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.

The most recent documented date for fire-safety training for staff person #1 is 08/2023. There is no fire-safety training documented for staff person #1 in 2024

Corrected Corrected by Mar 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A handwashing sign was not posted at the toilet in the middle stall in the boys' bathroom.

Corrected Corrected by Mar 10, 2025

Category: health medication. 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.

Testing of the fire-detection system exceeded 30 days between 1/13/25 and 2/26/25.

Corrected Corrected by Mar 10, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staff person #1 has documentation of 9 annual clock hours of childcare training.

Corrected Corrected by Mar 30, 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. Until such time as the required pre-service trainings are completed, staff persons #4 and #5 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #4 and #5, staff persons #4 and #5 may not work in a child-care position at the facility.

Staff persons #4 and #5 were observed to be caring for children unsupervised. Staff persons #4 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR Training in an approved curriculum.

Corrected Corrected by Feb 9, 2024

Category: supervision. 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 persons #1, #2, #3 and #4 will have until 2/24/24 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #3 and #4 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3 and #4, staff persons #1, #2, #3 and #4 may not work in a child-care position at the facility.

Staff persons #1, #2, #3 and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR in an approved curriculum.

Corrected Corrected by Feb 24, 2024

Category: supervision. Marked corrected in the state record.

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

The disclosure statements in the files for Staff Persons #3, #5 and #6 were on outdated forms.

Corrected Corrected by Feb 13, 2024

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

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #6 did not include documentation of education and experience.

Corrected Corrected by Feb 13, 2024

Category: recordkeeping. 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.

Observed three electrical outlets that lacked protective receptacle covers in Room 102.

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

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

Observed a bottle of hand sanitizer, which was accessible to children, in Room 102.

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

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

A handwashing sign was not posted at the sink in Room 102.

Corrected Corrected by Feb 9, 2024

Category: health medication. 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 fee agreements in the files for Child #1, #2, #3, #4 and #5 did not include information on the services provided for the child by the facility.

Corrected Corrected by Feb 29, 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 file for Child #5, a Preschool Child, did not include documentation of a health report conducted within the past 12 months.

Corrected Corrected by Feb 29, 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 TB Screening in the file for Staff Person #3 was administered more than 12 months prior to Staff Person's initial service in the child care setting, and is not valid (See LIS Code Sheet). The file for Staff Person #5 did not include an initial health assessment and TB Screening. The file for Staff Person #6 did not include an initial TB Screening.

Corrected Corrected by Mar 8, 2024

Category: ratio. Marked corrected in the state record.

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

The file for Staff Person #6 did not include two letters of reference.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not have documentation of conducting fire system tests every thirty days.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The initial health assessment in the file for Child #3 was conducted more than 60 days after the first day of attendance at the facility.

Corrected Corrected by Feb 13, 2024

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

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Based on conversation with the operator, the files for child #1 through #5 contained the original agreement.

Corrected Corrected by May 15, 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 emergency plan did not include information regarding continuity of operations. The facility did not have a shaken baby syndrome policy.

Corrected Corrected by May 15, 2023

Category: ratio. Marked corrected in the state record.

3270.191 · An individual record is required for each facility person.

The files for staff persons #1 through #6 were contained in the same folder.

Corrected Corrected by May 15, 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. Until such time as the required pre-service trainings are completed, staff person #2 and #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2 and #5, staff person #2 and #5 may not work in a child-care position at the facility.

Staff person #2 and #5 were observed to be caring for children unsupervised. Staff person #2 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training.

Corrected Corrected by Feb 14, 2023

Category: supervision. 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 1 hour updated health and safety training in the file for staff person #, hired prior to 10/4/22 was dated 1/19/23.

Corrected Corrected by Feb 14, 2023

Category: ratio. Marked corrected in the state record.

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

The last fire safety training in the file for staff person #6 was dated 6/3/21.

Corrected Corrected by Feb 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #2 through #6 will have until 5/10/23 to complete the required training. Until such time as the required training has been completed, staff person #2 through #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 through #6, staff person #2 through #6 may not work in a child-care position at the facility.

Staff person #2 through #6 have not completed the following required pre-service training within 90 days of their date of hire: Health and safety training.

Corrected Corrected by May 15, 2023

Category: supervision. Marked corrected in the state record.

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

The last two mandated reporter trainings in the file for staff person #3 were dated 9/1/17 and 9/6/22.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The proof of request for the NSOR certificate in the file for staff person #4, who began working with children on 10/1/22, was dated 10/5/22.

Corrected Corrected by Feb 14, 2023

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

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

The last evaluation on file for staff person #6 was dated 1/18/22.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for staff person #4, holding the title of assistant group supervisor did not include proof of high school and 2500 hours experience.

Corrected Corrected by May 15, 2023

Category: supervision. Marked corrected in the state record.

3270.67(d)/3270.82(i) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Neither of the restrooms in the first floor hallway had a lidded garbage can.

Corrected Corrected by May 15, 2023

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

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

A bookbag containing a first-aid kit was observed lying on the ground outside, making it accessible to the children who were playing outdoors at the time.

Corrected Corrected by May 15, 2023

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

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

The middle toilet stall in the girls hallway restroom did not have a handwashing sign. None of the 3 toilet stalls and 4 of the urinals did not have a handwashing sign.

Corrected Corrected by May 15, 2023

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

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

The agreement in the file for child #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by May 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

The only health report in the file for child #3 did not include the title of the individual who signed the report.

Corrected Corrected by May 15, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 and #5 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There were no vaccinations in the file for child #2, enrolled more than 60 days. The last flu shot documented in the file for child #5, a 4 year-old, was dated in 2021. Neither file included a hand-written statement of exemption by a parent.

Corrected Corrected by May 15, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report in the file for child #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by May 15, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health report in the file for child #3 did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by May 15, 2023

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 last two health assessments in the file for staff person #2 were dated 2/18/19 and 12/20/21.

Corrected Corrected by May 15, 2023

Category: ratio. Marked corrected in the state record.

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

The last three fire drills documented on the facility's fire drill log were dated 9/10/22, 11/21/22 and 2/20/23.

Corrected Corrected by Feb 14, 2023

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 operator has not provided the parent of each child enrolled with information on how to access the regulations electronically

Corrected Corrected by Feb 14, 2023

Marked corrected in the state record.

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

The file for child #2, enrolled more than 60 days, did not include a health report.

Corrected Corrected by May 15, 2023

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

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

The emergency contact form for child #1 and child #3 lacked the release person's address.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facilities emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Mar 8, 2022

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

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

The facilities emergency plan lacked a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Mar 8, 2022

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 file for facility person #2, with a start date of 8/25/22, had a National Sex Offender Registry certificate dated for 2/7/22.

Corrected Corrected by Mar 15, 2022

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

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

The file for facility person #1 had an evaluation completed on 2/8/19 and 2/2/22, which is not annually.

Corrected Corrected by Mar 8, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The first-aid kit in the resource room lacked soap, an assortment of adhesive bandages, tweezers, tape, scissors and disposable, nonporous gloves.

Corrected Corrected by Mar 14, 2022

Marked corrected in the state record.

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

The gym lacked a daily activities plan posted.

Corrected Corrected by Mar 10, 2022

Category: physical safety. 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 lacked the child's departure time.

Corrected Corrected by Mar 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #1 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form for child #2 lacked the health insurance policy number.

Corrected Corrected by Mar 17, 2022

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.

It was observed that the resource room and gym lacked emergency contact information and children were receiving care in the space.

Corrected Corrected by Mar 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for facility person #3 lacked verification of education prior to service at the facility.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. 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.

Staff stated that an emergency drill had been completed in the last year, but lacked documentation of the drill.

Corrected Corrected by Mar 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Facility lacked proof of purchase of the inter-connected smoke alarm system.

Corrected Corrected by Mar 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facilities emergency plan lacked the route to the relocation site.

Corrected Corrected by Mar 8, 2022

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