3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -4- may not be in the childcare space at the facility while children are in care.

Observed staff files #1, #2, and #3 contained updated NSOR certificates which were dated more than 62 months after the previous valid NSOR certificate. Observed staff file #3 contained an updated FBI fingerprint clearance which was dated 61 months after the previous valid FBI clearance. Observed household member #4 file contained a most recent NSOR certificate which was more than 60 months old.

Corrected Corrected by Jul 31, 2025

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

3280.51 · No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Observed 13 unrelated children in care, playing in the outdoor play space at the time the inspection was initiated.

Corrected Corrected by Jul 7, 2025

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed hand sanitizer and laundry detergent, both labeled "keep out of the reach of children", accessible to children on a low shelf in the child care space.

Corrected Corrected by Jul 7, 2025

Category: ratio. Marked corrected in the state record.

3280.124(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.

Observed the emergency contact information for child file #3, did not contain the health insurance coverage and policy number.

Corrected Corrected by Jul 31, 2025

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed child files #1 and #2, both preschool children, contained most recent health assessments which were dated more than 18 months ago.

Corrected Corrected by Jul 31, 2025

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

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Observed three times within the previous 12 months, the fire alarm testing revealed it was completed more than 30 days apart. These dates were 12/23/24-1/27/25, 1/27/25-2/28/25, and 3/28/25-4/30/25.

Corrected Corrected by Jul 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed an electrical outlet on a power cord in the outdoor play area which did not have a protective receptacle cover.

Corrected Corrected by Jul 31, 2024

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed hand sanitizer, labeled "keep out of the reach of children", accessible to children in an unlocked drawer of the changing table.

Corrected Corrected by Jul 31, 2024

Category: ratio. Marked corrected in the state record.

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a cracked sand table toy with a rough edge. Observed a changing pad with a peeling cover and exposed foam.

Corrected Corrected by Jul 31, 2024

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

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Observed the cat at the facility had an expired rabies tag.

Corrected Corrected by Jul 31, 2024

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

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed child file #1, an older toddler, contained a most recent health assessment which was more than 24 months old.

Corrected Corrected by Jul 31, 2024

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

3280.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed child file #2, did not contain a written, signed, and dated statement of exemption from immunizations from the child's parent or guardian.

Corrected Corrected by Jun 20, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Observed the most recent documented emergency drill was conducted more than 18 months ago.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Observed the documented fire alarm testing log revealed that 2 times in the previous 12 months, the fire alarms were tested more than 30 days apart.

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

2nd citation. Previously cited on 6/21/23 under SIN-00225830. The emergency plan did not address continuity of operations.

Corrected Corrected by Aug 18, 2023

Category: ratio. Marked corrected in the state record.

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

2nd citation. Previously cited on 6/21/21 under SIN-00225830. Observed embedded equipment in the outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Aug 18, 2023

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

3280.105(b) · Bed linens may not be used alone as age-appropriate rest equipment.

At approximately 12:00 PM Certification Staff observed Staff #2 place a child on only a blanket to nap.

Corrected Corrected by Aug 18, 2023

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

2nd citation. Previously cited on 6/21/21 under SIN-00225830. A staff person did not ensure that children's hands were washed before lunch.

Corrected Corrected by Aug 18, 2023

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

3280.135(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.

Certification Staff observed Staff #1 place a soiled diaper in a plastic bag instead of immediately placing the diaper into a plastic-lined, hands-free covered can. The facility lacked a plastic-lined, hands-free covered can by the changing table on the porch in the outdoor play space.

Corrected Corrected by Aug 18, 2023

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

3280.14/3280.20 · 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 emergency plan did not address continuity of operations.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The files of Staff #1, #2, and #3 lacked documentation of obtaining an annual 12 clock hours of child care training.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed 4 bottles of Purell Advanced Hand Sanitizer which indicated "keep out of the reach of children" under the bathroom sink in the basement which were accessible to children.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a torn mat with exposed foam on the porch in the outdoor play space. Observed torn mesh in the pop-up tent in the outdoor play space. Observed approximately a 12-inch tear in the tunnel in the outdoor play space. Observed cracked LEGOS with rough edges in the basement.

Corrected Corrected by Jul 28, 2023

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

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed embedded equipment in the outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Jul 28, 2023

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

3280.124(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 #2 lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the living room and computer room.

Corrected Corrected by Jul 28, 2023

Category: transportation. Marked corrected in the state record.

3280.131(d)(5)/3280.131(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 files of Children #2 and #5 lacked a current influenza immunization in accordance with the recommendations of the ACIP.

Corrected Corrected by Jul 28, 2023

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

A staff person did not ensure that children's hands were washed before the afternoon snack.

Corrected Corrected by Jul 28, 2023

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

3280.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff #1 and #3 lacked documentation of a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment dated 6/15/21. The file of Staff #3 contained a current health assessment dated 5/31/23 with a previous one dated 5/20/21.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Facility persons did not wash their hands before afternoon snack.

Corrected Corrected by Jul 28, 2023

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

3280.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact and agreement for Child #1 was not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were reviewed on 6/6/22, 1/9/23, and 6/1/23. The emergency contact and agreement for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were reviewed on 6/6/22, 1/8/23, and 6/1/23. The agreement for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's agreement was reviewed on 6/6/22, 1/9/23, and 6/1/23.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 7/30/22, 8/23/22, 9/22/22, 10/24/22, 12/23/22, 1/2/23, 3/6/23, 5/8/23, and 6/7/23.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility was unable to provide written documentation that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 8/29/22, 9/22/22, 10/24/22, 12/23/22, 1/2/23, 3/6/23, 5/8/23, and 6/7/23. The facility did not have a charged fire extinguisher rated for Class B fires in the kitchen.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

2nd citation. Previously cited on 6/27/22. The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

2nd citation. Previously cited on 6/27/22. The file of Child #1 lacked the home address, work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

2nd citation. Previously cited on 6/27/22. Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Aug 23, 2022

Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

2nd citation. Previously cited on 6/27/22. An emergency drill was not conducted annually. The facility had no documentation of an emergency drill being conducted.

Corrected Corrected by Aug 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

2nd citation. Previously cited on 6/27/22. The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 2/28/22, and 3/31/22.

Corrected Corrected by Aug 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.79(c) · If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

Certification staff observed ammunition in an unlocked cabinet in the Master Bedroom.

Corrected Corrected by Aug 15, 2022

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

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file of Child #5 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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 did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.

Corrected Corrected by Aug 15, 2022

Category: ratio. Marked corrected in the state record.

3280.26(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The files of Staff #1, #2, and #3 lacked documentation of receiving training regarding the emergency plan on an annual basis.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The files of Staff #1, #2, and #3 lacked documentation of obtaining an annual 12 clock hours of child care training.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

The files of Staff #1, #2, and #3 lacked documentation of renewing their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The files of Staff #1, #2, and #3 contained documentation of first-aid and CPR training completed on 5/18/22 with previous training completed on 1/24/20.

Corrected Corrected by Aug 15, 2022

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file of Staff #3 lacked a Child Abuse Clearance updated every 60 months. The file of Staff #3 contained a Child Abuse Clearance dated 5/11/21 with a previous one dated 5/10/16. The file of Household Member #4 lacked a Child Abuse Clearance updated every 60 months. The file of Household Member #4 contained a Child Abuse Clearance dated 5/11/21 with a previous one dated 5/10/16.

Corrected Corrected by Aug 15, 2022

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

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children

Staff #1 and #2, who were designated as primary staff, lacked documentation of 2 years of experience with children.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed approximately a 1 inch crack on the corner of the Little Tykes Coupe creating rough edges and pinch points in the outdoor play space. Observed a rest mat with exposed foam.

Corrected Corrected by Aug 15, 2022

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

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Observed embedded equipment in the outdoor play space with approximately 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Aug 15, 2022

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

3280.102(f) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Observed a Bumbo seat which lacked a restraint belt on the back porch located in the outdoor play space.

Corrected Corrected by Aug 15, 2022

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed plastic bags in bins at the bottom of the basement stairs, under the changing table in the basement, and in a plastic bin beside the bathroom sink in the basement which were accessible to children.

Corrected Corrected by Aug 15, 2022

Marked corrected in the state record.

3280.105(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

At approximately 9:35 AM Certification Staff observed toys present in a pack 'n play while an infant was sleeping in the pack 'n play.

Corrected Corrected by Aug 15, 2022

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

3280.113(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.

At approximately 9:40 AM Certification Staff observed two children playing under the carport located outside of the outdoor play space where no staff were physically present.

Corrected Corrected by Aug 15, 2022

Category: supervision. Marked corrected in the state record.

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file of Child #5 lacked the child's departure times on the agreement.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file of Child #3 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home address, work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 4/18/22 with an emergency contact form signed on 4/20/22.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The file of Child #1 contained an emergency contact which lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Aug 15, 2022

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

3280.124(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 of Child #4 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

Child #1, a 27 month old, and Child #2, an 8 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Aug 15, 2022

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Observed staff not ensuring a child's hands were washed after being diapered.

Corrected Corrected by Aug 15, 2022

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

3280.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 6/21/21 with a previous one dated 5/28/19.

Corrected Corrected by Aug 15, 2022

Category: ratio. Marked corrected in the state record.

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Aug 15, 2022

Marked corrected in the state record.

3280.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file of Child #1 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #1 had an admission date of 4/18/22 with an emergency contact form signed on 4/20/22.

Corrected Corrected by Aug 15, 2022

Category: ratio. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

An emergency drill was not conducted annually. The facility had no documentation of an emergency drill being conducted.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The primary staff person or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 6/15/21, 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 3/31/22, and 5/31/22.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(4) · The primary staff person 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 primary staff person or designated staff person did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The primary staff person or designated staff person did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Evacuation routes are posted in the basement but not on the first and second floors.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 2/28/22, and 3/31/22.

Corrected Corrected by Aug 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff person(s) shall complete professional development in the topics of 3280.31(f) (10) within 90 days of hire. Staff person #1, #2, and #3 will have until July 28,2022 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, and #3, staff person #1, #2, and #3 may not work in a child-care position at the facility.

Staff persons #1, #2, and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid/CRP from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Aug 15, 2022

Category: supervision. Marked corrected in the state record.

3280.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

2nd citation. The slide in the outdoor play space lacked loose-fill covering that meets the recommendations of the United States Consumer Product Safety Commission. Previously cited at renewal inspection on 6/29/21.

Corrected Corrected by Aug 18, 2021

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