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 #1 may not work with children at the facility without all completed clearances.

SECOND CITATION, CITED PREVIOUSLY ON 1/21/25: There was no signed disclosure statement or NSOR clearance on file for Facility Person #1.

Corrected Corrected by May 6, 2025

Category: background checks. 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 did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by May 6, 2025

Category: health medication. 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 health assessment on file for Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by May 6, 2025

Category: health medication. 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.

SECOND CITATION, PREVIOUSLY CITED ON 1/21/25: There was only one written nonfamily reference on file for Facility Person #1.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The number of children participating in the fire drill was not recorded on the fire drill log for the drill documented as conducted on 1/30/25.

Corrected Corrected by May 7, 2025

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.

SECOND CITATION, PREVIOUSLY CITED ON 1/21/25: The documentation of smoke detector testing on file at the facility indicates smoke detectors were tested on 2/19/25, then again on 3/28/25. Smoke detectors are required, under Act 62, to be tested at least every 30 days.

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The most recent emergency plan review documented was dated August 2023.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff persons #1 and #4 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 persons #1 and #4 staff person #1 and #4 may not work in a child care position at the facility.

There was no documentation on file showing Facility Person #1 had completed mandated reporter training, approved pediatric first aid & CPR training and required health & safety training. Facility Person #1 was caring for children unsupervised. There was no documentation on file showing Facility Person #4 completed approved pediatric first aid & CPR training and required health & safety training. Facility Persons #4 and $5 were caring for children in a classroom with no other staff present to supervise them. Facility Person #5 was classified as an aide.

Corrected Corrected by Jan 27, 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.

There was no documentation of completion of required health & safety training on file for Facility Person # 2, employed at the facility more than 90 days.

Corrected Corrected by Jan 22, 2025

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. Facility Persons #4 and #5 may not work with children at the facility without all completed clearances on file.

There were no clearances or a signed disclosure statement on file for Facility Person #3, a volunteer. The were no criminal history, child abuse or NSOR clearances on file for Facility Person #4. There was no proof of application for the criminal history or NSOR clearances on file for Facility Person #4.There was no signed disclosure statement on file for Facility Person #4.

Corrected Corrected by Jan 27, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

There is no director employed by the facility.

Corrected Corrected by Jan 23, 2025

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.

There was no documentation of required education on file for Facility Person #1 for their assistant group supervisor classification.

Corrected Corrected by Jan 27, 2025

Category: supervision. Marked corrected in the state record.

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

At approximately 11:10 AM, child #1 was in the preschool room with a service provider from an outside agency. There was no facility staff person present in the room to supervise the child. There was no written parental consent on file authorizing the facility staff to release the child to the supervision of the service provider.

Corrected Corrected by Jan 31, 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 a small area of damaged plaster on the wall in the stairwell behind the door to the second floor, near the lobby area.

Corrected Corrected by Apr 30, 2025

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

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

The door from the restroom in the young preschool room exiting to the hallway was blocked with a chair and a plastic storage bin.

Corrected Corrected by Jan 21, 2025

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 11:10 AM, child #1 was in the preschool room with a service provider from an outside agency. There was no facility staff person present in the room to supervise the child. There was no written parental consent on file authorizing the facility staff to release the child to the supervision of the service provider.

Corrected Corrected by Jan 31, 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.

At approximately 11:10 AM, child #1 was in the preschool room with a service provider from an outside agency. There was no facility staff person present in the room to supervise the child. There was no written parental consent on file authorizing the facility staff to release the child to the supervision of the service provider.

Corrected Corrected by Jan 31, 2025

Category: supervision. 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.

There was no health assessment/ TB test on file for Facility Person #3, a volunteer who has contact with children.

Corrected Corrected by Jan 27, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(i) · A facility person's record shall include verification of age.

There was no documentation of age on file for Facility Person #3.

Corrected Corrected by Jan 27, 2025

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.

There were no written nonfamily references on file for Facility Person #3.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1)/3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The most recent fire drill documented on the facility's fire drill log was notated as conducted on 7/12/2024.

Corrected Corrected by Jan 31, 2025

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 most recent smoke detector testing was documented as conducted on 8/9/2024. Smoke detectors are required to be tested, and tests documented, at least every 30 days.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The certificate of compliance posted at the facility was expired.

Corrected Corrected by Jan 27, 2025

Marked corrected in the state record.

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

There was a hand sanitizer on a table, in the reach of children in the older toddler room.

Corrected Corrected by Jun 14, 2024

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 required under subsection (a). 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 families regarding the emergency plan did not include information regarding accommodations in an emergency and annual drills.

Corrected Corrected by Jul 31, 2024

Category: physical safety. 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 current pediatric first aid & CPR training documented and on file for Facility Person #1 was completed after the expiration of the previous pediatric first aid & CPR training.

Corrected Corrected by Jun 14, 2024

Category: ratio. 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 exit from the downstairs restroom to the hallway was blocked with a stack of chairs and a vacuum cleaner.

Corrected Corrected by Jun 14, 2024

Category: physical safety. 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 at the facility from a parent for child #1, an infant.

Corrected Corrected by Jun 26, 2024

Category: nutrition. 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 one hour health and safety update training completed by Facility Person #1 was completed on 1/3/2023, after the due date of 12/30/22

Corrected Corrected by Jun 23, 2023

Category: ratio. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · Child #1_ must be dismissed from care by close of business 6/23/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

There was no documentation of a current influenza vaccine on file for child #1.

Corrected Corrected by Jun 23, 2023

Category: health medication. 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.

An older toddler did not wash their hands after being diapered. The child's hands were wiped with a diaper wipe.

Corrected Corrected by Jun 23, 2023

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

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

The emergency plan was not posted conspicuously. It was in located in a tray mounted on a wall, behind another document, unable to seen.

Corrected Corrected by Sep 1, 2022

Category: physical safety. 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 #4 did not include the health insurance policy number.

Corrected Corrected by Sep 15, 2022

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 was no section of the facility's emergency plan that addressed continuity of operations in the event of an emergency at the facility.

Corrected Corrected by Sep 30, 2022

Category: ratio. 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.

There was no letter to the parents explaining the facility's emergency procedures as required under 3270.27(a).

Corrected Corrected by Sep 30, 2022

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.

There was an uncovered outlet on an extension cord on the floor in the back toddler room. The cord was plugged into a wall outlet near the exit from the room.

Corrected Corrected by Sep 1, 2022

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 crack in a face plate covering an outlet in the back toddler room, on a wall near the exit from the room.

Corrected Corrected by Sep 15, 2022

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 quarter-size area of damaged plaster on the wall in the preschool room, in the back corner, behind a plastic storage tub.

Corrected Corrected by Sep 30, 2022

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.

There was a sleeping bag in the infant room, not labeled with the name of the child who uses it. There were two sleeping bags in the preschool room not labeled with the names of the children who were using the sleeping bags.

Corrected Corrected by Sep 1, 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 on file for child #1 was not signed by the parent.

Corrected Corrected by Sep 22, 2022

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-#5 were the originals.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for child #1 did not include the release person's address.

Corrected Corrected by Sep 15, 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 informationA 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 current agreements and emergency contact forms on file for child #2 were reviewed and updated by a parent in writing more than 6 months after the previous emergency contact forms and agreements on file for child #2.

Corrected Corrected by Sep 1, 2022

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 #1, an infant, was completed more than 6 months after the prior health assessment on file.

Corrected Corrected by Sep 1, 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 current health assessment on file for Facility Person #1 was updated more than 24 months after the previous health assessment on file.

Corrected Corrected by Sep 1, 2022

Category: ratio. Marked corrected in the state record.

3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

There was no signed parental consent for emergency medical care on file for child #1.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(5) · 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.

There was no signed consent for administration of minor first-aid procedures on file for child #1.

Corrected Corrected by Sep 15, 2022

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.

There was no proof of purchase on file at the facility for the facility's interconnected smoke detectors.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

According to statements from staff, there have been occasions where two staff are supervising toddlers and preschoolers in the outdoor playspace, when one staff person needs to take a child into the facility to use the restroom. Staff state that, at times, one staff person has brought the child in to the building to use the restroom, leaving the remaining staff person to supervise more children that permitted by regulation.

Corrected Corrected by Jul 11, 2022

Category: supervision. 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's current provisional certificate of compliance was not posted at the facility.

Corrected Corrected by Jul 18, 2022

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.

There were no health assessments on file for children #1 and #2, both enrolled at the facility for more than 60 days.

Corrected Corrected by Jul 18, 2022

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

2ND CITATION - CITED PREVIOUSLY ON 3/15/22: There is no director employed by the facility and present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Jul 6, 2022

Marked corrected in the state record.

3270.32(a) · *** For a period of 4 months the LE will send either the completed clearances for all new facility persons or will send the completed provisional hire paperwork for all new facility persons to be reviewed and approved by an OCDEL certification representative prior to them working in any position at the facility.

At AUM on 3/15/22, staff person # 2 was removed from a child care position because staff's file lacked an NSOR and out of state Virginia clearances. Based on a conversation with the operator, staff #2 provided child care multiple times after 3/15/22 when operator was notified that the staff would not be able to return without the required clearances. Staff provided child care from 3:30 to 6:00 PM. Exact dates were not provided Staff #2 now has an NSOR on file. Virginia out of state clearances are not on file. . On 3/15/22, staff #1 was removed from a child care position for lack of an NSOR and Child Abuse clearance. Operator was notified that staff #1 could not return without the required clearances. Based on review of the staff schedule and conversations with staff, staff #1 was on the schedule 3/29/22 and 3/30/22 and provided child care on those dates. Staff #1 was scheduled to come in on 3/31/22 but operator was notified that she could not return as she does not have the required clearances. Child Abuse is now on file. NSOR is not on file. Additionally, staff #1 and 2 worked unsupervised during the time that their clearances were not on file. Second citation as previously cited on 3/15/22.

Corrected Corrected by Aug 22, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · ** TA- For a period of 4 months the legal entity and all staff in leadership roles will participate in TA with the ELRC related to what is required to be in a facility persons file and all staff will participate in TA relating to CPSL requirements regarding supervision of provisional hires Proof of TA will be submitted to the regional office upon completion

At AUM on 3/15/22, staff person # 2 was removed from a child care position because staff's file lacked an NSOR and out of state Virginia clearances. Based on a conversation with the operator, staff #2 provided child care multiple times after 3/15/22 when operator was notified that the staff would not be able to return without the required clearances. Staff provided child care from 3:30 to 6:00 PM. Exact dates were not provided Staff #2 now has an NSOR on file. Virginia out of state clearances are not on file. . On 3/15/22, staff #1 was removed from a child care position for lack of an NSOR and Child Abuse clearance. Operator was notified that staff #1 could not return without the required clearances. Based on review of the staff schedule and conversations with staff, staff #1 was on the schedule 3/29/22 and 3/30/22 and provided child care on those dates. Staff #1 was scheduled to come in on 3/31/22 but operator was notified that she could not return as she does not have the required clearances. Child Abuse is now on file. NSOR is not on file. Additionally, staff #1 and 2 worked unsupervised during the time that their clearances were not on file. Second citation. Previously cited on 3/15/22.

Corrected Corrected by Aug 22, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 -- may not work at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

At AUM on 3/15/22, staff person # 2 was removed from a child care position because staff's file lacked an NSOR and out of state Virginia clearances. Based on a conversation with the operator, staff #2 provided child care multiple times after 3/15/22 when operator was notified that the staff would not be able to return without the required clearances. Staff provided child care from 3:30 to 6:00 PM. Exact dates were not provided Staff #2 now has an NSOR on file. Virginia out of state clearances are not on file. . On 3/15/22, staff #1 was removed from a child care position for lack of an NSOR and Child Abuse clearance. Operator was notified that staff #1 could not return without the required clearances. Based on review of the staff schedule and conversations with staff, staff #1 was on the schedule 3/29/22 and 3/30/22 and provided child care on those dates. Staff #1 was scheduled to come in on 3/31/22 but operator was notified that she could not return as she does not have the required clearances. Child Abuse is now on file. NSOR is not on file. Additionally, staff #1 and 2 worked unsupervised during the time that their clearances were not on file. Second citation. Previously cited on 3/15/22.

Corrected Corrected by Mar 31, 2022

Category: supervision. 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.

Multiple staff reported that the toddler and preschool room tables are often left uncleaned after afternoon snack.

Corrected Corrected by Apr 4, 2022

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

3270.192(4) · 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 #-1 and 2-- may not work in a child care position at the facility.

At AUM on 3/15/22, staff person # 2 was removed from a child care position because staff's file lacked an NSOR and out of state Virginia clearances. Based on a conversation with the operator, staff #2 provided child care multiple times after 3/15/22 when operator was notified that the staff would not be able to return without the required clearances. Staff provided child care from 3:30 to 6:00 PM. Exact dates were not provided Staff #2 now has an NSOR on file. Virginia out of state clearances are not on file. . On 3/15/22, staff #1 was removed from a child care position for lack of an NSOR and Child Abuse clearance. Operator was notified that staff #1 could not return without the required clearances. Based on review of the staff schedule and conversations with staff, staff #1 was on the schedule 3/29/22 and 3/30/22 and provided child care on those dates. Staff #1 was scheduled to come in on 3/31/22 but operator was notified that she could not return as she does not have the required clearances. Child Abuse is now on file. NSOR is not on file. Additionally, staff #1 and 2 worked unsupervised during the time that their clearances were not on file. Second citation. Previously cited on 3/15/22.

Corrected Corrected by Apr 22, 2022

Category: supervision. 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.

In the Infant room, observed an infant sleeping in a crib which did not have 2 feet of space on 3 sides.

Corrected Corrected by Mar 15, 2022

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

In the Infant room, observed an infant sleeping in a crib where an infant toy was present in the crib.

Corrected Corrected by Mar 15, 2022

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

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

The file for staff #5 lacks health and safety training within 90 days of hire.

Corrected Corrected by Apr 29, 2022

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 downstairs toddler room, observed a tv on a stand which was in reach of children and was previously secured to the stand. The tv was no longer secured to stand and therefore could be pulled over by the children posing a threat to the health and safety of the children.

Corrected Corrected by Mar 27, 2022

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

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1, 2, 3 and 4 lack emergency plan training within one week of hire. There is no emergency plan training on file.

Corrected Corrected by Apr 29, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, 2, and 3 -- may not work at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1, who was hired provisionally on 3/14/22, lacks the correct disclosure statement required under the CPSL , a Child Abuse clearance, and a National Sex Offender Registry clearance. There are current State Police and FBI clearances on file. The file for staff #2, who was hired provisionally on 2/21/22, lacks a Virginia Child Abuse and Sex Offender registry check (NFF State) and NSOR on or before initial start date in a child care position. There are current FBI, State Police and Child Abuse clearances on file. Additionally, staff #2 (provisional hire) was observed alone with the children in the preschool age room. The file for staff #3, who was hired provisionally on 2/14/22, lacks the correct disclosure statement required under the CPSL and either an application for the State Police or FBI fingerprinting on or before initial date in a child care position. There is an app for the NSOR on file and dated 2/14/22. There is now a State Police clearance on file and dated 3/15/22, Child Abuse - 2/8/22, and NSOR - 3/3/22. There is no DHS FBI clearance on file. The file for staff #4 lacks the correct disclosure statement required under the CPSL.

Corrected Corrected by Apr 29, 2022

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 files for staff #1, 2 and 4 who hold the title of assistant group supervisor, lack verification of any qualifications for an assistant group supervisor. The file for staff #3 , who holds the title of assistant group supervisor, lacks a diploma or GED and 1309 hours of child care experience. The file for staff #5, who holds the title of assistant group supervisor, lacks 651.5 hours of child care experience. A college transcript is on file.

Corrected Corrected by Apr 29, 2022

Category: supervision. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

The facility's most current director quit on 3/11/22. Therefore, a director is no longer employed by the facility and present at the facility site a minimum of 30 hours per week.

Corrected Corrected by May 27, 2022

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.

On the inside of the outdoor play space and right when you walk into the left by the nearest green exit door, observed that the green exit door had peeling paint around the wooden frame of the door and the same left side of the outdoor place space had peeling paint and plaster along the bottom cemented area beginning to the left of the green exit door and ending at the small deck area of the second green exit door.

Corrected Corrected by Apr 29, 2022

Category: physical safety. 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 preschool room and directly beside the door to the toddler room, observed a white cubby shelf which wobbled when touched and could be pulled over by the children. In the toddler room, observed a red, blue and green 3 tiered shelf which wobbled when touched and could be pulled over by the children. In the outside play space, observed 2 children's chairs, one was blue and the other gray, which had rusted legs. In the outside play space, and in the sand box area, observed 2 adult size chairs, one was gray and the other green, which had rusted legs.

Corrected Corrected by Mar 27, 2022

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

3270.133(2)/3270.133(6) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. A parent shall provide written consent for administration of medication or a special diet.

Observed prescription Albuterol for child #1. There were no written instructions on file from the individual who prescribed the medication. Observed Gripe Water for child #2. The medication log lacked written consent for administration from a parent. Observed Infant Tylenol and Infant Ibuprofen for child #3. The medication log lacked written consent for administration from a parent.

Corrected Corrected by Mar 18, 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 files for staff #1 and 4 lack an initial health assessment conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Apr 29, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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.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 #1 and 4 lack a tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by Apr 29, 2022

Category: health medication. 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 #2 and 4 lack two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Apr 29, 2022

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 facility file lacked verification that an emergency plan drill was conducted within the past 12 months.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff #5, lacks pediatric first aid and pediatric CPR within 90 days of hire.

Corrected Corrected by May 27, 2022

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

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

The last documented fire drill on file was not conducted within the past 60 days and was completed on 11/1/21.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Manual fire detection tests were not completed every 30 days. The last manual fire detection test was completed on 12/1/21.

Corrected Corrected by Mar 18, 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's current certificate of compliance was not posted. The posted certificate of compliance was expired.

Corrected Corrected by Mar 19, 2022

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 crib which contained a sheet on the mattress which was too large. Therefore, creating a suffocation hazard to the child in care. In the PS/SA room observed a hanging cord which was near the toys and then looped up to the window sill causing a strangulation hazard to the children in care.

Corrected Corrected by Oct 13, 2021

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

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

The file for staff #3 contained documentation of Pediatric CPR/First Aid training which expired on 5/20/21.

Corrected Corrected by Dec 13, 2021

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

The file for staff #6 lacked health and safety training which was completed by 6/17/21. Training is now on file for staff #6 and dated 9/1/21.

Corrected Corrected by Oct 18, 2021

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 outside play space, observed a yellow and red tricycle with a crack in the plastic area behind the seat and a pink, purple and yellow child's riding truck which had a seat that was rusting, dirty, and had an old mask sitting in the seat area. Also, the back of this child's riding truck was dirty.

Corrected Corrected by Nov 8, 2021

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). : Facility Person #7 -- may not work in a child care position at the facility. 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 #2 lacks a disclosure statement at initial hire date of 5/28/21. There was more than 60 months between the previous and most current State Police and Child Abuse clearances on file for staff #3 Dates are as follows: State Police - 1/16/16 and 4/2/21 and Child Abuse - 1/20/16 and 3/26/21. The file for staff #7 lacks the required Sex Offender Registry check from New York as she has lived in this state within the past 5 years and a current disclosure statement. The file for staff #8 lacks a dated disclosure statement at initial hire.

Corrected Corrected by Nov 5, 2021

Category: background checks. 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 files for staff #4 and 5 lacked Mandated Reporter training within 90 days of hire. There is now current mandated reporter training on file for Staff #4 and 5.

Corrected Corrected by Oct 13, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

There is no current director who is employed at the facility site a minimum of 30 hours per week.

Corrected Corrected by Dec 15, 2021

Marked corrected in the state record.

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

The file for staff #3, who holds the title of assistant group supervisor, lacks verification of a high school diploma. There are 2500 hours of child care experience on file.

Corrected Corrected by Nov 5, 2021

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.

On the wall of the YT room and near the kitchen set, observed 3 areas of peeling paint. Under the deck of the back of the facility, observed peeling paint along the wall and under the window. Observed peeling paint on the side of the walkway wall to the front entrance of the facility. Inside the outdoor play fence, observed an area to the left of the entrance which had an approximate 2 feet area of peeling paint.

Corrected Corrected by Dec 6, 2021

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 infant room lacked a posted hand washing sign at the diaper area.

Corrected Corrected by Oct 13, 2021

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

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

Based on a review of a medication log for child #3, where parent gave permission for the staff to put a few drops of hot sauce on a spoon and feed it to the child after child bites, staff administered this 5 times to the child. Dates are as follows: 5/11/21, and then again on 5/11/21 by staff #5. 5/21/21, and 5/25 (no year given but added after 5/21/21) by staff #1 and 7/27 (no year given but added after 5/21/21) by staff #4. Staff initialed after each administration.

Corrected Corrected by Oct 13, 2021

Category: ratio. Marked corrected in the state record.

3270.113(b) · **The Legal Entity will arrange for all staff, including the Legal Entity, to complete a minimum of 2 hours of training on positive discipline of children. The training will be submitted to the regional office for approval prior to scheduling the training. Proof of training will be submitted to the regional office upon completion.

Based on a review of a medication log for child #3, where parent gave permission for the staff to put a few drops of hot sauce on a spoon and feed it to the child after child bites, staff administered this 5 times to the child. Dates are as follows: 5/11/21, and then again on 5/11/21 by staff #5. 5/21/21, and 5/25 (no year given but added after 5/21/21) by staff #1 and 7/27 (no year given but added after 5/21/21) by staff #4. Staff initialed after each administration.

Corrected Corrected by Dec 6, 2021

Category: ratio. Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 information on file for child #1 lacks the work address of the enrolling parent and addresses of all individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 8, 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 current immunization record on file for child #1 lacks 1 verification that immunizations are in accordance with the schedule recommended by the ACIP. Immunization record on file indicates that the child has had 1 of each:: Heb B, Rotovirus, DTAP, HIB, and PCV 13. 2 of each are recommended for the age of this child. The file for child #2 lacks documentation of a flu shot within the past year. Last flu shot on file is dated 10/9/19..

Corrected Corrected by Dec 6, 2021

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.

There was more than 60 months between the previous and most current and updated health assessments on file for staff #1 and 3. Dates -Staff #1 - 5/13/19 and 7/8/21, Staff #3 - 5/10/19 and 9/2/21 The file for staff #2, 7 and 8 lack an initial health assessment which was conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Oct 18, 2021

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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.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 #2 and 7 lack a TB screening which was conducted within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Oct 20, 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 a bottle which lacked a label with the child's name.

Corrected Corrected by Oct 13, 2021

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 #8 lacks one written nonfamily reference.

Corrected Corrected by Nov 8, 2021

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

The facility file lacked proof of purchase of the 7 hard wired interconnected fire detection devices.

Corrected Corrected by Nov 5, 2021

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's expired certificate of compliance was posted and not the current certificate of compliance. The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Nov 5, 2021

Marked corrected in the state record.