3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, Staff #1 must be supervised, when interacting with children at a minimum by an Assistant Group Supervisor 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 #1, Staff #1 may not work in a child-care position at the facility.

The file for Staff #1 contained the Health and Safety Basics: Building Blocks for Quality 6-hour training dated 1/14/19, and the training is only accepted if completed within the timeframe of 9/30/16-6/30/18.

Corrected Corrected by Mar 14, 2025

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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The two most recent NSOR certificates on file for Staff #1 are dated 1/10/20 and 1/14/25, more than 60 months apart. The two most recent State Police clearance (1/21/20 & 2/11/25), FBI clearance (1/15/20 & 2/13/25), and NSOR certificate (2/12/20 & 2/19/25) on file for Staff #2 are dated more than 60 months apart.

Corrected Corrected by Mar 1, 2025

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

3270.102(a)/3270.103 · 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. 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.

In the Main Room (R), a paper book was observed with torn edges less than one inch in diameter and was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 13, 2025

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

3270.114 · Weather permitting, children shall be taken out doors daily.

After a conversation with the operator, the children are not taken outdoors daily if the weather permits.

Corrected Corrected by Mar 14, 2025

Category: physical safety. 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 Emergency Contact forms for Child #1 and Child #3 not include the parent's signature giving written consent for the facility to obtain emergency medical care.

Corrected Corrected by Mar 21, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The Emergency Contact forms on file for Child #2 and Child #4 lacked complete addresses for all listed release persons.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

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 on file for Staff #1 are dated 12/30/22 and 1/3/25, more than 24 months apart. The two most recent health assessments on file for Staff #3 are dated 11/14/22 and 1/7/25, more than 24 months apart.

Corrected Corrected by Mar 13, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 #3 dated 1/7/25 indicated that the physician or health care professional did not conduct a physical examination, making the health assessment invalid.

Corrected Corrected by Mar 21, 2025

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

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 current health assessment on file for Staff #4 dated 1/15/25 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Corrected Corrected by Mar 21, 2025

Category: health medication. 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 Emergency Contact forms on file for Child #1 and Child #3 does not include the parent's signature giving written consent for the facility to administer minor first aid procedures.

Corrected Corrected by Mar 21, 2025

Category: ratio. Marked corrected in the state record.

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

In the Toddler Room, three bottles used by an infant in care were observed to lack the child's name.

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

3270.35(b)(3)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of 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 staff file for Staff person #1, who is functioning as a Group Supervisor, lacked documentation of 2 years of work experience with children.

Corrected Corrected by Mar 28, 2023

Category: supervision. Marked corrected in the state record.

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

The Infant/Toddler Room was observed to lack a daily activity schedule.

Corrected Corrected by Mar 14, 2023

Category: physical safety. 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 child file for Child #1 lacked a flu shot for 2022.

Corrected Corrected by Mar 14, 2023

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