3270.31(e)(4)(iv)/3270.192(2)(iii) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #1, who was observed assisting in swimming activity, did not have proof of current water safety training.

Corrected Corrected by Jul 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent fire safety trainings on file for Staff person #9 are dated 5.30.23 and 10.22.24, more than 1 year apart.

Corrected Corrected by Jan 9, 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). 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, #10 may not work in a childcare position at the facility.

The most recent FBI clearance on file for Staff person #2 is dated 11.1.19, more than 60 months ago. The file for staff person #10, who lived in New York in the 5 years prior to employment, does not include of a New York state child abuse clearance and New York state sex offender registry search, (See LIS CODE SHEET), required under the CPSL.

Corrected Corrected by Feb 21, 2025

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #10, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations on file for Staff person #9 are dated 9.15.22 and 4.12.24, more than 1 year apart.

Corrected Corrected by Jan 9, 2025

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.

There was an outlet in the bathroom in the Pre-K II room that was missing an outlet cover and was accessible to children.

Corrected Corrected by Jan 9, 2025

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.

There were cans of Equate and Barbasol shaving cream, labeled "Keep out of the reach of children", reportedly used for arts and crafts projects, in the Pre-K I classroom.

Corrected Corrected by Jan 9, 2025

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.

There was no lidded trashcan in the bathroom in the Pre-K II classroom.

Corrected Corrected by Jan 31, 2025

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 two most recent health assessments on file for Child #3, who is a preschool age child, are dated 10.24.23 and 11.13.24, more than 12 months apart. The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 2.8.23 and 4.5.24, more than 12 months apart.

Corrected Corrected by Jan 9, 2025

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1 and #2 must be dismissed from care by close of business on 1.9.25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1 does not include an immunization record or a personal or religious written exemption from the parent. The immunization record on file for Child #2, who is 19 months old, includes 3 of 4 DTAP immunizations recommended by the ACIP for a child this age.

Corrected Corrected by Jan 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.

There was a bottle of Zyrtec in the Older Toddler room, labeled for use by a specific child, that was expired.

Corrected Corrected by Jan 9, 2025

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.

There was an Epi-pen in the Young Toddler room, labeled for use by a specific child, that did not have written parental permission to administer. There was medication in the Older Toddler room, labeled for use by a specific child, that did not have written parental permission to administer.

Corrected Corrected by Jan 9, 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 2 most recent health assessments on file for Staff person #4 were dated 9.2.21and 1.11.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #6 were dated 12.8.22 and 1.1.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #7 were dated 9.22.22 and 1.1.25, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 were dated 7.26.22 and 10.13.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #9 were dated 9.23.21 and 1.24.24, more than 24 months apart.

Corrected Corrected by Jan 9, 2025

Category: ratio. Marked corrected in the state record.

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

The file for Staff person #7 includes only 1 written nonfamily reference; the second reference is from a relative.

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The fire drill log on file included fire drills conducted 2.28.24-4.29.24 and 8.15.24-10.29.24, more than 60 days apart.

Corrected Corrected by Jan 9, 2025

Category: recordkeeping. Marked corrected in the state record.

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

There was an Epi-Pen on site at the swimming pool during a swim monitoring visit labeled for use Child #1 which did not have written instructions from the individual who prescribed the medicine.

Corrected Corrected by Aug 1, 2024

Category: ratio. Marked corrected in the state record.

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

During a swimming inspection, a review of paperwork indicated that Child #2, #3, #4 and #5 did not have written permission for the child to go swimming.

Corrected Corrected by Aug 1, 2024

Category: transportation. 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 #2 did not contain documentation of an evaluation completed in 2022. The file now contains a current evaluation dated 12/5/23.

Corrected Corrected by Jan 10, 2024

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 #4 had documentation of pediatric first aid/CPR training that was not renewed before the expiration date of the most current certification. The two most recent trainings are dated 11/22/21 and 12/6/23.

Corrected Corrected by Jan 10, 2024

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 #2 did not contain documentation of fire safety training completed in 2022. The file now contains fire safety training dated 10/3/23.

Corrected Corrected by Jan 10, 2024

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).

The file for staff person #4, hired provisionally, had documentation of application for New Hampshire child abuse and neglect clearance dated 3/14/23 that was after their date of hire (See LIS Close Sheet).

Corrected Corrected by Jan 10, 2024

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for staff person #4, functioning as an assistant group supervisor, lacked verification of 2 years of experience with children to qualify as an assistant group supervisor.

Corrected Corrected by Jan 19, 2024

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 PreK-2 bathroom, a gallon of paint that states "keep out of reach of children" was observed next to the sink.

Corrected Corrected by Jan 10, 2024

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 wooden knob was observed to have been broken off a children's play kitchen sink in the PreK-2 room, and a nail was observed to be protruding out from the area on the sink that was a visible hazard.

Corrected Corrected by Jan 10, 2024

Category: physical safety. 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 two most recent health assessments in the file for staff person #2 are dated more than 24 months apart: 12/17/21 and 1/5/24. Staff person #3 has not had a health assessment in the last 24 months. The most recent health assessment on file is dated 9/2/21. The file for staff person #4 had documentation of a health assessment completed on 10/10/23 but was not at initial employment (See LIS Code Sheet).

Corrected Corrected by Jan 11, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The health assessment on file for staff person #1 lacked documentation of the results of the TB screening completed by the physician. The health assessment on file for staff person #4 lacked documentation of a TB screening at initial employment (See LIS Code Sheet).

Corrected Corrected by Jan 12, 2024

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

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

Staff person #2 completed pediatric first aid/CPR training on 9/18/23 but was not within 90 days of hire (See LIS Code Sheet).

Corrected Corrected by Jan 10, 2024

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

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

The file for staff person #13 was observed to lack completion of the following pre-service training by December 30, 2022: Pennsylvania Health and Safety Update 2022.

Corrected Corrected by Jan 3, 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. Until such time as the required pre-service trainings are completed, staff person #2, #3, #8, #9, #10, #13, and #14- 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 #2, #3, #8, #9, #10, #13, and #14, staff people #2, #3, #8, #9, #10, #13, and #14 may not work in a child-care position at the facility.

Staff person #2, #3, #8, #9, #10, #13, and #14 were observed to be caring for children unsupervised. Staff person #2, #3, #8, #9, #10, #13, and #14 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Feb 13, 2023

Category: supervision. Marked corrected in the state record.

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

A bottle of disinfectant sanitizing spray was observed on the counter next to food and accessible to children in the Pre-K/K-Prep 2 room.

Corrected Corrected by Jan 9, 2023

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 two most recent fire safety trainings in the files for staff persons #2, #5, and #10 were observed to be dated more than one year apart.

Corrected Corrected by Jan 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #2, #3, #7, #8, #9, #10, #11, #12, and #14 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff persons #2, #3, #7, #8, #9, #10, #11, #12, and #14 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Feb 13, 2023

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #4 and #13 will have until 1/30/23 to complete the required training. Until such time as the required training has been completed, staff persons #4 and #13 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 #4 and #13, staff persons #4 and #13 may not work in a child-care position at the facility.

Staff person #4 and #13 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jan 30, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work at the facility until FBI clearance results are submitted and verified.

The file for staff person #2 was observed to have documentation of PA State Police clearance results that was not renewed before the expiration date of the most current certification required under CPSL: 9/1/17 and 9/19/22. The file for staff person #2 was observed to lack current FBI clearance results.

Corrected Corrected by Jan 11, 2023

Category: ratio. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #5 and #11 was observed to have written evaluations by the director that were not within 12 months of hire.

Corrected Corrected by Jan 9, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A trash receptacle in the hallway across from the YT room and a trash receptacle in the hallway by the entrance doors, contained human secretions and was not contained in a closed, plastic-lined receptacle.

Corrected Corrected by Jan 9, 2023

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 observed not to be posted above the toilet in the Pre-K/K-Prep 2 restroom and above two toilets and one sink in the OT restroom.

Corrected Corrected by Jan 9, 2023

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

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

In the YT room, a garbage can and a highchair were observed placed in front of the door to exit the room making it not unobstructed.

Corrected Corrected by Jan 9, 2023

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 wooden dollhouse in the PS room was observed to have rough edges and splinters exposed making it now in good repair.

Corrected Corrected by Jan 9, 2023

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

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

Rest equipment in the PS room was observed to lack labels with the names of the specific children in the classroom.

Corrected Corrected by Jan 10, 2023

Category: physical safety. 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 lacked an updated health report conducted within 12 months of previous health report. The most recent health report on file is dated 10/21/21. The two most recent health reports on file for child #2, who is a preschool child, are dated more than 12 months apart: 9/18/21 and 11/21/22.

Corrected Corrected by Jan 24, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #1 lacked documentation of a health assessment conducted within 12 months prior to providing initial service in a child care setting. The file for staff person #16 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification: 7/26/19 and 9/2/21.

Corrected Corrected by Jan 9, 2023

Category: ratio. Marked corrected in the state record.

3270.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for staff person #15 was observed to lack verification of acceptable verification of experience.

Corrected Corrected by Feb 13, 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.

The two most recent pediatric first aid/CPR trainings for staff person #6 are dated more than two years apart: 2/4/20 and 5/15/22.

Corrected Corrected by Jan 9, 2023

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

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

The agreement on file for Child #2 is not signed by the operator.

Corrected Corrected by Mar 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #4 does not include the fee to be paid for services.

Corrected Corrected by Mar 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was a garbage can located in the PreK room which had food remains in it and did not have a lid.

Corrected Corrected by Mar 23, 2022

Category: nutrition. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The Emergency Plan that was posted at the facility was dated 12/5/20.

Corrected Corrected by Mar 24, 2022

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

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #5 contained documentation of pediatric first-aid and CPR which expired 6/17/21.

Corrected Corrected by May 16, 2022

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 files for Staff person #4, #5, #6, and #9, include a staff evaluation which were completed more than 12 months after hire.

Corrected Corrected by Mar 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #3 does not include a complete address for all listed release persons.

Corrected Corrected by Mar 30, 2022

Category: recordkeeping. 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.

The 2 most recent influenza vaccinations on file for Child #4 are dated more than 1 year apart.

Corrected Corrected by Mar 23, 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 current health assessment on file for Child #3 does not indicate if the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 31, 2022

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The immunization record on file for Child #1, with an admission date of 8/9/21, is dated 11/2/21, more than 60 days (10/8/21) after admission. The immunization record on file for Child #2, with an admission date of 9/11/21, is dated 1/12/22, more than 60 days (11/12/21) after admission.

Corrected Corrected by Mar 23, 2022

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The current health assessment on file for Staff person #8 does not indicate that the staff person was examined for communicable diseases and the results of that examination.

Corrected Corrected by May 20, 2022

Category: health medication. 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 operator does not have a written log to document when the annual emergency drill was completed; the operator states a drill was conducted on 11/29/21.

Corrected Corrected by Mar 30, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The completed Pediatric First Aid/CPR training on file for staff person #1, #7, and #8 is dated 10/16/21, more than 90 days after hire (See LIS CODE SHEET). The files for Staff person #2 and #3 do not include completed Pediatric First Aid/CPR which was due within 90 days of hire (See LIS CODE SHEET).

Corrected Corrected by May 16, 2022

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

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

The facility does not have verification of the purchase or installation of the fire alarm system, as required per current regulation, effective 12/19/20.

Corrected Corrected by May 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The initial health assessment on file for Child #2, with an enrollment date of 9/13/21, is dated 1/12/22, more than 90 days after enrollment, as per Announcement C-20-04.

Corrected Corrected by Mar 23, 2022

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