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

At approximately 11:15 AM, staff #1 left staff #2 alone in room #2 to supervise a group of 22 children of mixed age levels (10 preschool children and 12 school-age children) while staff #2 answered the door; and staff #3 was observed supervising a group of 5 children of mixed age levels (2 infants and 3 younger toddlers) alone in room #1.

Corrected Corrected by Aug 20, 2025

Category: supervision. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Children's lunch boxes containing potentially hazardous food brought from the children's homes were not refrigerated.

Corrected Corrected by Aug 22, 2025

Category: nutrition. 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.

It has been more than 60 days since a fire drill was last conducted on 3/7/2025.

Corrected Corrected by Aug 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

It has been more than 30 days since the fire detection system was last tested on 3/28/2025.

Corrected Corrected by Aug 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan did not provide a plan for continuity of operations, as per Announcement C-22-04.

Corrected Corrected by May 5, 2025

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.

Loose sheets were observed in (4) pack n plays being used by infants in room #1, which posed a suffocation risk to the children who were using the equipment.

Corrected Corrected by May 5, 2025

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

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The operator did not document in writing their annual review of the emergency plan.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The parent letter did not explain the facility's lockdown procedure and plan to provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by May 31, 2025

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

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

Staff #2, #3, #4 and #5 did not participate in annual fire safety training.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staff #4 did not complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff #1 completed Health and Safety Basics: Building Blocks for Quality on 5/16/2019, which was not an accepted training after 6/30/2018.

Corrected Corrected by May 5, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 record for staff #2 and staff #3 included a current NSOR dated 3/20/2025, which was more than 60 months following the date of their previous NSOR on 1/31/2020.

Corrected Corrected by May 5, 2025

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

3270.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

A section of chain link fencing that measured approximately 2'x2' was missing in the outdoor play space and there were no other natural barriers to restrict children from the unsafe high traffic roadways surrounding the facility.

Corrected Corrected by May 21, 2025

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

3270.66(d) · Toxic plants are not permitted in a child care space.

A Yucca plant that was identified as being toxic to humans was observed in room #1.

Corrected Corrected by May 5, 2025

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

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

Sharp metal pieces were protruding from a damaged section of the chain link fence in the outdoor play space, which posed a hazard to children using the space.

Corrected Corrected by May 21, 2025

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was less than 2 feet of space on three sides of a pack n play in use by an infant in care in room #1.

Corrected Corrected by May 5, 2025

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A child service report was not completed and provided to the family for child #1 and #2.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A parent did not review and update in writing the emergency contact form for child #2 at least once in a 6-month period between 3/5/2024 to 3/18/2025.

Corrected Corrected by May 5, 2025

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 #2 lacked a current health report.

Corrected Corrected by May 5, 2025

Category: ratio. Marked corrected in the state record.

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

The record for staff #1 included a written, nonfamily reference from individual attesting to the person's suitability to serve as a facility person dated 3/19/2025, which was following their first day working in child care.

Corrected Corrected by May 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current certificate of compliance was not posted.

Corrected Corrected by May 5, 2025

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.

Staff #2, #4, and #5 did not obtain an annual minimum of 12 clock hours of child care training.

Corrected Corrected by May 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by May 5, 2025

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 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 during the period between 3/19/2024 and 4/4/2025.

Corrected Corrected by May 5, 2025

Marked corrected in the state record.

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

Staff #4 completed mandated reporter training on 3/21/2024, more than 90 days following their date of hire.

Corrected Corrected by Mar 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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. Staff #4 completed the Pennsylvania Health and Safety Update 2022 on 3/21/2024, more than 90 days following their date of hire.

Corrected Corrected by May 10, 2024

Category: ratio. 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 lockdown.

Corrected Corrected by May 10, 2024

Category: physical safety. 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 #2 and #4 may not work in a child care position at the facility.

The record for staff #2 lacked a disclosure statement. The record for staff #4 lacked a current FBI clearance.

Corrected Corrected by Apr 1, 2024

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

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

The record for staff #2, who was presented as an AGS, lacked verification of 2 years experience with children.

Corrected Corrected by Mar 26, 2024

Category: supervision. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record for staff #4, who was presented as an aide, lacked verification of a minimum of an 8th grade education and 2 years of experience with children.

Corrected Corrected by May 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff persons #4 and #5 who were qualified as aides were observed supervising a group of children in room #1 alone without a staff person qualified at minimum as an assistant group supervisor present to supervise them.

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

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

At approximately 9:07 AM, staff #1, #3 and #4 were observed supervising a group of 22 children of mixed age levels, including 1 infant, 5, younger toddlers, 2 older toddlers and 14 preschoolers in room #1.

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

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

There were 6 sharp bolts protruding from the chain link fence surrounding the outdoor play space, which posed a potential hazard for children in care.

Corrected Corrected by Apr 30, 2024

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

The sink at the diaper changing area was not at a proper height for children using it or easily approached by means of platform or steps.

Corrected Corrected by Apr 30, 2024

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

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information was not present in room #1 for children receiving care in the space.

Corrected Corrected by Mar 26, 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 May 10, 2024

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 #2 lacked a current health assessment.

Corrected Corrected by May 10, 2024

Category: ratio. 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 annual emergency drill was not documented and on file at the facility.

Corrected Corrected by Apr 30, 2024

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 #4 completed professional development in pediatric first aid and pediatric CPR on 3/13/2024, more than 90 days following their date of hire.

Corrected Corrected by Mar 13, 2024

Category: health medication. 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's current certificate of compliance was not posted.

Corrected Corrected by Apr 5, 2024

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 director did not complete a written evaluation of staff person #2 within the past 12 months; The last written evaluation of staff #2 was completed on 10/20/2021.

Corrected Corrected by May 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #1, an infant, contained a current health report dated more than 6 months following the date of their previous health report.

Corrected Corrected by Apr 11, 2023

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

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

The provider did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to maintain compliance with 45 CFR 98.41(a)(1)(vi). The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations to maintain compliance with 45 CFR § 98.41(a)(1)(vii). Staff #1, #2, #3, #4 and #5 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 Apr 30, 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.

There were loose sheets observed in a pack n play being used by an infant in the baby room, which posed a suffocation risk to the child in care who was using the equipment.

Corrected Corrected by Mar 22, 2023

Category: health medication. 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 #5 completed the professional development as listed in subsections (f)1-9 on 2/5/2023, which was more than 90 days following their date of hire - see staff individual codes.

Corrected Corrected by Apr 11, 2023

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

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

The record for staff #6 included a signed disclosure statement that was not dated, which makes it invalid.

Corrected Corrected by Apr 11, 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.

The record for staff #5 included verification of mandated reporter training completed on 2/5/2023, which was more than 90 days following their date of hire - see staff individual codes.

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. 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.

There were cracks observed on the outdoor play equipment (the slide and the door on the playhouse) in the fenced outdoor play spaces, which posed a potential pinch point for children using the equipment.

Corrected Corrected by Apr 30, 2023

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

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

The written plan of daily activities was not posted in the therapy room, the space used for toddler's activities and the gross motor room.

Corrected Corrected by Apr 30, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The record for child #1 who has been enrolled in child care more than 6 months did not contain a child service report or other Department approved form to provide information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by May 30, 2023

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.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the therapy room, the baby room, the young toddler room, the older toddler room, the space used for toddler's activities, and the gross motor room.

Corrected Corrected by Apr 30, 2023

Category: transportation. 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 contract information for child #2 had not been reviewed by the child's parent since 4/11/2022. The emergency contact information for child #4 was reviewed by the child's parent on 12/13/2022, which was more than 6-months following the date of the completion of the emergency contact form on 12/9/2021.

Corrected Corrected by Mar 28, 2023

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 Mar 22, 2023

Category: health medication. 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 #5, who has worked in child care more than 90 days, has not completed professional development in pediatric first aid and pediatric cardiopulmonary resuscitation.

Corrected Corrected by Apr 11, 2023

Category: health medication. 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.

A fire drill had not been conducted at least once within the past 60 days; The last documented fire drill was conducted on 1/16/2023.

Corrected Corrected by May 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The fire detection system had not been tested in the past 30 days; The last documented test of the fire detection system was on 2/17/2023.

Corrected Corrected by Apr 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not document the submission of emergency plan updates to the to the local and county emergency management agencies using the Emergency Plan Delivery Documentation (form CD 355) or other form of proof of emergency plan submission, as per Announcement C-22-04.

Corrected Corrected by May 30, 2023

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 have not received emergency plan training on an annual basis. The last documented training occurred 2/24/21. Staff #3, with a start date of 8/16/21, has not yet received emergency plan training.

Corrected Corrected by May 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire:A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3, hired on 8/16/21, did not contain documentation of completing training on the health and safety topics as referenced in 3270.31(f) 1-9. The files for staff #4, #5, and #7, all hired prior to 12/19/20, did not contain documentation of completing training on the health and safety topics as referenced in 3270.31(f) 1-9.

Corrected Corrected by May 31, 2022

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

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

The file for staff #5 contained expired clearances. The dates are as follows; state police 9/30/16, child abuse 10/16/16, and FBI 10/19/16.

Corrected Corrected by Apr 11, 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.

Based on documentation at the facility, staff #3, hired on 8/16/21, has not completed mandated reporter training. Staff #8 did not update mandated reporter training within 60 months as required. Staff #8 previously completed the training on 10/21/16 and updated it on 3/6/22. Staff #5 does not have current mandated reporter training on file. The last training for staff #5 occurred 10/11/16.

Corrected Corrected by Apr 19, 2022

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 files for staff #4 and #5 did not contain evaluations completed in the last 12 months. The last evaluation for staff #4 was dated 9/03/20. The last evaluation for staff #5 was dated 10/20/20.

Corrected Corrected by Mar 31, 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.

A bottle of liquid white-out was observed in the top drawer of a plastic teacher's storage tower in the preschool room. The drawer was not locked. The bottle was labeled "Keep out of reach of children."

Corrected Corrected by Mar 15, 2022

Marked corrected in the state record.

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

Splintering wood was observed on the lower portion of a door in the older toddler room. Sharp edges were observed on the fence of the outdoor play space. A piece of the fencing was cut out and then put back in place using zip ties leaving sharp areas where the metal had been cut.

Corrected Corrected by May 31, 2022

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

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

A broken bottle containing a bubble mixture was observed on the stoop of the door used to access the outside play area. The broken plastic created sharp edges.

Corrected Corrected by Apr 29, 2022

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

3270.102(a)/3270.103 · 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. 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.

Holes were observed on the cover of a changing pad in the young toddler room. The inner foam filling of the pad was accessible.

Corrected Corrected by May 31, 2022

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

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Upon entering the infant room at approximately 10:15 am, child #6, an infant, was observed sleeping and buckled into a car seat. Based on statements made by staff, the child arrived around 7:30 am and was asleep in the car seat at the time of arrival.

Corrected Corrected by Mar 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 #2 and #3 contained emergency contact information and agreements which have not been updated in over 24 months. The documents for child #2 were last updated 1/13/20. The documents for child #3 were last updated 12/19/19.

Corrected Corrected by Apr 19, 2022

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 file for child #3 does not contain a current health report. The most recent health report on file was conducted over 24 months ago. The file for child #2 contains a health assessment which was updated after the reinstatement of the regulation. The most recent health report on file for child #2 is now current.

Corrected Corrected by Apr 19, 2022

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

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The files for children #3, #4, and #5 contained immunization records which lacked documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

Corrected Corrected by May 31, 2022

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

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

A bottle of acetaminophen, intended for child #6, was not labeled with the child's name. The medication was observed in the preschool med box.

Corrected Corrected by Mar 15, 2022

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A bottle of ibuprofen and a bottle of Tylenol were accessible to children in the preschool room. The medications were observed in a staff member's purse sitting on the floor.

Corrected Corrected by Mar 15, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Albuterol, intended for child #1, lacked written parental consent for administration. The medication was observed in the preschool med box.

Corrected Corrected by Apr 19, 2022

Category: ratio. Marked corrected in the state record.

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

The files for staff #4 and #6 did not contain current health assessments completed in the last 24 months.

Corrected Corrected by May 31, 2022

Category: ratio. Marked corrected in the state record.

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

An unlabeled bottle was observed in the infant room refrigerator. The bottle was intended for child #6.

Corrected Corrected by Mar 15, 2022

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 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #3, hired on 8/16/21, did not contain documentation of completing pediatric CPR and pediatric first aid training.

Corrected Corrected by May 31, 2022

Category: health medication. 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.

Based on documentation at the facility, staff have not completed 12 annual hours of training. The hours for each staff are as follows; staff #1 and #8 have completed 9 hours, staff #4 and #7 have completed 3 hours, and staff #5 has completed 0 hours.

Corrected Corrected by May 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on statements made by staff, child #1, a preschool aged child was hitting and spitting on staff. In response, Staff #1 used his/her finger to tap child #1 on the lips one time. Staff #1 squeezed child #1's cheeks between his/her thumb and fingers.

Corrected Corrected by Mar 8, 2022

Marked corrected in the state record.

3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Based on statements made by staff, child #1 was redirected by staff saying, "stop, or you're going in the chair." Child #1 had been previously restrained in a high chair for unwanted behavior.

Corrected Corrected by Mar 7, 2022

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

3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Based on statements made by staff, child #1, a preschool aged child, was placed in a high chair on more than one occasion when the child would not follow directions

Corrected Corrected by Mar 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

On 10/29/21, at approximately 9:40 AM, 23 preschool age children were observed with staff #1 and staff #2. Staff #3 was responsible for 3 of the PS children, but was observed leaving the room upon the arrival of the certification representative. Staff #3 was observed leaving the PS room, walking through the kitchen and entering the infant room from the rear door. Staff #3 then returned to the PS room.

Corrected Corrected by Oct 29, 2021

Category: ratio. Marked corrected in the state record.

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

On 10/29/21 at approximately 9:43AM, staff #4 was observed in the kitchen with 7 children; 5 older toddlers and 2 young toddlers. Staff #5 was observed in the older toddler room which connects to the kitchen. Staff #5 returned to the kitchen as the certification representative entered and stated they left the kitchen to retrieve the photo cards used to identify the children in their care group.

Corrected Corrected by Oct 29, 2021

Category: ratio. Marked corrected in the state record.

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

At the time of the inspection, the operator was unable to provide a written record of monthly testing of the facility's fire alarms or an annual inspection report for those alarms.

Corrected Corrected by Oct 29, 2021

Category: recordkeeping. Marked corrected in the state record.