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Home › PA › Waynesboro › Waynesboro Early Learning Center
State records list this provider as Closed; enrollment ACT. Review the inspection and enforcement history below, and confirm the current status on the official state source before enrolling.
1801 E Main St Wayne Heights Elem Bldg, Waynesboro PA 17268 · License #CER-00251385 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
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.
Facility staff admits Child #1 found a Vape Pen on the ground, in the fallen leaves on the facility's fenced Field and Swings outdoor play area.
Corrected Corrected by Oct 24, 2025
Category: physical safety. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
The facility's Sunflower room was observed to have a first-aid kit in a backpack that was hanging on a coat hook that was accessible to children.
Corrected Corrected by Oct 24, 2025
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.
The facility's Sunflower room was observed to contain a table labeled Transition Table with loose legs making the table unsteady.
Corrected Corrected by Oct 24, 2025
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Category: physical safety. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file for child #5 was observed to contain and emergency contact form that did not include the telephone number of the child's physician or source of medical care.
Corrected Corrected by Nov 19, 2025
Category: health medication. 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 #6 was observed to contain an emergency contact form that lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
Corrected Corrected by Nov 19, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files for children #1, #2 and #4 were observed to contain emergency contact forms that lacked the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Nov 19, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The files for children #3 and #4 were observed to contain emergency contact forms that had not been updated at least once in a 6-month period. This was evidenced by emergency contacts with updates on 10/22/24 and 5/15/25 a period of 6months and 3 weeks present in the file of Child #3. And child #4's file contained only one emergency contact form dated 02/26/25.
Corrected Corrected by Nov 19, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
The facility was observed to have a medication, Equate Cold and Cough with child #7's name written on the box but there was no written consent for administration of medication signed by a parent on file.
Corrected Corrected by Nov 19, 2025
Category: ratio. 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.
The facility's Poppie room was observed to have a play easel with a broken tray.
Corrected Corrected by Jan 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
An infant bottle that lacked a name label was observed in the Buttercup room.
Corrected Corrected by Jan 13, 2025
Marked corrected in the state record.
3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.
The facility was observed to lack a posting of the emergency plan in the facility at a conspicuous location.
Corrected Corrected by Jan 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The facility was observed to be providing a letter explaining the emergency procedures to the parent of each enrolled child. This letter did not however, include the required information regarding the accommodations for infants, toddlers, children with disabilities and children with Chronic medical conditions.
Corrected Corrected by Jan 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
The facility's Lilac room was observed to have an electrical outlet strip under the bulletin board, along the window that failed to have a protective receptacle covers in one of the electrical outlets.
Corrected Corrected by Jan 13, 2025
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.
The facility's Poppie room was observed to have multiple containers of sunscreen labeled "keep out of reach of children" within reach of children.
Corrected Corrected by Jan 13, 2025
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 Daisy room that lacked scissors, and a first-aid kit in the Tulips room that lacked tape.
Corrected Corrected by Jan 13, 2025
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 for Children #3, #4, #6 and #7 were observed to lack the Department's approved form (Child Service Report) which is to be provided to the family about the child's growth and development in the context of the services being provided.
Corrected Corrected by Jan 13, 2025
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 for Child #1 was observed to contain an agreement that failed to specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.
Corrected Corrected by Jan 13, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file for Child #1 was observed to contain an emergency contact form that failed to include the telephone number of the child's physician or source of medical care
Corrected Corrected by Jan 13, 2025
Category: health medication. Marked corrected in the state record.
3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.
The file for Child #5 was observed to lack an initial immunization record obtained no later than 60 days following the first day of attendance at the facility. As evidenced by an immunization record dated 11/14/2023 being the only immunization report in the file.
Corrected Corrected by Jan 13, 2025
Category: health medication. Marked corrected in the state record.
3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.
The facility was observed to have a medication log in their tulip room that failed to include special notes (if any) related to problems of administration.
Corrected Corrected by Jan 13, 2025
Category: ratio. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The facility was observed to lack hands free trash cans in the Lilac and Buttercup rooms. This was evidenced by the facility using swing top lidded trash cans in these two rooms.
Corrected Corrected by Jan 13, 2025
Category: health medication. Marked corrected in the state record.
3270.131(a)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.
The file for Child #5 was observed to lack an initial health report obtained no later than 60 days following the first day of attendance at the facility. As evidenced by a health report dated 11/14/2023 being the only health report in the file.
Corrected Corrected by Jan 13, 2025
Category: health medication. Marked corrected in the state record.
3270.21/3270.76 · Conditions at the facility may not pose a threat to the health or safety of the children. 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.
Facility Director stated that a water leak at the outside spigot caused flooding of the floors in two rooms used as child care space, causing children to get wet while playing and sitting on the floors.
Corrected Corrected by Oct 11, 2024
Category: health medication. Marked corrected in the state record.
3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.
Based on documentation, staff have had Child #1 sit alone or did not allow Child #1 to play outside as a result of behavioral issues.
Corrected Corrected by Sep 20, 2024
Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Based on interviews, staff have yelled at children when they are angry and when they are trying to get the children's attention.
Corrected Corrected by Sep 20, 2024
Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on interviews, Staff #1 has grabbed children by the arm and left marks that last for 1/2 hour. Based on interviews, Staff #1, #2, and #3 have placed their arms under a child's arms and held the child at chest level. Based on interviews, Staff #1, #2, and #3 have placed children on their laps and held them there even when the children have tried to get away or have asked staff to let them go.
Corrected Corrected by Sep 20, 2024
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 video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds. In addition, staff #1 and staff #2 who were present with the group of children could not indicate who was responsible for child #1 and child #2 the day of the incident.
Corrected Corrected by Apr 25, 2024
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.
Based on video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds.
Corrected Corrected by Apr 25, 2024
Category: health medication. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
Based on video foot age observed by CR, child #1, preschool age was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2, preschool age was left alone outside on the same fenced in play space for 3 minutes 4 seconds. In addition, staff #1 and staff #2 who were present with the group of children could not indicate who was responsible for child #1 and child #2 the day of the incident.
Corrected Corrected by Apr 25, 2024
Category: ratio. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
Based on video foot age observed by CR, child #1 was left alone outside on the fenced in play space for approximately 1 minute 40 seconds and child #2 was left alone outside on the same fenced in play space for 3 minutes 4 seconds.
Corrected Corrected by Apr 25, 2024
Category: supervision. 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).
2nd citation. Previously cited on 12/19/23. Child #1, an 8-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD immunizations and 2 Pneumococcal immunizations.
Corrected Corrected by Jan 24, 2024
Category: health medication. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file of Staff #1 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #1 contained a written evaluation dated 10/6/23 with a previous one dated 12/6/21.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing the health and safety update on 10/11/23.
Corrected Corrected by Jan 12, 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 12/18/23 observed a pair of adult scissors in the top small drawer of the desk in Room 7 which were accessible to children.
Corrected Corrected by Jan 12, 2024
Category: health medication. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The file of Staff #1 lacked documentation of training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of emergency plan training on 8/18/23 with previous training on 2/21/22.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained documentation of fire safety training conducted on 10/5/23 with previous training on 2/21/22.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file of Staff #4, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 10/26/23, and Staff #4 was not suspended after 45 days.
Corrected Corrected by Jan 12, 2024
Category: background checks. 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 #3 and #5, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.
Corrected Corrected by Jan 12, 2024
Category: supervision. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
On 12/18/23 observed an electrical outlet which lacked a protective receptacle cover by the toy oven in the kitchen area in Room 2.
Corrected Corrected by Jan 12, 2024
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 12/18/23 observed Desitin which indicated "keep out of the reach of children" on the changing table in Room 5 which was accessible to children.
Corrected Corrected by Jan 12, 2024
Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
On 12/18/23 the first-aid kits in Room 2 and in Room 7 lacked disposable, nonporous gloves.
Corrected Corrected by Jan 12, 2024
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 12/19/23 observed an exposed screw on the sand box/bench in the Preschool/School-Age Outdoor Play Space. On 12/19/23 observed 8 raised rebar stakes used to secure the carport in the Preschool/School-Age Outdoor Play Space.
Corrected Corrected by Jan 12, 2024
Category: physical safety. 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 12/18/23 observed approximately a 1-inch hole in the drywall to the left of the shelf under the cubby by the entrance in Room 4.
Corrected Corrected by Jan 12, 2024
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.
On 12/18/23 observed approximately a 1-inch piece of foam missing from the protective surface under the climber in Room 4. On 12/18/23 observed a red, green, and yellow ball pit with exposed foam in Room 4. On 12/18/23 observed an orange tray with 2 cracked corners creating rough edges in the art area in Room 2. On 12/19/23 observed a Little Tykes see saw with approximately an 8-inch crack on the bottom creating pinch points in the Preschool/School-Age Outdoor Play Space. On 12/18/23 observed cracked LEGOS and a broken connector in Room 7. On 12/18/23 observed cracked LEGOS in Room 8.
Corrected Corrected by Jan 12, 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 12/19/23 observed embedded equipment in the Young Preschool Outdoor Play Space with approximately 7 inches of mulch. On 12/19/23 observed embedded equipment in the Preschool/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 Jan 19, 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 12/18/23 observed indoor play equipment for climbing in Room 3 which was not installed or used over a protective surface covering.
Corrected Corrected by Jan 12, 2024
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
On 12/18/23 observed plastic bags under the changing table in Room 4 which were accessible to children. On 12/18/23 observed plastic bags under the changing table in Room 5 which were accessible to children. On 12/18/23 observed foam peg boards with bite marks in Room 6.
Corrected Corrected by Jan 12, 2024
Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The agreement for Child #4 did not specify the amount of the fee to be charged per day or per week.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
Emergency contact information for Child #1 did no include the complete address of the child's physician or source of medical care.
Corrected Corrected by Jan 12, 2024
Category: health medication. 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 complete work address of the enrolling parent. Emergency contact information for Child #3 did not include the work telephone number of the enrolling parent.
Corrected Corrected by Jan 12, 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 #6 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information for Child #9 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
Corrected Corrected by Jan 12, 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 #1 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #2 did not include the complete address and telephone number of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #7 did not include the complete address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #9 did not include the complete address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(d)(3)/3270.133(8) · A health report shall include a list of the child's current medication and the reason for the medication. If a special diet is prescribed for a child and if the diet is administered to the child, written instructions and the parent's written consent shall be retained in the child's file.
The file of Child #5 contained a health report which did not include a list of the child's current medication and the reason for the medication or if a special diet was prescribed for the child.
Corrected Corrected by Jan 12, 2024
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 #5 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 Jan 12, 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 #9, a 7-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations according to the recommendations of the ACIP. Child #10 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization.
Corrected Corrected by Jan 12, 2024
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 #5 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 Jan 12, 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 file of Staff #6 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 10/11/23 with a previous one dated 9/22/21.
Corrected Corrected by Jan 12, 2024
Category: ratio. 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.
Corrected Corrected by Jan 12, 2024
Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
On 12/18/23 a written statement giving the formula and feeding schedule for an infant was not obtained from the parent.
Corrected Corrected by Jan 12, 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 12/18/23 observed bottles not labeled with the child's name in Room 4.
Corrected Corrected by Jan 12, 2024
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.
On 12/19/23 it was observed that an agreement was not on file at the date of admission. Child #2 had an admission date of 8/24/23 but did not have an agreement.
Corrected Corrected by Jan 12, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file of Staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written, nonfamily reference.
Corrected Corrected by Jan 12, 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.
The file of Child #4, a school-age child, 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 10/19/20 had a health report dated 10/19/21. The file of Child #10, an infant, lacked a health report no later than 60 days following the first day of attendance at the facility. Child #10 who had an admission date of 7/24/23 had a health report dated 12/1/23.
Corrected Corrected by Jan 12, 2024
Category: health medication. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on video footage and interviews, Staff #1 grabbed Child #1 by the neck trying to get a bottle of bubbles from the child which resulted in Child #1 receiving a scratch and several red marks.
Corrected Corrected by Feb 23, 2024
Marked corrected in the state record.
3270.113(b) · *A facility person may not use any form of physical punishment, including spanking a child.
*Based on video footage, Staff #1 was seen standing up and walking over to Child #1and taking Child #1's hand. Video then showed Staff #1 carrying Child #1 approximately 12 ½ feet by his/her one hand while his/her feet are in the air. As they neared the table, video showed Child #1 dropping to his/her knees and then showed Staff #1 picking Child #1 up by both of his/her upper arms and roughly placing him/her in a chair. Video showed Staff #1 sitting down and then getting close to Child #1's face before turning away.
Corrected Corrected by Oct 20, 2023
Marked corrected in the state record.
3270.113(b) · **The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's regulatory non-compliance documented on inspection summaries issued in the last 2 years as well as the Department of Human Services' regulations relating to supervision. An agenda will be prepared for each staff meeting and a log identifying the date, time, and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.
**Based on video footage, Staff #1 was seen standing up and walking over to Child #1and taking Child #1's hand. Video then showed Staff #1 carrying Child #1 approximately 12 ½ feet by his/her one hand while his/her feet are in the air. As they neared the table, video showed Child #1 dropping to his/her knees and then showed Staff #1 picking Child #1 up by both of his/her upper arms and roughly placing him/her in a chair. Video showed Staff #1 sitting down and then getting close to Child #1's face before turning away.
Corrected Corrected by Jan 2, 2024
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.
Based on video footage and interviews, Staff #1 picked up Child #1 by his/her right arm and carried him/her approximately 5 feet before roughly placing him/her on a mat.
Corrected Corrected by Oct 9, 2023
Category: health medication. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on video footage and interviews, Staff #1 picked up Child #1 by his/her right arm and carried him/her approximately 5 feet before roughly placing him/her on a mat.
Corrected Corrected by Oct 9, 2023
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 #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training.
Corrected Corrected by Sep 29, 2023
Category: supervision. Marked corrected in the state record.
3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.
Based on staff interviews, Staff #2 stated to Child #1 that he/she was tired of Child #1 being fussy and crying and stated he/she could not stand Child #1.
Corrected Corrected by Sep 29, 2023
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.
2nd citation. Previously cited on 4/17/23. The refrigerator between Rooms 8 and 9 lacked an operating thermometer.
Corrected Corrected by Jun 16, 2023
Category: nutrition. 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.
2nd citation. Previously cited on 4/19/23. The file of Child #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Jun 16, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
2nd citation. Previously cited on 4/17/23. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 9.
Corrected Corrected by Jun 16, 2023
Category: transportation. 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).
2nd citation. Previously cited on 4/19/23. The file of Child #1, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.
Corrected Corrected by Jun 16, 2023
Category: health medication. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
2nd citation. Previously cited on 4/19/23. The facility did not have an emergency plan that provides for accommodations for children with chronic medical conditions.
Corrected Corrected by Jun 16, 2023
Category: physical safety. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.
Corrected Corrected by Aug 4, 2023
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.
*2nd citation. Previously cited on 4/17/23 under SIN-00222758. At approximately 1:10 PM on 6/13/23 Certification Staff observed 1 older toddler lying on rest equipment behind a bookcase in Room 5 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.
Corrected Corrected by Aug 18, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · **The Director will identify on a map of the classroom where staff should sit and where children should be placed during nap time. One map will be made for each classroom and must be kept up to date.
**2nd citation. Previously cited on 4/17/23 under SIN-00222758. At approximately 1:10 PM on 6/13/23 Certification Staff observed 1 older toddler lying on rest equipment behind a bookcase in Room 5 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.
Corrected Corrected by Aug 18, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · *Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
*Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.
Corrected Corrected by Aug 4, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · **The Legal Entity will arrange for all staff to attend a minimum of 3 hours of training on supervision conducted by ELRC Region 6. The training will be submitted to the regional office for approval prior to attendance. Proof of training will be submitted upon completion.
**Facility staff released a child to an outside service provider to receive services outside of the classroom without written permission; therefore, leaving the child in a room without child care staff present to supervise the child and maintain ratio while the child was receiving services.
Corrected Corrected by Sep 15, 2023
Category: supervision. Marked corrected in the state record.
3270.14/3270.21 · Staff persons #4 and #9 will have until May 19, 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 files of Staff #4, #6, #8, #9, and #10 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022. The file of Staff #4 contained no documentation of completing the health and safety update. The file of Staff #6 contained documentation of completing the health and safety update on 3/22/23. The file of Staff #8 contained documentation of completing the health and safety update on 3/21/23. The file of Staff #9 contained no documentation of completing the health and safety update. The file of Staff #10 contained documentation of completing the health and safety update on 3/21/23.
Corrected Corrected by May 12, 2023
Category: ratio. 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 emergency plan did not address continuity of operations.
Corrected Corrected by May 12, 2023
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
On 4/17/23 observed 1 crib with a loose sheet creating a potential suffocation hazard in Room 4. On 4/17/23 observed a cord to a baby swing which was not secured creating a potential tripping and/or strangulation hazard in Room 4. On 4/19/23 observed 4 pair of adult scissors in a cup on the teacher's desk in Room 7 which were accessible to children. On 4/17/23 observed 2 pair of adult scissors on the teacher's desk and 1 pair of adult scissors on the moveable cart by the outside exit in Room 9 which were accessible to children.
Corrected Corrected by Apr 21, 2023
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #3 and #7 will have until May 19, 2023, to complete the required training. Until such time as the required training has been completed, staff persons #3 and #7 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 #3 and #7, staff persons #3 and #7 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): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum. Staff person #7 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.
Corrected Corrected by May 2, 2023
Category: supervision. Marked corrected in the state record.
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 #7, who initially started as a volunteer and then became employed as an assistant group supervisor, lacked documentation of completing mandated reporter training at the time of initial service in a child care setting (SEE LIS Code Sheet). Staff #7 had documentation of completing mandated reporter training on 3/25/22.
Corrected Corrected by May 1, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.
Staff #4 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #4 had documentation of completing mandated reporter training on 1/24/21.
Corrected Corrected by May 1, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
Staff #3, who initially started as a volunteer and then became employed as an aide, lacked a valid Child Abuse Clearance at the time of initial employment (SEE LIS Code Sheet). Staff #3 had a volunteer Child Abuse Clearance dated 1/24/22 and an employment Child Abuse Clearance dated 3/7/23. The file of Staff #12 contained a disclosure statement with no witness signature.
Corrected Corrected by May 1, 2023
Category: background checks. 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 4/17/23 observed Great Value Bleach which indicated "keep out of the reach of children" under the bathroom sink in Room 9 which was accessible to children.
Corrected Corrected by Apr 17, 2023
Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first aid kit in Room 2 lacked tape. The first aid kit in Room 7 lacked tweezers. The first aid kit in Room 8 lacked soap. The first aid kit in Room 9 lacked disposable, nonporous gloves.
Corrected Corrected by Apr 21, 2023
Category: health medication. 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 4/17/23 observed a cracked red cover at the bottom of the phone cord in Room 4. On 4/19/23 observed cracked siding at the corners of the gray shed in the outdoor play space beside the building. On 4/19/23 observed damaged ceiling tile above the bump out in Room 7.
Corrected Corrected by May 19, 2023
Category: physical safety. 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 4/19/23 observed peeling paint at the entrance and on the bump out to the right of the teacher's desk in Room 7.
Corrected Corrected by May 12, 2023
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 4/17/23 observed 2 urinals in the Boys' Bathroom across from the office that lacked handwashing signs. On 4/17/23 observed the first sink and the last stall in the Girls' Bathroom by the office that lacked handwashing signs. On 4/19/23 observed a toilet in the bathroom in Room 7 that lacked a handwashing sign. On 4/17/23 observed a toilet in the bathroom in Room 8 that lacked a handwashing sign.
Corrected Corrected by Apr 24, 2023
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
On 4/17/23 the Girls' and Boys' Bathrooms by the office lacked a clean, lidded waste receptacle. On 4/19/23 the lidded can at the sink in Room 7 was not operable.
Corrected Corrected by May 5, 2023
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 4/17/23 observed rest mats blocking the exit in Room 6.
Corrected Corrected by Apr 21, 2023
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.
On 4/17/23 observed a cracked purple tray with rough edges in the art area in Room 1. On 4/17/23 observed a cracked orange triangular magna tile in Room 2. On 4/17/23 observed a torn green circular mat with exposed foam in Room 4. On 4/17/23 observed cracked Magna Tiles in Room 5. On 4/19/23 observed cracked Magna Tiles and cracked LEGOS in Room 7. On 4/19/23 observed cracked bins containing Magna Tiles and LEGOS in Room 7. On 4/17/23 observed a cracked plastic bin containing foam blocks in Room 8. On 4/17/23 observed cracked Magna Tiles in Room 9.
Corrected Corrected by Apr 19, 2023
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 4/19/23 observed 4 saucer swings in the outdoor play space beside the building with no mulch under them. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.
Corrected Corrected by Apr 24, 2023
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
On 4/19/23 observed foam mats/shapes with bite marks in the gray shed in the outdoor play space beside the building. On 4/19/23 observed stones with a diameter of less than 1 inch in the Infant/Toddler Outdoor Play Space. On 4/17/23 observed foam peg boards with bite marks in Room 5. On 4/17/23 observed foam blocks with bite marks in Room 8.
Corrected Corrected by May 25, 2023
Category: physical safety. Marked corrected in the state record.
3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.
On 4/17/23 observed a cubby containing rest equipment which was not anchored creating a potential tipping hazard in Room 6. On 4/19/23 observed a broken divider in a cubby by the exit to the outdoor play space in Room 7. On 4/19/23 observed cubbies which were not anchored creating a potential tipping hazard in Room 7. On 4/17/23 observed a dramatic play shelf which was not anchored creating a potential tipping hazard in Room 8. On 4/17/23 observed cubbies and 2 shelves containing dress up clothes which were not anchored creating a potential tipping hazard in Room 9.
Corrected Corrected by May 19, 2023
Category: physical safety. Marked corrected in the state record.
3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
On 4/17/23 observed a child sleeping in a large wooden cube in Room 6.
Corrected Corrected by Apr 24, 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 refrigerator between Rooms 8 and 9 lacked an operating thermometer.
Corrected Corrected by Apr 21, 2023
Category: nutrition. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The written plan of daily activities was not posted in Room 4 and Room 9.
Corrected Corrected by Apr 24, 2023
Category: physical safety. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
At approximately 1:00 PM on 4/17/23 Certification Staff observed 1 young toddler lying on rest equipment behind a bookcase in Room 3 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee. At approximately 1:15 PM on 4/17/23 Certification Staff observed 1 preschooler lying on rest equipment behind a bookcase in Room 6 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.
Corrected Corrected by Apr 28, 2023
Category: supervision. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file of Child #3 lacked an agreement signed by the operator.
Corrected Corrected by Apr 24, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.
The files of Children #4 and #8 lacked the birth date of the child on the emergency contact form.
Corrected Corrected by Apr 24, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The file of Child #5 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by May 4, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file of Child #1 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete home and work addresses of the enrolling parent on the emergency contact form. The file of Child #6 lacked the home telephone number of the enrolling parent on the emergency contact form.
Corrected Corrected by Apr 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The file of Child #1 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #6 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #7 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in Room 9.
Corrected Corrected by Apr 24, 2023
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 file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/10/22, 12/8/22, and 3/28/23.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. Child #3, with an admission date of 10/1/20, contained a health report dated 8/15/22 but did not contain a health report for 2021. The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained health reports dated 10/28/21 and 12/20/22. The file of Child #6 lacked an updated health report at least every 12 months for an older toddler or preschool child. Child #6, with an admission date of 6/20/20, contained health reports dated 7/18/22 and 10/10/22 but did not contain a health report for 2021. The file of Child #9 lacked an updated health report at least every 12 months for an older toddler or preschool child . The file of Child #9 contained health reports dated 4/12/21 and 5/4/22.
Corrected Corrected by May 5, 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, a 7-month-old, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #1 had documentation of 2 DTAP/DTP/TD and 2 Pneumococcal immunizations.
Corrected Corrected by May 12, 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 files of Staff #4, #5, and #11 lacked a health assessment conducted every 24 months. The file of Staff #4 contained a current health assessment dated 10/10/22 with a previous one dated 9/26/20. The file of Staff #5 contained a current health assessment dated 3/7/22 with a previous one dated 12/19/19. The file of Staff #11 contained a current health assessment dated 2/1/22 with a previous one dated 1/28/20.
Corrected Corrected by Apr 28, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The file of Staff #12 contained a health assessment which did not include the physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by Jun 2, 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 agreement for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's agreement was reviewed on 12/15/21, 7/20/22, and 1/9/23. The agreement for Child #6 was not reviewed and updated at least once in a 6-month period. Child #6's agreement was reviewed on 7/12/21, 7/18/22, and 1/13/23. The emergency contact for Child #9 was not reviewed and updated at least once in a 6-month period. Child #9's emergency contact was reviewed on 2/23/22, 9/20/22, and 1/6/23.
Corrected Corrected by Apr 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
The facility did not have an emergency plan that provides for accommodations for infants, toddlers, and children with chronic medical conditions.
Corrected Corrected by May 19, 2023
Category: physical safety. 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 #1 and #2 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/21/22. The file of Staff #2 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 2/20/23.
Corrected Corrected by Feb 20, 2023
Category: health medication. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 4/21/22, 6/17/22, 7/11/22, 9/8/22, 11/3/22, 12/21/22, and 2/9/23.
Corrected Corrected by May 11, 2023
Category: recordkeeping. 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 ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.
Corrected Corrected by May 19, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protection professional on 1/10/22 and then again on 2/8/23.
Corrected Corrected by Apr 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(c)(3)(ii) · A minimum of 200 clock hours of supervised training in a child care facility.
The file of Staff #3, who was designated as an aide, lacked documentation of a minimum of 200 clock hours of supervised training in a child care facility.
Corrected Corrected by Apr 26, 2023
Category: supervision. Marked corrected in the state record.
3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.
2nd citation. Previously cited on 8/29/22. On 8/22/22 at approximately 1:41 PM video footage shows Child #1 standing at the window and then walking away as Staff #1 approaches him/her. At that point Staff #1 is observed picking up Child #1 and putting him/her on his/her rest mat. When Child #1 gets off his/her rest mat, Staff #1 is observed placing one of his/her leges over Child #1 to keep him/her on his/her mat. When Child #1 tries to get off his/her mat again, Staff #1 is observed pulling Child #1 back on the mat using his/her legs and then Staff #1 places both his/her legs over Child #1's legs. Based on the video footage, Staff #1 has his/her legs on top of Child #1's legs for approximately 4 minutes.
Corrected Corrected by Dec 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Based on interviews, Staff #1 swears in the presence of the children on a regular basis.
Corrected Corrected by Mar 12, 2023
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.
2nd citation. Previously cited on 5/18/22. At approximately 1:40 PM Certification Staff observed 2 children lying on rest equipment behind bookcases in the Marigolds Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.
Corrected Corrected by Oct 28, 2022
Category: supervision. Marked corrected in the state record.
3270.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.
On 8/22/22 at approximately 1:41 PM video footage shows Child #1 standing at the window and then walking away as Staff #1 approaches him/her. At that point Staff #1 is observed picking up Child #1 and putting him/her on his/her rest mat. When Child #1 gets off his/her rest mat, Staff #1 is observed placing one of his/her legs over Child #1 to keep him/her on his/her mat. When Child #1 tries to get off his/her mat again, Staff #1 is observed pulling Child #1 back on the mat using his/her legs and then Staff #1 places both of his/her legs over Child #1's legs. Based on the video footage, Staff #1 has his/her legs on top of Child #1's legs for approximately 4 minutes.
Corrected Corrected by Nov 18, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(iv) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.
The file of Staff #1 lacked documentation of competence in water safety instruction demonstrated by the completion of basic instruction in water safety from a certified lifeguard.
Corrected Corrected by Aug 1, 2022
Category: recordkeeping. 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.
When Children #1, #2, #3, #4, #5, #6, #7, and #8 were at the swimming pool, emergency contact information specific to each child on the excursion did not accompany a staff person on the excursion.
Corrected Corrected by Aug 12, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(d)(1) · A health report shall include a review of the child's health history.
The file of Child #1 contained a health report which lacked a review of the child's health history.
Corrected Corrected by Jul 8, 2022
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
On 6/13/22 written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.
Corrected Corrected by Jun 9, 2022
Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
On 6/13/22 observed a first-aid kit on a shelf by the exit door in the School-Age Classroom which was accessible to children in care.
Corrected Corrected by Jun 7, 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.
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 Jul 7, 2022
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 6/7/22 observed 2 pair of adult scissors in a cup on a cabinet at the entrance to the Butterflies Classroom which were accessible to children. On 6/7/22 observed adult scissors in a cup on a cabinet at the entrance to the Owls Classroom as well as 5 pairs of adults scissors and a screw driver in a green container on the shelf in the corner of the room which were accessible to children. On 6/7/22 observed adult scissors in a cup on the teacher's desk in the Monkeys Classroom which were accessible to children.
Corrected Corrected by Jun 7, 2022
Category: health medication. 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 instructions as to how parents can safety be reunited with their children.
Corrected Corrected by Jun 18, 2022
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 #8 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #8 contained documentation of participating in fire safety training on 12/29/20 and then on 2/21/22.
Corrected Corrected by Jun 7, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff persons #4 and #6 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff person #11 will have until July 17, 2022 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 persons #4 and #6 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.
Corrected Corrected by Jul 22, 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 #9 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 #9 may not work in a child care position at the facility.
The file of Staff #9 lacked a State Sex Offender Registry Check from the State(s) in which Staff #9 resided in the last 5 years by 7/1/20. The file of Staff #10 lacked a signed disclosure statement.
Corrected Corrected by Jun 14, 2022
Category: background checks. 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 #2 and #3, who were designated as assistant group supervisors, lacked documentation of 2 years experience with children. The file of Staff #12, who was designated as an assistant group supervisor, lacked documentation of a high school diploma and 2 years experience with children.
Corrected Corrected by Jul 8, 2022
Category: supervision. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
On 6/22/22 observed electrical outlets which lacked protective receptacle covers under the shelf beside the sink, between the 1st and 2nd windows, and directly across from the entrance in the Ducklings Classroom.
Corrected Corrected by Jun 23, 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 6/7/22 observed 2 Bingo Daubers which indicated "keep out of the reach of children" on the window sill by the plants in the Owls Classroom which were accessible to children. On 6/7/22 observed Bingo Daubers which indicated "keep out of the reach of children" in the art area in the Flamingoes Classroom which were accessible to children. On 6/7/22 observed Bingo Daubers which indicated "keep out of the reach of children" behind the easel by the office in the Unicorns Classroom which were accessible to children. On 6/22/22 observed a plastic bin containing various sunscreens which indicated "keep out of the reach of children" on the shelf at the entrance to the Ducklings Classroom which were accessible to children. On 6/22/22 observed WD-40 and Lysol Disinfectant Spray which indicated "keep out of the reach of children" under the sink in the Daisies Classroom which were accessible to children. On 6/7/22 observed Fabuloso and Pure Bright Germicidal Ultra Bleach which indicated "keep out of the reach of children" under the kitchen sink in the School-Age Classroom which were accessible to children.
Corrected Corrected by Jun 22, 2022
Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
On 6/7/22 the hot water temperature was 113 degrees at the bathroom sink located in the Monkeys Classroom.
Corrected Corrected by Jun 8, 2022
Category: physical safety. Marked corrected in the state record.
3270.75(a) · A first-aid kit shall be in a child care space.
On 6/22/22 a first-aid kit was not in the Duckling Classroom.
Corrected Corrected by Jun 23, 2022
Category: physical safety. 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.
On 6/7/22 the first-aid kit in the Calves Classroom lacked tweezers. On 6/7/22 the first-aid kit in the Lamb/Piglet Classrooms lacked soap and tape.
Corrected Corrected by Jun 13, 2022
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
On 6/13/22 observed approximately a 4 foot long loose tree root causing a potential tripping hazard in the Outdoor Playspace. On 6/7/22 observed loose baseboard trim under the telephone in the Piglets Classroom.
Corrected Corrected by Jun 13, 2022
Category: physical safety. 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 6/7/22 observed peeling paint under the mirror in the Daisies Classroom. On 6/7/22 observed peeling paint on the wall to the right of the block shelf in the Lambs Classroom. On 6/7/22 observed peeling on the door frame by the refrigerator in the Piglets Classroom.
Corrected Corrected by Jul 8, 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 6/7/22 observed the first sink and 2nd and 3rd stalls in the Girls Bathroom lacked handwashing signs. On 6/7/22 observed the urinals and 1st stall in the Boys Bathroom lacked handwashing signs. On 6/7/22 observed the sink and toilet lacked a handwashing sign in the bathroom located in the Unicorns Classroom. On 6/7/22 observed the toilet lacked a handwashing sign in the bathroom located in the Lambs/Piglets Classrooms. On 6/7/22 observed the toilet lacked a handwashing sign in the bathroom located in the School-Age Classroom.
Corrected Corrected by Jun 8, 2022
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
On 6/7/22 observed the lidded waste receptacle had a broken foot pedal in the bathroom located in the Monkeys Classroom.
Corrected Corrected by Jun 8, 2022
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
On 6/7/22 observed a cracked green bin containing animals in the Butterflies Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Butterflies Classroom. On 6/7/22 observed a cracked bin containing "hatchimals" with approximately 2 inches missing from the corner in the Owls Classroom. On 6/7/22 observed a cracked bin containing small blocks with approximately 2 inches missing from the corner in the Owls Classroom. On 6/7/22 observed cracked Magna Tiles in the Owls Classroom. On 6/7/22 observed torn rest equipment with exposed foam in the Owls Classroom. On 6/7/22 observed cracked Magna Tiles in the Flamingoes Classroom. On 6/7/22 observed a cracked blue bin containing animals in the Flamingoes Classroom. On 6/7/22 observed a child's blue sofa with approximately a 2 inch hole on the left arm and approximately a 6 inch tear where the arm and seat join on the left side in the Unicorns Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Daisies Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Lambs Classroom. On 6/7/22 observed torn rest mats with exposed foam in the Piglets Classroom. On 6/7/22 observed a cracked blue bin containing cars in the School-Age Classroom. On 6/7/22 observed cracked Magna Tiles in the School-Age Classroom.
Corrected Corrected by Jun 8, 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 6/7/22 observed foam blocks with bite marks in the Monkeys Classroom.
Corrected Corrected by Jun 7, 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 6/7/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Butterflies, Owls, Flamingoes, Calves, Lambs, and Piglets. On 6/7/22 observed 2 children sleeping on climbing mats used by all children in the Calves Classroom.
Corrected Corrected by Jun 7, 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.
On 6/7/22 the written plan of daily activities was not posted in the following classrooms: Unicorns, Monkeys, and Daisies.
Corrected Corrected by Jun 17, 2022
Category: physical safety. 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 #4 and #9 lacked the persons designated by a parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Jun 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6)/3270.182(8) · An agreement shall specify the date of the child's admission. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The files of Children #4 and #9 lacked the date of the child's admission on the agreement.
Corrected Corrected by Jun 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.
The files of Children #1, #2, #3, #4, #5, #6, #8, #9, and #10 contained the original copy of the agreement. The facility did not make a copy for the files and give the original to the parent.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The files of Children #7 and #10 lacked the address of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by Jun 30, 2022
Category: health medication. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
On 6/7/22 a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the following classrooms: Butterflies, Owls, Flamingoes, Calves, Unicorns, Monkeys, Ducklings, Daisies, Lambs, Piglets, and School-Age.
Corrected Corrected by Jun 17, 2022
Category: transportation. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file of Child#1 lacked the home address, work address, and work telephone number of the enrolling parent on the emergency contact form. The file of Child #2 lacked the home address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child #5 lacked the work address and work telephone number of the enrolling parent on the emergency contact form. The file of Child#8 lacked the home address, work address, and work telephone number of the enrolling parent on the emergency contact form. The file of Child #9 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #10 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.
Corrected Corrected by Jul 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The files of Children #2, #8, and #10 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 10/25/21 with an emergency contact form signed on 1/25/22. Child #8 had an admission date of 8/30/21 with no signed parental consent for emergency medical care. Child #10 had an admission date of 4/25/22 with no signed parental consent for emergency medical care.
Corrected Corrected by Jul 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.
The files of Children #8, #9, and #10 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the emergency contact form.
Corrected Corrected by Jul 8, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files of Children #1 and #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Children #5, #6, and #10 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files of Children #7 and #8 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Jul 8, 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.
On 6/7/22 observed emergency contact information for Children #12, #13, and #14 was not present when the children were receiving care in the Calves Classroom. On 6/7/22 observed emergency contact information for Children #6 and #15 was not present when the children were receiving care in the Lamb Classroom. On 6/7/22 observed emergency contact information for Children #16, #17, and #18 was not present when the children were receiving care in the Piglets Classroom.
Corrected Corrected by Jun 9, 2022
Category: recordkeeping. 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 4 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #4, a 2 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #6, a 2 year old, lacked Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #6 contained documentation of one Hepatis A immunization. The file of Child #9, a 3 year old, lacked a current influenza immunization and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #9 contained documentation of one Hepatitis A immunization. The file of Child #10, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.
Corrected Corrected by Jul 22, 2022
Category: health medication. Marked corrected in the state record.
3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.
On 6/7/22 observed prescription medication for Child #11 was not accepted in an original container.
Corrected Corrected by Jun 7, 2022
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.
On 6/7/22 the operator did not establish and maintain a medication log for Child #10.
Corrected Corrected by Jun 9, 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 file of Staff #5 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 #5 contained a health assessment dated 1/19/22. The file of Staff #7 lacked a health assessment conducted every 24 months. The file of Staff #7 contained a current health assessment dated 12/14/21 with a previous one dated 3/18/19. The file of Staff #8 lacked a health assessment conducted every 24 months. The file of Staff #8 contained a current health assessment dated 2/23/21 with a previous one dated 2/8/19. The file of Staff #9 lacked a health assessment conducted every 24 months. The file of Staff #9 contained a current health assessment dated 5/26/21 with a previous one dated 8/4/17.
Corrected Corrected by Jun 7, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by the Mantoux method at initial employment (SEE LIS CODE SHEET). Staff #1 had a health assessment dated 3/26/21 but a Mantoux test read date of 3/27/20.
Corrected Corrected by Jul 8, 2022
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.
On 6/7/22 the operator did not conspicuously post the menu at least 1 week in advance.
Corrected Corrected by Jun 7, 2022
Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
On 6/7/22 observed bottles which were not labeled with the child's name in the Calves Classroom.
Corrected Corrected by Jun 7, 2022
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.
On 6/13/22 the first-aid kits for both vans lacked soap.
Corrected Corrected by Jun 13, 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 for Child #4 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #4's emergency contact was reviewed on 1/27/21 and then again on 6/9/22. The emergency contact for Child #5 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #5's emergency contact was reviewed on 5/25/21 and then again on 2/15/22. The emergency contact form for Child #6 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #6's emergency contact was signed on 7/16/21 with no reviews. The emergency contact form for Child #7 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #7's was signed on 9/8/21 with no reviews. The emergency contact form for Child #8 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #8's emergency contact form was signed on 8/24/21 and then reviewed on 5/8/22.
Corrected Corrected by Jul 18, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.
The file of Child #8 lacked signed parental consent for administration of medications or special dietary needs on the emergency contact form.
Corrected Corrected by Jul 11, 2022
Category: ratio. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The files of Children #2, #8, and #10 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission on the emergency contact form. Child #2 had an admission date of 10/25/21 with an emergency contact form signed on 1/25/22. Child #8 had an admission date of 8/30/21 with no signed parental consent for administration of minor first-aid procedures. Child #10 had an admission date of 4/25/22 with no signed parental consent for administration of minor first-aid procedures.
Corrected Corrected by Jul 8, 2022
Category: ratio. Marked corrected in the state record.
3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.
The file of Child #8 lacked signed parental consent for transportation, walking excursions, swimming and wading on the emergency contact form.
Corrected Corrected by Jul 8, 2022
Category: transportation. Marked corrected in the state record.
3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The file of Child #7 lacked a copy of the initial agreement and subsequent agreements between the parent and the operator. The file of Child #7 did not contain any agreements. It was observed that an agreement was not on file at the date of the enrollment for Children #6, #8, and #9. Child #6's date of admission was 7/26/21 with an agreement dated on 8/1/21. Child #8's date of admission was 8/30/21 with an agreement dated on 12/16/21. Child #9's date of admission was 1/3/22 with an agreement dated 2/2/22.
Corrected Corrected by Jun 7, 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 files of Staff #2, #4, #10, and #11 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file of Staff #2 contained one written reference. The file of Staff #4 contained no written references. The file of Staff #10 contained one written reference. The file of Staff #11 contained one written reference.
Corrected Corrected by Jul 6, 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.
The facility did not conduct an emergency drill annually. The facility had documentation that an emergency drill was conducted on 5/27/22.
Corrected Corrected by Jun 7, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
The Director or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 3/8/21, 4/29/21, 6/25/21, 8/23/21, 10/8/21, 12/22/21, 2/23/22, 4/21/22.
Corrected Corrected by Jul 8, 2022
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 #1, #8, and #9 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.
Corrected Corrected by Jul 15, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.
The files of Children #2, #4, #5, and #7 lacked an initial health report no later than 90 days following the first day of attendance at the facility. Child #2 had an admission date of 10/25/21 and had no health report on file. Child #4 had an admission date of 1/6/20 and had a health report dated 5/5/22 on file. Child #5 had an admission date of 6/7/21 and had a health report dated 1/13/22 on file. Child #7 had an admission date of 10/25/21 and had no health report on file.
Corrected Corrected by Jul 8, 2022
Category: health medication. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on interviews and video footage, Staff #1 grabbed Child #1 by the arm and pulled Child #1's arm to pull him/her out from under a table in the kitchen.
Corrected Corrected by Aug 1, 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 #5 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 #5, staff person #2 and #5 may not work in a child-care position at the facility.
Staff persons #2 and #5 were observed to be caring for children unsupervised. Staff person #2 and #5 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.
Corrected Corrected by Jun 10, 2022
Category: supervision. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff Persons #1, #2, #3, #4, and #7 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9) within 90 days of hire. Staff Persons #2, #3 and #6 will have until July 29,2022 to complete the required training. Until such time as the required training has been completed, staff person #2, #3, and #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 available to supervise staff person #2, #3, and #6, staff person #2, #3, and #6 may not work in a child-care position at the facility.
Staff Persons #1, #2, #3, #4, and #7 have acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff Persons #2, #3 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.
Corrected Corrected by Jun 17, 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.
At approximately 1:10 PM Certification Staff observed 2 children lying on rest equipment behind bookcases in the Piglet Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.
Corrected Corrected by Jul 1, 2022
Category: supervision. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
After viewing the video of the event, it was observed that Staff #1 grabbed a running child by the wrist and lifted them off the ground.
Corrected Corrected by Jul 1, 2022
Marked corrected in the state record.
3270.113(b) · Legal entity will arrange for all facility and staff persons to complete the 6 hour virtual in person Recognizing and Reporting Child Abuse offered by PA Family Support Alliance.
** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face..
Corrected Corrected by Jul 31, 2022
Category: background checks. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.
Corrected Corrected by May 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.
* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.
Corrected Corrected by May 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(c) · 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.
** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(d) · The legal entity must arrange with ELRC 6 for all facility staff to receive training regarding discipline when dealing with children with troubling behaviors.
** It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.
Corrected Corrected by Jun 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
* It was observed on video tape and disclosed during staff interviews that Staff #1 was removing an older toddler aged child from the playground and was aggressive with the child while moving them to another classroom. Staff person #1 can be seen dragging the child by his or her hood before placing the child under their arm and then placing the child in a classroom. Approximately 5 to 10 minutes later it was confirmed that staff person #1 went back into the classroom and is seen on video sticking his or her finger in the child face.
Corrected Corrected by Jun 30, 2022
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.
Staff #11 was observed having a hire date of (SEE LIS CODE SHEET) but lacked documentation of training regarding the emergency plan at the time of initial employment. No current training was observed on file. Staff #12 was observed having a hire date of (SEE LIS CODE SHEET) but lacked documentation of training regarding the emergency plan at the time of initial employment. No current training was observed on file.
Corrected Corrected by Jan 10, 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.
Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The most current certification on file was dated 9/24/19, exceeding 24 months.
Corrected Corrected by Feb 4, 2022
Category: ratio. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The legal entity will submit to the Department Representative complete clearances for all prospective employees, prior to working in a child care position, for a period of 4 months from the date the plan of correction is accepted.
** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated 9/29/21, which identified no record existed. The file for staff #17 was observed having a hire date of (SEE LIS CODE SHEET) but lacked a disclosure statement on file. The file for staff #18 was observed having a Maryland address on file but lacked Maryland state police and child abuse clearances on file.
Corrected Corrected by Jun 2, 2022
Category: background checks. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · 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 following the outset of service at the facility.
The file for staff #8 was observed having a hire date on (SEE LIS CODE SHEET) and Mandated Reporter training completed 0n 8/26/21, exceeding 90 days after employment. The file for staff #11 was observed having a hire date on (SEE LIS CODE SHEET) and lacked Mandated Reporter training within 90 days. No current training was observed on file.
Corrected Corrected by Jan 24, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · All board members, the facility director and any designees responsible for the hiring of staff will review announcement C-19-02 relating to meeting the requirements of the Child Protective Services Law for child care facilities. Upon review each board member, the facility director and any designees responsible for the hiring of staff will submit to the Department Representative a signed and dated affidavit that they have reviewed this announcement.
**** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated 9/29/21, which identified no record existed. The file for staff #17 was observed having a hire date of (SEE LIS CODE SHEET) but lacked a disclosure statement on file. The file for staff #18 was observed having a Maryland address on file but lacked Maryland state police and child abuse clearances on file.
Corrected Corrected by Jan 28, 2022
Category: background checks. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The file for child #4 lacked the work addresses and telephone numbers of the enrolling parent.
Corrected Corrected by Jan 21, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The legal entity will contact ELRC 6 to arrange for all board members, the facility director and any designee responsible for the hiring of staff to obtain training regarding record keeping and hiring staff.
*** Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated 9/29/21, which identified no record existed. The file for staff #17 was observed having a hire date of (SEE LIS CODE SHEET) but lacked a disclosure statement on file. The file for staff #18 was observed having a Maryland address on file but lacked Maryland state police and child abuse clearances on file.
Corrected Corrected by Feb 4, 2022
Category: background checks. Marked corrected in the state record.
3270.32(a)/3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #4, #6, #7, #10, #12, #13, #14, #16 may not work at the facility until all required clearances are obtained.
*Staff #3 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement. The file for staff #4 was observed having a hire date of (SEE LIS CODE SHEET) and a Pennsylvania State Police (PSP) clearance dated 12/7/21. Staff #4 was observed having a volunteer Pennsylvania Child Abuse clearance. Staff #6 was observed having only a receipt for their current PSP clearance dated 7/16/21, which identified no record existed. Staff #7 was observed having a Maryland address but lacked a Maryland DHS Child Abuse clearance. Staff #10 lacked a disclosure statement on file and was observed having only a receipt showing they were fingerprinted for the FBI clearance on 4/23/21. Staff #12 was observed having only a receipt for their current PSP clearance which identified no record existed. The file for staff #13 was observed having a hire date of (SEE LIS CODE SHEET) and a PSP clearance dated 12/6/21. The file for staff #14, utilized as a volunteer, lacked an FBI clearance on file. Staff #16 was observed having a hire date of (SEE LIS CODE SHEET) and lacked a disclosure statement on file. Staff #16 was observed having only a receipt for their current PSP clearance dated 9/29/21, which identified no record existed. The file for staff #17 was observed having a hire date of (SEE LIS CODE SHEET) but lacked a disclosure statement on file. The file for staff #18 was observed having a Maryland address on file but lacked Maryland state police and child abuse clearances on file.
Corrected Corrected by Jan 21, 2022
Category: background checks. Marked corrected in the state record.
3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.
During renewal inspection on 1/4/22 the facility was found lacking a director. Staff #7, who is was currently being utilized as the facility director, had a documented hire date of(SEE LIS CODE SHEET). Staff #7 was observed having an out of state address and lacked the required out of state clearances on file which disqualifies staff #7 from the director position until all required clearances are obtained.
Corrected Corrected by Jan 21, 2022
Category: background checks. 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.
The "Unicorns" child care space located in the basement was observed having cabinets with an approximate 6 foot height and 3 foot width which lacked anchoring to wall, creating a safety hazard.
Corrected Corrected by Dec 22, 2021
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.
The "Calf" child care space located on the main floor was observed having children's rest mats which lacked a label for the use of a specific child.
Corrected Corrected by Dec 23, 2021
Category: physical safety. Marked corrected in the state record.
3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.
The file for child #3 lacked a copy of the agreement.
Corrected Corrected by Jan 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
Staff #2 lacked health assessments completed every 24 months. Health assessments observed on file were dated 10/6/17 and 8/23/21, exceeding 24 months between assessments. Staff #5, who is utilized as a facility person, lacked health assessments completed every 24 months. Health assessments observed on file were dated 2/22/18 and 5/29/20, exceeding 24 months between assessments. The file for staff #14, utilized as a volunteer, lacked a health assessment on file.
Corrected Corrected by Feb 4, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file for staff #14, utilized as a volunteer, lacked record of tuberculosis screening by the Mantoux method.
Corrected Corrected by Feb 4, 2022
Category: health medication. Marked corrected in the state record.
3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
Staff #4 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #6 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #9 lacked verification of education prior to service at the facility. No educational record was observed on file. Staff #12 lacked verification of education prior to service at the facility. No educational record was observed on file.
Corrected Corrected by Feb 11, 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.
Staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #4 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #6 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff #10 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #14, utilized as a volunteer, lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The file for staff #17 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by Feb 4, 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.
Staff #3 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #11 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed. Staff #15 was observed having an initial employment date of (SEE LIS CODE SHEET) and lacked pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. No current training was observed.
Corrected Corrected by Feb 21, 2022
Category: health medication. Marked corrected in the state record.
3270.31(h) · All staff persons shall complete the professional development under subsection (f).
Staff #1 lacked professional development topic 1-9 completed under subsection (f). No current training was observed. Staff #2 lacked professional development topics 1-9 completed under subsection (f). No current training was observed. Staff #3 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #6 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #8 was observed having a hire date of (SEE LIS CODE SHEET) and professional development topics 1-9 under subsection (f) completed on 9/20/21, exceeding within 90 days of hire. Staff #10 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #11 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #12 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed. Staff #15 lacked professional development topics 1-9 completed under subsection (f) within 90 days of hire. No current training was observed.
Corrected Corrected by Feb 4, 2022
Category: health medication. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility lacked documentation for the installation of the current fire detection system on file. The facility lacked testing of the fire detection system on a monthly basis or current fire detection system inspection.
Corrected Corrected by Jan 10, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
The facility lacked the current certificate of compliance posted in a conspicuous location used by parents, information on how to access the regulations in this chapter electronically, and instructions for contacting the appropriate regional child care office.
Corrected Corrected by Jan 31, 2022
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 for child #1 was observed having an enrollment date of 5/17/21 and lacked an initial health assessment on file within 90 days as required by the governors suspension of regulations during this time period. The file for child #2 was observed having an enrollment date of 9/2/21 and lacked an initial health assessment on file within 90 days as required by the governors suspension of regulations during this time period.
Corrected Corrected by Feb 4, 2022
Category: health medication. Marked corrected in the state record.