Learn & Grow Daycare Center Llc

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.

During the unannounced monitoring on 04/02/26 the file reviewed for staff person #1 contained an expired first aid/cpr certification.

Corrected by Apr 13, 2026

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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.

During the unannounced monitoring on 04/02/26 child #1 was observed strapped in child seat which restricted his movement.

Corrected by Apr 2, 2026

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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.

During the unannounced monitoring on 04/02/26 the file reviewed for staff person #1 contained an expired health assessment.

Corrected by Apr 15, 2026

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

During the incident investigation on 04/02/26 it was determined that on 03/28/26 staff person #1 failed to properly supervise children which resulted in a child sustaining injury requiring a hospital visit.

Corrected by Apr 2, 2026

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection on 11/20/25 the first aid kit observed on the 1st floor did not contain tape.

Corrected by Nov 20, 2025

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

During the renewal inspection on 11/20/25 the general liability insurance produced by provider was expired.

Corrected by Nov 24, 2025

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

During the renewal inspection on 11/20/25 the file reviewed for staff person #1 and staff person #2 contained expired fire safety training.

Corrected by Dec 29, 2025

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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.

During the renewal inspection on 11/20/25 the file reviewed for staff person #1 and staff person #2 did not contain annual written evaluation.

Corrected by Nov 24, 2025

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

During the renewal inspection on 11/20/25 missing receptacle covers were observed in 2nd floor childcare space.

Corrected by Nov 21, 2025

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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.

During the renewal inspection on 11/20/25 the file reviewed for child #1 contained an expired emergency contact form and fee agreement.

Corrected by Dec 30, 2025

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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.

During the renewal inspection on 11/20/25 the health assessment reviewed for child #2 was more than 12 months old.

Corrected by Dec 30, 2025

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3270.192(3) · 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.

During the renewal inspection on 11/20/25 the file reviewed for staff person #1 and staff person #2 contained a health assessment over 2 years old.

Corrected by Nov 24, 2025

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

During the renewal inspection on 11/20/25 provider did not produce documentation of annual emergency drills.

Corrected by Nov 29, 2025

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3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

During the renewal inspection on 11/13/24 the lightning in the children's bathroom on the 1st floor was not operable and in need of repair.

Corrected by Nov 18, 2024

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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.

During the renewal inspection on 11/13/24 the refrigerator on the 2nd floor did not contain an operable thermometer.

Corrected by Nov 13, 2024

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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 may not work in a childcare position at the facility.

During the renewal inspection on 11/13/24 the file reviewed for staff person #1 (hired see code sheet) contained a PSP clearance dated 3/18/19, child abuse clearance dated 3/21/19, and DHS FBI clearance dated 6/17/19 which is more than 60 months old.

Corrected by Nov 13, 2024

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

During the renewal inspection on 11/13/24 there were missing receptacle covers observed in preschool classroom and young toddler classroom.

Corrected by Nov 26, 2024

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During the renewal inspection on 11/13/14 the first aid kit located in the preschool classroom was missing tape.

Corrected by Nov 13, 2024

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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.

During the renewal inspection on 11/13/14 the emergency contact form reviewed for child #3 did not include health insurance coverage or policy number for child.

Corrected by Nov 14, 2024

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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.

During the renewal inspection on 11/13/24 the emergency contact and fee agreement reviewed for child #1, child #2 and child #3 was not reviewed/updated within a 6-month time period.

Corrected by Nov 15, 2024

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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)).

During the renewal inspection on 11/13/24 fire detection system was not interconnected, and provider was unable to produce annual report from fire professional to confirm the system had been tested within the year.

Corrected by Nov 26, 2024

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Obtain and place protective covers in the electrical outlets. Ensure that all electrical outlets are equipped with protective covers.

Two electrical outlets in the upstairs classroom lacked protective covers.

Corrected by Mar 16, 2024

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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. Properly install the smoke detector in order to prevent safety hazard. Ensure that the smoke detector remains properly installed.

The smoke detector on the upper level was observed sitting on a cubby and not properly installed on the wall/cieling.

Corrected by Feb 16, 2024

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Two children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1, #2 and #5)

Corrected by Mar 16, 2024

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Obtain and submit a written copy of this missing information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

One child's emergency contact information did not reference who shall be contacted in an emergency. (#3)

Corrected by Mar 16, 2024

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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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

One child's emergency contact information did not include health insurance coverage and policy number information. (#2)

Corrected by Mar 16, 2024

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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. Obtain and submit a written copy of this missing contact information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

One child's emergency contact information did not include the complete contact information- name, address and telephone number of the individual designated by the parent to whom the child may be released. (#3

Corrected by Mar 16, 2024

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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.

Several children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#1, #2, #3, #4 and #5)

Corrected by Mar 16, 2024

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3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Several children's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#1, #3, #4 and #5)

Corrected by Mar 16, 2024

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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. Conduct a fire drill and ensure that it contains a hypothetical location that is different from the previous drill conducted. Submit a copy of a completed fire drill to verify compliance. Develop and submit a written policy statement indicating 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.

Fire drill records contained the same hypothetical location of the fire for consecutive fire drills.

Corrected by Mar 16, 2024

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Two staff person's records did not contain written verification of annual minimum 12 hours of child care training. (#1 and #2)

Corrected by Nov 30, 2023

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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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3270 regulations. The plan was dated 7/5/22.

Corrected by Nov 30, 2023

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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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Several facility person's records did not include written verification of initial or annual emergency plan training. (#8, #9, #10 and #11- initial) (#1 and #2- annual)

Corrected by Nov 30, 2023

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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. Obtain and submit written verification of annual fire safety training for the identified staff persons. Staff will complete fire safety training and written verification of the completed training will be submitted.

Two staff person's records did not contain written verification of annual fire safety training. (#1 and #2)

Corrected by Nov 30, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

Two staff person's records did not contain written verification of required health and safety training completed within 90 days of employment. (#3- 10 hours) (#4-PA Update)

Corrected by Nov 30, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services. LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all new hires/volunteers have the required CPSL clearance documentation prior to working with children and to ensure ongoing compliance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#4- hired 3/7/23- no completed CHILD ABUSE and completed FBI or STATE POLICE prior to working with children (#5-hired 4/4/23- no proof of request for STATE POLICE prior to working with children and STATE POLICE completed more than 45 days after date of hire (#7-hired 5/28/23- no proof of request for STATE POLICE, CHILD ABUSE AND FBI prior to working with children)

Corrected by Nov 30, 2023

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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. Obtain and submit written documentation of educational equivalency to verify that the bachelor's degree meets the educational qualifications for group supervisor. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification that their bachelor`s degree was in early childhood education, child development, special education, elementary education or the human services field as it was conferred in a foreign country and required an equivalency. (#3)

Corrected by Nov 30, 2023

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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. Obtain and submit written verification of education and experience for the identified staff persons. Ensure that all staff records have written verification of education and experience for their positions.

Several staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#5- experience) (#6- both) (#7-both) (#10- experience) (#11-experience)

Corrected by Nov 30, 2023

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times. Update the agreements to specify the child's arrival and departure times. Submit a copy of the updated agreements for the indicated children as specified. Ensure this information is completed for all children's files.

Two children's records contained agreements that did not specify the child's arrival and departure times. (#2 and #3)

Corrected by Nov 30, 2023

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

One child's records contained an agreement that did not specify the persons designated by a parent to whom the child may be released. (#2)

Corrected by Nov 30, 2023

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Obtain and submit emergency contact information for the identified children including who shall be contacted in an emergency. Ensure that all children's records contain emergency contact information as specified in these regulations.

Two children's record lacked emergency contact information as specified in these regulations and did not reference who shall be contacted in an emergency. (#1 and #5)

Corrected by Nov 30, 2023

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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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

One child's emergency contact information did not include health insurance coverage and policy number information. (#5)

Corrected by Nov 30, 2023

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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. Obtain and submit emergency contact information for the identified children including who shall be contacted in an emergency. Ensure that all children's records contain emergency contact information as specified in these regulations.

Several children's record lacked emergency contact information as specified in these regulations and did not reference who shall be contacted in an emergency. (#1, #3 and #4)

Corrected by Nov 30, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2)

Corrected by Nov 30, 2023

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. The signature page appeared to be missing. (#5)

Corrected by Nov 30, 2023

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Several children's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1, #2, #3 and #4)

Corrected by Nov 30, 2023

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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. Conduct a fire drill and ensure that it contains a hypothetical location that is different from the previous drill conducted. Submit a copy of a completed fire drill to verify compliance. Submit a written policy statement indicating 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.

Fire drill records contained the same hypothetical location of the fire for each fire drill between 1/9/23-7/13/23.

Corrected by Nov 30, 2023

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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. Staff person cannot work unsupervised with children until the PA Update has been completed. Submit written verification of the required CCDBG training (PA Update). Staff person will not care for children until the required training and been completed and submitted.

One staff persons record did not contain verification of completed required CCDBG training (Pa Update) (#1)

Corrected by Sep 18, 2023

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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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3270 regulations. The plan was dated 7/5/22.

Corrected by Oct 19, 2023

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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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Several facility person's records did not include written verification of initial or annual emergency plan training. (#8, #9, #10 and #11- initial) (#1 and #2- annual)

Corrected by Oct 19, 2023

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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. Obtain and submit written verification of annual fire safety training for the identified staff persons. Staff will complete fire safety training and written verification of the completed training will be submitted.

Two staff person's records did not contain written verification of annual fire safety training. (#1 and #2)

Corrected by Oct 22, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

Two staff person's records did not contain written verification of required health and safety training completed within 90 days of employment. (#3- 10 hours) (#4-PA Update)

Corrected by Oct 22, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services. LACKING REQUIRED HIRING DOCUMENTS: 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. Revise and submit written policies and procedures regarding CPSL hiring requirements to ensure that all new hires/volunteers have the required CPSL clearance documentation prior to working with children and to ensure ongoing compliance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several staff/facility person's record did not contain the required CPSL hiring documents. (#4- hired 3/7/23- no completed CHILD ABUSE and completed FBI or STATE POLICE prior to working with children (#5-hired 4/4/23- no proof of request for STATE POLICE prior to working with children and STATE POLICE completed more than 45 days after date of hire (#7-hired 5/28/23- no proof of request for STATE POLICE, CHILD ABUSE AND FBI prior to working with children)

Corrected by Oct 22, 2023

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3270.35(b)(1)/3270.192(2)(ii) · A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Obtain and submit written documentation of educational equivalency to verify that the bachelor's degree meets the educational qualifications for group supervisor. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification that their bachelor`s degree was in early childhood education, child development, special education, elementary education or the human services field as it was conferred in a foreign country and required an equivalency. (#3)

Corrected by Oct 22, 2023

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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. Obtain and submit written verification of education and experience for the identified staff persons. Ensure that all staff records have written verification of education and experience for their positions.

Several staff person's record did not contain written verification of education and experience for their assistant group supervisor position. (#5- experience) (#6- both) (#7-both) (#10- experience) (#11-experience)

Corrected by Oct 22, 2023

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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. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written verification of staff notification.

Children were observed napping in the 2nd floor older toddler classroom and there was not at least 2 feet of space on three sides of the rest equipment.

Corrected by Sep 18, 2023

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must inform staff of these requirements and develop procedures for assigning staff the responsibility for supervision of specific children as well as for staff persons being physically present and knowing the names of the children in their assigned group. Submit written documentation of the facility's procedures for assigning supervision responsibility.

Three staff persons (#5, #6 and #10) were observed caring for mixed age group of 15youger/older toddlers in the upper-level classroom. Staff person (#5 and #10 were not able to name some of the children assigned to their group.

Corrected by Aug 18, 2023

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times. Update the agreements to specify the child's arrival and departure times. Submit a copy of the updated agreements for the indicated children as specified. Ensure this information is completed for all children's files.

Two children's records contained agreements that did not specify the child's arrival and departure times. (#2 and #3)

Corrected by Oct 19, 2023

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

One child's records contained an agreement that did not specify the persons designated by a parent to whom the child may be released. (#2)

Corrected by Oct 19, 2023

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Obtain and submit emergency contact information for the identified children including who shall be contacted in an emergency. Ensure that all children's records contain emergency contact information as specified in these regulations.

Two children's record lacked emergency contact information as specified in these regulations and did not reference who shall be contacted in an emergency. (#1 and #5)

Corrected by Oct 22, 2023

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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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

One child's emergency contact information did not include health insurance coverage and policy number information. (#5)

Corrected by Oct 22, 2023

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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. Obtain and submit emergency contact information for the identified children including who shall be contacted in an emergency. Ensure that all children's records contain emergency contact information as specified in these regulations.

Several children's record lacked emergency contact information as specified in these regulations and did not reference who shall be contacted in an emergency. (#1, #3 and #4)

Corrected by Oct 22, 2023

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3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2)

Corrected by Oct 19, 2023

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3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Obtain and submit a current up-to-date health report that contains the signature and professional title of the physician, physician's assistant or a CRNP. Ensure that all children's records include a properly signed health report as specified in this regulation.

One child's record did not contain a current up-to-date health report that had been signed by a physician, physician's assistant or a CRNP. The signature page appeared to be missing. (#5)

Corrected by Oct 19, 2023

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3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consents that includes the parent's signatures. Ensure that all children's records contain the required parental consents prior to admission.

Several children's record did not contain the parent's signature indicating written consent for emergency medical care and for administration of minor first-aid procedures by facility staff. (#1, #2, #3 and #4)

Corrected by Sep 22, 2023

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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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Several facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#9, #10 and #11)

Corrected by Oct 22, 2023

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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. Conduct a fire drill and ensure that it contains a hypothetical location that is different from the previous drill conducted. Submit a copy of a completed fire drill to verify compliance. Submit a written policy statement indicating 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.

Fire drill records contained the same hypothetical location of the fire for each fire drill between 1/9/23-7/13/23.

Corrected by Oct 19, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Two staff person's records did not contain written verification of annual minimum 12 hours of child care training. (#1 and #2)

Corrected by Oct 22, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 until the required CPSL documents have been obtained, completed and submitted as specified. Obtain and submit a copy of the required, completed CPSL clearance documents for the identified facility persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#5-hired 3/6/23- observed working with children and their record did not contain completed FBI or STATE POLICE)

Corrected by Mar 24, 2023

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3270.37(b)(2) · An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification of education and experience for their aide position. (#3)

Corrected by Apr 24, 2023

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3270.51/3270.52 · 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. 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). The legal entity must arrange for all facility staff to receive 2 hours of DHS approved training in proper staff/child ratios. Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance with staff/child ratios. Submit written verification of completed training for all facility staff persons and a copy of the written staffing plan.

On 1/18/23, at approximately 2:30pm, staff person #3 was observed caring for a group of 10 mixed-age children (3 infants, 2 young toddlers and 5 older toddlers) in the 1st floor childcare space. Staff person #3 verified the ages of the children in care. There was no other staff/facility person in the facility. On 3/24/23, the facility did not develop written staffing plan.

Corrected by Apr 24, 2023

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must develop and submit a plan for supervision to put practices in place to ensure that staff persons know the names of children in their assigned groups. Submit written verification of the supervision plan as specified.

On 3/24/23, it was not clear that staff had been assigned responsibility for specific children as the staff person could name the children in their assigned group. ( #3 and #4)

Corrected by Apr 24, 2023

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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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

One staff person's facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#3)

Corrected by Apr 24, 2023

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3270.51/3270.52 · hen 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. 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). The required staff:child ratios must be maintained at all times.

On 2/17/23, at approximately 2:00pm, staff person #12 was observed caring for a group of 9 mixed-age children (5 young toddlers and 4 young school-age) in the 1st floor childcare space. Staff person #2 verified the ages of the children in care.

Corrected by Feb 17, 2023

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3270.51/3270.52 · 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. 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). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the SE Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

On 2/17/23, at approximately 2:00pm, staff person #12 was observed caring for a group of 9 mixed-age children (5 young toddlers and 4 young school-age) in the 1st floor childcare space. Staff person #2 verified the ages of the children in care.

Corrected by May 17, 2023

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3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Develop and submit staffing schedule to ensure that there are at least two facility persons present when two or more children are in care

A review of records on 2/17/23 revealed that on 1/25/23, at approximately 1:21pm, that one staff person #3 was caring for 4 children all day with no other staff person present.

Corrected by Feb 17, 2023

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Ensure that children are supervised at all times.

On 2/17/23, at approximately 2:00pm, a school age child was observed in the 2nd floor classroom alone and unattended with no staff supervision.

Corrected by Feb 17, 2023

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

On 2/17/23, at approximately 2:00pm, a school age child was observed in the 2nd floor classroom alone and unattended with no staff supervision.

Corrected by May 17, 2023

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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. The legal entity must arrange for all facility staff persons to complete training in proper infant sleeping position. Submit written verification of the completed training for all facility staff.

An infant (child #1) was observed sleeping face down in rest equipment. Staff person #1 acknowledged placing the child face down to sleep based upon the parent's written preference. There was no medical documentation from a physician for the infant not to sleep in this position.

Corrected by Apr 17, 2023

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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. Provide and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Several staff person's record did not contain written verification of initial emergency plan training. (#1, #2 and #3)

Corrected by Feb 18, 2023

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3270.37(b)(2) · An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

One staff person's record did not contain written verification of education and experience for their aide position. (#3)

Corrected by Feb 18, 2023

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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. Aides cannot be left alone with children. Assign a staff person qualified at minimum as an assistant group supervisor to supervise this aide at all times. Develop and submit a written staffing plan to ensure that an aide will never work alone with children and will be supervised at all times.

On 1/18/23, at approximately 2:30pm, an aide was observed caring for a group of 10 mixed age children (3 infants, 2 young toddlers and 5 older toddlers) without being minimally supervised by an assistance group supervisor. (staff #3)

Corrected by Feb 18, 2023

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3270.51/3270.52 · 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. 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). The required staff:child ratios must be maintained at all times.

On 1/18/23, at approximately 2:30pm, staff person #3 was observed caring for a group of 10 mixed-age children (3 infants, 2 young toddlers and 5 older toddlers) in the 1st floor childcare space. Staff person #3 verified the ages of the children in care. There was no other staff/facility person in the facility.

Corrected by Jan 18, 2023

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3270.51/3270.52 · 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. 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). The legal entity must arrange for all facility staff to receive 2 hours of DHS approved training in proper staff/child ratios. Develop and submit a written staffing plan including provisions for staff shortages including but not limited to call outs, scheduling, terminations, resignations and operational tasks that impact staffing and times of transition to ensure ongoing compliance with staff/child ratios. Submit written verification of completed training for all facility staff persons and a copy of the written staffing plan.

On 1/18/23, at approximately 2:30pm, staff person #3 was observed caring for a group of 10 mixed-age children (3 infants, 2 young toddlers and 5 older toddlers) in the 1st floor childcare space. Staff person #3 verified the ages of the children in care. There was no other staff/facility person in the facility.

Corrected by Feb 25, 2023

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3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Inform all facility staff that there must be at least two facility persons present when two or more children are in care. Develop and submit written policy regarding staff breaks/staff transitions/scheduling, etc. to ensure that there is always at least two facility persons shall be present in the facility when two or more children are in care.

On 1/18/23, at approximately 2:30pm, staff person #3 was observed caring for a group of 10 mixed-age children (3 infants, 2 young toddlers and 5 older toddlers) in the 1st floor childcare space. Staff person #3 verified the ages of the children in care. There was no other staff/facility person in the facility. The other staff person had left for a lunch break leaving just one staff person in the facility.

Corrected by Feb 18, 2023

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3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed. Remove the toys and ensure that all stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit remain unobstructed.

Toys were observed blocking the upstairs rear exit.

Corrected by Jan 18, 2023

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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. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written verification of notification.

Children were observed napping in the toddler rear childcare space and there was not at least 2 feet of space on three sides of the cots.

Corrected by Feb 18, 2023

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3270.111(a)/3270.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space. Post the written plan of daily activities in each child care space.

The written plan of daily activities was not posted in each child care space.

Corrected by Feb 18, 2023

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff persons to receive at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear, and assess, and direct the activity of the children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must also submit a plan for supervision to put practices in place to ensure that children are supervised at all times. Submit written verification of the completed training for all facility staff persons as well as the supervision plan.

On 1/18/23, at approximately 2:30pm, a school age child was observed in the 2nd floor classroom alone and unattended with no staff supervision.

Corrected by Feb 25, 2023

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3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Ensure that children are supervised at all times.

On 1/18/23, at approximately 2:30pm, a school age child was observed in the 2nd floor classroom alone and unattended with no staff supervision.

Corrected by Jan 18, 2023

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3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Amend the parent handbook to include the specified written policies in accordance with 55 PA Code 3270 regulations. Submit a copy of the amended parent handbook/information for verification of compliance.

Written parental information to be given to parents at the time of enrollment did not include the facility's policies on supervision, clothing and dismissal.

Corrected by Feb 18, 2023

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3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released. Submit updated agreements that contain this information for the identified children. Ensure that the agreement specify the persons designated by a parent to whom the child may be released and contains arrival and departure times.

The agreement form used by the facility did not specify the persons designated by a parent to whom the child may be released. It also did not contain a provision for arrival and departure times. (#1, #2, #3, #4 and #5)

Corrected by Feb 18, 2023

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Obtain and submit the name, address and telephone number of the child's physician or source of medical care for the identified child. Ensure that all children's records include this information as specified in this regulation.

Several children's emergency contact information did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected by Feb 18, 2023

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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. Obtain and submit written verification of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Several children's emergency contact information did not include health insurance coverage and policy number information. (#1, #2 and #3)

Corrected by Feb 18, 2023

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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. Conspicuously post the plan in each classroom/child care space and ensure that it accompanies staff persons who leave on excursions with children.

The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not conspicuously displayed in all child care spaces.

Corrected by Jan 25, 2023

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

The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#4)

Corrected by Jan 20, 2023

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3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name. Label the bottle with the child's name. Develop and submit a written protocol for proper labeling of bottles. Notify all facility staff of this protocol. Submit written verification of staff notification.

Infant bottles observed in the infant area were not labeled with the children's name.

Corrected by Jan 18, 2023

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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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

One staff person's facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#3)

Corrected by Feb 18, 2023

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3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Post evacuation routes as specified. Ensure that the evacuation routes remain posted.

Evacuation routes were not posted in a conspicuous location on each floor of the facility.

Corrected by Jan 25, 2023

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. A current copy of the insurance policy was not on file at the facility at the time of the inspection. Obtain and submit written verification of the facility's comprehensive general liability insurance. Ensure that a current copy of the insurance policy is on file at the facility.

The facility lacked written verification of comprehensive general liability insurance to cover the persons who are on the premises.

Corrected by Aug 8, 2022

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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. Provide and submit written verification of initial emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

One staff person's record did not contain written verification of initial emergency plan training. (#1)

Corrected by Aug 8, 2022

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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. Develop and submit a copy of the parent letter as specified. Ensure that the parent of each enrolled child is provided a letter explaining the emergency procedures or any subsequent update to the plan.

The emergency plan did not include the letter provided to the parent of each enrolled child a letter explaining the emergency procedures or any subsequent update to the plan.

Corrected by Aug 8, 2022

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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. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions.

The facility director's record did not contain written verification of experience for their director position. (#1)

Corrected by Aug 8, 2022

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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. Remove the items and ensure that all cleaning materials/toxic materials are kept in an area or container that is locked or made inaccessible to children.

A can of air freshener and Clorox wipes were observed in the bathroom in an area accessible to children.

Corrected by Jul 8, 2022

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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. Install protective padding or other types of protective materials around the exposed bolts and poles/supports to make the play area safe for children.

The rear outdoor play area had exposed metal bolts and metal poles/supports that presented a visible hazard.

Corrected by Aug 8, 2022

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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. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Two facility person's records did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#1 and #2)

Corrected by Aug 8, 2022

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