the facility (see LIS code sheet).
Corrected Corrected by May 22, 2025
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 file of staff #1 contained training on the health and safety training topics listed in subsections (f)1-9 dated 4/23/2024, more than 90 days from their start date at the facility (see LIS code sheet). The file of staff #2, employed since 2018 (see LIS code sheet), contained training on the health and safety training topics listed in subsections (f)1-9 dated 10/23/2018 but did not include the 1-hour update (due by 12/30/2022), but completed the revised training which was dated 12/5/2023.
Corrected Corrected by Jan 7, 2025
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file of staff #3 contained mandated reporter training dated 11/3/2019, more than 60 months prior to the date of the inspection.
Corrected Corrected by Nov 21, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
In the infant room, an infant was observed to be sleeping in a crib which was placed against the wall and against another crib not allowing for 2 feet on three sides.
Corrected Corrected by Jan 7, 2025
Category: physical safety. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
Based on documentation and a conversation with staff #4, though the last documented fire drill was conducted on 4/24/2024, they did conduct fire drills, however, they forgot to document them on the fire drill log.
Corrected Corrected by Jan 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Documentation of testing the fire detection system exceeded 30 days when tested on 6/12/2024 and 7/17/2024. Documentation of the most recent test of the system was dated 9/24/2024, which was more than 30 days prior to the date of the inspection.
Corrected Corrected by Jan 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility did not have written policies to address the following: Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, Strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment.
Corrected Corrected by May 1, 2024
Category: ratio. 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 Emergency Plan parent letter lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.
Corrected Corrected by Jun 30, 2024
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.
Staff #6 did not renew their certification in pediatric first aid and pediatric CPR on or before the expiration of the most current certification. Previous date 6/9/21, current pediatric first aid and pediatric CPR date 12/15/23 which was after the previous one expired.
Corrected Corrected by May 1, 2024
Category: ratio. 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 record shall include a copy of the following information: 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 statements for Staff #2 and Staff #11 are dated after the date they began caring for children. (see LIS code sheet). Staff #2's disclosure is dated 4/5/22 and Staff #11's disclosure is dated 6/29/23. The following clearances for Staff #11 were all dated after the date of hire/date of caring for children (see LIS code sheet): State Police 1/24/24, Child Abuse 7/5/23, DHS FBI 7/27/23, and NSOR 12/13/23. The State Police clearance for Staff #7 is dated more than 45 days from date of hire. (see LIS code sheet): State Police Clearance 3/27/23
Corrected Corrected by May 1, 2024
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 file for Staff #2 contained a staff evaluation that was greater than one year from date of hire. (see LIS code sheet) The file for Staff #6 did not contain a written evaluation for more than 12 months of employment. The current evaluation is dated 2/5/24 no other evaluations in file.
Corrected Corrected by May 1, 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.
A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.
Corrected Corrected by May 1, 2024
Category: ratio. 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.
An outlet next to the diaper changing table in room 402a was accessible to children and lacked a protective receptacle cover. An outlet on the right side of door 11 was accessible to children and lacked a protective receptacle cover.
Corrected Corrected by May 1, 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.
A drawer under the diapering table in room 402a was unlocked and contained toxics (diaper cream) accessible to children. Swiffer mop (with cleaning solution) was leaning against wall by the bathroom and accessible to children in room 402c. A Glade Plug-In air freshener was observed in the preschool-area girls' restroom and accessible to children. Hand sanitizer was observed on stand in a hallway accessible to children. In room 207, a bottle labeled "Pure Bright Bleach" was observed on a shelf (with black top) accessible to children.
Corrected Corrected by May 1, 2024
Category: health medication. Marked corrected in the state record.
3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.
Doll clothes accessible to children in room 203 were wet and staff confirmed that they had been sprayed with disinfecting spray.
Corrected Corrected by May 1, 2024
Category: ratio. 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.
A kitchen with a stove was accessible to children from the gym because the door was unlocked.
Corrected Corrected by May 1, 2024
Category: physical safety. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first-aid kit in room 402(b) did not contain disposable, nonporous gloves. The first-aid kit in the backpack in room 201 did not contain tweezers.
Corrected Corrected by May 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.
A metal downspout in the courtyard play space was partly detached with sharp edges exposed. Wall in the hallway outside of room 305 and men's room was observed to have a brown substance dripping from ceiling tiles. In room 203, a rug (alphabet themed) was observed to be curling at the bottom right corner, creating a tripping hazard. In room 202, a white air register under the window had detached from wall, leaving peeling paint exposed and accessible to children. In the preschool hallway by the girls' restroom, a baseboard was peeling away from the wall. In room 207, the baseboard is peeling away under the dry-erase board. In room 303, the toilet paper holder had detached from bathroom wall leaving exposed, cracking plaster. There were 9 ceiling tiles in the classroom that were stained with water damage. In the bathroom attached to room 301, bolts on toilet were exposed.
Corrected Corrected by Jun 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.
There were no visual strips present on glass exit doors by school-age room 207.
Corrected Corrected by Jun 30, 2024
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.
A handwashing sign was not posted at the classroom sink in room 402b. A handwashing sign was not posted at the training urinal in the bathroom attached to room 402c.
Corrected Corrected by May 1, 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 kitchen food preparation/sink area there was a garbage can with no lid.
Corrected Corrected by May 1, 2024
Category: ratio. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
The hallway leading from the classrooms to the courtyard play space was obstructed with umbrellas and toys.
Corrected Corrected by May 1, 2024
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.
A padded mat on the far wall of the gym was observed to have peeling vinyl on the surface. An orange bin in room 201 was cracked with sharp edges. A blue bin containing lacing toys and a gray bin containing toy food in room 301 were observed to be cracked, creating sharp edges.
Corrected Corrected by May 1, 2024
Category: nutrition. 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.
Foam blocks with teeth marks were observed in rooms 201and 402b where children are putting things in their mouths. Foam shapes with teeth marks were observed in room (203) where children are putting things in their mouths.
Corrected Corrected by May 1, 2024
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.
In room 402(d), rest equipment was observed for four children and six children were in care. Staff stated that cribs are shared and children do not nap at the same time. Individual rest equipment must be provided for each child.
Corrected Corrected by May 1, 2024
Category: physical safety. 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 room 203, there was no thermometer present in the refrigerator.
Corrected Corrected by May 7, 2024
Category: nutrition. 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.
A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.
Corrected Corrected by May 1, 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.
A child was observed in a room working with a therapist without a staff member present. There was no written permission from the parent for the child to attend therapy without staff present.
Corrected Corrected by May 1, 2024
Category: supervision. 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.
In child files #1-10 The facility had retained the original agreement and was giving the parents a copy of the agreement.
Corrected Corrected by May 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.
There were no emergency contact forms for one child receiving care in room 402d, and one child receiving care in room 201.
Corrected Corrected by May 7, 2024
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 most recent 6 month review signature for the emergency contact form on file for Child #6, #9, and #10 is dated more than 6 months after the previous 6 month review signature. Child #6 dates 8/29/23-4/2/24, Child #9 dates 8/14/23-3/22/24, and Child #10 dates 1/10/23-3/21/24. The file for Child #6, #9, and #10, included parental review signatures that were dated more than 6 months apart for the 6 month review signature for the agreement. Dates for child #6 8/29/23-4/2/24, Dates for child #9 8/14/23-3/22/24, Dates for Child #10 8/31/23-3/21/24.
Corrected Corrected by May 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file for Child #2 contained health reports in an interval greater than 12 months. Health Reports were dated 5/23/22-7/21/23(SEE LIS CODE SHEET)
Corrected Corrected by May 1, 2024
Category: health medication. Marked corrected in the state record.
3270.131(c)/3270.182(1) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A child's record shall contain initial and subsequent health reports.
The initial and only health report in child #1's file was not signed and dated by a medical professional.
Corrected Corrected by Jun 30, 2024
Category: health medication. 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 room 202, children woke up from nap and went directly to snack without proper handwashing.
Corrected Corrected by May 1, 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 initial health assessments for Staff #1, Staff #8, and Staff #11were dated after the dates of hire/dates of caring for children. (See LIS code sheet) Health assessment for staff #1 dated 11/13/23, Staff #8 dated 11/10/23, Staff #11 dated 7/27/23. The current health assessment for Staff #4 and Staff #5 is dated more than 24 months from the previous health assessment. Staff #4's previous assessment is dated 1/20/22, current assessment is dated 2/28/24. Staff #5's previous assessment is dated 10/19/21 and current assessment is dated 12/11/23.
Corrected Corrected by May 1, 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 Mantoux tuberculosis screening dates for Staff #1, Staff #5, Staff #8, and Staff #11 are after the date of hire/date of caring for children. (See LIS code sheet) Staff #1 test dated 11/12/23, Staff #5 Test dated 10/19/21, Staff #8 test dated 11/10/23, Staff #11 test dated 7/27/23. The Mantoux tuberculosis test for Staff #2 is greater than one year prior to date of hire.(See LIS code sheet) TB Test is dated 12/31/18.
Corrected Corrected by Jun 30, 2024
Category: health medication. Marked corrected in the state record.
3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.
The child files were observed to be in assistant director's office in a file cabinet that did not lock.
Corrected Corrected by Jun 30, 2024
Category: recordkeeping. 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.
Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric first-aid/CPR Staff #3 completed it on 10/11/23. Staff person # 9, #10 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training Staff #9 completed on 1/26/24, Staff #10 completed on 3/26/24.
Corrected Corrected by May 1, 2024
Category: health medication. 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 3/21/23-6/6/23, 8/2/23-10/25/23, and 10/25/23-1/4/24, more than 60 days apart.
Corrected Corrected by May 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.
The facility's fire alarm test log documented testing of the fire alarm system between 4/8/23-5/10/23 and 11/23/23-1/24/23. These tests conducted were more than 30 days apart.
Corrected Corrected by May 1, 2024
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 immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.
Corrected Corrected by Apr 29, 2024
Category: health medication. Marked corrected in the state record.
3270.131(e)(3) · 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 immunization record for Child #1, an older toddler age child was lacking one dose of MMR and one dose of Varicella. The immunization record for Child #2 and #3, both preschool aged children, were lacking one dose of DTAP, HIB, PCV, MMR, Varicella, and HEP A.
Corrected Corrected by Apr 29, 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 emergency plan did not include a contingency plan or contingency fund which can help strategize how to pay for repairs, pay staff, and continue to run the business after a disaster or emergency strikes the area.
Corrected Corrected by May 11, 2023
Category: ratio. 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 #12 will have until 5/25/2023 to complete the required training. Until such time as the required training has been completed, staff person #12 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #12, staff person #12 may not work in a child-care position at the facility.
Staff person #12 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety topics.
Corrected Corrected by May 15, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file of facility person #12 contained documentation of mandated reporter dated 3/19/2023, which was more than 90 days from their date of hire at the facility (see coded LIS sheet).
Corrected Corrected by May 15, 2023
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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 14 may not work in a child care position at the facility.
The file of facility person #5 contained a child abuse clearance dated 10/18/2016 and updated 1/20/2023, exceeding 60 months. The receipt of submission for the NSOR verification certificate for facility person #13 was dated 2/10/2023, which was after their start date with children (see coded LIS sheet). The file of facility person #14 contained a completed PDE FBI clearance and did not contain the required FBI clearance.
Corrected Corrected by May 15, 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 written evaluations by the director for facility persons #1 and #3 exceeded 12 months. The written evaluations for facility persons #2 and #5, both employed for over 2 years, contained one evaluation each dated early 2023 with no prior evaluations (see coded LIS sheet).
Corrected Corrected by May 4, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Classroom 402a contained a cabinet with a broken lock allowing dish soap, lotion, and hand sanitizer, all labeled "keep out of the reach of children," accessible to children.
Corrected Corrected by May 5, 2023
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.
The facility had 5 restrooms which were not equipped with a lidded waste receptacle.
Corrected Corrected by May 8, 2023
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
A climber with a slide in the preschool play space was in poor repair as areas of the platform were cracking.
Corrected Corrected by May 5, 2023
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.
A small green ball, less than an inch in diameter, was in a bin by an adult chair, accessible to children who are still placing objects in their mouths in classroom 402a. Plastic bags were accessible in an unlocked cabinet under the sink in classroom 402a. In classroom 402d, ABC and 123 foam letters were accessible to children still placing objects in their mouths.
Corrected Corrected by May 4, 2023
Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The financial agreement of child #1 did not contain the child's date of admission.
Corrected Corrected by May 5, 2023
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 forms of child #1, #2, #3, #5, #6, #7, #8, #9 and #10 did not contain 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 or documentation this is not applicable to the child.
Corrected Corrected by May 9, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form of child #4 did not contain the addresses of the persons designated by the parent to whom the child may be released.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the gym.
Corrected Corrected by Apr 25, 2023
Category: transportation. 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 of child #2, identified as a young toddler, contained a health assessment dated 6/15/2022 but did not contain an updated health assessment within 6 months and child #10, also identified as a young toddler, contained health assessments dated 1/12/2022 and 1/5/2023, exceeding 6 months.
Corrected Corrected by May 18, 2022
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 of child #3, identified as a preschool age child (see coded LIS sheet), contained a health assessment dated 8/4/2021 but did not contain documentation of an updated health assessment within 12 months. The file of child #8, now identified as a preschool age child, contained a most recent health assessment dated 12/6/2021, lacking a current health assessment.
Corrected Corrected by Apr 18, 2023
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The files of child #6, #8, and #9 contained documentation of the child's immunization records which were not in accordance with the recommendations of the ACIP nor were acceptable exemptions present in the file.
Corrected Corrected by May 17, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
The files of the following facility persons contained health assessments which exceeded 24 months: #1 (2/18/2020 and 4/25/2022), #3 (9/9/2020 and 12/16/2022), #4 (3/13/2019 and 2/7/2023), #5 (2/26/2020 and 3/31/2022), #6 (2/4/2020 and 3/31/2022). The initial health assessment of facility person #10 was dated 4/19/2021, which is more than 12 months prior to their start date at the facility (see coded LIS sheet). The health assessments of facility persons #7 and #14 were incomplete lacking explanations regarding communicable disease.
Corrected Corrected by May 15, 2023
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 file of facility person #10 contained documentation of a tuberculosis screening dated 9/11/2016 which was more than 12 months prior to their start date at the facility (see coded LIS sheet).
Corrected Corrected by May 15, 2023
Category: health medication. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
Documentation of the dated reviews and/or updates to the financial agreements and emergency contacts of child #4 and #6 exceeded 6 months.
Corrected Corrected by May 8, 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.
Documentation of education was on file for faciltiy person #8 (diploma) and #10 (CDA), both identified as assistant group supervisors, but did not contain documented experience with children to qualify them for their positions.
Corrected Corrected by May 5, 2023
Category: supervision. 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 of faciltiy person #11 contained 1 of 2 written nonfamily references.
Corrected Corrected by May 8, 2023
Category: recordkeeping. 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.
Documentation of pediatric first aid and pediatric CPR for facility person #9 was dated 8/18/2021 but was not completed by an approved (PQAS) instructor. Facility person #9 took the acceptable training on 4/13/2023, but it was more than 90 days from their date of hire (see coded LIS sheet).
Corrected Corrected by May 15, 2023
Category: health medication. 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.
The certificate of compliance with an expiration date of 7/18/2022 was posted at the facility.
Corrected Corrected by May 5, 2023
Category: ratio. 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 initial health assessment of child #6 was dated 1/18/2023, more than 60 days from their start date at the facility (see coded LIS sheet).
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The gym lacked a daily activities plan posted.
Corrected Corrected by Jun 3, 2022
Category: physical safety. Marked corrected in the state record.
3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.
Facility lacked liability insurance on file at the facility.
Corrected Corrected by May 27, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
Emergency plan was last reviewed/updated on 1/20/21, which is more than a year ago.
Corrected Corrected by May 27, 2022
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 form for child #2 lacked the physician's address.
Corrected Corrected by Jun 3, 2022
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 file for staff person #3 and #8 completed emergency plan training on 1/3/22, which is not at initial hire (SEE LIS code sheet for Hire Date). The file for staff person #5, #9, #11, and #12 lacked emergency plan training (SEE LIS code sheet for Hire Date).
Corrected Corrected by Jun 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The file for staff person #15 completed pediatric first-aid and CPR training on 2/6/20 and 3/31/22, which was after the previous training had expired.
Corrected Corrected by Jun 3, 2022
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The file for staff person #7 completed fire safety training on 8/16/20 and 3/31/22, which is not annually.
Corrected Corrected by Jun 3, 2022
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 file for staff person #9, #13, and #15 lacked the preservice health and safety training topics 1-9 within 90 days of hire (SEE LIS CODE Sheet for Hire Date). The file for staff person #14 contained health and safety training topics 1-9 completed on 8/15/16, which is before the accepted date. The file for staff person #16 contained health and safety training topics 1-9 completed on 9/4/16, which is before the accepted date.
Corrected Corrected by Jun 3, 2022
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff person #13 lacked mandated reporter training within 90 days of hire(SEE LIS Code Sheet for Hire Date).
Corrected Corrected by Jun 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact form for child #2, child #3, and child #4 lacked the enrolling parent's work address and work phone number.
Corrected Corrected by Jun 13, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #10, #13 -- may not work at the facility. 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 #10, #13--- may not work at the facility.
The file for staff person #10 had documentation of applying for the National Sex Offender Registry Certificate, had no certificate on file within the 45 days provisional hire period (SEE LIS Code Sheet for Hire Date). The file for staff person #13 lacked a State Police clearance.
Corrected Corrected by Jun 3, 2022
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 file for staff person #1 lacked a staff evaluation (SEE LIS Code Sheet for Hire Date). The file for staff person #4 had an evaluation completed on 12/1/20 and 12/15/21, which is not every 12 months. The file for staff person #6 had an evaluation completed on 6/20/19 and 6/10/21, which is not every 12 months. The file for staff person #15 had an evaluation completed on 4/4/22, which was not completed within 12 months of hire (SEE LIS Code Sheet for Hire Date).
Corrected Corrected by Jun 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
It was observed that the first-aid kit was accessible to the children in room 203.
Corrected Corrected by Jun 3, 2022
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 room 305 lacked soap.
Corrected Corrected by Jun 3, 2022
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.
It was observed in room 402d that the door was blocked with a highchair on one side and a cart on the other. In room 304 it was observed that a doorway was blocked with a large black Lego bin.
Corrected Corrected by Jun 3, 2022
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.
It was observed outside in the playspace, that the pink playhouse was cracked by the window and the picnic table was cracked along the bench causing them to have pinch points. The wooden playhouse was splintering by the window.
Corrected Corrected by Jun 3, 2022
Category: physical safety. 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 emergency contact form for child #4 lacked the release person's address.
Corrected Corrected by Jun 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The gym lacked an emergency transportation plan posted.
Corrected Corrected by Jun 3, 2022
Category: transportation. 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 immunization record for child #1 lacked an influenza vaccination in accordance with the ACIP.
Corrected Corrected by Jun 3, 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.
It was observed in room 402e Tylenol had expired on 11/21, in room 402g Tylenol had expired on 12/21, and in room 203 Mupirocin expired on 2/22.
Corrected Corrected by Jun 3, 2022
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
The file for staff person #1 contained an initial health assessment dated for 9/19/19, which is more than 12 months prior to initial service (SEE LIS Code Sheet for Hire Date).
Corrected Corrected by Jul 1, 2022
Category: ratio. 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.
Facility lacked written notification of safe routes posted by the operator at a conspicuous location in the child care facility.
Corrected Corrected by Jun 3, 2022
Marked corrected in the state record.
3270.192(4) · 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, #13, #17--- may not work at the facility.
The file for staff person #1 lacked a disclosure statement signed at initial hire. The file for staff person #13 and #17 lacked a signed disclosure statement.
Corrected Corrected by Jun 3, 2022
Category: background checks. 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 #13 and #17 lacked two written references.
Corrected Corrected by Jun 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
The emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by May 27, 2022
Category: physical safety. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
Director stated that an emergency drill had not been completed to date.
Corrected Corrected by May 27, 2022
Category: recordkeeping. 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 file for staff person #2, #9, and #13 completed pediatric first aid and CPR on 3/16/22, which was more than 90 days after hire (SEE LIS Code Sheet for Hire Date).
Corrected Corrected by Jun 3, 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.
Facility had annual testing of the inter-connected smoke alarms on 3/19/21 and 4/8/22, which is not annually.
Corrected Corrected by May 27, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.
The health assessment for child #3 was dated for 3/26/22, which is more than 60 days following the first day of attendance at the facility. (SEE LIS CODE SHEET FOR START DATE)
Corrected Corrected by Jun 3, 2022
Category: health medication. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
Based on conversation with facility person #1, fire drills have been conducted but not documented. The last documented fire drill occurred on 1/20/2021.
Corrected Corrected by Dec 10, 2021
Category: recordkeeping. Marked corrected in the state record.