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

In the Main Preschool room the excursion bookbag containing the first-aid kit was observed stored on a shelf that was within reach of a preschool age child in care.

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

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

The staff file for Staff person #3 lacked current Pediatric First Aid/CPR; the previous training certificate on file is dated 4/2023 and has expired.

Corrected Corrected by Jun 13, 2025

Category: ratio. 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 staff file for Staff person #2, Staff person #4, and Staff person #5 all contained a current National Sex Offender Registry (NSOR) clearance dated 2/11/25 which was not renewed within 60 months of the previously dated 1/30/20 NSOR clearance expiring.

Corrected Corrected by May 6, 2025

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

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

The staff file for Staff person #1 contained current mandated reporter training dated 3/10/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 3/3/20.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the hallway outside of the Main Preschool room one of the wooden child lockers was observed to have a travel sized hand sanitizer labeled 'Keep Out of Reach of Children' attached to the outside of a child's bookbag and considered accessible to the children.

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

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

In the Indoor Playspace, the walls to the left of the entry where the toys are stored was observed to have damage paint and plaster on the corner of the walls near the cove base.

Corrected Corrected by May 6, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the Main Classroom/Infant room, during nap time, two cribs used by toddlers were each observed to be labeled with a number however when referencing the crib list on the wall there were no names of those children using the cribs listed next to the corresponding numbers.

Corrected Corrected by May 6, 2025

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

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

The child file for Child #1 contained a current financial agreement and emergency contact form that were not reviewed and signed by the parent every 6 months; the two most recent reviews of the emergency contact form were signed by the parent on 2/25/25 and 7/24/24 and the financial agreement form was last reviewed and signed by the parent on 2/25/25 and 7/30/24.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers.

Corrected Corrected by May 7, 2024

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #1 completed her current mandated reporter training on 10/9/23, more than 60 months after the previous training dated 8/7/18.

Corrected Corrected by May 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #1 includes FBI clearances dated 7/26/18 and 2/8/24, all more than 60 months apart.

Corrected Corrected by May 6, 2024

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

3270.66(e) · Arts and crafts materials shall be nontoxic.

There were Primo Bingo Markers labeled "Keep out of the reach of children", used for arts and crafts projects, in the Preschool classroom.

Corrected Corrected by May 7, 2024

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There was an exposed bolt on the fence in the preschool outdoor playground with no cover on the bolt.

Corrected Corrected by May 7, 2024

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

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Mulch, which includes remnants measuring less than 1 inch in size were observed in the toddler playground.

Corrected Corrected by Jun 3, 2024

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

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 two most recent health assessments on file for Child #1, who is a preschool age child, are dated 11/29/22 and 12/11/23, more than 12 months apart.

Corrected Corrected by May 6, 2024

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

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

There were several infant feeding bottles in the refrigerator in the infant room that were not labeled with the name for whom the bottle was intended. The bottles were all in a cooler bag that was labeled, however the individual bottles were not.

Corrected Corrected by May 13, 2024

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. Facility Person #4 may not work in a child care position at the facility.

The file for staff person #4 did not include a valid FBI clearance obtained within 45 days of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The FBI clearance on file was obtained through the Department of Education.

Corrected Corrected by May 15, 2023

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #1 includes Criminal History Clearances dated 9/15/15 and 9/22/21, more than 60 months apart. A criminal history clearance dated 9/10/20 was obtained for volunteer purposes and is therefore invalid.

Corrected Corrected by May 9, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person#3 will have until 5/30/23 to complete the mandated reporter 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 person(s) available to supervise staff person/facility person #3, staff person/facility person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/28/17.

Corrected Corrected by May 22, 2023

Category: supervision. Marked corrected in the state record.

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

There was an uncovered outlet in the bike room/Fellowship Hall under the table across from the entrance that was accessible to children.

Corrected Corrected by May 9, 2023

Marked corrected in the state record.

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

There was chipped and peeling paint in the bike room accessible to children on the wall across from the entrance, above the outlet.

Corrected Corrected by May 9, 2023

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

3270.131(d)(5)/3270.131(e)(3) · ·Child #1, #2, and #3, must be dismissed from care by close of business on 5/9/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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 most recent influenza vaccination on file for Child #1 is dated 11/3/21, more than 1 year ago; the most recent influenza vaccination on file for Child #2 is dated 110/22/20, more than 1 year ago; The most recent influenza vaccination on file for Child #3 is dated 10/14/20, more than 1 year ago.

Corrected Corrected by May 11, 2023

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

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.

During an observed diaper change in the Infant room, Staff person #1 was observed not wiping the hands of a toddler or taking the child to immediately wash their hands after the diaper change.

Corrected Corrected by May 9, 2023

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

During an observed diaper change in the Infant room, Staff person #1 was observed placing the soiled diaper on the changing table after removing it from the child and not immediately placing it in a plastic-lined hands free-lidded can.

Corrected Corrected by May 9, 2023

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. 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 person #2 includes 10 of 12 required annual training hours completed between 12/19/21-12/19/22.

Corrected Corrected by May 11, 2023

Category: recordkeeping. Marked corrected in the state record.

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

There was a bottle of Motrin in the infant room, labeled for use by a specific child which did not have written parental consent to administer.

Corrected Corrected by May 18, 2022

Category: ratio. Marked corrected in the state record.

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

The 2 most recent mandated reporter trainings on file for Staff person #4 are dated 6/7/16 and 5/12/22, more than 60 months apart.

Corrected Corrected by May 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #3 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child care position at the facility.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 6/19/21.

Corrected Corrected by Jun 9, 2022

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, #2, and #4 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, #2, and #4, staff person #1, #2, and #4 may not work in a child-care position at the facility.

Staff person #1, #2, and #4 were observed to be caring for children unsupervised. Staff person #1, #2, and #4 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid and Pediatric CPR.

Corrected Corrected by Jun 9, 2022

Category: supervision. Marked corrected in the state record.

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

Staff person #3 has not renewed their Pediatric First Aid/Pediatric CPR timely. This is evidenced by the previously documented Pediatric First Aid/Pediatric CPR training on file being dated 6/19/19.

Corrected Corrected by Jun 9, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1, #2, and #4 will have until 7/20/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #4 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 #1, #2, and #4. staff person #1, #2, and #4 may not work in a child-care position at the facility.

Staff person #1, #2, and #4 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and Pediatric CPR.

Corrected Corrected by Jun 9, 2022

Category: supervision. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The lidded can for disposal of soiled disposable diapers in the infant room had a drop lid that opens when the diaper is dropped on the lid, leading to possible cross contamination.

Corrected Corrected by May 19, 2022

Category: health medication. 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 2 most recent health assessments on file for Staff person #1 are dated 2/10/20 and 3/20/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 are dated 1/10/20 and 4/8/22, more than 24 months apart.

Corrected Corrected by May 18, 2022

Category: ratio. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.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 person #2, who was hired prior to 12/19/20, does not include 12 hours of annual training completed between 12/19/20-12/19/21, as per Announcement C-21-09

Corrected Corrected by Aug 21, 2022

Category: recordkeeping. Marked corrected in the state record.