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

The parent letter did not include the facility's emergency procedures for shelter in place at the facility, including lock down; and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 6, 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.

The record for staff #1 lacked a state police clearance in their record. A state police clearance was obtained during the inspection and placed into staff #1's record.

Corrected Corrected by Nov 6, 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 #3, who was working in child care as an AGS, lacked verification of 2 years experience with children.

Corrected Corrected by Nov 6, 2024

Category: supervision. Marked corrected in the state record.

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

Bite marks were observed on multi-colored foam blocks and a gray foam mat that were accessible to children who are still placing objects in their mouths in room #5.

Corrected Corrected by Nov 6, 2024

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 #7 for a child who was receiving care in the space.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment for staff #2 did not include the results of an examination for communicable diseases and the physician's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 6, 2024

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

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

A parent of child #1 did not review and update the financial agreement at least once in a 6-month period between 7/16/2023 and 6/4/2024.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fire detection system was not tested at least once every 30 days during the following periods of time: 3/15 to 4/17/2024; 4/17 to 5/20/2024; and 6/19 to 7/25/2024.

Corrected Corrected by Nov 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #1 did not specify the child's arrival and departure times.

Corrected Corrected by Nov 14, 2023

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 policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not address the prevention and identification of child maltreatment, as per Announcement C-22-03.

Corrected Corrected by Nov 14, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 at the facility.

The record for staff #1, who resided outside of Pennsylvania within the past 5 years, did not include the required out of state child abuse and neglect registry check and sex offender registry check from the state in which they resided.

Corrected Corrected by Nov 14, 2023

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

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

A protective receptacle cover was not placed in an electrical outlet on a power strip plugged in by the computers in room #8.

Corrected Corrected by Nov 14, 2023

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A dispenser containing hand sanitizer was observed to be mounted on the wall by the inside entrance to the facility, where it was accessible to children in care.

Corrected Corrected by Nov 14, 2023

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.

(2) water-stained ceiling tiles were observed in room #8. Low growing prickly weeds were observed in the planter boxes in the outdoor play space, which were accessible and posed a potential hazard to children in care.

Corrected Corrected by Nov 14, 2023

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

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

Peeling paint was observed on the wall to the left of the door when entering room #2 and on a shed in the outdoor play space.

Corrected Corrected by Nov 14, 2023

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

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

A crib was observed obstructing a door that serves as an exit from room #1 to the outside of the facility.

Corrected Corrected by Nov 14, 2023

Marked corrected in the state record.

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

Splintering wood and a protruding nail were observed on a wooden planter box on the ground in the outdoor play space, where it was accessible and posed a potential hazard to children in care.

Corrected Corrected by Nov 14, 2023

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

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

In room #1, there was a sensory bottle containing sand with a screw on top that was not secured in a way to prevent children who are still placing objects in their mouths in room from accessing its contents.

Corrected Corrected by Nov 14, 2023

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.

A roll of unused plastic garbage bags observed in an unlocked drawer in a cabinet in the hallway were accessible and posed a suffocation hazard to children in care.

Corrected Corrected by Oct 17, 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. Facility Person #2 may not work at the facility.

The record for staff #1, who has resided outside of PA within the previous 5 years, did not include clearances (state sex offender registry check and state child abuse and neglect check) from the state in which they resided, as required under the CPSL.

Corrected Corrected by Oct 31, 2022

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

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

There were no protective receptacle covers placed in (2) electrical outlets located on the outside of the building in the outdoor play space for preschoolers, accessible to children 5 years or younger.

Corrected Corrected by Oct 17, 2022

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

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

There were no handwashing signs posted at the toilets in the bathroom located off the toddler room.

Corrected Corrected by Oct 17, 2022

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

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The record for staff #2 included a current health assessment that lacked the results of an examination for communicable diseases and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Nov 10, 2022

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

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

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

Corrected Corrected by Nov 10, 2022

Category: nutrition. Marked corrected in the state record.

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

All staff files reviewed contained documentation of BLS First Aid and Pediatric CPR which does not meet the requirement for Pediatric First Aid and Pediatric CPR as required.

Corrected Corrected by Nov 11, 2021

Category: ratio. Marked corrected in the state record.

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

Staff file #2 lacked the updated disclosure statement upon rehire at the facility. Staff #3 file contained PA State Criminal Clearances dated 2/18/15 and 3/3/20 and Child Abuse Clearances 1/21/15 and 3/13/20 which exceeded the 60 months than required by CPSL.

Corrected Corrected by Nov 11, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff file #3 contained documentation of Mandated Reporter training completed on 2/13/15 and 3/19/20 which exceeded 60 months as required by CPSL.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

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

A pergola constructed out of wood located in the outdoor play space and accessible to children in care was splintered posing a hazard for the children in care.

Corrected Corrected by Nov 11, 2021

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff #2 file lacked a TB test with results at initial hire in the file.

Corrected Corrected by Nov 11, 2021

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

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Staff file #1 contained a health assessment dated 6/15/21 that did not include the results of the communicable disease and the physician's or CRNP's assessment of the person's suitability to provide child care recorded on the health assessment.

Corrected Corrected by Nov 11, 2021

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

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

The facility had an original injury report dated 10/28/21 in the classroom that had not been given to parent on the date of the injury.

Corrected Corrected by Nov 11, 2021

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

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

The facility lacked a plan that provided for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions in the emergency plan.

Corrected Corrected by Nov 11, 2021

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

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

The facility lacked a copy of the proof of purchase for the fire detection system on file at the facility.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. Marked corrected in the state record.