3270.14 · 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.

On 9-10-24, at the time of inspecting a vehicle (Kia) used to transport school-age children daily to and from school, the vehicle had an expired registration dated 8-31-24.

Corrected Corrected by Sep 17, 2024

Category: ratio. 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). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: 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 Person #1 may not work in a child care position at the facility.

The file of staff #1, and AGS had PA State Police clearance for the purpose of volunteer rather than employment.

Corrected Corrected by Sep 17, 2024

Category: supervision. Marked corrected in the state record.

3270.82(h)/3270.82(j) · 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 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.

Observed staff #2 not wash their hands after diapering an infant. In addition, there was not a source of running water in the space in which staff #2 diapered the infant due to the fact they were on the floor of the preschool room rather than at the diaper changing table in the infant space.

Corrected Corrected by Sep 17, 2024

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 file of child #2 lacked an emergency contact form with the work address and telephone number of the enrolling parent.

Corrected Corrected by Sep 17, 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 of child #1 lacked an emergency contact form with the written consent signed by a parent for emergency medical care.

Corrected Corrected by Sep 17, 2024

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.

The file of staff #1 lacked a health assessment. The file of staff #2 had a late health assessment due to the fact they were dated: 3-10-22 and 7-31-24; more than 24 months apart.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

3270.182(5)/3270.182(6) · 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. A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file of child #1 lacked an emergency contact form with the signed parental consent for administration of minor first-aid procedures by facility staff and signed parental consent for transportation, walking excursions, swimming and wading; or NA if not applicable.

Corrected Corrected by Sep 17, 2024

Category: ratio. Marked corrected in the state record.

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

The file of staff #1 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. 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).

2nd citation. Previously cited on 6/13/24. At approximately 11 AM on 8/21/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 3 older toddlers and 4 preschoolers. After opening the door Staff #1 took Child #1 who had entered the entrance area alone from outside back to the outside play space where Staff #3 was present. Before returning to the Room with Staff #2, Staff #1 also used the restroom. While Staff #1 was using the restroom, Child #1 again entered the entrance alone, so Staff #2 told the child to return to the play space with Staff #3. Staff #3 then was observed to be caring for 6 preschoolers including Child #1 and 4 young school-age children.

Corrected Corrected by Aug 29, 2024

Category: ratio. 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.

2nd citation. Previously cited on 6/13/24. At approximately 11 AM on 8/21/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 3 older toddlers and 4 preschoolers. After opening the door Staff #1 took Child #1 who had entered the entrance area alone from outside back to the outside play space where Staff #3 was present. Before returning to the Room with Staff #2, Staff #1 also used the restroom. While Staff #1 was using the restroom, Child #1 again entered the entrance alone, so Staff #2 told the child to return to the play space with Staff #3. Staff #3 then was observed to be caring for 6 preschoolers including Child #1 and 4 young school-age children.

Corrected Corrected by Aug 29, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff 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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum

Corrected Corrected by Aug 12, 2024

Category: supervision. Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Child #1 received an injury on 4/12/24. The injury received resulted in the child being seen in the emergency room. The operator was notified on 4/12/24 of the emergency room visit. As of the time of investigation, the operator had not yet reported to the department either verbally or in writing.

Corrected Corrected by Aug 12, 2024

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

3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Child #1 received an injury on 4/12/24. The injury received resulted in the child being seen in the emergency room. The operator was notified on 4/12/24 of the emergency room visit. As of the time of investigation, the operator had not yet reported to the department either verbally or in writing.

Corrected Corrected by Aug 12, 2024

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

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Child #1 who was an infant received an injury from a Step 2 Kitchen set which is not recommended for children under the age of 2

Corrected Corrected by Aug 12, 2024

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

On 6/13/24 when certification representative asked to see the facility's accident file, Staff #2 indicated parents are given the original report and a copy is placed in a child's file, but a copy is not retained at the facility in an accident file. Staff #2 indicated the facility does not have an accident file.

Corrected Corrected by Aug 12, 2024

Category: health medication. 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 facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 11/7/23, 12/4/23, 1/2/24, 1/29/23, 2/19/24, 3/1/24, 4/2/24, 5/2/24, 5/31/24, and 6/5/24.

Corrected Corrected by Aug 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

At approximately 9:15 AM on 6/13/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:25 AM Staff #1 left the Preschool Room again to relieve Staff #3 who working in the Infant Room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers.

Corrected Corrected by Aug 12, 2024

Category: ratio. Marked corrected in the state record.

3270.70(a) · The indoor temperature shall be at least 65° F.

On 4/25/24 Certification Staff observed the indoor temperature to be 62 degrees F.

Corrected Corrected by Aug 12, 2024

Category: physical safety. 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.

At approximately 9:15 AM on 6/13/24, Staff #1 left the Preschool Room to answer the door located in another room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:25 AM Staff #1 left the Preschool Room again to relieve Staff #3 who working in the Infant Room leaving Staff #2 with 5 Preschoolers and 4 Older Toddlers. At approximately 9:20 on 6/13/24 Staff #1 and #2 were caring for a group of 9 mixed-age children which included 4 older toddlers and 5 preschoolers. When asked to name the children in their assigned groups, Staff #1 named all 5 preschoolers, but Staff #2 named only 2 of the 4 older toddlers. At approximately 9:25 AM Staff #3 was caring for 2 infants and 2 young toddlers but could not name 1 of the young toddlers.

Corrected Corrected by Aug 12, 2024

Category: supervision. 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).

On 4/25/24 Certification Staff observed a Child Service Report for Child #1 which referenced the child as a she when the child is a male. On 6/13/24 Certification Staff observed Child Service Reports dated 1/19/24 with identical information for Children #2 and #3.

Corrected Corrected by Aug 12, 2024

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.

2nd citation. Previously cited on 9/18/23. Observed 1 exposed nail on the left side of the porch railing upon entering the outdoor play space.

Corrected Corrected by Nov 6, 2023

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

3270.172(a) · Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

2nd citation. Previously cited on 9/18/23. The facility did not have written parental consent to transport Child #1.

Corrected Corrected by Nov 15, 2023

Category: transportation. 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.

2nd citation. Previously cited on 9/18/23. The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/17/22, 12/5/22, 1/3/23, 1/29/23, 2/1/23, 2/17/23, 3/2/23, 3/18/23, 4/4/23, 5/15/23, 6/12/23, 7/10/23, 8/9/23, and 9/5/23, and 10/2/23.

Corrected Corrected by Nov 7, 2023

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.

Emergency contact information for Child #2 lacked the complete address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 12, 2023

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 files of Staff #2 and #3 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #2 contained documentation of completing the health and safety update on 2/13/23. The file of Staff #3 contained documentation of completing the health and safety update on 8/11/23.

Corrected Corrected by Oct 11, 2023

Category: ratio. 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 2 pair of adult scissors located in a pink plastic bin on top of the microwave in Room #1 which were accessible to children.

Corrected Corrected by Oct 11, 2023

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

3270.34(b)(3)/3270.192(2)(iii) · A director shall have attained an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 3 years of 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 of Staff #1, who was designated as the director, lacked documentation of 3 years of experience with children.

Corrected Corrected by Oct 11, 2023

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 of Staff #3, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Oct 11, 2023

Category: supervision. Marked corrected in the state record.

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

Observed 2 exposed nails on the left side of the porch railing upon entering the outdoor play space. Observed approximately a 1-inch piece missing from the heat vent which was also rusty in the infant section of Room #2.

Corrected Corrected by Oct 11, 2023

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.

Observed peeling paint to the right of the door upon entering the outdoor play space. Observed approximately two 1/2-inch holes in the drywall by the toilet paper holder in the 2nd bathroom.

Corrected Corrected by Oct 12, 2023

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 each bathroom lacked a handwashing sign.

Corrected Corrected by Oct 12, 2023

Category: health medication. 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 agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.

Corrected Corrected by Oct 12, 2023

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 agreements for Children #3 and #4 did not specify the date on which the fee is to be paid.

Corrected Corrected by Oct 12, 2023

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 agreement for Child #3 did not include the services provided to the family and child.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreements for Children #1 and #3 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact information for Children #2 and #3 lacked the complete work address of the enrolling parent.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 8/31/22, 11/30/22, and 7/18/23.

Corrected Corrected by Oct 12, 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.

Staff #3 lacked a health assessment conducted every 24 months. Staff #3 had a current health assessment dated 5/19/23 with a previous one dated 2/9/21.

Corrected Corrected by Oct 12, 2023

Category: ratio. Marked corrected in the state record.

3270.172(a) · Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district.

The facility did not have written parental consent to transport Children #5, #6, #7, and #8.

Corrected Corrected by Oct 12, 2023

Category: transportation. Marked corrected in the state record.

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

All manufacturer's instructions for use of safety restraints were not kept in the Kia Sorento.

Corrected Corrected by Oct 12, 2023

Category: transportation. Marked corrected in the state record.

3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

The Kia Sorento and Honda Odyssey did not contain documentation of being insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Corrected Corrected by Oct 12, 2023

Category: transportation. 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 facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/17/22, 12/5/22, 1/3/23, 1/29/23, 2/1/23, 2/17/23, 3/2/23, 3/18/23, 4/4/23, 5/15/23, 6/12/23, 7/10/23, 8/9/23, and 9/5/23.

Corrected Corrected by Oct 12, 2023

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.

The operator did not notify local traffic 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 operator provided documentation of notifying local traffic authorities in February 2022.

Corrected Corrected by Oct 12, 2023

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 files of Children #2 and #4 lacked the date of the child's admission on the agreement.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Nov 29, 2022

Category: ratio. 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 of Staff #1 and #3 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #1 and #3 contained documentation of emergency plan training on 10/6/22 with previous training on 1/12/21. The file of Staff #4 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #4 contained documentation of emergency plan training on 10/6/22.

Corrected Corrected by Nov 29, 2022

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 operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by Nov 29, 2022

Category: physical safety. 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 of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #3 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #3 contained documentation of pediatric first aid and pediatric cardiopulmonary resuscitation completed on 6/1/22 with a previous one completed on 5/6/20.

Corrected Corrected by Nov 30, 2022

Category: ratio. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file of Staff #4, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.

Corrected Corrected by Nov 30, 2022

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.

Observed Parents Choice Diaper Rash Ointment which indicated "keep out of the reach of children" in a pink bin on the table in the Right Front Room which was accessible to children.

Corrected Corrected by Nov 29, 2022

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.

Observed 2 boards with splintering wood at the top of the stairs on the porch in the Outdoor Play Space.

Corrected Corrected by Nov 29, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed foam puzzle pieces with bite marks in the Left Front Room where young toddlers were located.

Corrected Corrected by Nov 29, 2022

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.

Observed rest equipment not labeled for the use of a specific child in the following classrooms: Multipurpose Room, Right Front Room, and Left Front Room.

Corrected Corrected by Nov 30, 2022

Category: physical safety. 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 of Child #5 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained a current health report dated 6/1/22 with a previous one dated 8/24/21.

Corrected Corrected by Nov 30, 2022

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 of Children #3 and #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a current health report dated 8/11/22 with a previous one dated 5/17/21. The file of Child #4 contained a current health report dated 9/29/22 with a previous one dated 3/10/21.

Corrected Corrected by Nov 30, 2022

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

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

The file of Child #1 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 30, 2022

Category: health medication. 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.

Staff #2 in the Left Front Room did not ensure that a child's hands were washed after being diapered.

Corrected Corrected by Nov 30, 2022

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

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff #2 in the Left Front Room did not wash his/her hands after diapering a child. Staff #2 used hand sanitizer.

Corrected Corrected by Nov 30, 2022

Category: health medication. 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 emergency contact and agreement for Child #3 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #3's emergency contact was reviewed on 8/21, 3/15/22, and 8/15/22. Child #3's agreement was reviewed on 8/21, 3/15/22, 5/26/22, and 8/15/22.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

2nd citation. Previously cited on 4/21/22. A first-aid kit was not present in the vehicle used to transport children.

Corrected Corrected by Sep 21, 2022

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

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The emergency contact forms for Children #1 and #2 lacked signed parental consent for transportation. Staff indicated the facility transports Children #1 and #2 to school.

Corrected Corrected by Sep 21, 2022

Category: transportation. Marked corrected in the state record.

3270.106(b) · Bed linens may not be used alone as age-appropriate rest equipment.

At approximately 12:30 PM Certification Staff observed children resting on only blankets.

Corrected Corrected by Sep 30, 2022

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

3270.131(e)(1) · 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.

2nd citation. Previously cited on 4/21/22. The file of Child #1 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 30, 2022

Category: health medication. 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.

2nd citation. Previously cited on 4/21/22. The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/2/21, 7/2/21, 8/2/21, 9/2/21, 10/4/21, 11/2/21, 12/2/21, 1/20/22, 2/28/22, 3/17/22, 4/19/22, 5/18/22, 6/10/22, and 7/5/22.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On 4/21/22 Staff #4 did not ensure that a child's hands were washed after being diapered.

Corrected Corrected by Jun 1, 2022

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

3270.21/3270.104(a) · Conditions at the facility may not pose a threat to the health or safety of the children.Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

On 4/21/22 observed Child #5 who is a preschooler sitting in a high chair and rocking it so only 2 legs were on the floor creating a potential fall hazard. On 5/4/22 observed Child #3, an older toddler, and Child #9, a preschooler, attempt to crawl out of their pack and plays creating a potential fall hazard.

Corrected Corrected by Jun 1, 2022

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

3270.31(f) · Staff person #1 will complete the required preservice training listed (3270.31(f)(1-9) with in 15 days from the date the plan to correct this violation is requested.

The file of Staff #1 lacked documentation of completion of preservice training within 90 days of hire.

Corrected Corrected by Jun 1, 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.

Staff #5 lacked documentation of mandated reporter training completed every 60 months. Staff #5 had documentation of mandated reporter training completed on 4/15/20 with previous training completed on 12/10/14.

Corrected Corrected by Jun 1, 2022

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.

The file of Staff #3 lacked documentation of application for the State Police Clearance, Child Abuse Clearance, and FBI fingerprint submitted receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 contained a State Police Clearance dated 4/3/18, a Child Abuse Clearance dated 4/11/18, and a FBI Clearance dated 4/3/18. The file of Staff #4 lacked documentation of application for the Child Abuse Clearance dated prior to or on the date of initial hire. The file of Staff #4 contained a Child Abuse Clearance dated 2/5/18. The file of Staff #5 lacked a State Police Clearance updated every 60 months. The file of Staff #5 contained a State Police Clearance dated 7/28/20 with a previous one dated 4/24/15.

Corrected Corrected by Jun 1, 2022

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

3270.35(b)(4)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files of Staff #2, #3, and #4 lacked documentation of an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.

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

At approximately 12:00 PM on 5/4/22 when Staff #4 was asked who was in his/her assigned group, Staff #4 identified 1 infant and 4 older toddlers.

Corrected Corrected by Jun 1, 2022

Category: ratio. 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.

On 4/21/22 observed an electrical power strip on the 1/2 wall between the multi-purpose room and infant/toddler room which lacked protective receptacle covers.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

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

On 4/21/22 observed splintering wood and an exposed screw on the cover for the heat pump in the outdoor play space. On 4/21/22 observed three approximately 4 inch holes in the siding located at the bottom of the garage in the outdoor play space. On 4/21/22 observed loose siding at the bottom of the garage in the outdoor play space.

Corrected Corrected by Jun 1, 2022

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

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

On 4/21/22 observed peeling paint on the frame and building to the left of the heat pump. On 4/21/22 observed peeling paint on 2 window frames of the garage in the outdoor play space.

Corrected Corrected by Jun 1, 2022

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

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

On 4/21/22 observed a broken handle on toy pliers in the multi-purpose room.

Corrected Corrected by Apr 21, 2022

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

3270.105 · High chairs shall have a wide base and a T-shaped safety strap.

On 4/21/22 observed a Cosco high chair and an Ingenuity high chair missing T-shaped safety straps in the preschool room.

Corrected Corrected by Jun 1, 2022

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.

*On 5/4/22 observed a child sleeping in a play house with the doors and windows covered by a blanket in the Infant/Toddler Room. On 5/4/22 Certification Staff observed Staff #2 who was unable to provide critical oversight of 2 children in which the supervisor could see, hear, direct, and assess the activity of the supervisee because Staff #2 was sitting on one side of the 1/2 wall while the 2 children were on the other side of the 1/2 wall.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

**On 5/4/22 observed a child sleeping in a play house with the doors and windows covered by a blanket in the Infant/Toddler Room. On 5/4/22 Certification Staff observed Staff #2 who was unable to provide critical oversight of 2 children in which the supervisor could see, hear, direct, and assess the activity of the supervisee because Staff #2 was sitting on one side of the 1/2 wall while the 2 children were on the other side of the 1/2 wall.

Corrected Corrected by Jul 26, 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.

At approximately 12:00 PM on 5/4/22 when Staff #5 was asked who was in his/her assigned group, Staff #5 identified 4 preschoolers in the space where he/she was physically present and 6 preschoolers in the adjacent classroom.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.

3270.113(e) · ***The operator will arrange with ELRC 6 for all staff to complete training on how to deal with challenging behaviors in children.

***On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. 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.

*On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · **The operator will contact ELRC 6 to arrange for Start Up TA to come to the facility to conduct a minimum of 4 classroom observations over the period of 4 months and will follow recommendations of ELRC 6 staff.

**On 4/21/22 and 5/4/22 observed preschool-aged children placed in highchairs to eat and pack and plays to nap. When Certification Staff asked why, Staff #5 indicated children are placed in highchairs because they will not sit at the table to eat, and children are placed in pack and plays because they will not stay on their mats to nap.

Corrected Corrected by Oct 28, 2022

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

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

The file of Child #2 lacked the arrival and departure times on the agreement.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #1 lacked the date of the child's admission on the agreement.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Jun 1, 2022

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.

Emergency contact information was not present for any child receiving care in either the multi-purpose room or infant/toddler room.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Emergency contact information for Children #5, #6, #7, and #8 were not present in the van used by staff to transport them.

Corrected Corrected by Jun 1, 2022

Category: transportation. Marked corrected in the state record.

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

The health report for Child #3 was not updated at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #3 contained a current health report dated 3/30/22 with a previous one dated 8/26/21.

Corrected Corrected by Jun 1, 2022

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 health report for Child #1 was not updated at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The file of Child #1 contained a current health report dated 3/17/22 with a previous one dated 9/2/20.

Corrected Corrected by Jun 1, 2022

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

3270.131(e)(1) · 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 files of Children #2 and #4 lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jun 1, 2022

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.

On 4/21/22 observed Staff #4 did not discard a soiled diaper by immediately placing the diaper into a plastic-lined, hands-free covered can. Staff #4 placed the diaper in a plastic grocery bag and then used her hand to open the small hands-free covered can.

Corrected Corrected by Jun 29, 2022

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.

On 4/21/22 the file of Staff #2 lacked documentation of a health assessment conducted every 24 months. The file of Staff #2 contained health assessments dated 4/18/18 and 4/20/20. The file of Staff #4 lacked documentation of a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 3/7/22 with a previous one dated 4/3/18.

Corrected Corrected by Jun 1, 2022

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 of Staff #3 lacked a health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS CODE SHEET). The file of Staff #3 had tuberculosis read date of 4/2/18.

Corrected Corrected by Jun 1, 2022

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

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

On 4/21/22 observed bottles which were not labeled with the child's name in the infant/toddler room.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

3270.175(c) · Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Manufacturer's instructions for use of safety restraints were not kept in the vehicle.

Corrected Corrected by Jun 1, 2022

Category: transportation. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The first-aid kit in the minivan lacked tape.

Corrected Corrected by Jun 1, 2022

Category: health medication. 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 agreement and emergency contact form for Child #1 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's agreement and emergency contact form were reviewed on 8/21 and then on 3/15/22.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not conduct an emergency drill

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Health and safety training on file for Staff #2 and #5 was observed not to be valid due to the fact that the trainings were completed prior to September 30, 2016.

Corrected Corrected by Jun 1, 2022

Category: health medication. 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 facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/2/21, 7/2/21, 8/2/21, 9/2/21, 10/4/21, 11/2/21, 12/2/21, 1/20/22, 2/28/22, 3/17/22, and 4/19/22.

Corrected Corrected by Jun 1, 2022

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 operator did not provide instructions for contacting the appropriate regional child care office.

Corrected Corrected by Jun 1, 2022

Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

Corrected Corrected by Jun 1, 2022

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 files of Staff #2, #3, and #4 lacked documentation of an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jun 1, 2022

Category: recordkeeping. Marked corrected in the state record.