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

The file for Staff #1 was lacking the state police clearance results certificate. The file for Staff #5 contained a disclosure statement that was signed after the staff's start date. The file for Staff #6 contained two state police, two child abuse, and two FBI clearances that were all more than 60 months apart.

Corrected Corrected by Dec 18, 2024

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

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

Foam blocks with bite marks were observed in the 1 year old room, which can cause a choking hazard in those that are still placing items in their mouths.

Corrected Corrected by Dec 18, 2024

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

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

The infant room was lacking a written plan of daily activities.

Corrected Corrected by Dec 19, 2024

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 file for Child #1 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released.

Corrected Corrected by Jan 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #2 who is a preschool aged child contains two health assessments that were more than 12 months apart.

Corrected Corrected by Dec 18, 2024

Category: health medication. 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 #3 contained two Pediatric First Aid/CPR, one dated 7.1.21 and the other dated 12.1.23, leaving 5 months of expired Pediatric First Aid/CPR.

Corrected Corrected by Dec 18, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Staff #2 contained a health assessment and TB that were done after the staff's start date. The file for Staff #2 and #6 contained two health assessments that were more than 24 months apart.

Corrected Corrected by Dec 18, 2024

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 #4 contains only 1 reference letter.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · 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 facility Director/administrators have not been testing the interconnected smoke detection system every 30 days.

Corrected Corrected by Dec 18, 2024

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

3270.95(b) · 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 Director/administrators have not been testing the interconnected smoke detection system every 30 days.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The traffic letters were not sent to the local traffic safety authorities in the last year.

Corrected Corrected by Dec 20, 2024

Marked corrected in the state record.

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

Staff person #12, with health and safety training completed prior to 10-4-22, lacked the Pennsylvania Health and Safety Update 2022 Training required by 12-30-22 and requires current training. (See LIS CODE SHEET) Staff person #7 and 13, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-3-23 that was not completed by 12-30-22 as required. (See LIS CODE SHEET)

Corrected Corrected by Jan 2, 2024

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 #7 lacked current emergency plan training completed within the last year. The files for staff person #4 and #11 had emergency plan training that was dated after their date of initial employment. The file for staff person #13 had emergency plan training that exceeded a year between trainings.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

Corrected Corrected by Jan 12, 2024

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for staff person #7 lacked current fire safety training completed within the last year. The files for staff person #1 and #6 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Dec 18, 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 #4 and #11 completed the following required pre-service training on 12-1-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #9 completed the following required pre-service training on 6-23-23 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Staff person #7 and #13 completed the following required pre-service training on 5-18-22 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training.

Corrected Corrected by Dec 1, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #13 may not work in a child care position at the facility.

The file for staff person #13 had a volunteer state police clearance dated 12-8-21 and lacked a state police clearance for employment. The file for staff person #2, hired provisionally, had an NSOR verification certificate dated 6-1-23 that was after their start date and lacked verification of application for the NSOR verification certificate at their start date to be a provisional hire. The file for staff person #2, hired provisionally, had the out of state Sex Offender and Child Abuse & Neglect registry checks dated 11-30-23 that were dated after their start date and lacked proof of application for the registry checks at their start date to be a provisional hire. The file for staff person #9, hired provisionally, had an NSOR verification certificate dated 2-16-23 that was after their start date and lacked verification of application for the NSOR verification certificate at their start date to be a provisional hire. The file for staff person #10 had state police, child abuse, and FBI clearances and an NSOR verification certificate that were dated after their start date. The file for staff person #7 had a state police clearance and an NSOR verification certificate that were dated after their start date. The files for staff person #2, #4, #9, #10, #11, and #13 had a disclosure statement that was dated after their start date. The file for staff person #7 lacked a disclosure statement at their start date and requires a current disclosure statement.

Corrected Corrected by Dec 15, 2023

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

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

The files for staff person #7 and #13 lacked a current staff evaluation completed within the last 12 months. The files for staff person #5, #6, and #8 had a staff evaluation that exceeded 12 months between evaluations.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

According to staff statements, the school-age room has been being used regularly as child care space for school-age children. The room had not been measured for use by children.

Corrected Corrected by Dec 15, 2023

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

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

In the tumble room used by toddlers and preschoolers, an electrical outlet accessible to children 5 years of age and younger lacked 2 outlet covers on the front right wall.

Corrected Corrected by Dec 15, 2023

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 school-age room, there was a bottle of window cleaner that was on the counter and was accessible to children.

Corrected Corrected by Dec 15, 2023

Marked corrected in the state record.

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

In the school-age room, there was a bottle of window cleaner that was in a container that did not specify the contents.

Corrected Corrected by Dec 15, 2023

Category: ratio. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

In the school-age room, the sink that was accessible to children had a water temperature of 118° F.

Corrected Corrected by Dec 15, 2023

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

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

The two bathrooms in the family locker room in the hallway near the school-age room lacked a handwashing sign posted at the toilet and sink in each bathroom.

Corrected Corrected by Dec 15, 2023

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

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

In the tumble room, there was a large green mat that is used by the children that had tears in multiple areas.

Corrected Corrected by Dec 15, 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.

In the infant and toddler room, a pack 'n play that is used by an infant for naptime was not labeled with the child's name.

Corrected Corrected by Jan 12, 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 file for child #3 had an emergency contact form that lacked the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency transportation plan was not posted in the school-age room.

Corrected Corrected by Dec 15, 2023

Category: transportation. 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 #2, a preschooler, lacked a current health assessment updated within the last 12 months. The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Jan 22, 2024

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

3270.151(a)/3270.151(c)(2) · 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. 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 #4 had a health assessment with a tuberculosis screening by the Mantoux method that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method. The files for staff person #2, #7, and #10 had a health assessment with a tuberculosis screening by the Mantoux method that was dated after their initial employment at the facility.

Corrected Corrected by Jan 26, 2024

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 #4 had a health assessment that was dated over 12 months prior to the staff person providing initial service in a child care setting at the facility and requires a current health assessment. The files for staff person #1 and #3 had a health assessment that exceeded 24 months between assessments. The files for staff person #2, #7, and #10 had a health assessment that was dated after the staff person provided initial service in a child care setting at the facility.

Corrected Corrected by Dec 12, 2023

Category: ratio. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #3 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 16, 2024

Category: ratio. 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.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 6-1-23 to 7-3-23.

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. 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.

In the infant/toddler room, there were 2 infants that lacked an infant feeding schedule.

Corrected Corrected by Jan 26, 2023

Category: nutrition. 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 file for child #1 had an emergency contact form that lacked the health insurance policy number.

Corrected Corrected by Jan 23, 2023

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. Until such time as the required pre-service trainings are completed, staff person #2, #3, and #4 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, and #4, staff person #2, #3, and #4 may not work in a child-care position at the facility.

Staff person #2, #3, and #4 were observed to be caring for children unsupervised. Staff person #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Training in the topics of 3270.31(f)(1-9). Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Acceptable Health and Safety Training in the topics of 3270.31(f)(1-9).

Corrected Corrected by Feb 10, 2023

Category: supervision. Marked corrected in the state record.

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

The emergency plan lacked requirements for volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Mar 10, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The files for staff person #4, #6, and #12 had a health assessment that lacked the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Feb 10, 2023

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

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

The file for staff person #16 lacked documentation of emergency plan training completed at the time of initial employment and requires current training. The files for staff person #1, #2, #3, #6, #12, and #13 had emergency plan training that was dated after initial employment.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. 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 files for staff person #4 and #9 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Jan 19, 2023

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 #2, #3, #4 and #16 will have until 2-2-23 to complete the required training. Until such time as the required training has been completed, staff person #2, #3, #4 and #16 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, #3, #4 and #16, staff person #2, #3, #4 and #16 may not work in a child-care position at the facility.

Staff person #2, #3 and #16 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health & Safety Training in the topics of 3270.31(f)(1-9). Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Acceptable Health & Safety Training in the topics of 3270.31(f)(1-9). Staff person #5 and #13 had pediatric first-aid/CPR training that was dated over 90 days after their start date.

Corrected Corrected by Feb 10, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #3, Staff Person #4, Staff Person #5, Staff Person #6, Staff Person #7, Staff Person #8, Staff Person #12, Staff Person #14, Staff Person #15, and Staff Person #16 may not work at the facility.

The files for staff person #1, #2, #3, #5, #6, #7, #8, #10, #11, #12, #13, #14, and #15 hired within the last year, had an outdated disclosure statement and lacked the current disclosure statement form. (See LIS CODE SHEET) The file for staff person #16 had a disclosure statement that was dated after their start date. The file for staff person #1 had a child abuse clearance, FBI clearance, and NSOR verification certificate that were dated after their start date. (See LIS CODE SHEET) The file for staff person #2 had an FBI clearance and NSOR verification certificate that were dated after their start date. (See LIS CODE SHEET) The file for staff person #3 lacked a state police clearance, had a volunteer child abuse clearance and lacked a child abuse clearance for employment, and had an FBI clearance that was dated after their start date. (See LIS CODE SHEET) The file for staff person #4 lacked an NSOR verification certificate and out of state Sex Offender and Child Abuse & Neglect registry checks and requires a current NSOR verification certificate and out of state Sex Offender and Child Abuse & Neglect registry checks. (See LIS CODE SHEET) The file for staff person #5 lacked an FBI clearance at their start date and requires a current FBI clearance. (See LIS CODE SHEET) The file for staff person #6 lacked a state police clearance at their start date and requires a current state police clearance. (See LIS CODE SHEET) The file for staff person #8 lacked an FBI clearance at their start date and requires a current FBI clearance. (See LIS CODE SHEET) The file for staff person #11 had an NSOR verification certificate that was dated after their start date. (See LIS CODE SHEET) The file for staff person #12 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #7 had volunteer state police and child abuse clearances and lacked state police and child abuse clearances for employment and lacked an NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #14 had child abuse and FBI clearances dated after their start date and lacked an NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #15 lacked an NSOR verification certificate at their start date and requires a current NSOR verification certificate. (See LIS CODE SHEET) The file for staff person #16 lacked an NSOR verification certificate and had a Department of Education FBI clearance and lacked a DHS FBI clearance.

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 #4 lacked a current staff evaluation completed within the last 12 months.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility, with 58 children enrolled and up to 58 children attending daily, lacked a second group supervisor at the facility as required.

Corrected Corrected by Feb 10, 2023

Category: supervision. Marked corrected in the state record.

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

The files for staff person #1, #3, and #13, functioning as assistant group supervisors, lacked verification of 2 years of experience working with children to qualify as an assistant group supervisor. The file for staff person #2, functioning as an assistant group supervisor, lacked verification of education and 2 years of experience working with children to qualify as an assistant group supervisor.

Corrected Corrected by Feb 10, 2023

Category: supervision. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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 person #5, #7, and #16, functioning as aides, lacked verification of education to qualify as an aide.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

In the 4 year old room, the first-aid kit was in a cubby in a backpack that was accessible to children.

Corrected Corrected by Feb 10, 2023

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 4 year old room lacked soap.

Corrected Corrected by Feb 10, 2023

Marked corrected in the state record.

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

In the gym in the left corner from the scoreboard, there was a part of the floor about 5 feet long near the wall that had the wood floor protruding up causing a tripping hazard.

Corrected Corrected by Feb 10, 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 bathroom located in the hallway outside of the 4 year old room, there was damaged plaster on the wall between the first stall and sink, and there was peeling paint in a couple areas on the left wall of the bathroom. In the hallway outside of the bathroom, there was damaged paint and plaster on the doorway frame in multiple areas.

Corrected Corrected by Feb 10, 2023

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

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

In the bathroom located in the hallway outside of the 4 year old room, the first stall had a toilet that lacked a handwashing sign.

Corrected Corrected by Feb 10, 2023

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

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

The daily activity schedule was not posted in the 3 year old room.

Corrected Corrected by Jan 23, 2023

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

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

The operator lacked a current child service report updated within the last 6 months for child #2, #4, and #5.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · 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 files for child #4, a 2 year old, and child #5, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Feb 20, 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 infant/toddler room, there was Children's Tylenol for child #6 that was expired. In the toddler 2 room, there was Infants' Tylenol for child #7 that was expired.

Corrected Corrected by Jan 23, 2023

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The files for staff person #5 and #15 lacked a health assessment dated prior to providing initial service in a child care setting and require a current health assessment. (See LIS CODE SHEET) The files for staff person #1, #2, #3, #6, #7, #10, and #14 had a health assessment that was dated after the staff person provided initial service in a child care setting. (See LIS CODE SHEET)

Corrected Corrected by Feb 10, 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 #15 lacked a tuberculosis screening by the Mantoux method at initial employment and requires a current tuberculosis screening by the Mantoux method. (See LIS CODE SHEET) The files for staff person #1, #2, #6, #7, #10, and #14 had a tuberculosis screening by the Mantoux method that was dated after initial employment at the facility. (See LIS CODE SHEET)

Corrected Corrected by Feb 10, 2023

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 files for staff person #3, #4, #6, and #12 had a health assessment that lacked an examination for communicable diseases and the results of that examination.

Corrected Corrected by Feb 10, 2023

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

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

The file for child #3 lacked an emergency contact form and agreement updated within the last 6 months.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff person #3, #6, #7, #11, and #16 lacked two written, nonfamily references. The files for staff person #4 and #5 had two invalid reference letters and require two written, nonfamily references. The file for staff person #15 had one written, nonfamily reference and lacked a second written, nonfamily reference.

Corrected Corrected by Feb 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan lacked a plan that provides for accommodations for toddlers.

Corrected Corrected by Feb 24, 2023

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

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

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by Jan 25, 2023

Category: recordkeeping. Marked corrected in the state record.

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

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Jan 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency plan lacked a plan that provides for accommodations for shelter of children during lock-down.

Corrected Corrected by Mar 31, 2023

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

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility's emergency plan lacked a plan that provides for accommodations for evacuation of children to a location away from the facility premises.

Corrected Corrected by Feb 27, 2023

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

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

The operator lacked documentation of sending a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 27, 2023

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

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On February 15, 2022 Staff #1 was observed spanking an older toddler age child on the behind while getting them down from standing on a chair.

Corrected Corrected by May 17, 2022

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, 3, and 4 all contained fee agreements that were not signed by the operator.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3, 6 and 7 -- may not work in a position at the facility.

The file for Staff #1, 2, 3, and 8 all contain disclosure statements that are not dated. The file for Staff #3 contains a disclosure statement that does not have a witness signature on it. The file for Staff #3, 6, and 7 all contained the FBI letter sent to the facility stating that the results were sent to the applicant and not the actual result letter. The file for Staff #6 whose hire date was 10/25/21, contained a Child Abuse Clearance that was dated 2/2/22 which is more than the 45 day provisional hire period. The file for Staff #8 whose start date was 6/7/21, contained an NSOR dated 11/23/21 which is more than the 45 day provisional hire period.

Corrected Corrected by Feb 25, 2022

Category: background checks. 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 Toddler 1 classroom there was a cabinet that was left unlocked that contained hand sanitizer that was accessible to children.

Corrected Corrected by Dec 29, 2021

Marked corrected in the state record.

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

In the Preschool 2 classroom there were 10 Bingo daubers that were labeled keep out of reach of children.

Corrected Corrected by Dec 29, 2021

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 Toddler 1 classroom was lacking gloves. The first aid kit in the Preschool 2 classroom was lacking soap.

Corrected Corrected by Dec 29, 2021

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

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

The Preschool 2 Classroom was lacking a posted daily schedule.

Corrected Corrected by Feb 23, 2022

Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The files for Child #1, 3 and 4 all contained fee agreements that were lacking the child's date of admission.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for Child #3 contained an emergency contact form that was lacking the address of the child's physician.

Corrected Corrected by Feb 23, 2022

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

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

The file for Child #5 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. 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 #6 whose enrollment date is 3/29/21 contained an initial health assessment dated 9/22/21 which is more than 60 days after the child's start date.

Corrected Corrected by Feb 23, 2022

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

3270.131(e)(1) · 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 file for Child #3 was lacking one dose of the DTAP immunization.

Corrected Corrected by Feb 23, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file for Staff #5, who has a start date of 11/1/21 was lacking a TB test and contained a Health Assessment dated 1/7/20 which is more than 12 months prior to start date. The file for Staff #8, who has a start date of 6/7/21 contained a health assessment and TB dated 6/21/21 which is after their start date.

Corrected Corrected by Mar 11, 2022

Category: ratio. Marked corrected in the state record.

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

The files for Staff #1, 2, 3, 4, and 7 all contain Health Assessments that are lacking an examination for communicable diseases and the results of that examination and the assessment of the person's suitability to provide child care.

Corrected Corrected by Mar 11, 2022

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

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

The file for Staff #5 and #8 both listed as aides, were lacking proof of their high school diplomas.

Corrected Corrected by Mar 7, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility was lacking information on how to access the updated regulations electronically.

Corrected Corrected by Dec 29, 2021

Marked corrected in the state record.