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

A written plan of daily activities was not posted in the group space.

Corrected Corrected by May 23, 2025

Category: physical safety. 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 or located, staff person #3 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. The file for Staff person #3 lacked verification that they had completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR training in an approved curriculum and the required Health and Safety trainings.

Corrected Corrected by May 23, 2025

Category: supervision. 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 lacked verification that the emergency plan had been reviewed and updated as needed within the last 12 months.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Persons #5 and #6 lacked verification that they had received emergency plan training within 90 days of starting at the facility. The files for Staff Persons #1, #2, #3 and #4 lacked verification that they had received emergency plan training within the last 12 months.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The current Pediatric First Aid and CPR training on file for Staff Person #4 was completed on 11.12.24. The prior certification expired on 10.31.24. This resulted in the training not being renewed on or before the expiration.

Corrected Corrected by May 23, 2025

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.

The updates to the annual fire safety trainings on file for Staff Person #1 exceeded 12 months. This is evidenced by fire safety trainings dated 5.15.23 and 6.25.24. The files for Staff Persons #3 and #4 lacked verification that they had completed annual fire safety training within the last 12 months. The most recent fire safety training on file for Staff Person #3 was dated 2.15.24 and the most recent fire safety training on file for Staff Person #4 was dated 5.8.23.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The updates to the health reports on file for Child #1, a preschool age child, exceeded 12 months between reports dated 1.2.24 and 2.3.25.

Corrected Corrected by May 26, 2025

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

3270.31(f) · Staff persons will complete professional development within 90 days of hire as listed in subsections (f)1-10. Verification of health and safety training completion will be obtained for Staff Person #3. If the training verification cannot be obtained and until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

The file for Staff person #3 lacked verification that they had completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): required health and safety training requirements and pediatric first aid and CPR in an approved curriculum.

Corrected Corrected by May 23, 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). Facility Person #6 may not work in a child care position at the facility.

The file for Staff Person #6 lacked a signed disclosure statement and a PA Child Abuse Clearance for employment purposes. The PA Child Abuse Clearance on file was completed for Volunteer purposes and not acceptable for employment in a child care facility. The Mandated Reporter training on file for Staff Person #6 was not completed within 90 days of starting at the facility. The Mandated Reporter training on file was completed 135 days after starting at the facility.

Corrected Corrected by May 23, 2025

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

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

The file for Staff Person #6 lacked verification of education and experience to qualify them for a position at the facility. The file for Staff Person #3 lacked verification of experience.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At approximately 9:36am, Staff Person #2 answered the front door to allow Cert Rep entrance to the facility and then returned to the Basement Classroom C. Staff Person #4 was observed to be in the Basement Classroom C with 11 preschool age children. The Staff:Child ratio is 1:10 which resulted in Staff Person #4 being noncompliant with ratio requirements when Staff Person #2 left the classroom to answer the front door.

Corrected Corrected by May 23, 2025

Category: ratio. Marked corrected in the state record.

3270.61(h)(2)(ii) · When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities.

At approximately 9:38am, 11 preschool age children were observed to be participating in Circle Time in the Basement C Classroom. The space has a measured capacity of 7 children. The facility's schedule of daily activities did not designate the over capacity for the program activity.

Corrected Corrected by May 23, 2025

Category: ratio. 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.

A bottle of bleach was observed on the counter with bagged Teddy Grahams, Crackers and Cereal in the storage area next to the Basement C Classroom.

Corrected Corrected by May 23, 2025

Category: ratio. Marked corrected in the state record.

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

The hot water in the Basement C Classroom was measured at 117° F and the hot water in the upstairs restroom was measured at 120° F.

Corrected Corrected by May 23, 2025

Category: physical safety. 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.

Baseboard radiators in the Basement A and Basement B Classrooms were missing protective guards allowing access to the heating coils. The coils in Basement A were measured at 165.4° F and the coils in Basement B were measured at 172.3° F.

Corrected Corrected by May 23, 2025

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

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Two of the windows in the Preschool Classroom (upstairs) are located above the ground floor. The window restrictions were not engaged which allowed the windows to open more than 6 inches.

Corrected Corrected by May 23, 2025

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were missing from the telephone in the Multipurpose Classroom.

Corrected Corrected by May 23, 2025

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kits in the Basement C and Multipurpose Classrooms were missing tweezers.

Corrected Corrected by May 23, 2025

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.

The fence surrounding the outdoor play space was observed to be disconnected from the top railing on the right side and from the top railing and supporting middle post on the left side. The children were observed to bounce themselves off of the fencing on the left side causing it to significantly bow out from the play space.

Corrected Corrected by May 23, 2025

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

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

The files for Children #1, #3 and #4 lacked developmental assessments. The children have exceeded 6 months since their enrollment at the facility (refer to LIS code sheet).

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Children #1, #2, #3 and #5 were observed to contain original agreements.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for Child #2 lacked the health insurance coverage and policy number information for the child.

Corrected Corrected by May 23, 2025

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

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

The emergency contact form on file for Child #2 lacked the complete addresses for 3 of the release persons listed. The emergency contact form on file for Child #4 lacked the complete addresses for 2 of the release persons listed.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact forms were not present in the Basement B, Toddler or Multipurpose classrooms. Children were observed to be receiving care in these spaces at the time of the inspection.

Corrected Corrected by May 23, 2025

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.

The written emergency transportation plan was not posted in the Toddler, Multipurpose or Infant Classrooms.

Corrected Corrected by May 23, 2025

Category: transportation. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed from care at the close of business on 5.14.25.

The file for Child #3 lacked verification that they had received the ACIP recommended MMR vaccination. A written exemption was not on file at the time of the inspection.

Corrected Corrected by May 23, 2025

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

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

The files for Staff Person's #2, #3 and #4 lacked updated health reports that had been completed within the last 24 months. The most recent health reports on file were dated 11.2.22 for Staff Person #2, 6.30.22 for Staff Person #3 and 10.23.22 for Staff Person #4.

Corrected Corrected by May 28, 2025

Category: ratio. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A written feeding schedule was missing for an infant receiving care in the Toddler Classroom.

Corrected Corrected by May 23, 2025

Category: nutrition. Marked corrected in the state record.

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

An unlabeled bottle, intended for an infant in care, was observed in the Toddler Classroom.

Corrected Corrected by May 23, 2025

Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes was not posted in a conspicuous location at the facility.

Corrected Corrected by May 30, 2025

Marked corrected in the state record.

3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

The filing cabinet in the storage area next to the Basement C Classroom was observed to contain the child files. The filing cabinet was unlocked, allowing access to the child files.

Corrected Corrected by May 26, 2025

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 lacked verification that they had completed an annual emergency drill within the last 12 months. The most recent emergency drill was dated 4.30.24.

Corrected Corrected by May 26, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #2 lacked verification of 7.5 of their 12 hours of child care training in their respective training year of 11.2023 and 11.2024. The file for Staff Person #3 lacked verification of 9 of their 12 hours of child care training in their respective training year of 7.2023 and 7.2024.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health report on file for Child #5 was dated 66 days after their enrollment date at the facility.

Corrected Corrected by May 23, 2025

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

3270.61(h) · ** Operator will post the capacities in a conspicuous location in each classroom.

** At approximately 3:46pm Staff Person #1 was observed to be caring for 10 preschool age children in the Basement A classroom. The classroom has a measured capacity of 3 children. SECOND CITATION. FACILITY PREVIOUSLY CITED ON 12.17.24.

Corrected Corrected by Mar 3, 2025

Category: ratio. Marked corrected in the state record.

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

* At approximately 3:46pm Staff Person #1 was observed to be caring for 10 preschool age children in the Basement A classroom. The classroom has a measured capacity of 3 children. SECOND CITATION. FACILITY PREVIOUSLY CITED ON 12.17.24.

Corrected Corrected by Mar 3, 2025

Category: ratio. Marked corrected in the state record.

3270.61(h) · *** The Operator will establish a written plan to address how the facility will manage capacities in the classrooms going forward. The plan will be reviewed with all staff. Verification that the written plan has been reviewed with all Staff will be maintained on file at the facility.

*** At approximately 3:46pm Staff Person #1 was observed to be caring for 10 preschool age children in the Basement A classroom. The classroom has a measured capacity of 3 children. SECOND CITATION. FACILITY PREVIOUSLY CITED ON 12.17.24.

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

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

Based upon interviews with Staff at the time of a complaint investigation it was reported that on two separate occasions, in May and December of 2024, a Staff Person was not present outside the facility as children were released from the school bus onto the facility premises. As a result the requirements for the staff:child ratio would not have been in compliance.

Corrected Corrected by Mar 3, 2025

Category: ratio. 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.

* Based upon interviews with Staff at the time of a complaint investigation it was reported that on two separate occasions, in May and December of 2024, a Staff Person was not present outside the facility as children were released from the school bus onto the facility premises. This resulted in a lack of supervision during the time the children exited the bus onto the facility premises until they entered the facility.

Corrected Corrected by Mar 3, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a) · ** Operator will establish a notification system to alert staff that school age children will be arriving to ensure that a Staff Person is present outside prior to the children's arrival. The notification system should be consistent among all staff on a day-to-day basis.

** Based upon interviews with Staff at the time of a complaint investigation it was reported that on two separate occasions, in May and December of 2024, a Staff Person was not present outside the facility as children were released from the school bus onto the facility premises. This resulted in a lack of supervision during the time the children exited the bus onto the facility premises until they entered the facility.

Corrected Corrected by Mar 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.

Based upon interviews with Staff at the time of a complaint investigation it was reported that on two separate occasions, in May and December of 2024, a Staff Person was not present outside the facility as children were released from the school bus onto the facility premises. As a result, a Staff Person was not physically present with the children from the time they exited the school bus onto the facility premises until the entered the facility.

Corrected Corrected by Mar 3, 2025

Category: supervision. Marked corrected in the state record.

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

At approximately 10:56am Staff Person #1 was observed to be caring for a mixed age group of 6 children. Staff Person #1 identified the children's ages as 1 infant, 2 young toddlers, 2 older toddlers and 1 preschooler. The staff:child ratio for the mixed age group was 1:4 as the youngest child was an infant.

Corrected Corrected by Dec 17, 2024

Category: ratio. Marked corrected in the state record.

3270.61(h)/3270.61(h)(3)(ii) · The capacity established for an indoor space may not be exceeded. When the capacity of a space is exceeded while children are eating, the meal time shall be designated on the facility's schedule of daily activities.

At approximately 11:15 Staff Person's #1 and #2 were observed in the Multipurpose Room with a mixed age group of 7 children. This included 1 infant, 2 young toddlers, 2 older toddler and 2 preschool age children. The Multipurpose Room has a measured capacity of 4. The meal time was not designated on a daily activity schedule in the classroom.

Corrected Corrected by Jan 13, 2025

Category: ratio. Marked corrected in the state record.

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

The designated Director for the child care center is not present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Dec 1, 2024

Marked corrected in the state record.

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

In the Young Toddler Classroom an infant was observed to sleeping in a pack and play with a loose-fitting sheet. This posed a risk to the child.

Corrected Corrected by Nov 7, 2024

Category: health medication. 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 and #2 may not work in a child care position at the facility.

The file for Staff Person #1 lacked a completed PA Child Abuse Clearance prior to starting at the facility. The file for Staff Person #1 also lacked a completed NSOR Certificate and they have exceeded 45 days since starting in a child care position (refer to LIS Code Sheet). The file for Staff Person #2 lacked a completed FBI Clearance or a request for their FBI Clearance prior to starting at the facility. The file for Staff Person #2 also lacked verification that they had requested their NSOR Certificate prior to starting at the facility. The NSOR request was dated 21 days after starting at the facility (refer to LIS Code Sheet). The disclosure statements on file for Staff Person's #1 and #2 lacked a date of signature to verify it has been completed upon hire.

Corrected Corrected by Nov 7, 2024

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

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

The file for Staff Person #1, who was reported to be an Assistant Group Supervisor, lacked 2500 hours of child care experience to qualify them for the position. The file for Staff Person #2, who was reported to be a Group Supervisor, lacked verification that their bachelor's degree was in an acceptable field to qualify them for the position.

Corrected Corrected by Nov 7, 2024

Category: supervision. 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.

In Basement Room C, a power strip next to the microwave was observed to be missing 5 protective receptacle covers.

Corrected Corrected by Nov 7, 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 bottle of hand sanitizer was observed on a shelf in the Basement B classroom. It was determined that the hand sanitizer was accessible to the tallest child receiving care in the classroom.

Corrected Corrected by Nov 7, 2024

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.

A ninja roaster that had been used to prepare lunch was observed on a low table in the Basement C classroom. The surface of the Ninja roaster was observed to measure at 129.2° F. Children were observed to use the sink in the classroom to wash their hands prior to lunch and the Ninja roaster was accessible to them.

Corrected Corrected by Nov 7, 2024

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.

In the toilet area in the Basement C classroom tiles were observed to be disconnecting from the wall. The tiles had sharp edges on them. On the fence in the outdoor play space three exposed bolts were observed on the fencing to the left of the entrance gate, one exposed bolt was observed on the swing part of the gate and one exposed bolt was observed on the fence next to the swinging gate in the play space area side. In the Multipurpose Room the grate covering the radiator was observed to have moved allowing access to the coils inside the radiator. The coils were observed to be sharp to the touch.

Corrected Corrected by Nov 7, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the outdoor fenced in play space, an orange and blue plastic slide was observed to have a crack at the base causing a potential pinch point. Also in the outdoor play space, a cabinet door under the sink in the larger playhouse was observed to be cracked and in the smaller playhouse a large section under the one window was observed to be cracked. The cracks in the playhouse caused potential pinch points.

Corrected Corrected by Nov 7, 2024

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the Young Toddler Classroom, two feet of space was not present on the required sides of a pack and play an infant was observed to be sleeping in. The pack and play was located in the corner of the classroom making the requirement for two feet of space on two sides.

Corrected Corrected by Nov 7, 2024

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

An unlabeled bottle of infant Tylenol was observed in a drawer at the changing table area.

Corrected Corrected by Nov 7, 2024

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

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

The hands-free covered can in place at the changing table in the Young Toddler classroom was missing a plastic liner. An unlidded garbage can was observed to contain soiled diapers on the porch area play space. It was reported by staff that diapers soiled by feces are discarded outside in this can and not in the hands-free covered can located at the changing table in the young toddler classroom.

Corrected Corrected by Nov 7, 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.

The file for Staff Person's #1 and #2 lacked an initial health assessment and tuberculosis screening that had been completed within 12 months prior to starting in a child care taking position. A completed tuberculosis screening was not on file for Staff Person #2 until 39 days after starting at the facility.

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

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

The files for Staff Person's #1 and #2 lacked two written, nonfamily references attesting to their suitability to serve as a facility person.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Based on a review of the facility fire drill log, the facility exceeded 30 days between alarm testing on 6.9.24 and 7.13.24 and then again between 7.13.24 and 8.30.24.

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The current certificate of compliance was not posted in a conspicuous location at the facility. The posted certificate expired on 8.2.24.

Corrected Corrected by Nov 7, 2024

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.

In the infant room it was observed that there was not a hands-free covered can by the changing table.

Corrected Corrected by Jun 21, 2024

Category: health medication. 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.

The file for staff person #2 lacked emergency plan training at the time of initial employment (See LIS Code Sheet).

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 lacked emergency contact information that included written consent signed by a parent for emergency medical care prior to admission.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was observed. The policy was missing prevention and identification of child maltreatment. The file for staff person #3 lacked the PA Health and Safety Updated 2022.

Corrected Corrected by Jun 19, 2024

Category: ratio. Marked corrected in the state record.

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

A current copy of the general liability insurance was observed not to be at the facility.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for staff persons #1 and #4 lacked firesafety training that was completed within the past year. The firesafety trainings in the files are dated 5/15/23 and 5/8/23.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. 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 person #2 will have until 6/18/24 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 child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (See LIS Code Sheet): Mandated Reporter Training and Get Started with Center-Based Care - Revised 2022.

Corrected Corrected by Jun 21, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #3 lacked mandated reporter training that was completed 60 months from the previous mandated reporter training. The mandated reporter trainings in the file are dated 1/21/19 and 5/7/24.

Corrected Corrected by Jun 21, 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. Facility Person #1 may not work in a childcare position at the facility.

The file for staff person #2 lacked State Police Clearance, FBI Clearance, an NSOR verification certificate, and disclosure statement within 45 days of being hired (See LIS Code Sheet) without being removed from a child care position. The State Police clearance is dated 5/10/24, the FBI Clearance is dated 5/14/24, the NSOR verification certificate is dated 5/10/24.

Corrected Corrected by Jul 5, 2024

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

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #2 lacked a minimum of an 8th grade education and 2 years of experience with children.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

In Basement A one outlet by the air conditioner was observed to be missing a protective receptacle cover accessible to children 5 years of age or younger. In Basement C one outlet above the sink was observed to be missing a protective receptacle cover accessible to children 5 years of age or younger. In the outdoor play area two outlets on the brick building by the porch were observed to be missing protective receptacle covers accessible to children 5 years of age or younger.

Corrected Corrected by Jun 21, 2024

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.

In Basement C disinfectant wipes were observed in an unlocked cabinet under the sink labeled "Keep Out of Reach of Children".

Corrected Corrected by Jun 21, 2024

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

It was observed on a portable phone in Basement C the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by it.

Corrected Corrected by Jun 21, 2024

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

3270.75(a) · A first-aid kit shall be in a child care space.

It was observed that a first-aid kit was not in Basement A.

Corrected Corrected by Jun 21, 2024

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.

In Basement A by the television wires were observed to be hanging causing a visible hazard. In Basement A a hole in the wall was observed in the corner by the air conditioner.

Corrected Corrected by Jun 28, 2024

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

In the toilet area inside Basement C a toilet lid was observed to be broken.

Corrected Corrected by Jun 30, 2024

Marked corrected in the state record.

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

In the infant room it was observed that a handwashing sign was not posted above the changing table.

Corrected Corrected by Jun 21, 2024

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In Basement A a broken wooden block was observed causing rough edges and sharp corners. In the outdoor play area a wooden picnic table was observed with a broken corner causing rough edge, sharp corners, and splinters. In the outdoor play area on the orange slide the blue base on the left side was cracked causing rough edges, sharp corners, and pinch and crush points.

Corrected Corrected by Jun 21, 2024

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

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

In the toddler room two pack n plays were observed to not be labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Jun 21, 2024

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

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

In Basement A a written plan of daily activities and routines was not posted.

Corrected Corrected by Jun 21, 2024

Marked corrected in the state record.

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

The files for children #1 and #5 lacked an agreement that specified the amount of the fee to be charged per day or per week.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file for child #1 lacked an agreement that specified the date on which the fee is to be paid.

Corrected Corrected by Jun 21, 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).

The files for children #2, #3, and #4 lacked a child service report that was completed within the past 6 months.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed in the Basement C toilet area that a child did not wash their hands after toileting.

Corrected Corrected by Jun 21, 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.

The file for staff person #2 lacked an initial health assessment.

Corrected Corrected by Jun 21, 2024

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.

The file for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. There was one letter of reference in the file.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Fire Drill and Fire Detection Log were observed there were 64 days between 12/11/23 and 2/13/24.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Fire Drill and Fire Detection Log were observed there were 31 days between 8/15/23 and 9/15/23.

Corrected Corrected by Jun 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #2 lacked a child health report that was completed within 60 days from the start date (See LIS Code Sheet). The child health report in the file is dated 5/2/23.

Corrected Corrected by Jun 21, 2024

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

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

The file for staff person #2 who was hired prior to October 4, 2022 lacked the Pennsylvania Health and Safety Update 2022 training.

Corrected Corrected by Jul 31, 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.

The file for staff person #4 lacked professional development training in subsections (f) 1-9 within 90 days of hire (See LIS Code Sheet). The file for staff person #5 lacked professional development training in subsections (f) 1-9 within 90 days of hire (See LIS Code Sheet).

Corrected Corrected by Jul 6, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #4, #5, and #6 may not work in a child care position at the facility.

The file for staff person #1, whom was hired as the director on (See LIS Code Sheet), lacked a dated disclosure statement. The file for staff person #3, who was hired as an assistant group supervisor on (See LIS Code Sheet), lacked a receipt for fingerprinting, and an application for the NSOR prior to the hire date. The FBI clearance in the file is dated 6/15/22 and the NSOR in the file is dated 6/14/22. The file for staff person #4, whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a state police clearance that had a disseminated date on it. The file for staff person #4 lacked an NSOR application prior to the hire date. The NSOR in the file is dated 10/21/22. The file for staff person #5, whom was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a disclosure statement that was completed prior to the hire date, a state police clearance that had a disseminated date on it, a child abuse clearance that was completed prior to the hire date, a valid FBI clearance, and an NSOR verification certificate. The disclosure statement in the file is dated 5/4/23. The child abuse clearance in the file is dated 5/2/23 and the FBI clearance was completed through the Department of Education not the Department of Human Services. The file for staff person #6, whom was hired as an assistant group supervisor on (See LIS Code Sheet), lacked an NSOR verification certificate that was completed 45 days from the hire date.

Corrected Corrected by Jul 14, 2023

Category: supervision. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the toddler classroom a plastic toy bin was observed to be cracked causing rough edges, sharp corners, and pinch and crush points. In the outdoor play area a plastic play house was observed to be cracked under the plastic table causing rough edges, sharp corners, and pinch and crush points.

Corrected Corrected by Jul 6, 2023

Category: physical safety. 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.

The file for child #3 lacked an agreement that specified the date of the child's admission.

Corrected Corrected by Jul 5, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #2 and #3 lacked work addresses and work telephone numbers of the enrolling parent.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 lacked addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 lacked a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The doctor marked this block no.

Corrected Corrected by Jul 14, 2023

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

3270.131(e)(1)/3270.131(e)(3) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The files for children #1 and #2 lacked documentation of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility did not implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Corrected Corrected by Jul 31, 2023

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

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

The file for staff person #4 lacked a health assessment that was conducted within 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The health assessment in the file is dated 10/23/22.

Corrected Corrected by Jul 14, 2023

Category: ratio. Marked corrected in the state record.

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

The Fire Drill and Fire Detection log was observed for the 30-day smoke detector check. There were 35 days between 9/26/22 and 10/31/22 and 42 days between 12/19/22 and 1/30/23.

Corrected Corrected by Jul 5, 2023

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.

2nd Citation It was observed that the outdoor play space is open in the back and does not restrict children from unsafe areas or conditions.

Corrected Corrected by Feb 20, 2023

Category: physical safety. 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.

It was observed that the outdoor play space is open in the back and does not restrict children from unsafe areas or conditions.

Corrected Corrected by Nov 29, 2022

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

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

It was observed that the cabinets under the sink in the kitchen area were unlocked accessible to the children and contained the following toxic materials: two bottles of Pine-Sol Multi-Surface Cleaner, a can of Microban, a jug of Clorox, a jug of DSV, and a box of BORAX all labeled "Keep Out of Reach of Children".

Corrected Corrected by Nov 8, 2022

Marked corrected in the state record.

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

In the kitchen it was observed that the baseboard heater was pulled away from the wall creating a visible hazard.

Corrected Corrected by Dec 9, 2022

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the outdoor playspace two plastic chairs were observed to be broken with rough edges, sharp corners, and pinch and crush points.

Corrected Corrected by Nov 29, 2022

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

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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-Aid and CPR training.

Corrected Corrected by Nov 29, 2022

Category: supervision. Marked corrected in the state record.

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

The file for staff person #1 lacked childcare experience, education and training prior to service at the facility.

Corrected Corrected by Nov 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During the complaint investigation on 10/13/22 staff person #1 was observed to be alone with 4 young school-age children and 1 preschool child.

Corrected Corrected by Nov 15, 2022

Category: supervision. Marked corrected in the state record.

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

On 8/25/22 staff person #1 whom qualifies as an aide was not being supervised and was alone in the infant room caring for children. During staff interviews it was verified that staff person #2 whom qualifies as an aide was not supervised on 8/18/22 while out on the playground caring for children.

Corrected Corrected by Oct 27, 2022

Category: supervision. Marked corrected in the state record.

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

During staff interviews it was verified that a child was left unsupervised in the rest room while staff person #3 went to answer the door.

Corrected Corrected by Oct 27, 2022

Category: supervision. Marked corrected in the state record.

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

The chain link fence in the outdoor playspace was observed to be falling down in the front part of the outdoor playspace creating a visible hazard.

Corrected Corrected by Oct 27, 2022

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.

During staff interviews it was verified that a child was left unsupervised in the rest room while staff person #3 went to answer the door.

Corrected Corrected by Oct 27, 2022

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.

During staff interviews it was verified that a child was left unsupervised in the rest room while staff person #3 went to answer the door.

Corrected Corrected by Oct 27, 2022

Category: supervision. 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.

In Basement Room C two outlets were observed to be missing protective receptacle covers accessible to children 5 years of age or younger.

Corrected Corrected by Oct 27, 2022

Marked corrected in the state record.

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

The file for staff person #1 lacked an initial health assessment.

Corrected Corrected by Sep 27, 2022

Category: ratio. Marked corrected in the state record.

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

The file for staff person #1 lacked verification of child care experience, education, and training prior to service at the facility.

Corrected Corrected by Oct 27, 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.

The files for staff persons #1 and #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 27, 2022

Category: recordkeeping. 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 person #2 will have until 8/16/22 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 child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet) Pediatric First-Aid and CPR in an approved curriculum with a PQAS instructor.

Corrected Corrected by Jul 26, 2022

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 Person #1 may not work in a child care position at the facility.

The file for staff person #1, whom was hired as a group supervisor, lacked an acceptable FBI clearance. The FBI clearance was applied for through CJIS instead of DHS.

Corrected Corrected by Jul 22, 2022

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #1 and #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 person(s) 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 were observed to be caring for children unsupervised. Staff persons #1 and #2 have not completed the following pre-service training required prior to caring for children unsupervised: Getting Started with Center Based Care: Building Blocks for Quality. Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jul 11, 2022

Category: supervision. Marked corrected in the state record.

3270.27(a) · The facility shall have an emergency plan.

The facility lacked an emergency plan.

Corrected Corrected by Jul 12, 2022

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

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

The files for staff persons #1 and #2 lacked initial emergency plan training.

Corrected Corrected by Jul 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(c) · In a facility in which 45 or fewer children are enrolled, a group supervisor or a director/group supervisor shall be employed by and be present at the facility site for a minimum of 30 hours per week.

It was observed that a group supervisor/director was not employed by or present at the facility site for a minimum of 30 hours per week.

Corrected Corrected by Jul 18, 2022

Category: supervision. Marked corrected in the state record.

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

The file for staff person #1 lacked 2 years experience with children. The file contained one year of experience with children.

Corrected Corrected by Jul 6, 2022

Category: supervision. Marked corrected in the state record.

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

It was observed that the operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Jul 11, 2022

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.

It was observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Jul 12, 2022

Category: physical safety. 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.

It was observed that the operator did not notify local traffic safety authorities 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 Jul 12, 2022

Marked corrected in the state record.