3270.51/3270.52 · 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. 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).

On 11/25/2024, at 11:30 am, observed staff person #1 caring for a mixed age levels of 1 older toddler, 5 preschoolers and 1 older school age child in the upstairs older toddler/preschool classroom. The staff:child ratio for older toddlers is 1:6.

Corrected Corrected by Nov 25, 2024

Category: ratio. 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.

Immediate access to the facility was not provided to the agents of the department. Upon arrival to the facility at approximately 11:20 am. Certification Representative rang the doorbell twice. Cert Rep then called the facility phone at 11:24 am, the call went to voicemail and then called the owner's cell phone at 11:26 am, the call went to voicemail. After ringing the doorbell a third time, Cert Rep walked around the building to the exit door of the older toddler/preschool classroom to see if there was anyone in the building. While walking up the sidewalk, Cert Rep could hear the children in the building. Prior to knocking on the door, the door was opened by staff person #2 and the Cert Rep entered the facility at 11:30 am.

Corrected Corrected by Dec 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

On 11/25/2024, observed staff person #1, an aide, working in the upstairs older toddler/preschool classroom unsupervised by a staff person qualified at a minimum as an assistant group supervisor. Staff person #2 was working in the preschool classroom with staff person #3, also an aide. Staff person #2 was standing in the doorway between the 2 classrooms talking to staff person #1. During this time, Staff person #2 was unable to properly supervise staff person #3 in the preschool classroom. Staff person #1 was observed unsupervised with an older toddler in the hallway outside the office prior to naptime. Staff person #1 was taking the child back upstairs to the older toddler/preschool classroom from the young toddler classroom on the first floor.

Corrected Corrected by Nov 25, 2024

Category: supervision. 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 #3 did not include 2 written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. 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 completed within 30 days of the previous test. The most recent test was documented on 10/21/2024.

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.241(a) · If a child is required to be enrolled in public or private school under the Public School Code of 1949 (24 P.S. §§ 1-101-27-2702) and if the child is not enrolled and if the child is not exempted from enrollment under the Public School Code, a child care facility may not admit the child for care during the hours when the child is required by law to attend public or private school.

On 11/25/2024 at 11:30 am observed child #1 at the facility receiving child care services during school hours. *Corrected at the time of the inspection.

Corrected Corrected by Nov 25, 2024

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(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 10/18/2024 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): Get Started with Center-Based Care - Revised 2022 (10-hour)

Corrected Corrected by Oct 4, 2024

Category: supervision. Marked corrected in the state record.

3270.163(a)(1)/3270.163(a)(4) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Lunch served in the younger toddler classroom included chicken bites, tater tots, peas, oranges and milk. The meal did not include a least one grain. Lunch served in the older toddler and preschool rooms included chicken bites, tater tots, corn or peas, oranges and water. The meal did not include a least one grain or a dairy product.

Corrected Corrected by Oct 3, 2024

Category: nutrition. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The menu for the week of 09/30/2024 - 10/04/2024 was not posted in a conspicuous location at the facility. The menu was not posted at least 1 week in advance or provided to each family. The operator was in the process of creating the menu at the time of the inspection.

Corrected Corrected by Oct 4, 2024

Marked corrected in the state record.

3270.163(a)(2) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one protein.

Lunch served in the young toddler classroom included waffles, corn, applesauce and milk. Lunch served in the preschool room included waffles or French toast sticks, corn, applesauce and milk. A protein was not served due to not having enough sausage to serve all of the children at the facility.

Corrected Corrected by Sep 6, 2024

Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed the rest equipment in each classroom were not labeled for the use of a specific child and used only by the specified child. The cribs in the young toddler classroom were labeled on the wall in lieu of on the crib.

Corrected Corrected by Sep 6, 2024

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

3270.134(d) · Liquid or powdered soap shall be used for handwashing.

Observed one of the sinks in the women's bathroom in the upstairs hallway did not have soap. Observed the sinks in the men's bathroom in the upstairs hallway did not have soap.

Corrected Corrected by Sep 5, 2024

Category: health medication. 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).

Continued noncompliance, previously cited on 07/15/2024 observed staff person #3, leave the classroom to take 2 children to the bathroom, during this time, staff person #9 was supervising a mixed group of 14 young and older school-age children in the school-age classroom. The ratio for young school age children is 1:12. The operator is failing to follow the plan to maintain compliance which stated, 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). Ratio will be maintained in all the classrooms in the center. On 09/05/2024, observed staff person #1 was supervising a mixed group of 3 preschool and 4 older toddlers. The staff:child ratio in a mixed age group that includes older toddlers is 1:6.

Corrected Corrected by Sep 5, 2024

Category: supervision. 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 Janitor closet in the hallway on the first floor, containing a variety of cleaning products labeled keep out of reach of children, was left unlocked and accessible to children. Observed insect / spider traps behind the toilets in girl's and boy's bathroom located in the basement which were accessible to children.

Corrected Corrected by Sep 5, 2024

Marked corrected in the state record.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Observed the light in the girl's bathroom located in the basement was not operating. The bathroom is completely dark without artificial light and has no windows for natural light to enter the room.

Corrected Corrected by Sep 5, 2024

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 sinks in the women's bathroom located in the upstairs hallway did not have handwashing signs.

Corrected Corrected by Sep 6, 2024

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

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

Observed a broom and dustpan and a child size table with 2 chairs in front of the door leading from the preschool classroom into the toddler classroom next door. Observed a child size chair in front of the door in the toddler classroom. The door provides access from the preschool classroom to the exit door of the facility in the event of an emergency. Observed a shopping cart and empty boxes in front of the exit door in the alcove next to the kitchen.

Corrected Corrected by Sep 5, 2024

Category: physical safety. 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.

Observed a crib flat against the wall which did not have a minimum of 2 feet on 3 sides while in use. Two sides of the crib had equipment on the floor located directly next to the head and foot of the crib.

Corrected Corrected by Sep 5, 2024

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.

Observed a child napping under the wall mounted TV in the older toddler/preschool classroom, staff person #1 was unable to see the child from their location in the classroom.

Corrected Corrected by Sep 5, 2024

Category: supervision. Marked corrected in the state record.

3270.134(c) · Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

The women's and men's bathroom located in the second-floor hallway did not have paper towels. The girl's bathroom located in the basement did not have paper towels.

Corrected Corrected by Sep 5, 2024

Marked corrected in the state record.

3270.14 · 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. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter training and Get Started with Center-Based Care - Revised 2022.

Corrected Corrected by Sep 7, 2024

Category: supervision. Marked corrected in the state record.

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

The fire safety training for staff person #4, #5, #6, #7, #8 and #9 was not updated within 12 months of the previous training. The current training for staff person #4, #5, #6, #7, #8 and #9 was completed on 05/23/2024 with the previous training completed on 03/27/2023.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. 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 #1 and #2 did not include proof of qualifications to perform the duties of an Aide; the files included documentation of a completing 11th grade without verification of 2 years of experience working with children.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Observed staff person #3, an aide, take 2 children to the bathroom where they were unable to be supervised by a staff person qualified as an assistant group supervisor.

Corrected Corrected by Sep 7, 2024

Category: supervision. 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 staff person #3, leave the classroom to take 2 children to the bathroom, during this time, staff person #9 was supervising a mixed group of 14 young and older school-age children in the school-age classroom. The ratio for young school age children is 1:12.

Corrected Corrected by Sep 7, 2024

Category: supervision. 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 second stall in the upstairs girl's restroom did not have a handwashing sign posted.

Corrected Corrected by Sep 7, 2024

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

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

Observed plastic trash bags in an unlocked bottom drawer located in the bathroom in the toddler room which were accessible to young and older toddlers.

Corrected Corrected by Sep 7, 2024

Marked corrected in the state record.

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

The file for child #3, #4, and #5 included a child service report, with information to the family about the child's growth and development, which was not dated to document the form was completed within 6 months of initial enrollment or within 6 months of the previous child service report.

Corrected Corrected by Sep 7, 2024

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 phone number of the child's physician or source of medical care.

Corrected Corrected by Sep 7, 2024

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

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

Emergency contact information was not present in the young toddler classroom for child #6 and #7 while receiving care in the space.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact and/or financial agreement for child #3, #4 and #5 was not updated by a parent at least once every 6 months. The most recent review of the emergency contact information for child #3 was completed on 06/06/2024 with the previous review on 07/21/2023. The most recent review of the financial agreement for child #3 was completed on 07/21/2023 with no subsequent review documented. The most recent review of the financial agreement for child #4 was completed on 05/21/2023 with no subsequent review documented. The most recent review of the emergency contact information and financial agreement for child #5 was completed on 11/14/2023 with no subsequent review documented.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4 and #5 included an updated health report which was not updated within 12 months of the previous health report as required for an older toddler or preschool child (see LIS code sheet). The current health report on file for child #4 was dated 02/21/2024 with the previous health report dated 06/06/2022. The current health report on file for child #5 was dated 06/21/2024 with the previous health report dated 11/15/2022.

Corrected Corrected by Sep 7, 2024

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The initial health report on file for child #2 and #3 was a copy of a Well Child Report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Sep 7, 2024

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

A copy of the immunization records for child #3 was not on file within 60 days of initial enrollment (see LIS code sheet). The immunization record on file was printed on 02/21/2024.

Corrected Corrected by Sep 7, 2024

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2 (see LIS code sheet) included a record of the child's immunization status which lacked a 4th dose of DTap, a 4th dose of PCV13, an MMR and Varicella immunization.

Corrected Corrected by Sep 7, 2024

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

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

Observed a container of dietary supplement powder labeled "Keep out of reach of children" on the lower shelf of the diaper changing station located in the upstairs girl's restroom which was accessible by older toddlers, preschool and school age children. *Removed at the time of the inspection.

Corrected Corrected by Sep 7, 2024

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

3270.151(a)/3270.151(b) · 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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The file for staff person #8 did not include a complete health assessment within 24 months of the previous assessment. The most recent health assessment on file was dated 12/10/2021. The file included an after visit summary dated 12/13/2023, which was not signed by a physician, physician's assistant or CRNP.

Corrected Corrected by Sep 7, 2024

Category: ratio. Marked corrected in the state record.

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

The file for staff person #8, included an after visit summary dated 12/13/2023, which did not include documentation of an examination for communicable diseases and the results of that examination or documentation of the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 7, 2024

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 #2 included one nonfamily reference attesting to the person's suitability to service as a facility person; a second written reference was not on file.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes were not posted in a conspicuous location in the basement of the facility where the school age classroom and kitchen are located.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. 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 #4 did not include an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Sep 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The men's restroom on the 2nd floor did not have hand washing signs at each toilet and sink.

Corrected Corrected by Sep 1, 2023

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

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

The agreement form for child #3 did not include the child's arrival and departure times.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan does not include a Continuity of Operation plan. Staff person #3, who completed the 10-hour "Get Started with Center Based Care: Building Blocks for Quality" on 07/26/2022 prior to their employment at the facility, has not completed the 1-hour "Pennsylvania Health and Safety Update 2022" within 90 days of hire (see LIS code sheet).

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2 did not include a written evaluation within 12 months of initial hire (see LIS code sheet).

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Observed an electrical outlet which did not have a protective receptacle cover in the upstairs Toddler/Preschool classroom which was accessible to preschool age children in care. *Corrected at the time of the inspection.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

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

Observed visible dirt on the walls under the light switches and the light switches next to the bathrooms located in the basement. Observed a tear in the accordion divider near the windows in the 2nd floor preschool classroom. Observed the railing inside the entrance to the 1st floor toddler room was loose. Observed rust on the bathroom stall walls in the 2nd floor men's and women's restrooms.

Corrected Corrected by Sep 22, 2023

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

3270.101(a)/3270.101(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3270.101(c)(1) - (6).

Observed a mixed age group of 2 young toddlers, 3 older toddlers and 1 preschool age children in the toddler classroom on the first floor. The classroom had an insufficient amount and variety of toys which included: 2 stuffed animals, board books, push toys, baby toys and some plastic character toys for the children to play with. The classroom did not include toys and materials for dramatic role playing, cognitive, visual, auditory, or toys to handle and manipulate and art materials for tactile development available for the children to play with,

Corrected Corrected by Sep 22, 2023

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed the changing table cabinet top located in the 2nd floor restroom was missing a piece of trim, creating rough edges. Observed a blue wooden table in the 2nd floor preschool room with a loose leg causing the table to wobble from side to side. Observed two blue chairs located at the kidney shaped table were missing "feet". *Chairs were removed at the time of the inspection. Observed a grey stuffed chair in the basement school-age classroom with a tear at the top where the handle was torn. Observed a mixed age group of 2 young toddlers, 3 older toddlers and 1 preschool age children in the 1st floor toddler classroom. The classroom had 1 small table with 2 chairs and 4 highchairs in the room for the children, which did not provide adequate age-appropriate seating for the children.

Corrected Corrected by Sep 22, 2023

Category: physical safety. 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.

Observed the rest equipment in the 2nd floor toddler room did not have a least 2 feet of space on three sides while the equipment was in use.

Corrected Corrected by Jul 13, 2023

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

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

A written plan of daily activities was not posted in the 1st floor toddler classroom.

Corrected Corrected by Aug 28, 2023

Category: physical safety. 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 form for child #1 and #3 did not include the amount of fee to be charged per day with the date on which the fee is to be paid.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form for child #1, #2, #3 and #4 did not include the services being provided to the family and the child. A child service report, providing information to the family about the child's growth and development was not completed at least once every 6 months for child #1, #2, #3, #4 and #5. A child service report was not on file for child #1, #3 and #4 and there was not one completed within 6 months of the child's initial enrollment (see LIS code sheet). One of the child service reports on file for child #2 was dated 09/20/2022 and a second report was not dated. The child service report on file for child #5 was not dated.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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 #1 did not include the work address, home and work telephone numbers of the enrolling parent. The emergency contact information for child #3 did not include the work address and telephone number of the enrolling parent.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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 information for child #1 and #2 did not include the health insurance policy number.

Corrected Corrected by Sep 22, 2023

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

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

The emergency contact information for child #2 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information was missing for 4 of the children receiving care in the 1st floor toddler room, 1 of the children receiving care in the 2nd floor toddler/preschool and 6 of the children in the preschool room and 6 of the children in the school age room.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact information and financial agreement for child #5 was not updated by a parent within 6 months of the child's enrollment date (see LIS code sheet). The emergency contact information for child #1 was not updated by a parent within 6 months of the child's enrollment date (see LIS code sheet).

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The health report for child #2 was not updated at least once every 12 months for an older toddler or preschool child; the most recent health report on file was dated 02/21/2022.

Corrected Corrected by Sep 22, 2023

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

3270.131(d)(5)/3270.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The health report (dated 01/06/2023) for child #5 did not include an immunization record within 60 days following the first day of attendance at the facility (see LIS code sheet).

Corrected Corrected by Sep 22, 2023

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1 (see LIS code sheet) included a record of the child's immunization status which lacked a 3rd dose of Hep B, a 2nd, 3rd & 4th dose of DTap, a 2nd or 3rd dose of Hib, a 2nd, 3rd & 4th dose of PCV13, a 2nd & 3rd Polio, an influenza, MMR, Varicella and a 1st & 2nd Hep A immunization. The file for child #2 and #3 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization.

Corrected Corrected by Sep 22, 2023

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

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

The hands-free covered can next to the diaper changing table located in the 2nd floor bathroom used for the disposal of diapers and pulls ups was not lined with a trash bag.

Corrected Corrected by Sep 22, 2023

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

3270.24(f) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

On the date of the inspection, staff person #1 did not have a valid photo identification at the facility to provide to the agent of the Department at the time of inspection.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

On 02/24/2023, child #1 received a carpet/brush burn on her nose after tripping and falling while playing a game which involved running in the hallway. Staff person #2 used an alcohol wipe to clean the wound on the child's nose.

Corrected Corrected by Apr 10, 2023

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

3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

On 03/02/2023, it was observed that at approximately 3:10 pm, a parent picking up their child from the facility did not have immediate access. There was no extra staff available to open the door and the parent needed to wait outside until staff returned with the children being picked up from school.

Corrected Corrected by May 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #4 will have until 04/08/2023 to complete the required training. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Staff person #4 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. The file included an email from Pacific Medical Training which did not identify the name of the course or date the training was completed.

Corrected Corrected by Apr 29, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Facility Person #3 may not work in a child care position at the facility.

The file for facility person #3 did not include the results of the NSOR clearance within 45 days of hire (see LIS code sheet). Documentation of a request for the NSOR clearance sent on 09/07/2022 was on file.

Corrected Corrected by Apr 3, 2023

Category: background checks. 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.

On 02/24/2023, staff person #1 was in the hallway with 4 children playing a game. During this time, staff person #1 was leading the group in an "alphabet train". Staff person #1 was at the front of the line, and the children were following behind while singing the alphabet song and running back and forth in the hallway. From the front of the line, staff person #1 did not see child #1 trip and fall in the hallway scraping their nose on the carpet.

Corrected Corrected by Mar 27, 2023

Category: supervision. Marked corrected in the state record.

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

The parent of child #1, who was injured on 02/24/2023, was not provided with the original report on the day the incident occurred.

Corrected Corrected by Apr 3, 2023

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

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

Staff person #1, #2, #4, #5, #6, #7, #8 and #9 have not completed the following health and safety professional development training update prior to 12/30/2022: Pennsylvania Health and Safety Update 2022.

Corrected Corrected by Mar 6, 2023

Category: ratio. 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 03/02/2023, upon arrival to the facility at 2:28 pm, Certification Representative rang the doorbell, then called for entry (per instructions on the entrance door). Certification Representative was unable to gain access to the facility until 2:41 pm when a staff person came to the door to let them into the building.

Corrected Corrected by Apr 10, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Staff person #2, #5, #6, #8, #9 and #10 have not received training regarding the emergency plan annually. The most recent emergency plan training was documented on 01/17/2022.

Corrected Corrected by Apr 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.61(e)/3270.62(c) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms. Outdoor or indoor play space shall be safe for large muscle activity.

On 02/24/2023, staff person #1 had a group of 4 children using unmeasured space for a gross motor activity. The children were playing a game which involved running back and forth in the hallway.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. 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.

Corrected Corrected by Mar 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1 will have until 10/27/2022 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 and pediatric cardiopulmonary resuscitation

Corrected Corrected by Nov 9, 2022

Category: supervision. Marked corrected in the state record.

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

The hot water temperature in the bathrooms used by children exceeded 110° F . The sinks located in the Main floor women's and men's bathrooms reached a temperature of over 130° F. The women's and men's bathrooms reached a temperature of 120° F - 130° F. The bathroom located in the young toddler classroom reached a temperature of 117° F.

Corrected Corrected by Oct 8, 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.

Observed a TV on a stand in the upstairs preschool classroom which was not anchored, creating a tip hazard.

Corrected Corrected by Sep 27, 2022

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Observed 3 chairs in the school-age room with missing "feet". Observed 2 stuffed chairs which were torn.

Corrected Corrected by Sep 27, 2022

Marked corrected in the state record.

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

The agreement for child #1 and #2 was not signed by the operator and the parent.

Corrected Corrected by Nov 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for child #1 did not include the amount of the fee to be charged per week.

Corrected Corrected by Nov 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 information for child #2 did not include the complete addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #4, did not include an updated health report at least once every 6 months for a young toddler. The file included a current health report dated 04/01/2022 and the previous health report dated 04/06/2021.

Corrected Corrected by Sep 27, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1, a 3-year-old, included a record of the child's immunization status which lacked a 2nd Hep A immunization. The file for child #3, a 3-year-old, included a record of the child's immunization status which lacked an influenza immunization.

Corrected Corrected by Sep 27, 2022

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

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

The file for staff person #1 included a health assessment with tuberculosis screening results which were not completed prior to providing initial service (see LIS code sheet) in a child care setting; the health assessment on file was dated 08/25/2022.

Corrected Corrected by Nov 3, 2022

Category: ratio. Marked corrected in the state record.

3270.172(a) · Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

The emergency contact information for child #5 and #6 did not include written parental consent for transportation, child #5 and #6 were observed being transported by the facility.

Corrected Corrected by Sep 27, 2022

Category: transportation. 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).

The operator did not have a copy of the current insurance in the vehicle while providing transportation; the insurance information in the vehicle was valid from 02/02/2022 - 08/02/2022.

Corrected Corrected by Sep 27, 2022

Category: transportation. Marked corrected in the state record.

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

The facility emergency plan does not provide for accommodations for toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 11, 2022

Category: physical safety. 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 operator does not provide the parent of each child enrolled with information on how to access the regulations in Chapter 3270. Child Care Centers electronically and with instructions for contacting the Central regional child care office.

Corrected Corrected by Nov 11, 2022

Marked corrected in the state record.

3270.32(a) · 100124047 LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.

Facility person #1, a provisional hire, did not have the results of the NSOR clearance within 45 days of hire.

Corrected Corrected by Aug 15, 2022

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

3270.55(a)/3270.113(a)(1) · The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool childrenEach 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.

On 08/04/2022, observed a mixed age group of 2 young toddlers, 4 older toddlers and 5 preschool age children during naptime. Staff person #2 identified 2 older toddlers in their assigned group. Staff person #3 identified 2 young toddlers, 2 older toddlers in their assigned group. A staff person was not assigned to the 5 preschoolers napping in the room.

Corrected Corrected by Aug 4, 2022

Category: supervision. Marked corrected in the state record.

3270.33(a) · 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.

Continued deficiency, the facility has not hired a person to perform the duties as director of the facility whom meets staff qualifications for the position. Staff person #1 has been performing the duties as the director of the facility and does not meet the applicable staff qualifications for the position. Previously cited on 04/04/22 and 02/11/2022.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)/3270.34(b)(4) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

Continued deficiency- Staff person #1 has not attained 10 extra credits to qualify as a director in one of the qualification levels specified at 3270.34(b)(1). A qualified director has not been hired to perform all the duties as the center director. The transcript on file for staff person #1 did not include documentation of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field to qualify as the director. Previously cited on 04/04/2022 and 02/11/2022.

Corrected Corrected by Aug 29, 2022

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.

Continued deficiency- The facility does not have a director employed by the facility and a director is not present at the facility a minimum of 30 hours per week. A director has not been hired. Previously cited on 04/04/2022 and 02/11/2022.

Corrected Corrected by Aug 29, 2022

Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Corrected Corrected by Jun 14, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff person #1will have until 08/14/2022 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, primary staff person, or family child care home staff person) 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): (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children.

Corrected Corrected by Jun 21, 2022

Category: supervision. 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 document tests of the fire detection system every 30 days with the fire drill log. The last documented test of the fire detection system was 02/02/2022.

Corrected Corrected by Jun 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.33(a) · 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.

Staff person #1 has been performing the duties as the director of the facility and does not meet the applicable staff qualifications for the position.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)/3270.34(b)(4) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 4 years of experience with children.

The transcript on file for staff person #1 did not include documentation of 30 credit hours in early childhood education, child development, special education, elementary education or the human services field to qualify as the director.

Corrected Corrected by Jun 3, 2022

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.

The facility does not have a director employed by the facility and a director is not present at the facility a minimum of 30 hours per week.

Corrected Corrected by Jun 3, 2022

Marked corrected in the state record.

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

The file for staff person #1, did not include a copy of a transcript with the diploma to verify 30 credit hours in early childhood education, child development, special education, elementary education or the human services field. Continued noncompliance previously cited on 02/11/2022.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #3 did not include written consent by a parent for emergency medical care prior to admission.

Corrected Corrected by Mar 3, 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).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 & #2 may not work in a child care position at the facility.

On 02/11/2022, the clearances for staff person #1 were not updated every 60 months; the file contained a state police clearance dated 02/01/2017, a child abuse clearance dated 02/03/2017 and an FBI clearance dated 02/03/2017. The file for staff person #2, a provisional hire with a start date of 12/20/2021, did not have the results of the NSOR clearance within 45 days of hire. A copy of the request for the NSOR clearance on file was dated 09/23/2021 and a copy of an email requesting additional information on 09/29/2021 was on file. Staff person #2 was observed working at the facility on 02/11/2022..

Corrected Corrected by Mar 3, 2022

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

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

On 02/11/2022, observed a bottle of bleach on the bottom shelf of an unlocked cabinet located in the young toddler bathroom.

Corrected Corrected by Feb 11, 2022

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Observed the "Ladies" bathroom on the main floor had a swing lid which was cracked and the lid was missing.

Corrected Corrected by Mar 1, 2022

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On 02/11/2022, temperature reading of the thermometer located in the refrigerator located in the young toddler room was 60 ° F.

Corrected Corrected by Mar 3, 2022

Category: nutrition. 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 3, 2022

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 #1, #3 and #4 did not include the complete home address. The emergency contact information for child #2 and #3 did not include the work address or phone number.

Corrected Corrected by Mar 3, 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 information for child #1, #2 and #3 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 3, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 02/11/2022, emergency contact information was not present in the classrooms for the children receiving care in the space. The emergency contact information was in the director's office.

Corrected Corrected by Mar 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(d)/3270.172(c) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. Written parental consent for transportation and written parental instructions regarding treatment of a child's problem or special need that may require care during transportation shall be given to the operator or attendant of a vehicle transporting the child.

On 02/11/2022, observed emergency contact information with written consent for transportation was not in the vehicle with the operator for the children being transported.

Corrected Corrected by Mar 3, 2022

Category: transportation. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #3, a 3-year-old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #4, a 2-year-old, included a record of the child's immunization status which lacked an influenza immunization.

Corrected Corrected by Mar 3, 2022

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

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

On 02/11/2022, observed the trash can in the "Ladies" restroom on the second floor used to discard disposable diapers was not a hands free covered can; the trash can next to the changing table has a flip lid, which is not hands free.

Corrected Corrected by Mar 3, 2022

Category: health medication. 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.

On 02/11/2022, observed the van used to transport children did not have a first-aid kit.

Corrected Corrected by Mar 3, 2022

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

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

The file for staff person #3, did not include a copy of a transcript with the diploma to verify 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.

Corrected Corrected by Mar 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

On 02/24/2022, the operator was unable to locate a copy of the Occupancy Permit for the main floor school-age classroom. Each classroom has an individual Occupancy Permit and an Occupancy Permit was not posted for the Toddler, Preschool, or downstairs school-age classrooms.

Corrected Corrected by Mar 3, 2022

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.

On 02/11/2022, observed an annual emergency drill was not conducted within the previous year.

Corrected Corrected by Mar 3, 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.

On 02/11/2022, observed the operator did not maintain documentation of proof of purchase for the interconnected fire detection system or the battery operated smoke detectors.

Corrected Corrected by Mar 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

SECOND CITATION: observed the facility did not provide outdoor or indoor play space for large muscle activity. PREVIOUSLY CITED ON 09/23/2021.

Corrected Corrected by Feb 18, 2022

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 an open bag of ice melt and a bottle of Scrub Free One cleaner labeled "Keep out of Reach" in the lobby next to the sign in table, which were accessible to children. *Removed at the time of the inspection.

Corrected Corrected by Jan 11, 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.

SECOND CITATION: observed visible dirt on the walls in the hallway leading to the school-age room and in the school-age room. PREVIOUSLY CITED ON 09/23/2021

Corrected Corrected by Feb 18, 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.

Observed peeling paint on the ceilings located in the upstairs bathrooms and on the main level bathrooms.

Corrected Corrected by Feb 18, 2022

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

3270.92(a) · Portable space heaters are not permitted.

Observed 2 portable space heaters in the director's office, which are used to heat the office space. *Space heaters will removed at the time of the inspection.

Corrected Corrected by Jan 11, 2022

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

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

On 08/19/2021, observed a 5 month lapse in Liability Insurance. The current Liability Insurance is valid from 07/21/2021 - 07/21/2022 and the previous Liability insurance was valid from 02/06/2020 - 02/06/2021.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

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

On 08/19/2021, the file for staff person #1, #2, #3 and #4 contained documentation of Fire Safety training which was not completed annually. The most recent Fire Safety training for staff person #1, #2 and #4 was completed on 07/13/2021 with the previous documented training completed on 02/22/2019. The most recent Fire Safety training for staff person #3 was completed on 07/13/2021 with the previous documented training completed on 08/22/2019.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

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

On 08/19/2021, the file for staff person #2 included an PSP Clearance and a Child Abuse Clearance which was not updated at least once every 60 months. The current PSP Clearance was dated 12/28/2020 and the previous clearance was dated 02/26/2015. The current Child Abuse Clearance was dated 12/24/2020, the previous Child Abuse Clearance dated 09/25/2019 was for an Adult Member of Household and cannot be used for employment purposes, the one prior was dated 04/09/2014.

Corrected Corrected by Nov 11, 2021

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

3270.62(a) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

On 09/23/2021, observed the facility did not provide outdoor or indoor play space for large muscle activity. According to staff person #1, the children are playing on the sidewalk at the top of the steps leading to the facility entrance.

Corrected Corrected by Dec 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

On 09/23/2021, staff person #1 stated the children are playing on the sidewalk at the top of the steps leading to the facility entrance. The space does not provide a barrier to prevent the children from accessing the steps which lead to the street level.

Corrected Corrected by Sep 24, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.66(a)/3270.66(b) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

On 09/23/2021, observed an open bucket of Ice Melt, which was not labeled with it's contents, and a bucket labeled "Kilz" in an unlocked lower cabinet accessible to older toddlers in the toddler classroom on the second floor. When asked what was in the open bucket, staff person #1 stated it was ice melt. *Removed at the time of the inspection.

Corrected Corrected by Sep 23, 2021

Category: ratio. Marked corrected in the state record.

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

On 09/23/2021, observed the hot water temperature in the sinks of the 2 bathrooms located in the basement used by school- age children reached a temperature between 120° F - 130° F. The hot water temperature in the sinks of the girls bathroom on the second floor used by older toddlers and preschoolers reached a temperature of 115° F. The hot water temperature in the sink located in the bathroom in the young toddler reached a temperature of 120° F

Corrected Corrected by Nov 9, 2021

Category: physical safety. 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.

On 09/23/2021, observed visible dirt on the walls in the hallway leading to the school-age room and in the school-age room. The area had a stale musty order.

Corrected Corrected by Dec 22, 2021

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

On 09/23/2021, observed the chairs in the school-age classroom were sticky & tacky to the touch and had visible dirt. Observed a chair in the school-age classroom which was missing the "foot" on the metal leg. Observed a flat screen TV on a cabinet in the school-age classroom which was not anchored to prevent a tip hazard.

Corrected Corrected by Dec 22, 2021

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

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

On 08/19/2021, the agreement for child #1 and #3 was not signed by the parent.

Corrected Corrected by Nov 16, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

On 08/19/2021, the well child report for child #3, dated 02/12/2021, did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 8, 2021

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

On 08/19/2021, the file for child #2, a 2-year-old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #4, an 18-month-old, included a record of the child's immunization status which lacked a 4th dose of PCV13, a 1st dose of MMR, a 1st dose of Varicella and an influenza immunization.

Corrected Corrected by Nov 11, 2021

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.

On 08/19/2021, the health assessment for staff person #3 was not updated at least once every 24 months. The current health report on file was dated 07/06/2021 with the previous health repost dated 03/06/2019.

Corrected Corrected by Nov 11, 2021

Category: ratio. 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.

On 08/19/2021, observed documented fire drills were not being conducted at least once every 60 days. Fire Drills were documented on 03/01/2021, 05/05/2021 and 07/06/2021, which exceeded 60 days.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.