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

The Emergency Contact form for Child #1 lacked complete addresses for all listed release persons.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. 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 facility's fire drill log contained consecutive hypothetical locations for the fire used for the fire drill.

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #3 may not work in a child care facility until complete disclosure statements are obtained.

The file for staff person #1 contains a disclosure statement that is not dated and contains a criminal history report that identifies the individual has a record but is lacking the rap sheet and is therefore not a complete clearance. Staff #1 has until 12/1/2023 to obtain the rap sheet or must be removed from the facility. The file for staff person #3 is lacking a signed and dated disclosure statement.

Corrected Corrected by Nov 8, 2023

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

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

Observed a string of lights in the Preschool 2 room #113 lacking a protective cover on the receptacle end which was accessible to children age 5 and under .

Corrected Corrected by Nov 8, 2023

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.

Observed in the hallway bathrooms 5 toilets in the girl's bathroom and 4 urinals and 2 toilets in the boy's bathroom all lacking handwashing signs.

Corrected Corrected by Nov 8, 2023

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

3270.134(f) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Observed in Preschool 2 room #113 children's toothbrushes to be stored in a closed cabinet therefore not exposed to circulating air.

Corrected Corrected by Nov 8, 2023

Marked corrected in the state record.

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

The file for staff person #2 is lacking a valid health assessment conducted during the previous 24 month period.

Corrected Corrected by Nov 8, 2023

Category: ratio. Marked corrected in the state record.

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

The file for staff person #2 is lacking TB test results that was conducted within one year of employment in the child care facility.

Corrected Corrected by Nov 8, 2023

Category: health medication. 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 green, soapy liquid was observed in an area accessible to children in Room 113.

Corrected Corrected by Nov 8, 2022

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 Room 111, in an area accessible to children in care, several exposed staples were observed protruding from a built-in storage shelf. In the outside play space, in areas accessible to children in care, a sharply pointed piece of metal was observed along the base of the chain link fence, and a sharply pointed cotter pin was observed on the gate of the fence. Contact with these areas could cause laceration and/or puncture injuries.

Corrected Corrected by Nov 11, 2022

Category: ratio. 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.

An approximately 4"x6" plastic bin with a cracked edge was observed in an area accessible to children in care in Room 113. Contact with the cracked edging could cause laceration and/or pinch point injuries.

Corrected Corrected by Nov 16, 2022

Category: ratio. Marked corrected in the state record.

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

The temperature of the hot water at the sink located in the child care space was measured at 115 degrees Fahrenheit.

Corrected Corrected by Sep 1, 2022

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

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

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

Corrected Corrected by Sep 1, 2022

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

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

The bulb of a lamp located in the child care space, in an area accessible to children, was measured at 117 degrees Fahrenheit. Contact with said bulb could cause burn injury.

Corrected Corrected by Oct 15, 2021

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

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

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

Corrected Corrected by Oct 15, 2021

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 #1 and Staff #2 did not contain documentation of the completion of emergency plan training in the past 12 months.

Corrected Corrected by Oct 22, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted in a conspicuous location.

Corrected Corrected by Oct 15, 2021

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

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

The hot water at the sink accessible to children in care in the child care space was measured at 115 degrees Fahrenheit.

Corrected Corrected by Oct 15, 2021

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

3270.77(a)/3270.102(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. 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.

Two metal tricycles located in areas accessible to children in care in the outside play space were observed to have chipping/peeling paint around the inner part of the front wheels.

Corrected Corrected by Oct 15, 2021

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 playhouse located on the facility's outside play space, in an area accessible to children, was observed to have a cracked, jagged edge that could cause laceration injuries. Also in an area accessible to children in care in the outside play space was a ride-on tricycle with an approximately 4" exposed metal piece protruding from the area where the pedal was no longer present. Contact with said metal piece could result in puncture and/or laceration injuries. An approximately 20' round x 2' wide plastic/heavy rubber tricycle track in the outside play space was observed to have sharply edged corners at each of roughly eight seams where the pieces of track were joined. These exposed sharp corners of the track appear to be raised and exposed because the landscape spikes were not installed. Contact with these corners could cause laceration and/or puncture injuries. In the child care space, in an area accessible to children in care, an approximately 4'x12" standing faux mirror was observed to be loosely assembled causing the potential for pinch injuries near the base of the assembly.

Corrected Corrected by Oct 19, 2021

Category: ratio. 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 file for Child #1 contained an emergency contact form that did not include the address or phone number of the child's physician. The file for Child #2 contained an emergency contact form that did not include the phone number of the child's physician.

Corrected Corrected by Nov 30, 2021

Category: health medication. 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 child's health insurance coverage policy number. The file for Child #2 contained an emergency contact form that did not include the child's health insurance provider.

Corrected Corrected by Nov 30, 2021

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.

In the first-aid kit in the child care space, a tube of antibiotic ointment lacking a label with an individual user's name was observed.

Corrected Corrected by Oct 15, 2021

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

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

The file for Staff #1 did not contain a health assessment completed in the past 24 months.

Corrected Corrected by Jan 3, 2022

Category: ratio. Marked corrected in the state record.

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

Documentation of the purchase of the facility's fire detection system was not available.

Corrected Corrected by Nov 1, 2021

Category: recordkeeping. Marked corrected in the state record.