3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 2-- may not work in a child care position at the facility.

The file for staff person #2 was observed to lack a current valid PA state police clearance.

Corrected Corrected by Nov 21, 2025

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file for staff person #1 was observed to lack documentation that staff person #1 completed annual training on the facility's emergency plan. This was evidenced by a training certificate from 09/05/2024 was the only training certificate present in the file.

Corrected Corrected by Nov 21, 2025

Category: ratio. Marked corrected in the state record.

3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. 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 person #3 was observed to lack documentation of a high school diploma or a general educational development certificate

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In the facility's kitchen/lunchroom area a clear Zep brand spray bottle which contained a clear liquid but lacked a label identifying the contents was observed. And clear bottles containing a clear liquid without identification of the contents were also observed in the facility's Infant and Older Infant rooms.

Corrected Corrected by Nov 21, 2025

Category: ratio. 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.

The facility was observed to have a refrigerator in the 3-year-old room, with the thermometer in the freezer.

Corrected Corrected by Nov 21, 2025

Category: nutrition. 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 #1 was observed to contain an emergency contact form that lack a parent's signature giving consent for emergency medical care.

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #1 and #2 were observed to contain emergency contact forms the lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Nov 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.178 · A first-aid kit, including the contents as specified in §3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The first-aid kit in the transportation van was observed to be lacking soap.

Corrected Corrected by Nov 21, 2025

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 #1 was observed to contain an emergency contact form that lack a parent's signature giving consent for minor first-aid procedures by facility staff.

Corrected Corrected by Nov 21, 2025

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 person #1 was observed to lack two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. This was evidenced by only one written reference present in the file.

Corrected Corrected by Nov 21, 2025

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.

Staff person #1 admitted to and was observed on camera striking a child's hand in response to the child touching under another child's clothing.

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Based on video footage and interviews, Child #1 exited the indoor play space unnoticed by Staff #1 and Staff #2. Video footage showed Child #1 climbing into a stroller located on the other side of the door from which Child #1 exited. Video footage showed Child #1's mother coming through the entrance door and going down the stairs at the entrance. Video footage then showed Child #1's mother coming up the stairs on the opposite side of the entrance and getting Child #1 out of the stroller. During the interview process, Staff #1 and Staff #2 indicated Child #1's mother came to the door of the play space to tell them she had Child #1. Based on video footage, Child #1 was alone in the lobby for approximately 1 minute.

Corrected Corrected by Feb 7, 2025

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.

Based on video footage and interviews, Child #1 exited the indoor play space unnoticed by Staff #1 and Staff #2. Video footage showed Child #1 climbing into a stroller located on the other side of the door from which Child #1 exited. Video footage showed Child #1's mother coming through the entrance door and going down the stairs at the entrance. Video footage then showed Child #1's mother coming up the stairs on the opposite side of the entrance and getting Child #1 out of the stroller. During the interview process, Staff #1 and Staff #2 indicated Child #1's mother came to the door of the play space to tell them she had Child #1. Based on video footage, Child #1 was alone in the lobby for approximately 1 minute.

Corrected Corrected by Feb 7, 2025

Category: supervision. 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 person #2 must complete PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2.

Staff person #2 has completed the health and safety course titled Get Started with Center-Based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

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

Staff #1 lacked renewal of their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. Staff #1 had documentation of completing pediatric first-aid and cardiopulmonary resuscitation training on 7/2/24 with a previous one completed on 5/25/22.

Corrected Corrected by Feb 14, 2025

Category: ratio. 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.

Observed 2 strollers obstructing the middle doors of the indoor play space.

Corrected Corrected by Feb 7, 2025

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

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

The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 3/26/24, 5/24/24, 7/23/24, 9/20/24, and 11/20/24.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility was observed to lack a written policy addressing Shaken Baby Syndrome and Abusive Head Trauma.

Corrected Corrected by Dec 26, 2024

Category: ratio. 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 was observed to be providing the parent of each enrolled child a letter explaining the emergency procedures, however this letter failed to include the accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jan 31, 2025

Category: physical safety. 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 clear spray bottle that contained a clear liquid and no written identification of the contents was observed sitting on the cubbies in the infant room.

Corrected Corrected by Dec 26, 2024

Category: ratio. Marked corrected in the state record.

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

A first-aid kit was observed to be accessible to children in the facility's 3-year-old room.

Corrected Corrected by Dec 26, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

A first-aid kit that contained the following: soap, an assortment of adhesive bandages, sterile gauze pads, tape, scissors and disposable, nonporous gloves, but did not contain, tweezers was observed in the facilities 4-year-old Classroom.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The files for children #1 and #6 were observed to contain financial agreements that failed to specify the date of the child's admission.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The files for children #1, #2, #3, #4, #5, #6, #7, #8 and #10 were observed to contain an agreement that failed to specify the services which are to be considered as extra.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 was observed to contain an original agreement.

Corrected Corrected by Jan 31, 2025

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 file for child #9 was observed to contain an emergency contact form that failed to include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Dec 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #9 was observed to contain an emergency contact information that failed to include information (if any) on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

Corrected Corrected by Dec 30, 2024

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A container of Vicks medication labeled "keep out of the reach of children" was observed stored in a child's cubby and therefore within the reach of children.

Corrected Corrected by Dec 27, 2024

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

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

The facility was observed to have a written consent for administration of Diazepam gel medication for child #11 that lacked the enrolling parent's signature.

Corrected Corrected by Dec 30, 2024

Category: ratio. Marked corrected in the state record.

3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.

The facility was observed to have a medication log for child #12 that failed to include special notes, if any related to problems of administration.

Corrected Corrected by Feb 21, 2025

Category: ratio. Marked corrected in the state record.

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

The Director or designated staff person who is responsible for compliance with this chapter did not ensure fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 9/29/23 and 3/26/24.

Corrected Corrected by Jul 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.33(a) · 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.

2nd citation. Previously cited on 10/30/23. The file of Staff #1, who was designated as a group supervisor, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

Corrected Corrected by Jan 11, 2024

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

2nd citation. Previously cited on 10/18/23. Observed an electrical outlet between the windows on the orange wall in Room 104 which lacked protective receptacle covers.

Corrected Corrected by Dec 21, 2023

Marked corrected in the state record.

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

2nd citation. Previously cited on 10/18/23. Observed Boudreaux's Butt Paste which indicated "keep out of the reach of children" in a plastic bin on the floor beside the changing table in the Women's Bathroom on the 2nd floor which was accessible to children.

Corrected Corrected by Dec 21, 2023

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.

2nd citation. Previously cited on 10/18/23. Observed hard corn kernels in the outdoor play space by the Step 2 Playhouse which were accessible to children.

Corrected Corrected by Dec 21, 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).

2nd citation. Previously cited on 10/30/23. The files of Children #1, #2, #3, and #4 lacked child service reports completed at least every 6 months. The file of Child #1, who had an admission date of 8/23/21, did not contain a child service report. The file of Child #2, who had an admission date of August 2022, did not contain a child service report. The file of Child #3, who had an admission date of 8/23/21, did not contain a child service report. The file of Child #4, who had an admission date of 2/27/23, did not contain a child service report.

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

On 10/18/23 the written plan of daily activities was not posted in Room 303.

Corrected Corrected by Nov 27, 2023

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. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

On 10/18/23 Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid and CPR training and 10-hour health and safety training.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file of Staff #10 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #10 contained documentation of completing the health and safety update on 6/12/23.

Corrected Corrected by Nov 27, 2023

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.

On 10/18/23 observed a pair of adult scissors in the drawer under the microwave and above the cabinet door labeled "bleach" in the kitchen which were accessible to children.

Corrected Corrected by Nov 27, 2023

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

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

The files of Staff #8 and #9 lacked documentation of training regarding the emergency plan on annual basis. The file of Staff #8 contained documentation of emergency plan training completed on 12/22/22 with previous training completed on 9/3/21. The file of Staff #9 contained documentation of emergency plan training completed on 10/26/22 with previous training completed on 9/2/21.

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file of Staff #10 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #10 contained documentation of fire safety training completed on 8/22/23 with previous training completed on 5/18/22.

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

On 10/18/23 Certification Staff observed Staff #2, a provisional hire, taking children from the 3-Year-Old Classroom (Room 302) to the bathroom alone and not in the vicinity of a permanent employee.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

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

On 10/18/23 observed the end cap of the baseboard heater was loose by the Lego table in Room 303.

Corrected Corrected by Nov 27, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #5 may not work in a child care position at the facility.

The file of Staff #1, a provisional hire, lacked documentation of application for the National Sex Offender Registry Certificate and FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained an FBI Clearance dated 5/24/22 and contained no NSOR. Staff #1 was not suspended after 45 days. The file of Staff #3, a provisional hire, lacked the results of the Child Abuse Clearance prior to employment (SEE LIS Code Sheet). The file of Staff #3 contained a Child Abuse Clearance dated 9/7/23. The file of Staff #5 lacked a valid FBI Clearance because it did not contain a disposition for charges. The files of Staff #8 and #9 lacked a disclosure statement signed at the time of initial employment (SEE LIS Code Sheet). The file of Staff #8 contained a disclosure statement dated 8/31/21. The file of Staff #9 contained a disclosure statement dated 8/26/21.

Corrected Corrected by Nov 27, 2023

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

3270.33(a) · 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.

The files of Staff #4 and #7, who were designated as group supervisors, lacked documentation of meeting one of the applicable staff qualifications for the position in which the person is performing.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file of Staff #3, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or general educational development certificate. The file of Staff #9, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

On 10/18/23 observed an electrical outlet between the windows on the orange wall in Room 104 which lacked protective receptacle covers. On 10/18/23 observed electrical outlets on the power strip on the microwave which lacked protective receptacle covers in the 3-year-old Room. On 10/18/23 observed an electrical outlet which lacked a protective receptacle cover by the black cabinet in Room 303. On 10/18/23 observed an electrical outlet which lacked a protective receptacle cover to the left of the closet in Room 303.

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

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

On 10/18/23 observed Equate Sunscreen and Coppertone Pure and Simple 100 Mineral Sun Protection which indicated "keep out of the reach of children" in a plastic bin on the 2nd shelf from the bottom which were accessible to children in Room 103. On 10/18/23 observed Johnson Baby Lotion which indicated "keep out of the reach of children" in a plastic bin on the floor beside the changing table in the Women's Bathroom on the 2nd floor which was accessible to children.

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

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

On 10/18/23 observed a first-aid kit on a hook approximately 2 1/2 feet from the floor in Room 104 which was accessible to children.

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

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

On 10/18/23 observed peeling paint on the baseboard heater under numbers and the alphabet in Room 303. On 10/18/23 observed peeling paint in the left bottom corner of the bathroom stall closest to the window in the Women's Bathroom on the 2nd floor.

Corrected Corrected by Nov 27, 2023

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

3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

On 10/18/23 the counter height sinks in Rooms 201 (Older Infant), 101 (Young Toddler), and 102 (Young Toddler) did not have platforms or steps to be easily approached.

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

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

On 10/18/23 observed plastic grocery bags and ziploc bags on the 2nd shelf from the bottom on the bookcase beside the entrance in Room 102 which were accessible to children. On 10/18/23 observed hard corn kernels in the outdoor play space by the Step 2 Playhouse which were accessible to children.

Corrected Corrected by Nov 27, 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.

On 10/18/23 observed a microwave on top of a mini fridge in Room 102 which was not anchored creating a potential tipping hazard. On 10/18/23 observed a microwave on top of a mini fridge in the 3-year-old Room which was not anchored creating a potential tipping hazard. On 10/18/23 observed a microwave on top of a mini fridge in Room 104 which was not anchored creating a potential tipping hazard.

Corrected Corrected by Nov 27, 2023

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

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

On 10/18/23 observed rest equipment not labeled for the use of a specific child in Room 103.

Corrected Corrected by Nov 27, 2023

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.

On 10/18/23 the refrigerator in Room 104 lacked an operating thermometer.

Corrected Corrected by Nov 27, 2023

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The files of Children #1, #2, #3, #5, and #6 lacked child service reports completed at least every 6 months. The file of Child #1, who had an admission date of 8/23/21, did not contain a child service report but contained Ages and Stages. The file of Child #2, who had an admission date of August 2022, did not contain a child service report but contained Ages and Stages. The file of Child #3, who had an admission date of 8/23/21, did not contain a child service report but contained Ages and Stages. The file of Child #5, who had an admission date of 2/27/23, did not contain a child service report but contained Ages and Stages. The file of Child #6, who had an admission date of 9/21/22, did not contain a child service report but contained Ages and Stages.

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreements for Children #1, #2, #3, #4, #5, and #6 lacked the date of the child's admission.

Corrected Corrected by Nov 27, 2023

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 emergency contact for Child #1 did not include written consent signed by a parent for emergency medical care.

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained health reports dated 1/28/22, 4/29/22, and 2/3/23.

Corrected Corrected by Nov 27, 2023

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

3270.131(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.

The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a current health report dated 5/11/23 with a previous one dated 4/22/22.

Corrected Corrected by Nov 27, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Child #6, a 16-month-old, lacked Pneumococcal immunizations according to the recommendations of the ACIP. Child #6 had documentation of 3 Pneumococcal immunizations.

Corrected Corrected by Nov 27, 2023

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

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

The files of Staff #3 and #6 contained health assessments which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Nov 27, 2023

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The files of Staff #3 and #6 contained health assessments which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Nov 27, 2023

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

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

The emergency contacts for Children #1 and #6 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 9/14/22, 1/17/23, and 10/9/23. Child #6's emergency contact was signed on 9/20/22 and reviewed on 1/17/23.

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. 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 of Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Corrected Corrected by Nov 27, 2023

Category: ratio. 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.

On 10/18/23 the operator lacked documentation of sending a copy of the emergency plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 27, 2023

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

3270.162(c) · Food may not be withheld from a child for purposes of discipline.

Based on interviews, Child #1 was denied a popsicle at afternoon snack for not napping.

Corrected Corrected by Oct 6, 2023

Category: nutrition. Marked corrected in the state record.

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

*Based on video footage and staff interviews, Staff #1 and #2 placed Child #1 in a highchair for 7 minutes before then placing Child #1 in a car seat for 46 minutes.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · **The Legal entity will arrange for all staff to attend a live virtual or in person training with ELRC 6 staff regarding effective and age-appropriate handling of children with challenging behaviors

**Based on video footage and staff interviews, Staff #1 and #2 placed Child #1 in a highchair for 7 minutes before then placing Child #1 in a car seat for 46 minutes.

Corrected Corrected by Nov 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(e) · ***The operator will contact ELRC 6 to arrange for Start Up TA to come to the facility to conduct a minimum of 4 classroom observations over the period of 4 months and will follow recommendations of ELRC 6 staff.

***Based on video footage and staff interviews, Staff #1 and #2 placed Child #1 in a highchair for 7 minutes before then placing Child #1 in a car seat for 46 minutes.

Corrected Corrected by Feb 29, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing the health and safety update on 6/13/23. Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, health and safety training, and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Oct 6, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing the Pennsylvania Health and Safety Update 2022 on 3/20/23.

Corrected Corrected by Jun 23, 2023

Category: ratio. Marked corrected in the state record.

3270.133 · The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Based on documentation and interviews, staff did not follow a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs.

Corrected Corrected by Jun 23, 2023

Category: ratio. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The file of Staff #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 12/28/22.

Corrected Corrected by Jun 23, 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. Until such time as the required pre-service trainings are completed, staff person #3 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 #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid and CPR training, and 10-hour health and safety training.

Corrected Corrected by May 18, 2023

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). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

At approximately 10:45 AM Certification Staff observed Staff #3, a provisional hire, working alone in the 3-Year-Old Classroom (Room 302) and not in the vicinity of a permanent employee.

Corrected Corrected by May 18, 2023

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.

At approximately 10:20 AM Staff #1 and #2 were caring for a group of 12 mixed age children which included 11 older toddlers and 1 preschooler. Staff #1 and #2 indicated they were sharing responsibility of the children. When asked to name the children, Staff #1 was able to name all of them, but Staff #2 was only able to name 10 of them.

Corrected Corrected by May 18, 2023

Category: supervision. Marked corrected in the state record.

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

2nd citation. Previously cited on 10/24/22. The files of Staff #3, #4, #5, and #6 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #3, #4, #5, and #6 do not contain documentation of any emergency plan training.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

2nd citation. Previously cited on 10/24/22. The files of Staff #7 and #8, who were designated as assistant group supervisors, lacked documentation of 1 year of experience with children.

Corrected Corrected by Jan 2, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

2nd citation. Previously cited on 10/24/22. The file of Staff, #1, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children.

Corrected Corrected by Jan 2, 2023

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

At approximately 1:15 PM Staff #1 and Staff #2 were caring for a group of 9 mixed-age children which included 5 infants and 4 young toddlers. When asked to name the children in their assigned groups, Staff #1 named 1 infant and 4 young toddlers, and Staff #2 named 4 infants.

Corrected Corrected by Jan 2, 2023

Category: ratio. Marked corrected in the state record.

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

2nd citation. Previously cited on 10/17/22. Observed Purell Hand Sanitizer and Xtra Hand Sanitizer which indicated "keep out of the reach of children" at the handwashing sink in Room 102 which were accessible to children. Observed Purell Hand Sanitizer and Xtra Hand Sanitizer which indicated "keep out of the reach of children" at the handwashing sink in Room 103 which were accessible to children.

Corrected Corrected by Jan 2, 2023

Category: health medication. 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.

2nd citation. Previously cited on 10/17/22. Observed the diapering area in the Toddler Classroom lacked a source of running water for handwashing. Staff open and close a gate to get to the sink located in the Infant side of the classroom.

Corrected Corrected by Jan 11, 2023

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.

2nd citation. Previously cited on10/24/22. The file of Child #1 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Jan 2, 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.

2nd citation. Previously cited on 10/24/22. The file of Child #1, an 11-month-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #3, a 10-month-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jan 2, 2023

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.

2nd citation. Previously cited on 10/17/22. Observed the prescription medication for Child #4 was not in the original container in Room 101.

Corrected Corrected by Jan 2, 2023

Category: health medication. 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.

2nd citation. Previously cited on 10/17/22. The operator did not establish a medication log for prescription medication for Child #5.

Corrected Corrected by Jan 2, 2023

Category: health medication. 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.

2nd citation. Previously cited on 10/17/22. The diapering area in the Toddlers Classroom lacked a plastic-lined, hands-free covered can.

Corrected Corrected by Jan 2, 2023

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.

2nd citation. Previously cited on 10/24/22. The file of Staff #7 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

2nd citation. Previously cited on 10/24/22. The file of Child #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #2 contained 2 health reports which are not dated, and one of them is not signed by a physician, physician's assistant, or a CRNP.

Corrected Corrected by Jan 2, 2023

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 and #2 will have until December 8, 2022 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and #2, staff persons #1 and #2 may not work in a child-care position at the facility.

2nd citation. Previously cited on 10/24/22. Staff persons #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR.

Corrected Corrected by Dec 8, 2022

Category: supervision. 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.

The operator did not establish a medication log for prescription medication for Children #12, #13, and #14.

Corrected Corrected by Nov 14, 2022

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The files of Staff #9, #10, #21, and #23, who were designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Nov 14, 2022

Category: supervision. 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 #2, #5, and #22 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 #2, #5, and #22, staff person #2, #5, and #22 may not work in a child-care position at the facility.

Staff persons #2 , #5, and #22 were observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid and CPR and health and safety training. Staff person #5 and #22 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid and CPR. 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 Nov 11, 2022

Category: supervision. Marked corrected in the state record.

3270.37(b)(1) · An aide shall have a high school diploma or a general educational development certificate.

The files of Staff #4 and #6, who were designated as an aide, lacked documentation of a high school diploma or general educational development certificate.

Corrected Corrected by Nov 14, 2022

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.

On 10/17/22 observed adult scissors on the table along the wall at the entrance to the School-Age Classroom which were accessible to children. On 10/17/22 observed adult scissor in the drawer under the phone in the kitchen which were accessible to children. On 10/17/22 observed pairing knives in the drawer to the right of the single sink in the kitchen which were accessible to children.

Corrected Corrected by Nov 14, 2022

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

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

The files of Staff #1, #3, #7, #10, #11, #12, #15, #18, and #22 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The files of Staff #1, #3, #7, #10, #11, #12, #15, #18, and #22 do not contain documentation of any emergency plan training. The file of Staff #9, #13, #20, and #21 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #9 contained documentation of emergency plan training on 8/19/21 but no documentation for 2022. The file of Staff #13 contained documentation of emergency plan training on 8/23/21 but no documentation for 2022. The file of Staff #20 contained documentation of emergency plan training on 10/8/21 but no documentation for 2022. The file of Staff #21 contained documentation of emergency plan training on 9/2/21 but no documentation for 2022.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by Nov 14, 2022

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

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #1, #4, #5, #8, #14, #16, #17, #18, and #20 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #1, #4, #5, #8, #14, #16, #17, #18, and #20 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons#1, #4, #5, #8, #14, #16, and #17, #18, and #20, staff persons #1, #4, #5, #8, #14, #16, #17, #18, and #20 may not work in a child-care position at the facility.

Staff persons #1, #4, #5, #8, #14, #16, #17, #18, and #20 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Nov 14, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #19 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #19 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic

Corrected Corrected by Nov 14, 2022

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

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #13 and #22 will have until November 19, 2022 to complete the required training. Until such time as the required training has been completed, staff person #13 and #22 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 #13 and #22, staff person #13 and #22 may not work in a child-care position at the facility.

Staff persons #13 and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first-aid and CPR.

Corrected Corrected by Nov 30, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4, #6, #8, and #10 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4, #6, #8, and #10 may not work in a child care position at the facility.

The files of Staff #3, #4, #9, #11, and #15 lacked a signed disclosure statement dated at the time of providing initial care (SEE LIS Code Sheet). The file of Staff #3 contained a disclosure statement dated 2/9/21. The file of Staff #4 contained a disclosure statement dated 12/12/21. The file of Staff #9 contained a disclosure statement dated 8/31/21. The file of Staff #11 contained a disclosure statement dated 1/1/22. The file of Staff #15 contained a disclosure statement dated 7/5/22. The file of Staff #4 lacked a completed copy of the State Child Abuse and Neglect Registry Check and Sex Offender Registry Check from the State(s) in which Staff #4 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #4 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #4 resided. The file of Staff #6, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry Check from the State(s) in which Staff #6 resided in the last 5 years prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #6 did not contain a Child Abuse and Neglect Registry Check from the State(s) in which Staff #6 resided. The file of Staff #8 lacked a completed copy of the State Child Abuse and Neglect Registry Check and Sex Offender Registry Check from the State(s) in which Staff #8 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #8 did not contain a Child Abuse and Neglect Registry Check and Sex Offender Registry Check from the State(s) in which Staff #8 resided. The file of Staff #10 lacked a completed copy of the State Child Abuse and Neglect Registry Check from the State(s) in which Staff #10 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #10 did not contain a Child Abuse and Neglect Registry Check from the State(s) in which Staff #10 resided. The file of Staff #21 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #21 was not the one updated in 2020. The file of Staff #23 lacked a State Police Clearance updated every 60 months. The file of Staff #23 contained a State Police Clearance dated 5/4/22 with a previous one dated 4/3/17. The file of Staff #24 contained a disclosure statement which was not dated.

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

The files of Staff #9 and #21 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #9 and #21 contained no written evaluation.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.34(b)(1) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The file of Staff #13, who was designated as the director, lacked documentation of 1 year of experience with children.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(4) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

The file of Staff #15, who was designated as a group supervisor, lacked documentation of 3 years of experience with children.

Corrected Corrected by Nov 14, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

The files of Staff #2 and #16, who were designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Corrected Corrected by Nov 14, 2022

Category: supervision. Marked corrected in the state record.

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

On 10/17/22 observed hand sanitizer spray and Berkley Jensen Disinfecting wipes which both indicated "keep out of the reach of children" on the hand washing sink which were accessible to children located in the Young Toddler Classroom (Room 102). On 10/17/22 observed Boogie Diaper Rash Spray and Aquaphor which indicated "keep out of the reach of children" in a bin which was accessible to children between the sink and changing table in the Older Toddler Classroom. On 10/17/22 observed Boogie Diaper Rash Spray, Caldesene medicated protecting power, and Aquaphor which indicated "keep out of the reach of children" under the changing table which were accessible to children in the Older Toddler Classroom. On 10/17/22 observed Lysol Disinfecting Wipes which indicated "keep out of the reach of children" on the book caddy in the School-Age Classroom which were accessible to children. On 10/17/22 observed Eczema Care and Desitin which both indicated "keep out of the reach of children" in bins beside the changing table in the Girls Bathroom located on the 2nd floor which were accessible to children. On 10/17/22 observed Lysol Disinfecting Wipes which indicated "keep out of the reach of children" to the left of the changing table which were accessible to children in the Girls Bathroom located on the 2nd floor. On 10/17/22 observed Purell Hand Sanitizer which indicated "keep out of the reach of children" located at the single sink in the kitchen which was accessible to children. On 10/17/22 observed Armstrong Floor One and Done Floor Cleaner which indicated "keep out of the reach of children" located in the cabinet beside the white refrigerator in the kitchen which was accessible to children.

Corrected Corrected by Nov 14, 2022

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.

The telephone number of the nearest hospital was not posted by the telephone in the following classrooms: Young Infant, Toddlers (1-2), Young Toddler (Room 101), Young Toddler (Room 102), Older Toddler, Older Toddlers (Room 104), 3 Year Old Classroom, 4 Year Old Classroom, and School-Age Classroom.

Corrected Corrected by Nov 14, 2022

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

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

On 10/17/22 observed a first-aid kit on a hook in a cubby in the 4 Year Old Classroom which was accessible to children. On 10/17/22 observed a first-aid kit on the table to the right of the entrance of the School-Age Classroom which was accessible to children.

Corrected Corrected by Nov 14, 2022

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in the Older Toddlers Classroom (Room 104) lacked the following: adhesive bandages, sterile gauze pads, tweezers, and tape.

Corrected Corrected by Nov 14, 2022

Marked corrected in the state record.

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

On 10/17/22 observed the gate used to block off the mini-split heating/cooling system located in the outdoor play space was not secured to the building.

Corrected Corrected by Nov 14, 2022

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.

On 10/17/22 the sink in the Young Infant Classroom lacked a clean, lidded waste receptacle. On 10/17/22 observed the sinks in the Boys and Girls Bathrooms on the 2nd floor lacked clean, lidded waste receptacles. On 10/17/22 the sink in the Women's Bathroom located by the Young Toddler Classrooms lacked a clean, lidded waste receptacle.

Corrected Corrected by Nov 14, 2022

Category: health medication. 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.

On 10/17/24 observed the diapering area in the Young Infant and Toddlers Classrooms lacked a source of running water for handwashing. The diapering area is located on the Toddler side of the classroom, and the handwashing sink is located on the Infant side of the classroom. Staff open and close a gate to get from the diapering area to the handwashing sink.

Corrected Corrected by Nov 14, 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.

On 10/17/22 observed a Nerf football with pieces missing in the outdoor play space. On 10/17/22 observed a cracked bin containing mobile animals in the 4 Year Old Classroom.

Corrected Corrected by Nov 14, 2022

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

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

On 10/17/22 observed foam blocks with bite marks in 3 Year Old Classroom. On 10/17/22 observed foam shapes with bite marks in the School-Age Classroom.

Corrected Corrected by Nov 14, 2022

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.

On 10/17/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Older Toddler, 3 Year Old Classroom, and 4 Year Old Classroom.

Corrected Corrected by Nov 14, 2022

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 1:45 PM on 10/17/22 Certification Staff entered the 3 Year Old Classroom to assess supervision and ratio at naptime. Certification Staff observed child care staff sitting on one side of the classroom. When Certification Staff went to speak to child care staff, Certification Staff was unable to see 4 children on the other side of the classroom because it was too dark.

Corrected Corrected by Nov 14, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 lacked the services to be provided to the family and child on the agreement.

Corrected Corrected by Nov 14, 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 of Child #8 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Nov 14, 2022

Category: health medication. 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 for Child #11 when Child #11 was in the outdoor play space.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file of Child #6 contained a health report dated 8/8/22 which lacked a review of the child's immunized status according to the recommendations of the ACIP.

Corrected Corrected by Dec 21, 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 file of Child #1, a 16 month old, lacked Hepatis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #1 did not contain documentation of Hepatitis A immunizations. The file of Child #5, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #8, an 11 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #10, a 10 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 14, 2022

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.

On 10/17/22 observed prescription medication for Child #12 which was not in the original container in the Young Toddler Classroom (Room 101).

Corrected Corrected by Nov 14, 2022

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

On 10/17/22 observed an Epipen on a shelf by the refrigerator in the 3 Year Old Classroom which was accessible to children. On 10/17/22 observed an Epipen in a bag hung in a cubby in the 4 Year Old Classroom which was accessible to children.

Corrected Corrected by Nov 14, 2022

Category: health medication. 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.

On 10/17/22 the diapering area in the Toddlers Classroom lacked a plastic-lined, hands-free covered can. On 10/17/22 the diapering area in the Girls Bathroom located on the 2nd floor lacked a plastic-lined, hands-free covered can.

Corrected Corrected by Nov 14, 2022

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

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The files of Staff #1 and #20 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a health assessment dated 12/5/21 but a Mantoux test read date of 12/11/21. Staff #20 had a health assessment dated 6/18/21 but a Mantoux test read date of 2/14/20.

Corrected Corrected by Nov 14, 2022

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

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

The file of Staff #9 contained a health assessment which included an examination for communicable diseases and the results of that examination but did not describe the conditions and the risk it might pose to others exposed to this individual. The file of Staff #23 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Nov 14, 2022

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

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

The agreements for Children #5 and #6 were not reviewed and updated once every 6 months with the reinstating of this regulation on 1/6/22. The agreement for Child #5 was signed on 9/2/21 and reviewed on 9/7/22. The agreement for Child #6 was signed on 10/27/21 and then reviewed on 6/2/22 and 8/29/22.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

It was observed that the agreement was not on file at the date of enrollment for Children #3, #4, and #8. Child #3 had an admission date of 8/16/22 with an agreement dated on 8/24/22. Child #4 had an admission date of 8/29/22 with an agreement dated on 9/8/22. Child #8 had an admission date of 8/15/22 with an agreement dated on 9/6/22.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. 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 of Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 10/13/21, 12/22/21, 2/22/22, 4/25/22, 6/28/22, and 8/29/22.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility provided a written record that the fire detection system was manually tested on 9/24/21, 10/26/21, 11/23/21, 12/22/21, 1/11/22, 2/22/22, 3/22/22, 5/31/22 and 7/27/22. The facility provided documentation the the fire detection system was inspected by a fire protection professional on 9/26/22 but did not have documentation for 2021.

Corrected Corrected by Nov 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(a) · 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.

The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #5 contained 2 health reports which are not dated, and one of them is not signed by a physician, physician's assistant, or a CRNP.

Corrected Corrected by Dec 21, 2022

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

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

The operator did not notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. The operator provided documentation of letters addressed to local traffic safety authorities dated 8/1/21 and on 9/14/22.

Corrected Corrected by Nov 14, 2022

Marked corrected in the state record.

3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

An incident occurred on 12/21/21 in which an ambulance was called and emergency room treatment services were administered to a child from the facility. The regional office was not notified until 12/27/21, exceeding 48 hours after the incident occurred.

Corrected Corrected by Jan 11, 2022

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. Staff #2, #5, #6, #7, and #9 may not work in a child care position at the facility until all required clearances are on file at the facility.

Staff #2 was observed having a provisional hire date of 11/1/21 but lacked application for a Pennsylvania State Police (PSP) and Pennsylvania Child Abuse clearance or the clerances on file. Staff #5 was observed having a provisional hire date of 9/28/21 but lacked application for a PSP, Pennsylvania Child Abuse clearance, and National Sex Offender Registry (NSOR) certificate ordered prior to employment or on file. Staff #6 was observed having a provisional hire date of 10/1/21 but lacked documentation of a PSP, Pennsylvania Child Abuse clearance, and NSOR certificate ordered prior to employment or on file. A current FBI clearance was observed for staff #6, who had a provisional hire date of 10/1/21 but ordered incorrectly as a provisional hire on 10/15/21, after initial employment. Staff #7 was employed at the facility on 8/19/21 and observed having a volunteer Pennsylvania Child Abuse clearance. Staff #9 is utilized as a volunteer but lacked a PSP, FBI clearance or NSOR certificate on file.

Corrected Corrected by Jan 29, 2022

Category: background checks. 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 agreements for children #1, #2, #3, #4, and #5 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The agreements for children #1, #2, #3, #4, and #5 lacked the date of the child's admission.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements for children #1, #2, #3, #4, and #5 lacked the services which are to be considered as extra.

Corrected Corrected by Jan 28, 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.

10 preschool children were observed in the indoor gross motor space and the supervising staff lacked the children's emergency contact information.

Corrected Corrected by Jan 28, 2022

Category: supervision. 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.

All child care spaces lacked a written plans identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by Jan 28, 2022

Category: transportation. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff #3 was employed on 8/19/21 and observed having an initial health assessment dated 10/09/21, not at initial employment. Staff #4 was employed on 8/25/21 and observed having an initial health assessment dated 9/29/21, not at initial employment. Staff #8 was employed on 8/30/21 and observed having an initial health assessment dated 9/14/21, not at initial employment.

Corrected Corrected by Jan 28, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff #1 was employed on 8/23/21 and observed having a tuberculosis screening by the Mantoux method dated 9/17/21, not at initial employment. Staff #3 was employed on 8/19/21 and observed having a tuberculosis screening by the Mantoux method dated 10/09/21, not at initial employment. Staff #4 was employed on 8/25/21 and observed having a tuberculosis screening by the Mantoux method dated 10/1/21, not at initial employment. Staff #8 was employed on 8/30/21 and observed having a tuberculosis screening by the Mantoux method dated 9/16/21, not at initial employment.

Corrected Corrected by Jan 28, 2022

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

3270.192(2)(ii) · 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 lacked an educational record on file at the facility.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The 2nd floor window in the men's bathroom could be opened more than 6 inches.

Corrected Corrected by Aug 11, 2021

Category: physical safety. 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 a copy of the emergency plan sent to the local municipality.

Corrected Corrected by Aug 12, 2021

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