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 was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child. However, the letter failed to include information regarding accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Apr 24, 2025

Category: physical safety. 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.

The facility was observed to have an open, plastic-lined trash can that contained trash that has possibly been contaminated by human secretions or excrement (eating utensils, plates, cups and napkins).

Corrected Corrected by Apr 24, 2025

Marked corrected in the state record.

3270.131(b)(2)/3270.181(c) · 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 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 file for child #1, a preschool aged child was observed to lack documentation that the operator obtained an updated health report no less than every 12 months for an older toddler or preschool child. This was evidenced by the most recent health report in the file is dated 08/21/2023.

Corrected Corrected by Apr 24, 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.

2nd citation. Previously cited on 3/7/24. Observed a damaged wall mat with exposed foam around the outlet to the right at the front of the building in the indoor play space.

Corrected Corrected by Apr 10, 2024

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

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

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

Corrected Corrected by Mar 14, 2024

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.

On 3/7/24 observed an electrical cord to a fan which was not secured creating a potential strangulation hazard in Room 123. On 3/7/24 observed an air purifier which was not anchored on top of approximately a 2-foot-high metal cabinet creating a potential tipping hazard in Room 121/122.

Corrected Corrected by Mar 14, 2024

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

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

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

Corrected Corrected by Mar 14, 2024

Category: supervision. Marked corrected in the state record.

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

On 3/7/24 the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone in Room 121/122.

Corrected Corrected by Mar 14, 2024

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

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

On 3/7/24 a first-aid kit was not in Room 112.

Corrected Corrected by Mar 14, 2024

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.

On 3/7/24 the first-aid kit in Room 121/122 did not contain tweezers and disposable, nonporous gloves.

Corrected Corrected by Mar 14, 2024

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 3/7/24 observed damaged wall mats around 2 outlets with exposed foam at the front of the building in the indoor play space. On 3/7/24 observed rust on the heat register along the left wall from the entrance in Room 123.

Corrected Corrected by Mar 14, 2024

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 3/7/24 observed drywall with several small holes on the opposite wall across from the side entrance in the indoor play space as well as to the left of the fire extinguisher on the opposite wall of the side entrance in the indoor play space.

Corrected Corrected by Mar 14, 2024

Category: physical safety. 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.

On 3/7/24 the bathrooms by Room 100 lacked clean, lidded waste receptacles.

Corrected Corrected by Mar 14, 2024

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

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

On 3/7/24 observed a torn red and blue rest mat with exposed foam in the hall across from Room 121/122.

Corrected Corrected by Mar 14, 2024

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.

On 3/7/24 observed 2 red foam mat pieces with bite marks in Room 121/122. On 3/7/24 observed 5 foam blocks with bite marks in Room 113/114/115.

Corrected Corrected by Mar 14, 2024

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 #3 did not include the complete address of the child's physician or source of medical care.

Corrected Corrected by Mar 14, 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.

Emergency contact information for Child #1 did not include the complete work address of the enrolling parent.

Corrected Corrected by Mar 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact information for Child #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Mar 14, 2024

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.

Emergency contact information for Child #3 did not include the telephone number of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #4 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 14, 2024

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.

On 3/7/24 when children in Room 119/120 went outside, staff did not take the emergency contact information with them for children receiving care.

Corrected Corrected by Mar 14, 2024

Category: recordkeeping. 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 an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 8/19/22.

Corrected Corrected by Mar 14, 2024

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

Corrected Corrected by Mar 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 3/2/23, 4/28/23, 6/20/23, 8/10/23, 10/1/23, 12/22/23, and 2/16/24.

Corrected Corrected by Mar 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The 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 3/2/23, 3/27/23, 4/20/23, 5/17/23, 6/12/23, 7/2/23, 7/30/23, 8/10/23, 9/3/23, 10/1/23, 10/26/23, 11/19/23, 12/22/23, 1/19/24, and 2/16/24.

Corrected Corrected by Mar 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Children #4 and #5 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 6/30/23 had a health report dated 9/11/23. Child #5 who had an admission date of 8/28/23 had a health report in the file, but it was not dated.

Corrected Corrected by Mar 14, 2024

Category: health medication. 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 3/8/23 observed peeling paint on the door frame in the Infant/Toddler Outdoor Play Space.

Corrected Corrected by Mar 22, 2023

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

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

The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but the policy did not address the prevention and identification of child maltreatment. The emergency plan did not address volunteer emergency preparedness training as well as volunteers' roles in the event of an emergency.

Corrected Corrected by Mar 22, 2023

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, #4, #8, #9, #10, #11, #14, #15, #16, and #19 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #2, #3, #4, #8. #9. #10. #11, #14, #15, #16, and #19, staff persons #2, #3, #4, #8, #9, #10. #11, #14, #15, #16, and #19 may not work in a child-care position at the facility.

On 3/8/23 Staff persons #2, #4, #8, #9, #10, #11, #14, #15, and #19 were observed to be caring for children unsupervised. Staff person #2, #4, #8, #9. #10. #11, #14, #15, and #19 have not completed the following pre-service training required prior to caring for children unsupervised: an approved Pediatric first aid and CPR curriculum but the trainer is not PQAS certified. Staff persons #3 and #16 were observed to be caring for children unsupervised. Staff persons #3 and #16 have not completed the following pre-service training required prior to caring for children unsupervised: an approved Pediatric first aid and CPR curriculum but the trainer is not PQAS certified and health and safety training.

Corrected Corrected by Mar 22, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · Staff person #19 will have until April 5, 2023, to complete the Pennsylvania Health and Safety Update 2022. 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 of Staff #19 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 within 90 days of hire (See LIS Code Sheet). Staff #19 completed Get Started with Center-Based Care: Building Blocks for Quality on 10/18/22 instead of Get Started with Center-Based Care Revised 2022. The file of Staff #19 contained no documentation of completing the health and safety update.

Corrected Corrected by Mar 22, 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.

On 3/8/23 observed a pair of adult scissors in the top black bin beside the bookcase in Room 112 which were accessible to children. On 3/8/23 observed a cord to a fan and a cord to an air purifier which were not secured creating a potential tripping/strangulation hazard in Room 121/122. On 3/8/23 observed a fan and air purifier on top of a child's table in Room 110 creating a potential tipping hazard.

Corrected Corrected by Mar 8, 2023

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

3270.35(b)(1) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

The file of Staff #5 lacked documentation of a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Corrected Corrected by Mar 22, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16. #17. #18. and #19, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 may not work in a child-care position at the facility.

Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Mar 8, 2023

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff persons #3 and #16 will have until April 5, 2023, to complete the required training. Until such time as the required training has been completed, staff persons #3 and #16 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and #16, staff persons #3 and #16 may not work in a child-care position at the facility.

Staff persons #3 and #16 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Mar 22, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of Staff #1 lacked a disclosure statement signed at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained a disclosure statement dated 2/11/23. The file of Staff #5 lacked an FBI Clearance updated every 60 months. The file of Staff #5 contained an FBI Clearance dated 10/11/18 with a previous one dated 4/23/13. The file of Staff #8 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a NSOR application dated 7/20/21 and a NSOR dated 7/22/21. The file of Staff #16 lacked a State Police Clearance updated every 60 months. The file of Staff #16 contained a State Police Clearance dated 2/3/23 with a previous one dated 1/25/18. The files of Staff #11 and #19 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #11 and #19 was not the one updated in 2020.

Corrected Corrected by Mar 22, 2023

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.

Staff #7 lacked documentation of completing mandated reporter training every 60 months. Staff #7 had documentation of mandated reporter training completed on 2/20/20 with previous training completed on 12/31/14. Staff #19 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #19 had documentation of completing mandated reporter training on 2/6/23.

Corrected Corrected by Mar 22, 2023

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 of Staff #4 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #4 contained a written evaluation dated 2/5/23.

Corrected Corrected by Mar 22, 2023

Category: recordkeeping. 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 files of Staff #1, #10, and #18, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children.

Corrected Corrected by Mar 22, 2023

Category: supervision. Marked corrected in the state record.

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

On 3/15/23 observed an electrical outlet which lacked a protective receptacle cover beside the door in Room 118.

Corrected Corrected by Mar 22, 2023

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.

On 3/8/23 observed Bic Cover It which indicated "keep out of the reach of children" in the top black bin beside the bookcase in Room 112 which was accessible to children. On 3/8/23 observed Bath and Body Works antibacterial soap which indicated "keep out of the reach of children" on the bookcase beside the black bins in Room 112 which was accessible to children. On 3/8/23 observed MPC A2Z Disinfecting Glass and Multi-surface Cleaner and Stay Clean Hand Gel Sanitizer "which indicated keep out of the reach of children" on top of the piano in Room 117 which were accessible to children. On 3/8/23 observed Clorox Disinfecting Wipes which indicated "keep out of the reach of children" on top of a cubby in Room 118 which was accessible to children. On 3/8/23 observed MPC A2Z Disinfecting Glass and Multi-purpose Cleaner and Febreeze "which indicated keep out of the reach of children" at the handwashing sink in Room 123 which were accessible to children.

Corrected Corrected by Mar 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.

On 3/8/23 observed Clorox Odor Defense stored on a shelf with Goldfish crackers in Room 117.

Corrected Corrected by Mar 8, 2023

Category: ratio. Marked corrected in the state record.

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

The telephone number of the nearest hospital was not posted by the telephones in Room 100, Room 119/120, Room 121/122, and Room 123.

Corrected Corrected by Mar 22, 2023

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

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

On 3/8/23 a first-aid kit was not present in Room 117 and Room 118.

Corrected Corrected by Mar 22, 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.

On 3/8/23 observed 2 screws protruding from the wall in the Infant/Toddler Play Space. On 3/15/23 observed loose fabric at the bottom of the divider which separates Room 117 and Room 118.

Corrected Corrected by Mar 22, 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.

On 3/8/23 observed a sink in the Ladies' Bathroom and a sink in the Men's Bathroom located at the end of the hall which lacked handwashing signs. On 3/8/23 observed a sink the bathroom across from Room 121/122 which lacked a handwashing sign.

Corrected Corrected by Mar 22, 2023

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On 3/8/23 observed an exit in Room 121/122 which was blocked with a cabinet.

Corrected Corrected by Mar 8, 2023

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 3/8/23 observed blue/orange/red steps and a yellow triangle mat with exposed foam in Room 121/122.

Corrected Corrected by Mar 22, 2023

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.

On 3/8/23 observed foam blocks with bite marks in Room 119/120.

Corrected Corrected by Mar 8, 2023

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 Children #5, #6, and #7 lacked child service reports with the reinstating of this regulation on 10/31/22. Child #5, with an admission date of 8/3022, did not have a child service report on file. Child #6, with an admission date of 8/30/22, did not have a child service report on file. Child #7, with an admission date of 8/30/22, did not have a child service report on file.

Corrected Corrected by Mar 22, 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.

The emergency contact for Child #2 lacked the complete address of the child's physician or source of medical care.

Corrected Corrected by Mar 22, 2023

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 for Child #2 lacked the complete work address of the enrolling parent.

Corrected Corrected by Mar 22, 2023

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 for children in Room 100 was not present when they were receiving care in that room. The emergency contact information was kept in an office beside Room 100.

Corrected Corrected by Mar 22, 2023

Category: recordkeeping. 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 files of Children #1, #2, #3, #6, and #7 lacked a current influenza immunization in accordance with the recommendations of the ACIP.

Corrected Corrected by Mar 22, 2023

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 health report for Child #4 included a statement which indicated that the child was not able to participate in child care and does not appear to be free from contagious or communicable disease. The health report lacked an explanation why the child was not able to participate in child care and does not appear to be free from contagious or communicable disease.

Corrected Corrected by Mar 22, 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 files of Staff #5 and #10 lacked a health assessment conducted every 24 months. The file of Staff #5 contained a current health assessment dated 7/29/21 with a previous one dated 6/29/19. The file of Staff #10 contained a current health assessment dated 2/13/23 with a previous one dated 6/3/20. The file of Staff #18 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #18 contained a health assessment dated 1/24/23.

Corrected Corrected by Mar 22, 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 files of Staff #1 and #18 lacked an initial health assessment which included a tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux read date of 12/9/20. Staff #18 had a Mantoux read date of 10/5/16.

Corrected Corrected by Mar 22, 2023

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The operator did not conspicuously post the menu at least 1 week in advance. The only menu posted was for the current week.

Corrected Corrected by Mar 9, 2023

Marked corrected in the state record.

3270.27(a)(6)/3270.27(f) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. 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 created an emergency drill log, but it did not address special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Corrected Corrected by Mar 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills are conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 2/7/22, 4/6/22, 6/2/22, 7/29/22, 9/28/22, 11/22/22, 1/5/23, and 3/2/23.

Corrected Corrected by Mar 22, 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 facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protection professional on 2/8/23 but had no documentation for 2022.

Corrected Corrected by Mar 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files of Staff #4, #5, #10, and #18 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files of children #2 and #4 lacked an agreement with the children's dates of admission.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files of children #1 and #3 lacked an emergency contact form with the parents' work addresses. The file of child #4 lacked an emergency contact form with the parent's full work address.

Corrected Corrected by Apr 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #1 may not work in a child care position at the facility.

The file for staff #1 lacked out of state clearances prior to date of hire (See IS CODE SHEET). The file of staff #2 had documentation of requesting the Child Abuse clearance after the date of hire (See IS CODE SHEET). The file of staff #4 had documentation of requesting the PA State Police clearance after the date of hire (See IS CODE SHEET).

Corrected Corrected by Apr 7, 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 of staff #3 had documentation of completing Mandated Reporter training late due to the fact the documents were dated 12-31-14 and 2-20-22.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. 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 in the restroom located across from the toddler rooms, Clorox toilet bowl cleaner and Radiance brand disinfectant wipes stored in the cabinet above the toilet accessible due to the fact there was a step stool present at the toilet.

Corrected Corrected by Apr 1, 2022

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.

Observed in the 3-day Preschool program room a first aid kit lacking soap.

Corrected Corrected by Mar 29, 2022

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.

Observed in the 3-day preschool room broken Magna-tiles. Observed in the preschool room located near the office, broken Magna-tiles.

Corrected Corrected by Mar 29, 2022

Category: physical safety. 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 the inspection, the 3-day preschool room lacked emergency contact forms for the children receiving care in the space.

Corrected Corrected by Mar 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

At the time of the inspection, the gross motor room lacked a posting of a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Apr 22, 2022

Category: transportation. Marked corrected in the state record.

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

Observed in the restroom located across from the toddler rooms, Rite Aid brand diaper cream labeled for child #5 with an expiration date of 8-2020; Desitin brand diaper cream labeled for child #6 with an expiration date of 2/2022.

Corrected Corrected by Mar 29, 2022

Category: ratio. Marked corrected in the state record.

3270.133(7)/3270.182(4) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Observed prescription medications for children #7 and #8 but no medication logs; and Infant's Tylenol labeled for child #9 but no medication log.

Corrected Corrected by Apr 1, 2022

Category: ratio. 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.

At the time of the reviewing the emergency plan with the director, the emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by Apr 22, 2022

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

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

Based on the fire drill log, fire drills were done more than 60 days apart due to the fact the dates documented were 12-8-21 and 2-7-22, which is 61 days.

Corrected Corrected by Apr 6, 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.

At the time of the inspection, how to access the regulations in this chapter electronically was not posted.

Corrected Corrected by Mar 29, 2022

Marked corrected in the state record.