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 Creativity Corner did not include bandages.

Corrected Corrected by Apr 25, 2025

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.

There were adult scissors in an unlatched cabinet in the Learning Lab classroom which were accessible to children.

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #10, #16 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #10, #16, staff person #10, #16 may not work in a child-care position at the facility.

At approximately 1:30pm Staff person #10 was observed to be caring for children unsupervised in the Learning Lab Classroom. Staff person #10 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2.28.25. At approximately 1:37pm Staff person #16 was observed to be caring for children unsupervised in the Exploration Station Classroom. Staff person #16 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2.28.25.

Corrected Corrected by Jun 4, 2025

Category: supervision. 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. Until such time as the required training has been completed, staff person 10, #15, #16 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #10, #15, #16, staff person ##10, #15, #16 may not work in a child-care position at the facility.

The Current Pediatric First Aid and CPR trainings on file for Staff Person #1 and #4 were not completed prior to the expiration of the prior certification. This is evidenced by trainings dated 12.21.22-12.2024 and 2.10.25-2.2027 for Staff Person #1 and 2.1.23-2.2025 and 4.1.25-2027 for Staff Person #4. The files for Staff Persons #10, #15 and #16 lacked current Pediatric First Aid and CPR training. The training on file for Staff Persons #10 and #16 expired 2.28.2025 and the training on file for Staff Person #15 expired 3.31.2025.

Corrected Corrected by Jun 4, 2025

Category: supervision. 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 reviewed files for Staff Persons #1, #4, #5, #6 and #7 lacked verification that they had completed annual fire safety training within the last 12 months. Based on a review of the Staff Worksheets provided by the Director, and conversations to verify the information, the files for Staff Persons #2, #3, #8, #9, #10, #11, #13, #15, #16, #18, #19, #20 and #21 lacked annual fire safety training that had been completed within the last 12 months. The trainings on file for #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #13, #15, #16, #18, #19, #20 and #21 were reported to have occurred in 2023. The updates to the annual fire safety training on file for Staff Person #23 exceeded 12 months between trainings on 9.27.23 and 2.12.25.

Corrected Corrected by May 30, 2025

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 or (g)1-10. Until such time as the required training has been completed, staff person #24, #14 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #24, #14, staff person #24, #14 may not work in a child-care position at the facility.

Staff persons #17, #22 and #24 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR training. The training for Staff Person #17 was completed 101 days after starting and the training for Staff Person #22 was completed 108 days after starting. Staff persons #12 and #14 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): required Health and Safety training. The training for Staff Person #12 was completed 317 days after starting.

Corrected Corrected by May 30, 2025

Category: supervision. Marked corrected in the state record.

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

The updates to the Mandated Reporter Trainings on file for Staff Person #5 exceeded 60 months between trainings completed on 2.2.20 and 2.17.25.

Corrected Corrected by Apr 23, 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 #5 may not work in a child care position at the facility.

The file for Staff Person #5 lacked a current PA Child Abuse Clearance that had been completed within the last 60 months. The most recent PA Child Abuse Clearance on file expired on 2.10.25. The FBI Clearances on file for Staff Person #5 also exceeded 60 months between updates. This is evidenced by FBI Clearances being dated 2.1.20 and 3.31.25.

Corrected Corrected by May 23, 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 files for Staff Persons #4 and #6 lacked verification that their degrees on file qualified them for the position of Group Supervisor they were identified to be performing. The degree on file for Staff Person #4 lacked information related to the field of study and the file for Staff Person #6 lacked verification of 30 acceptable credits to qualify them as Group Supervisors. Without the verification, the Staff qualify as Assistant Group Supervisors. The file for Staff Person #14 lacked verification that their education had been evaluated by a NACES or AICE certified evaluator.

Corrected Corrected by Jul 25, 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 staff evaluation on file for Staff Person #7 were not completed within 12 months of starting at the facility (refer to LIS code sheet). The written evaluation for Staff Person #7 was completed 15 months after starting. The file for Staff Person #6 lacked a current staff evaluation. The most recent evaluation was completed on 2.27.24.

Corrected Corrected by May 23, 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 by the CD player in the Learning Lab classroom that was missing an outlet cover and was accessible to children.

Corrected Corrected by Apr 23, 2025

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.

There was a hole in the wall with exposed plaster/drywall in the Hunter gym in the far-right corner.

Corrected Corrected by Jun 9, 2025

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 present in the Wonder room, on the light blue wall left of the door and above the baseboard in the corner with the soft climber, and in Creativity Corner on the light blue wall.

Corrected Corrected by Apr 23, 2025

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.

There were rainbow pebbles smaller than 1" in diameter in Exploration Station, which staff stated are used in sensory bins with shovels, etc. making them accessible to children. There was a sensory tube with a loose lid in Creativity Corner that contained beads smaller than 1" in diameter, making them accessible to children.

Corrected Corrected by Apr 25, 2025

Category: ratio. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #7 lacked a current developmental assessment. The most recent developmental assessment was completed on 7.11.24.

Corrected Corrected by May 30, 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.

There was no emergency transportation plan posted in a conspicuous location in the Friendship Circle classroom.

Corrected Corrected by Apr 25, 2025

Category: transportation. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff Person #1 lacked 9 of their 12 hours of annual training assessed during 12.2023 and 12.2024.

Corrected Corrected by Apr 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The updates to the emergency contact and financial agreement forms for children #1, #2, #3, #4 and #5 and the financial agreement for Child #6 exceeded 6 months since their last review. The most recent dated review was 8.2023 for Child #1, 9.2024 for Children #3 and #6, and 3.2024 for Children #2, #4 and #5.

Corrected Corrected by Jun 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3)/3270.182(1) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health report on file for Child #7, an older toddler, was not completed within 12 months prior to the first day of attendance at the facility. The initial health report was completed 13 months prior to the child's first day of attendance.

Corrected Corrected by May 23, 2025

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 updates to the health reports on file for Child #8, a young toddler, exceeded 6 months between reports dated 8.30.24 and 4.14.25.

Corrected Corrected by Apr 23, 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 updates to the health reports on file for Child #1, a preschool age child, exceeded 12 months between examinations on 3.20.23 and 5.7.24. The files for Children #2 and #4, preschool age children, and Child #7, an older toddler, lacked a current health report that had been completed in the last 12 months. The most recent health report was dated 2.1.24 for Child #2, 8.10.23 for Child #4 and 8.7.23 for Child #7.

Corrected Corrected by Jun 2, 2025

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 file for Child #7 lacked verification that the child had received their 12-15 month Pneumococcal, MMR and Varicella vaccinations. The file also lacked verification the child had received their 15-18 month DTAP and 12-23 Hepatitis A vaccinations. A written exemption was not on file at the time of the inspection. The parent was able to submit an updated immunization record prior to close of business on the day o inspection so the child does not need to be removed.

Corrected Corrected by Apr 23, 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 were 2 bottles of Infant Tylenol in the Exploration Station classroom labeled for use by a specific child that had expired at the end of December 2024 and at the end of March 2025, and not in accordance with the manufacturer's original label. There was an EpiPen in the Learning Lab classroom labeled for use by a specific child that expired at the end of 8.2024 and a bottle of Zyrtec for the same child that expired at the end of 3.2025.

Corrected Corrected by May 30, 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.

There was a prescription Nystatin in Creativity Corner labeled for use by a specific child which did not have written parental permission to administer.

Corrected Corrected by May 30, 2025

Category: ratio. Marked corrected in the state record.

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

When asked to describe the diaper changing process in Exploration Station, which includes young toddlers who are able-bodied, the staff member indicated they wipe the children's hands with a wipe, rather than having them walk to the sink to wash their hands.

Corrected Corrected by May 23, 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 for Staff Persons #4, #5, #6 lacked a current staff health report that had been completed within the last 24 months. The most recent health report on file was dated 10.7.22 for Staff Person #4, 11.9.22 for Staff Person #5 and 2.18.23 for Staff Person #6.

Corrected Corrected by May 30, 2025

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There was an infant feeding bottle in the refrigerator in the infant room that was not labeled with the name for whom the bottle was intended.

Corrected Corrected by Apr 23, 2025

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 contained in two unlocked drawers in a filing cabinet in the child care office.

Corrected Corrected by May 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #6 lacked an initial health report within 60 days of starting at the facility. The initial health report was not on file until 329 days after entering care at the facility.

Corrected Corrected by Apr 23, 2025

Category: health medication. 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 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · *** The Director will complete a minimum of 4 weekly checks in each classroom to ensure that all staff are utilizing the face to name identification tags. The Director will assess that each staff person is able to identify the children for whom they are assigned responsibility using the face to name identification tags. The Director will maintain documentation of the weekly checks on file at the facility.

*** At approximately 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)(1) · ** The facility will utilize hands-free face to name identification tags for all children in the facility. Operator will assure that an identification tag is in place for each child receiving care in the child care space. Staff will be able to identify the children in their assigned groups utilizing the face to name identification tags in place.

** At approximately 10:29am Staff Person's #1, #2 and #3 were observed to be caring for a group of children identified as 1 preschooler and 10 older toddlers in the Creativity Corner Classroom. Staff Person #1 identified being responsible for 5 children. Staff Person #2 identified being responsible for 4 children. Staff Person #3 identified being responsible for 1 child. This left one child not being identified in the groups of responsibility. SECOND CITATION. FACILITY PREVIOIUSLY CITED ON 12.18.24.

Corrected Corrected by Feb 3, 2025

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.

The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

Corrected Corrected by Dec 13, 2024

Category: supervision. Marked corrected in the state record.

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

* The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

Corrected Corrected by Dec 13, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · ** Classroom modifications will be taken to prevent children from leaving the classroom unsupervised.

** The facility self-reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

Corrected Corrected by Jan 15, 2025

Category: supervision. Marked corrected in the state record.

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

The facility self reported noncompliance related to Supervision and Ratio Requirements. Child #1, an older toddler, was able to exit the classroom without Staff realizing he had left. The child was observed within 45 seconds by a YMCA membership Staff. The staff responsible for Child #1 were unaware that he had left the classroom for approximately 15 minutes.

Corrected Corrected by Jan 9, 2025

Category: supervision. Marked corrected in the state record.

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

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour health and safety training. The completed training was not on file until 558 days after starting at the facility.

Corrected Corrected by Jan 17, 2025

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

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

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet. The mandated reporter training was not completed until 558 days after starting at the facility.

Corrected Corrected by Jan 17, 2025

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.

There were adult scissors in an unlatched cabinet in the Learning Lab classroom, making them accessible to children.

Corrected Corrected by Aug 14, 2024

Category: health medication. 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 letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 3, 2024

Category: physical safety. 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 most recent fire safety training on file for Staff person #7 is dated 2.20.23, more than 1 year ago. The most recent fire safety training on file for Staff person #8 is dated 7.24.23, more than 1 year ago.

Corrected Corrected by Sep 26, 2024

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 person #9 will have until 9.28.24 to complete the required training. Until such time as the required training has been completed, staff person #9 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 #9, staff person #9 may not work in a child-care position at the facility.

Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-Based Care; Building Blocks for Quality.

Corrected Corrected by Oct 6, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #8 may not work in a childcare position at the facility.

The file for staff person #8 does not contain documentation of a complete criminal history clearance or a sex offender registry search from Arizona, where she lived in the 5 years prior to hire (See IS CODE SHEET).

Corrected Corrected by Sep 26, 2024

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

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

The file for staff person #3 does not contain a valid NSOR certificate within 45 days of hire (See IS CODE SHEET); the NSOR certificate is dated 11.30.23.

Corrected Corrected by Aug 14, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #7, #9 will have until 9.28.24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #7, #9 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 #7, #9, staff person #7, #9 may not work in a child-care position at the facility.

Staff person #7 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2.19.19. Staff person #-9 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file for Staff person #11 includes Mandated Reporter training dated 2.18.19 and 8.21.24, more than 60 months apart.

Corrected Corrected by Aug 21, 2024

Category: supervision. 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 #2, #4, #9, 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 Sep 20, 2024

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 file for Staff person #6, #7, #8, #10, who were hired more than 1 year ago, does not include a staff evaluation.

Corrected Corrected by Oct 11, 2024

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.

The Learning Lab classroom had an unlocked cabinet that contained sunscreen and hand sanitizer, labeled "Keep out of reach of children," making these items accessible to children.

Corrected Corrected by Aug 14, 2024

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 in the following locations: Attic Middle by the door; Attic left by the rear exit door; Creativity Corner on the blue wall by the door and by the puzzles; Learning Lab by the cots; by the elevators on the 2nd floor.

Corrected Corrected by Aug 14, 2024

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

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

There was a sensory tube containing yarn pompoms less than 1 inch in diameter that had an unsecured lid, making the items accessible to children still placing things in their mouths in the Creativity Corner classroom.

Corrected Corrected by Aug 14, 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.

The Learning Lab classroom contained rest equipment that was not labeled for the use by a specific child.

Corrected Corrected by Aug 14, 2024

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 on file for Child #1 and #3 does not include a complete address for all listed release persons.

Corrected Corrected by Aug 30, 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 and financial agreement on file for Child #1, #3, #4, #6, and #7 is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Aug 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent health assessments on file for Child #2, who was a Young Toddler, are dated 3/6/23 and 3/5/24, more than 6 months apart.

Corrected Corrected by Aug 14, 2024

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

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

The two most recent health assessments on file for Child #4, who is a preschool age child, are dated 6/14/22 and 12/14/23, more than 12 months apart. The two most recent health assessments on file for Child #6, who is a preschool age child, are dated 3/20/23 and 5/7/24, more than 12 months apart.

Corrected Corrected by Aug 14, 2024

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

There was a bottle of cough syrup in the Friendship Circle classroom, labeled for use by a specific child that had expired in 2/2023 and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Aug 14, 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 2 most recent health assessments on file for Staff person #1 were dated 6.15.22 and 8.27.24, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 are dated 6.14.21and 7.13.23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #10 are dated 10.5.21and 2.8.24, more than 24 months apart.

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Child #8 and #9, who are both under 12 months of age, did not have a written feeding plan on file submitted by the parent.

Corrected Corrected by Aug 29, 2024

Category: nutrition. 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 #2, #9 does not include 2 written non-family references attesting to the staff person's suitability to work in childcare.

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The two most recent documented emergency drills on file at the facility are dated 8.12.22 and 10.19.23, more than 1 year apart.

Corrected Corrected by Aug 14, 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 does not have a fire alarm 30-day test log, as required in Announcement C-23-02.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #7 included verification of 11 of the required 12 hours of annual training from 3.2023-3.2024, the most recently completed anniversary year.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. 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 #1 did not have written permission for the child to go swimming.

Corrected Corrected by Jun 29, 2024

Category: transportation. 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 Adventure Attic-Left room.

Corrected Corrected by Sep 29, 2023

Category: transportation. 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. The training was completed on 2/1/23.

Corrected Corrected by Sep 28, 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 for staff person #3 lacked documentation of emergency plan training at the time of initial employment. The emergency plan training on file is dated 6/20/23.

Corrected Corrected by Jun 20, 2023

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 two most recent Pediatric First Aid and Pediatric CPR Trainings on file for staff person #10 were dated more than 24-months apart: 7/28/21 and 8/1/23. The two most recent Pediatric First Aid and Pediatric CPR Trainings on file for staff person #15 were dated more than 24-months apart: 6/14/21 and 7/27/23.

Corrected Corrected by Aug 1, 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 file for staff persons #8 and #14 had fire safety trainings that exceeded a year between trainings. The file for staff person #12 did not have fire safety training within the first 12 months of hire. The most recent documentation of fire safety training was dated 2/20/23. Staff person #13 has not had fire safety training within the last 12 months. The most recent documentation of fire safety training on file for staff person #13 is dated 4/13/22.

Corrected Corrected by Oct 9, 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.

Staff person #1 completed the following required pre-service training on 12/10/22, which was not within 90 days of their date of hire (See LIS CODE SHEET): Health and Safety training.

Corrected Corrected by Dec 10, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #4 cannot work at the facility and shall be removed from care.

The PA State Police Clearance in the file for Staff Person #4 identified a record for control, and the PA State Police clearance lacked the disposition statement. The file for staff person #8 had documentation of PA State Police Clearance results that were not renewed before the expiration date of the most current certification: 9/1/17 and 9/19/22. The file for staff person #8 had documentation of PA FBI Clearance results that were not renewed before the expiration date of the most current certification: 9/7/17 and 1/5/23. The file for staff person #11 lacked documentation of application of a PA FBI Clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. Staff person #11 has current and valid PA FBI clearance results dated 4/1/23.

Corrected Corrected by Sep 28, 2023

Category: ratio. Marked corrected in the state record.

3270.32(c) · The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness. Staff person #4 shall be removed from care.

The file for staff person #4 had documentation that the staff person is awaiting trial on charges involving moral corruptness.

Corrected Corrected by Sep 28, 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 for staff persons #1, #8, #9, #10, #12 and #14 did not have documentation of a written evaluation conducted by the director within the last 12 months.

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. 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 Learning Lab room, two nails were observed protruding from the wall behind the dart board posing a potential safety hazard to children in care.

Corrected Corrected by Sep 28, 2023

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

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

In the Hunter Gym Child Room, peeling paint was observed throughout the walls on each side of the room.

Corrected Corrected by Oct 20, 2023

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 Exploration room did not have an operable thermometer.

Corrected Corrected by Sep 28, 2023

Category: ratio. Marked corrected in the state record.

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

A written plan of daily activities was not posted in the Adventure Attic-Left room.

Corrected Corrected by Sep 29, 2023

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

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

In the Adventure Attic-Left room, a bottle of Pain Relief, Antacid, and Hydrogen Peroxide were observed in an unlocked cabinet and were not stored in a location inaccessible to children in care.

Corrected Corrected by Sep 29, 2023

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

In the Adventure Attic-Right room, an Epinephrine Injection medication for child #1 did not include the health professional's instructions on the original label.

Corrected Corrected by Sep 29, 2023

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #2 had documentation of a health assessment dated 8/2/23, which was not conducted within 12 months prior to providing initial service in a child care setting. The file for staff person #8 has not had a health assessment being completed within the last 24 months. The most recent health assessment on file for staff person #8 has a date of 8/13/21. The file for staff person #12 had a health assessment that exceeded 24 months between assessments: 6/14/21 and 7/13/23.

Corrected Corrected by Sep 29, 2023

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 file for staff person #2 had documentation of a tuberculosis screening dated 8/2/23, which was not at initial employment. (See LIS CODE SHEET)

Corrected Corrected by Sep 29, 2023

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 facility did not have documentation of conducting an emergency drill within the last 12 months. The most recent documentation of conducting an emergency drill was on 8/19/22.

Corrected Corrected by Oct 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.

Staff persons #3, #5, #6, #7, and #11 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 from a PQAS approved trainer and a PQAS approved curriculum. Staff persons #3, #5, #6, #7 and, #11 have current pediatric first aid/CPR training.

Corrected Corrected by Sep 29, 2023

Category: health medication. 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 #1 and #2 will have until 10/13/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 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 #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

On 8/23/22 a renewal inspection was conducted at the facility. Staff person #1 and #2 had 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. The facility's acceptable plan of correction indicated the correction would be implemented by 9/19/22. On 9/22/22, an unannounced inspection was conducted. Staff person #1 and #2 still has not completed the following required pre-service training: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Oct 13, 2022

Category: supervision. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff person #16 lacked an annual minimum of 12 clock hours of child care training for the year December 19, 2020 - December 19, 2021.

Corrected Corrected by Sep 19, 2022

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 lacked updating their emergency plan to address continuity of operations.

Corrected Corrected by Sep 19, 2022

Category: ratio. Marked corrected in the state record.

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

In the Learning Lab Room and the Friendship Circle Room a pair of adult scissors were observed on a staff persons desk and accessible to preschool age children.

Corrected Corrected by Aug 8, 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 most recent emergency plan training on file for Staff person #10, #11, #13, #15, #16 and #17 are dated more than one year after the previous training.

Corrected Corrected by Aug 8, 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 #17 has not renewed the pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) training. The most current certification is dated 12/2/19.

Corrected Corrected by Sep 6, 2022

Category: ratio. Marked corrected in the state record.

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

Staff person #10, #11, #13, #14, #15 and #16 has 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 Sep 9, 2022

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 for staff person #1, #2 and #13 was observed not to have completed pre-service Health and Safety training within 90 days of hire (See LIS CODE SHEET).

Corrected Corrected by Sep 9, 2022

Category: health medication. 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 #2, #4 and #12 will have until 9/14/22 to complete the required training. Until such time as the required training has been completed, staff person #2, #4 and #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 #2, #4 and #12, staff person # 2, #4 and #12may not work in a child-care position at the facility.

Staff person #2, #4 and #12 has 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 Sep 19, 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 staff person #1 was observed not to contain a valid PA Child Abuse clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #7 was observed not to contain documentation of application of an FBI clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

Corrected Corrected by Aug 23, 2022

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

3270.32(a)/3270.192(2)(ii) · 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 prior to service at the facility.

The file for staff person #5, #6 and #13 was observed not to contain documentation of completion of Mandated Reporter Training within the first 90 days of hire (See LIS CODE SHEET).

Corrected Corrected by Aug 24, 2022

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.

The file for staff person #13 and #14 lacked a written evaluation conducted by the director within 12 months of their date of hire.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the Adventure Attic Left room, two electrical outlets near the microwave were observed to lack protective receptacle covers and accessible to children 5 years of age and younger.

Corrected Corrected by Aug 29, 2022

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.

Two baby laundry detergents and two bottles of sanitizer insect were observed on top of the refrigerator in the kitchen area located between the Creativity Corner Room and the Wonder Room.

Corrected Corrected by Aug 24, 2022

Category: ratio. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Wonder Room lacked tape.

Corrected Corrected by Aug 24, 2022

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.

The doors that exit to outside of the building that are located between the Exploration Room and the Wonder Room was observed to be blocked by a children's table.

Corrected Corrected by Aug 24, 2022

Category: ratio. 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 the Friendship Circle Room, the Learning Lab Room and the Adventure Attic Right Room, rest equipment lacked labels with the names of the specific children in care.

Corrected Corrected by Aug 26, 2022

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

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

A written plan of daily activities was not posted in the Adventure Attic Left room.

Corrected Corrected by Aug 29, 2022

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

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

The agreement form on file for child #1 and #2 lacked the operator's signature.

Corrected Corrected by Sep 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

In the Friendship Circle Room, emergency contact information was not present for all children who were receiving care.

Corrected Corrected by Aug 23, 2022

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 file for child #3 contained an emergency contact form that was not updated once within a 6-month period.

Corrected Corrected by Sep 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The file for child #1, with an enrollment date of 6/13/22, lacked an initial immunization record within 60 days following the first day of attendance at the facility.

Corrected Corrected by Sep 13, 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.

In the Exploration Room, a bottle of Infants' Tylenol was observed to be expired on 6/2022. In the Friendship Circle Room, a bottle of Children's Cetirizine was observed to be expired on 11/2021.

Corrected Corrected by Aug 24, 2022

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 file for staff person #10 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #10 are dated 7/26/19 and 9/2/21.

Corrected Corrected by Aug 24, 2022

Category: ratio. 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 #1, #3, #5, #6, #7, #8, and #9 lacked documentation of pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum within 90 days of hire. (See LIS CODE SHEET).

Corrected Corrected by Sep 19, 2022

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

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

The file for child #1 lacked an initial health report within 60 days following the first day of attendance at the facility.

Corrected Corrected by Sep 13, 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.

During a monitoring visit on 8/13/21 to demonstrate the fire alarm operability, the provider did not have verification for the alarm being tested every 30 days.

Corrected Corrected by Aug 31, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

The fire drills on file at the facility dated on 8/26/20 and 1/21/21 were dated more than 60 days apart.

Corrected Corrected by Aug 6, 2021

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.

There is a crack on the roof of the small playhouse in the outdoor playground, which causes a potential pinch point.

Corrected Corrected by Sep 17, 2021

Category: physical safety. 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.

The most recent emergency plan training on file for Staff person #1, #2, #3, #4, #5, #6, #7, and #8, dated 12/15/20, is dated more than 1 year after the previous training, dated 11/5/19.

Corrected Corrected by Aug 6, 2021

Category: recordkeeping. 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 most recent Pediatric First Aid/CPR, on file for Staff person #1, #5, and #6 dated 3/22/19, is dated more than 2 years ago and expired.

Corrected Corrected by Oct 15, 2021

Category: ratio. 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 most recent fire safety training on file for Staff person #1, #3, #4, #5, #6, #7, and #8, dated 12/15/20, is dated more than 1 year after the previous training, dated 11/5/19.

Corrected Corrected by Aug 6, 2021

Category: recordkeeping. 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 most recent mandated reporter training on file for Staff person #8, dated 6/25/21, is dated more than 60 months after the previous training, dated 5/20/15.

Corrected Corrected by Aug 6, 2021

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.

The most recent child abuse clearance on file for Staff person #1, #2, #3, #5, and #7 is dated 5/29/20, more than 60 months after the previous clearance, dated 5/12/15. The most recent child abuse clearance on file for Staff person #6, is dated 5/28/20, more than 60 months after the previous clearance, dated 5/26/15.

Corrected Corrected by Aug 6, 2021

Category: background checks. 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 were missing outlet covers in outlets accessible to children age 5 years and younger in Adventure Attic (right side) on the long side wall.

Corrected Corrected by Aug 23, 2021

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 toxic materials, all labeled "keep out of reach of children" and accessible to children, in the following locations: Learning Lab (pink unlabeled spray bottle in an unlocked cabinet); Adventure Attic-Right (Neptune hand sanitizer located on the gray cubbies.).

Corrected Corrected by Aug 23, 2021

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The emergency telephone numbers were not posted next to the telephone in Friendship Circle and in the Oasis Room.

Corrected Corrected by Aug 27, 2021

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 in Friendship Circle does not include gauze; the first aid kit in the Wonder room does not include bandages.

Corrected Corrected by Aug 23, 2021

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

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

There were several exposed bolts on the fence on the far side (grassy area) of the outdoor playground..

Corrected Corrected by Sep 20, 2021

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.

There were small (< 1 inch) pieces of Styrofoam in a sink in a play kitchen in the outdoor play space, causing a choking hazard. There were foil tubes hanging on the fence in the outdoor play space (used for dropping balls, etc. through the tubes) that had pieces of foil and tape (< 1 inch in diameter) breaking off, causing a choking hazard.

Corrected Corrected by Aug 16, 2021

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

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

The file for Child #1 does not include a signed agreement.

Corrected Corrected by Sep 15, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for Child #2 does not include the child's arrival and departure times.

Corrected Corrected by Sep 15, 2021

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 on file for Child #3 does not include the complete address for the child's health care provider.

Corrected Corrected by Sep 15, 2021

Category: health medication. 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 on file for Child #1 does not include the child's health insurance coverage or policy number for the child's health insurance coverage.

Corrected Corrected by Sep 15, 2021

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

There was no posted emergency transportation plan posted in the following child care spaces: Creativity Corner; Learning Lab; Adventure Attic (Left side); Child Watch; and Oasis.

Corrected Corrected by Sep 15, 2021

Category: transportation. 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 #6 does not include an examination for communicable diseases or the result of that examination.

Corrected Corrected by Sep 17, 2021

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.

The immunization record on file for Child #1, who is 3 years old, includes 1/3 Rotavirus vaccinations; 3/4 DTAP vaccinations; 2/3 HiB vaccinations; 1/4 Pneumococcal vaccinations, and 2/3 Polio vaccinations as recommended by the ACIP for a child this age. The immunization record on file for Child #6, who is 3 years old, does not include verification of any HiB vaccinations, as recommended by the ACIP for a child this age. The immunization record on file for Child #6 also includes a most recent influenza vaccination dated 9/12/19, more than 1 year ago, which is recommended annually by the ACIP.

Corrected Corrected by Sep 17, 2021

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health assessment on file for Child #5 odes not include a statement from the health care professional that the child ahs had all age appropriate screenings recommended by the American Academy of Pediatrics.

Corrected Corrected by Sep 15, 2021

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 file for Child #4, with an admission date of 6/8/20, has an immunization record dated 10/8/20, more than 60 days after enrollment.

Corrected Corrected by Aug 6, 2021

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 an EpiPen, labeled for a child, in Learning Lab, which had an expiration date of 4/2021.

Corrected Corrected by Aug 23, 2021

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 most recent health assessment on file for Staff person #1 is dated 7/26/19, more than 24 months ago. The 2 most recent health assessments on file for Staff person #4 are dated 11/1/17 and 11/6/19, more than 24 months apart.

Corrected Corrected by Sep 15, 2021

Category: ratio. 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 facility does not have verification of parent's being informed how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 25, 2021

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 file for Child #4, with an admission date of 6/8/20, has an initial health assessment dated 10/8/20, more than 90 days after enrollment, as required per Announcement C-20-04, pertaining to the suspension of regulatory requirement suspensions.

Corrected Corrected by Aug 6, 2021

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