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.

During the review of the new staff files, staff person #2's file did not contain verification of Emergency Plan training within the first 90 days of hire.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. 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.

During the review of the new staff files, staff person #1's file did not contain a Child Abuse clearance, a FBI clearance, nor a NSOR clearance. During the review of the new staff files, staff person #2's file contained a FBI clearance (dated 11/4/24) and a NSOR clearance (dated 11/8/24) that were late in obtaining (see LIS code sheet).

Corrected Corrected by May 30, 2025

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

3270.192(3) · 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.

During the review of the new staff files, staff person #2's file contained a Health Assessment that was late in obtaining, dated 11/12/24 (see LIS code sheet).

Corrected Corrected by Jun 3, 2025

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

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

During the review of the new staff files, staff person #1 and staff person #2's files contained only 1 written reference.

Corrected Corrected by May 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2 will have until June 14, 2025, to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a childcare position at the facility.

Staff person #2 has not completed the following required preservice training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #2's file contained verification of completing a course that was not PQAS approved nor provided by a PQAS approved instructor.

Corrected Corrected by Jun 3, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Child #1 was on the changing table to get his diaper changed. Staff member #1 was searching through/messing with the tubs on the side of the changing table that contained the children's diapers and such. Child #1 rolled off the changing table and fell to the floor, suffering a swollen right eye.

Corrected Corrected by Sep 30, 2024

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.

During review of paperwork, there was documentation of testing of the fire detection devices/smoke alarms.

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the review of the children's files, child #1 and child #2's files did not contain updated health assessments.

Corrected Corrected by Aug 5, 2024

Category: health medication. 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.

During review of the staff files, staff person #1, staff person #2 and staff person #3's files did not contain verification of child care experience.

Corrected Corrected by Aug 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · 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.

During review of the staff files, staff person #3's file did not contain verification of education.

Corrected Corrected by Aug 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the review of the fire drill log, there was no documentation of drills that were held from August 2023 to 6/21/24.

Corrected Corrected by Jul 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). Facility Person #2 may not work in a childcare 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 #2 may not work in a childcare position at the facility.

In reviewing of staff files, the file for staff person #2 did not contain an updated PA State Police clearance, Child Abuse clearance, or FBI clearance. The clearances contained in the file were more than 60 months old (PA State Police clearance dated 7/31/17, Child Abuse clearance dated 7/31/23, and FBI clearance dated 8/3/17).

Corrected Corrected by Jul 31, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare 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 #1 may not work in a childcare position at the facility.

In reviewing of staff files, the file of staff person #1 did not contain an updated PA State Police clearance or an updated FBI clearance. Clearances contained in the file were more than 60 months old (PA State Police clearance dated 5/17/18 and FBI clearance dated 5/23/18).

Corrected Corrected by Jul 20, 2023

Category: background checks. 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.

During the physical site inspection in the girls' bathroom area, cleaning supplies were observed stored above the children's diapers.

Corrected Corrected by Jul 31, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #1 and staff person #2 will have until 9/16/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 and staff person #2 must be supervised when interacting with children by an AGS who has completed the required training related to to this citation. If there are no staff available to supervise staff person #1 and staff person #2, staff person #1 and staff person #2 may not work in a child care position at the facility.

Staff person #1 and staff person #2, have not completed the following required preservice training within 90 days of their date of hire: Health and Safety topics 1-9.

Corrected Corrected by Aug 16, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #3 will have until 9/16/2022 to complete the required training. Until such time as the required training has been 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 available to supervise staff person #3, staff person #3 may not work in a child care position at the facility.

Staff person #3 has not completed the following required preservice training within 90 days of their date of hire: Health and Safety topics including Pediatric First Aid/CPR from a PQAS-approved trainer and PQAS-approved curriculum.

Corrected Corrected by Aug 18, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #4 and staff person #5 will have until 9/16/2022 to complete the required training. Until such time as the required training has been completed, staff person #4 and staff person #5 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 and staff person #5, staff person #4 and staff person #5 may not work in a child care position at the facility.

Staff person #4 and staff person #5 have not completed the following required preservice training within 90 days of their date of hire: Pediatric First Aid/CPR from a PQAS-approved trainer and PQAS-approved curriculum.

Corrected Corrected by Aug 18, 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). All clearances for new employees must be obtained and contained in their file within the first 45 days of hire.

In reviewing of the staff files, staff person #1's file contained a NSOR clearance that was dated past the 45 day provisional period and staff person #1 had not been suspended from employment of her child care position until appropriate clearances were obtained.

Corrected Corrected by Aug 15, 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). All clearances for new employees must be obtained and contained in their file within the first 45 days of hire.

In reviewing of the staff files, staff person #2's file contained NSOR and FBI clearances that were dated past the 45 day provisional period and staff person #2 had not been suspended from employment of her child care position until the appropriate clearances were obtained.

Corrected Corrected by Aug 8, 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.

During the physical site inspection in the preschool outside play area, protruding bolts were observed on the fencing.

Corrected Corrected by Aug 10, 2022

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.

During the physical site inspection in the preschool outside play area, splintering wood was observed on the climber/slide play equipment.

Corrected Corrected by Aug 29, 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.

During the physical site inspection in the preschool outside play area, peeling paint was observed on the climber/slide play equipment.

Corrected Corrected by Aug 5, 2022

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

3270.114 · Weather permitting, children shall be taken out doors daily.

During the physical site inspection, it was noted that the younger and older toddlers were not taken outside and staff confirmed that the children are not being taken outside daily.

Corrected Corrected by Aug 5, 2022

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

3270.102(e)/3270.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

During the inspection, the young toddlers were observed on the Preschool playground which is covered with rubber mulch that is less than 1 inch in diameter and a choking hazard for these children.

Corrected Corrected by Sep 30, 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.

During the physical site inspection in the boys bathroom, rust and peeling paint were observed on the bottom of the stall dividers.

Corrected Corrected by Sep 4, 2021

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

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

While reviewing paperwork, it was noted that fire drills were not completed every 60 days.

Corrected Corrected by Aug 30, 2021

Category: physical safety. 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.

In reviewing of staff files, staff person #2 and staff person #3 did not have documentation of Emergency Plan training at the time of initial employment.

Corrected Corrected by Sep 14, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

In reviewing of staff files, staff person #1 and staff person #3 did not have documentation of completing Health and Safety training.

Corrected Corrected by Sep 27, 2021

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.

During the physical site inspection, there was not a thermometer present in the refrigerator in the infant room.

Corrected Corrected by Aug 25, 2021

Category: nutrition. 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.

During the physical site inspection, there was a backpack observed on top of the cubbies that contained over-the-counter medication (cough and pain medications) that was accessible to children present in care. (The mother of the child whose backpack this was is employed at the center and removed the medication while this representative was present and placed it out of the children's reach in her care space.)

Corrected Corrected by Aug 23, 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.

While reviewing staff files, staff person #3's file did not contain documentation of a Health Assessment.

Corrected Corrected by Sep 16, 2021

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.

While reviewing staff files, staff person's #3's file did not contain documentation of a TB test.

Corrected Corrected by Sep 16, 2021

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.

While reviewing staff files, staff person #3's file did not contain verification of child care experience, education and training.

Corrected Corrected by Sep 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(iv) · 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.

While reviewing the staff files, staff person #3's file did not contain documentation of education (no transcript or diploma).

Corrected Corrected by Sep 8, 2021

Category: recordkeeping. Marked corrected in the state record.