3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Two Catch Master insect glue traps were accessible to children in the floor on each side of the door leading to the outdoor play space. The traps were labeled nontoxic, but were also labeled keep out of reach of children due to the adhesive.

Corrected Corrected by Feb 4, 2025

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

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The operator stated that during an emergency, communication with parents would be conducted using a social networking app, however, the emergency plan did not include these details.

Corrected Corrected by Jan 29, 2025

Category: physical safety. 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 facility's letter to parents explaining the emergency procedures did not include the accommodations made for infants and toddlers or details regarding the use of a social networking app for communication with parents.

Corrected Corrected by Jan 29, 2025

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

3270.75(a) · A first-aid kit shall be in a child care space.

The sensory room lacked a first aid kit.

Corrected Corrected by Jan 28, 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.

Two wires with sharp ends were observed attached to a xylophone in the outdoor play space. The wires previously held mallets, however the mallets were removed exposing the ends of the wires.

Corrected Corrected by Jan 23, 2025

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

3270.103/3270.104(a) · 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Tears, which exposed the inner foam filling, were observed on the seat of a black adult chair in the butterfly room.

Corrected Corrected by Jan 23, 2025

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.

At approximately 2PM, child #1, an infant, was observed sleeping while strapped into a car seat/stroller.

Corrected Corrected by Jan 30, 2025

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

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

The butterfly and sensory rooms lacked posted plans identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Feb 3, 2025

Category: transportation. Marked corrected in the state record.

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

Consecutive annual inspections of the fire alarm system were conducted more than 12 months apart; 1/05/24 and 1/07/25. A current inspection report is now on file.

Corrected Corrected by Jan 27, 2025

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 program's emergency procedures did not include details regarding accommodations that will be made for infants, toddlers, children with chronic medical conditions and children with disabilities.

Corrected Corrected by Mar 13, 2024

Category: physical safety. 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 files for staff #1 and #2 contained documentation of completing fire safety training at an interval greater than 12 months. Staff #1 completed the training on 9/29/22 and 10/10/23. Staff #2 completed the training on 10/18/22 and 11/07/23. Both files now contain current training.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. 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.

The backing on a bouncy seat in the caterpillar room was observed to be crumbling and cracked leaving small pieces of the fabric and the inner foam filling accessible.

Corrected Corrected by Feb 28, 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.

An empty plastic bag was observed on the playground. A section of foam noodle, approximately 12 inches long, was observed on the floor of the Busy Bee room where a child under 2 years old was observed in care.

Corrected Corrected by Mar 13, 2024

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 #1 contained child service reports which were shared with the parent at an interval greater than 6 months. The most recent report on file is now current.

Corrected Corrected by Mar 4, 2024

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 #1-#5 did not complete the 1 hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required by Announcement C-22-06. Documentation of completion is now on file.

Corrected Corrected by Mar 2, 2023

Category: ratio. 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.

Based on documentation on file, staff #4 does not have current approved pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/16/22. The file contained an additional CPR/FA certificate dated 1/06/22, however the training was conducted solely online without an in-person session

Corrected Corrected by Feb 22, 2023

Category: ratio. 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.

One electrical outlet which lacked a protective cover was observed in the Caterpillars room. The outlet was accessible to children 5 years of age or younger.

Corrected Corrected by Feb 14, 2023

Marked corrected in the state record.

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

A blue plastic wading pool with cracked and broken areas and a protruding screw on a Little Tykes car were observed in the outdoor play space.

Corrected Corrected by Feb 14, 2023

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

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

An empty blue plastic grocery bag was observed in the outdoor play space.

Corrected Corrected by Feb 14, 2023

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

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

An adult size, round folding table was observed leaning against the wall in the sheltered outdoor play space. The table was unsteady and presented a safety risk.

Corrected Corrected by Feb 16, 2023

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.

A written plan of daily activities was not posted in the sensory room.

Corrected Corrected by Feb 27, 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 file for child #3 lacked a current service report. The last service report on file was dated 6/30/22. The files for children #1 and #4 contained service reports dated more than 6 months apart. The file for child #2, enrolled since 6/21/21, contained a service report dated 1/19/23, however no previous reports were on file. The service reports for children #1, #2, and #4 are now current.

Corrected Corrected by Feb 15, 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 file for child #3 contained an emergency contact form and an agreement which were not updated by the parent at least once in a 6 month period. The updates occurred 5/31/22 and 12/17/22. The documents on file are now current.

Corrected Corrected by Dec 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Staff #5 completed training in pediatric CPR/FA more than 90 days after hire. (SEE LIS CODE SHEET) Current training is now on file

Corrected Corrected by Oct 30, 2022

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

3270.31(h)/3270.192(2)(iii) · All staff persons shall complete the professional development under subsection (f). 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 #4 contained documentation of completing the 6 hour Health and Safety Basics training after it's validity date. The trainings were dated 10/02/18 and 9/11/18. Completion of the training for the purpose of meeting the requirements in 3270.31(f). was invalid after 6/30/18

Corrected Corrected by Mar 8, 2023

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

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

Based on documentation at the facility, consecutive fire drills were conducted more than 60 days apart; 5/03/22 and 7/11/22 69 days , 7/11/22 and 9/29/22 80 days.

Corrected Corrected by Mar 2, 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.

The operator did not provide proof of installation or proof of purchase for the facility's interconnected fire alarm system at the time of the inspection.

Corrected Corrected by Mar 6, 2023

Category: recordkeeping. 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.

There was a crib in the butterfly room that lacked a label identifying a specific child.

Corrected Corrected by Feb 10, 2022

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

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

The file for child # 2 lacked the date of admission of the Child on the agreement form.

Corrected Corrected by Feb 9, 2022

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 #1 and 3 lacked the phone number of the release person on the emergency contact form.

Corrected Corrected by Feb 10, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Feb 10, 2022

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