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.

There was no documentation of emergency plan training on file for volunteer Facility Persons #3 and #4,

Corrected Corrected by Apr 10, 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.

The NSOR clearance on file for Facility Person #1, who began employment at the facility after 2/1/25, was dated after their start date. There was no documentation on file that Facility Persons #3 and #4, who began volunteering at the facility more than 90 days prior, had completed mandated reporter training.

Corrected Corrected by Apr 9, 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.

Facility Person #2 was classified as an assistant group supervisor based on completion of high school education and at least 2 years of child care experience. There was insufficient documentation of child care experience on file for Facility Person #2. Facility Person #5 was classified as an assistant group supervisor based on completion of 30 credits in human services. Documentation of education on file for Facility Person #5 indicates they have completed less than 30 credits in human service related courses.

Corrected Corrected by Apr 2, 2025

Category: supervision. 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.

There was peeling paint/ damaged plaster observed in the following areas: In Room 2 near the floor where trim had been removed from the wall; In Room 12 on a wall below a window In the restroom off of Room 13, on the wall behind the trash can.

Corrected Corrected by Apr 2, 2025

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

3270.135(c) · The diapering area may not be used for food preparation or food service.

In Room 12 there were sippy cups in the sink used for handwashing after diapering. According to staff statements, the water cups are rinsed off in the sink after they are used by the children, and then returned to the children to be used again.

Corrected Corrected by Apr 2, 2025

Category: ratio. Marked corrected in the state record.

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

There were no nonfamily written references on file for Facility Persons #3 and #4.

Corrected Corrected by Apr 9, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The current documentation of emergency plan training on file for Facility Person #2 indicates training was completed more than 12 months after the previous emergency plan training.

Corrected Corrected by Sep 20, 2024

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 current documentation of fire safety training on file for Facility Persons #2 and #3 indicate training was completed more than 12 months after the previous emergency plan training.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The health and safety training completed and on file for Facility Person #1, employed at the facility for more than 90 days, was not the updated version of the training.

Corrected Corrected by Sep 16, 2024

Category: health medication. 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 current staff evaluation on file for Facility Person #2 was completed more than 12 months after the previous staff evaluation.

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The temperature of the hot water at the sink in the kitchen area of Room 7, accessible to children via steps at the sink, was measured to be 118° F.

Corrected Corrected by Sep 20, 2024

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

3270.75(a) · A first-aid kit shall be in a child care space.

There was no first aid kit in Room 3.

Corrected Corrected by Sep 20, 2024

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 exposed tree roots on the ground in the facility's outdoor playspace, which created a tripping hazard.

Corrected Corrected by Sep 21, 2024

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.

There was a small spot of damaged plaster on the wall in Room 1,on the wall behind a trash can in Room 13, and on the wall in Room 14 at the doorway where the gate attaches. There was peeling paint on the wall in a nook area in Room 14.

Corrected Corrected by Sep 21, 2024

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 most recent child service report on file for child #4 was completed more than 6 months prior. The services provided were not specified on the agreement on file for child #2.

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreements on file for children #2 and #3 did not specify the arrival and departure times.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreements on file for children #1 and #2 did not specify the release persons.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The current health assessment on file for child #4, a young toddler, was completed more than 6 months after the previous health assessment on file.

Corrected Corrected by Sep 20, 2024

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).Child #3 must be dismissed from care by close of business 9/20/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for child #3 indicates the child does not have sufficient doses of the Hepatits A and DTAP vaccines.

Corrected Corrected by Sep 23, 2024

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

3270.134(f) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

There were toothbrushes stored in a closed cabinet in Room 12.

Corrected Corrected by Sep 20, 2024

Marked corrected in the state record.

3270.135(c) · The diapering area may not be used for food preparation or food service.

A child's bottle was located next to the sink used for handwashing in the diapering area in Room 6.

Corrected Corrected by Sep 20, 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 initial health assessment on file for Facility Person #1 was completed after her start date.

Corrected Corrected by Sep 16, 2024

Category: ratio. 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 initial health assessment on file for child #5 was completed more than 60 days after their first day of attendance.

Corrected Corrected by Sep 16, 2024

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

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

Documentation of trainings in staff files indicates that he updated health and safety training, required to be completed by all staff employed at the facility by 12/30/22, was not completed by Facility Person #3, and completed after 12/30/22 by Facility Persons #9, #11, #12, #13, and #15.

Corrected Corrected by Sep 15, 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 most recent emergency plan documented and file for Facility Person #3 and #6 was completed more than 12 months after the prior emergency plan training.

Corrected Corrected by Sep 15, 2023

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 child abuse clearances on file for Facility Persons, #2 and #4 were each dated after their respective start dates. The child abuse clearance and the documentation of application for an FBI clearance on file for Facility Person #5 were dated after their start date. The documentation of application for an NSOR clearance on file for Facility Person #8 was dated after their start date. There was no documentation of application for a state police or NSOR clearance - each dated after their start date - on file for Facility Person #16.

Corrected Corrected by Sep 15, 2023

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.

There was no documentation of the field of study of the degree on file for Facility Person #5, required for their classification as a group supervisor. The documentation of education and child care experience on file for Facility Person #10 were insufficient to meet the requirements for their classification as an assistant group supervisor. The documentation of child care experience on file for Facility Person #18 was insufficient to meet the requirements for their classification as an aide. Facility Person #14 does not meet the education/experiential requirements to serve as an aide as classified.

Corrected Corrected by Sep 18, 2023

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 current and only evaluation on file for Facility Person #3 was completed more than 12 months after their start date. The current evaluation on file for Facility Person #6 was completed more than 12 months after the prior evaluation on file.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. 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 nursery, there were two packnplays labeled with the name of one child, but used by another. In the 2's room, 3 cots used by children as rest equipment were not labled with thier names.

Corrected Corrected by Sep 25, 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 most recent child service reports completed and on file for children #3 and #4 were completed more than 6 months prior.

Corrected Corrected by Oct 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements on file for children #4 , #6, and #7 did not specify the date of the child's admission.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The agreements on file for children #1-#7 were the originals.

Corrected Corrected by Sep 28, 2023

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 parental review and update of the agreement and emergency contact forms on file for child #4 was completed more than 6 months after the prior review.

Corrected Corrected by Sep 14, 2023

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 current health assessment on file for child #4, a preschooler, was completed more than 12 months after the previous health assessment on file.

Corrected Corrected by Sep 14, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Children #3 and #5 must be dismissed from care by close of business on 9/14/23 may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of a current flu vaccine on file for child #3.

Corrected Corrected by Sep 14, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

After a diaper change in the nursery, a child's soiled diaper was placed on the floor prior to being discarded.

Corrected Corrected by Sep 25, 2023

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

3270.135(d)/3270.152 · Cloth and paper materials used as diapering aids shall be stored in a manner that prevents cross-contamination from a soiled diaper, contaminated hands or other changing materials. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

In the nursery, Facility Person #3 was observed opening a low cabinet, accessible to children, to retrieve a washcloth to clean off a diapering surface prior to washing their hands after a diaper change.

Corrected Corrected by Sep 25, 2023

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 initial health assessments and TB tests on file for Facility Persons #5 and #7 were dated after their respective start dates.

Corrected Corrected by Sep 14, 2023

Category: ratio. 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 health assessment on file for Facility Person #1 does not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Oct 17, 2023

Category: health medication. 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.

There was no written feeding schedule from a parent for one of the enrolled infants.

Corrected Corrected by Oct 10, 2023

Category: nutrition. Marked corrected in the state record.

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

Two infants, ages 3 and 4 months, were observed lying on boppy pillows on the floor while Facility Person #3 was observed bottle feeding them.

Corrected Corrected by Oct 2, 2023

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 only pediatric first aid & CPR training documented and on file for Facility Person #17, employed more than 90 days, was invalid as it is not an approved curriculum and conducted by a PQAS approved trainer.

Corrected Corrected by Sep 25, 2023

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.

Documentation of smoke detector testing indicates smoke detectors were tested on 7/20/23 and then again on 8/30/23, more than 30 days apart.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment on file for child #1 was completed more than 60 days after their first day of attendance at the facility. The only health assessment on file for child #5, enrolled more than 60 days, was not dated.

Corrected Corrected by Oct 31, 2023

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 explaining the emergency plan did not include the facility's plan for a lockdown.

Corrected Corrected by Oct 11, 2022

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

There was no FBI clearance on file at the for Facility Person #4, who was hired provisionally, working within the provisional hire period, and observed caring for children unsupervised.

Corrected Corrected by Oct 3, 2022

Category: supervision. Marked corrected in the state record.

3270.35(b) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4).

Facility Person #3 was classified as a group supervisor without meeting one of the educational qualifications to serve as a group supervisor.

Corrected Corrected by Sep 26, 2022

Category: supervision. 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.

There was an area of damaged plaster on a wall in the Pre-K room near the gate.

Corrected Corrected by Sep 27, 2022

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

In the young toddler room, there is a sink which is at a height at which the children cannot reach. A staff person was observed holding a child to wash their hands at the sink rather than having the child stand at a stool.

Corrected Corrected by Nov 3, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There were no handwashing signs posted at the training chairs in the older toddler room.

Corrected Corrected by Sep 26, 2022

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was a pack n play in use in the infant room with less than 2 feet of space on 3 sides.

Corrected Corrected by Sep 26, 2022

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

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

At approximately 11:30, Facility Person #4 was observed caring for 4 infants in the infant room. Facility Persons #1 was seated and unable to see an infant who was resting in a packnplay, due to the stationary position of the staff and the child and the solid fabric of the packnplay.

Corrected Corrected by Sep 26, 2022

Category: supervision. 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.

There were no emergency contact forms in the young toddler room for the children receiving care in that room. There was no emergency contact form for one child receiving care in the older toddler room, and one child receiving care in the Pre-K space, in the respective classrooms.

Corrected Corrected by Oct 31, 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.

Emergency contact forms and agreements on file for children #1, #2, and #3 were not reviewed and updated by a parent in writing at least every 6 months.

Corrected Corrected by Oct 31, 2022

Category: recordkeeping. 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 no written parental consent provided prior to administering Gripe Water to a child in the infant room.

Corrected Corrected by Sep 28, 2022

Category: ratio. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The hands-free lidded can in the Pre-K restroom used for diaper disposal was not plastic lined.

Corrected Corrected by Sep 29, 2022

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

3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

A review of diaper changing documentation and conversation with staff in the infant room indicate that a child's diaper was not changed or checked between 8:40 AM and 11:15 AM.

Corrected Corrected by Sep 27, 2022

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was yogurt in a child's lunch in a cabinet in the older toddler room.

Corrected Corrected by Sep 26, 2022

Category: nutrition. Marked corrected in the state record.

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

There was a bottle in the infant room, not labeled with the child's name.

Corrected Corrected by Sep 26, 2022

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.

There was no proof of purchase for the facility's interconnected fire alarm system on file at the faciltiy.

Corrected Corrected by Oct 3, 2022

Category: recordkeeping. 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 facility's current emergency plan had not yet been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Oct 3, 2022

Category: physical safety. 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.

Facility Persons #1 and #2 did not have 12 hours of child care training completed in their most recent review year and on file.

Corrected Corrected by Nov 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment on file for child #1 was completed more than 90 days after the child's first day of attendance (covid-related due date extension).

Corrected Corrected by Sep 26, 2022

Category: health medication. 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 operator did not notify local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility in the previous 12 months.

Corrected Corrected by Oct 3, 2022

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

According to statements from staff, no written incident report was provided to a parent of a child in care when, on one occasion, a staff person in the infant room noticed the child's skin turn bluish in color for approximately 5-10 seconds after the child had been coughing.

Corrected Corrected by Sep 15, 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.

According to the log on file documenting the dates the smoke detectors were tested, they were not tested at least every 30 days when tested on 4/11/22 and then next again on 5/28/22.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #1, who holds the title of aide, lacks verification of an 8th grade education. There are 2 years of experience with children on file.

Corrected Corrected by Dec 30, 2021

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 file for child #1 lacks verification that ongoing vaccinations are in accordance with the schedule recommended by the ACIP. Child #1 has 3 DTAP vaccinations when 4 are recommended.

Corrected Corrected by Dec 30, 2021

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

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

In the Infant Room, observed 3 bottles which lacked a label with the child's name.

Corrected Corrected by Dec 7, 2021

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 calm down room lacked a thermometer.

Corrected Corrected by Aug 24, 2021

Category: nutrition. 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 kits in the preschool, older toddler, young toddler, infant, and calm down room lacked tape.

Corrected Corrected by Aug 24, 2021

Category: health medication. 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 infant room, observed a hanging cord that would be accessible to the children. Thus, posing a strangulation hazard to the children in care.

Corrected Corrected by Aug 24, 2021

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. Proof of purchase of interconnected fire detection systems shall be on file at the facility.

The facility has two hard wired interconnected smoke detectors. Proof of purchase was not on file.

Corrected Corrected by Aug 24, 2021

Category: recordkeeping. Marked corrected in the state record.