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Home › PA › Waynesboro › Wee Kare Child Center
508 N Grant St, Waynesboro PA 17268 · License #CER-00252457 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.
Staff person #2 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of staff person #2 contained documentation of completing health and safety training on 2/27/25.
Corrected Corrected by Feb 27, 2025
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).
Staff person #3 lacked documentation of completing mandated reporter training every 60 months. Staff person #3 had documentation of completing mandated reporter training on 8/7/25 with previous training completed on 1/10/20
Corrected Corrected by Sep 25, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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.
On 9/25/25 Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 11/23/19.
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
Corrected Corrected by Nov 23, 2025
Category: supervision. Marked corrected in the state record.
3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.
Certification Staff observed a transfer of care policy in the facility's parent handbook, but the facility was unable to provide signed documentation that the parents received and read the information.
Corrected Corrected by Nov 14, 2025
Category: supervision. Marked corrected in the state record.
3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter ensure 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 the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills. The facility provided documentation that the hypothetical locations were the same on 7/22/25 and 8/15/25.
Corrected Corrected by Aug 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
The Director or designated staff person who is responsible for compliance with this chapter did not ensure a written record for the fire drill conducted on 6/18/25 indicated the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the number of children who participated in the fire drill.
Corrected Corrected by Nov 11, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
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 provided documentation that the fire detection system was manually tested on 9/9/24, 10/8/24, 11/4/24, 12/30/24, 2/25/25, 4/22/25, 6/18/25, 7/23/25, and 8/15/25. The facility provided documentation the fire detection system was inspected on 3/18/24, but the documentation was not on the company's letterhead. The facility did not provide documentation the fire detection system was inspected by a fire safety professional in 2025.
Corrected Corrected by Nov 11, 2025
Category: recordkeeping. 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. The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Region Office on a weekly basis for a period of three months after DHS approves the documentation format.
Staff person #1 was observed to be out of and away from the child care space leaving staff persons #2 and #3 caring for 11 infants.
Corrected Corrected by Jan 23, 2026
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.
Staff person #1 was observed to be out of and away from the child care space leaving infants #1, #2, #3 and #4 without supervision.
Corrected Corrected by Jan 23, 2026
Category: supervision. Marked corrected in the state record.
3270.66(d) · Toxic plants are not permitted in a child care space.
The facility was observed to have Wild Yellow Linaria Vulgaris (Butter & Eggs) which is toxic to children growing in the Little Play Yard.
Corrected Corrected by Aug 26, 2025
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.
The facility was observed to have a toy lawn mower with the handle broken off in the little play yard.
Corrected Corrected by Aug 26, 2025
Category: physical safety. Marked corrected in the state record.
3270.131(b)(1)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 file for child #2, a young toddler was observed to lack updated health reports obtained at least every 6 months for an infant or young toddler.
Corrected Corrected by Sep 1, 2025
Category: health medication. Marked corrected in the state record.
3270.131(b)(2)/3270.181(c) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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 file for child #1, a preschooler was observed to lack updated health reports obtained at least every 12 months as evidenced by the most recent health report in the file is dated 07/22/2024.
Corrected Corrected by Sep 9, 2025
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 files for children #2 and #3 were observed to contain immunization records that failed to be in accordance with the recommendations of the ACIP. The files for children #2 and #3 were observed to lack a written exemption regarding immunizations.
Corrected Corrected by Aug 26, 2025
Category: health medication. 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.
During an interview, it was stated that children #1, #2 and #3 were observed playing with a toy box. Child #1 climbed into the toy box and children #2 and #3 overturned the toybox injuring and frightening child #1 who was inside. While staff were in the area, they did not intervene prior to the incident.
Corrected Corrected by Oct 3, 2025
Category: supervision. 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.
Observed a pack n play in the infant area which was not labeled for the use of a specific child.
Corrected Corrected by Dec 3, 2024
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
Observed several of the pack n plays being used in the infant room did not have 2 feet of space on three sides.
Corrected Corrected by Dec 3, 2024
Category: physical safety. Marked corrected in the state record.
3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.
Observed in the infant room, a bottle for an infant which was not refrigerated and was left on a rocking chair.
Corrected Corrected by Dec 3, 2024
Category: nutrition. Marked corrected in the state record.
3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.
Staff #1 threw 3 toys at child #1 striking child #1 in the head with the hard plastic tiger, causing injury.
Corrected Corrected by Oct 3, 2024
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.
Staff #1 threw 3 toys at child #1 striking child #1 in the head with the hard plastic tiger, causing injury.
Corrected Corrected by Oct 2, 2024
Marked corrected in the state record.
3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.
Staff #1 did not complete an incident report regarding the injury to child #1 after being struck in the head with a hard plastic tiger toy.
Corrected Corrected by Oct 31, 2024
Category: health medication. 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 have documentation of providing a letter to the parent of each enrolled child that explains the emergency procedures, however, this letter failed to provide information regarding the accommodations for infants and toddlers.
Corrected Corrected by Sep 30, 2024
Category: physical safety. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The file for child #1, a preschool aged child was observed to lack a health report that was updated at least every 12 months as evidenced by a health report dated 08/25/23 present in the file.
Corrected Corrected by Sep 30, 2024
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
The facility was observed to possess Equate Acetaminophen 24 chewable tablets that failed to indicate the name of the child for whom the medication was intended
Corrected Corrected by Sep 30, 2024
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
The facility was observed to possess the prescription medication Albuterol labeled for Child #3 that was expired.
Corrected Corrected by Oct 1, 2024
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
The facility was observed to have medication (Saline nasal spray) Labeled for child #2 but failed to have a parent's written consent for administration.
Corrected Corrected by Sep 30, 2024
Category: ratio. Marked corrected in the state record.
3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.
The facility was observed to possess medication logs for children #3 (Albuterol Ipratropium Bromide) and #4 (Diphenhydramine) that lacked special notes related to problems of administration.
Corrected Corrected by Sep 30, 2024
Category: ratio. 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 was observed to have an emergency plan that provides for accommodations for children with disabilities, and children with chronic medical conditions, but failed to provide for accommodations for infants and toddlers,
Corrected Corrected by Oct 1, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
2nd citation. Previously cited on 10/3/23. The files of Children #1, #2, and #3 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.
Corrected Corrected by Nov 13, 2023
Category: recordkeeping. Marked corrected in the state record.
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. Facility Person #1 and #2 may not work in a child care position at the facility.
The record of Staff #1 did not include a DHS FBI Clearance and National Sex Offender Registry Certificate when the Certification Representative was at the facility. The record of Staff #2 did not include a valid Child Abuse Clearance when the Certification Representative was at the facility.
Corrected Corrected by Nov 13, 2023
Category: background checks. 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.
2nd citation. Previously cited on 9/28/23. The facility's current certificate of compliance was not posted in a conspicuous location used by parents.
Corrected Corrected by Nov 13, 2023
Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
Certification Representative observed Staff #1 placing garbage in the dumpster outside of the center. Upon entering the building, Certification Representative observed Staff #1 entering the Older Toddler Room. When Certification Representative asked Staff #1 and #2 to name the children in his/her assigned groups, Staff #1 named 5 older toddlers while Staff #2 named 5 older toddlers and 1 preschooler. When Certification Representative asked Staff #1 if another staff had taken his/her place in the room to maintain ratio while he/she was outside, Staff #1 indicated no because there was no extra staff.
Corrected Corrected by Dec 8, 2023
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.
On 10/16/23 observed a cot labeled #3 with frayed edges in the Young Toddler Room.
Corrected Corrected by Oct 16, 2023
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
On 10/16/23 observed children with approximately 2 to 12 inches between their cots in the Pre K Classroom.
Corrected Corrected by Oct 17, 2023
Category: physical safety. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. On 10/31/23 the facility had documentation of the most recent fire drill being conducted on 8/1/23.
Corrected Corrected by Nov 3, 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.
Emergency contact information for Children #1 and #4 did not include the telephone number of the child's physician or source of medical care.
Corrected Corrected by Sep 28, 2023
Category: health medication. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The emergency plan did not address continuity of operations.
Corrected Corrected by Oct 4, 2023
Category: ratio. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 will have until November 4, 2023, to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.
Corrected Corrected by Nov 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 #7 lacked documentation of completing mandated reporter training every 60 months. Staff #7 had documentation of completing mandated reporter training on 9/5/23 with previous training completed on 7/11/18.
Corrected Corrected by Oct 3, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2, #3, #4, and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2, #3, #4, and #5 may not work in a child care position at the facility.
Staff #2 lacked a State Police Clearance updated every 60 months. Staff #2 had a State Police Clearance dated 10/2/23 with a previous one dated 8/13/18. Staff #2 lacked a valid FBI Clearance. Staff #2 had an FBI Clearance from the Department of Education dated 8/14/23. Staff #2 also lacked a National Sex Offender Registry Certificate. Staff #3 lacked a valid FBI Clearance because it did not contain a disposition for charges. Staff #4 lacked a valid FBI Clearance. Staff #4 had an FBI Clearance from the Department of Education dated 9/16/22. Staff #5 lacked a valid Child Abuse Clearance. Staff #5 had a volunteer Child Abuse Clearance dated 4/15/22. Staff #6 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. Staff #6 had a State Police Clearance dated 8/10/23 with a previous one dated 5/6/18. Staff #6 had a Child Abuse Clearance dated 8/15/23 with a previous one dated 5/14/18. Staff #6 had a DHS FBI Clearance dated 8/15/23 with a previous one dated 5/9/18.
Corrected Corrected by Oct 31, 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 9/28/23 observed Ajax Dish Soap which indicated "keep out of the reach of children" in the cabinet under the sink in the lunchroom which was accessible to children. On 9/28/23 observed Ajax Dish Soap which indicated "keep out of the reach of children" by the sink in the lunchroom which was accessible to children.
Corrected Corrected by Oct 3, 2023
Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
On 9/28/23 the hot water temperature at the sink located by the diapering area was 116 degrees in the Young Toddler Room. On 9/28/23 the hot water temperature at the sink in the bathroom located between the Young and Older Toddler Rooms was 116 degrees. On 9/28/23 the hot water temperature at the sink located by the diapering area in the Older Toddler Room was 112 degrees.
Corrected Corrected by Oct 3, 2023
Category: health medication. Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
On 9/28/23 the first-aid kit taken outside was in the cubby by the diapering area in the Young Toddler Room which was accessible to children.
Corrected Corrected by Sep 28, 2023
Category: health medication. 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 9/28/23 the first-aid kit for the classroom in the Young Toddler Room lacked nonporous gloves. On 9/28/23 the first-aid kit taken outside in the Young Toddler Room lacked soap, sterile gauze pads, tweezers, tape, and scissors.
Corrected Corrected by Sep 28, 2023
Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
On 9/28/23 observed approximately four 1-inch pieces of plaster missing on the wall to the left of the entrance in the Older Toddler Room.
Corrected Corrected by Nov 3, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(e) · Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.
On 9/28/23 the counter height sink in the Infant Room did not have platforms or steps, and staff were holding children to wash their hands.
Corrected Corrected by Oct 31, 2023
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 9/28/23 observed a torn foam number in the Pre K Room. On 9/28/23 observed wood blocks with rough edges and splinters in the Pre K Room. On 9/28/23 observed torn foam steps/blocks with exposed foam in the Young Toddler Room. On 9/28/23 observed a torn mat with exposed foam under the climber in the Older Toddler Room. On 9/28/23 observed a missing screw on the top of the toy barn creating pinch points in the Older Toddler Room. On 9/28/23 observed wood blocks with rough edges and splinters in the School-Age Room.
Corrected Corrected by Sep 28, 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 9/28/23 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 2 to 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.
Corrected Corrected by Nov 11, 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 9/28/23 observed foam blocks with bite marks and peg boards with bite marks in the Preschool Room.
Corrected Corrected by Sep 28, 2023
Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
On 9/28/23 observed a high chair in the lunchroom which lacked a T-shaped safety strap.
Corrected Corrected by Sep 28, 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.
On 9/28/23 the thermometer in the refrigerator to the left of the sink in the lunchroom indicated the temperature was 48 degrees.
Corrected Corrected by Sep 28, 2023
Category: nutrition. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
Children #4 and #5 lacked child service reports completed at least every 6 months. Child #4 had a child service report completed on 1/12/23. Child #5 had child service reports completed on 7/25/22 and 1/16/23.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The files of Children #3, #5, and #7 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
Emergency contact information for Child #1 did not include the work telephone number of the enrolling parent.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission. Child #1 had an admission date of 7/6/22 with an emergency contact form signed on 6/16/23.
Corrected Corrected by Sep 28, 2023
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.
Emergency contact information for Child #9 was not present in the Preschool Room where Child #9 was receiving care.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. 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 #5, a 22-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #6, a 14-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #7, a 9-month-old, lacked an influenza immunization according to the recommendations of the ACIP. The file of Child #8, a 10-month-old, lacked an influenza immunization according to the recommendations of the ACIP.
Corrected Corrected by Sep 28, 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.
Staff #1 lacked a health assessment conducted every 24 months. Staff #1 has a current health assessment dated 5/23/22 with a previous one dated 5/21/20.
Corrected Corrected by Sep 28, 2023
Category: ratio. Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The emergency contact and agreement for Child #1 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 6/16/23 and agreement was reviewed on 3/1/22, 9/1/22, and 9/1/23. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed on 8/30/22, 3/14/23, and 9/28/23. The emergency contact for Child #5 was not reviewed and updated at least once in a 6-month period. Child #5's emergency contact was reviewed on 6/23/22, 1/5/23, and 6/8/23.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission. Child #1 had an admission date of 7/6/22 with an emergency contact form signed on 6/16/23.
Corrected Corrected by Sep 28, 2023
Category: ratio. Marked corrected in the state record.
3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
It was observed that an agreement was not on file at the date of enrollment. Child #7's date of admission was 8/15/23 with an agreement dated 8/29/23.
Corrected Corrected by Sep 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
Staff #3 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). Staff #3 had documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 6/24/23.
Corrected Corrected by Sep 28, 2023
Category: health medication. 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's current certificate of compliance was not posted in a conspicuous location used by parents.
Corrected Corrected by Sep 28, 2302
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 #1 and #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #1, with an admission date of 7/6/22, contained a health report dated 10/8/22. Child #2, with an admission date of 6/7/23, contained a health report dated 9/15/23.
Corrected Corrected by Sep 28, 2023
Category: health medication. Marked corrected in the state record.
3270.113(e) · *A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.
*Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.
Corrected Corrected by Oct 12, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.
Corrected Corrected by Oct 12, 2023
Marked corrected in the state record.
3270.113(e) · **The Legal entity will arrange for all staff to attend a live virtual or in person training with ELRC 6 staff regarding effective and age-appropriate handling of children with challenging behaviors.
**Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Based on interviews, Staff #2 held Child #2 under his/her arms and around his/her waist allowing the child to move but not get away from staff.
Corrected Corrected by Nov 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.
Based on interviews with staff, Staff #1 placed Child #1 between his/her legs during circle time and used his/her hands to keep the child from leaving when he/she attempted to do so. Staff #1 indicated he/she thought Child #1 needed to participate in circle time with the librarian.
Corrected Corrected by Oct 12, 2023
Category: background checks. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
At approximately 6:30 AM on 6/1/23 Staff #1 was observed caring for a group of 16 mixed-age children which included 10 preschoolers, 5 young school-age children, and 1 older school-age child in the school-age classroom.
Corrected Corrected by Jun 2, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file of Staff #1 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #1 had a Mantoux read date of 9/3/21.
Corrected Corrected by Jul 28, 2023
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #2 will have until July 25,2023, to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.
Corrected Corrected by Jun 7, 2023
Category: supervision. 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 #1 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 #1 contained a health assessment dated 9/1/21.
Corrected Corrected by Jul 28, 2023
Category: ratio. 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 provided documentation that the fire detection system was manually tested on 2/10/23, 3/10/23, and 3/21/23.
Corrected Corrected by Mar 30, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
*At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.
Corrected Corrected by May 4, 2023
Category: ratio. Marked corrected in the state record.
3270.52 · The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios. Documentation of staff:child ratios in each classroom is to be completed by the facility director at least 3 times per week during the am and pm hours of operation. Forms should be completed upon the facility director observing staff:child ratio compliance in each classroom. The legal entity will confirm continuing compliance by making copies of the documentation available to the Department Representative upon request after DHS approves the documentation format. Forms are to be completed upon approval for a period of 4 months from the date the forms are accepted by the Department.
**At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.
Corrected Corrected by Sep 12, 2023
Category: ratio. Marked corrected in the state record.
3270.52 · The legal entity must arrange with ELRC 6 for all facility staff to receive a minimum of two hours of in person training regarding supervision and ratio of children within 3 months of the approval of this plan of correction.
***At approximately 7:30 AM on 4/10/23 Staff #1 was caring for a group of 12 mixed-aged children which included 8 preschoolers, 3 young school-age children, and 1 older school-age child. At approximately 7:35 AM Staff #2 was caring for a group of 7 mixed-aged children which included 6 infants and 1 young toddler.
Corrected Corrected by Sep 12, 2023
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3- 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 #3 may not work in a child care position at the facility.
The file of Staff #3, a provisional hire, lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 did not contain documentation of applying for the NSOR, and no NSOR was on file.
Corrected Corrected by Mar 22, 2023
Category: background checks. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
At approximately 10:15 on 3/22/23 Staff #1 and Staff #2 were caring for 11 mixed-age children including 1 preschooler, 6 older toddlers, and 4 young toddlers. When asked to name the children in their assigned groups, Staff #1 identified 1 preschooler, 4 older toddlers, and 1 young toddler while Staff #2 identified 3 young toddlers and 2 older toddlers.
Corrected Corrected by Mar 23, 2023
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.
*At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.
Corrected Corrected by Mar 23, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · The operator will identify on a map of the classroom, where staff should be sitting and where children should be placed during nap time. One map will be made for each classroom and must be kept up to date.
**At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.
Corrected Corrected by May 12, 2023
Category: supervision. Marked corrected in the state record.
3270.113(a) · The legal entity will conduct mandatory staff meetings at least once per month for a period of 4 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 previous regulatory non-compliance items documented on inspection summaries issued in the last year as well as the Department of Human Services' regulations relating to supervision and ratio. 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.
***At approximately 2:50 PM Certification Staff observed 3 preschoolers lying on rest equipment behind a sofa and bookcases in the School-Age Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisees.
Corrected Corrected by Sep 12, 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 #1 lacked documentation of completing mandated reporter training every 60 months. Staff #1 had documentation of mandated reporter training completed on 1/10/20 with previous training completed on 12/22/14.
Corrected Corrected by Jan 10, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
2nd citation. Previously cited on 9/26/22. Observed a torn multi-color gym mat with exposed foam in the Infant Classroom.
Corrected Corrected by Dec 6, 2022
Category: physical safety. Marked corrected in the state record.
3270.35(e)/3270.35(f) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Each additional group supervisor shall be employed by and be present at the facility for a minimum of 30 hours per week.
2nd citation. Previously cited on 9/28/22. The facility lacked a group supervisor employed by and present at the facility for a minimum of 30 hours per week for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.
Corrected Corrected by Dec 12, 2022
Category: supervision. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
2nd citation. Previously cited on 9/26/22. Observed two Bath and Body Works' hand sanitizers which indicated "keep out of the reach of children" in the top drawer of a filing cabinet which were accessible to children in the Pre-K Classroom.
Corrected Corrected by Dec 6, 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.
2nd citation. Previously cited on 9/28/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child, but it did not address the prevention and identification of child maltreatment.
Corrected Corrected by Dec 14, 2022
Category: ratio. Marked corrected in the state record.
3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
2nd citation. Previously cited on 9/26/22. Observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 1 to 2 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.
Corrected Corrected by Dec 16, 2022
Category: physical safety. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment.
Corrected Corrected by Nov 3, 2022
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. Until such time as the required pre-service trainings are completed, staff persons #7 and #8 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 persons #7 and #8, staff persons#7 and #8 may not work in a child-care position at the facility.
2nd citation. Previously cited on 8/16/22. Staff persons #7 and #8 were observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid/CPR, and health and safety. Staff person #8 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety. On 9/26/22 and 9/28/22 Certification Staff observed Staff person #6, who was designated as an aide, Staff person #7, a provisional hire, and Staff person #8, who was designated as an assistant group supervisor, working in the Infant Classroom.
Corrected Corrected by Nov 3, 2022
Category: supervision. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
On 9/26/22 observed 2 pair of adult scissors on the teacher's desk which were accessible to children in the School-Age Classroom.
Corrected Corrected by Sep 26, 2022
Category: health medication. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 and #7 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 #5 and #7 may not work in a child care position at the facility.
The files of Staff #1, #6, and #7 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #6, and #7 was not the one updated in 2020. The file of Staff #3 lacked an FBI Clearance updated every 60 months. The file of Staff #3 contained an FBI Clearance dated 9/18/19 with a previous one dated 9/12/14. The file of Staff #5, a provisional hire, lacked documentation of application for the National Sex Offender Registry Verification Certificate and the State child abuse and neglect registry check and State sex offender registry check from the State(s) in which Staff #5 resided in the last 5 years prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #5 contained a NSOR receipt dated 9/22/22. The file of Staff #5 did not contain applications for the State child abuse and neglect registry check and State sex offender registry check from the State(s) in which Staff #5 resided in the last 5 years. The files of Staff #6 and #7, provisional hires, lacked documentation of the results for the PA Child Abuse Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #6 contained a PA Child Abuse Clearance dated 9/14/22. The file of Staff #7 did not contain a PA Child Abuse Clearance. The file of Staff #8, a provisional hire, lacked documentation of application for a PA State Police Clearance and the results of the PA Child Abuse Clearance prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #8 contained a PA State Police Clearance dated 8/17/22 and a PA Child Abuse Clearance dated 9/6/22. The file of Staff #9, a provisional hire, lacked documentation of the results of the PA State Police Clearance and PA Child Abuse Clearance and application for the FBI Clearance and National Sex Offender Registry prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #9 contained a PA State Police Clearance dated 8/2/22, a PA Child Abuse Clearance dated 9/13/22, a FBI Clearance receipt dated 9/1/22, and a NSOR receipt dated 8/2/22.
Corrected Corrected by Sep 28, 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.
Staff #4 lacked documentation of mandated reporter training completed within 90 days of hire (SEE LIS Code Sheet). Staff #4 had documentation of completing mandated reporter training on 10/6/21.
Corrected Corrected by Oct 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file of Staff #2 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #2 did not contain a written evaluation for 2021 or 2022.
Corrected Corrected by Sep 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.35(e)/3270.35(f) · In a facility in which more than 45 children are enrolled, a group supervisor is required for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children. Each additional group supervisor shall be employed by and be present at the facility for a minimum of 30 hours per week.
The facility lacked a group supervisor employed by and present at the facility for a minimum of 30 hours per week for the first group of 45 enrolled children and for each group or partial group of 45 additional enrolled children.
Corrected Corrected by Dec 5, 2022
Category: supervision. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
On 9/26/22 observed Pen Gear Dry Erase Board Cleaning Spray which indicated "keep out of the reach of children" in a plastic black crate at the changing table which were accessible to children in the Older Toddler Classroom. On 9/26/22 observed Bingo Daubers in the Art area which indicated "keep out of reach of children" which were accessible to children in the Pre K Classroom. On 9/26/22 observed a Bic Lighter and pack of cigarettes in the top drawer of a filing cabinet which were accessible to children in the Pre K Classroom. On 9/26/22 observed Antibacterial Moisturizing Hand Solution Sun-ripened Raspberry which indicated "keep out of the reach of children" on the teacher's desk which was accessible to children in the School-Age Classroom.
Corrected Corrected by Sep 26, 2022
Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The first-aid kit in the Young Toddler Classroom lacked scissors and gloves.
Corrected Corrected by Sep 29, 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 9/26/22 observed exposed bolts on the fence in the Infant/Toddler Outdoor Play Space.
Corrected Corrected by Nov 7, 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 9/26/22 the urinal in the bathroom between the Young and Older Toddler Classrooms lacked a handwashing sign. On 9/26/22 the urinal and toilet in the bathroom between the Preschool and Pre K Classrooms lacked handwashing signs.
Corrected Corrected by Sep 29, 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 9/26/22 observed a torn blue exercise mat with exposed foam in the Young Toddler Classroom. On 9/26/22 observed a torn mat with exposed foam under the slide in the Young Toddler Classroom. On 9/26/22 observed a loose back on the toy oven in the Older Toddler Classroom. On 9/26/22 observed a frayed area rug at the entrance to the Older Toddler Classroom. On 9/26/22 observed a torn multi-color gym mat with exposed foam in the Infant Classroom. On 9/26/22 observed a torn number mat with exposed foam in the Infant Classroom. On 9/28/22 observed a Blue Riding Toy with approximately a 2 inch by 2 inch hole in the right front wheel in the Infant/Toddler Outdoor Play Space. On 9/26/22 observed the 2nd level of a doll house was loose in the Pre K Classroom. On 9/26/22 observed cracked marble connectors in the School-Age Classroom. On 9/26/22 observed a cracked bin containing LEGO construction vehicles in the School-Age Classroom. On 9/26/22 observed a cracked purple bin containing games including Hangman in the School-Age Classroom. On 9/26/22 observed a cracked bin containing Mr. Potato Head pieces in the School-Age Classroom. On 9/26/22 observed a round blue table with loose legs at the entrance to the School-Age Classroom. On 9/26/22 observed 2 exposed nails on the picnic table in the Preschool/School-Age Outdoor Play Space. On 9/26/22 observed 2 chairs with approximately 1 inch cracks and rough edges under the pavilion in the Preschool/School-Age Outdoor Play Space.
Corrected Corrected by Oct 4, 2022
Category: transportation. Marked corrected in the state record.
3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.
On 9/26/22 observed embedded equipment in the Preschool/School-Age Outdoor Play Space with approximately 1 to 2 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering
Corrected Corrected by Nov 12, 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 9/26/22 observed several bags of small glass gems with a diameter of less than 1 inch in the plastic bin labeled "Wednesday" which were accessible to children by the changing table in the Older Toddler Classroom. On 9/26/22 observed foam letters with bite marks in the Preschool Classroom. On 9/26/22 observed plastic bags in the cabinet under the microwave in the cafeteria which were accessible to children in care.
Corrected Corrected by Sep 29, 2022
Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
On 9/26/22 observed t-shaped safety straps missing from 2 built-in seats at the table in the Infant Classroom.
Corrected Corrected by Sep 30, 2022
Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
On 9/26/22 observed 9 children with less than 2 feet of space on three sides of their mats in the Pre K Classroom.
Corrected Corrected by Sep 30, 2022
Category: physical safety. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
At approximately 1:55 PM on 9/28/22 Certification Staff observed 3 children lying on rest equipment behind bookcases in the Older Toddler Room 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 Sep 29, 2022
Category: supervision. 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 #5 lacked the persons designated by a parent to whom the child may be released on the agreement.
Corrected Corrected by Sep 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 file of Child #8 lacked the telephone number of the child's physician or source of medical care on the emergency contact form.
Corrected Corrected by Sep 29, 2022
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 and work telephone number of the enrolling parent on the emergency contact form. The file of Child #8 lacked the work address of the enrolling parent on the emergency contact form.
Corrected Corrected by Sep 29, 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 #1, #2, #4, and #5 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 Sep 29, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The file of Child #3 lacked the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable, on the emergency contact form.
Corrected Corrected by Sep 29, 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 file of Child #1 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files of Children #2 and #8 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.
Corrected Corrected by Sep 30, 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.
Emergency contact information for Child #9 was not present in the Older Toddler Classroom when Child #9 was receiving care in the space. Emergency contact information for Child #10 was not present in the Preschool Classroom when Child #10 was receiving care in the space. Emergency contact information for Children #11, #12, #13, #14, #15, and #16 were not present in the Pre K Classroom when Children #11, #12, #13, #14, #15, and #16 were receiving care in the space.
Corrected Corrected by Sep 30, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.
The file of Child #7 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #7 contained a health assessment dated 12/9/21.
Corrected Corrected by Oct 12, 2022
Category: health medication. Marked corrected in the state record.
3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.
The files of Children #1 and #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 10/7/19. The file of Child #2 contained a health report dated 6/5/19.
Corrected Corrected by Oct 20, 2022
Category: health medication. Marked corrected in the state record.
3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.
The file of Child #4 lacked a health report which included a review of the child's immunized status according to the recommendations of the ACIP.
Corrected Corrected by Sep 22, 2022
Category: health medication. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
Child #1, a 3 year old, lacked DTAP/DTP/TD, Pneumococcal, a current influenza, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #1 had documentation of 3 DTAP/DTP/TD, 3 Pneumococcal, and no documentation of MMR, Varicella, and Hepatitis A immunizations. Child #2, a 4 year old, lacked DTAP/DTP/TD, Pneumococcal, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 3 DTAP/DTP/TD, 3 Pneumococcal, and no documentation of MMR, Varicella, and Hepatitis A immunizations. Child #7, a 2 year old, lacked documentation of a current influenza, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #7 had documentation of no Varicella immunization and 1 Hepatitis A immunization.
Corrected Corrected by Oct 20, 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.
Written notification of safe routes was not posted by the operator at a conspicuous location in the child care facility.
Corrected Corrected by Sep 29, 2022
Marked corrected in the state record.
3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The emergency contact and agreement for Children #1 and #2 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact form was reviewed on 7/21/21, 2/1/22, and 8/1/22. Child #1's agreement was last reviewed on 7/17/19. Child #2's emergency contact form was reviewed on 2/24/20 and then again on 7/2/22. Child #2's agreement was reviewed on 1/2/20 and then again on 9/1/22. The emergency contact 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 was reviewed on 7/21/20 and then again on 6/30/22.
Corrected Corrected by Sep 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(8) · A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
It was observed that the agreement was not on file for Children #3, #5, #6, #7, and #8 at the date of enrollment. Child #3's date of admission was 9/19/22 with an agreement dated 9/22/22. Child #5's date of admission was 7/18/22 with an agreement dated 9/1/22. Child #6's date of admission was 3/7/22 with an agreement dated 5/5/22. Child #7's date of admission was 1/28/22 with an agreement dated 3/23/22. Child #8's date of admission was 6/10/22 with an agreement dated 9/20/22.
Corrected Corrected by Sep 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
An emergency drill was not conducted annually between 12/19/2020 and 12/19/2021. The facility had documentation of an emergency drill being conducted on 8/30/22.
Corrected Corrected by Sep 26, 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 file of Staff #2, #3, and #4 lacked documentation of completing an annual minimum of 12 clock hours of child care training.
Corrected Corrected by Sep 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.
The file of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #4's admission date was 7/19/22 with a health report dated 9/22/22.
Corrected Corrected by Sep 22, 2022
Category: health medication. Marked corrected in the state record.
3270.52 · **The operator will develop and implement a physical means of assigning children to staff for the purpose of maintaining compliance with the staff to child ratio and the supervision of children. OCDEL will approve the plan before its implementation. (Example: Photo name tags with the child's ratio category that a staff person can keep while the child is assigned to them.)
**At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.
Corrected Corrected by Dec 9, 2022
Category: supervision. Marked corrected in the state record.
3270.52 · *When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
*At approximately 11:30 AM on 8/23/22 when Staff #1 was asked to name the children in her assigned group, Staff #1 named 13 children which included 1 older school-age child and 12 young school-age children.
Corrected Corrected by Aug 17, 2022
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. Until such time as the required pre-service trainings are completed, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14 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 persons #1, #2, #3, #4, #5, #6, #7. #8, #9, #10, #11, #12, #13, and #14, staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14 may not work in a child-care position at the facility.
Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14 were observed to be caring for children unsupervised. Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14 have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first-aid and CPR. Staff persons #5, #13, and #14 were observed to be caring for children unsupervised. Staff persons #5, #13, and #14 have not completed the following pre-service training required prior to caring for children unsupervised: mandated reporter training and health and safety training. Staff person #10 was observed to be caring for children unsupervised. Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.
Corrected Corrected by Aug 24, 2022
Category: supervision. 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 #1, #2, #3, #4, #6, #7, #8, #9, #10, and #12 will have until August 27, 2022 to complete the required training. Until such time as the required training has been completed, staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10, and #12 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10, and #12 , staff persons #1, #2, #3, #4, #6, #7, #8, #9, #10, and #12 may not work in a child-care position at the facility.
Staff person #1, #2, #3, #,4, #6, #7, #8, #9, #10, and #12 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.
Corrected Corrected by Aug 24, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #10 will have until August 27, 2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #10 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 #10, staff person #10 may not work in a child-care position at the facility.
Staff person #10 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/20/16.
Corrected Corrected by Aug 17, 2022
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 #12 lacked documentation of completing Mandated Reporter Training within 90 days of hire (See LIS CODE SHEET). Staff #12 had documentation of completing Mandated Reporter Training on 5/12/22.
Corrected Corrected by Aug 18, 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 Director provided documentation of fire drills being conducted on 1/21/22, 2/3/22, 3/1/22, 4/1/22, 6/1/22, and 8/1/22.
Corrected Corrected by Aug 18, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 11/1/21, 12/1/21, 1/3/22, 1/22/22, 2/3/22, 3/1/22, 4/1/22, 5/1/22, 6/1/22, 7/1/22, and 8/1/22.
Corrected Corrected by Aug 18, 2022
Category: recordkeeping. 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 11/23/21 facility staff verbally confirmed using a highchair to confine child #1 as a means of behavioral management when child #1 had become a danger to self and others by exhibiting assaultive behaviors in the classroom.
Corrected Corrected by Nov 24, 2020
Category: recordkeeping. 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 11/23/21 facility staff verbally conformed that a highchair, which was labeled by the manufacturer to be used for children ages 2 to 2 1/2 years old, was used for a 3 year old child.
Corrected Corrected by Nov 24, 2021
Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The files for staff #1, #2, #3, #5, #6 and #7 lacked fire safety trainings completed annually between 2020 and 2021.
Corrected Corrected by Oct 18, 2021
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 #2, #3, and #4 may not be in the facility until all current clearances are obtained.
The file for staff #2 was observed having Pennsylvania State Police (PSP) clearances dated 5/29/15 and 6/4/20, Pennsylvania Child Abuse clearances dated 6/3/15 and 6/4/20, exceeding 60 months between clearances. The most current FBI clearance for staff #2 was dated 4/7/16, exceeding 60 months. The file for staff #3 was observed having a PSP clearances dated 5/29/15 and 6/4/20, Pennsylvania Child Abuse clearances dated 6/3/15 and 9/14/20, and FBI clearance 4/7/16, exceeding 60 months between clearances. Staff #4 was observed having a hire date and disclosure statement signed 8/16/21 and National Sex Offender Registry certificate order 9/20/21.
Corrected Corrected by Jun 4, 2020
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 #1 was observed having Mandated Reporter training completed 12/24/14 and 4/15/20, exceeding 60 months between trainings.
Corrected Corrected by Apr 15, 2020
Category: recordkeeping. Marked corrected in the state record.
3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.
The infant room lacked the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center posted by the phone.
Corrected Corrected by Sep 20, 2020
Category: physical safety. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The emergency contact information for child #1 lacked the home and work addresses and telephone numbers of the enrolling parent.
Corrected Corrected by Sep 20, 2020
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.
The file for staff #5 lacked a current health assessment. The most current health assessment observed on file was dated 6/18/19, exceeding 24 months.
Corrected Corrected by Oct 9, 2020
Category: ratio. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
The operator lacked updates to the emergency plan sent to the local municipality and the county emergency management agency.
Corrected Corrected by Sep 24, 2020
Category: physical safety. Marked corrected in the state record.