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 staff #2 contained a child abuse clearance obtained for the purpose of volunteering instead of for employment. The clearance was dated 7/12/24.

Corrected Corrected by Oct 29, 2025

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 #1 did not renew mandated reporter training within 60 months. This is evidenced by the previous certificate on file being dated 6/04/20 and the most recent certificate being dated 6/30/25. Current training is now on file.

Corrected Corrected by Oct 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Two unlabeled bottles containing cleaning materials were observed. The bottles were located in the YT room and the OT room.

Corrected Corrected by Oct 29, 2025

Category: ratio. Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Emergency phone numbers were not posted on or near the cordless phone in the YT room at the time of inspection. Based on statements made by staff, the stickers with the emergency numbers fell off the phone.

Corrected Corrected by Oct 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.

The right end of the wall mounted balance bar in the infant room was loose at the brace creating a pinch point. Broken areas were observed on the following equipment; a plastic bin containing Lincoln logs in the older SA room, a green plastic rocking horse in the toddler playground, and 1 piece of a plastic obstacle course set in the mulched playground.

Corrected Corrected by Nov 6, 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.

Child #5 was observed sleeping on a mat labeled for child #6.

Corrected Corrected by Nov 6, 2025

Category: physical safety. 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 for children #1 and #2 contained the original agreements.

Corrected Corrected by Oct 29, 2025

Category: recordkeeping. 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.

The emergency contact information for child #4 did not include a complete address for the child's source of medical care.

Corrected Corrected by Nov 6, 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.

The emergency contact information for child #3 did not include the enrolling parent's work phone number. The emergency contact information for child #4 did not include the enrolling parent home or work phone number.

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The emergency contact information for child #4 did not include information on the child's special needs/disabilities. The box was left blank. .

Corrected Corrected by Nov 6, 2025

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

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

The emergency contact information and agreement for child #4 were not reviewed and signed by the parent within 6 months. The parent review signatures were dated 9/05/24 and 9/05/25. The documents are now current.

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Insect sting relief packets were observed in a first aid kit in the Pre K room. The medication was not labeled for use by a specific child.

Corrected Corrected by Oct 29, 2025

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

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The health assessment for staff #3 did not include the results of an examination for communicable diseases. A note in the margin stated "deferred".

Corrected Corrected by Nov 6, 2025

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

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The menus posted in classrooms at the time of the inspection were dated 10/27/25 through 10/31/25. A menu for the following week was posted in the kitchen, but was not posted in a conspicuous area.

Corrected Corrected by Oct 29, 2025

Marked corrected in the state record.

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

At approximately 12:38pm on 7/30/25 video footage taken at the facility shows Staff #1 forcefully pushing Child #1's head to the ground.

Corrected Corrected by Sep 2, 2025

Marked corrected in the state record.

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

At approximately 12:35pm on 7/30/25 video footage taken at the facility shows Staff #1 holding down Child #1 and restraining movement for approximately one minute.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The most current documentation of testing the fire detection system was dated more than 30 days prior to the date of the inspection.

Corrected Corrected by Jan 17, 2025

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 files for staff #1 and #2 contained disclosure statements that lacked witness signatures. The file for staff #3 contained clearances which were not renewed within 60 months. The dates were as follows; state police 12/10/18 renewed 12/13/23, child abuse 12/12/18 renewed 12/13/23, and FBI 12/11/18 renewed 12/13/23.

Corrected Corrected by Oct 29, 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 files for staff #1 and #2, designated as assistant group supervisors on the staff data sheet, did not include documentation of the experience required for the position.

Corrected Corrected by Nov 30, 2024

Category: supervision. Marked corrected in the state record.

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

A first aid kit was accessible to children in room 5. The kit was located in the emergency bag which was hanging on a low hook near the sink.

Corrected Corrected by Oct 23, 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.

Areas of splintering wood and sharp edges were observed on the railing of the steps leading from the parking area.

Corrected Corrected by Nov 2, 2024

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

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

A cracked plastic lid was observed on a storage tub in the triangle shaped playground. A plastic toy chest lid which was splitting in two around the seam was observed in the toddler playground. Both created pinch points. A broken knob with sharp plastic was observed on the play stove in the lower-level school age room.

Corrected Corrected by Oct 23, 2024

Category: physical safety. 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.

A broken shelf with splintering wood was observed in a cubby in the upper-level school age room.

Corrected Corrected by Oct 29, 2024

Marked corrected in the state record.

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

A crib in use by an infant lacked two feet of space on 3 sides. One side was blocked by a car seat. An additional side was blocked by a wooden toy bin.

Corrected Corrected by Oct 24, 2024

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for child #1 did not include an agreement.

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. 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.

The emergency contact form for child #4 did not include the address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 23, 2024

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.

The emergency contact form for children #1,#2, #4, and #5 did not include complete work addresses for the enrolling parent. The emergency contact forms for children #1, #2, and #5 did not include the enrolling parent's work phone number.

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact forms for children #1, #2 and #4 did not include complete addresses for the individual designated by the parent to whom the child may be released. The emergency contact form for child #5 did not list any information for individuals allowed to pick up their child, the boxes were empty, however the agreement did list an individual to whom the child may be released.

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #3 and #4 contained emergency contact information and agreements which were not reviewed and signed by the parent within the required 6 month period. For child #3 the documents were signed 3/01/24 and 10/01/24. For child #4 the documents were signed 3/27/24 and 10/01/24. Current documents are now on file for both children.

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Three containers of yogurt were observed in a child's cubby in the lower-level school age room.

Corrected Corrected by Oct 23, 2024

Category: nutrition. Marked corrected in the state record.

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.

The emergency contact form for child #5 did not included signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures. The parent initialed the boxes but did not sign.

Corrected Corrected by Oct 23, 2024

Category: ratio. Marked corrected in the state record.

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

Staff person #2 did not complete training in pediatric first aid and CPR within 90 days of their date of hire (see LIS code sheet). The training was completed on 8/21/24 and is now current.

Corrected Corrected by Oct 23, 2024

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.

Based on documentation at the facility, multiple tests of the system were conducted more than 30 days apart. The dates are as follows; 4/05/24 to 5/06/24=31 days, 6/05/24 to 7/11/24=36 days, 7/11/24 to 8/29/24=49 days. The three most recent tests of the system are compliant.

Corrected Corrected by Oct 23, 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 file for child #5, enrolled for over 60 days, did not include a health report. The file included an after-visit summary which lacked the information required on a child health report.

Corrected Corrected by Nov 4, 2024

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

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

A written plan of daily activities was not posted in the school age room on the top floor.

Corrected Corrected by Mar 14, 2024

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 did not specify the child's arrival and departure times.

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement for child #1 did not specify the date of the child's admission.

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. 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.

Several inches of standing water was observed in a blue plastic toy bin near the entry to the facility.

Corrected Corrected by Oct 17, 2023

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

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

The parent letter explaining emergency procedures did not include details regarding accommodations for infants, toddlers, children with medical conditions, and children with disabilities.

Corrected Corrected by Nov 13, 2023

Category: physical safety. 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 file for staff #2 contained an FBI clearance with charges that lacked dispositions.

Corrected Corrected by Oct 17, 2023

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.

Liquid White Out, labeled keep out of reach of children, was accessible to children in a low unlocked drawer in the Pre-K room.

Corrected Corrected by Oct 17, 2023

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

Three holes were observed in a window screen in the infant room.

Corrected Corrected by Oct 17, 2023

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 infant room lacked soap.

Corrected Corrected by Oct 17, 2023

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

3270.80(a) · Inside and outside stairs with three or more steps shall be equipped with a handrail.

Newly installed outdoor stairs were not equipped with a handrail.

Corrected Corrected by Nov 13, 2023

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

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

A crack creating a pinch point was observed on the top of the soap dispenser in the school age restroom. Broken plastic was observed on two toy basketball hoops on the playground.

Corrected Corrected by Nov 17, 2023

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.

An infant was observed in a crib which was not labeled for the use of a specific child.

Corrected Corrected by Oct 17, 2023

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

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

The emergency contact forms and agreements for children #4, #5, and #6 were not signed and reviewed by parents within 6 months of the previous update. The documents in each file are now current.

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for child #3, a preschooler, contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current.

Corrected Corrected by Oct 17, 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).

The file for child #2 did not contain a current immunization record. The record on file listed only Hep B as received. The file for child #3 did not contain documentation of receiving the influenza vaccine at any time in 2022 or yet in 2023. Written exemptions were not on file for either child.

Corrected Corrected by Oct 18, 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 file for staff #3 contained consecutive health assessments dated more than 24 months apart. The most recent health assessment on file is now current.

Corrected Corrected by Oct 17, 2023

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 #2 contained only 1 written reference.

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff #1 contained 4 hours of training completed on time between 6/28/22 and 6/28/23 and 8 hours completed late. The file now contains documentation of 12 hours of annual training.

Corrected Corrected by Oct 17, 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 address continuity of operations.

Corrected Corrected by Oct 17, 2022

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). Staff #6 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #6 may not work in a child care position at the facility.

The file for staff #6 did not contain the results or proof of applying for the required out of state clearances from Virginia and New York. Staff #6 was observed caring for children unsupervised on the day of the inspection.

Corrected Corrected by Oct 21, 2022

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).

Staff person #5 did not renew mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/19/16 and the most recent training being dated 9/20/21.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Two cans of shaving cream, labeled keep out of reach of children, were stored in the art cabinet of Pre-k 1. A staff member was observed beginning an art project with children using the shaving cream.

Corrected Corrected by Oct 12, 2022

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 young toddler room lacked scissors.

Corrected Corrected by Oct 12, 2022

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.

Damaged crumbling plaster was observed in the young toddler room near the base of the wall below the hanging drum.

Corrected Corrected by Oct 22, 2022

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

3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

The sink in the older toddler room was leaking on the day of the inspection. A small plastic tub was observed under the sink and was being used to catch the leaking water.

Corrected Corrected by Oct 22, 2022

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.

The rear exit of the older toddler room was blocked by a stack of rest cots and an adult chair.

Corrected Corrected by Oct 12, 2022

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

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

The following equipment issues were observed on the day of the inspection; a torn shoulder strap on a rear seat of a facility stroller, several cracked or broken sand toys in the mulched playground space, a protruding rubber covered wire base on the tree playhouse in the toddler play area, a loose leg creating a pinch point on the Lego table in Pre-K 1, a loose leg creating a pinch point of a wooden table in the young toddler room, a torn seam exposing the inner foam filling of a Paw Patrol pillow in the young toddler room, and a broken plastic toy bin in the school age room.

Corrected Corrected by Oct 22, 2022

Category: physical safety. 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.

The fabric support under the cushion of an adult rocking chair in the infant room has pulled away from the chair's frame leaving multiple staples accessible.

Corrected Corrected by Oct 25, 2022

Marked corrected in the state record.

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

Upon arrival at the facility, an infant was observed sleeping in the arms of a staff person while in the outdoor toddler play area. Based on statements made by staff, the infant had fallen asleep after being fed and had been asleep for several minutes.

Corrected Corrected by Oct 12, 2022

Category: health medication. 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 files for child #2 and child #3 contained emergency contact information that did not include the health insurance policy numbers.

Corrected Corrected by Oct 25, 2022

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 files for staff #1, #2, and #4 contained consecutive health assessments conducted more than 24 months apart. The most recent heath assessments on file for all three staff are now current.

Corrected Corrected by Oct 12, 2022

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 #3 contained 1 written reference.

Corrected Corrected by Oct 12, 2022

Category: recordkeeping. 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's emergency plan did not address accommodations for infant and toddlers.

Corrected Corrected by Oct 14, 2022

Category: physical safety. 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 lacked documentation of conducting an emergency drill by the 12/19/21 deadline. Two documented drills are now on file and are current.

Corrected Corrected by Oct 12, 2022

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 file for child #1, enrolled for over 60 days, did not contain a health report. The files for child #3 and child #4 contained initial health reports conducted more than 60 days after their first day in attendance. The files for child #3 and child #4 now contain current health reports.

Corrected Corrected by Oct 14, 2022

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

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: 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 Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Based on documentation at the facility, on 06/30/22, 3 older toddlers exited the toddler room alone, through an emergency door, and walked from the front of the facility to the rear of the facility.

Corrected Corrected by Oct 25, 2022

Category: ratio. 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.

The emergency exit door in the toddler room is not functioning as intended. The door does not close on its own and must be pulled shut due to swelling of the door frame.

Corrected Corrected by Jul 22, 2022

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.

Based on documentation at the facility, on 06/30/22, 3 older toddlers exited the toddler room alone, through an emergency door, and walked from the front of the facility to the rear of the facility.

Corrected Corrected by Jul 22, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · The operator will develop an approved-use policy for the emergency exit door in the toddler room. Upon approval from the department, the policy shall be posted on the door and remain posted going forward.

*Based on documentation at the facility, on 06/30/22, 3 older toddlers exited the toddler room alone, through an emergency door, and walked from the front of the facility to the rear of the facility.

Corrected Corrected by Jul 19, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · The operator will install electronic chimes, which alert upon opening, on the emergency door of the toddler room.

*Based on documentation at the facility, on 06/30/22, 3 older toddlers exited the toddler room alone, through an emergency door, and walked from the front of the facility to the rear of the facility.

Corrected Corrected by Jul 19, 2022

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). Staff person #1 will have until 08/02/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 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 #1, then staff person #1 may not work in a child-care position at the facility.

Staff #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 5/07/2017.

Corrected Corrected by Jul 19, 2022

Category: supervision. 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.

No handwashing sign was present at toilet #2 in the restroom near the older toddler room. No handwashing sign was present at 1 of the 2 sinks in the restroom near the pre-k room #1

Corrected Corrected by Oct 27, 2021

Category: health medication. 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.

None of the cribs were labeled for specific children in the infant room.

Corrected Corrected by Oct 27, 2021

Category: physical safety. 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 #1, contained the policy number but did not contain the name of the health insurance coverage.

Corrected Corrected by Oct 27, 2021

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 did not contain the address and phone number of the release person.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written emergency transportation plan was not posted in the pre-k room #1.

Corrected Corrected by Oct 27, 2021

Category: transportation. 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.

A Proof of Purchase was not obtained for the fire detection system.

Corrected Corrected by Nov 23, 2021

Category: recordkeeping. Marked corrected in the state record.