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

At approximately 10:40am, in the Main Classroom, Staff person #1 and 13 young school age children were observed. Therefore, the staff: child ratio was exceeded by one child. At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. Therefore, the staff: child ratio was exceeded by two children.

Corrected Corrected by Jul 30, 2025

Category: ratio. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 10:45am, while outside on the play space, Staff person #2 and 12 preschool age children were observed. During the onset of supervision and ratio check, when staff was asked to identify and name the children whom they were responsible for, Staff person #2 identified and named 11 preschool age children thus leaving one child unaccounted for. When Staff person #2 was asked again to identify and name the children whom they were responsible for, Staff person #2 named 9 preschool age children thus leaving 3 children unaccounted for.

Corrected Corrected by Jul 30, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 may not work in a child care position at the facility.

The file for Staff Person #1 lacked a PA Child Abuse Clearance. The Disclosure Form on file for Staff Person #1 is not the correct form and lacked the date it was signed.

Corrected Corrected by Jul 1, 2025

Category: background checks. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

At approximately 12:10pm, CR observed two children entering the restroom independently with no staff accompanying them. Staff Person #3 stood in the entry of the designated preschool space and permitted the children to walk to the restroom on their own. Staff Person #3 could not supervise (see, hear, assess, or direct) the children using the restroom.

Corrected Corrected by Jul 1, 2025

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 staff #2 contained documentation of mandated reporter training dated 2/6/2020 and updated mandated reporter training dated 3/27/2025 was provided after the on-site inspection. The mandated reporter trainings were dated more then 60 months apart.

Corrected Corrected by Mar 27, 2025

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 of staff #1 contained documentation of pediatric first aid and pediatric CPR dated 7/22/2024 which was more than 90 days form their start date at the facility (see LIS code sheet).

Corrected Corrected by Jul 22, 2024

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.

Based on the documentation of the fire drill log, testing the fire detection system exceeded 30 days on the following occasion: 1/13/2025 to 2/13/2025.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility does not have a letter that is given to parents explaining the facility emergency procedures.

Corrected Corrected by Jun 28, 2024

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

3270.34(a)(3) · A director is responsible for designating a staff person who is responsible for compliance with this chapter in the Director's absence.

Upon entry to the childcare facility the staff did not know who was the designated person in charge in the absence of the director.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed several of the plastic covered magnet shapes in the school age area to be cracked with sharp edges and potential for magnets to come loose.

Corrected Corrected by Jun 28, 2024

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

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

The file for staff person #1 contains a current health assessment that is lacking a physician's statements regarding communicable disease and suitability to provide childcare.

Corrected Corrected by Jun 28, 2024

Category: health medication. 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 of facility person #6, employed for over a year (see coded LIS sheet), did not include documentation of fire safety training.

Corrected Corrected by Aug 1, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of the required health and safety topics defined in subsections .31(f)1-9 for facility person #6 were completed on 6/27/2023 which exceeds 90 days from their date of hire (see coded LIS sheet).

Corrected Corrected by Jul 1, 2023

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 mandated reporter training of facility person #6 was dated 6/9/2023 which was more than 90 days from their start date at the facility (see coded LIS sheet).

Corrected Corrected by Jul 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file of facility person #3 contained documentation of the required health and safety topics listed under subsection 31(f)(1-9) being completed on 6/2/2021 and facility person #4 completed the training topics on 1/10/2017. Both facility persons #3 and #4 lacked documentation of completion of the 1-hour " Pennsylvania Health and Safety Update 2022" which was to be completed prior to 12/30/2022 since their initial trainings were taken prior to 10/4/2022.

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Documentation of the policy which must include, but not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment was not presented at the time of the inspection.

Corrected Corrected by Jul 16, 2023

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file of facility persons #1 and #6 did not contain documentation of emergency plan training at this location since their start dates (see coded LIS sheet).

Corrected Corrected by Jul 28, 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). Facility Person #2 may not work at the facility.

The file of facility person #1 contained PA state police clearances (5/31/3017 and 10/4/2022) and child abuse clearances (6/5/2017 and 10/8/2022) and facility person #2 contained PA state police clearances (6/4/2018 and 6/6/2023) which were updated more than 60 months apart. The file of facility person #2 also contained an expired child abuse clearance (6/11/2018) which had not been updated. The file of facility person #6 contained PA state police clearance (6/22/2022), a child abuse clearance (6/6/2023) and an FBI clearance (6/2/2022) all dated after their start date (see coded LIS sheet) and did not contain documentation of submission.

Corrected Corrected by Jul 1, 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 file of facility person #6, employed for more than 12 months (see coded LIS sheet) did not contain documentation of a written evaluation completed by the director.

Corrected Corrected by Aug 1, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A handwashing sign was not posted at the training chair in the main classroom by the changing table.

Corrected Corrected by Aug 1, 2023

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 information of child #3 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Aug 1, 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 information of child #3 and #4 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 Aug 1, 2023

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

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

The file of child #1 contained documentation of a health assessment dated 9/14/2022and an updated health assessment dated 6/1/2023 exceeding the 6-month requirement for a young toddler (see coded LIS sheet).

Corrected Corrected by Aug 1, 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).

Based on the recommendations of the ACIP, child #2 lacked 1 DTaP, 1 Hep A and a current influenza immunization.

Corrected Corrected by Aug 1, 2023

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

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

The file of facility persons #5 and #6, both identified as assistant group supervisors, did not contain documentation of the required experience to qualify as assistant group supervisors.

Corrected Corrected by Jul 1, 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.

One of the two written references of facility person #6 was written by a relative with the same last name.

Corrected Corrected by Jul 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #5 will have until 7/26/2023 to complete the required training. Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

Staff person #5 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): acceptable pediatric first aid and pediatric CPR.

Corrected Corrected by Aug 23, 2023

Category: supervision. Marked corrected in the state record.

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

Fire drills exceeded 60 days on the following occasions: 7/1/2022 to 9/1/2022 to 11/1/2022 to 1/5/2023 and from 3/1/2023 to 5/1/2023.

Corrected Corrected by Aug 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The certificate of compliance posted in a conspicuous location used by parents expired on 9/10/2022.

Corrected Corrected by Aug 1, 2023

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 facility person #4 contained documentation of 6 training hours between 12/19/2021 and 12/19/2022, lacking 6 hours. The file of facility person #6 did not contain any training hours during their annual training year (see coded LIS sheet) but contained 3 hours dated 6/9/2023 and 10 hours dated 6/27/2023 after their training year but is now in compliance.

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

On October 20, 2022, at approximately 4:30pm, a parent of child #1 was denied access into the childcare facility to pick up the child from care.

Corrected Corrected by Feb 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2, 3 and 6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person #2, 3 and 6 were observed to be caring for children unsupervised. Staff person # 2, 3 and 6 have not completed the following pre-service training required prior to caring for children unsupervised: Staff 2, 3 and 6 Pediatric CPR/FA with approved curriculum and PQUA instructor and staff #6 - Health and Safety training. 3270.31(f) (1-10).

Corrected Corrected by Aug 18, 2022

Category: supervision. 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.

Observed a TV on a stand which was not secured to the stand and could be pulled over by the children in care. On the back wall and near the back exit door of the Main child room where school age children are present, observed a screened door which was set up against the wall and not secured to anything and could fall over on the children in care.

Corrected Corrected by Aug 18, 2022

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

3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

There was more than one year between emergency plan trainings on file for staff person #3. Dates are as follows: 10/30/20 and 11/3/21.

Corrected Corrected by Jun 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was more than one year between fire safety trainings for staff #3. Dates are as follows: 10/30/20 and 11/3/21.

Corrected Corrected by Aug 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons # 2 and 3 will have until 8/5/22 to complete the required training. Until such time as the required training has been completed, staff persons #2 and 3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #2 and 3, staff persons #2 and 3 may not work in a child-care position at the facility.

Staff persons # 2 and 3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): CPR/FA with approved curriculum and approved PQUA instructor.

Corrected Corrected by Jul 22, 2022

Category: supervision. Marked corrected in the state record.

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

The file for facility person #5, who was a volunteer at initial hire, lacked an FBI and NSOR on or before start date. SEE IS CODE SHEET. Clearances are now on file and dated - FBI - 5/18/22 and NSOR - 6/2/22. The files for staff #6 and 7 contained disclosure statements but were not dated.

Corrected Corrected by Aug 5, 2022

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

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #7, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience.

Corrected Corrected by Aug 5, 2022

Category: supervision. Marked corrected in the state record.

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

On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present. Ratio: 0:3.

Corrected Corrected by Aug 5, 2022

Category: supervision. Marked corrected in the state record.

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

In the main child care space, observed two toxic bottles of a Clorox mixture which were set on the top of shelving and were accessible to school age children.

Corrected Corrected by Aug 5, 2022

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

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

In the outdoor play space, observed a part of the chain link fence which had broken off and the part of the broken link was facing the inside of the play space and was sharp. This is located when you walk into the play area and make a left and is part of the left fence. Part of the outside play space is covered with artificial grass. The artificial grass is not all one piece and the pieces that were previously secured together were coming loose. Thus, causing a tripping hazard to the children in care.

Corrected Corrected by Aug 18, 2022

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed that the exit in the back of the school age area of the main child care room had 2 large hopper balls which were obstructing the exit. Observed that one of the two entrance doors to the facility is an area where staff keep their shoes directly in front of the door along with a door mat. Observed multiple pairs of shoes in front of the door. Additionally , this same entrance door had an approximate six inch portion of cabinet which was in front of the door.

Corrected Corrected by Aug 18, 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.

In the main child care space and in the middle area of the room and up against the wall where a poster with shapes is hanging on the wall, observed a clear cracked bin. In the outdoor play space, observed a circular tricycle riding apparatus with five connected tricycles. One of the tricycles was missing a pedal.

Corrected Corrected by Aug 5, 2022

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 the Main room and in the middle area of the room which toddlers have access, observed Styrofoam blocks with teeth marks and Orange Styrofoam peg boards with teeth marks. In the outdoor play space and along the back wall of the facility, observed blue exposed Styrofoam which was exposed and attached to the wall. Infant and toddlers play in this area who are still placing objects in their mouth.

Corrected Corrected by Aug 5, 2022

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.

In the Main child care space and in the back school age area, observed a large red couch which had two rips which were approximately 6 inches in length each and were located on the top of the couch.

Corrected Corrected by Aug 5, 2022

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present. On 6/22/22, throughout the course of the inspection, observed school age children , one at a time, leave the school age area of the main room and walk through the hallway and into the bathroom. Staff #1 stood near the desk area of the main room and was not able to supervise all of the children in her supervisory group as the school age area has tall cubbies which obstructed the view of the rest of the school age children under the supervision of staff #1 while she observed the children who went to the bathroom.

Corrected Corrected by Aug 5, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 6/22/22, observed 12 school age children present in the school age area of the main room. Staff #7 named 8 children in her supervisory group. Staff #1 named 3 children in her supervisory group. This left one child who was not named in any supervisory group. On 6/22/22, observed staff #4 in the infant room. Observed 3 young toddlers, who were in the supervisory group of staff #4, walk from the infant room into toddler area of the main room where a staff was not physically present in the toddler area of the main room.

Corrected Corrected by Sep 15, 2022

Category: supervision. Marked corrected in the state record.

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

The file for child #1, who is an older toddler, lacks a health assessment which has been conducted within the past 12 months.

Corrected Corrected by Aug 5, 2022

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 most current health report on file for child #2 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Sep 9, 2022

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.

Observed Children's Ibuprofen and Child's Advil for child #3 which lacked written parental consent for administration.

Corrected Corrected by Aug 5, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility file lacked documentation that an emergency drill was conducted within the past year.

Corrected Corrected by Aug 18, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was more than 60 days between fire drills which were conducted on 3/1/22 and 5/3/22.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. The fire detection system/detectors shall be manually tested every 30 days and documentation shall be on file at the facility.

The facility file lacked documentation that the fire detection system was manually tested every 30 days. There was one day of testing on file and dated 5/3/22.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 18, 2022

Marked corrected in the state record.