3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

While at the facility unannounced for the complaint investigation the inspector observed dead insects (yellow jackets) in the light fixtures as well as on the windowsills in the infant/toddler room. The inspector also observed a live insect (yellow jacket) on the window and sill while present. Staff #1 stated that they were aware of a nest located on the rear of the facility.

Corrected Corrected by Sep 25, 2025

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). TIERED LIS: 1. The required staff: child ratios must be maintained at all times. The correction date for this portion of the plan must be immediate. 2. The director must arrange for all staff to receive a minimum of 2 hours of training regarding the supervision of children. The director must obtain DHS approval of the training content prior to obtaining the training. The correction date for this portion of the plan should allow for all staff, including the director, to obtain the required training hours.

While at the facility unannounced the inspector observed one staff with three infants and eight young toddlers alone in the infant/toddler room.

Corrected Corrected by Nov 1, 2025

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.

While at the facility unannounced the inspector observed Lysol, Equate Sunblock out and within reach of children in the preschool room. The inspector also observed Johnsons and Johnsons baby powder out and within reach of children in the preschool bathroom. The inspector observed all-purpose joint compound, Valspar paint, and bulk antibacterial soap, out in the main hallway of the facility and within reach of children. All of these products have labels indicating that they need to be kept out of reach of children.

Corrected Corrected by Sep 23, 2025

Marked corrected in the state record.

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

While at the facility unannounced the inspector observed a spray bottle in the infant/toddler room missing a label specifying the contents.

Corrected Corrected by Sep 23, 2025

Category: ratio. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

While at the facility unannounced the inspector observed the door to the kitchen to be left open rendering the stove accessible to children.

Corrected Corrected by Sep 17, 2025

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. TIERED LIS: 1. Children must be supervised at all times. The plan of correction for this must be immediate. 2. The facility director will be required to submit a map of the placement of each nap mat and where each staff will be placed to ensure that children are in view of the staff at all times. The facility director must receive DHS approval of the nap map prior to utilizing it. The operator shall provide a date for when this requirement is completed.

While at the facility unannounced the inspector observed two preschool aged children in the preschool room asleep behind furniture and unable to be seen by the staff present.

Corrected Corrected by Sep 24, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

While at the facility unannounced the inspector observed an infant asleep in an electric swing in the infant/toddler room. The facility did not have documentation from a physician noting a medical reason for sleeping in a position other than the recommended position on file.

Corrected Corrected by Sep 17, 2025

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.

While at the facility unannounced the inspector observed a Diaper Genie being used for soiled diapers changing table in the infant/toddler room. The Diaper Genie cannot be used without the use of a person's hands.

Corrected Corrected by Sep 17, 2025

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

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

While at the facility unannounced the inspector observed the changing mat in the infant/toddler room to be cracked, exposing the foam below it, rendering it unable to be cleaned.

Corrected Corrected by Sep 17, 2025

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

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

While at the facility unannounced the inspector observed two unlabeled infant bottles in the infant/toddler room.

Corrected Corrected by Oct 1, 2025

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS 1. A facility person may not use harsh, demeaning or abusive language in the presence of children. The correction date for this portion of the plan must be immediate. 2. The director or legal entity must arrange for staff #1 to receive a minimum of 2 hours of training regarding appropriate communication with children. The legal entity or director must obtain DHS approval of the training content prior to obtaining the training. The correction date for this portion of the plan should allow sufficient time for staff #1 to obtain the required training hours.

During the course of the investigation staff #1 admitted to openly discussing someone needing to have "the psych ward "called on them. This comment was made to another staff in front of children receiving care.

Corrected Corrected by Jul 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and did not observe the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jun 11, 2025

Category: ratio. 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. 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 person(s) available to supervise staff person #1, staff person#1- may not work in a child-care position at the facility.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that they did not update their Pediatric first aid and CPR training. This is evidenced by the previous documented Pediatric first aid and CPR expiration date of 10/2024.

Corrected Corrected by Jun 11, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training is completed, staff person #2 must be supervised when interacting with children by an Assistant Group Supervisor who has completed the required training related to the citation. If there are no staff available to supervise staff Person #2, staff persons #2 may not work in a childcare position at the facility.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #2 and found that this staff did not complete the following required pre-service training within 90 days of their date of hire (see LIS Code Sheet) Pediatric First Aid and CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jul 17, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #3 may not work in a childcare position at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The correction date for this portion of the plan must be immediate. 2. The facility director and any other person(s) involved in the hiring of staff must arrange for and attend an Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office. To register for this required training, you must call the Northeast Regional Office at 1 800 222 2108.The correction date for this portion of the plan must coincide with the next Existing Provider Training which is being held on 8/6/25.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff has been working in direct care with children and does not have the required FBI clearance on file since DOH (See LIS Code Sheet for DOH). Staff #3 was also observed in direct care with children and did not the required NSOR clearance on file as is required (See LIS Code Sheet for DOH). As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Corrected Corrected by Aug 7, 2025

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.

While at the facility unannounced on 6/11/25 the inspector reviewed the file for staff #1 and found that this staff does not have a health assessment or a TB is working in direct care with children since hire (see LIS Code sheet for DOH).

Corrected Corrected by Jun 11, 2025

Category: ratio. 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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection occurred at the facility. At the time of the inspection, the facility provided a copy of their continuity of operations plan. The plan did not include the following: operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Dec 18, 2024

Category: ratio. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to complete pediatric first aid/CPR prior to their current certification expiring. Staff #6's pediatric first aid/CPR training expired on 7/26/24 and Staff #6 did not complete updated pediatric first aid/CPR training until 11/11/24.

Corrected Corrected by Nov 25, 2024

Category: ratio. 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in annual fire safety training. The following staff did not participate in annual fire safety training: Staff #2 (previous 9/22/23, current 10/24/24), Staff #3 (previous 7/12/23, current 10/24/24), Staff #4 (previous 7/12/23, current 10/24/24), Staff #5 (previous 7/12/23, current 10/24/24), Staff #6 (previous 7/12/23, current 10/24/24), Staff #7 (previous 7/12/23, current 10/24/24) and Staff #9 (previous 9/22/23, current 10/24/24).

Corrected Corrected by Nov 25, 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). 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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was not hired correctly as a provisional hire. Staff #1 did not receive the child abuse clearance until 10/16/24 and did not apply for an FBI clearance until 10/16/24. The CPSL requires the child abuse clearance to be obtained prior to working in child care and also requires staff to apply for the FBI clearance prior to working in child care. Staff #3 was not hired correctly as a provisional hire. Staff #3 did not apply for their FBI clearance until 1/31/23 and the NSOR until 2/6/23. The CPSL also requires staff to apply for the NSOR clearance prior to working in child care. Staff #8 was not hired correctly as a provisional hire. Staff #8 did not apply for their state police clearance until 10/8/24 and their NSOR clearance until 9/27/24. Staff #8 also did not complete a disclosure statement as required by the CPSL prior to working in child care. The CPSL also requires staff to apply for their state police clearance prior to working in child care. The CPSL requires staff to update their clearances every 60 months. Staff #4 did not update the following clearance at least every 60 months: Staff #4 state police clearance (previous 9/22/15, current 9/24/20).

Corrected Corrected by Nov 25, 2024

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

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

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #4 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/13/15. Staff #4 completed mandated reporter training on 2/6/20. The CPSL requires staff to update their mandated reporter training at least every 60 months.

Corrected Corrected by Feb 6, 2020

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.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires proof of education on a staff to be able to appropriately qualify a staff for a role in child care. The file of Staff #1 did not contain education documentation and Staff #1 was unable to be appropriately qualified as a staff person.

Corrected Corrected by Dec 17, 2024

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.

A renewal inspection occurred at the facility. A physical site review was conducted. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in the outdoor play area during this inspection.

Corrected Corrected by Dec 2, 2024

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

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

A renewal inspection occurred at the facility. A physical site review was conducted. Several outlets were missing protective receptacle covers throughout the facility. These areas were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Dec 10, 2024

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.

A renewal inspection occurred at the facility. A physical site review as conducted. Toxic cleaning and other toxic materials were found accessible to children throughout the facility. These items did indicate the need to keep out of the reach of children. Children were observed receiving care in the areas these toxic materials were accessible. These items were identified and addressed with the director at the time of the inspection. The items and areas addressed were as follows: DOE-PreK - hand sanitizer, abra cadabra, several items in the teacher's desk Hallway - Paint, 2 sodium chloride bags, hornet spray, sanitizer Kitchen with an open door - cleaning materials

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

A renewal inspection occurred at the facility. A physical site review was conducted. On the Toddler room's windowsill, several dead flies were observed. These areas were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Nov 25, 2024

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A renewal inspection occurred at the facility. A physical site review was conducted. The DOE-PreK room and the Infant room contained a garbage can that did not have a lid. Tissues, napkins and food wrapper waste were found in these garbage cans. These items were required to be contained in closed, plastic-lined receptables as required by regulation. These garbage cans were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Dec 18, 2024

Category: nutrition. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the first aid kits were accessible in the DOE-PreK and Older Toddler classrooms. Children were observed receiving care in those classrooms.

Corrected Corrected by Nov 25, 2024

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

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

A renewal inspection occurred at the facility. A physical site review was conducted. In the hallway, outside of the office, a light fixture was found to have come loose at one end and was hanging. This light fixture was identified and addressed with the director at the time of the inspection. The orange fencing in the outdoor play area, was not attached to the poles and contained holes that did not restrict the children from leaving the play area. On the other side of this fencing was a stream. There was a gap in the natural barrier behind the camper that led to a road and children were not restricted from leaving the area. The retractable fencing behind the camper covering the driveway did not cover the entire opening. This left a small area unrestricted from the children leaving the play area. On the other side of the camper and rear of the camper, the children were not restricted from leaving the play area and had access to the road. Between the building was a shed. In the shed was a lawn mower that was not restricted from the children. Also, in this area, two rusty chairs and broken toys were found. These items were no made inaccessible to children. Children were observed in the outdoor play area during this inspection.

Corrected Corrected by Nov 26, 2024

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

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

A renewal inspection occurred at the facility. A physical site review was conducted. The sink in the DOE-PreK room and sink in the bathroom located in the office were missing a handwashing signs. These areas were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Nov 25, 2024

Category: health medication. 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.

A renewal inspection occurred at the facility. A physical site review was conducted. In the Toddler room, several nap mats were observed torn with the inside foam exposed. These mats were not in good repair and could not be appropriate cleaned. These mats were identified and addressed with the director at the time of the inspection.

Corrected Corrected by Nov 25, 2024

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

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection occurred at the facility. A review of the facility's handbook was conducted. The facility did not have listed in the handbook, as required by regulation, supervision policies, dismissal policies and transportation and pick up arrangements.

Corrected Corrected by Dec 3, 2024

Category: supervision. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires an agreement form to be signed by the parent. Child #2 did not have a signed agreement form by the parent in the file.

Corrected Corrected by Dec 3, 2024

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).

A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the child's enrollment date. Regulation requires a child service report to be completed on children every 6 months. Child # 4 has not had a child service report completed since the date of enrollment. Child #4 has been enrolled for over 6 months requiring the need for a child service report.

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires a child's file to contain their arrival and departure times. The following children's files were missing their arrival and departure times: Child #2 and #4.

Corrected Corrected by Dec 3, 2024

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.

A renewal inspection occurred at the facility. A review of children's files was conducted. Regulation requires the address of the listed release person to be included in a child's file. The following children's files were missing the address of the listed release person: Child #2 and #5.

Corrected Corrected by Dec 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A physical site review was conducted. At the time of the inspection, the facilities emergency medical transportation plan was not posted in any child care space as required by regulation.

Corrected Corrected by Dec 3, 2024

Category: transportation. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

A renewal inspection was conducted at the facility. A physical site review was conducted. In the DOE-PreK room, five medications were found with a manufacturers label that listed an expired date.

Corrected Corrected by Nov 25, 2024

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

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

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a health assessment prior to working in child care. Staff #1 did not obtain a health assessment until 10/23/24. This health assessment was obtained after Staff #1 began working in child care. Regulation requires staff to update their health assessment at least every 24 months. The following staff did not update their health assessment at least every 24 months: Staff #6 (previous 6/30/22, current 8/23/24) and Staff #7 (previous 11/7/22, no update).

Corrected Corrected by Dec 27, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to obtain a tuberculosis screening prior to working in child care. Staff #1 did not obtain a tuberculosis screening until 10/23/24. This tuberculosis screening was obtained after Staff #1 began working in child care.

Corrected Corrected by Nov 25, 2024

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

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank. As of 11/6/23, DEP is still waiting on additional information from the system as they made changes to what had been approved. The facility is still required to be under a Boil Water Advisory until they verify that all components meet Department standards, special bacteria sampling is conducted, results provided to the Department, the Department approves the lifting of the BWA, and the system is provided an operations approval letter for the modifications made to the system.

Corrected Corrected by Nov 6, 2023

Category: supervision. Marked corrected in the state record.

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank. As of 11/6/23, DEP is still waiting on additional information from the system as they made changes to what had been approved. The facility is still required to be under a Boil Water Advisory until they verify that all components meet Department standards, special bacteria sampling is conducted, results provided to the Department, the Department approves the lifting of the BWA, and the system is provided an operations approval letter for the modifications made to the system.

Corrected Corrected by May 1, 2024

Category: supervision. 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.

Facility person #5 is missing proof of education.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Operator has not conducted an annual emergency drill.

Corrected Corrected by Oct 20, 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. Facility person #1 has until 11/3/23 to complete the required 1 hour health and safety update.

Facility person #1 did not complete the required health and safety training update by 12/30/22. Facility person #2 completed the training on 9/15/23. Facility person #3 completed the training on 8/10/23.

Corrected Corrected by Oct 19, 2023

Category: ratio. 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.

Facility person #3 completed the required health and safety training on 7/1/22 and facility person #4 completed the required health and safety training on 4/30/23 which exceeds the requirement of completing the health and safety training within 90 days of hire.

Corrected Corrected by Oct 19, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Facility person #4 has a child abuse clearance dated 11/9/22, and FBI clearance dated 11/10/22 and an NSOR clearance dated 11/8/22 which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #6 has a state police clearance dated 9/26/23, a child abuse clearance dated 10/16/23 and an FBI clearance dated 10/13/23, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children. Facility person #7 has a state police clearance dated 9/21/23, a child abuse clearance dated 9/25/23, an NSOR clearance dated 9/18/23 and missing proof of FBI fingerprinting and clearance, which exceeds the requirements of requesting and/or obtaining clearances prior to working with children.

Corrected Corrected by Oct 19, 2023

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

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Facility person #3 has an initial health assessment and TB test dated 5/26/22, which exceeds the requirement of obtaining an initial health assessment prior to working with children. Facility person #4 has an initial health assessment and TB test dated 11/7/22, which exceeds the requirement of obtaining and initial health assessment prior to working with children. Facility person #5 & 6 do not have an initial health assessment and TB test on file. Facility person #7 has an initial health assessment and TB test dated 10/16/23, which exceeds the requirement of obtaining an initial health assessment prior to working with children.

Corrected Corrected by Nov 3, 2023

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

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank.

Corrected Corrected by Nov 3, 2023

Category: supervision. Marked corrected in the state record.

3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first. The provider submitted an acceptable plan of correction with a correction date of 10/5/23. As of the renewal date of 10/19/23 this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2). A contractor completed the well tank, although DEP did not approve the tank used, contractor replaced the tank and is not awaiting DEP's approval of the completed well tank.

Corrected Corrected by Oct 19, 2023

Category: supervision. 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.

Child #4 is missing signed parental consent for emergency medical care.

Corrected Corrected by Nov 3, 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.

Child #1, 2 & 3 are missing updated emergency contact information and financial agreements.

Corrected Corrected by Nov 3, 2023

Category: recordkeeping. 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.

Facility person #1 has an expired health assessment dated 9/28/20.

Corrected Corrected by Oct 23, 2023

Category: ratio. Marked corrected in the state record.

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

Child #4 is missing signed parental consent for administration of minor first-aid.

Corrected Corrected by Nov 3, 2023

Category: ratio. Marked corrected in the state record.

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

Operator has not sent an annual copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency, 9/1/22 was the most previous updated plan sent.

Corrected Corrected by Oct 20, 2023

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

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

Child #3 is missing an initial health assessment.

Corrected Corrected by Nov 3, 2023

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

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first.

Corrected Corrected by Oct 5, 2023

Category: supervision. Marked corrected in the state record.

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department. On 4/27/23 Cert Rep confirmed with the sanitarian supervisor that the plans are still under review by the department's technical services section. The sanitarian supervisor stated the facility will not be incompliance for some time as construction approval needs to be granted first.

Corrected Corrected by May 4, 2023

Category: supervision. Marked corrected in the state record.

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department.

Corrected Corrected by May 4, 2023

Category: supervision. Marked corrected in the state record.

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Facility shall provide safe and adequate drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Boil Water Advisory shall remain in effect until it is lifted by DEP. The operator shall take all necessary appropriate measures to prevent consumption of water from Anne McLaughlins Child Care water system until the Water Boil Advisory is lifted.

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval. On 3/20/23 Cert Rep confirmed with the sanitarian supervisor from DEP that the legal entity is still not in compliance with the Pennsylvania Safe Drinking Water Act. The plans are currently under review with DEP's engineering department.

Corrected Corrected by Mar 20, 2023

Category: supervision. Marked corrected in the state record.

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility was previously cited on 8/8/30/22 for violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), During a verification visit on 11/3/22, Legal Entity stated the violation has not been corrected. Cert Rep had phone conversation on 11/7/22 it was confirmed with the legal entity that the facility is still not in compliance with the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17). Legal Entity stated she has a contractor who is drawing up the plans to submit to DEP for approval.

Corrected Corrected by Mar 17, 2023

Category: ratio. 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.

Staff person #1, 2, 3, 5, & 7 do not have proof of 12 annual training hours of child care training.

Corrected Corrected by Sep 8, 2022

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. Child Care Providers must ensure that federal requirements at 45 CFR 98.41 (a)(1)(vi). All DHS Certified Child Care Providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

The facility does not have a policy in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Aug 30, 2022

Category: ratio. Marked corrected in the state record.

3270.21/3270.69(a) · Conditions at the facility may not pose a threat to the health or safety of the children.A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility was issued violations on 2/1/22 from the Department of Environmental Protection Bureau of Safe Drinking Water relating to water filtration. As of the renewal date of 8/30/2022, this inspection will still have outstanding violations that include C1A-25 PA Code, 109.602, B6A-25 PA Code, 109.4, A2A-25 PA Code, 109.4(2), C1D-25 PA Code, 109.606. The facility is currently not in compliance with the Safe Water Drinking Act.

Corrected Corrected by Nov 4, 2022

Category: ratio. Marked corrected in the state record.

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

The facility's emergency plan has not been reviewed and or updated since 2019.

Corrected Corrected by Aug 30, 2022

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 #4 completed the required health and safety training on 5/11/22, this exceeds the required completion within 90 days of hire.

Corrected Corrected by Aug 30, 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 # 2, 3, 4, 6, & 7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff #2 does not have an FBI clearance on file. Staff #3 does not have a complete state police clearance on file. Staff #4 does not have an FBI clearance on file. Staff #6 does not have a signed disclosure, and FBI clearance on file. Staff #7 has an expired state police clearance dated 4/5/17, an expired child abuse clearance dated 4/14/17, and is missing an FBI clearance.

Corrected Corrected by Oct 7, 2022

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

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

There is peeling paint under the window in the Pre K room. There is also peeling paint on the the purple wall near the Pre K Counts classroom door.

Corrected Corrected by Sep 9, 2022

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

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

Child #1, 3 & 4 are missing the operator's signature.

Corrected Corrected by Sep 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #1, 3 & 4 are missing the child's date of admission.

Corrected Corrected by Sep 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #2 is missing the address and telephone number of the child's physician.

Corrected Corrected by Sep 8, 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.

Child #1, 2 & 3 are missing work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Sep 8, 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.

Child #2 is missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. 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.

Staff #4 & 6 are missing their initial health assessment.

Corrected Corrected by Sep 8, 2022

Category: ratio. Marked corrected in the state record.

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

Child #2, 3 & 4 do not have updated emergency contact and financial agreements on file.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Staff #5 does not have proof of education on file.

Corrected Corrected by Aug 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Staff #4 & 5 are missing two written nonfamily references.

Corrected Corrected by Sep 8, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility has not conducted an annual emergency drill.

Corrected Corrected by Sep 8, 2022

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.

Cert Rep observed that the fire system was tested on 5/9/22 and then again on 6/16/22 which is a span of 38 days, the fire system was also tested on 6/16/22 and then again on 7/27/22 which is a span of 41 days which exceeds the requirement of testing every 30 days.

Corrected Corrected by Aug 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

Child #1 & 3 are missing an initial health assessment.

Corrected Corrected by Sep 6, 2022

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

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

The facility has not notified the local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Sep 22, 2022

Marked corrected in the state record.

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

Facility person #1 admitted that on 5/3/22 she grabbed child #1's ponytail as the child was trying to exit the building. According to facility #1 the child was trying to run after the parent as the parent was leaving. Facility person #1 said that she was unable to catch up with the child so she grabbed the child by her hair, which was in a ponytail, to prevent her from exiting the building.

Corrected Corrected by Jun 28, 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 persons #1 and #2 and #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 #1, #2 and #3, staff persons #1, #2 and #3 may not work in a child-care position at the facility.

Facility person #1 has worked at the facility for more than 90 days and does not have pediatric first-aid and CPR certification or health and safety training . Facility person #1 also has mandated reporter training on file that is over 60 months old. Facility person #2 does not have pediatric first-aid and CPR certification on file and has worked at the facility for more than 90 days. Facility persons #1 and #2 were observed in the preschool room on 5/6/22 supervising preschool children for a short period of time and were not being supervised by a qualified staff person. Facility person #3 has been at the facility for less than 90 days and has not completed the health and safety training. Cert rep observed facility person #3 watching a group of 5 toddlers without another qualifying staff present during nap-time.

Corrected Corrected by Jul 9, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff persons #1 and 2 will have until 7/9/22 to complete the required training. Until such time as the required training has been completed, staff persons #1 and 2 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Facility person #1 must complete the 10 hour health and safety training titled Building Blocks for Quality Care in a Child Care Centers, an approved Pediatric First-Aid and CPR Certification Course with a PQAS certified instructor and Mandated Reporter Training. Facility person #2 must take an approved Pediatric First-Aid and CPR Certification Course with a PQAS certified instructor.

Corrected Corrected by Jul 9, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person/facility person/volunteer #1 will have until 7/9/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher 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.

Facility person #1 has mandated reporter training on file that is over 60 months old

Corrected Corrected by Jul 9, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services. Facility Person #1 may not work in a child care position at the facility until all required clearances are on file.

During an unannounced complaint visit to facility on 5/6/22 facility person #3 asked facility person #1 to fill in for her in the preschool room with facility person #2 to maintain ratios in the preschool room. Facility person #1 has PA child abuse, PA criminal and FBI clearances on file from 2015. These clearances are beyond 60 months old.

Corrected Corrected by Jul 9, 2022

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

Facility person #1 does not have a completed file and has only clearances on file that are over 60 months old.

Corrected Corrected by Jul 9, 2022

Category: background checks. 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 until all required acceptable clearances are on file.

Facility person #1 has a child abuse clearance on file dated 8/17/16 and is over 60 months. Facility person #2 has a date of hire listed as 4/5/17 and does not have mandated reporter training on file.

Corrected Corrected by Oct 21, 2021

Category: background checks. 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.

The orange fencing located in the outdoor play area has fallen down in some areas and does not go far enough to keep the children away from the brush and the small stream that runs behind the building.

Corrected Corrected by Nov 4, 2021

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.

There is a spray can of disinfectant spray on the shelf on top of the cubbies located in the Pre-K / School-age room. There is a container of air freshener and a spray bottle of Woolite Rug Cleaner located in the unlocked blue cabinet in the Pre-K / School-age Room. There is a gallon of sanitizing solution located on the floor in the hallway by the main office. The is a spray can of Raid located on the radiator by the rear exit to the play yard. There is a container of hand sanitizer located on the play table in Preschool I. There is a can of air freshener and a spray adhesive located in the unlocked cabinet in Preschool I.

Corrected Corrected by Oct 21, 2021

Marked corrected in the state record.

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

There is a broken ceramic tile located on the tile counter located in the Pre-K / school-age room.

Corrected Corrected by Nov 4, 2021

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

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There are areas of chipped paint located on the yellow cabinet located in the toddler room. There are areas of chipped paint located on the round black table located in the toddler room.

Corrected Corrected by Nov 4, 2021

Category: physical safety. 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.

There are plastic bags and rubber gloves accessible to children in the unlocked cabinet underneath the changing table in the toddler bathroom

Corrected Corrected by Oct 21, 2021

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.

Facility person #2 has a date of hire listed as 4/5/17 and does not have documentation on file to verify that the required health and safety course (Building Blocks for Quality for Child Care Centers) has been completed. This course is required to be completed within 90 days from date of hire.

Corrected Corrected by Nov 4, 2021

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