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.

Annual emergency plan training was not completed within 12 months of the previous training for staff person #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, and #16. The most recent emergency plan training for staff #5 - #16 was conducted on 05/08/2024, with no subsequent training documented.

Corrected Corrected by Jul 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #3 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 person #1 did not include a Child Abuse Clearance prior to their first day caring for children (see LIS code sheet), the Child Abuse Clearance dated 06/15/2022 was a volunteer clearance which cannot be used for employment. The file for staff person #3 did not include an NSOR prior to their first day caring for children (see LIS code sheet).

Corrected Corrected by Jun 18, 2025

Category: background checks. 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).

Observed 10 younger school age children and 17 older school age children in the upstairs classroom with staff person #5 and #6. Staff person #5 identified a group of 14 older school age children and 1 young school age child. Staff person #6 identified a group of 9 younger school age children and 3 older school age children. The staff:child ratio for staff person #5 exceeded the ratio requirements of 1:12 when the youngest child in care is a younger school age child. *Corrected at the time of the inspection.

Corrected Corrected by Jul 8, 2025

Category: ratio. 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.

Observed electrical outlets throughout the facility including the multipurpose room, the hallways, the upstairs and downstairs preschool classrooms which lacked protective receptacle covers and were accessible to children 5 years of age or younger.

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

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

Observed a can of Lysol disinfectant spray on the table located in the downstairs preschool classroom, which was accessible to children. The utility closet door in the corner was unlocked and open, the door leads a storage area which contained a variety of cleaning products labeled Keep out of Reach of Children.

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

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

Observed in the upstairs preschool classroom: a power cord laying across the floor in front of the desk which presented a trip hazard. Guina Pig Debris on the floor next to the cage. Observed in the downstairs preschool classroom: a power cord laying on the floor next to the fish tank which presented a trip hazard. The door to the dumbwaiter was left open in the downstairs preschool classroom. Observed a string of decorative lights which were no longer secured to the wall above the doorway between the two areas of the room and was laying across the floor in the game room which presented a trip hazard.

Corrected Corrected by Jul 9, 2025

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

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

The file for staff person #2 included a health assessment dated 07/30/2022 with no subsequent health assessment on file.

Corrected Corrected by Jul 9, 2025

Category: ratio. Marked corrected in the state record.

3270.161(a) · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Observed visibly spoiled, curdled milk with an expiration date of 05/30/2025 in the upstairs preschool classroom refrigerator.

Corrected Corrected by Jul 8, 2025

Category: ratio. 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.

Observed a lunchbox on the floor in the downstairs preschool classroom containing potentially hazardous food brought from the child's home which was not refrigerated.

Corrected Corrected by Jul 9, 2025

Category: nutrition. Marked corrected in the state record.

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

The file for staff person #4 did not include verification of education prior to service at the facility. Proof of education was not on file.

Corrected Corrected by Jul 9, 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 facility's current certificate of compliance dated 06/06/2025 - 06/06/2026 was not posted in a conspicuous location used by parents. The certificate of compliance posted at the main entrance to the facility was dated 06/06/2024-06/06/2025. The certificates of compliance posted at the back entrance and in the foyer at the bottom of the steps were dated 06/06/2023 - 06/06/2024. *Corrected at the time of the inspection.

Corrected Corrected by Jul 8, 2025

Marked corrected in the state record.

3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

On 03/13/2025, upon arrival to the facility at approximately 2:05 pm, Certification Representative was not provided immediate access to the facility. Cert Rep rang the doorbell and knocked several times at the main entrance. Cert Rep then went to another entrance and tried to knock on the door for access. Cert Rep then returned to the main entrance and knocked and rang the doorbell again. Cert Rep called the facility phone number at 2:12 pm, an individual answered the phone and stated to hold on a minute and then disconnected. After waiting a few minutes for someone to come to the door, at 2:16 pm Cert Rep called the number on the sign outside the door, the call went to voice mail. At 2:17 pm Cert Rep called the facility phone number a second time and it also went to voice mail. At 2:17 pm, the owner returned my call and shortly after, a staff person opened the door.

Corrected Corrected by Mar 14, 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 file for staff person #1 and #2 included an NSOR Clearance which was not updated within 60 months of the previous clearance. The current NSOR for staff person #1 was dated 03/04/2025 with the previous clearance dated 01/30/2020. The current NSOR for staff person #2 was dated 03/12/2025 with the previous clearance dated 01/31/2020. The file for staff person #1 included a Child Abuse clearance which was not updated within 60 months of the previous clearance. The current Child Abuse clearance for staff person #1 was dated 08/03/2024 with the previous clearance dated 04/03/2018.

Corrected Corrected by Mar 14, 2025

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

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

Observed a power strip in the PreK counts (Under the Sea) and PreK counts (Outer Space) classrooms which did not have protective covers on the unused outlets.

Corrected Corrected by Mar 14, 2025

Category: physical safety. 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.

Observed the cabinet under the fish tank located in the PreK counts (Under the Sea) classroom was unlocked; the cabinet contained a container of Ph stabilizer tablets labeled "Keep out of Reach of children" which were accessible to children. *Corrected at the time of the inspection.

Corrected Corrected by Mar 14, 2025

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.

On 03/05/2025, observed the children in the Under the Sea classroom were sitting on a carpet watching TV during naptime. During this time 2 preschool age children fell asleep on the carpet. When it was brought to the attention of the staff supervising the children, a staff person moved the 2 children into child size plush chairs in lieu of providing age-appropriate rest equipment.

Corrected Corrected by Mar 14, 2025

Category: supervision. Marked corrected in the state record.

3270.123(a)(1)/3270.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The agreement for child #1 did not include the fee amount with the date the fee is to be paid.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care.

Corrected Corrected by Mar 14, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #2 did not include the complete home address of the enrolling parent. The emergency contact information for child #2 did not include the work address or telephone number for the enrolling parent. The emergency contact information for child #3 and #4 did not include the work telephone number for the enrolling parent.

Corrected Corrected by Mar 14, 2025

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 information for child #1 did not include the address of the individual's designated by the parent to whom the child may be released.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

On 03/13/2025, observed the bus owned by the facility did not have a current copy of the vehicle registration and proof of insurance in the vehicle while transporting children; the updated documents were printed on the date of the inspection.

Corrected Corrected by Mar 14, 2025

Category: ratio. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The first aid kit in the bus did not include soap or tweezers.

Corrected Corrected by Mar 14, 2025

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

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

The file for staff person #1 did not include an annual minimum of 12 clock hours of child care training; the file included 4.5 hours completed between 12/2023 - 12/2024.

Corrected Corrected by Mar 14, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff person #3, #4, #5, #6, #7, #8 and #9 have not updated their Pediatric First Aid & CPR before the expiration of the most current certification which was completed on 11/08/2022 and expired 11/2024.

Corrected Corrected by Dec 27, 2024

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2 did not include two written, nonfamily references attesting to the person's suitability to serve as a facility person; only one acceptable written reference was on file.

Corrected Corrected by Dec 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. Staff person #1 will have until 01/07/2025 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR in an approved curriculum with an PQAS certified trainer. The file included an online CPR/AED/First-Aid (Adult/Child/Infant/Chockin) AED/Injury & Universal Precautions Certificate provided by the National CPR Foundation dated 08/21/2024.

Corrected Corrected by Dec 16, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 person #1, lacked complete clearances as required under the CPSL. Staff person #1 resided outside of Pennsylvania in the past 5 years and their file lacked out-of-state clearances for the state of Massachusetts within 45 days of hire (see LIS code sheet). The file for staff person #2 lacked a signed disclosure statement at the time of initial hire (see LIS code sheet).

Corrected Corrected by Dec 20, 2024

Category: background checks. 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.

Observed staff person #6 and #7 return to the preschool classroom (Under the Sea) after their breaks after naptime had already ended and staff person #10 and #5 were putting cots away. There were 22 preschool age children sitting on the carpet watching TV at the time. Staff person #5 and #9 left the classroom when staff person #6 and #7 returned to the classroom. During the time of transition between staff, staff did not share information regarding which children staff person #6 and #7 were responsible for supervising. As a result, staff person #6 and #7 were unable to identify the children in their assigned group. Staff person #10 initially identified 10 children in their group. Staff person #6 then identified a group of 10 children which included some of the children that staff person #10 already identified in their group. Staff person #7 stated she had the remaining 2 in her group. After 3 attempts at identifying their groups, they were able to identify their assigned group.

Corrected Corrected by Dec 16, 2024

Category: supervision. 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.

Observed staff did not ensure the children in the preschool classroom (Under the Sea) washed their hands prior to being served an afternoon snack.

Corrected Corrected by Dec 16, 2024

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed staff in the preschool classroom (Under the Sea) did not wash their hands prior to serving the children an afternoon snack.

Corrected Corrected by Dec 16, 2024

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

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

The file for staff person #4 and #5 did not include verification of age.

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 and #5 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 person #4 and #5 did not include documentation of clearances and copies of the requests to be a provisional hire. The file for staff person #4 and #5 did not have a State Police Clearance or FBI Clearance and a Child Abuse Clearance at the time of initial hire (see LIS code sheet). The file for staff person #4 and #5 did not include documentation of a request for the State Police Clearance or FBI Clearance. The files included a signed disclosure statement and documentation of a request for the NSOR.

Corrected Corrected by Jul 22, 2024

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

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

The file for staff person #3, #4 and #5 did not include documentation of child care experience, education and training prior to service at the facility to qualify as an aide or AGS.

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.52/3270.113(a)(1) · 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). 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 the time supervision and ratio was assessed, staff person #1 stated they were responsible for all of the girls, which was mixed age group of 6 preschool, 5 young school age and 1 older school age children; which exceeded the maximum ratio of 1:10. Staff person #2 stated they were responsible for all of the boys, which was a mixed age group of 4 preschool and 6 young school age children.

Corrected Corrected by Jul 22, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff person #3, #4 and #5 did not include a health assessment with results of a tuberculosis screening prior to providing initial service in a child care setting.

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

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

The file for staff person #4 and #5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

Upon arrival to the facility, observed a mixed group of approximately 100 preschool and school age children in the Sanctuary (large multipurpose room) for morning announcements and daily devotions. The maximum capacity for the Sanctuary is 65 children. Observed a mixed group of 55 young and older school age children receiving care in the small multipurpose room (Under the Sea classroom). The maximum capacity for the multipurpose room is 35. Observed a mixed group of 22 preschool and school age children receiving care in the preschool classroom (Jungle classroom). The maximum capacity for the preschool classroom is 14.

Corrected Corrected by Jul 22, 2024

Category: ratio. Marked corrected in the state record.

3270.61(h)(2)/3270.61(h)(2)(ii) · The capacity established for indoor space may not be exceeded except when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

Observed the large multipurpose room, small multipurpose room (Under the Sea classroom) and the preschool classroom (Jungle classroom) exceeded its maximum capacity for a period greater than 1/2 hour. The overcapacity of the space was not designated on the facility's schedule of daily activities.

Corrected Corrected by Jul 22, 2024

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.

The parent letter explaining the emergency procedures did not include a plan that provides accommodations for children with disabilities, and children with chronic medical conditions. The parent letter explaining the emergency procedures did not include information regarding emergency drills being conducted annually.

Corrected Corrected by Apr 19, 2024

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

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

The file for staff person #1 included documentation of the following required pre-service training which were not completed within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid & CPR which was completed on 03/11/2024 and Get Started with Center-Based Care - Revised 2022 which was completed on 02/28/2024.

Corrected Corrected by Apr 18, 2023

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

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

The clearances for staff person #1, with documentation of felony and misdemeanor grade charges, were not sent to the Central Region OCDEL for review at the time the clearances were received. *Corrected at the time of the inspection. The file for staff person #2 did not include a signed disclosure statement at the time of initial hire (see LIS code sheet). The file for facility person #4, did not include the final FBI clearance results within 45 days of hire (see LIS code sheet). The FBI documentation on file was a letter requesting additional information and not the final FBI clearance results. Facility person #4 was observed driving the school bus on 03/19/2024.

Corrected Corrected by Apr 18, 2023

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

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

The first aid kit located in the Multipurpose school-age classroom was located on a table in the corner of the room and accessible to children. The first aid kit located in the "Under the Sea" preschool classroom was hanging on a low hook next to the table near the bathroom door and accessible to children. The first aid kit located in the "Jungle" preschool classroom was hanging on the back of a chair and accessible to children.

Corrected Corrected by Apr 18, 2023

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

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

The staff bathroom did not have a posted hand washing sign or a lidded waste receptacle.

Corrected Corrected by Apr 18, 2023

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

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

The file for child #1 included a health report which was not updated at least once every 12 months for an older toddler or preschool child (see LIS code sheet). The most recent health assessment on file was dated 08/11/2022 with no subsequent health report on file.

Corrected Corrected by Apr 18, 2023

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

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

The file for staff person #3 did not include an updated health assessment within 24 months of the previous health assessment. The most recent health assessment on file was dated 02/28/2022 with no subsequent health report on file.

Corrected Corrected by Apr 18, 2023

Category: ratio. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The director or designated staff person did not ensure a manual test of the fire detection system was conducted at least once every 30 days. The manual test conducted between 11/01/2023 - 12/04/2023 exceeded 30 days.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #7 will have until 04/26/2023 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Staff person #1, #3 and #4 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR; the training was completed on 11/08/2022. Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): "Get Started with Center-based Care: Building Blocks for Quality". The file for staff person #7 included the 6-hour "Health and Safety Basics: Requirements for Certification" which was completed on 07/27/2016 and does not count toward the new Health and Safety Professional Development (PD) requirement.

Corrected Corrected by Apr 20, 2023

Category: supervision. Marked corrected in the state record.

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

Staff person #1, #2, #3, #4, #5, #6, #8, #9, #10, and #11 who completed the previous health and safety pre-service training modules prior to October 4, 2022, did not complete the 1-hour Pennsylvania Health and Safety Update 2022 by December 30, 2022.

Corrected Corrected by Apr 20, 2023

Category: ratio. 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 may not work in a child care position at the facility.

The file for staff person #1, who has resided outside of PA in the previous 60 months, did not include out of state clearances within 45 days of hire (see LIS code sheet). The file for staff person #1 did not include the results of the NSOR clearance within 45 days of hire, the NSOR was requested on 03/31/2022. The file for staff person #2 included a Child Abuse clearance which was not completed prior to their first day working with children (see LIS code sheet); the Child Abuse clearance on file was dated 10/12/2022. The file for staff person #7 included a State Police Clearance and FBI clearance which was not updated within 60 months of the previous clearance. The current State Police Clearance is dated 03/01/2023 and the previous was dated 09/25/2017. The current FBI clearance is dated 03/02/2023 and the previous was dated 10/24/2017. The file for staff person #10 included a State Police Clearance and FBI clearance which was not updated within 60 months of the previous clearance. The current State Police Clearance is dated 02/20/2023 and the previous was dated 09/25/2017. The current FBI clearance is dated 03/10/2023 and the previous was dated 10/12/2017.

Corrected Corrected by Mar 21, 2023

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

3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Observed cigarette butts in the outdoor play space.

Corrected Corrected by Apr 20, 2023

Category: ratio. 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.

Observed food wrappers and other trash and debris inside the outdoor play space.

Corrected Corrected by Apr 20, 2023

Category: nutrition. 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 #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of HepB, a 3rd & 4th dose of DTap, a 3rd dose of Hib, a 3rd & 4th dose of PCV13, a 3rd dose of Polio and a 1st and 2nd HepA immunization.

Corrected Corrected by Apr 20, 2023

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

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

The file for staff person #6, #10 and #11, hired prior to 12/19/2020, did not obtain an annual minimum of 12 clock hours of child care training from 12/19/2021 - 12/19/2022. Staff person #6 had documentation of 8 hours of training. Staff person #10 had 0 hours of acceptable training, and staff person #11 had documentation of 4 hours of training.

Corrected Corrected by Apr 20, 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 report for child #1 was not received within 60 days following the first day of attendance (see LIS code sheet); the health report on file was dated 02/20/2023. An initial health report was not on file for child #3 within 60 days following the first day of attendance (see LIS code sheet); the file included an immunization record dated 09/01/2022 in lieu of a complete health report.

Corrected Corrected by Apr 20, 2023

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.

On 03/15/2022, observed in the upstairs school-age classroom, the use of multiple power strips "daisy chained". Along the right wall of the classroom, 7 power strips were "daisy chained" together, each one was plugged into the previous one. Computers and computer accessories were also plugged in to the row of power strips. At the back wall of the classroom observed an aquarium which was plugged into a power strip and two additional power strips were plugged into one power strip which was plugged into a wall outlet. In the downstairs school age classroom I observed a row of 3 power strips' "daisy chained" into one another with computers and computer accessories plugged into the power strips. "Daisy chaining" is the connection of two or more extension cords or power strips. Daisy chaining is usually a result of inadequate access to power outlets and can lead to overloaded circuits and can create a fire risk.

Corrected Corrected by Apr 22, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 person #1 included a receipt that the staff person was finger printed on 03/11/2022 which was after the staff person's first day working with children. The results of the FBI clearance was not on file. The file for staff person #1 did not include the results of the NSOR clearance which were requested on 12/01/2021. The file for staff person #3 did not include documentation of the request for the NSOR clearance to be hired provisionally. The results of the NSOR clearance on file was dated 01/20/2022.

Corrected Corrected by Mar 16, 2022

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

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

Observed electrical outlets in the boys and girls bathrooms located in the back hallway which did not have protective receptacle covers which were accessible to children 5 years of age & younger.

Corrected Corrected by Mar 15, 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.

Observed bolts in the corner of the gate surrounding the playground which protrude into the playground creating a hazard. Observed the fence rail was detached at the corner next to the building. Observed a large gap at the bottom of the fence. Observed a broken latch on the staff door in the Ladies bathroom in the front hallway.

Corrected Corrected by Apr 30, 2022

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

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The initial health report for child #1 was not dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). The health report on file was dated 03/13/2019.

Corrected Corrected by Apr 28, 2022

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

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

The health assessment on file for staff person #2, was an after visit summary which did not state that the health assessment included an examination for communicable diseases and the results of that examination or the assessment of the person's suitability to provide child care.

Corrected Corrected by Mar 25, 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 file for staff person #1 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person at the time of initial hire.

Corrected Corrected by Mar 16, 2022

Category: recordkeeping. Marked corrected in the state record.