3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

The facility admitted to entering into an agreement with a parent that required prior notice and limited access, throughout the center whenever their child was in care. The facility admitted to subsequently revoking their permission for access all together. The facility lacked a court order from a competent jurisdiction limiting the parental right of access to the child on file at the facility

Corrected Corrected by Oct 1, 2025

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.

Based on the fire drill log drills were conducted more than 60 days apart due to the fact they were dated: 1-30-25 to 3-11-25 = 40 days; 3-11-25 to 7-1-25 = 112 days.

Corrected Corrected by Jul 29, 2025

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.

Based on the smoke detection testing log, the smoke detection system was tested more than 30 days apart on the following dates: 1-30-25 to 3-11-25 = 40 days; 3-11- 25 to 7-1-25 = 112 days.

Corrected Corrected by Jul 29, 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 file for Staff person #2 was observed to lack documentation of having completed the Pennsylvania Health and Safety Update 2022 1-hour training by December 30, 2022. This was evidenced by the only completed Pennsylvania Health and Safety training certificate present in the file was a 6-hour training certificate dated 10/30/16.

Corrected Corrected by Jul 4, 2025

Category: ratio. 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.

The facility was observed to have a clear spray bottle that contained a clear liquid but failed to be labeled with the bottle's contents.

Corrected Corrected by Jul 4, 2025

Category: ratio. Marked corrected in the state record.

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

The facility was observed to have a first-aid kit in the school aged room that lacked scissors.

Corrected Corrected by Jul 4, 2025

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 #1 was observed to contain an emergency contact form that did not 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.

Corrected Corrected by Jul 4, 2025

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 for child #2, a pre-school aged child was observed to lack an updated health report obtained at least once every 12 months. The was evidenced by a health report dated 9/14/23 present in the file.

Corrected Corrected by Jul 4, 2025

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

3270.133(7)(i) · A medication log shall include the name of the medication.

The facility was observed to have a Medication log for child #3, that lacked the name of the medication.

Corrected Corrected by Jul 4, 2025

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1 and #3 were observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Jul 4, 2025

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.

2nd citation. Previously cited on 4/23/24. Observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in the Infant Room.

Corrected Corrected by Jul 2, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 may not work in a child care position at the facility.

2nd citation. Previously cited on 4/30/24. The file of Volunteer #1 lacked a National Sex Offender Registry Certificate.

Corrected Corrected by Jul 9, 2024

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 of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet).

Corrected Corrected by Jun 28, 2024

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 4/23/24 observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in the Infant Room. On 4/23/24 observed 3 cribs and 3 pack 'n plays with loose sheets in the Infant Room creating a potential suffocation hazard.

Corrected Corrected by Jun 28, 2024

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

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility did not have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Corrected Corrected by Jun 28, 2024

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

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

The facility did not have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Jun 28, 2024

Category: physical safety. 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 Volunteer #6 lacked documentation of training regarding the emergency plan on an annual basis. The file of Volunteer # 6 contained documentation of emergency plan training on 10/5/22 but no documentation for 2023.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 28, 2024

Category: physical safety. 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 (SEE LIS Code Sheet). The file of Staff #3 contained documentation of fire safety training completed on 10/24/22 but no documentation for 2023.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Volunteer #6 will have until June 4, 2024, to complete the mandated reporter training. Until such time as the required training has been completed, volunteer #6 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 volunteer #6, volunteer #6 may not work in a child-care position at the facility.

Volunteer #6 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Jun 4, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 and Volunteer #6may 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 #5 and Volunteer #6 may not work in a child care position at the facility.

The file of Staff #5 lacked a valid DHS FBI Clearance because it did not contain a disposition for all charges. The file of Volunteer #6 lacked a valid State Police Clearance because it did not have a "disseminated by" date. The file of Volunteer #6 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate. The file of Volunteer #6 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Volunteer #6 was not the one updated in 2020. The file of Staff #9 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #9 contained a State Police Clearance dated 3/20/24 with a previous one dated 8/24/18. The file of Staff #9 contained a Child Abuse Clearance dated 3/20/24 with a previous one dated 9/4/18. The file of Staff #9 contained a DHS FBI Clearance dated 3/25/24 with a previous one dated 8/21/18.

Corrected Corrected by Jun 28, 2024

Category: background checks. 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 #5, who was designated as an assistant group supervisor, lacked documentation of 2 years of experience with children.

Corrected Corrected by Jun 28, 2024

Category: supervision. 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 #2, #4, #7, #8, and #9 lacked documentation of obtaining a minimum of 12 clock hours of child care training.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

On 4/23/24 observed Kids Babyganics hand sanitizer on the radio/CD player stand which Indicated "keep out of the reach of children" which was accessible to children in the Pre K 2 Room.

Corrected Corrected by Jun 28, 2024

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

On 4/23/24 the hot water temperature at the sink in the women's bathroom near the Pre K 1 Room was 118 degrees.

Corrected Corrected by Jun 28, 2024

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

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

On 4/23/24 observed rust on the heat registers in the bathrooms located by the Infant Room. On 4/23/24 observed rust on the heat registers in the bathrooms located by the Director's Office. On 4/23/24 observed rust on the heat registers in the bathrooms located by the Preschool and Pre K 2 Rooms. On 4/23/24 observed raised stakes used to secure the black barriers in the Preschool/School-Age Outdoor Play Space.

Corrected Corrected by Jun 28, 2024

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The toilet in the Older Toddler Room lacked a handwashing sign.

Corrected Corrected by Jun 28, 2024

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 4/23/24 observed a bin labeled "sports" with rough edges in Wilson 1 Room. On 4/23/24 observed a cracked LEGO and a cracked LEGO base with a corner missing creating rough edges in Wilson 2 Room. On 4/23/24 observed a cracked stencil with rough edges in Wilson 2 Room.

Corrected Corrected by Jun 28, 2024

Category: physical safety. 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.

On 4/23/24 observed embedded equipment in the Preschool/Pre K/ School-Age Outdoor Play Space with approximately 6 to 8 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Jun 28, 2024

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

3270.102(f) · Indoor play equipment for climbing shall be installed or used over a protective surface covering which does not interfere with the stability of the equipment.

On 4/23/24 observed indoor play equipment for climbing not installed or used over a protective surface covering which does not interfere with the stability of the equipment in the Young Toddler Room.

Corrected Corrected by Jun 28, 2024

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 4/23/24 observed rest equipment not labeled for the use of a specific child in the Infant Room.

Corrected Corrected by Jun 28, 2024

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

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

On 4/23/24 the written plan of daily activities was not posted in the Older Toddler Room.

Corrected Corrected by Jun 28, 2024

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

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

The files of Children #6, #8, #9, and #10 lacked child service reports completed at least every 6 months. The file of Child #6 with an admission date of 9/27/22 contained a child service report dated 11/1/23. The file of Child #8 with an admission date of 10/31/22 contained child service reports dated 5/23/23 and 11/14/23. The file of Child #9 with an admission date of 10/24/22 contained child service reports dated 5/30/23 and 11/16/23. The file of Child #10 with an admission date of 8/29/22 contained child service reports dated 5/30/23 and 11/29/23.

Corrected Corrected by Jun 28, 2024

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.

Emergency contact information for Child #1 did not include the work address of the enrolling parent.

Corrected Corrected by Jun 28, 2024

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.

Emergency contact information for Child #5 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jun 28, 2024

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.

Emergency contact information for Child #3 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. 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 #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/10/22.

Corrected Corrected by Jun 28, 2024

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 #4, a 5-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #4 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. Child #7, a 6-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #7 had no documentation of Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations. Child #9, a 20-month-old lacked DTAP/DTP/TD and MMR immunizations according to the recommendations of the ACIP. Child #9 had documentation of 3 DTAP/DTP/TD immunizations and no MMR immunization.

Corrected Corrected by Jun 28, 2024

Category: health medication. 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 files of Staff #3 and #7 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 3/26/24 with a previous one dated 2/15/22. The file of Staff #7 contained a health assessment dated 10/13/21.

Corrected Corrected by Jun 28, 2024

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

On 4/23/24 observed multiple lunch boxes containing potentially hazardous foods such as yogurt which were not refrigerated in the Older Toddler, Younger Toddler, and Preschool Rooms.

Corrected Corrected by Jun 28, 2024

Category: nutrition. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

On 4/23/24 observed bottles which were not labeled with the child's name in the Infant Room.

Corrected Corrected by Jun 28, 2024

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 van used to transport children lacked soap.

Corrected Corrected by Jun 28, 2024

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

3270.193(a) · Facility persons' records are confidential and shall be stored in a locked cabinet.

On 4/30/24 observed Volunteer #6's file was not stored in a locked cabinet.

Corrected Corrected by Jun 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Emergency drills were not conducted annually. The facility provided documentation of an emergency drill being conducted on 9/14/22 but did not have documentation for 2023.

Corrected Corrected by Jun 28, 2024

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.

Child #4 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #4 who had an admission date of 3/4/24 had a health report in the file, but it was not dated.

Corrected Corrected by Jun 28, 2024

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

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

2nd citation. Previously cited on 6/26/23 under SIN-00225831. Observed Boudreaux's Butt Paste, Desitin, Aquaphor, Tubby Todd Sweet Cheeks Diaper Paste, Triple Paste Zinc Oxide Diaper Rash Cream, and Parent's Choice Diaper Rash Ointment which indicated "keep out of the reach of children" by the sink and changing mat which were accessible to children in the Young Toddler Room.

Corrected Corrected by Sep 5, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file of Child #1 contained a health report which did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report.

Corrected Corrected by Sep 15, 2023

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

3270.14/3270.21 · Staff person #2 will have until July 29, 2023, to complete the Pennsylvania Health and Safety Update 2022. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan did not address continuity of operations. The files of Staff #2, #3, #5, #8. and #9 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #11 lacked documentation of completing the Pennsylvania Health and Safety Update within 90 days of hire (SEE LIS Code Sheet). The file of Staff #2 contained no documentation of completing the health and safety update. The file of Staff #3 contained documentation of completing the health and safety update on 5/10/23. The file of Staff #5 contained documentation of completing the health and safety update on 5/19/23. The file of Staff #8 contained documentation of completing the health and safety update on 5/10/23. The file of Staff #9 contained documentation of completing the health and safety update on 5/6/23. The file of Staff #11 contained documentation of completing the health and safety training on 7/3/17 and the health and safety update on 6/18/23.

Corrected Corrected by Aug 18, 2023

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The legal entity did not have a current copy of the comprehensive general liability insurance policy to cover the persons who are on the premises on file at the facility.

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. 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 #7 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #7 contained documentation of emergency plan training on 10/1/21 but contained no documentation for 2022.

Corrected Corrected by Aug 18, 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)(10) within 90 days of hire. Staff person #11 will have until July 29, 2023, to complete the required training. Until such time as the required training has been completed, staff person #11 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 #11, staff person #11 may not work in a child-care position at the facility.

Staff person #11 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.

Corrected Corrected by Jul 29, 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, #6, and #11 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, #6, and #11 may not work in a child care position at the facility.

The file of Staff #1, a provisional hire, did not contain documentation of the results of the PA Child Abuse Clearance prior to employment (SEE LIS Code Sheet). The file of Staff #1 contained a PA Child Abuse Clearance dated 6/27/23. The file of Staff #1 did not contain a National Sex Offender Registry Certificate. The file of Staff #6 lacked a valid State Police Clearance because it did not have a disseminated by date. The file of Staff#7 lacked an FBI Clearance updated every 60 months. The file of Staff #7 contained an FBI Clearance dated 12/6/21 with a previous one dated 12/5/16. The file of Staff #11 lacked a valid Child Abuse and Registry Check from the State(s) in which Staff #11 resided because the date of the clearance was unreadable.

Corrected Corrected by Aug 18, 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 #7 and #10 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #7 contained a written evaluation dated 7/2022 but did not contain one for 2021. The file of Staff #10 contained a written dated 7/2022 with a previous one dated 6/1/21.

Corrected Corrected by Aug 18, 2023

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.

The files of Staff #4 and #10, who were designated as Assistant Group Supervisors, lacked documentation of 2 years' experience with children.

Corrected Corrected by Aug 18, 2023

Category: supervision. Marked corrected in the state record.

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

On 6/26/23 observed Fresh Scent Disinfecting Wipes which indicated "keep out of the reach of children" at the changing table which were accessible to children in the Young Toddler Room. On 6/26/23 observed Boudreaux's Butt Paste, 3 Desitin, 3 Aquaphor, Tubby Todd Sweet Cheeks Diaper Paste, Triple Paste Zinc Oxide Diaper Rash Cream, and Parent's Choice Diaper Rash Ointment which indicated "keep out of the reach of children" in the drawer under the changing table which were accessible to children in the Young Toddler Room.

Corrected Corrected by Aug 18, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The urinal in the Men's Bathroom by Wilson 1, Wilson 2, and the Genesis Rooms lacked a handwashing sign.

Corrected Corrected by Aug 18, 2023

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 6/26/23 observed a frayed farm area rug and a cracked bin containing wooden blocks in the Older Toddler Room. On 6/26/23 observed a broken green connector piece in the Pre K Room. On 6/26/23 observed cracked marble connectors in the Wilson 1 Room. On 6/26/23 observed a cracked large orange square Magna Tile and cracked pretend pizza in the Genesis Room. On 6/26/23 observed a cracked green dantoy in the grassy play space at the back of the facility.

Corrected Corrected by Aug 18, 2023

Category: physical safety. 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 #4 lacked the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. 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.

On 6/26/22 observed embedded equipment in the Preschool/Pre K/ School-Age Outdoor Play Space with approximately 7 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Aug 18, 2023

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 6/28/23 observed approximately 8 inches between 2 cots and 12 inches between 2 cots in the Pre K Classroom.

Corrected Corrected by Aug 18, 2023

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

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

The files of Children #2, #3, and #5 lacked child service reports completed at least every 6 months. The file of Child #2, with an admission date of 1/4/21, did not contain child service reports. The file of Child #3, with an admission date of 8/29/22, contained a child service report dated 5/7/23. The file of Child #5, with an admission date of 8/29/22, contained a child service report dated 5/29/23.

Corrected Corrected by Aug 18, 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.

Emergency contact information for Child #3 lacked the work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 18, 2023

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.

Emergency contact information for Child #2 did not 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.

Corrected Corrected by Aug 18, 2023

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.

On 6/26/23 emergency contact information was not present for Child #6 in the Young Toddler Room when receiving care in that room.

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. 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 #4 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #4 contained health reports dated 9/2/21 and 12/21/22.

Corrected Corrected by Aug 18, 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).

The file of Child #1 lacked a health report which included a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of any immunizations. The file of Child #3, a 5-year-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #4, a 3-year-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #5, a 2-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

Corrected Corrected by Aug 18, 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.

The operator did not establish and maintain a medication log if prescription or nonprescription medication is administered for Child #7.

Corrected Corrected by Aug 18, 2023

Category: health medication. 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 #11 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 #11 contained health assessment dated 6/2/21.

Corrected Corrected by Aug 18, 2023

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 #11 lacked an initial health assessment which included a tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #11 had a Mantoux read date of 6/4/21.

Corrected Corrected by Aug 18, 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 file of Staff #4 contained a health assessment which did not include an examination for communicable diseases and the results of that examination.

Corrected Corrected by Aug 18, 2023

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

The file of Staff #4 contained a health assessment which did not include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Aug 18, 2023

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 Aug 18, 2023

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 van lacked an assortment of adhesive bandages.

Corrected Corrected by Aug 18, 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 contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 6/16/22 and 2/2/23.

Corrected Corrected by Aug 18, 2023

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.

The file of Staff #9 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). Staff #9 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/14/22.

Corrected Corrected by Jun 28, 2023

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

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The Director or designated staff person who is responsible for compliance with this chapter did not conduct fire drills and ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills.

Corrected Corrected by Aug 18, 2023

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 files of Staff #5, #7, and #10 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Aug 18, 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.

The file of Child #1 lacked a health report no later than 60 days following the first day of attendance at the facility. Child #1 who had an admission date of 3/13/17 did not have a health report on file.

Corrected Corrected by Aug 18, 2023

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The urinal in the Men's Bathroom located in the Church Basement lacked a handwashing sign.

Corrected Corrected by Apr 5, 2023

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.

Observed a cracked purple square Magna Tile and a cracked green square Magna Tile in the Genesis Preschool Room.

Corrected Corrected by Apr 5, 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.

Observed 2 cubbies in the Genesis Preschool Room which were not anchored creating a potential tipping hazard. Observed 2 bookcases to the right of the entrance in the Genesis Preschool Room which were not anchored creating a potential tipping hazard. Observed a microwave on top of a mini fridge in the Genesis Preschool Room which was not anchored creating a potential tipping hazard.

Corrected Corrected by Apr 5, 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.

The mini fridge in the Genesis Preschool Room lacked an operating thermometer.

Corrected Corrected by Apr 5, 2023

Category: nutrition. Marked corrected in the state record.

3270.69(c) · Safe drinking water shall be made available to children of all ages throughout the day.

Based on interviews, Child #1 a younger aged toddler was offered only breast milk to drink and not offered drinking water throughout the day on March 30, 2023.

Corrected Corrected by Jun 5, 2023

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

3270.14/3270.21 · Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 will have until May 27, 2023, to complete the Pennsylvania Health and Safety Update 2022. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). Staff #1, #2, #4, #5, #6, #7, #8, #9, and #10 have no documentation of completing the health and safety update.

Corrected Corrected by May 18, 2023

Category: ratio. 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 #3 will have until May 27, 2023, to complete the required training. Until such time as the required training has been 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 available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour Health and Safety Training and pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

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 Child Protective Services). Staff person #3 will have until May 27, 2023, to complete the mandated reporter training. Until such time as the required training has been 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 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by May 18, 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.

3rd citation. Previously cited on 6/16/22 and 9/6/22. Observed embedded equipment in the Preschool/Pre K/School-age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Sep 19, 2022

Category: physical safety. 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.

3rd citation. Previously cited on 6/30/22 and 9/6/22. The file of Child #1, a 33 month old, lacked Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #1 contained documentation of one Hepatitis A immunization.

Corrected Corrected by Sep 21, 2022

Category: health medication. 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.

3rd citation. Previously cited on 6/30/22 and 9/6/22. The file of Staff #1 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

2nd citation. Previously cited on 4/28/22. Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Sep 14, 2022

Category: supervision. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

2nd citation. Previously cited on 6/16/22. The hot water temperature at the large sink was 112 degrees and the hot water temperature at the sink by the changing table was 111 degrees in the Infant Classroom.

Corrected Corrected by Sep 6, 2022

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

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

2nd citation. Previously cited on 6/30/22. 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 Sep 16, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #3 will have until September 21, 2022 to complete the mandated reporter training. Until such time as the required training has been 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.

Continued Non-Compliance: On June 30, 2022 a renewal inspection was conducted at the facility. Staff person #3 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The facility's acceptable plan of correction indicated the correction would be implemented by August 5, 2022. On September 6, 2022, an unannounced inspection was conducted. Staff person #3 still has not completed the mandated reporter training.

Corrected Corrected by Sep 16, 2022

Category: supervision. Marked corrected in the state record.

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

2nd citation. Previously cited on 6/30/22. The file of Staff #2 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 contained a written evaluation dated 6/20/21.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The file of Staff #4, who was designated as an assistant group supervisor, lacked documentation of 2 years experience with children.

Corrected Corrected by Sep 16, 2022

Category: supervision. 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.

2nd citation. Previously cited on 6/16/22. Observed peeling paint on the swing in the Young Toddler and Older Toddler Outdoor Play Space.

Corrected Corrected by Sep 6, 2022

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

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

2nd citation. Previously cited on 6/16/22. Observed a loose roof on a Step 2 Play House located in the Preschool/Pre K/School-Age Outdoor Play Space.

Corrected Corrected by Sep 6, 2022

Category: physical safety. 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.

2nd citation. Previously cited on 6/16/22. Observed embedded equipment in the Preschool/Pre K/School-Age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

Corrected Corrected by Sep 16, 2022

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 6/30/22. The files of Children #1, #2, #3, #4, #5, #8, and #9 lacked the services to be provided on the agreement.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

2nd citation. Previously cited on 6/30/22. The file of Child #6 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The file of Child #6 lacked the work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

2nd citation. Previously cited on 6/30/22. The file of Child #7 contained a health report which did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Corrected Corrected by Sep 16, 2022

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

2nd citation. Previously cited on 6/30/22. The file of Child #7 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Sep 16, 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.

2nd citation. Previously cited on 6/30/22. The file of Child #1, a 7 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #3, a 2 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #4, a 33 month old, lacked a current influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #4 contained documentation of one Hepatitis A immunization. The file of Child #6 , a 43 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #7, a 44 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #8, a 11 month old, lacked Hepatitis B, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations in accordance with the schedule recommended by the ACIP. The file of Child #8 contained documentation of one Hepatitis B immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization, and one Polio immunization. The file of Child #9, a 22 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 16, 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.

2nd citation. Previously cited on 6/30/22. The emergency contact and agreement for Child #6 were not reviewed and updated once every 6 months with the reinstating of this regulation on 1/6/22. The emergency contact and agreement for Child #6 were signed on 2/17/21 and reviewed on 8/17/21.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The files of Children #3 and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 16, 2022

Category: ratio. 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.

2nd citation. Previously cited on 6/30/22. Staff #4 lacked documentation of child care experience prior to service at the facility.

Corrected Corrected by Sep 16, 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

2nd citation. Previously cited on 6/30/22. The file of Staff #3 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #3 contained one reference.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

2nd citation. Previously cited on 6/30/22. An emergency drill was not conducted annually. The facility did not have documentation that an emergency drill was conducted.

Corrected Corrected by Sep 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

2nd citation. Previously cited on 6/30/22. The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The files of Staff #1 and #2 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Sep 16, 2022

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.

2nd citation. Previously cited on 6/30/22. The operator did not notify 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 that the previous notification was dated 6/28/21.

Corrected Corrected by Sep 16, 2022

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 6/16/22 observed Sterling Lights Bingo Daubers which indicated "keep out of reach of children" in a green bin on the bottom shelf of the first closet in the Preschool Classroom which were accessible to children. On 6/16/22 observed Palmolive Dish Detergent which indicated "keep out of the reach of children" on the top shelf of the cabinet to the left of the refrigerator in the Preschool Classroom which was accessible to children. On 6/16/22 observed a red bin containing sunscreens including Neutrogena and Coppertone which indicated "keep out of the reach of children" on the bottom shelf of the cabinet to the left of the refrigerator in the Preschool Classroom which were accessible to children. On 6/16/22 observed Fix-All Adhesive which indicated "keep out of the reach of children" on the top shelf of the cabinet to the left of the refrigerator in the Preschool Classroom which was accessible to children. On 6/16/22 observed Art Naturals Hand Sanitizer which indicated "keep out of the reach of children" in the back pack on the shelf by the back entrance in the Pre K Classroom which was accessible to children. On 6/16/22 observed Germ X Hand Sanitizer which indicated "keep out of the reach of children" in the 3rd drawer of a bin by the first closet in the Pre K Classroom which was accessible to children. On 6/16/22 observed Sterling Lights Bingo Daubers which indicated "keep out of the reach of children" in a cabinet along the entrance wall in the Older Toddler Classroom which were accessible to children. On 6/16/22 observed Dab O Ink and Sterling Lights Bingo Daubers which indicated "keep out of reach of children" in the closet of the Wilson #1 Classroom which were accessible to children.

Corrected Corrected by Aug 5, 2022

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 and #13 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 and #13, staff person #2 and #13 may not work in a child-care position at the facility.

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. On 6/16/22 Staff person #2 and #13 were observed to be caring for children unsupervised. Staff person #2 and #13 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.

Corrected Corrected by Sep 2, 2022

Category: supervision. Marked corrected in the state record.

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

On 6/16/22 observed 2 pair of adult scissors in a plastic pencil box in the bottom bin beside the metal cabinet in the corner of the Wilson #2 Classroom which were accessible to children. On 6/16/22 observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in the Infant Classroom.

Corrected Corrected by Aug 12, 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.

As of 6/30/22 the file of Staff #11 lacked documentation of receiving training regarding the emergency plan on annual basis. The file of Staff #11 contained documentation of emergency plan training completed on 6/10/21.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. 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.

The file of Staff #11 lacked documentation of renewing their certification in pediatric first aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #11 contained documentation of first-aid and CPR training on 5/16/21 with previous training on 3/2/19.

Corrected Corrected by Aug 5, 2022

Category: ratio. 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 persons #2, #5, #8, and #11 will have until July 29, 2022 to complete the required training. Until such time as the required training has been completed, staff persons #2, #5, #8, and #11 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 #2, #5, #8, and #11 staff persons #2, #5, #8, and #11 may not work in a child-care position at the facility.

Staff persons #2 and #8 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety and Pediatric First-aid and CPR. Staff person #5 has not completed the following required pre-service training within 90 days of hire: Health and Safety. Staff person #11 has not completed the following required pre-service training within 90 days of their hire date (see LIS code sheet): Pediatric First-aid and CPR. Staff #11, who was hired prior to the implementation of the new regulations, did not complete health and safety training within 180 days of the new regulations being implemented. The file of Staff #11 contained documentation of completing health and safety training on 7/15/21.

Corrected Corrected by Jul 29, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #6 and #12 will have until July 29, 2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #6 and #12 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 #6 and #12, staff person #6 and #12 may not work in a child-care position at the facility.

Staff person #6 and #12 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 5, 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 # 2 may not work in a child care position at the facility. 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. 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 #12 may not work in a child care position at the facility.

On 6/16/22 Staff #2 and #13 were observed working together in the Preschool Classroom. On 6/30/22 Staff #2 was observed not to have a Child Abuse Clearance from the State(s) in which Staff #2 resided in the last 5 years which made her unqualified to supervise Staff #13, a provisional hire. The files of Staff #1, #2, #3, #5, #6, #7, #8, #9, #10, #12, #13, and #14 lacked a valid disclosure statement (See LIS Code Sheet). The disclosure statement on file for Staff #1, #2, #3, #5, #6, #7, #8, #9, #10, #12, #13, and #14 was not the on updated in 2020. The file of Staff #1 lacked a signed disclosure statement at the time of providing initial care (See LIS Code Sheet). The file of Staff #1 contained a disclosure statement dated 6/1/22. The file of Staff #2 lacked documentation of application for the State child abuse and neglect registry check from the State(s) in which Staff #2 resided in the last 5 years prior to or on the date of initial hire. The file of Staff #2 did not contain State child abuse and neglect registry check from the State(s) in which Staff #2 resided. The file of Staff #5 lacked a copy of a completed State Police Clearance and Child Abuse Clearance prior to providing initial service in child care (See LIS Code Sheet). The file of Staff #5 contained a State Police Clearance dated 9/7/21 and a Child Abuse Clearance dated 9/7/21. The file of Staff #6 lacked a copy of a completed NSOR and a State child abuse and neglect registry check from the State(s) in which Staff #6 resided in the last 5 years prior to providing initial service in child care (See LIS Code Sheet). The file of Staff #6 contained a NSOR dated 12/30/21. The file of Staff #6 contained a State child abuse and neglect registry check from the State(s) in which Staff #6 resided dated 6/6/22. The file of Staff #11 lacked a State Police Clearance, Child Abuse Clearance, and FBI Clearance updated every 60 months. The file of Staff #11 contained a State Police Clearance dated 5/24/17, a Child Abuse Clearance dated 5/30/17, and a FBI Clearance dated 5/17/17. The file of Staff #11 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (See LIS Code Sheet). The file of Staff #11 contained a NSOR dated 6/21/21. The file of Staff #12 lacked documentation of application for the State child abuse and neglect registry check from the State(s) in which Staff #12 resided in the last 5 years prior to or on the date of initial hire (See LIS Code Sheet). The file of Staff #12 contained a request for State child abuse and neglect registry check from the State(s) in which Staff #2 resided dated 5/31/22.

3270.32(a)/3270.192(2)(ii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff 1 lacked documentation of mandated reporter training completed within 90 days of start (See LIS Code Sheet). Staff #1 had documentation of completing mandated reporter training on 6/13/22.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. 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.

As of 6/30/22 the file of Staff #11 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #11 contained a written evaluation dated 6/20/21.

Corrected Corrected by Sep 2, 2022

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.

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. The files of Staff #3 and #5, who were designated as an Assistant Group Supervisors, lacked documentation of 2 years experience with children.

Corrected Corrected by Aug 5, 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 file of Staff #12, who was designated as an aide, lacked documentation of a high school diploma or general educational development certificate.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

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

An emergency drill was not conducted annually. The facility did not have documentation that an emergency drill was conducted.

Corrected Corrected by Aug 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

On 6/16/22 the hot water temperature at the handwashing sink in the Young Toddler Classroom was 125 degrees. On 6/16/22 the hot water temperature at the small handwashing sink was 118 degrees and the hot water temperature at the large handwashing sink was 142 degrees in the Older Toddler Classroom. On 6/16/22 the hot water temperature of the sink in the first bathroom was 122 degrees by the Infant Room. On 6/16/22 the hot water temperature of the sink in the 2nd bathroom was 134 degrees by the Infant Room. On 6/16/22 the hot water temperature at the large sink was 142 degrees and the hot water temperature at the sink by the changing table was 135 degrees in the Infant Classroom. On 6/16/22 the hot water temperature of the sink in the first bathroom by the Wilson #1 and #2 Classrooms was 111 degrees.

Corrected Corrected by Aug 5, 2022

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

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

When the Preschool Classroom and Young Toddler Classroom used the Outdoor Play Space, a first-aid kit was not present. A first-aid kit was not in the Wilson #2 Classroom.

Corrected Corrected by Sep 2, 2022

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

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

On 6/16/22 observed a first-aid kit on a cabinet by the rear entrance in the Pre K Classroom which was accessible to children.

Corrected Corrected by Aug 5, 2022

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 6/16/22 observed peeling paint behind the table in the Infant Classroom. On 6/16/22 observed peeling paint on the swing in the Young Toddler and Older Toddler Outdoor Play Space.

Corrected Corrected by Aug 5, 2022

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

On 6/16/16 the toilet in both the first and 2nd bathrooms by the Infant Classroom lacked a handwashing sign. On 6/16/22 the toilet in the first bathroom by the kitchen lacked a handwashing sign. On 6/16/22 the toilet and urinal in the 2nd bathroom by the kitchen lacked a handwashing sign.

Corrected Corrected by Aug 5, 2022

Category: health medication. 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.

On 6/16/22 observed a tunnel, pop up house, and rocking toys in front of the rear exit in the Infant Classroom.

Corrected Corrected by Aug 5, 2022

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 6/16/22 observed cracked Magna Tiles in the Preschool Classroom. On 6/16/22 observed a frayed area rug by the transportation shelf in the Preschool Classroom. On 6/16/22 observed a torn corner on a red foam block in the Young Toddler Classroom. On 6/16/22 observed a pop up house with approximately a 2 inch tear in the Infant Classroom. On 6/16/22 observed a red and yellow block with torn corners in the Infant Classroom. On 6/16/22 observed a broken gas cap on a Little Tykes red and yellow cozy coupe in the Young Toddler/Older Toddler Outdoor Play Space. On 6/16/22 observed a loose roof on a Step 2 Play House located in the Preschool/Pre K/School-Age - Outdoor Play Space.

Corrected Corrected by Sep 2, 2022

Category: transportation. 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.

On 6/16/22 observed embedded equipment in the Preschool/Pre K/ School-Age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering

Corrected Corrected by Sep 2, 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 6/16/22 observed foam blocks with bite marks in the Preschool Classroom. On 6/16/22 observed foam blocks and foam numbers with bite marks in the Older Toddler Classroom.

Corrected Corrected by Aug 5, 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 6/16/16 observed rest equipment not labeled for the use of a specific child in the following classrooms: Preschool, Pre K, Young Toddler, Older Toddler, and Infant.

Corrected Corrected by Aug 5, 2022

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

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

The Preschool Classroom and Wilson #2 Classroom did not have a written plan of daily activities posted.

Corrected Corrected by Aug 5, 2022

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

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

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

Corrected Corrected by Sep 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreements of Children #2 and #7 lacked the child's arrival and departure times.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The files of Children #6, #7, and #9 lacked the persons designated by a parent to whom the child may be released on the agreement.

Corrected Corrected by Sep 2, 2022

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 file of Child #4 lacked the date of the child's admission on the agreement.

Corrected Corrected by Aug 5, 2022

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 #6 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #8 lacked the complete work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Aug 5, 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.

When the Preschool Classroom, Young Toddler Classroom, and Older Toddler Classroom were in the Outdoor Play Space, emergency contact information for the children in those classrooms were not present in the Outdoor Play Space.

Corrected Corrected by Aug 12, 2022

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 of identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Wilson #2 Classroom.

Corrected Corrected by Aug 5, 2022

Category: transportation. 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 files of Children #2 and #10 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #2 contained a current health assessment dated 5/3/22 with a previous one dated 1/25/21. The file of Child #10 contained a current health assessment dated 3/3/22 with a previous one dated 2/26/21.

Corrected Corrected by Aug 5, 2022

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 #5 lacked an updated health report at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The file of Child #5 contained a current health assessment dated 3/17/22 with a previous one dated 10/13/20.

Corrected Corrected by Aug 5, 2022

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

3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The file of Child #7 contained a health report which did not include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing, or lead poisoning.

Corrected Corrected by Sep 2, 2022

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The file of Child #7 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Sep 2, 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 7 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #3, a 2 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #4, a 33 month old, lacked a current influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #4 contained documentation of one Hepatitis A immunization. The file of Child #6 , a 43 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #7, a 44 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #8, a 11 month old, lacked Hepatitis B, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations in accordance with the schedule recommended by the ACIP. The file of Child #8 contained documentation of one Hepatitis B immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization, and one Polio immunization. The file of Child #10, a 22 month old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Sep 2, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

On 6/16/22 Staff in the Older Toddler Classroom did not ensure that children's hands were washed before lunch.

Corrected Corrected by Aug 12, 2022

Category: health medication. 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 files of Staff #1 and #5 lacked documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting (See LIS Code Sheet). The file of Staff #1 contained a health assessment dated 1/3/22. The file of Staff #5 contained a health assessment dated 8/13/21.

Corrected Corrected by Aug 5, 2022

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

On 6/16/22 Staff in the Older Toddler Classroom did not wash their hands before lunch.

Corrected Corrected by Aug 12, 2022

Category: health medication. 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 located in the van lacked soap and water.

Corrected Corrected by Aug 5, 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 emergency contact and agreement for Children #2, #5, #6, #7, #9, and #10 were not reviewed and updated once every 6 months with the reinstating of this regulation on 1/6/22. The emergency contact for Child #2 was reviewed on 9/13/21 and then again on 6/16/22. The agreement for Child #2 was reviewed on 9/1/21 and then again on 6/16/22. The emergency contact and agreement for Child #5 was reviewed on 8/18/21 and then again on 6/7/22. The emergency contact and agreement for Child #6 was signed on 2/17/21 and reviewed on 8/17/21. The emergency contact for Child #7 was signed on 8/8/21. The agreement for Child #7 was signed on 9/13/21. The emergency contact for Child #9 was signed on 8/5/21. The agreement for Child #9 was signed on 9/10/21. The emergency contact and agreement for Child #10 was reviewed on 8/17/21 and then again on 6/10/22.

Corrected Corrected by Aug 5, 2022

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 files of Children #3, #4, and #8 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 2, 2022

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.

It was observed that the agreement was not on file at the date of enrollment . Child #7's date of admission was 8/16/21 with an agreement dated on 9/13/21. Child #9's date of admission was 8/16/21 with an agreement dated 9/10/21.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. 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.

Staff #2, #3, and #5 lacked documentation of child care experience prior to service at the facility.

Corrected Corrected by Aug 5, 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 #12 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #12 contained one reference.

Corrected Corrected by Aug 5, 2022

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.

The files of Staff #3, #5, and #6 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (See LIS Code Sheet). Staff #3, #5 and #6 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/14/22.

Corrected Corrected by Aug 5, 2022

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

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

The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 6/17/21, 7/29/21, 9/8/21, 1/13/22, 2/10/22, 3/10/22, 4/8/22, 5/4/22, and 6/2/22.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

The facility did not have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The emergency plan did not contain evacuation routes and evacuation plans or written directions to exit the building.

Corrected Corrected by Aug 19, 2022

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 did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Sep 2, 2022

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 #4 and #11 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Sep 2, 2022

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.

As of 6/30/22 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 that the previous notification was dated 6/28/21.

Corrected Corrected by Aug 26, 2022

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.

Observed Champion Air Freshener which indicated "keep out of the reach of children" on the window sill in the bathroom located between the kitchen and Infant/Young Toddler Classrooms.

Corrected Corrected by Jun 24, 2022

Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At approximately 9:50 AM Certification Staff observed a sleeping infant placed on his/her back on a boppy pillow in the crib.

Corrected Corrected by Jun 24, 2022

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

3270.113(a) · ***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 3 months.

***Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Aug 26, 2022

Category: supervision. Marked corrected in the state record.

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

*Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Jun 24, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a) · **The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

**Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Aug 5, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ****The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by maintaining copies of the documentation onsite for a period of 4 months, to be made available upon request from the Department.

****Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Sep 2, 2022

Category: ratio. Marked corrected in the state record.

3270.113(a)(1) · *Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

*Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Jun 24, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · **The operator will develop and implement a physical means of assigning children to staff for the purpose of maintaining compliance with the Staff to child ratio and the supervision of children. OCDEL will approve the plan before its implementation. (Example: Photo name tags with the child's ratio category that a staff person can keep while the child is assigned to them.)

**Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Jun 24, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ***The operator will work with staff from ELRC 6 to develop and implement a uniform sign in policy and procedure for parents.

***(Based on interviews and video footage, Staff #1 and Staff #2 left Child #1 alone on the playground for approximately 9 minutes. Once Staff #1 and #2 realized Child #1 was not in the group in the classroom, Staff #2 went to the playground to look for Child #1.

Corrected Corrected by Aug 5, 2022

Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

On 10/21/21 staff member #1 was observed through video footage forcefully pushing a child's head down onto their cot and flipping the child over onto their belly during nap time.

Corrected Corrected by Feb 4, 2022

Marked corrected in the state record.

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

On 10/21/21 staff member #1 was observed through video footage alone in the young toddler child care space on their cell phone and not supervising the children during nap time.

Corrected Corrected by Feb 4, 2022

Category: supervision. Marked corrected in the state record.

3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

The binder carrying the children's emergency contact information lacked emergency contact information for child #1 while children were on an excursion at the North Side pool in Waynesboro.

Corrected Corrected by Jul 21, 2021

Category: recordkeeping. Marked corrected in the state record.