A & N Little Bugs Daycare & Preschool Llc

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #4 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 #4 staff person #4 may not work in a child-care position at the facility.

There was no documentation of completion of any required pre-service trainings (mandated reporter training, approved pediatric first aid & CPR training, health & safety training) on file for Facility Person #4. Facility Person #4 was observed caring for children unsupervised..

Corrected by Apr 16, 2026

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The health & safety training documented and on file for Facility Person #3 indicates the training was completed more than 90 days after their start date.

Corrected by Apr 15, 2026

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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 current completed mandated reporter training documented and on file for Facility Persons #1 and #5 were each completed more than 60 months after the previous mandated reporter training on file for the facility person..

Corrected by Apr 15, 2026

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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.

The current child abuse, criminal history, FBI and NSOR clearances on file for Facility Person #1 were completed more than 60 months after the previous respective clearances on file. The NSOR clearance on file for Facility Persons #3 was completed after their start date.

Corrected by Apr 15, 2026

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3270.35(b)/3270.192(2)(iii) · A group supervisor shall have attained one of the qualification levels specified at §3270.35(b)(1)-(4). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Facility Person #2 was classified as a group supervisor. There was no documentation of the education required for the classification on file for Facility Person #2.

Corrected by Apr 15, 2026

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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.

There were exposed bolts at the gate and the corner of the fence between the front and back outdoor playspaces (bolts in the front playspace).

Corrected by May 15, 2026

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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 both outdoor playspaces, there was peeling paint along the length of the bottom of the wall.

Corrected by May 15, 2026

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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.

There was a crack in a plastic riding toy in the front outdoor playspace.

Corrected by Apr 15, 2026

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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).

There was no child service report completed in the last 6 months on file for child #3.

Corrected by May 15, 2026

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The current agreement and emergency contact forms on file for child #2 were reviewed and updated by a parent in writing more than 6 months after the previous parent review.

Corrected by Apr 15, 2026

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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 current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment on file for child #1.

Corrected by Apr 15, 2026

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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 current health assessments on file for Facility Person #1 and #2 were each completed more than 24 months after the previous respective health assessment on file.

Corrected by Apr 15, 2026

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

There was documentation of 5.5 hours of child care training completed in the most recent review year (12/2024-12/2025) on file for Facility Person # 1.

Corrected by May 12, 2026

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There was no documentation that the operator has reviewed the emergency plan in the previous 12 months.

Corrected by Apr 3, 2025

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The documentation of emergency plan training on file for Facility Person #4, employed that the facility for more than 90 days, was noted as completed on a date that had not yet occurred.

Corrected by Apr 2, 2025

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The current first aid training completed and documented on file for Facility Person #1 was completed after the expiration of the previous first aid training on file.

Corrected by Apr 2, 2025

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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.

The current criminal history, child abuse and FBI clearances on file for Facility Person #2 were completed more than 60 months after each previous respective clearance on file.The disclosure statement on file for Facility Person #3 was signed and dated after their start date.

Corrected by Apr 3, 2025

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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.

Facility Person #4 was classified as an assistant group supervisor with fewer than the required years of child care experience documented and on file.

Corrected by May 12, 2025

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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.

In the back preschool room, there was a container of disinfectant wipes on the desk, in reach of children.

Corrected by Apr 2, 2025

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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).

There were no child service reports completed, a copy given to parents, and a copy on file for children #1-#5.

Corrected by May 12, 2025

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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 most recent health assessment on file for child #3 was completed more than 12 months prior.

Corrected by Apr 3, 2025

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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 most recent health assessments on file for children #4 and #5, young toddlers, were each completed more than 6 months prior.

Corrected by Apr 22, 2025

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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 #2 must be dismissed from care by close of business 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 on file for child #2 indicated the child did not have sufficient doses of the MMR, varicella and Hepatitis A vaccines according to the ACIP recommendations based on the age of the child.

Corrected by Apr 9, 2025

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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.

In the (hands-free) trash can used for diaper disposal in the middle infant space there were diapers in bags. Operator states soiled diapers are placed in bags prior to disposal.

Corrected by Apr 10, 2025

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

There was one bottle in the middle infant room not labeled with the child's name.

Corrected by Apr 2, 2025

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3270.94(a)(1)/3270.94(a)(9) · 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 shall conduct fire drills and ensure that 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.

Fire drills were recorded as occurring on 8/2/24 and 10/18/24, more than 60 days apart.

Corrected by Apr 2, 2025

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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.

Smoke detector testing was documented as occurring on 8/30/24, then again on 10/18/24, more than 30 days apart.

Corrected by Apr 2, 2025

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

There was no documentation on file of child care training hours for Facility Persons #1 and #2 completed in the most recent 12 month review period (12/2023-12/2024 for both staff).

Corrected by May 26, 2025

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The most recent letter on file at the facility, sent to the local traffic safety authority to notify them of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was dated 5/9/2023.

Corrected by Apr 3, 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 pre-service trainings are completed, staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Facility Person #6 was observed caring for children unsupervised. There was no documentation of completion of the required preservice health & safety training or pediatric first aid & CPR training on file for Facility Person #6.

Corrected by Apr 22, 2024

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of emergency plan training on file for Facility Person #6, employed at the facility for more than 90 days.

Corrected by Apr 22, 2024

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The documentation of current pediatric first aid & CPR training documented and on file for Facility Person # 5 was completed more than 24 months after the previous pediatric first aid & CPR training on file.

Corrected by Apr 11, 2024

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The health & safety training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date. There was no documentation of the required preservice health & safety training completed and on file for Facility Person #6, employed at the facility more than 90 days.

Corrected by Apr 11, 2024

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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). Facility Person #4 may not work in a child care position at the facility without a completed FBI clearance. 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 criminal history clearance on file for Facility Person #4 was incomplete. Mandated reporter training completed and documented on file for Facility Person #1 was completed more than 90 days after their start date.

Corrected by Apr 11, 2024

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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.

Facility Person #1 was classified as an assistant group supervisor. Based on the education documented and file for Facility Person #1, there was insufficient child care experience documented for Facility Person #1 to be classified as an AGS.

Corrected by Apr 12, 2024

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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 were no staff evaluations on file for Facility Persons#2, #3, and #5 completed in the 12 months prior.

Corrected by Apr 17, 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.

There were uncovered outlets on a power strip by the desk in the front room, accessible to children

Corrected by Apr 11, 2024

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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.

There was White Out labeled "keep out of reach of children" in an unlocked desk drawer in the front room, accessible to children in care.

Corrected by Apr 11, 2024

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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 front room did not inlcude tweezers

Corrected by Apr 11, 2024

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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.

In the back room, there was a door missing from a plastic play kitchen unit, exposing rough/sharp surfaces where it would have attached.

Corrected by Apr 11, 2024

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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.

There were paper clips with a diameter of less than 1 inch in an unlocked desk drawer, accessible to toddlers in care, in the front room.

Corrected by Apr 11, 2024

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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.

There were two health assessments on file for child #1. One was dated 4/4/22. The other was undated, so it was unable to be determined if the health assessment was completed in the previous 12 months or in the 12 months following the other assessment.

Corrected by Apr 17, 2024

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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.

There was a sample packet of Neosporin cream in the first aid kit in the front room, not labeled with a child's name to be used for that child.

Corrected by Apr 11, 2024

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

There was no written parental consent for a Tylenol at the facility - labeled for an enrolled child.

Corrected by Apr 12, 2024

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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 current health assessment on file for Facility Person #2 was completed more than 24 months after the prior health assessment on file.

Corrected by Apr 11, 2024

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

There were four infants' bottles in the middle room, not labeled with the child's name.

Corrected by Apr 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.

There was no documentation of pediatric first aid & CPR training completed and on file for Facility Person #6, employed at the facility more than 90 days.

Corrected by Apr 22, 2024

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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 time of day fire drills were conducted was not documented on the four most recent fire drills on the facility's fire drill log.

Corrected by Apr 11, 2024

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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.

There was no documentation a copy of the facility's emergency plan was sent to the local municipality.

Corrected by Apr 17, 2024

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

There was documentation on file of a total of 9.5 hours of training completed during the most recent review year on file for Facility Person #3.

Corrected by Apr 30, 2024

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3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The facility's emergency plan was not posted in a conspicuous location.

Corrected by Jun 13, 2023

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

There was no first aid kit present in the outdoor play space while children were receiving care in that space.

Corrected by Jun 21, 2023

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

There was a child's Tylenol, and another child's ofloxacin, at the facility without written parental consent for administration of these medications.

Corrected by Jun 19, 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.

There was no documentation on file of completion of the one hour updated health and safety training for facility person #2, employed at the facility more than 90 days.

Corrected by Jun 13, 2023

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There was no documentation of dates the emergency plan was reviewed and updated.

Corrected by Jun 27, 2023

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

The letter to the parents explaining the emergency plan did not information regarding the plan for lockdown, information on contacting the parents, or a plan for accommodations.

Corrected by Jun 13, 2023

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3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

There was no documentation of completion of first aid training on file for Facility Person #1.

Corrected by Jun 13, 2023

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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.

There was no documentation of any fire safety training completed by any staff employed at the facility more than 12 months: facility persons #1, #4, #5,#6 and number #7.

Corrected by Jun 27, 2023

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3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education 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.

Facility person #4 was classified as an aide based on completion of 8th grade and at least 2 years of childcare experience. There was no documentation of the required education and/or childcare experience on file for facility person #4.

Corrected by Jun 19, 2023

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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.

There were Clorox wipes on a shelf near the entry to the facility in the young toddler room, in reach of children.

Corrected by Jun 13, 2023

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

There was a container of Clorox wipes stored in a bin with sippy cups and a box of snack food items in the infant room.

Corrected by Jun 13, 2023

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

There was a first aid kit in the older toddler room in an unlocked drawer in reach of children. There was a first aid kit on a shelf near the entry to the facility in the young toddler room, in reach of children.

Corrected by Jun 13, 2023

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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.

In the infant room, there were 2 small batteries, and 2 small screws, all of the diameter of less than one inch, in a drawer in a drawer accessible to toddlers who sometimes receive care in that room.

Corrected by Jun 13, 2023

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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).

There were no assessments on file and copies given to parents of children #1, #2, and #3, all enrolled for more than 6 months.

Corrected by Jun 28, 2023

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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.

There were no emergency contact forms in the outdoor play space for the children receiving care in that space.

Corrected by Jun 19, 2023

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3270.131(b)(1)/3270.131(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 health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The current health assessment on file for child #1, a young toddler, was completed more than 6 months after the previous health assessment on file. There was a health assessment on file for child #2 that was more than 6 months old, and another health assessment that did not include a dated signature from the physician.

Corrected by Jun 13, 2023

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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).Children #1 and #2 must be dismissed from care by close of business 6/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of current flu vaccines, recommended annually by the ACIP on file for children #1 and# 2.

Corrected by Jun 13, 2023

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3270.151(a)/3270.151(c)(2) · 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. 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 current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment on file. The two most recent health assessments/TB tests on file for Facility Person #2 were completed more than 12 months prior to their start date and then after their start date.

Corrected by Jun 13, 2023

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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 emergency plan did not specify accommodations for children with disabilities and children with chronic medical conditions. in the event of an emergency.

Corrected by Jun 19, 2023

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

Documentation of the annual emergency drill did not include all required information.

Corrected by Jun 27, 2023

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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 link to the regulations that was posted for the parents was the link to a different chapter of childcare regulations, chapter 3280.

Corrected by Jun 14, 2023

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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.

There was no documentation on file to show that the emergency plan had been sent to the county Emergency Management Agency.

Corrected by Jun 26, 2023

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

There was documentation of one training hour completed in the most recent annual review period for Facility Person #1. There was documentation of 8 training hours completed in the most recent annual review period for Facility Person #4.

Corrected by Jun 13, 2023

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3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Letters on files that were sent to traffic safety authorities regarding routes used were dated 1/22/21 and 5/9/23.

Corrected by Jun 13, 2023

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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 #1will have until 1/20/22. to complete the required training. Until such time as the required training has been completed, staff person #-1 must be supervised, when interacting with children, by an AGS who has completed the 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.

On 10/19/22 a renewal inspection was conducted at the facility. Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see IS code sheet): pediatric first aid and CPR training The facility's acceptable plan of correction indicated the correction would be implemented by12/15/22. On 1/4/23 an unannounced inspection was conducted. Staff person #1 still has not completed the following required pre-service training: pediatric first aid and CPR training

Corrected by Jan 12, 2023

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There were no written feeding schedules from the parents of seven of the eight enrolled infants.

Corrected by Dec 14, 2022

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3270.183(a) · Child records are confidential and shall be stored in a locked cabinet.

Child records were not stored in a locked cabinet.

Corrected by Oct 19, 2022

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

Facility persons' records were not stored in a locked cabinet.

Corrected by Oct 19, 2022

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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 emergency evacuation plan did not specify accommodations for toddlers.

Corrected by Oct 25, 2022

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

There was no emergency drill conducted or documented.

Corrected by Dec 23, 2022

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Nov 7, 2022

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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.

There were four packplays in the front room, and two packnplays in the middle room in use without at least 2 feet of space on three sides.

Corrected by Oct 25, 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.

There was no lid on the trash can in the restroom.

Corrected by Oct 24, 2022

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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 pre-service trainings are completed, Facility Person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise Facility Person #1, Facility Person #1 may not work in a child-care position at the facility.

Facility Person #1 was observed to be caring for children unsupervised. Facility Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: approved pediatric first aid and CPR, mandated reporter, health and safety

Corrected by Oct 19, 2022

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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.

There was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Oct 25, 2022

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

There was a toy present in a packnplay while in use by an infant, in the front room.

Corrected by Oct 19, 2022

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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 emergency plan did not include a plan for continuity of operations in the event of an emergency.

Corrected by Oct 28, 2022

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There was no documentation of the date of an emergency evacuation plan review.

Corrected by Oct 25, 2022

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

There was no documentation of updated annual emergency plan training on file for Facility Persons #2 and #3 and initial emergency plan training on file for Facility Person # 7.

Corrected by Oct 25, 2022

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3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The emergency evacuation plan was not posted.

Corrected by Oct 19, 2022

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3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #7 will have until 12/6/22 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #-7, staff person #7 may not work in a child-care position at the facility.

Facility person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first aid & CPR

Corrected by Dec 15, 2022

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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.

There were 3 packnplays in the front room and a packnplay in the middle room not labeled with the names of the children who use them.

Corrected by Oct 20, 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 Persons #1, #4 and #7 may not work at the child care facility without all completed clearances on file.

There was no criminal history or NSOR clearance or proof of application for either clearance on file for Facility Persons #1, who was observed caring for children unsupervised. (See IS Code Sheet) The FBI clearance on file for Facility Person #4 was not valid. There was no NSOR clearance on file for Facility Person #4 who is serving as the director and, as such, is unable to be hired provisionally as per the CPSL. (See IS Code Sheet) There was no FBI or NSOR clearance on file for Facility Person #7. (See IS Code Sheet)

Corrected by Oct 24, 2022

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3270.34(b)/3270.192(2)(ii) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Documentation of education on file for Facility Person #4, classified as the program's director, does not indicate Facility Person #4 has completed the required education to serve as a director.

Corrected by Oct 19, 2022

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

There is no director-qualified staff person employed by the facility.

Corrected by Jun 15, 2023

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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).

From approximately 11:40-12:00PM, while a staff person was needed to prepare and serve lunch, Facility Person #5 was supervising 4 infants and 3 young toddlers in the front room.

Corrected by Oct 20, 2022

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3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

From approximately 11:40-12:00PM, while a staff person was needed to prepare and serve lunch , a total of eight children (2 infants, 2 young toddlers, 3 older toddlers, and 1 preschooler) were receiving care in the back room, which as a measured capacity for a maximum of seven children.

Corrected by Oct 20, 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.

There were no handwashing signs posted at the toilet and training chair in the restroom.

Corrected by Oct 24, 2022

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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 asleep in a bouncy seat in the front room at 12:30 PM and again at 12:50 PM.

Corrected by Oct 19, 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 health assessment on file for child #3, a preschooler, was more than 12 months old.

Corrected by Dec 16, 2022

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The written parental exemption from an influenza vaccine on file for child #1 was not dated.

Corrected by Oct 24, 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.

There were sample packets of medication - none labeled with the name of a specific child - in the first aid kit in the front room. There was an children's ibuprofen and children's acetaminophen in the middle room each labeled "daycare."

Corrected by Oct 19, 2022

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3270.135(c) · The diapering area may not be used for food preparation or food service.

In the middle room, food preparation including bottle heating and preparing occurs on the counter next to sink used for handwashing after diapering.

Corrected by Oct 28, 2022

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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 current (initial) health assessment on file for Facility Person #6 was completed after the facility person's start date. The health assessment was dated 10/5/22. (See IS Code Sheet)

Corrected by Oct 19, 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 health assessment on file for Facility Person #1 did not include an examination for communicable diseases and the results of that examination.

Corrected by Nov 7, 2022

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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.

Fire drills were recorded as conducted on 3/4/22, 5/4/22 and 7/5/22 which occur more than 60 days apart.

Corrected by Nov 1, 2022

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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 log recording the smoke detector testing indicates tests were conducted more than 30 days apart, on the following dates: 7/1/22 and 8/1/22 as well as on 9/1/22 and 10/3/22.

Corrected by Nov 1, 2022

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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.

There was no documentation that the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected by Oct 19, 2022

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

There was documentation of 10 of the 12 required training hours (during the most recent review year) on file for Facility Person #5.

Corrected by Dec 16, 2022

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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.

There was no health assessment on file for child #2 who has been enrolled at the facility for more than 60 days.

Corrected by Dec 16, 2022

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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.

Observed that none of the children receiving care in the young toddler room had emergency contact information present in the child care space.

Corrected by Jan 10, 2022

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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 files for staff #1, 2, 3, 4 and 5 lack emergency plan training within one week of hire. There is no documentation of emergency plan training on file.

Corrected by Jan 13, 2022

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3270.31(f)/3270.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection (f).

The file for staff #2 lacked completion of the health and safety training within 90 days of hire. Start date 5/24/21. Health and Safety training was completed 12/15/21.

Corrected by Jan 7, 2022

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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 #5, with start date of 5/17/21, lacked mandated reporter training within 90 days of hire. There is now current mandated reporter training on file and dated 11/5/21.

Corrected by Jan 7, 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.

The infant room lacked an emergency transportation plan.

Corrected by Jan 11, 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.

The files for staff #1, 2, 3, 4 and 5 lack a date on the disclosure statement. The file for staff #2, lacked a State Police clearance on or before initial date in a child care position. Start date - 5/24/21. State Police clearance date is 6/11/21. The file for staff #3 lacked an NSOR on or before initial start date in a child care position. Start date - 10/26/21. NSOR date- 12/7/21.

Corrected by Jan 11, 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 #3, who holds the title of assistant group supervisor, lacks 119 hours of child care experience. There are 2381 hours of child care experience on file and a high school diploma.

Corrected by Jan 14, 2022

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3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

Observed one bottle of cleaning materials which were not labeled with the contents.

Corrected by Jan 7, 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.

In the Infant room, observed a first aid kit which lacked disposable, nonporous gloves.

Corrected by Jan 7, 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 infant room was 50 degrees F.

Corrected by Jan 10, 2022

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3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 information on file for child #1 lacks the enrolling parents work address and work phone and a name of the health insurance coverage. The emergency contact information on file for child #2 lacks a health insurance policy number.

Corrected by Jan 14, 2022

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3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record on file for child #1 lacks verification of a flu shot within the past year and has 1 Hep A when 2 are recommended for the age of the child. Flu shot is dated 9/22/20.

Corrected by Jan 22, 2022

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3270.133(2)/3270.133(5) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed prescription medication for child #6 which lacked written instructions from the individual who prescribed the medicine. Observed Gas Release medication for child #5 which expired 11/20.

Corrected by Jan 14, 2022

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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 initial health reports assessments on file for staff #1 and 3 were not completed within 12 months prior to providing initial service in a child care setting. There are now current health assessments on file.

Corrected by Jan 7, 2022

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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 file for child #1 lacks signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jan 14, 2022

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3270.31(f)(10)/3270.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation 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 files for staff #1, 2 and 6, who have been in a child care position for longer than 90 days, lack verification of current pediatric CPR.

Corrected by Jan 13, 2022

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3270.94(a)(1)/3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Fire drills were not conducted every 60 days. The fire drills which were more than 60 days were dated 3/23/21 and 5/23/21 and then 9/1/21, 11/2/21 and 1/4/22. The hypothetical location of the fire drills conducted on 3/23/21 and 5/23/21 was the same for consecutive drills.

Corrected by Jan 3, 2022

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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. Manual checks of the fire alarm system/devices shall be checked every 30 days and documentation shall be kept on file.

The fire alarms were not tested every 30 days. The dates which were more than 30 days were as follows: 9/1/21, 10/4/21, 12/1/21, and 1/4/22.

Corrected by Jan 7, 2022

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3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The initial health assessments on file for children #3 and 4 were completed more than 90 days (regulatory suspensions were still in effect) following the first day of attendance at the facility. There are now current health assessments on file.

Corrected by Jan 7, 2022

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