3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

It was observed in the preschool room that trash cans with contaminated human secretions did not have a lid.

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

It was observed in the top outdoor play space that the first-aid kit did not contain soap.

Corrected Corrected by Oct 1, 2024

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

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

It was observed in the downstairs preschool room cracked magnetic blocks.

Corrected Corrected by Oct 1, 2024

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The health report on file for Child #1 was observed to be over 12 months old. This is evidenced by the last Health report being dated 12/22/22.

Corrected Corrected by Oct 1, 2024

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

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.

Based on video cert rep observed on 2-23-24, child #1 was sleeping in a bouncer on the floor of the infant space while staff #1 sat in a chair feeding another infant.

Corrected Corrected by Mar 8, 2024

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

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Corrected Corrected by Oct 2, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff files #1, #2, #3, #4, #5, and #6 lacked documentation of completion of the Pennsylvania Health and Safety Update 2022 within the prescribed timeframe required by OCDEL to complete the training, which was by December 30, 2022, as per Announcement C-22-06.

Corrected Corrected by Oct 2, 2023

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. Facility Person #5, #6, #7, #8, #9, #10 and #11 may not work in a child care position at the facility.

Staff files #5, #6, #7, #8, #9, #10 and #11 lacked the most current disclosure statement issued by the CPSL and Chapter 3490 relating to employment.

Corrected Corrected by Oct 2, 2023

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

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

The facility had shaving cream with the statement "Keep out of reach of children" and was intended for use in arts and crafts with the children.

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The facility lacked the telephone numbers for the nearest hospital, police department, fire department, ambulance and poison control center posted in the telephone in the preschool room.

Corrected Corrected by Oct 2, 2023

Category: physical safety. 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.

The school age room in the basement had peeling paint and multiple areas of black spots on the walls that were circular in shape and darker in the center on the walls in the bathroom.

Corrected Corrected by Oct 20, 2023

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

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

There were 2 plastic bins and 2 plastic lids with toys in the preschool room that were cracked and posed pinch points and sharp edges to the children in care.

Corrected Corrected by Oct 2, 2023

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

The facility had plastic bags in the infant and preschool room that were accessible to the children in care who still put things in their mouths.

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Upon arrival at the facility at 1:00 PM, CR observed 2 staff persons and 16 toddlers in the toddler room napping. Staff person #12 identified 5 young toddlers in their group, staff person #8 identified 6 older toddlers in their group, there were 4 older toddlers and 1 young toddler who were identified by staff person #5 who was in the office and not present in the space with their assigned group of children.

Corrected Corrected by Oct 2, 2023

Category: supervision. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child file #3 lacked the designated persons to whom the child may be released on the agreement form.

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The facility lacked copies of the emergency contact forms in both outdoor play spaces where the children were receiving care at the time of the renewal inspection.

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

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 facility lacked a copy of the emergency transportation plan posted in the school age room.

Corrected Corrected by Oct 2, 2023

Category: transportation. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's documentation of fire system checks on 5/17, 6/20, 7/25, 8/16 and 9/22/23, were completed more than 30 days between each check as required by section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 and #3 may not work in a child care position at the facility.

Staff file #2 lacked a valid NSOR verification clearance. (See LIS CODE SHEET) Staff file #3 contained a volunteer Child Abuse Clearance dated 5/1/23. (See LIS CODE SHEET)

Corrected Corrected by Jun 2, 2023

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

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

There were cleaning supplies and paint in the utility room that did not have a lock on the door and was accessible to the children.

Corrected Corrected by Jun 2, 2023

Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The windows above ground floor in the addition and were accessible to the children while in care, were not limited to opening 6 or fewer inches.

Corrected Corrected by Jun 2, 2023

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

3270.75(a)/3270.75(c) · A first-aid kit shall be in a child care space. 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 for the new child care room lacked soap and scissors and was not in the child care space.

Corrected Corrected by Jun 2, 2023

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

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

The toilets and sinks in the new child care space lacked hand washing signs at each toilet and sink.

Corrected Corrected by Jun 2, 2023

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

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

The facility lacked a copy of written plan of daily activities posted in the new child care space.

Corrected Corrected by Jun 2, 2023

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

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 facility lacked a transportation plan for a means of transporting a child to emergency care in the event of an emergency posted in the new child care space.

Corrected Corrected by Jun 2, 2023

Category: transportation. Marked corrected in the state record.

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.

Staff file #4 lacked a copy of a health assessment with TB results prior to hire. (See LIS CODE SHEET) Staff file #1 lacked a copy of TB results dated within 12 months of hire. (See LIS CODE SHEET)

Corrected Corrected by Jun 2, 2023

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Staff file #4 lacked copy of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person in the file.

Corrected Corrected by Jun 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility lacked copy of the proof of purchase for the new fire detection devices installed in the new child care space.

Corrected Corrected by Jun 2, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Based on findings during investigation of self-reported noncompliance, it was determined that staff person #1 slapped child #1 while child was in care in the preschool during naptime.

Corrected Corrected by Mar 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The emergency exit from downstairs preschool room to the outside was obstructed.

Corrected Corrected by Nov 16, 2022

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

The toddler and preschool cots did not have at least 2 feet of space between the cots while the children were sleeping on the cots.

Corrected Corrected by Nov 16, 2022

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

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

Staff could not see, hear, direct and access of the children in their groups during naptime due to the placement of the cots near the furniture in the toddler room and in the preschool room.

Corrected Corrected by Nov 16, 2022

Category: supervision. Marked corrected in the state record.

3270.20(e)/3270.182(7) · Copies of reports of injury, death or fire shall be kept in a file at the facilityA child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The facility lacked an accident file for copies of accidents, injuries and illnesses that occurred at the facility.

Corrected Corrected by Sep 30, 2022

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

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.

Staff file #2 and #4 lacked updated emergency plan training on an annual basis, documentation of emergency plan training conducted on 8/21/20 and 12/21/21 were in the files.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff files #2 and #4 lacked documentation of annual fire safety training conducted by a fire protection professional.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.61(a)/3270.62(a) · A facility shall provide indoor child care space for individual and group small muscle activity. A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

The facility lacked an indoor or outdoor play space for the children to use for large muscle activity.

Corrected Corrected by Nov 1, 2022

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

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The facility lacked posting of emergency telephone numbers by the telephones in the facility.

Corrected Corrected by Sep 30, 2022

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

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit located in the preschool room downstairs lacked scissors and sterile gauze pads in the kit.

Corrected Corrected by Sep 30, 2022

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

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

The preschool room had toys in cracked bins in the kitchen area and the train area.

Corrected Corrected by Sep 30, 2022

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

The preschool bathroom had empty plastic bags accessible to the children who are still placing objects in their mouths.

Corrected Corrected by Sep 30, 2022

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerators in the preschool room and in the kitchen lacked an operable thermometers.

Corrected Corrected by Sep 30, 2022

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child file #1 lacked the designated release persons on the agreement form.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

The diaper changing pad covers were torn exposing the foam pad which could not be sanitized after each use.

Corrected Corrected by Sep 30, 2022

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff file #5 lacked an initial health assessment prior to working at the facility. (See LIS CODE SHEET)

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Staff files #1, #2 and #3 contained documentation of the health and safety professional development training completed prior to September 30, 2016.

Corrected Corrected by Sep 30, 2022

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

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

Staff file #2 and #4 lacked 12 hours of child care training completed between 12/19/20 and 12/20/21.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(iii) · 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 following the outset of service at the facility.

The file of staff #1, an AGS, lacked documentation of 2 years' experience.

Corrected Corrected by Sep 27, 2021

Category: supervision. 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.

Observed in the downstairs child care space, peeling paint on the wall near tables in the left corner from the door. Observed in the outdoor play space, the ramp of the entrance to the facility had peeling paint which was accessible to children in the small play space. Observed in the larger outdoor play space, peeling paint on the yellow section of the climbing equipment.

Corrected Corrected by Oct 31, 2021

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

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

Observed in the toddler space upstairs, a kitchen play set with sharp plastic exposed in the middle section of the kitchen set. Observed in the downstairs child care space, a plastic bin with baby doll toys with a broken handle and the wooden table with a loose leg; both were located in the back right corner of the child care space. Observed in the smaller outdoor play space, a Little Tikes brand plastic table cracked on the green section and on the inside of the leg. Observed in the larger outdoor play space, 4 bolts sticking out from the boards on the ground.

Corrected Corrected by Sep 20, 2021

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The refrigerator located in the downstairs childcare space lacked a thermometer which was required due to the fact there was milk present in the refrigerator that was reported as served to child in care.

Corrected Corrected by Sep 20, 2021

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file of child #1 lacked an agreement with the persons designated by a parent to whom the child may be released.

Corrected Corrected by Sep 20, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The file of child #2 lacked an emergency contact form with the work address of the enrolling parent.

Corrected Corrected by Sep 20, 2021

Category: recordkeeping. Marked corrected in the state record.

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 file of staff #2 with a start date in care with children of 12-4-20 had documentation of the TB test and results dated 10-5-18, which is more than 12 months prior to hire date.

Corrected Corrected by Sep 20, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At the time of the inspection, the Emergency Plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 1, 2021

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