3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facility. 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.

Copies of children's incident reports were not retained in a file at the facility.

Corrected Corrected by Apr 7, 2025

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter did not include the facility's lockdown procedure and a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Apr 7, 2025

Category: physical safety. 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.

Staff #4 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/8/2024, which was following the expiration of their previous certification on 6/30/2024. Staff #5 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 7/8/2024, which was following the expiration of their previous certification on 5/31/2024.

Corrected Corrected by Apr 7, 2025

Category: ratio. Marked corrected in the state record.

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

Staff #3 did not participate, at least annually, in fire safety training between 7/28/2023 and 2/23/2025. Staff #4 did not participate, at least annually, in fire safety training between 3/4/2023 and 3/3/2025.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The record for staff #2 included a NSOR verification certificate dated 2/26/2025, which was following their first day working in child care. (see LIS Sheet) The record for staff #4 lacked a NSOR verification certificate. The record for staff #5 Included a current NSOR verification certificate dated 3/6/2025, which was more than 60 months following the date of their previous NSOR verification certificate dated 1/14/2020.

Corrected Corrected by Apr 7, 2025

Category: background checks. 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.

The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children in room 3: A bottle of hand sanitizer was sitting on the countertop and a bottle of odor remover baby wash was in a gift basket by the door.

Corrected Corrected by Apr 7, 2025

Marked corrected in the state record.

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

A handwashing sign was not posed at one of the toilets in the girls bathroom.

Corrected Corrected by Apr 7, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A source of running water for handwashing was not present in the diapering area in room 2.

Corrected Corrected by Apr 7, 2025

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

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

The legs on the child-size wooden table in room 3 were loose, making the table very unstable and posing a potential hazard for children using the equipment.

Corrected Corrected by Apr 7, 2025

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

3270.115(a)(8) · A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Based on a conversation with a staff person, a slip n slide with a wading pool feature observed in the outdoor play space was used by children in care and none of the facility persons had completed water safety instruction.

Corrected Corrected by Apr 7, 2025

Category: ratio. Marked corrected in the state record.

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

The emergency contact information for child #1 and #2 did not include the address and telephone number of the individual designated by the parent to whom the child may be released. The emergency contact information for child #3 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The record for child #3, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Apr 7, 2025

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 #2 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 May 16, 2025

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

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

The record for staff #1 lacked results of a TB test conducted within 12 months prior to providing initial service in a child care setting. The record for staff #4 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Apr 7, 2025

Category: ratio. Marked corrected in the state record.

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

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Apr 7, 2025

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The record for staff #3, #4 and #5 lacked verification of the completion of an annual minimum of 12 clock hours of child care training.

Corrected Corrected by May 2, 2025

Category: recordkeeping. 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.

The hallway outside the Early Head Start classroom was obstructed by a water table, and the door leading to the outdoor play area was obstructed by a mop, bucket, broom, and boxes in the hallway outside the kitchen.

Corrected Corrected by May 17, 2025

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

3270.95(a) · 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 fire detection system was not tested at least once every 30 days from 1/14 to 2/17/2025.

Corrected Corrected by May 17, 2025

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire detection system was not tested at least once every 30 days from 1/14 to 2/17/2025.

Corrected Corrected by May 17, 2025

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.

A Swiffer Wetjet mop containing cleaning fluid labeled keep out of the reach of children was observed leaning against the wall in room #2, accessible to children in care.

Corrected Corrected by Jul 19, 2024

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.

Used tissues that appeared to have been contaminated by human secretions were contained in a receptacle that was not closed in the outdoor play space.

Corrected Corrected by Jul 19, 2024

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

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

Several slats on a window blind installed in room #3 were broken off. There were sharp metal bolts protruding from the chain link fence surrounding the two outdoor play spaces, which posed a potential hazard for children in care.

Corrected Corrected by Jul 19, 2024

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.

A handwashing sign was not posted at the urinal in the boy's bathroom.

Corrected Corrected by Jul 19, 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.

The lid to a plastic storage container was observed laying on the ground in the outdoor play space and it was cracked, which posed a potential pinch point for children in care.

Corrected Corrected by Jul 19, 2024

Category: physical safety. 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 record for staff #1 and #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire detection system was not tested at least once every 30 days during the time period between 3/15 to 4/22/2024 and 5/9 to 6/12 2024.

Corrected Corrected by Jul 19, 2024

Category: recordkeeping. 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.

The hallway was obstructed by was a stack of cots and a shelving unit.

Corrected Corrected by Apr 3, 2024

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 operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the identification and prevention of child maltreatment, as per Announcement C-22-03. The facility's emergency plan did not include continuity of operations.

Corrected Corrected by Apr 3, 2024

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 record for facility person #5, who has been working as a volunteer in child care for more than 90 days, did not receive training regarding the emergency plan.

Corrected Corrected by Apr 3, 2024

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 emergency plan was not posted.

Corrected Corrected by Apr 3, 2024

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The parent letter explaining the emergency procedures did not include the following subsequent updates to the plan: accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions; and lock down.

Corrected Corrected by Apr 3, 2024

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Facility person #5, who has been working as a volunteer in child care for more than 90 days, lacked verification of mandated report training.

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The record for staff person #1 included a disclosure statement dated 6/20/2023, which was following first day working in child care. The record for staff person #2 included a current child abuse clearance dated 10/20/2023 and a current NSOR certificate dated 10/26/2023, which was following first day working in child care. The record for staff person #4 included a current state police clearance dated 3/1/2024, which was following first day working in child care. The record for facility person #5, who was identified as volunteer, lacked a disclosure statement for volunteers.

Corrected Corrected by Apr 3, 2024

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

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

A protective receptacle cover was not placed in an electrical outlet in room #1 accessible to children 5 years of age or younger.

Corrected Corrected by Apr 3, 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.

Several slats on a window blind installed in room #3 were broken off.

Corrected Corrected by Apr 3, 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.

There was peeled paint observed in the last stall in the girls bathroom and several areas on the walls in room #3.

Corrected Corrected by Apr 3, 2024

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

3270.102(g) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

A Fisher Price Rock 'n Play Sleeper described as hazardous by the United States Consumer Product Safety Commission was observed in room #1.

Corrected Corrected by Apr 3, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The record for child #3 lacked an agreement.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The record for child #1, #2, #4 and #5 contained the original agreement.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information for child #1 was reviewed by a parent on 12/12/2023, more than 6 months following the date of the last review on 4/19/2022.The emergency contact information for child #2 and #4 was reviewed by a parent on 12/12/2023, more than 6 months following the date of the last review on 4/25/2022.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The record for child #1, a preschool child, contained a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Apr 3, 2024

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Corrected Corrected by Apr 3, 2024

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

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

The record for staff person #3 included an initial health assessment, including the results of initial TB test, dated more than 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Apr 30, 2024

Category: ratio. Marked corrected in the state record.

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

A written statement giving the formula and feeding schedule for an infant in care was not obtained from the parent.

Corrected Corrected by Apr 3, 2024

Category: nutrition. Marked corrected in the state record.

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

A bottle was not labeled with a child's name in room #2.

Corrected Corrected by Apr 3, 2024

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 financial agreement for child #1, #2, #4 and #5 has not been reviewed by a parent at least once in a 6-month period.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 3, 2024

Category: physical safety. 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 director did not test the fire detection system at least once every 30 days.

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The record for child #2 and #3 contained a current health report dated more than 60 days following the first day of attendance at the facility.

Corrected Corrected by Apr 3, 2024

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator did not notify the 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.

Corrected Corrected by Apr 3, 2024

Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit in the preschool room was located in an unlocked cabinet accessible to children in care.

Corrected Corrected by May 15, 2023

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's emergency plan did not include requirements for volunteer emergency preparedness training to maintain compliance with 45 CFR § 98.41(a)(1)(vii). Staff #1, #3 and #4 completed the Pennsylvania Health and Safety Update 2022 following December 30, 2022, which was the prescribed timeframe required by OCDEL to complete the training, as per Announcement C-22-06.

Corrected Corrected by May 15, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #2 who has worked in child care more than 90 days did not complete professional development as listed in subsections (f)1-10 - see staff individual codes.

Corrected Corrected by May 15, 2023

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.

The record for staff #1 who has worked in child care more than 90 days lacked verification of current mandated reporter training - see staff individual codes. The record for staff #3 included verification of mandated reporter training completed on 4/13/2022, more than 60 months following the completion of previous training on 10/11/2017. The record for staff #4 included verification of mandated reporter training completed on 10/25/2020, more than 60 months following the completion of previous training on 2/19/2015.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3, #4 and #5 may not work at the facility.

The record for staff #1 lacked a current FBI clearance. The record for staff #2 included a disclosure statement that was not dated and a current state police clearance/attachment with misdemeanor and felony convictions that had not been submitted to the Department for review. The record for staff #3 lacked a current state police and FBI clearance; and a current child abuse clearance dated 7/2/2022, more than 60 months following the previous clearance dated 12/8/2017. The record for staff #4 included a current FBI clearance that indicates a record, but the attachment was not present in the file. The record for staff #5 lacked a disclosure statement.

Corrected Corrected by May 15, 2023

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

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

A director is not currently employed by the facility.

Corrected Corrected by May 15, 2023

Marked corrected in the state record.

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

A handwashing sign was not posted at the toilet in the handicap accessible bathroom stall in the girls bathroom.

Corrected Corrected by May 15, 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.

A shelving unit being used to store large coolers in the hallway outside of the kitchen was protruding into the walkway and obstructing the exit from the building to the outdoor play space.

Corrected Corrected by May 15, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The temperature reading on the thermometer that was being used in the refrigerator in the preschool room was above 45°. The temperature of the refrigerator was checked using another thermometer and it was determined that the refrigerator was capable of maintaining food at 45° F or below but the thermometer that was being used was not operating properly.

Corrected Corrected by May 15, 2023

Category: nutrition. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The record for child #5 lacked an agreement.

Corrected Corrected by May 15, 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 operator did not complete the Department's approved form (child service report) to provide information to the family of child #1 and #2 about the child's growth and development in the context of the services being provided.

Corrected Corrected by May 15, 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 agreement for child #4 did not specify the child's admission date.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The record for child #1, #2 and #4 contained the original agreement.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information for child #2 has not been reviewed by a parent at least once in a 6-month period.

Corrected Corrected by May 15, 2023

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 record for staff #1 and #4 includes a current health assessment dated more than 24 months following the date of previous health assessment. The record for staff #5 includes an initial health assessment dated more than 12 months prior to providing service in child care setting - see staff individual codes.

Corrected Corrected by May 15, 2023

Category: ratio. 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 financial agreement for child #1 and #2 has not been reviewed by a parent at least once in a 6-month period.

Corrected Corrected by May 15, 2023

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 record for staff #2 only included one of the two required written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #2 who has worked in child care more than 90 days did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation - see staff individual codes.

Corrected Corrected by May 15, 2023

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

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The record for child #1 and #2 contained a current health report dated more than 60 days following the first day of attendance and the record for child #3 who has been in attendance more than 60 days lacked a health report.

Corrected Corrected by May 15, 2023

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

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The emergency plan did not contain details on methods for contacting parents during or after an emergency.

Corrected Corrected by May 15, 2022

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

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

Based on documentation at the facility, staff were not trained on the emergency plan on an annual basis. Staff #1 and staff #3-7 previously completed training on 8/01/20 and then again on 3/07/22.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1 and #3-7 lack documentation of current fire safety training. The last documented training for each staff person occurred in October 2020..

Corrected Corrected by May 31, 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. Staff person #2 may not work in a child care position at the facility.

The file for staff #2, with a start date of 3/08/22, did not contain an NSOR certificate or proof of applying. The file also lacked a signed disclosure statement.

Corrected Corrected by May 31, 2022

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #6 did not contain a current evaluation. The last evaluation on file for staff #6 was dated 8/01/20. The files for staff #1 and #3 - 5 contained evaluations that were not updated within 12 months as required. Staff were not evaluated in 2021, however current evaluations are now on file.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained 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 and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff #2 did not contain documentation of the qualifications required to perform the duties of the position.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #1 did not contain an agreement. The file for child #2 contained an agreement which was not signed by the operator.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 contained an agreement which did not specify the date on which the fee is to be paid.

Corrected Corrected by May 15, 2022

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 file for child #2 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #3 and #4 contained original agreements.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #2 and #3 contained emergency contact information which did not include health insurance coverage and policy number.

Corrected Corrected by May 15, 2022

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

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The files for children #1, #3, #4, and #5 contained emergency contact information and agreements which were not updated by 1/06/22 as required by the reinstatement of the regulation after suspension due to covid 19. The last update for each document was over 12 months ago.

Corrected Corrected by May 31, 2022

Category: recordkeeping. 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 file for child #3 contained an immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

Corrected Corrected by May 15, 2022

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

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

The file for staff #2 did not contain a health assessment. The files for staff #3, #4, and #6 contained health assessments which have not been updated in over 24 months. The file for staff #7 contained a health assessment which was not updated within 24 months, however the most recent health assessment now on file is current.

Corrected Corrected by May 31, 2022

Category: ratio. Marked corrected in the state record.

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

The file for staff #2 lacked written references.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by May 15, 2022

Category: physical safety. 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 has not conducted an annual emergency drill.

Corrected Corrected by May 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Based on the facility's fire drill log, the hypothetical location of the fire has been the same for all drills since 1/04/21.

Corrected Corrected by May 15, 2022

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 did not have documentation of completing 30 days tests of the fire detection system. The facility did not provide proof of purchase/installation of the fire detection system.

Corrected Corrected by May 15, 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 facility lacked means of providing parents with information on how to access the regulations in this chapter electronically.

Corrected Corrected by May 15, 2022

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained only 3 hours of annual training. The files for staff #3-6 did not contain any hours of annual training.

Corrected Corrected by May 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The files for children #1 and #2, both enrolled over 60 days, did not contain health reports. The file for child #5, enrolled since 6/03/19, contained an initial health report conducted on 3/08/21. The most recent health report on file for child #5 is now current.

Corrected Corrected by May 15, 2022

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