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Home › PA › Washington › Rainbows End Learning Center Inc
655 JEFFERSON AVE PATHWAYS BUILDING, Washington PA 15301 · License #CER-00236361 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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. Staff #4 may not work in a child care position at the facility.
The files for staff 1-5 contained invalid disclosure statements. The files lacked the most up to date version of the statement. (SEE LIS CODE SHEET)
Corrected Corrected by Feb 18, 2026
Category: background checks. 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.
The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by the telephone in the young toddler room.
Corrected Corrected by Feb 18, 2026
Category: physical safety. 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 #1 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current.
Corrected Corrected by Feb 18, 2026
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Category: health medication. 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 report on file for child #2 was dated more than 60 days after their first day in attendance. A current health report is now on file.
Corrected Corrected by Feb 18, 2026
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.
On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room.
Corrected Corrected by Oct 2, 2025
Category: supervision. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan must have an immediate correction date. 2. The legal entity will require all facility staff to participate in technical assistance visits provided by the ELRC regarding supervision and ratio in relation to room arrangement and staff positioning. The legal entity will ensure staff participate in a minimum of 3, in-person technical assistance visits provided by ELRC 4. The technical assistance visits must be completed within 4 months of the approval of this plan of correction. Upon completion of the visits, documentation will be provided to the OCDEL-DHS representative by email. The operator shall provide a date for when the technical assistance visits will be complete. 3. The Director must complete a supervision and ratio check in each classroom, at least 3 times per week and should be completed at different times of the day. The supervision and ratio checks must be documented on a form approved by the Department. The form must include the date and time of the check, the name of the staff conducting the check, the room name, the name of each staff in the room and the number and age of the children each staff is responsible for supervising. The legal entity will ensure the documentation is completed at the time of each check and is on file at the facility for the Department's review. The documented checks are to be completed for a period of three months from the date the form is approved by the Department. The correction date for this portion of the plan shall be at min 3 months from the date the RO approves the checklist.
On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room.
Corrected Corrected by May 22, 2026
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
On 10/02/25, Staff #1 and Staff #2 were present in the infant room with 4 children. At approximately 9AM, child #1 left the room through an unlatched gate and crawled approximately 17 feet down the hall before entering the staff break room. Child #1 was unsupervised for approximately 3-4 minutes before staff noticed he/she was not in the room and returned the child to the infant room.
Corrected Corrected by Oct 2, 2025
Category: supervision. Marked corrected in the state record.
3270.113(b) · TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity will require all staff persons at the facility to complete a training regarding managing challenging behaviors in the classroom. The training may be completed online or in-person and must be a minimum of 2 hours. The training must be completed within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Upon completion of the training, staff training documentation will be provided to the OCDEL-DHS representative by email. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when this training will be complete.
The facility self-reported that on 8/22/25 at approximately 9:30AM staff #1 smacked the hand of child #1 while changing the child's diaper and said "No, that's not nice. We don't do that."
Corrected Corrected by Aug 22, 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. Facility Person #2, #3, and #4 may not work in a child care position at the facility.
The files for facility persons #2, #3, and #4 contained disclosure statements which were not dated.
Corrected Corrected by Sep 9, 2025
Category: background checks. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Two electrical outlets in the Pre-K room, accessible to children 5 years of age or younger, lacked protective covers. The outlets were located under the TV and on a power strip near the teacher's desk. The power strip was plugged into the wall outlet at the time of the observation,
Corrected Corrected by Sep 9, 2025
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.
An unlabled reusable spray bottle,containing blue cleaning liquid, was observed in the cabinet above the sink in the preschool room.
Corrected Corrected by Sep 9, 2025
Category: ratio. Marked corrected in the state record.
3270.67(c)/3270.76 · Evidence of infestation of insects or rodents in the facility is not permitted. 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.
An active bee's nest was observed in the mulch in the outdoor play space.
Corrected Corrected by Sep 9, 2025
Category: physical safety. Marked corrected in the state record.
3270.68(a) · Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.
Two cigarette butts were observed inside the fence of the mulched play ground, near the raised garden bed.
Corrected Corrected by Sep 9, 2025
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.
One ceiling tile was missing in the Pre-K room.
Corrected Corrected by Sep 9, 2025
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.
Crumbling plaster/drywall was observed inside the main entry, near the floor. Three areas of peeling paint were observed on the wall with the window in the older toddler room.
Corrected Corrected by Sep 19, 2025
Category: physical safety. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
Restroom #2 in the Pre-K room lacked a lidded trash can. A lid was present in the restroom, however it was placed beside the trash can on the floor.
Corrected Corrected by Sep 9, 2025
Category: health medication. 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.
Cribs in use by children in the infant room lacked two feet of space on 3 sides. The sides were blocked by bouncy chairs and an adult rocking chair. Nap cots in use by children in the older toddler room lacked two feet of space on 3 sides. The cots were placed too close together.
Corrected Corrected by Sep 9, 2025
Category: physical safety. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The hands-free cans at the diapering tables in the YT and OT rooms were not functioning properly. The lids did not close on their own after opening causing staff to use their hand to close the lid.
Corrected Corrected by Sep 9, 2025
Category: health medication. 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 #1 contained a reference written by a family member (aunt).
Corrected Corrected by Sep 9, 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 lacked documentation of completing an emergency drill within the past 12 months. The most recent documentation was dated 3/20/24.
Corrected Corrected by Sep 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. 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 consecutive fire safety training documentation dated more than 12 months apart; 11/20/23 and 12/13/24.
Corrected Corrected by Dec 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.
Two electric outlets on a power strip lacked protective covers in the Pre-K room. The power strip was plugged in and was accessible to children 5 years of age or younger.
Corrected Corrected by Feb 13, 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.
Two wet-mops with attached cleaning solution bottles were accessible to children in the Pre-K restroom and outside the restroom door.
Corrected Corrected by Feb 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The first aid kit in the Pre-K room was accessible to children in the emergency backpack sitting on a shelf near the door.
Corrected Corrected by Feb 13, 2025
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.
In the PS room, a broken clear plastic bin and a torn puppet exposing the inner foam filling were observed. In a storage area outside the Pre-K room, 2 nap mats were observed with split seems which exposed the inner foam filling.
Corrected Corrected by Feb 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The pre-k room lacked a posted written plan of daily activities.
Corrected Corrected by Feb 13, 2025
Category: physical safety. 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.
Antibiotic ointment and bee sting packets which were not labeled for specific children, were observed in the first aid kit in the infant room.
Corrected Corrected by Feb 13, 2025
Category: health medication. Marked corrected in the state record.
3270.166(3) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.
Infant bottles maintained at the facility were not being washed in a commercial dishwasher. Based on statements made by staff, the bottles were handwashed in a bleach solution.
Corrected Corrected by Feb 13, 2025
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.
On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus.
Corrected Corrected by Dec 10, 2024
Category: supervision. Marked corrected in the state record.
3270.51 · *The legal entity will conduct mandatory staff meetings at least once per month for a period of 2 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.
*On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus.
Corrected Corrected by Apr 3, 2025
Category: supervision. Marked corrected in the state record.
3270.113(a) · **The operator will create a system that visually identifies the staff assigned bus duty for each day. The system must be submitted and approved by the department prior to implementation. Once approved, the operator must utilize this system for 2 months following approval of this plan.
**On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus.
Corrected Corrected by Feb 3, 2025
Category: supervision. 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.
On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus.
Corrected Corrected by Dec 10, 2024
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
On 12/10/24, at approximately 3:40PM, 4 young school agers, children #1-4, were alone and unsupervised in the facility's parking lot for approximately 5 minutes after exiting the school bus.
Corrected Corrected by Dec 10, 2024
Category: supervision. Marked corrected in the state record.
3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.
Following an incident on 12/05/24, involving child #5, the incident report was not given to the parent on the same day as the incident. This is evidenced by the report stating the incident occurred on 12/05/24 and the parent's signature indicating receipt being date 12/06/24.
Corrected Corrected by Dec 6, 2024
Category: health medication. 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.
An open bag of rock salt, labeled keep out of reach of children, was observed near the entrance door of the facility.
Corrected Corrected by Dec 17, 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.
Multiple bumps and waves, which created a tripping hazard, were observed on an area rug in the Pre-K room. Staff in the room stated they were aware of the problem, but it had not yet been corrected by maintenance.
Corrected Corrected by Dec 17, 2024
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.
In the play area of the infant room, a large area rug was observed to have significant staining and evidence of dried soiling.
Corrected Corrected by Jul 10, 2024
Category: physical safety. Marked corrected in the state record.
3270.137 · An operator who observes an enrolled child with symptoms of a communicable disease or infection that can be transmitted directly or indirectly and which may threaten the health of children in care shall exclude the child from attendance until the operator receives notification from a physician or a CRNP that the child is no longer considered a threat to the health of others. The notification shall be retained in the child's file. Diseases and conditions which require exclusion are specified in 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases).
Based on a review of children's files, child #1 and child #2, who were excluded from care due to displaying symptoms of a communicable infection, did not have notification on file from a physician or a CRNP that the child was no longer considered a threat to the health of others prior to returning to care.
Corrected Corrected by Jun 3, 2024
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.
On 3/07/24 at approximately 3:50PM 6 young school age children, child #1-#6, were alone in the parking lot for approximately 5 to 10 minutes after exiting the school bus.
Corrected Corrected by Mar 8, 2024
Category: ratio. 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.
On 3/07/24 at approximately 3:50PM 6 young school age children, child #1-#6, were alone in the parking lot for approximately 5-10 minutes after exiting the school bus.
Corrected Corrected by Mar 8, 2024
Category: supervision. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
Th agreement for child #1 did not specify the amount of the fee to be charged per day or per week.
Corrected Corrected by Mar 29, 2024
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.
A loose crib sheet was observed in the infant room while the crib was in use by an infant.
Corrected Corrected by Mar 15, 2024
Category: health medication. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for staff #2 and #3 contained documentation of completing emergency plan training more than 12 months apart. The trainings were dated September 2022 and January 2024.
Corrected Corrected by Mar 29, 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 for parents explaining the emergency procedures did not include details regarding accommodations for infants and toddlers.
Corrected Corrected by Mar 6, 2024
Category: physical safety. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #8, #9, and #10 may not work in a child care position at the facility.
The file for staff #6 contained an application for an NSOR clearance dated 1/24/24 which is after their first day in a child care position. The completed clearance is now on file. The file for facility persons #8, #9, and #10, observed having direct contact with children, lacked NSOR clearances and lacked NSOR applications. The files for facility persons #8 and #9 contained incomplete state police clearances. The clearances did not have a dissemination date. The files for facility persons #8, #9, and #10 contained disclosure statements which were not dated and/or signed by a witness.
Corrected Corrected by Jan 31, 2024
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.
The file for staff #5 contained mandated reporter training completed more than 90 days after their first day working with children. (SEE LIS CODE SHEET)
Corrected Corrected by Mar 29, 2024
Category: recordkeeping. 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 #6, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required for the position. The file for staff #7, who based on statements has performed the duties of an assistant group supervisor, did not contain documentation of the qualifications required for the position.
Corrected Corrected by Mar 4, 2024
Category: supervision. 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 for staff #1, #2, #3, and #4 contained consecutive evaluations dated more than 12 months apart. Current evaluations are now on file.
Corrected Corrected by Mar 15, 2024
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.
A reusable spray bottle observed in the OT room was not labeled with the contents. Based on statements made by staff, the bottle contained Mr. Clean.
Corrected Corrected by Mar 15, 2024
Category: ratio. 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 gloves and tweezers.
Corrected Corrected by Mar 15, 2024
Category: health medication. Marked corrected in the state record.
3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.
A toilet seat in the Pre-K Counts restroom was not fully secured to the toilet.
Corrected Corrected by Mar 15, 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.
The following equipment hazards were observed; a broken hard plastic top on a magnetic toy in PS3, a cracked bin which created a pinch point on the OT room, an area of sharp broken plastic on a support beam of a exercise bouncer in the infant room,.
Corrected Corrected by Mar 15, 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.
A piece of thin blue plastic, approximately 2 inches by 1 inch, was observed in the seat of a swing in the infant room. The plastic piece appeared to be from a grocery bag.
Corrected Corrected by Mar 15, 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 a child in the infant room lacked 2 feet of space on three sides. One side was blocked by an infant carrier.
Corrected Corrected by Mar 15, 2024
Category: physical safety. Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
Multiple soiled brown sticky areas were observed inside the refrigerator in the infant room.
Corrected Corrected by Mar 15, 2024
Category: nutrition. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The agreements for child #1 and #2 were not signed by the operator.
Corrected Corrected by Mar 29, 2024
Category: recordkeeping. 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 file for child #3 lacked a service report shared with the parent in the past 6 months. The file for child #1 enrolled since 5/30/23 contained an initial service report dated more than 6 months after their enrollment, but is now current.
Corrected Corrected by Mar 29, 2024
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 Mar 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The file for child #5 did not include written consent signed by a parent for emergency medical care.
Corrected Corrected by Mar 29, 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 form for child #4 did not include the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Mar 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
Emergency contact information for child #4 was not present in the room where the child was observed receiving care.
Corrected Corrected by Apr 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
The following medication observed in the infant room lacked written parental consent for administration; Motrin intended for child #6 and Acetaminophen intended for child #7.
Corrected Corrected by Mar 15, 2024
Category: ratio. 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 file for child #3 contained an agreement and an emergency contact form that have not been reviewed and signed by a parent in the past 6 months. The file for child #1 contained updates to the emergency contact form and agreement dated more than 6 months apart, but are now current.
Corrected Corrected by Mar 22, 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 #3 contained consecutive health reports dated more than 12 months apart. The most recent health report on file is now current.
Corrected Corrected by Mar 29, 2024
Category: health medication. Marked corrected in the state record.
3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.
Homemade diaper cream, labeled by the parent as a mix of A&D ointment and Lotrimin, was observed in the infant and older toddler rooms.
Corrected Corrected by Mar 15, 2024
Category: health medication. 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.
The first aid kit in the YT room included the following medications which were not labeled for a specific child; Benadryl, Neosporin, burn cream, Tylenol, Neomycin Antibiotic cream and sting relief.
Corrected Corrected by Mar 15, 2024
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
An expired Epi Pen was observed in the OT room. The pen was labeled with an expiration date of Dec 2023.
Corrected Corrected by Mar 15, 2024
Category: ratio. Marked corrected in the state record.
3270.133(7)(iv) · A medication log shall include the amount of medication administered.
The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication.
Corrected Corrected by Mar 15, 2024
Category: ratio. Marked corrected in the state record.
3270.133(7)(vi) · A medication log shall include the time of administration.
The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication.
Corrected Corrected by Mar 15, 2024
Category: ratio. Marked corrected in the state record.
3270.133(7)(vii) · A medication log shall include the initials of the staff person who administered the medication.
The medication log in the infant room indicated child #6 received medication on 2/09/24, however the log did not include the time of administration, the amount given, or the initials of the staff person who administered the medication.
Corrected Corrected by Mar 15, 2024
Category: ratio. Marked corrected in the state record.
3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The file for staff #7 contained a health assessment which lacked the results of an examination for communicable diseases and lacked a statement of the physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by Mar 22, 2024
Category: health medication. Marked corrected in the state record.
3270.182(5) · 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 file for child #5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Mar 29, 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 #7 lacked written references.
Corrected Corrected by Feb 28, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
The operator lacked documentation of submitting the emergency plan to the local and county EMA. Changes were made to the plan in May 2023.
Corrected Corrected by Mar 7, 2024
Category: physical safety. 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 #4, enrolled for more than 60 days, did not include a health report.
Corrected Corrected by Mar 29, 2024
Category: health medication. 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 #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, staff person #1 may not work in a child-care position at the facility.
Staff person #1was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/Pediatric CPR.
Corrected Corrected by Jan 31, 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. Facility Person #1, #2, #3 may not work in a child care position at the facility.
The file for staff person #1 lacked a PA Child Abuse clearance; documentation of application for a PA Criminal History clearance; documentation of application for the NSOR certificate; and lacked a signed Disclosure Statement prior to the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #2 lacked documentation of application for a PA Criminal History clearance prior to the date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #3 lacked a PA Child Abuse clearance; a complete PA Child Abuse Clearance or complete FBI clearance; proof of applying for a Criminal History clearance or obtaining FBI fingerprints; and lacked documentation of application for the NSOR certificate, (See LIS CODE SHEET), all required for provisional hiring under the CPSL.
Corrected Corrected by Mar 26, 2024
Category: background checks. 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.
During a complaint investigation on 1.31.24, the fire alarm 30-day test log was reviewed and included test dates of 11.3.23-12.11.23 and 12.11.23-1.12.24, more than 30 days apart.
Corrected Corrected by Mar 3, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on staff interviews, it was determined that Staff Person #1 used physical discipline when they were observed grabbling child #1 by the wrists and "tossing" child #1 into a classroom causing child #1 to lose their balance and land on the floor.
Corrected Corrected by Nov 9, 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.
Staff #2 has not completed the 1-hour Pennsylvania Health and Safety Training update. Completion was required by 12/30/22 as stated in Announcement C-22-06.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
3270.31(e)(4)(ii)/3270.192(2)(iii) · 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. 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 fire safety training certificates dated 7/18/20 and 6/25/22. A certificate for 2021 was not on file during the inspection.
Corrected Corrected by May 12, 2023
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.
An extension cord outside the front entrance lacked protective covers. An electrical outlet and a power strip in the Pre-K Counts room also lacked protective covers. Both the wall outlet and the power strip were equipped with built in covers, however both were set to the open position during the inspection. All three outlets were accessible to children 5 years of age or younger.
Corrected Corrected by May 12, 2023
Marked corrected in the state record.
3270.67(a) · Trash shall be removed from the facility at least once per day.
Soiled diapers were observed in the trash can in the infant room. Based on statements made by staff, the infant room has not been in use for at least a week.
Corrected Corrected by May 12, 2023
Category: health medication. 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 at the phone in the young toddler room.
Corrected Corrected by May 12, 2023
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.
A protruding screw was observed on one of the support pieces at the base of play ground fence near the storage shed. The support pieces are normally covered by plastic caps. The cap was not in place during the inspection leaving the protruding screw accessible.
Corrected Corrected by May 17, 2023
Category: physical safety. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
The rear emergency exit in the Pre K Counts room does not open freely. The door requires substantial weight to be pushed against it before it will open.
Corrected Corrected by May 8, 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 wooden bench in the outdoor play space has splintering and rotting wood on the left end of the back rest. The bench also has an unsecured support partially attached to the back leaving sharp wood screws exposed and accessible. A wrist scarf with multiple holes and a table with loose legs creating pinch point were observed in the older toddler room. The seat belts of 1 seat in a 6-seat red stroller were cut and no longer functional. A loose hook with one partially attached screw was observed in the dramatic play storage unit. The second screw from the hook was observed in the bottom of the storage unit mixed with the play clothes.
Corrected Corrected by May 19, 2023
Category: physical safety. 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 for children #1-#4 contained service reports which were not updated by the reinstatement date set forth in Announcement C-21-09. Current service reports are now on file.
Corrected Corrected by May 19, 2023
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 #4 did not specify the persons designated by a parent to whom the child may be released.
Corrected Corrected by May 19, 2023
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 emergency contact information and agreements for children #1, #2, #4, and #5 were not updated by the parents within 6 months. Current documents are now on file.
Corrected Corrected by May 19, 2023
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 for child #1 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 12/01/21. The file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 11/17/21.The file for child #3 contained an immunization record which lacked documentation of receiving the influenza vaccine any time after 6/30/20. The file for child #4 contained an immunization record which lacked documentation of receiving the influenza vaccine at any time. Written exemptions were not on file for these 4 children. Children #1 and #4 have documentation from a doctor's office of upcoming appointments. Children #2 and #3 must be dismissed from care until the files are compliant.
Corrected Corrected by May 19, 2023
Category: health medication. Marked corrected in the state record.
3270.133(3)/3270.133(6) · 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. A parent shall provide written consent for administration of medication or a special diet.
The following medications were observed in the first ail kit in the young toddler room; Neosporin, Extra Strength Benadryl, and 2 packets of Tylenol. The medications were not labeled for a specific child and written consent was not on file.
Corrected Corrected by May 17, 2023
Category: ratio. 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.
Documentation of annual emergency drills was not presented for review at renewal.
Corrected Corrected by May 12, 2023
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 fire drill documented on 2/06/23 did not include a hypothetical location.
Corrected Corrected by May 19, 2023
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.
Th facility previously completed an attestation in lieu of the proof of purchase for the fire alarm system. This was noted in 2021. This attestation (or proof of original installation/proof of purchase) was not presented for review at the renewal inspection.
Corrected Corrected by May 26, 2023
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 contained an initial health report conducted 81 days after their first day of attendance at the facility. The health report on file is now current.
Corrected Corrected by May 19, 2023
Category: health medication. 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 as required in Announcement C-22-04. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Dec 16, 2022
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
A child size basketball hoop in the toddler area of the play ground was not anchored. PREVIOUSLY CITED ON SIN-00213289. A bucket containing approximately 2 inches of rain water mixed with sodium chloride was accessible to children in a cart at the front door of the facility.
Corrected Corrected by Dec 13, 2022
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file for staff #2 contained a disclosure statement which was not dated or signed by a witness. PREVIOUSLY CITED ON SIN-00213289
Corrected Corrected by Jan 6, 2023
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 #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required to perform the position. PREVIOUSLY CITED ON SIN-00213289
Corrected Corrected by Nov 3, 2022
Category: supervision. 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.
At approximately 9:30 AM, staff #6 was observed answering the door to the facility for a parent dropping off a child and the certification representative. Staff #1 was observed alone in the Pre-k room with 13 preschool age children.
Corrected Corrected by Jan 23, 2023
Category: ratio. Marked corrected in the state record.
3270.51 · **The legal entity will post the appropriate ratios for each age group and the definition of supervision in each child care space and outdoor space, including swimming pools, along with the instructions for contacting the OCDEL office. The posting will be in a conspicuous location and will be easily visible to parents and staff. The posting will be submitted to OCDEL for approval.
**At approximately 9:30 AM, staff #6 was observed answering the door to the facility for a parent dropping off a child and the certification representative. Staff #1 was observed alone in the Pre-k room with 13 preschool age children
Corrected Corrected by Jan 23, 2023
Category: supervision. Marked corrected in the state record.
3270.51 · *The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.
*At approximately 9:30 AM, staff #6 was observed answering the door to the facility for a parent dropping off a child and the certification representative. Staff #1 was observed alone in the Pre-k room with 13 preschool age children.
Corrected Corrected by Apr 30, 2023
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.
Two bags of sodium chloride, 1 of which was open, were accessible to children in a cart at the front door of the facility. A plastic bucket containing a mixture of the sodium chloride and rain water was also accessible. The bags were labeled "Keep out of reach of children". Two Swiffer Jet Mops, with the canisters of cleaning fluid attached, were accessible to childen; one in the young toddler room and one in the older toddler room. The canisters are labeled "Keep out of reach of children". PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Jan 20, 2023
Category: physical safety. Marked corrected in the state record.
3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.
Approximately 5 cigarette butts were observed in the cement area of the outdoor play space. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Jan 23, 2023
Category: ratio. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The files for child #3 contained agreements which did not specify the date of the child's admission. PREVIOUSLY CITED ON SIN-00213289
Corrected Corrected by Feb 24, 2023
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 file for child #2 contained emergency contact information which did not include the address of the individuals designated by the parent to whom the child may be released. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Feb 24, 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 files for children #1, 2, 3, and 6 contained health reports which have not been updated on over 12 months. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Feb 24, 2023
Category: health medication. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
The files for children #1, 2, 3, and 5 contained immunization records which did not include verification of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Feb 24, 2023
Category: health medication. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
The facility's emergency plan did not address accommodations for infants and toddlers. PREVIOUSLY CITED ON SIN-00213289.
Corrected Corrected by Dec 16, 2022
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 facility's emergency plan did not address continuity of operations.
Corrected Corrected by Dec 16, 2022
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 person #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 person #8, staff person #8 may not work in a child-care position at the facility.
Staff person #8 was observed to be caring for children unsupervised. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: Health and safety topics 1-9 and mandated reporter training.
Corrected Corrected by Oct 26, 2022
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.
Stacked storage bins observed in the Pre K room presented a tipping hazard. Eleven boxes were observed in the stack and the stack was leaning over. Two child size basketball hoops in the outdoor play space were not weighted or anchored creating a tipping hazard.
Corrected Corrected by Oct 19, 2022
Category: health medication. 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 person #9 will have until 11/23/22 to complete the required training. Until such time as the required training has been completed, staff person #9 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 #8, staff person #8 may not work in a child-care position at the facility.
Staff person #8 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training topics 1-9.
Corrected Corrected by Nov 23, 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 #8 will have until 11/23/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #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 person #8 staff person #8 may not work in a child-care position at the facility.
Staff person #8 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).
Corrected Corrected by Oct 26, 2022
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. Facility Person #--- may not work in a child care position at the facility.
The file for staff #2 contained a disclosure statement which was not dated or signed by a witness The files for staff #7 and #9 contained disclosure statements which were not dated. The file for staff #5 contained a disclosure statement dated 11/03/22 which is after their first day in a child care position (SEE LIS CODE SHEET).
Corrected Corrected by Oct 20, 2022
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 #2, designated as an assistant group supervisor on the staff data sheet, did not contain documentation of the qualifications required to perform the position. Staff #8, designated as an aide on the staff data sheet was observed performing the role of an AGS while escorting a child to a classroom on the day of the inspection, however the file for staff #8 did not contain documentation of the qualification required to perform the position.
Corrected Corrected by Oct 26, 2022
Category: supervision. 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 for staff #1, #3, #4, #6, and #7 contained consecutive evaluations conducted more than 12 months apart. The most recent evaluations on file are now current.
Corrected Corrected by Oct 19, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
A Swiffer Wet Jet mop with the canister containing cleaning solution attached and accessible was observed in the restroom of the PS 3 room. A tub of sanitizing wipes was accessible to children beside a toilet in the Older Toddler restroom. Windex and bleach were accessible to children in an unlocked cabinet under the sink in the infant room.
Corrected Corrected by Oct 19, 2022
Category: physical safety. Marked corrected in the state record.
3270.68(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.
Approximately 5 cigarette butts were observed in the cement area of the outdoor play space.
Corrected Corrected by Dec 16, 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.
Two areas of damaged crumbling plaster were observed in the Pre K room below the color poster at the base of the wall and on the wall to the right of the mounted TV. A chalkboard tray mounted in the Young Toddler room was not secured to the wall which created pinch points along the tray.
Corrected Corrected by Nov 30, 2022
Category: physical safety. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
A source of running water was not located in the diapering area of the young toddler room.
Corrected Corrected by Oct 31, 2022
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.
A gray plastic toy bin with a cracked edge was observed in the older toddler room.
Corrected Corrected by Oct 19, 2022
Category: physical safety. Marked corrected in the state record.
3270.102(a)/3270.103 · 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. 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.
A split seam, which left the inner foam filling accessible, was observed on a sleeping mat in the older toddler room.
Corrected Corrected by Oct 19, 2022
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.
The rest mats in the Young Toddler room were not labeled for use by a specific child.
Corrected Corrected by Oct 19, 2022
Category: physical safety. 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 a child in the infant room lacked 2 feet of space on 3 sides. The sides were blocked by other equipment.
Corrected Corrected by Oct 19, 2022
Category: physical safety. 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.
An infant was observed sleeping on their stomach during the inspection. When asked, staff stated the infant was placed into the crib on their stomach instead of first placing the infant on their back and allowing them to roll over on their own.
Corrected Corrected by Oct 20, 2022
Category: health medication. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The files for children #1, #2, and #3 contained agreements which did not specify the date of the child's admission.
Corrected Corrected by Nov 23, 2022
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 file for child #2 contained an agreement which did not include the address of the child's physician or source of medical care.
Corrected Corrected by Oct 19, 2022
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 files for child #1 and child #2 contained emergency contact information which did not include the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Oct 21, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
Emergency contact information was not present in the Pre K room for child #7. Emergency contact information was not present in the infant room for child #8. Both children were observed in care in the corresponding rooms.
Corrected Corrected by Oct 21, 2022
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 #1-6 contained emergency contact information and agreements which were not updated at least once in a 6 month period. The documents on file for child 1, 3, 4, 5, and 6 are now current, however the file for child #2 does not contain documents updated within the last 6 months.
Corrected Corrected by Dec 16, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
The files for children #4 and #5, both under two years of age, contained health assessments which have not been updated in over 6 months.
Corrected Corrected by Dec 1, 2022
Category: health medication. 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 files for children #1, 2, 3, and 6 contained health reports which have not been updated on over 12 months.
Corrected Corrected by Dec 1, 2022
Category: health medication. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
The files for children #1, 2, 3, and 5 contained immunization records which did not include verification of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.
Corrected Corrected by Dec 16, 2022
Category: health medication. 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.
A bottle of acetaminophen, labeled for use by 2 children instead of just 1 child. was observed in the infant room.
Corrected Corrected by Oct 20, 2022
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
Tylenol with an expiration date of 9/2022, intended for child #9, was observed in the infant room.
Corrected Corrected by Oct 19, 2022
Category: ratio. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
Two hands free trash cans with nonfunctioning lids were observed in the diapering area of the Young Toddler Room.
Corrected Corrected by Oct 20, 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 file for staff #1 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.
Corrected Corrected by Oct 19, 2022
Category: ratio. 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 infants and toddlers.
Corrected Corrected by Dec 16, 2022
Category: physical safety. Marked corrected in the state record.
3270.94(a)(9)/3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.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's fire drill log did not include the required details for the fire drill conducted in April.
Corrected Corrected by Aug 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
Prescription Nystatin, which lacked a medication log, was observed in the infant room. The medication was intended for child #1. Based on statements made by staff, the medication had been administered on more than one occasion.
Corrected Corrected by Jun 14, 2022
Category: health medication. 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 #3 and #4 must be supervised when interacting wit children, by an AGS who has completed the required training related to this citation. If there are no staff persons available to supervise staff #3 and #4, then staff #3 and #4 may not work in a child care position at the facility.
Staff persons #3 and #4 were observed to be caring for children unsupervised. Staff #3 and #4 have not completed the pre-service training required prior to caring for children unsupervised: Health and Safety Training topics 1-9 and mandated reporter training.
Corrected Corrected by Jul 6, 2022
Category: supervision. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: Heath and Safety topics 1-9. Staff 1-4 will have until 08/02/22 to complete the required training. Until such time as the required training has been completed, staff 1-4 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 present to supervise staff 1-4 then staff 1-4 may not work in a child care position at the facility.
Staff #1, #2, #3, and #4 have not completed the following pre-service training within 90 days of their hire date )SEE LIS CODE SHEET): Health and Safety Training topics 1-9.
Corrected Corrected by Aug 1, 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 persons #1, #3, and #4 will have until 08/02/22 to complete mandated reporter training. Until such time as the required training has been completed, staff 1, #3, and #4 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 persons available to supervise staff 1, #3, and #4, then staff 1, #3, and #4 may not work in a child care position at the facility.
Staff person #1, #3, and #4 have not completed mandated reporter training within 90 days of hire (SEE LIS CODE SHEET).
Corrected Corrected by Jul 6, 2022
Category: supervision. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
An expired albuterol inhaler was observed in the school age room. The medication expired April 2022 and was labeled for child #1. Based on statements made by staff, the child was in care until 6/01/22.
Corrected Corrected by Jun 10, 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.
Based on statements made by staff, a 4 year old child was left alone in a classroom for approximately 45 seconds to 1 minute during a fire drill that occurred on 4/21/22.
Corrected Corrected by Apr 21, 2022
Category: ratio. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
Based on statements made by staff, a 4 year old child was left alone in a classroom for approximately 45 seconds to 1 minute during a fire drill that occurred on 4/21/22.
Corrected Corrected by Apr 21, 2022
Category: supervision. Marked corrected in the state record.
3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.
Although a digital plan was available, there was no Emergency Plan posted anywhere in the facility.
Corrected Corrected by Oct 25, 2021
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.
The Emergency Contact form, for Child #1, did not contain the physician's address.
Corrected Corrected by Oct 26, 2021
Category: health medication. 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 #5, did not contain the name of the physician.
Corrected Corrected by Oct 26, 2021
Category: health medication. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for Staff #1 (DOH 3.8.21), Staff #2 (DOH 7.31.12), Staff #3 (DOH 4.19.21), Staff #4 (DOH 12.3.07), Staff #5 (DOH 9.28.21), Staff #6 (DOH 10.20.21), and Staff #7 (8.5.96), did not contain documentation of Emergency Plan training at the time of initial employment or on an annual basis.
Corrected Corrected by Dec 22, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for Staff #1 (DOH 3.8.21), Staff #2 (DOH 7.31.12), and Staff #3 (DOH 4.19.21) did not contain verification of PEDIATRIC First-Aid/CPR.
Corrected Corrected by Jan 21, 2022
Category: ratio. 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.
The Mandated Reporter training for Staff #2 was completed on 2.10.15 and 11.4.20, which was beyond the 60-month renewal requirement. The Mandated Reporter training for Staff #7 was completed on 2.11.15 and 10.30.20, which was beyond the 60-month renewal requirement.
Corrected Corrected by Dec 22, 2021
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, Staff #3, Staff #5, and Staff #6 did not contain a date on the Disclosure Statement. It could not be determined if the Disclosure Statement was obtained at the time of hire due to the missing date. The file for Staff #1 did not contain a witness signature on the Disclosure Statement.
Corrected Corrected by Jan 7, 2022
Category: background checks. 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 displayed at the toilet in the restroom near the 3 year-old room.
Corrected Corrected by Oct 25, 2021
Category: health medication. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The Fee Agreement, for Child #6, did not contain the fee amount.
Corrected Corrected by Oct 25, 2021
Category: recordkeeping. 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 Child #6, did not contain the enrolling parent's work address or work phone number.
Corrected Corrected by Oct 26, 2021
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 #5, contained the health insurance policy number, but not the name of the health insurance company.
Corrected Corrected by Oct 26, 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, for Child #6, did not contain the release person's address.
Corrected Corrected by Oct 26, 2021
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.
A Cortisone-10 container, which was located in the child medication bin in the PK room, did not have the name of the child for whom the medication is intended.
Corrected Corrected by Jan 5, 2022
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.
A Proof of Purchase was not available for the interconnected fire detection system.
Corrected Corrected by Nov 22, 2021
Category: recordkeeping. Marked corrected in the state record.
3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.
On 6/22/21, a child ran into the jungle gym on the playground and hit her right arm off of one of the bars of the structure. Staff observed the incident but did not write an accident report because there were no marks or bruises observed and the child did not complain.
Corrected Corrected by Jul 12, 2021
Category: health medication. Marked corrected in the state record.