3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

During interviews it was disclosed by several staff persons that they overheard staff person #1 telling Child #1 that he is "bad".

Corrected Corrected by Oct 27, 2025

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Observed unlocked doors leading from the indoor play space to the kitchen which gave children access to a gas stove with front knobs.

Corrected Corrected by May 6, 2025

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

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

Observed a loose heat register cover to the left of the exterior door in the Young Toddler Room.

Corrected Corrected by May 7, 2025

Category: physical safety. 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.

Observed adult scissors in the 2nd drawer of the small black bin on the teacher's desk in the Preschool Room which were accessible to children.

Corrected Corrected by May 6, 2025

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

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

The file of Staff #1 lacked a DHS FBI Clearance updated every 60 months. The file of Staff #1 contained a DHS FBI Clearance dated 2/20/25 with a previous one dated 2/2/20. The file of Staff #2, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #2 contained a NSOR dated 7/31/24, and Staff #2 was not suspended after 45 days.

Corrected Corrected by May 6, 2025

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

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

Observed BIC Cover-it which indicated "keep out of the reach of children" in the top drawer of the small black bin on the teacher's desk which was accessible to children in the Preschool Room.

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

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

Observed an epipremnum aureum plant in the Infant Room.

Corrected Corrected by May 6, 2025

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Observed staff discard a tissue containing human secretions into a trash can without a lid in the indoor play space.

Corrected Corrected by May 6, 2025

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

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

Observed a cracked frog rattle in the Infant Room. Observed a torn yellow checked block with exposed foam in the Older Toddler Room.

Corrected Corrected by May 6, 2025

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.

Observed small stones with a diameter of less than 1 inch in the Infant/Toddler Outdoor Play Space.

Corrected Corrected by May 8, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed rest equipment not labeled for the use of a specific child in the Older Toddler Room.

Corrected Corrected by May 6, 2025

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

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.

Emergency contact information for Child #1 did not include the complete address of the child's physician or source of medical care.

Corrected Corrected by May 7, 2025

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact information for Child #1 did not include the work address of the enrolling parent.

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact information for Child #3 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 7, 2025

Category: recordkeeping. 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).

The file of Child #1, a 5-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #1 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization.

Corrected Corrected by May 7, 2025

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.

The agreement for Child #2 was not reviewed and updated at least once in a 6-month period. Child #2's agreement was reviewed on 2/12/24, 6/13/24, and 1/3/25.

Corrected Corrected by May 7, 2025

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.

The facility did not have documentation of conducting emergency drills annually. The facility had no documentation that emergency drills were conducted.

Corrected Corrected by May 7, 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 #1 lacked 12 hours of annual child care training required from November of 2023 through November of 2024. Staff #1 had 11 hours of child care training completed on 4/2/25 and 1 hour of child care training completed on 4/3/25 used for correction.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file of Staff #1 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing Part 1 and Part 2 of the health and safety training on 1/20/25.

Corrected Corrected by Apr 28, 2025

Category: health medication. 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 of Staff #2, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Apr 25, 2025

Category: supervision. 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 an electrical adapter which lacked protective receptacle covers by the refrigerator in the Infant Room.

Corrected Corrected by Apr 25, 2025

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 bleach water hanging by the changing table on a hook which was accessible to children in the Older Toddler Room. Observed bleach water on the windowsill behind the changing table which was accessible to children in the Infant Room. Observed three tubes of Desitin which indicated "keep out of the reach of children" under the changing table which were accessible to children in the Infant Room. Observed Febreeze, Eucerin, and Germ X Hand Sanitizer which indicated "keep out of the reach of children" on the handwashing sink which were accessible to children in the Infant Room.

Corrected Corrected by Apr 25, 2025

Category: health medication. 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.

Observed peeling paint on the gate in the Toddler Outdoor Play Space.

Corrected Corrected by Apr 29, 2025

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

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

Observed a torn basket containing stuffed animals in the Young Toddler Room. Observed an orange bin containing construction paper with a piece missing at the corner causing rough edges in the Preschool Room. Observed a clear bin containing construction paper with a crack at the corner creating rough edges in the Preschool Room. Observed a toy chest with approximately a 1-inch crack and 6-inch crack on the top in the Preschool Outdoor Play Space.

Corrected Corrected by Apr 25, 2025

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.

Observed foam peg boards and 2 foam blocks with bite marks in the Preschool Room.

Corrected Corrected by Apr 25, 2025

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.

2nd citation. Previously cited on 6/17/24. Observed Great Value Disinfecting Wipes and Master Blaster which indicated "keep out of the reach of children" on the shelf with the microwave in Room 5 and 6 which were accessible to children.

Corrected Corrected by Aug 6, 2024

Marked corrected in the state record.

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

2nd citation. Previously cited on 6/17/24. Observed 2 exposed bolts at the opposite corner of the gate in the older outdoor play space.

Corrected Corrected by Aug 7, 2024

Category: physical safety. 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 file of Staff #5 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet). The file of Staff #5 contained documentation of completing the health and safety update on 4/8/24. The facility did not have a policy that addresses the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address continuity of operations.

Corrected Corrected by Jun 20, 2024

Category: ratio. 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 #5, #7, and #8 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 persons #5, #7, and #8, staff persons #5, #7, and #8 may not work in a child-care position at the facility.

On 6/17/24 Staff persons #5, #7, and #8 were observed to be caring for children unsupervised. Staff persons #5, #7, and #8 have not completed the following pre-service training required prior to caring for children unsupervised. Staff persons #5, #7, and #8 completed pediatric first aid/CPR in an approved curriculum but the trainer was not PQAS approved.

Corrected Corrected by Jun 18, 2024

Category: supervision. 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.

On 6/17/24 observed a white extension cord and the cord to the refrigerator in Room 7 which were not secured creating a potential tripping and/or strangulation hazard.

Corrected Corrected by Jun 18, 2024

Category: health medication. 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 facility did not 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.

Corrected Corrected by Jun 20, 2024

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 facility did not 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.

Corrected Corrected by Jun 20, 2024

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The files of Staff #2, #4, #5, #6, #7 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #2, #4, #5, #6, #7 contained documentation of emergency plan training on 6/10/24. The file of Staff #12 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #12 contained documentation of emergency plan training on 6/10/24 with previous training on 7/27/22.

Corrected Corrected by Jul 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The letter provided to the parent explaining the emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 20, 2024

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

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

Staff #8 lacked renewal of his/her certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #8 contained documentation of completing pediatric first and CPR training on 10/7/21 with the next one completed on 12/19/23.

Corrected Corrected by Jul 1, 2024

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 file of Staff #12 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #12 contained documentation of fire safety training completed on 1/31/24 with previous training completed on 7/27/22.

Corrected Corrected by Jul 1, 2024

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)(10) within 90 days of hire. Staff person #2 will have until July 23, 2024, to complete the required training. Until such time as the required training has been completed, staff person #2 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, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jul 22, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #4, #5, #6, #7, #8, #9, #10, #11, and #12 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #4, #5, #6, #7, #8, #9, #10, #11, and #12 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 persons #4, #5, #6, #7, #8, #9, #10, #11, and #12, staff persons #4, #5, #6, #7, #8, #9, #10, #11, and #12 may not work in a child-care position at the facility.

Staff persons #4, #5, #6, #7, #8, #9, #10, #11, and #12 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jun 18, 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.

The files of Staff #6 and #7 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #6 contained documentation of completing health and safety training on 3/2/24. The file of Staff #7 contained documentation of completing health and safety training on 2/14/24,

Corrected Corrected by Jul 1, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1, #2 #3, #5, #8, and #12 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 #1, #2, #3, #5, #8, and #12 may not work in a child care position at the facility.

The file of Staff #1 lacked a valid FBI Clearance. The file of Staff #1 contained an FBI Clearance from the Department of Education dated 7/15/22. The file of Staff #1 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1 was not the one updated in 2020. The file of Staff #2 lacked an FBI Clearance. The file of Staff #2 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 contained a disclosure statement dated 6/13/24. The file of Staff #3 lacked an FBI Clearance and National Sex Offender Registry Certificate (SEE LIS Code Sheet). The file of Staff #3 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #3 was not the one updated in 2020. The file of Staff #4, who was designated as the Director, lacked a State Police Clearance and National Sex Offender Registry Certificate prior to providing initial service in a child care setting (See LIS CODE SHEET). The file of Staff #4 contained a State Police Clearance dated 1/11/24 and NSOR dated 10/31/23. The file of Staff #4 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #4 was not the one updated in 2020. The file of Staff #5 lacked a State Police Clearance and DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 contained a State Police Clearance dated 1/28/24 and a DHS FBI Clearance dated 6/14/24. The file of Staff #5 lacked a valid Child Abuse Clearance. The file of Staff #5 contained a volunteer Child Abuse Clearance dated 7/8/22. The file of Staff #5 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 contained a disclosure statement dated 6/17/24. The file of Staff #7 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #7 was not the one updated in 2020. The file of Staff #8 lacked application for a State Police Clearance, Child Abuse Clearance, and FBI Clearance prior to or the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained State Police Clearances dated 3/31/21 and 1/12/23, Child Abuse Clearances dated 2/4/21 and 1/12/23, and an FBI Clearance dated 2/15/21. The file of Staff #8 lacked a valid FBI Clearance. The file of Staff #8 contained an FBI Clearance from the Department of Justice dated 4/15/21. The file of Staff #10 lacked an updated State Police Clearance and Child Abuse Clearance every 60 months. The file of Staff #10 contained a State Police Clearance dated 6/17/24 with a previous one dated 4/5/19. The file of Staff #10 contained a Child Abuse Clearance dated 6/18/24 with a previous one dated 4/15/19. The file of Staff #12 lacked a valid Child Abuse Clearance and FBI Clearance. The file of Staff #12 contained a volunteer Child Abuse Clearance dated 5/12/21. The file of Staff #12 contained an FBI Clearance from the Department of Education dated 5/31/23.

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.

On 6/20/24 at approximately 9:30 AM observed 7 pack 'n plays with approximately 1 to 1 1/2 feet between them during naptime.

Corrected Corrected by Jun 21, 2024

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

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

The files of Staff #8, #9, #10, #11, and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #8 contained a written evaluation dated 5/18/23 with a previous one dated 4/12/22. The file of Staff #9 contained a written evaluation dated 12/1/22. The file of Staff #10 contained a written evaluation dated 2/8/23. The file of Staff #11 contained a written evaluation dated 5/19/23. The file of Staff #12 did not contain a written evaluation.

Corrected Corrected by Jul 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(1)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file of Staff #8, who was designated as a group supervisor, lacked documentation of obtaining 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.

Corrected Corrected by Jul 9, 2024

Category: supervision. 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.

On 6/17/24 observed Master Blaster Sanitizer, two Xtra Care Hand Sanitizers, and 1 Equate Hand Sanitizer which indicated "keep out of reach of children" on the counter of the handwashing sink in Room 2 which were accessible to children. On 6/17/24 observed Purell Hand Sanitizer which indicated "keep out of the reach of children" on the teacher's desk in Room 5 and 6 which was accessible to children. On 6/17/24 observed Amazon Basics Disinfecting Wipes which indicated "keep out of the reach of children" on the shelf with the microwave in Room 5 and 6 which was accessible to children. On 617/24 observed Air Wick air freshener plug-in which indicated "keep out of the reach of children" on the wall by the 1st stall in the bathroom.

Corrected Corrected by Jun 17, 2024

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

On 6/17/24 observed 2 cans of Barbasol shaving cream which was used for art activities and indicated "keep out of the reach of children" in the wooden cabinet in Room 5 and 6.

Corrected Corrected by Jun 17, 2024

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 travel first aid kit for Room 5 and 6 lacked soap and nonporous gloves. The first aid kit in Room 5 and 6 lacked soap.

Corrected Corrected by Jun 17, 2024

Category: health medication. 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.

On 6/17/24 observed 2 exposed bolts to the left of the gate in the younger outdoor play space. On 6/17/24 observed 7 exposed bolts on the gate in the older outdoor play space. On 6/17/24 observed 5 exposed bolts at the corner of the fence by the sandbox in the older outdoor play space. On 6/17/24 observed 8 exposed bolts at the opposite corner of the gate in the older outdoor play space. On 6/17/24 observed rust on the 1st and 2nd stalls of the bathroom.

Corrected Corrected by Jun 22, 2024

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

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

On 6/17/24 observed peeling paint on the 1st and 2nd stalls of the bathroom.

Corrected Corrected by Jun 25, 2024

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

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

On 6/17/24 the 1st stall in the bathroom lacked a handwashing sign. On 6/17/24 the first sink in the bathroom lacked a handwashing sign.

Corrected Corrected by Jun 18, 2024

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

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

On 6/17/24 observed an orange, green, blue, and yellow Little Tykes climber with approximately a 2-inch hole under the Little Tykes emblem creating rough edges and pinch points in the older outdoor play space. On 6/17/24 observed 3 cracked bins containing puzzles and cars in Room 7.

Corrected Corrected by Jun 18, 2024

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.

On 6/17/24 observed foam blocks with bite marks in Room 5 and 6.

Corrected Corrected by Jun 17, 2024

Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

On 6/17/24 observed a kitchen set which was not anchored creating a potential tipping hazard in Room 5 and 6.

Corrected Corrected by Jun 18, 2024

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

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.

At approximately 12:15 PM on 6/17/24 Certification Staff observed one child lying on rest equipment behind a bookcase in Room 2 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Corrected Corrected by Jun 17, 2024

Category: supervision. 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 files of Children #3 and #4 lacked child service reports completed at least every 6 months. The file of Child #3 contained child service reports dated 2/1/23, 9/26/23, and 4/18/24. The file of Child #4 contained child service reports dated 5/5/22, 4/19/23, and 2/27/24.

Corrected Corrected by Jul 8, 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 #3 did not specify the child's arrival and departure times.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files of Children #1, #3, and #5 contained the original agreements. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The files of Children #2 and #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 6/26/23 and 2/27/24. The file of Child #3 contained health reports dated 2/2/23, 6/7/23, and 3/26/24.

Corrected Corrected by Jul 8, 2024

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 #1, a 4-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #1 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. Child #3, a 2-year-old, lacked Hepatitis A immunizations according to the recommendations of the ACIP. Child #3 had no documentation of Hepatitis A immunizations.

Corrected Corrected by Jun 21, 2024

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 file of Child #1 contained a health report which 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 Jun 20, 2024

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 file of Child #1 contained a health report which 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.

Corrected Corrected by Jun 27, 2024

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

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

The parent of Child #6 did not provide written consent for administration of medication.

Corrected Corrected by Jun 20, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a) · 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.

The file of Staff #5 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code sheet). The file of Staff #5 contained a health assessment dated 2/10/24. The files of Staff #8, #11, and #12 lacked a health assessment conducted every 24 months. The file of Staff #8 contained a current health assessment dated 2/9/23 with a previous one dated 11/23/20. The file of Staff #11 contained a current health assessment dated 6/3/23 with a previous one dated 5/22/21. The file of Staff #12 contained a current health assessment dated 5/1/24 with a previous one dated 4/18/22.

Corrected Corrected by Jul 8, 2024

Category: ratio. 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.

The files of Staff #8 and #11 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jul 1, 2024

Category: recordkeeping. 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.

The files of Staff #2 and #5 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #2 had a Mantoux test read date of 6/8/22. The file of Staff #5 had a Mantoux test read date of 10/21/21.

Corrected Corrected by Jun 20, 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.

The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact was reviewed on 4/25/23, 11/30/23, and 5/31/24. Child #3's agreement was reviewed on 4/25/23, 11/30/23, and 6/11/24. The emergency contact and agreement for Child #4 were not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 4/20/23, 10/31/23, and 6/4/24. Child #4's agreement was reviewed on 4/20/23, 2/7/24, and 6/11/24.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. 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 Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 5/9/23, 7/10/23, 9/18/23, 10/31/23, 12/22/23, 1/11/24, 2/21/24, 3/28/24, 4/26/24, 5/7/24, 6/6/24.

Corrected Corrected by Jul 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Director or designated staff person who is responsible for compliance with this chapter did not 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.

Corrected Corrected by Jul 8, 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 was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 5/2/23, 5/31/23, 6/19/23, 7/21/23, 8/18/23, 9/20/23, 10/31/23, 11/28/23, 12/22/23, 1/11/24, 2/21/24, 3/28/24, 4/26/24, 5/7/24, and 6/6/24.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not notify local traffic authorities annually in writing of the location of the facility and the programs use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic authorities were notified on 5/18/23. The operator also provided another traffic letter, but it was not dated.

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.