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Home › PA › Titusville › Gibsons Brighter Futures Learning Ctr & Child Care
3862 State Route 8, Titusville PA 16354 · License #CER-00253368 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
A protective outlet cover was missing in the outlet under the stairs in the Preschool area.
Corrected Corrected by Jan 9, 2026
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.
At the time of inspection, the facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies. The facility's emergency plan lacked policies regarding volunteer emergency preparedness training, required as of 7/1/22, as per Announcement C-22-04.
Corrected Corrected by Feb 28, 2026
Category: ratio. Marked corrected in the state record.
3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.
The facility's most recent annual review of the emergency plan is dated 11/1/24, more than 12 months prior.
Corrected Corrected by Feb 28, 2026
Category: recordkeeping. Marked corrected in the state record.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
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 most recent emergency plan training on file for Staff #2 is dated 8/8/24, more than 12 months prior.
Corrected Corrected by Jan 31, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.
Corrected Corrected by Feb 28, 2026
Category: physical safety. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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 most recent fire safety training on file for Staff #1 is dated 10/12/24, more than 12 months prior. The two most recent fire safety trainings on file for Staff #2 are dated 1/10/24 and 2/8/25, more than 12 months apart. The file for Staff #7 lacked documentation of fire safety trainings.
Corrected Corrected by Feb 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff #3 and Staff #4 have not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 2 and Pediatric First Aid/CPR. Staff #7 has not completed the following required pre-service trainings within 90 days of their hire date (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2.
Corrected Corrected by Jan 26, 2026
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.
The most recent mandated reporter training on file for Staff #1 is dated 9/24/20, more than 60 months prior. The file for Staff #5 lacked a disclosure statement.
Corrected Corrected by Feb 28, 2026
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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1, Staff #4, Staff #5, Staff #6, and Staff #7 may not work in a child care position at the facility.
The most recent State Police (7/24/20), Child Abuse (6/22/20), FBI (7/8/20) clearances, and NSOR certificate (8/12/20) on file for Staff #1 are dated more than 60 months prior.The most recent State Police (6/18/20), Child Abuse (7/27/20) clearances, and NSOR certificate (8/12/20) on file for Staff #7 are dated more than 60 months prior. The files for Staff #3, Staff #4, Staff #5 and Staff #6, who were provisionally hired after 2/1/25 (SEE IS CODE SHEET), did not contain an NSOR certificate at time of hire, as required by Announcement C-25-01. The file for Staff #6 lacked documentation of application of a FBI clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. Staff #1, Staff #4, Staff #5, Staff #6, and Staff #7 may not work in a child care position at the facility.
Corrected Corrected by Jan 23, 2026
Category: background checks. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.
Staff #4, Staff #6, and Staff #7, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.
Corrected Corrected by Jan 26, 2026
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.
Staff #5, classified as an Aide, was observed caring for children unsupervised at the time of inspection.
Corrected Corrected by Jan 9, 2026
Category: supervision. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
A tube of Triple Paste diaper cream labeled "Keep out of reach of children" was observed on the diaper changing table and was accessible to children in the Infant Room.
Corrected Corrected by Jan 9, 2026
Category: health medication. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
An unlidded trash can containing used tissues was observed in the Toddler area of the child care space on the first floor.
Corrected Corrected by Jan 26, 2026
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 kit in the Preschool area lacked tweezers and tape.
Corrected Corrected by Jan 26, 2026
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.
An accessible piece of wood used to stabilize a child gate was observed to be split with exposed bolts and could cause injury. Torn carpeting with exposed wood was observed in the corner of the platform in the entertainment area on the first floor. In the Infant room, a baseboard was observed broken with rough edges and exposed wood which could cause injury to children. A damaged floor tile with loose pieces and exposed cement flooring was observed in the doorway of the second bathroom on the first floor.
Corrected Corrected by Jan 30, 2026
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.
Damaged plaster was observed on the ceiling and multiple areas on the walls in the School Age Room and to the left of the sink in the first bathroom on the main floor. Peeling paint and plaster were observed under the shelf in the Infant Room.
Corrected Corrected by Feb 28, 2026
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The toilet in the front bathroom, the pedal sink in the eating area, and toddler diaper changing area on the first floor and the diaper changing area in the Infant Room lacked handwashing signs.
Corrected Corrected by Jan 26, 2026
Category: health medication. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
The pedal sink in the eating area on the first floor, used for handwashing after diapering, is not located within the toddler diaper changing area. The sink located in the bathroom in the Infant Room, used for handwashing after diapering, is not located in within the infant diaper changing area.
Corrected Corrected by Feb 13, 2026
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.
Foam blocks with teeth marks were observed in the Preschool area and were not in good repair. In the School Age Room, the lid on the logs bin was observed with a broken handle and could cause injury.
Corrected Corrected by Jan 26, 2026
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.
Rest equipment in the Infant Room were not labeled for use of a specific child.
Corrected Corrected by Jan 26, 2026
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 Child #1, Child #2, and Child #5 lacked a child service report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET).
Corrected Corrected by Jan 30, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The financial agreement form on file for Child #2 lacked arrival and departure times.
Corrected Corrected by Jan 26, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.
The financial agreement forms on file for Child #1 lacked the child's date of admission at the facility.
Corrected Corrected by Jan 12, 2026
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 Child #1, Child #2, Child #4, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.
Corrected Corrected by Jan 12, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The emergency contact forms for Child #4 lacked the address of the child's physician or source of medical care.
Corrected Corrected by Jan 26, 2026
Category: health medication. 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 emergency contact form on file for Child #4 lacked the parent's signature giving the facility written consent to obtain emergency medical care.
Corrected Corrected by Jan 26, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact forms for Child #1, Child #3, Child #4, and Child #5 lacked complete addresses for all listed release persons.
Corrected Corrected by Jan 26, 2026
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.
At the time of inspection, Child #6 was receiving care in the Infant Room without their emergency contact information being in the space where they were receiving care.
Corrected Corrected by Jan 26, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The most recent parent review and signature for the emergency contact forms on file for Child #1 (4/17/25), Child #2 (3/6/24), Child #3 (4/19/23), and Child #5 (3/23/24) are dated more than 6 months prior.
Corrected Corrected by Jan 30, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
The most recent health assessment on file for Child #5 (Younger Toddler at the time) is dated 3/6/25, more than 6 months prior.
Corrected Corrected by Feb 28, 2026
Category: health medication. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The two most recent health assessments on file for Child #2 (PSA) are dated 1/4/24 & 2/3/25, more than 12 months apart.
Corrected Corrected by Feb 3, 2026
Category: health medication. 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).
The immunization record for Child #1 (Younger Toddler) lacked the following immunizations: 1 dose of HiB, 1 dose of Pneumococcal, 1 dose of MMR, and 1 dose of Varicella without a Letter of Exemption in the file. Child #1 must be dismissed from care by close of business on 1/8/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
Corrected Corrected by Jan 16, 2026
Category: health medication. Marked corrected in the state record.
3270.131(e)/3270.131(e)(3) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. The 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 file for Child #3, enrolled more than 60 days, lacked an immunization record. Child #3 must be dismissed from care by close of business on 1/8/26 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.
Corrected Corrected by Jan 9, 2026
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.
In the Toddler area on the first floor and in the Infant Room, the trash can in the diapering areas were not hands-free.
Corrected Corrected by Jan 26, 2026
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 #3, Staff #6, and Staff #7 lacked a health assessment at the time of inspection.
Corrected Corrected by Jan 31, 2026
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #3, Staff #6, and Staff #7 lacked a tuberculosis test at the time of inspection.
Corrected Corrected by Jan 31, 2026
Category: health medication. Marked corrected in the state record.
3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.
Multiple lunchboxes containing potentially hazardous foods from home were observed near the cubbies in the lobby area and were not refrigerated.
Corrected Corrected by Jan 8, 2026
Category: nutrition. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The most recent parent review and signature for the financial agreement form on file for Child #1 (4/17/25), Child #2 (3/6/24), and Child #5 (3/23/24) are dated more than 6 months prior.
Corrected Corrected by Feb 9, 2026
Category: recordkeeping. 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 emergency contact form on file for Child #4 lacked the parent's signature giving the facility written consent to administer minor first aid.
Corrected Corrected by Jan 26, 2026
Category: ratio. Marked corrected in the state record.
3270.182(8) · 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 file for Child #3 lacked a financial agreement form.
Corrected Corrected by Jan 12, 2026
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 file for Staff #3 and Staff #7 lacked two written nonfamily reference letters attesting to the staff person's suitability to work in child care.
Corrected Corrected by Feb 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Feb 28, 2026
Category: physical safety. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
The facility did not have their current certificate of compliance posted in a conspicuous location used by parents. The certificate that was posted expired on 4/15/25.
Corrected Corrected by Jan 26, 2026
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.
At the time of inspection, the facility did not have documentation that the current emergency plan was sent to local municipality and to the county emergency management agency.
Corrected Corrected by Feb 28, 2026
Category: physical safety. Marked corrected in the state record.
3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
The file for Staff Person #1 contained 2 of 12 annual childcare training hours within the training timeframe of 12/2024-12/2025. The file for Staff Person #7 contained 0 of 12 annual childcare training hours within the training timeframe of 6/7/24-6/7/25.
Corrected Corrected by Feb 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The initial health assessment on file for Child #1 lacked a date, making it invalid. The file for Child #3, enrolled more than 60 days, lacked an initial health report. (SEE IS CODE SHEET).
Corrected Corrected by Jan 16, 2026
Category: health medication. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The two most recent annual written notifications to local traffic safety authorities are dated 2/26/24 and 1/1/26, more than 12 months apart.
Corrected Corrected by Jan 1, 2026
Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Staff #7 lacked documentation of fire safety trainings.
Corrected Corrected by Mar 20, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: Staff #7 has not completed the following required pre-service trainings within 90 days of their hire date (SEE IS CODE SHEET): PA Required Health and Safety for Centers-Group Child Care Part 1 and Part 2.
Corrected Corrected by Mar 20, 2026
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). Staff #7 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7 may not work in a child care position at the facility.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The most recent State Police (6/18/20), Child Abuse (7/27/20) clearances, and NSOR certificate (8/12/20) on file for Staff #7 are dated more than 60 months prior. Staff #7 may not work in a child care position at the facility.
Corrected Corrected by Mar 20, 2026
Category: background checks. 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: Staff #7, classified as an Assistant Group Supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.
Corrected Corrected by Mar 20, 2026
Category: supervision. 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Staff #7 lacked a health assessment at the time of inspection.
Corrected Corrected by Mar 27, 2026
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Staff #7 lacked a tuberculosis test at the time of inspection.
Corrected Corrected by Mar 20, 2026
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.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Staff #3 and Staff #7 lacked two written nonfamily reference letters attesting to the staff person's suitability to work in child care.
Corrected Corrected by Mar 7, 2026
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.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Staff Person #7 contained 0 of 12 annual childcare training hours within the training timeframe of 6/7/24-6/7/25.
Corrected Corrected by Mar 28, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
SECOND CITATION, PREVIOUSLY CITED ON 1/8/26: The file for Child #3, enrolled more than 60 days, lacked an initial health report. (SEE IS CODE SHEET).
Corrected Corrected by Mar 6, 2026
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 facility lacked a Shaken Baby Syndrome/Child Maltreatment policy at the time of inspection. The facility's Emergency Plan lacks a Continuity of Operations policy and a section stating that volunteers will be trained on the Emergency Plan.
Corrected Corrected by Feb 14, 2025
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.
The facility lacked acceptable documentation of liability insurance at the time of inspection.
Corrected Corrected by Feb 7, 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 most recent emergency plan training on file for Staff #8 is dated 3/10/22, more than 12 months prior.
Corrected Corrected by Feb 14, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The facility's Emergency Plan lacked a letter to parents explaining the following emergency procedures: shelter in place, lockdown, evacuation, method to contact parents during an emergency, method to inform parents that the emergency has ended, instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Feb 21, 2025
Category: physical safety. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A 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 #2 lacked documentation of annual fire safety training.
Corrected Corrected by Feb 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center Based Care.
Corrected Corrected by Feb 21, 2025
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). Staff #3, #6, and #8 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #3, #6, and #8 may not work in a child care position at the facility.
The file for Staff #3 contained a state police clearance which lacked a dissemination date, making it invalid. The file for Staff #6 lacked a Child Abuse clearance. The file for Staff #8 contained an FBI clearance with an incomplete rap sheet, which is required for CPSL compliance.
Corrected Corrected by Feb 14, 2025
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).
The file for Staff #8 lacked documentation of mandated reporter training.
Corrected Corrected by Feb 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.
The file for Staff #5, classified as an Aide, does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience.
Corrected Corrected by Feb 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.
The file for Staff #2, classified as an Assistant Group Supervisor, lacked documentation of 2 years of child care experience.
Corrected Corrected by Jan 31, 2025
Category: supervision. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Clorox toilet bowl cleaner was observed in an unlocked cabinet under the sink in the back bathroom on the main floor and was accessible to children.
Corrected Corrected by Jan 31, 2025
Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
On the main floor, toxics were observed over food in the kitchen area and next to loose diapers in the diaper changing area, which could cause contamination if leaking occurred.
Corrected Corrected by Jan 27, 2025
Category: ratio. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
Trash cans in the Preschool and Older Toddler areas of the main floor were observed without lids and contained trash contaminated by human secretions or excrement.
Corrected Corrected by Jan 31, 2025
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 kit in the Infant room lacked gloves. The first aid kit in the Young Toddlers room lacked tape.
Corrected Corrected by Feb 3, 2025
Category: health medication. Marked corrected in the state record.
3270.76/3270.103 · 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. 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.
Ripped carpeting with pieces less than one inch in diameter was observed in the Older Toddler area of the main floor and was accessible to children who are still placing objects in their mouths.
Corrected Corrected by Jan 31, 2025
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.
A seam cover on the pole in the Older Toddler area was observed with cracked plastic. A broken outlet plate with sharp edges was observed in the reading center in the Preschool area. Protruding screws were observed under the TV in the Preschool area and in the side of the cabinet in the front bathroom, which could cause injury to children. A ceiling tile was missing in the back bathroom on the main floor, which could be hazardous to children. In the upstairs Younger Toddler room, a baseboard was observed broken with rough edges and exposed wood which could cause injury to children.
Corrected Corrected by Feb 28, 2025
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 back bathroom on the main floor, a training seat on the toilet was observed with exposed foam and was not in good repair.
Corrected Corrected by Feb 3, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
A handwashing sign was missing at the pedal sink in the Infant Room. A handwashing sign was missing at the toilet in the front bathroom on the main floor.
Corrected Corrected by Feb 3, 2025
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
The diaper changing area on the first floor lacked a garbage can. The garbage can used for diapering was located in the bathroom next to the diaper changing area.
Corrected Corrected by Jan 24, 2025
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.
Broken magnatiles and foam blocks with teeth marks were observed in the Preschool area, which could be hazardous to children. A plastic bin containing play-doh was observed with cracked edged, which could cause injury.
Corrected Corrected by Jan 24, 2025
Category: physical safety. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The Financial Agreement form on file for Child #4 lacked the operator's signature.
Corrected Corrected by Jan 24, 2025
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 Financial Agreement form on file for Child #4 lacked the date the fee is to be paid.
Corrected Corrected by Jan 31, 2025
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 Child #1 and Child #3 lacked Child Service Reports every 6 months from the child's date of enrollment (SEE IS CODE SHEET).
Corrected Corrected by Feb 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The Emergency Contact form for Child #3 lacked a complete address for the child's physician or source of medical care.
Corrected Corrected by Feb 7, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The Emergency Contact form for Child #1 lacked the enrolling parent's work address and telephone number.
Corrected Corrected by Feb 7, 2025
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 Emergency Contact form for Child #1 lacked parental consent for the facility to obtain emergency medical care.
Corrected Corrected by Feb 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The Emergency Contact forms for Child #1 lacked addresses for the listed release persons. The Emergency Contact form for Child #3 contained complete addresses for all listed release persons.
Corrected Corrected by Feb 7, 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.
An Emergency Contact form was missing for Child #5 in the younger toddler area of the main floor, where the child was observed receiving care.
Corrected Corrected by Jan 27, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The most recent parent review and update for the Emergency Contact and Financial Agreement forms on file for Child #1 is dated 6/25/24, more than 6 months prior. The most recent parent review and update on file for Child #3's Emergency Contact (dated 6/12/24) and Financial Agreement (dated 7/2/2) are dated more than 6 months prior.
Corrected Corrected by Feb 11, 2025
Category: recordkeeping. 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.
A metal cabinet in the Preschool Room containing medications was observed unlocked and accessible to children.
Corrected Corrected by Jan 24, 2025
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
An Epi Pen for Child #6 with an expiration date of 11/2024 was observed in the Preschool Room cabinet.
Corrected Corrected by Jan 23, 2025
Category: ratio. 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 lined and lidded garbage can used for diapering on the first floor was observed to not be hands-free.
Corrected Corrected by Feb 7, 2025
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 most recent health assessment on file for Staff #1 (dated 10/24/22) and Staff #2 (dated 5/18/21) are dated more than 24 months prior. The initial health assessment (dated 8/13/24) and Tuberculosis test (dated 8/16/24) on file for Staff #3 are dated after Staff #3's date of hire (SEE IS CODE SHEET).
Corrected Corrected by Feb 28, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The health assessment on file for Staff #7 lacks the physician or health care professional's assessment of the person's suitability to provide child care.
Corrected Corrected by Feb 28, 2025
Category: health medication. 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 Emergency Contact form for Child #1 lacked parental consent for the facility to administer minor first aid procedures.
Corrected Corrected by Feb 7, 2025
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 #3, Staff #6, Staff 7, and Staff #8 lacks two written nonfamily reference letters attesting to the staff person's suitability to work in child care. The file for Staff #4 contained 1of 2 written nonfamily reference letters.
Corrected Corrected by Feb 11, 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 most recent Emergency Drill on file at the facility is dated 8/23/23, more than 12 months prior.
Corrected Corrected by Feb 7, 2025
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 alarm 30-day test log includes test dates 3/14/24-4/16/24 & 7/8/24-8/9/24, more than 30 days apart.
Corrected Corrected by Feb 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
The facility did not have the current certificate of compliance posted in the facility.
Corrected Corrected by Feb 3, 2025
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.
The facility lacked documentation stating that the Emergency Plan and subsequent plan updates have been sent to the local municipality and the county emergency management agency.
Corrected Corrected by Feb 7, 2025
Category: physical safety. 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 #2 contained 11 of 12 annual child care training hours within the training period of 11/22/23-11/22/24.
Corrected Corrected by Feb 7, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The file for Child #1 lacked an initial health assessment and has been enrolled for more than 60 days (SEE IS CODE SHEET). The file for Child #3 does not contain an initial health assessment or subsequent updated health assessments and has been enrolled for more than 60 days (SEE IS CODE SHEET).
Corrected Corrected by Feb 14, 2025
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.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The most recent emergency plan training on file for Staff #8 is dated 3/10/22, more than 12 months prior and is beyond the original correction date of 2/14/25.
Corrected Corrected by Mar 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center Based Care. It is beyond the original correction date of 2/21/25.
Corrected Corrected by Mar 28, 2025
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).
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #8 lacked documentation of mandated reporter training and is beyond the original correction date of 2/21/25.
Corrected Corrected by Mar 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #8 contained an FBI clearance with an incomplete rap sheet, which is required for CPSL compliance and is beyond the original correction date of 2/14/25.
Corrected Corrected by Apr 28, 2025
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #5, classified as an Aide, does not include verification of a high school diploma or general educational development certificate; or a minimum of an 8th grade education and 2 years of child care experience and is beyond the original correction date of 2/28/25.
Corrected Corrected by Mar 28, 2025
Category: recordkeeping. 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The first aid kit in the Infant room lacked gloves. The first aid kit in the Young Toddlers room lacked tape and is beyond the original correction date of 2/3/25.
Corrected Corrected by Mar 28, 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: In the upstairs Younger Toddler room, a baseboard was observed broken with rough edges and exposed wood which could cause injury to children and is beyond the original correction date of 2/11/25.
Corrected Corrected by Mar 28, 2025
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: A handwashing sign was missing at the pedal sink in the Infant Room and is beyond the original correction date of 2/3/25.
Corrected Corrected by Mar 28, 2025
Category: health medication. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: A metal cabinet in the Preschool Room containing medications was observed unlocked and accessible to children and is beyond the original correction date of 1/24/25.
Corrected Corrected by Mar 28, 2025
Category: health medication. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The lined and lidded garbage can used for diapering on the first floor was observed to not be hands-free and is beyond the original correction date of 2/7/25.
Corrected Corrected by Mar 28, 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.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Staff #5 and Staff #8 does not contain two written, nonfamily references and is beyond the original correction date of 2/11/25.
Corrected Corrected by Mar 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
SECOND CITATION, PREVIOUSLY CITED ON 1/22/25: The file for Child #1 lacked an initial health assessment and has been enrolled for more than 60 days (SEE IS CODE SHEET) and is beyond the original correction date of 2/14/25.
Corrected Corrected by Mar 28, 2025
Category: health medication. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
Per staff statements, there have been several times in the morning that one staff is responsible for 7 to 10 children of various age levels including a young toddler, for up to 30 minutes.
Corrected Corrected by Aug 16, 2024
Category: ratio. Marked corrected in the state record.
3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.
Per staff statements, there have been occasions that child care children have been allowed to spend time in a workshop space that has not been measured as a child care space.
Corrected Corrected by Aug 6, 2024
Category: physical safety. Marked corrected in the state record.
3270.113(a) · **The legal entity shall require all staff persons at the facility to attend, a minimum 2 hour training regarding supervision and ratio offered by the ELRC within 1 month of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department.
**Per staff statements, on at least one occasion a child in care was permitted to be in the workshop with individual #1. Individual #1 is not a staff person.
Corrected Corrected by Dec 24, 2024
Category: supervision. 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.
*Per staff statements, on at least one occasion a child in care was permitted to be in the workshop with individual #1. Individual #1 is not a staff person.
Corrected Corrected by Aug 6, 2024
Category: supervision. Marked corrected in the state record.
3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.
Per staff statements, staff #1 recorded a video of child #2 displaying behaviors identified as challenging by staff #1. The video was recorded while child #2's peers and other staff were present.
Corrected Corrected by Aug 6, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.
Per staff statements the diaper of child #2 was not consistently checked at least every 2 hours.
Corrected Corrected by Aug 6, 2025
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. 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Per staff statements, staff person #1 cared for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety, and Mandated Reporter training.
Corrected Corrected by Sep 13, 2024
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). F 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 #2may not work in a child care position at the facility.
The file for staff person #2 lacked a valid State Police criminal history clearance. The clearance on file was marked "under review." Staff #2 was removed from a child care position on 7/31/24 due to not having a valid criminal history clearance. Staff #2 was observed working as a staff in the Young Toddler room on 8/6/24, without a valid criminal history clearance.
Corrected Corrected by Jul 31, 2024
Category: background checks. 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 #3 lacked Emergency Plan training within 90 days of their date of hire.
Corrected Corrected by Aug 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff #1 completed the following required pre-service training on 2/28/24, which was beyond 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. Staff #3 has not completed the following required pre-service training within 90 days of their date of hire (SEE IS CODE SHEET): Get Started with Center-Based Care -- Revised 2022.
Corrected Corrected by Aug 12, 2024
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.
The files for Staff #3, #4, and #5 lacked disclosure statements.
Corrected Corrected by Aug 7, 2024
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 #3, #4, and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3, #4, #5 may not work in a child care position at the facility.
The Child Abuse clearance on file for Staff #1 is dated 12/26/23, which is beyond their date of hire (SEE IS CODE SHEET). The file for Staff #2 contained a State Police clearance with an 'Under Review' status and lacked a completed criminal history clearance. The files for Staff #3 and Staff #4 contained NSOR requests but lacked the NSOR certificates. Staff #3 and #4 have exceeded the 45-day provisional hire window from their date of hire (SEE IS CODE SHEET). The file for Facility Person #5 lacked documentation of request for the State Police, FBI, or NSOR clearances. The file for Facility Person #5 lacked the State Police clearance or FBI clearance required by date of hire for provisional hire under the CPSL.
Corrected Corrected by Sep 20, 2024
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.
The file for Staff #3, serving as an Assistant Group Supervisor, lacked documentation of 2500 hours of child care experience prior to service at the facility in order to qualify for the position in which they are serving. The file for Staff #4, serving as an Assistant Group Supervisor, lacked documentation of education and experience required prior to service at the facility in order to qualify for the position in which they are serving.
Corrected Corrected by Aug 9, 2024
Category: supervision. 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 spray bottle in the Infant Room containing cleaning products was observed to be unlabeled.
Corrected Corrected by Jul 31, 2024
Category: ratio. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
In the Outdoor Play Area, a metal pipe was observed protruding out from the side of the garage, which could be hazardous to children. A raised tree stump was observed embedded in the ground of the Outdoor Play Area, which could cause a tripping hazard.
Corrected Corrected by Aug 9, 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.
A riding toy in the Outdoor Play Area contained a broken plastic handle with rough edges, which could be hazardous to children.
Corrected Corrected by Jul 31, 2024
Category: physical safety. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Facility Person #5 lacked an initial health assessment and TB test.
Corrected Corrected by Sep 20, 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 #3 and Facility Person #5 lacked 2 written nonfamily reference letters. The file for Staff #4 lacked 1 written nonfamily reference letter.
Corrected Corrected by Sep 20, 2024
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 11:51AM on 5/30/24, it was observed that Staff Person #1 was in the bathroom with two preschool aged children leaving Staff Person #2 alone with 11 other preschool age children in the lunchroom.
Corrected Corrected by May 30, 2024
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The file for Staff Person #1 contains a Pediatric First Aid/CPR certificate with the expiration date of 4/30/24.
Corrected Corrected by Jul 10, 2024
Category: ratio. 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.
2nd CITATION. Previously cited 1/17/2024. The file for staff person #4, serving as an assistant group supervisor, is lacking documentation of 2500 hours of child care experience prior to service at the facility in order to qualify for the position in which they are serving.
Corrected Corrected by Apr 8, 2024
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.
2nd CITATION. Previously cited 1/17/2024. Observed staff person #4, who is aide qualified, to be alone caring for 3 infants and not supervised by a staff person qualified at minimum as an assistant group supervisor.
Corrected Corrected by Apr 8, 2024
Category: supervision. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
2nd CITATION. Previously cited 1/17/2024. The file for staff person #2 is lacking 2 written non-family references. The file for staff person #3 is lacing 1 of the required 2 written non-family references.
Corrected Corrected by Apr 8, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
2nd CITATION. Previously cited 1/17/2024. The file for staff person #5 is lacking documentation of 12 hours of child care training during the year 12/19/2022-12/19/2023.
Corrected Corrected by Apr 9, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for staff person #1 is lacking a employee evaluation during the previous 12 month period.
Corrected Corrected by Feb 19, 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.
Facility is lacking a policy on shaken baby syndrome, abusive head trauma and child maltreatment as required in announcement C-22-03
Corrected Corrected by Feb 15, 2024
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The file for staff person #5 is lacking the PA Health & Safety Update 2022 that was required to be completed by 12/30/2022.
Corrected Corrected by Jan 2, 2024
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons 2 &3 must be supervised, when interacting with children, by an AGS, GS or director who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons 2 & 3, staff persons 2 & 3 may not work in a child-care position at the facility.
Staff persons #2 and #3 were observed to be caring for children in the toddler area unsupervised. Staff persons #2 and #3 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, Health & Safety training, PFA/PCPR training.
Corrected Corrected by Feb 12, 2024
Category: supervision. 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.
Observed in the infant room an extension cord and cords to a white noise machine and to a CD player to be hanging loose and accessible to children who could become tangled or pull down the equipment onto themselves.
Corrected Corrected by Feb 1, 2024
Category: health medication. Marked corrected in the state record.
3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
The facility emergency plan is lacking method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
Corrected Corrected by Feb 2, 2024
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.
Facility person #6, who has served in the facility for greater than 90 days, has not received training regarding the facility emergency plan.
Corrected Corrected by Feb 4, 2024
Category: recordkeeping. 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 trash container in the infant diapering area was not operable as a hands-free can.
Corrected Corrected by Feb 12, 2024
Category: health medication. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The information provided to parents regarding the facility emergency procedures is lacking a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
Corrected Corrected by Feb 7, 2024
Category: physical safety. 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 file for staff person #5 is lacking documentation of fire safety training during the previous 12 month period.
Corrected Corrected by Feb 19, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1,4, 6 and 7 may not work in a child care facility.
The file for staff person #1, hire date (see IS code sheet) contains a criminal history request in the 'under review' status and is lacking a completed criminal history clearance. Staff #1 has exceeded 45 days since hire. Staff #1 was also observed working unsupervised in the preschool area. The file for staff person #2, hire date (see IS code sheet) is lacking documentation of FBI fingerprinting prior to start date. The file does contain a completed FBI clearance. The file for staff person #4, hire date (see IS code sheet) contains a criminal history request in the 'pending' status and is lacking a completed criminal history clearance. The file is lacking verification of FBI fingerprinting prior to start date and is lacking a completed FBI clearance. Staff person #4 was observed working unsupervised in the infant room. Facility lacked any documentation of disclosure statements, criminal history, child abuse, FBI fingerprinting and NSOR clearances for facility persons #6 and #7, start date unknown, observed serving as cleaning help and lunch help and having contact with the children,
Corrected Corrected by Feb 7, 2024
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).
The file for facility person #6 who has served in the facility for greater than 90 days is lacking mandated reporter training.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The files for staff persons #1, #2 and #3, all serving as assistant group supervisors, are lacking verification of experience to serve as an assistant group supervisor. Staff 1,2 and 3 may serve as aides until verification of experience is obtained. The file for staff person # 4, serving as assistant group supervisor, is lacking documentation of education and experience to serve as assistant group supervisor. Staff 4 may not serve as a staff person until documentation of education and experience is obtained.
Corrected Corrected by Feb 19, 2024
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.
Staff persons #1,2,3 all currently with aide qualifications, were observed working unsupervised at various times through the observation. Staff #4 who is lacking staff qualifications was also observed working unsupervised.
Corrected Corrected by Feb 9, 2024
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.
Observed at ~1:55pm staff person #3 to be supervising 8 older toddlers. Three of the toddlers were still sleeping on their cots in the nap area which is separated from the play area by a low ~24 inch tall wall. Staff #3 was positioned in the toddler play area with the 5 toddlers that were awake. Staff #3 was not able to see the children still sleeping on their cots due to the low wall. In addition, since 5 children were awake, naptime ratios no longer applied and staff #3 exceeded the older toddler staff:child ratio of 1:6.
Corrected Corrected by Feb 2, 2024
Category: supervision. 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 kit in the infant room is lacking scissors, tweezers and tape.
Corrected Corrected by Feb 12, 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 downstairs bathrooms handwashing signs were missing at the boy's toilet and urinal and at the girl's toilet. In the upstairs bathroom handwashing signs were missing at the toilet and sink.
Corrected Corrected by Feb 12, 2024
Category: health medication. Marked corrected in the state record.
3270.91(c) · If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.
Observed the door at the top of the stairs that leads from the infant room down to the preschool room to be unlocked and have no restriction preventing it from opening. The door opens directly into the stairwell with no landing beyond the door.
Corrected Corrected by Feb 12, 2024
Category: physical safety. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The files for staff persons #2,3 and 4 are lacking health assessments at the time of initial employment. Staff #2 does have a current health assessment. Facility persons #6 and #7 who work with food preparation are lacking health assessments. The file for staff person #5 is lacking a health assessment conducted during the previous 24-month period.
Corrected Corrected by Feb 2, 2024
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.
Observed at ~1:55pm staff person #3 to be supervising 8 older toddlers. Three of the toddlers were still sleeping on their cots in the nap area which is separated from the play area by a low ~24 inch tall wall. Staff #3 was positioned in the toddler play area with the 5 toddlers that were awake. Staff #3 was not able to see the children still sleeping on their cots due to the low wall. In addition, since 5 children were awake, naptime ratios no longer applied and staff #3 exceeded the older toddler staff:child ratio of 1:5.
Corrected Corrected by Feb 2, 2024
Category: supervision. Marked corrected in the state record.
3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.
Observed a 6-month old infant to be propped up on a Boppy pillow, sleeping in a pack n play. A physician statement identifying a medical reason was not available.
Corrected Corrected by Feb 2, 2024
Category: health medication. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file for child #3 contains an agreement that is not signed by the operator.
Corrected Corrected by Feb 2, 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,#4 and #5 are lacking child service reports completed during the previous 6-month period.
Corrected Corrected by Feb 12, 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 #3 contains an emergency contact form that is lacking signed parental consent for emergency medical care for the child.
Corrected Corrected by Feb 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The files for children #1, #4 and #5 have not been reviewed or updated during the previous 6-month period.
Corrected Corrected by Feb 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).
The file for child #1, school age, is lacking a health report conducted at the time of admission into kindergarten.
Corrected Corrected by Feb 12, 2024
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The files for child #2, older toddler, and child #5, preschooler, are lacking updated health reports conducted during the previous 12-month period.
Corrected Corrected by Feb 12, 2024
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 file for child #2, older toddler is lacking an updated immunization report. The report on files shows the following missing immunizations: DTAP,HIB,MMR,Varcella and Hepatitis A. Child #2 must be removed from care until a current immunization report and / or exemption letter is received.
Corrected Corrected by Feb 12, 2024
Category: health medication. 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.
Observed in the school age first aid kit sting relief pads and medicated swabs not labeled with the name of the child for whom they were intended.
Corrected Corrected by Feb 12, 2024
Category: health medication. 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.
Files for staff #2,#3and #4 and facility persons #6 and #7 are lacking documentation of TB tests at the time of initial employment. Staff #2 does have current TB test results.
Corrected Corrected by Feb 2, 2024
Category: health medication. Marked corrected in the state record.
3270.182(1) · A child's record shall contain initial and subsequent health reports.
The files for children #1,#2 and #5 are lacking current health reports.
Corrected Corrected by Feb 12, 2024
Category: health medication. 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 #3 contains an emergency contact form that is lacking signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Feb 12, 2024
Category: ratio. Marked corrected in the state record.
3270.191 · An individual record is required for each facility person.
An individual record is not available for Facility persons #6 and #7 serving as cleaning help and lunch help.
Corrected Corrected by Feb 2, 2024
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 #2,#3 and #5 and facility persons #6 and #7 are lacking 2 written references attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Feb 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 #5 is lacking documentation of 12 hours of annual child care training during the year 12/19/2022 to 12/19/2023.
Corrected Corrected by Feb 2, 2024
Category: recordkeeping. 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.
A letter was not sent to local traffic safety authorities in the past 12 months 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 Feb 12, 2024
Marked corrected in the state record.
3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.
Staff stated that the diaper changing surface is wiped with a baby wipe between each child and then sprayed with a beach/water solution once all children have been changed.
Corrected Corrected by Jun 8, 2023
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).
Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).
Corrected Corrected by Jun 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.
Corrected Corrected by Jun 8, 2023
Category: supervision. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff person #1 has not completed the following required pre-service trainings within 90 days of their hire date (see LIS code sheet: First Aid and CPR training and Health and safety training.
Corrected Corrected by Jun 8, 2023
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.
A pack n play was observed to have a quarter size hole on the side.
Corrected Corrected by Jun 8, 2023
Category: physical safety. Marked corrected in the state record.
3270.61(h) · The capacity established for an indoor space may not be exceeded.
It was observed that 13 children, 7 older toddlers, 4 younger toddlers, and 2 infants, were in the upstairs social room with a capacity of 12.
Corrected Corrected by Jun 8, 2023
Category: ratio. Marked corrected in the state record.
3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.
The fire drill log had the hypothetical location of the fire listed as the lunch from for the drill on 4/15/23 and 5/20/23.
Corrected Corrected by Jun 8, 2023
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 alarms were tested on 1/15/23 and not again until 2/20/23, which is more than 30 days in between testing. The fire alarms were tested on 3/7/23 and not again until 4/15/23, which is more than 30 days in between testing. The fire alarms were tested on 4/15/23 and not again until 5/20/23, which is more than 30 days in between testing.
Corrected Corrected by Jun 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).
The facility's water source has been identified as a PWS and has been identified as not being compliant with DEP.
Corrected Corrected by Apr 15, 2023
Category: physical safety. 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 rear upstairs childcare space, in an area accessible to children in care, an eight-to-10-foot electrical wire was observed to present the risk of strangulation if a child were to get it entangled around their neck.
Corrected Corrected by Mar 5, 2023
Category: health medication. 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 #2, #3, and #4 did not contain documentation of the completion of fire safety training in the past 12 months.
Corrected Corrected by Jan 26, 2023
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 #6 may not work in a childcare position at the facility.
The file for Staff #6 did not include the rap sheet associated with the PA State Police Criminal History Clearance that was on file at the facility. Staff #6 cannot return to work at the facility until she obtains said documentation.
Corrected Corrected by Jan 26, 2023
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The files for Staff #2 and #3 did not contain documentation of a staff evaluation completed in the past 12 months.
Corrected Corrected by Jan 27, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
An unused, unprotected electrical outlet was observed in the main childcare space in an area accessible to children under the age of six.
Corrected Corrected by Jan 27, 2023
Category: physical safety. 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.
An unlabeled spray bottle containing a disinfectant solution was observed in the main childcare space.
Corrected Corrected by Jan 27, 2023
Category: ratio. Marked corrected in the state record.
3270.69(a) · A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).
The facility's water source has been identified as a PWS and has been identified as not being compliant with DEP.
Corrected Corrected by Mar 5, 2023
Category: physical safety. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
A first-aid kit in downstairs childcare space was observed to be accessible to children in care.
Corrected Corrected by Jan 27, 2023
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.
Metal brackets used to support shelving in both the front and rear upstairs childcare spaces, in areas accessible to children in care, were observed to have sharp edges.
Corrected Corrected by Jan 27, 2023
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.
A plastic bucket and bin in the main childcare space, in areas accessible to children in care, were observed to have cracked jagged edges that could cause laceration and/or pinch point injuries.
Corrected Corrected by Feb 6, 2023
Category: ratio. Marked corrected in the state record.
3270.124(b)(4)/3270.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The files for Child #1, #2, and #3 contained emergency contact forms that did not include parental written consent for the administration of minor first-aid procedures or for emergency medical care.
Corrected Corrected by Feb 6, 2023
Category: ratio. 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 file for Child #1 contained an emergency contact form that did not include the policy number of the child's health insurance provider.
Corrected Corrected by Feb 7, 2022
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 file for Child #3 included three persons listed as persons to whom the child can be released. Addresses for said persons were not included on the document.
Corrected Corrected by Jan 30, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file for Child #5, an older toddler, contained a health assessment that was completed more than 12 months ago.
Corrected Corrected by Feb 15, 2023
Category: health medication. Marked corrected in the state record.
3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.
The file for Child #4 did not contain an immunization record. The file for Child #2 contained an immunization record that did not include an influenza vaccine in the past year.
Corrected Corrected by Feb 17, 2023
Category: health medication. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
In the rear upstairs childcare space, a trash can used to dispose of diapers was observed to have an inoperable hands-free mechanism.
Corrected Corrected by Jan 27, 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 #2 contained a health assessment that was administered more than 24 months ago.
Corrected Corrected by Feb 19, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The file for Staff #1 contained a health assessment that did not include the results of an examination for communicable diseases.
Corrected Corrected by Feb 16, 2023
Category: health medication. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
Two unlabeled bottles that were to be used by children in care were observed in the refrigerator in the kitchen.
Corrected Corrected by Jan 27, 2023
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 #5 did not contain two written, non-family references.
Corrected Corrected by Feb 10, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.
The file for Child #4, who has been in care for more than 60 days, did not contain a health assessment.
Corrected Corrected by Jan 30, 2023
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:
2nd citation; originally cited 1/31/2022, The file for staff person #2, who has been employed for greater than 90 days, is lacking verification of training in the first 9 health and safety topics.
Corrected Corrected by Apr 8, 2022
Category: health medication. 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.
2nd citation, originally cited 1/31/2022; The file for staff person #2, hire date in a child care position (see IS code sheet), is lacking verification of mandated reporter within 90 days of hire as required under CPSL.
Corrected Corrected by Apr 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
2nd citation, originally cited 1/31/2022; The file for staff person #2, observed serving as an AGS, is lacking verification of education and experience to qualify as an AGS.
Corrected Corrected by Apr 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
2nd citation, originally cited 1/31/2022; The file for staff person #2, observed caring for children, is lacking a health assessment and results of a TB test.
Corrected Corrected by Apr 8, 2022
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
2nd citation, originally cited 1/31/2022; The file for staff person #1 is lacking one of the required two written reference letters.
Corrected Corrected by Apr 7, 2022
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.
2nd citation, originally cited 1/31/2022; The file for staff person #1, who has been employed for greater than 90 days, is lacking verification of professional development in pediatric first aid and pediatric CPR.
Corrected Corrected by Apr 12, 2022
Category: health medication. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Staff person #1 was the only facility person in the facility.
Corrected Corrected by Mar 19, 2022
Category: ratio. Marked corrected in the state record.
3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.
On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Staff person #1 was the only facility person in the facility.
Corrected Corrected by Mar 19, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(a)(1) · ***The legal entity will develop a system that will not allow children to access the theater area on their own without staff assistance.
***On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.
Corrected Corrected by Apr 11, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(a)(1) · **The legal entity will post signs on the walls surrounding the theater area stating that children must be supervised by a staff person at all times and include the regulatory definition of supervision on the signs.
**On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.
Corrected Corrected by Apr 11, 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.
*On 3/18/2022 at 7:00am staff person #1 was observed caring for 2 young toddlers, 1 older toddler and 4 preschool children. Two of the preschoolers were observed to be on the other side of the partial wall in the theater area where they could not be seen by staff person #1 who was positioned by the front tables.
Corrected Corrected by Mar 19, 2022
Category: supervision. Marked corrected in the state record.
3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.
It was observed that children arriving at the facility immediately sat at the table and ate breakfast without first washing their hands.
Corrected Corrected by Apr 11, 2022
Category: health medication. 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 provider has not conducted and documented an emergency drill during the 12/19/2020 to 12/19/2021 time period.
Corrected Corrected by Feb 14, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for staff person #1, serving as an assistant group supervisor contains verification of education but is lacking verification of experience to qualify as an assistant group supervisor. Staff person #1 may serve as an aide. The files for staff persons #2 and #3, serving as aides, lack verification of education and experience to serve as an aide. The file for staff person #4, serving as an assistant group supervisor, lacks verification of experience to serve as an assistant group supervisor. Staff #4 may serve as an aide. The file for staff person #6, serving as an assistant group supervisor, is lacking verification of education and experience to serve as a staff person. The file for staff person #7, serving as an assistant group supervisor, lacks verification of experience and education to serve as a staff person. The file for staff person #8, serving as an AGS, lacks verification of experience and education to serve as a staff person.
Corrected Corrected by Jan 24, 2022
Category: supervision. Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
There was not a first aid kit in the upstairs infant child care room.
Corrected Corrected by Jan 24, 2022
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 files for staff persons #1,2,3,4,6,7 and 8 are lacking verification of training regarding the emergency plan at the time of initial employment.
Corrected Corrected by Feb 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(b) · A staff person shall be 18 years of age or older.
Staff person #3, serving as an assistant group supervisor, has a birth date of 6/2/2004, and therefore is 17 years old.
Corrected Corrected by Feb 14, 2022
Category: supervision. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The file for staff person #5 is lacking fire safety training completed during the previous 12 month period.
Corrected Corrected by Mar 14, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: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 #5 and #8 are lacking verification of training in the Health and Safety topics and have been employed for greater than 90 days. The files for staff persons #1 and #4 contain health and safety training that was completed greater than 90 days after hire.
Corrected Corrected by Dec 31, 2021
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 #1, 2, 3, 6, and 7 may not work in a child care position at the facility.
The facility does not have a provisional hire waiver. The file for staff person #1, hire date 7/1/2021, is lacking a completed criminal history clearance and completed NSOR verification. The file for staff person #2, hire date 12/8/2021, is lacking a signed disclosure statement, a state police clearance, FBI fingerprinting and NSOR verification. The file for staff person #3, hire date 1/10/2022, is lacking a signed disclosure statement, criminal history clearance and NSOR verification. The file for staff person #4, hire date 8/16/2021, is lacking criminal history, FBI fingerprinting, and NSOR verification at the time of hire. The file does contain current completed clearances. The file for staff person #6, hire date 11/30/2021, is lacking a completed NSOR verification. The file for staff person #7, hire date 11/10/2021, is lacking a completed NSOR verification.
Corrected Corrected by Feb 1, 2022
Category: background checks. 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 #8 is lacking mandated reporter training and has exceeded 90 days of employment. The file for staff person #4 contains mandated reporter training that was completed greater than 90 days after hire.
Corrected Corrected by Jan 31, 2022
Category: recordkeeping. 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 toddler child care area there are 10 metal shelf brackets in reach of the children and protruding out beyond the edge of the shelf causing a hazard.
Corrected Corrected by Jan 24, 2022
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.
4 toddler aged children were observed sleeping in pack and plays that did not have at least 2 feet of open space on three sides.
Corrected Corrected by Jan 24, 2022
Category: physical safety. 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.
The refrigerator in the upstairs infant room was lacking a thermometer.
Corrected Corrected by Jan 24, 2022
Category: nutrition. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The files for child #2 and child #3 contain agreements that were not signed by the operator.
Corrected Corrected by Feb 7, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The file for child #3 contains an agreement that does not include a fee amount.
Corrected Corrected by Feb 7, 2022
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 file for child #1 contains emergency contact information that is lacking health insurance information.
Corrected Corrected by Feb 14, 2022
Category: health medication. Marked corrected in the state record.
3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
Emergency contact information was not available in the upstairs infant room for the young toddler observed receiving care in the space.
Corrected Corrected by Jan 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The files for children #1 - 5 contain emergency contact and financial agreements that have not been updated in the past 6 months.
Corrected Corrected by Feb 14, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file for child #5, preschool aged, is lacking a health report conducted in the past 12 months.
Corrected Corrected by Feb 7, 2022
Category: health medication. Marked corrected in the state record.
3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.
The files for children #3, 4 and 5 contain immunization reports that lack a flu vaccine in the previous year as required by the ACIP immunization schedule.
Corrected Corrected by Mar 28, 2022
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 files for staff persons #7 and #8 are lacking health assessments and TB tests and were observed caring for children.
Corrected Corrected by Feb 14, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The file for staff person #2 contains a health assessment with a physician statement that the individual has been examined for a communicable disease.
Corrected Corrected by Feb 21, 2022
Category: health medication. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person
The files for staff persons #1,2,3,4,6,7 and 8 were each lacking 2 written reference letters.
Corrected Corrected by Feb 14, 2022
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.
The files for staff persons #1 and #4 are lacking pediatric first aid and pediatric CPR and have exceeded 90 days since hire.
Corrected Corrected by Mar 22, 2022
Category: health medication. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The file for child #3, preschool aged, is lacking a health report and has been enrolled for greater than 60 days.
Corrected Corrected by Mar 11, 2022
Category: health medication. Marked corrected in the state record.
3270.113(e) · **The legal entity will arrange for STARS technical assistance through the ELRC for guidance with appropriate behavior management techniques. All staff supervising toddlers and preschoolers must participate. The TA should take place within 3 months of the date of the accepted plan of correction and will be verified with documentation from the ELRC.
** According to staff statements, buckled straps are used to restrain toddler and preschool aged children in chairs when they will not stay seated during meals and during time out.
Corrected Corrected by Sep 17, 2021
Category: supervision. Marked corrected in the state record.
3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.
According to staff statements, buckled straps are used to restrain toddler and preschool aged children in chairs when they will not stay seated during meals and during time out.
Corrected Corrected by Jun 14, 2021
Category: nutrition. Marked corrected in the state record.