Walnut Grove Christian Day Care

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).

According to staff statements the facility is sometimes out of ratio, especially when someone calls off at the last minute and they are waiting for someone to come in to cover. Specifically on March 3, 2026, in the infant room there was one staff with 1 Infant, 4 young toddler, and 2 older toddlers for about 10 minutes.

Corrected by May 11, 2026

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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.

According to staff statement, an older toddler age child was left out on the playground by himself for 10-15 seconds, in the middle of October, 2025. A new staff was bringing the children in and did not do the count outside before they came in. Once inside the count was done and it was realized at that point that the child was not with the group, and another staff ran out to get the child outside on the playground.

Corrected by May 11, 2026

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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.

According to staff statement, an older toddler age child was left out on the playground by himself for 10-15 seconds in the middle of October 2025. A new staff was bringing the children in and did not do the count outside before they came in. Once inside the count was done and it was realized at that point that the child was not with the group, and another staff ran out to get the child outside on the playground.

Corrected by May 11, 2026

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3270.70(a) · The indoor temperature shall be at least 65° F.

The room temperature, in the Toddler Room/Ocean Room, during naptime the week of 12.1.25, was 64 degrees.

Corrected by Dec 6, 2025

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

The file for Staff #2 contained NSOR Certificates dated 6.12.20 and 8.1.25, which exceeded 60 months. The file for Staff #4 contained NSOR Certificates dated 12.17.19 and 12.20.24, which exceeded 60 months. The file for Staff #6 contained FBI Clearances dated 10.29.19 and 8.14.25, and NSOR Certificates dated 11.7.19 and 2.11.25, which exceeded 60 months.

Corrected by Aug 20, 2025

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

In Room 103, one (1) protective receptacle cover was missing from the outlet on the back wall, to the left of the air conditioner, which was accessible to children 5 years of age or younger. In Room 114, three (3) protective receptacle covers were missing from: top outlet on right wall by the second window, wall outlet on left wall behind the television, and from a surge protector on left wall near the television, which were accessible to children 5 years of age or younger.

Corrected by Aug 20, 2025

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3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The Agreement, in the file for Child #3, did not specify the amount of the fee to be charged.

Corrected by Aug 20, 2025

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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 Agreement in the files for Child #1, Child #2, Child #4, Child #5, Child #6, and Child #7, did not specify the date of the child's admission.

Corrected by Aug 20, 2025

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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 Emergency Contact form, in the file for Child #4, did not include the address or telephone number of the child's physician or source of medical care. The Emergency Contact form, in the file for Child #6, did not include the name, address, or telephone number of the child's physician or source of medical care.

Corrected by Sep 5, 2025

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #4, did not include the work address or work phone number of the enrolling parent. The Emergency Contact form, in the file for Child #6, did not include the home address, work address, or work phone number of the enrolling parent.

Corrected by Sep 5, 2025

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

The Emergency Contact form, in the file for Child #7, did not include written consent, signed by a parent, for emergency medical care.

Corrected by Sep 5, 2025

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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 Emergency Contact form, in the files for Child #3 and Child #7, did not include information on the child's special needs.

Corrected by Sep 5, 2025

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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 Emergency Contact form, in the file for Child #3, did not include the health insurance coverage or policy number.

Corrected by Sep 5, 2025

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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 Emergency Contact form, in the file for Child #1, did not include the release person's address. The Emergency Contact form, in the file for Child #6, did not include the release person's address or phone number.

Corrected by Sep 5, 2025

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3270.131(b)(2)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The Health Assessments in the files for Child #1 and Child #4, preschool children, were dated beyond 12 months.

Corrected by Sep 5, 2025

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3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #1 contained a Health Assessment dated 3.30.23, and none thereafter, which exceeded 24 months. The file for Staff #2 contained Health Assessments dated 4.12.23 and 7.16.25, which exceeded 24 months. The file for Staff #3 contained Health Assessments dated 1.24.23 and 7.9.25, which exceeded 24 months. The file for Staff #4 contained Health Assessments dated 7.31.23 and 8.6.25, which exceeded 24 months. The file for Staff #5 contained a Health Assessment dated 3.6.23, and none thereafter, which exceeded 24 months.

Corrected by Sep 5, 2025

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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 Emergency Contact form, in the file for Child #7, did not contain signed parental consent for administration of minor first-aid procedures.

Corrected by Sep 5, 2025

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

The file for Staff #1 did not contain 12 hours of child care training during 12 months, as only three (3) hours were documented from 12.19.23 to 12.18.24. The file for Staff #8 did not contain 12 hours of child care training during 12 months, as zero (0) hours were documented from 8.2.24 to 8.1.25.

Corrected by Sep 5, 2025

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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 trainings are completed, staff person #1 must be supervised, when interacting with children, by a 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 #-1has not completed the following pre- service training required prior to caring for children unsupervised: Mandated Reporter Training and The Health and Safety Training.

Corrected by May 8, 2025

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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 # 2 contained a current mandated reporter training certificate dated 2/2/25 that was not obtained within 60 months of the previous certificate dated 1/13/25.

Corrected by May 8, 2025

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3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity shall require all staff persons at the facility to attend, a 2 hour in person training regarding managing challenging behaviors in children presented by ELRC 5 within 3 months of the approval of this plan of correction. The training must be approved by the Department prior to implementation. Documentation of the completed training will be provided to the OCDEL-DHS representative by email upon completion. The training may count towards the mandatory 12 training hours required by the Department. The operator shall provide a date for when the training will be completed.

Per staff statements and observation of video recordings, Staff #3 has grabbed and pulled children by their arm or hand when the child was not following Staff #3's directions. On 4/29/25, after Child #1 hid from Staff #3 on the playground, Staff #3 grabbed and pulled child #1 by the arm and by the hand during the transition from the outdoor playground to the child care room.

Corrected by Oct 31, 2025

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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.

Per staff statements, Staff #3 has yelled at children in a degrading manner and singled children out by yelling directly into the child's face.

Corrected by Oct 31, 2025

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3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

Per staff statements, Staff #3 often yells at the children when they are not following Staff #3's directions. Staff #3 has been heard yelling at children from the opposite end of the hallway and in other classrooms.

Corrected by Oct 31, 2025

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

After being diapered in Room 103 and Room 111, children's hands were not washed.

Corrected by Aug 29, 2024

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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 Fire Safety trainings, in the file for Staff #1, were dated 5.23.23 and 7.10.24, which exceeded the annual requirement. The Fire Safety Trainings, in the file for Staff #2, were dated 11.14.22 and 7.10.24, which exceeded the annual requirement.

Corrected by Sep 4, 2024

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

The file for Staff #2 (see IS Code Sheet) contained an NSOR Certificate dated 5.20.21, with no application available, which exceeded the start date with children. The file for Staff #3 contained State Police Clearances dated 6.4.19 and 7.25.24, which exceeded the 60-month renewal requirement. The file for Staff #3 contained Child Abuse Clearances dated 6.12.19 and 8.2.24, which exceeded the 60-month renewal requirement. The file for Staff #6 (see IS Code Sheet), contained documentation of an FBI Clearance on 11.11.22, with no application available, which exceeded the start date with chidlren.

Corrected by Aug 29, 2024

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

In the Sanctuary, one (1) top outlet cover was missing on the left wall, and three (3) top outlet covers were missing on the right wall, which were accessible to children 5 years of age or younger.

Corrected by Aug 29, 2024

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

In the Girls' Restroom with five (5) toilets and two (2) sinks, the ceiling plaster was peeling in an area approximately 2' x 2 1/2', which is not permitted in a child care facility.

Corrected by Sep 11, 2024

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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 Agreement, in the file for Child #3, did not include the date of admission.

Corrected by Aug 29, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's work address or work phone number.

Corrected by Aug 29, 2024

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3270.131(b)(2)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The Health Assessment, in the file for Child #2, was dated 10.31.22, and none thereafter, which is required at least every 12 months for an older toddler.

Corrected by Sep 11, 2024

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

The medication for Child #4 had expired: Two (2) Albuterol on 10-2022 and 4-2023. The medication for Child #5 had expired: Tylenol on 2-2024, and 2 bottles of Little Remedies Gas Drops on 6-2024 & 7-2024. The medication for Child #6 had expired: Tylenol on 4-2024 and Gripe Water on 3-2024 The medication for Child #7 had expired: Epi-pen on 6-2024 and Acetaminophen on 2-2024.

Corrected by Aug 29, 2024

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

The Albuterol, labeled for Child #4, did not contain a written consent from the parent for administration, in Room 114.

Corrected by Aug 29, 2024

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3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The Health Assessments, in the file for Staff #4, were dated 6.13.22 and 7.10.24, which exceeded the 24-month renewal requirement.

Corrected by Sep 11, 2024

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

The file for Staff #5 (see IS Code Sheet) contained documentation of Pediatric First-Aid/CPR on 7.17.24, which exceeded the 90-day requirement.

Corrected by Sep 11, 2024

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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 #1 must be dismissed from care by close of business on 11.6.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The Immunization Record, in the file for Child #1, did not contain documentation of the Rotavirus or Influenza vaccinations.

Corrected by Aug 30, 2023

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

Staff person #1 spat in the face of Child #1 as punishment for spitting on another child.

Corrected by Sep 14, 2023

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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 Health & Safety, 1-Hour Update, dated 1.6.23, in the file for Staff #2, was due to be completed by 12.30.22.

Corrected by Aug 30, 2023

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3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The Emergency Plan trainings, in the file for Staff #3, were dated 3.15.22 and 3.28.23, which exceeded the annual requirement. The Emergency Plan trainings, in the file for Staff #6, were dated 2.21.22 and 2.24.23, which exceeded the annual requirement. The Emergency Plan trainings, in the file for Staff #9, were dated 10.7.21 and 10.15.22, which exceeded the annual requirement.

Corrected by Aug 30, 2023

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

The FBI Clearance and the application, in the file for Staff #1, were dated 8.12.21, which was after the first day working with children. The NSOR Certificate, dated 8.11.21, and the application dated 8.9.23, in the file for Staff #1, were dated after the first day working with children. The two most recent Mandated Reporter trainings, in the file for Staff #4, were dated 3.4.15 and 3.11.20, which exceeded the 60-month renewal requirement. The Child Abuse Clearances, in the file for Staff #5, were dated 5.15.18 and 7.22.23, which exceeded the 60-month renewal requirement.

Corrected by Aug 30, 2023

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

A protective outlet cover was missing from the bottom outlet by the windowsill, in the cafeteria, child care space, and was accessible to children 5 years of age or younger.

Corrected by Aug 30, 2023

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

A first-aid kit was not located in the library, child care space.

Corrected by Aug 29, 2023

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact form, in the file for Child #3, did not contain the enrolling parent's work address or work phone number.

Corrected by Aug 30, 2023

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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 Emergency Contact form, in the file for Child #5, did not contain the health insurance policy number.

Corrected by Aug 30, 2023

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Infant Advil, with an expiration date of March 2023, and Children's Acetaminophen, with an expiration date of August 2022, was located in the medicine container, for Child #1, in the Butterfly Room/114. Children's Motrin, with an expiration date of September 2022, was located in the medicine container, for Child #2, in the Butterfly Room/114.

Corrected by Aug 30, 2023

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

A written, parental consent, for the administration of Children's Motrin, for Child #2, was not available in the Butterfly Room/114.

Corrected by Aug 30, 2023

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3270.151(a)/3270.192(3) · 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The two most recent Health Assessments, in the files for Staff #6, Staff #7, and Staff #8 exceeded the 24-month renewal requirement. The only Health Assessment, in the file for Staff #9, was dated 9.30.20, which has exceeded the 24-month renewal requirement.

Corrected by Aug 30, 2023

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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 Emergency Contact form, in the file for Child #3, did not contain signed parental consent for administration of minor first-aid.

Corrected by Aug 30, 2023

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3270.166(2) · New foods shall be introduced to an infant only after consultation with the child's parent.

Based on conversations with facility staff, the parent of an infant was not consulted prior to giving them a new food (applesauce).

Corrected by Jan 19, 2023

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

An infant was observed to be asleep in a swing in an infant classroom. When asked, facility person #1 confirmed the infant was asleep and stated the child had been sleeping for 15 minutes.

Corrected by Feb 23, 2023

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

Loose crib sheets were observed on sleep equipment used for infants in the Infant/Toddler and the Green Rooms. Adult scissors were observed to be accessible to children on the desk in the Butterfly Room.

Corrected by Aug 30, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #3 will have until 11/22/22 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #2 had 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 training. Staff person #3, #6, #7, #8, #9, #10, #11 and #12 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first aid and CPR training.

Corrected by Nov 14, 2022

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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. Facility Person #--- may not work in a child care position at the facility.

The file for Staff #3 contained consecutive state police clearances dated more than 60 months apart. The file for Staff #5, see LIS code sheet, contained receipt for state police clearance yet lacked complete clearance after the provisional hire period had ended.

Corrected by Nov 1, 2022

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

Staff person #1 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #11 had not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/5/16 and 6/26/22.

Corrected by Nov 1, 2022

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff #4, designated as a GS, contained documentation of previous experience yet lacked documentation of education.

Corrected by Nov 11, 2022

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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 for Staff #2 contained an initial staff evaluation dated more than 12 months after the date of hire.

Corrected by Nov 1, 2022

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

Uncovered electrical outlets were observed in the sanctuary on the left and right walls.

Corrected by Aug 30, 2022

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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.

Toxic paint was observed accessible to children in an unlocked closet in the library. Toxic hand sanitizer was observed to be accessible to children on a shelf in the library.

Corrected by Aug 30, 2022

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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 Blue YT Room was observed to lack tweezers and tape. The first-aid kit in the cafeteria was observed to lack tape.

Corrected by Nov 11, 2022

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

The 3rd sink and the four urinals in the boys' bathroom were observed to lack handwashing signs. The sink in the bathroom of the Blue YT Room was observed to lack a handwashing sign.

Corrected by Nov 4, 2022

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The girls' bathroom was observed to lack a lidded waste receptacle.

Corrected by Nov 4, 2022

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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 in the cafeteria was observed to lack a thermometer.

Corrected by Nov 4, 2022

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

The files for Child #1, #2 and #5 contained agreements which lacked enrollment dates for the children.

Corrected by Nov 4, 2022

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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 #1 contained an emergency contact form which lacked the work telephone number of the enrolling parent. The file for Child #2 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.

Corrected by Nov 4, 2022

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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 Child #2 and #4 contained emergency contact forms which lacked the full addresses for release persons.

Corrected by Nov 4, 2022

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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 posted in the Infant/Toddler Room or the Gym.

Corrected by Nov 4, 2022

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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 #4 contained consecutive health reports dated more than 12 months apart.

Corrected by Nov 2, 2022

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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.

Unlabeled probiotics were observed in the Infant/Toddler Room. Unlabeled bee sting medication and Motrin were observed in the Blue YT Room.

Corrected by Aug 30, 2022

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

A Nasal spray labeled for Child #6 in the Blue YT Room was observed to lack written parental consent for administration. Acetaminophen labeled for Child #7, in the Butterfly Room, was observed to lack written parental consent for administration.

Corrected by Nov 2, 2022

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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.

A hands-free covered can was not available at the changer in the Butterfly Room.

Corrected by Aug 30, 2022

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

The file for Staff #4 contained a health assessment which lacked documentation of the medical provider's examination for communicable diseases.

Corrected by Nov 4, 2022

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3270.95(a) · 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 observed log of 30-day tests of the interconnected fire detection system contained consecutive tests more than 30 days apart.

Corrected by Sep 6, 2022

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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.

Observed exposed bolts on the gate at the rear entrance of the facility.

Corrected by Aug 30, 2021

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3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

One fire drill exceeded 60 days over the past year ( 2/12/21 - 4/23/21).

Corrected by Aug 30, 2021

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3270.27(c)/3270.192(2)(iii) · 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. 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 lacks verification of initial emergency plan training. The operator indicates that the training did actually occur at hire though.

Corrected by Aug 30, 2021

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: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 #2 lacks health and safety training.

Corrected by Aug 31, 2021

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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 files for staff #1 and #2 contain mandated reporter training that was obtained late and/or renewed late.

Corrected by Aug 30, 2021

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

The files for staff #7 and #8 lack verification of a high school diploma to qualify them as an AGS.

Corrected by Sep 11, 2021

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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 butterfly/ps room lacked tweezers.

Corrected by Aug 30, 2021

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

Observed a crack at the top of the slide on a climber on the toddler playground.

Corrected by Aug 31, 2021

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

The teeter totter on the PS/SA playground that is embedded lacked an appropriate amount of loose-fill under it. There was less that one inch of fill.

Corrected by Aug 31, 2021

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3270.131(d)(7)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The health assessment on file for child #1 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Aug 31, 2021

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3270.151(a)/3270.192(3) · 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The files for staff #4 and #6 lack current health assessments.

Corrected by Aug 31, 2021

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3270.151(a)/3270.192(3) · 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The health assessment on file for staff #5 was updated late.

Corrected by Aug 30, 2021

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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 operator did not provide the parent of each child enrolled with information on how to access the most current regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. The older regulations were posted at the facility.

Corrected by Aug 30, 2021

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