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.

Observed a bottle of disinfectant spray accessible to children on a low wall in the child care area. Observed the trash can for soiled napkins and trash cans in the boys and girl's restroom did not have lids.

Corrected Corrected by Jan 17, 2025

Category: ratio. 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.

Observed staff files #1 and #2 contained documentation of fire safety training which was completed more than 12 months ago.

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Observed staff file #1 contained documentation of completion of the professional development training which was dated more than 90 days after the date of hire. Observed staff file #5 who has been employed for more than 90 days, did not contain documentation of the professional development training.

Corrected Corrected by Jan 17, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Observed staff file #5 contained an initial hire disclosure statement which was signed over 30 days after staff #5 began working in a childcare position. Observed Staff file #3 contained a child abuse clearance and a signed disclosure statement which are both dated more than 30 days after staff #3 began working in a childcare position. Observed staff file #4 contained a criminal background clearance, child abuse clearance, and FBI fingerprint clearance which were all dated after staff #4 began working in a childcare position.

Corrected Corrected by Dec 10, 2024

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

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

Observed staff file #1 contained a written evaluation which was completed more than 13 months after the previous valid evaluation.

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. 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.

Observed staff file #3, did not contain documentation of a high school diploma or a general educational development certificate.

Corrected Corrected by Dec 17, 2024

Category: supervision. 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.

Observed the refrigerator used to store potentially hazardous food, did not have a working thermometer.

Corrected Corrected by Dec 10, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)/3270.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Observed the agreement for child files #1, #2, #3, #4, and #5 did not contain the date of the child's admission and was not signed by the operator.

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Observed child files #1, #2, #3, #4, and #5 contained original agreements.

Corrected Corrected by Jan 17, 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.

Observed the emergency contact form for child file #2 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. 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.

Observed staff files #1, #4, and #5 contained initial health assessments which were dated after the staff started providing initial service in the child care setting.

Corrected Corrected by Dec 10, 2024

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Observed the most recent emergency drill completed was not documented on the departments form and did not contain all of the required information.

Corrected Corrected by Dec 10, 2024

Category: recordkeeping. 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.

Observed staff file #4 contained documentation of training in pediatric first aid and pediatric cardiopulmonary resuscitation which was completed more than 90 days after hire.

Corrected Corrected by Jan 17, 2025

Category: health medication. 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.

Observed the initial health assessment for child #2 was dated more than 60 days after the child's date of admission to the program.

Corrected Corrected by Dec 10, 2024

Category: health medication. 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 7:50 AM Staff #1 and #2 were caring for a group of mixed-age children which included 8 young school-age children and 8 older school age children. When asked to name the children in their assigned groups, Staff #1 named the 8 children in his/her assigned group, but Staff #2 only named 3 of the 8 children in his/her assigned group.

Corrected Corrected by Feb 2, 2024

Category: supervision. 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.

Observed a broken yellow circle connector. Observed a foam ball with 2 one-inch pieces missing.

Corrected Corrected by Jan 19, 2024

Category: physical safety. 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.

Emergency contact information for Child #2 did not include the work telephone number of the enrolling parent.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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 #2, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or general educational development certificate and 2 years' experience with children.

Corrected Corrected by Jan 19, 2024

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.

The file of Staff #1 lacked documentation of training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #1 contained documentation of emergency plan training on 8/17/23. The file of Staff #3 lacked documentation of training regarding the emergency plan on an annual basis (SEE LIS Code Sheet). The file of Staff #3 contained no documentation of emergency plan training in 2022 or 2023.

Corrected Corrected by Jan 19, 2024

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 files of Staff #1 and #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #1 did not contain documentation of fire safety training. The file of Staff #3 contained documentation of fire safety training completed on 8/13/22.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #1 will have until December 12, 2023, to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum and 10-hour health and safety training.

Corrected Corrected by Dec 12, 2023

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 Persons # 1 and #2 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 Persons #1 and#2 may not work in a child care position at the facility.

The file of Staff #1 did not contain a National Sex Offender Registry Certificate (SEE LIS Code Sheet). The file of Staff #2 did not contain a valid State Police Clearance because it lacked the "disseminated by" date.

Corrected Corrected by Jan 19, 2024

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

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

The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #1 did not contain a written evaluation.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Emergency contact information for Children #3 and #4 did not include the written consent signed by a parent for emergency medical care prior to admission.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Emergency contact information for Child #1 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Jan 19, 2024

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.

The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #2 did not contain a health assessment.

Corrected Corrected by Jan 19, 2024

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.

The file of Staff #2 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #2 did not contain documentation that a tuberculosis screening was completed.

Corrected Corrected by Jan 19, 2024

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

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

The operator did not conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Corrected Corrected by Jan 19, 2024

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 files of Children #3 and #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Jan 19, 2024

Category: ratio. 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.

The file of Child #3 did not contain a copy of the initial agreement and subsequent written agreements.

Corrected Corrected by Jan 19, 2024

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 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written reference.

Corrected Corrected by Jan 19, 2024

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 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 that fire drills were conducted on 10/20/22, 12/9/22, 1/19/23, 3/29/23, 8/29/23, and 10/20/23. The facility was closed from 6/2/23 through 8/22/23.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The Director or designated person who is responsible for compliance with this chapter did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file of Staff #1 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

2nd citation. Previously cited on 11/7/22. The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 8/24/22 with no written consent for emergency medical care.

Corrected Corrected by Feb 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

2nd citation. Previously cited on 11/7/22. The file of Child #1 lacked signed parental consent for administration of medications or special dietary needs.

Corrected Corrected by Feb 1, 2023

Category: ratio. 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.

2nd citation. Previously cited on 11/7/22. The file of Child #1 lacked signed parental consent for administration of minor first aid by facility staff prior to admission on the emergency contact form. Child #1 had an admission date of 8/24/22 with no signed parental consent for administration of minor first aid.

Corrected Corrected by Feb 1, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

2nd citation. Previously cited on 11/7/22. The file of Child #1 lacked signed parental consent for transportation, walking excursions, swimming, and wading.

Corrected Corrected by Feb 1, 2023

Category: transportation. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1-9) within 90 days of hire. Staff person #1 will have until December 31, 2022, to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

2nd citation. Previously cited on 11/7/22. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Dec 31, 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.

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 Jan 13, 2023

Category: ratio. 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 #3 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #3 contained documentation of fire safety training conducted on 10/7/21 but no documentation for 2022.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f) (1-9) within 90 days of hire. Staff person #1 will have until December 13, 2022, to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.

Corrected Corrected by Jan 13, 2023

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 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 may not work in a child care position at the facility.

The file of Staff #4, a provisional hire, lacked documentation of the results of the PA Child Abuse Clearance prior to employment and lacked documentation of application for the DHS FBI Clearance and National Sex Offender Registry prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 did not contain a Child Abuse Clearance, FBI fingerprint receipt, or NSOR request date.

Corrected Corrected by Jan 13, 2023

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

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

The files of Staff #1 and #2 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #1 contained no written evaluation (SEE LIS Code Sheet). The file of Staff #2 contained a written evaluation dated 2/15/21 but not one for 2022.

Corrected Corrected by Jan 13, 2023

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 #3, who was designated as the director, lacked documentation of 1 year of experience with children.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. 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 #2, who was designated as an assistant group supervisor, lacked documentation of 2 years' experience with children. The file of Staff #4, who was designated as an assistant group supervisor, lacked documentation of a high school diploma or general educational development certificate and 2 years' experience with children.

Corrected Corrected by Jan 13, 2023

Category: supervision. Marked corrected in the state record.

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The facility lacked documentation the protective surface covering under the outdoor equipment that requires embedded mounting meets the recommendations of the United States Consumer Product Safety Commission.

Corrected Corrected by Jan 13, 2023

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

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

The files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Jan 13, 2023

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 of Child #1 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #2 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the complete work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Jan 13, 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 file of Child #5 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #5 had an admission date of 8/24/22 with no written consent for emergency medical care.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file of Child #2 lacked the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.

Corrected Corrected by Jan 13, 2023

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

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

The file of Child #4 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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

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

Corrected Corrected by Jan 13, 2023

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.

The file of Staff #4 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. The file of Staff #4 did not contain a health assessment.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

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

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

The file of Child #5 lacked signed parental consent for administration of medications or special dietary needs.

Corrected Corrected by Jan 13, 2023

Category: ratio. 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 #5 lacked signed parental consent for administration of minor first aid by facility staff prior to admission on the emergency contact form. Child #5 had an admission date of 8/24/22 with no signed parental consent for administration of minor first aid.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

The file of Child #5 lacked signed parental consent for transportation, walking excursions, swimming, and wading.

Corrected Corrected by Jan 13, 2023

Category: transportation. 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 #4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The Director or designated staff person did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator lacked documentation that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Jan 13, 2023

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

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

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. 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 lacked documentation of notifying the local traffic 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 local traffic authorities being notified on 10/14/22.

Corrected Corrected by Jan 13, 2023

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 file for staff #1 was observed having an employment date of 8/25/21 and emergency plan training completed 11/8/21, not at initial employment.

Corrected Corrected by Dec 23, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

The file for child #1 lacked an initial health report as a school-age child in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Dec 23, 2021

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