Tender Love for CHDN Childcare PS Kindergarten

3270.151(a) 12 months prior to service and every 24 months thereafter

“The most up to date health assessment on file for staff person # 3 was observed to be greater than 24 months. This is evidenced by the health assessment being dated 9/7/2023 --10/3/2025.”

Correction date in the state record: Dec 8, 2025

3270.32(a) Comply with CPSL

“The FBI clearance on file for Staff #4 was observed to be issued under PDE and is not acceptable for child care.”

Correction date in the state record: Nov 19, 2025

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The NSOR on file for Staff #1 and Staff #6 were observed to be greater than 60 months. This is evidenced by Staff # 1 being dated 1/23/20 and Staff #6 being dated 8/31/20. Staff #5 was observed not to have an NSOR clearance on file.”

Correction date in the state record: Dec 8, 2025

3270.37(b)(1)/3270.192(2)(ii) HS/GED/Exp, educ., training prior to facility

“The file for staff #2 was observed not to have documentation of Education or child care experience on file.”

Correction date in the state record: Dec 8, 2025

3270.123(a)(7) Services considered extra

“The agreement on file for Child #1, Child #2 and Child #3 were observed not to specify the services which are to be considered as extra.”

Correction date in the state record: Dec 8, 2025

3270.51/3270.52 Similar Age Level/Mixed Age Level

“On 5/2/25 it was observed in the infant room 10 Infants with 2 staff. In room #1 it was observed that 6 YT and 1 OT was with one staff. In room #2 it was observed 2 YT and 5 OT with one staff and 8 OT with another staff. In the preschool room it was observed that 22 preschool children were with 2 staff.”

3270.76 Building Surfaces

“Based on interviews and site visit it was concluded that a sewage leak happened in the facility.”

Correction date in the state record: Jun 20, 2025

3270.31(e)(4)(i)/3270.31(f)(10) Age and Training/Health and Safety Training - Pediatric First Aid and CPR

“The file for staff person #1 DOH: 8/6/24 was observed not to have documentation of pediatric first-aid and pediatric cardiopulmonary resuscitation within 90 days of hire.”

Correction date in the state record: Jan 31, 2025

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility's emergency plan did not have documentation addressing continuity of operations.”

Correction date in the state record: Jan 21, 2025

3270.27(a)(6) Emergency plan

“The facility Emergency drill log was not conducted annually. This is evidenced by the last drill being conducted on 10/25/2023.”

Correction date in the state record: Jan 13, 2025

3270.123(a)(6)/3270.182(2) Admission date/Application, admission, withdrawal dates

“The Agreement on file for Child #1, Child #2 and Child #4 were observed to not to have documentation of the dates of the child's admission to the facility.”

Correction date in the state record: Jan 6, 2025

3270.66(e) Arts and crafts non-toxic

“In the preschool room it was observed in the craft cupboard shaving cream labeled "Keep out of the reach of children".”

Correction date in the state record: Nov 22, 2024

3270.123(a)(3) Services proceeded

“The agreement on file for Child #3 and Child #5 were observed to not include extra services provided.”

Correction date in the state record: Jan 22, 2025

3270.21 General Health and Safety

“2nd citation. Previously cited on 11/29/23. Observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.”

Correction date in the state record: Feb 1, 2024

3270.27(c) Training regarding plan

“2nd citation. Previously cited on 12/4/23. The files of Volunteer #4 and Facility Person #2 lacked documentation of emergency plan training on an annual basis (SEE LIS Code Sheet). The files of Volunteer #4 and Facility Person #2 contained no documentation of emergency plan training in 2022 or 2023.”

Correction date in the state record: Feb 1, 2024

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“2nd citation. Previously cited on 12/4/23. The file of Volunteer #1 lacked a disclosure statement signed at the time of initial service in a child care setting. The file of Volunteer #1 did not contain a disclosure statement. The file of Volunteer #1 lacked a State Police Clearance and National Sex Offender Registry Certificate. The file of Volunteer #3 lacked a current State Police Clearance. The file of Volunteer #3 contained a State Police Clearance dated 3/6/15. The file of Volunteer #4 lacked a DHS FBI Clearance and National Sex Offender Registry Certificate. The file of Staff #5, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #5 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #5 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #5 resided. The file of Staff #6 lacked a dated disclosure statement.”

Correction date in the state record: Feb 15, 2024

3270.34(a)(6) Staff evaluations

“2nd citation. Previously cited on 12/4/23. The file of Staff #7 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The file of Staff #7 contained a written evaluation dated 11/1/22 but did not contain one for 2023.”

Correction date in the state record: Feb 9, 2024

3270.36(b)(5) HS/GED + 2 yrs

“2nd citation. Previously cited on 12/4/23. The files of Staff #8 and #9, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.”

Correction date in the state record: Feb 9, 2024

3270.52 Mixed Age Level

“2nd citation. Previously cited on 11/29/23. On 2/1/24 when Certification Representative was assessing ratio and supervision in Room 2, Staff #10, #11, and #12 indicated they were sharing responsibility for 3 young toddlers and 10 older toddlers exceeding maximum group size.”

Correction date in the state record: Feb 9, 2024

3270.66(a) Locked or inaccessible

“2nd citation. Previously cited on 11/29/23. Observed 7 containers of Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" on the 2nd shelf from the bottom in the first closet which were accessible to children in the Multipurpose Room. Observed white out which indicated "keep away from children" in the bottom drawer of the bin on the stage which were accessible to children in the Social Hall.”

Correction date in the state record: Feb 1, 2024

3270.102(a) Clean and good repair

“2nd citation. Previously cited on 11/29/23. Observed a torn mat with exposed foam in Room 1.”

Correction date in the state record: Feb 1, 2024

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“2nd citation. Previously cited on 11/30/23. The files of Children #2, #3, #4, #6, #7, and #8 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.”

Correction date in the state record: Feb 9, 2024

3270.124(b)(3) Parent home/work address, phone

“2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.”

Correction date in the state record: Feb 9, 2024

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission.”

Correction date in the state record: Feb 1, 2024

3270.124(b)(6) Insurance coverage information

“2nd citation. Previously cited on 11/30/23. Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.”

Correction date in the state record: Feb 1, 2024

3270.124(b)(7) Name/address/phone release person

“2nd citation. Previously cited on11/30/23. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.”

Correction date in the state record: Feb 1, 2024

3270.131(b)(1) Infant: updated health report every 6 months

“2nd citation. Previously cited on 11/30/23. The file of Child #8 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #8 contained a health report dated 4/4/23.”

Correction date in the state record: Feb 15, 2024

3270.151(a) 12 months prior to service and every 24 months thereafter

“2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not contain a health assessment.”

Correction date in the state record: Feb 15, 2024

3270.151(c)(2) Mantoux TB

“2nd citation. Previously cited on 12/4/23. The file of Volunteer #4 lacked documentation of a tuberculosis screening by Mantoux method being completed.”

Correction date in the state record: Feb 9, 2024

3270.166(4) Bottles labeled

“2nd citation. Previously cited on 11/29/23. Observed bottles which were not labeled with the child's name in the Overflow Room.”

Correction date in the state record: Feb 1, 2024

3270.181(a) Each child

“2nd citation. Previously cited on11/30/23. The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.”

Correction date in the state record: Feb 9, 2024

3270.182(5) Consent for administration of minor first-aid required prior to admission

“2nd citation. Previously cited on 11/30/23. The file of Child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.”

Correction date in the state record: Feb 1, 2024

3270.192(2)(i) Age

“2nd citation. Previously cited on 11/30/23. The file of Volunteer #4 did not include verification of age.”

Correction date in the state record: Feb 2, 2024

3270.94(a)(1) Every 60 days

“2nd citation. Previously cited on 11/30/23. The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23. Staff in Room 1 provided documentation of fire drills being conducted on 7/11/23, 8/1/23, 9/5/23, and 10/2/23. Staff provided documentation of fire drills being conducted with all classrooms on 10/10/23 and 10/25/23.”

Correction date in the state record: Feb 7, 2024

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact and agreement for Child #3 were not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were signed on 8/22/22 and reviewed in April of 2023 and October of 2023. The emergency contact and agreement for Child #8 were not reviewed and updated at least once in a 6-month period. Child #8's emergency contact and agreement were reviewed on 7/21/22, 4/2023, and 10/2023. The emergency contact and agreement for Child #9 were not reviewed and updated at least once in a 6-month period. Child #9's emergency contact and agreement were signed on 8/23/22 and reviewed on 4/2023 and 10/2023. The emergency contact and agreement for Child #10 were not reviewed and updated at least once in a 6-month period. Child #10's emergency contact and agreement were signed on 3/30/23 and reviewed on 10/2023.”

Correction date in the state record: Dec 31, 2023

3270.181(a) Each child

“The operator did not establish and maintain an individual record for Children #1 and #3. The files of Children #1 and #3 also contained documentation of their siblings.”

3270.166(4) Bottles labeled

“On 11/29/23 observed bottles which were not labeled with the child's name in the Overflow Room.”

3270.151(c)(2) Mantoux TB

“The files of Volunteers #10 and #11 lacked documentation of a tuberculosis screening by Mantoux method being completed. The file of Staff #16 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). The file of Staff #16 had a Mantoux test read date of 10/5/22.”

3270.182(5) Consent for administration of minor first-aid required prior to admission

“The files of Children #1 and #4 lacked signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.”

3270.192(1) Name, address, and phone

“The file of Volunteers #10 and #11 lacked the name, address, and telephone number of the volunteers.”

Correction date in the state record: Jan 31, 2024

3270.192(2)(i) Age

“The files of Volunteers #10 and #11 did not include verification of age.”

3270.192(5) Two written references

“The files of Volunteers #10 and #11 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: Jan 31, 2024

3270.27(a)(6)/3270.27(f) Emergency plan/Emergency plan

“The facility used the fire drill log to document an emergency drill. The facility did not record the names of staff who participated, address special accommodations the facility used for any category of children, the total number of adults and children participating in the drill, and problems encountered or observations during the drill.”

Correction date in the state record: Dec 31, 2023

3270.94(a)(1) Every 60 days

“The Director or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in the Overflow Room provided documentation of fire drills being conducted on 1/12/23, 2/9/23, 3/16/23, 4/11/23, 6/14/23, 7/19/23, 8/16/23, 9/12/23, and 10/25/23. Staff in the ABC Room provided documentation of fire drills being conducted on 1/10/23, 3/14/23, 4/12/23, 5/8/23, 7/17/23, 8/9/23, 9/22/23, and 10/25/23. Staff in the Social Hall provided documentation of fire drills being conducted on 1/0/23, 3/9/23, 4/12/23, 5/5/23, 6/1/23, 7/19/23, 8/29/23, 9/21/23, and 10/25/23. Staff in Room 4 provided documentation of fire drills being conducted on 1/5/23, 2/17/23, 3/29/23, 5/12/23, 7/19/23, 8/23/23, 9/5/23, and 10/9/23. Staff in Room 3 provided documentation of fire drills being conducted on 1/10/23, 3/17/23, 4/15/23, 6/1/23, 7/19/23, 9/13/23, and10/25/23. Staff in Room 2 provided documentation of fire drills being conducted on 1/10/23, 2/6/23, 3/7/23 4/24/23, 5/2/23, 6/1/23, 7/19/23, 8/17/23, 9/11/23, and 10/25/23. Staff in Room 1 provided documentation of fire drills being conducted on 7/11/23, 8/1/23, 9/5/23, and 10/2/23. Staff provided documentation of fire drills being conducted with all classrooms on 10/10/23 and 10/25/23.”

3270.131(a) Health information

“The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #5, with an admission date of 12/5/22, contained a health report dated 10/20/23.”

Correction date in the state record: Dec 31, 2023

3270.171(a) Pick-up and drop-off points

“The operator did not 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 operator provided documentation that local traffic safety authorities were notified on 9/1/22 and 10/23/23.”

Correction date in the state record: Dec 31, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file of Facility Person #9 lacked a health assessment conducted every 24 months. The file of Facility Person #9 contained a health assessment dated 7/23/18. The files of Volunteers #10 and #11 did not contain a health assessment. The file of Staff #16 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #16 contained a health assessment dated 10/5/22.”

3270.133(7) Medication log

“The operator did not establish and maintain a medication log for Children #15, #16, #17, #18, and #19.”

Correction date in the state record: Dec 31, 2023

3270.131(d)(5)/3270.131(e)(3) Immunization record/Dismissal policy

“The file of Child #5, a 20-month-old, lacked DTAP/DTP/TD immunizations according to the recommendations of the ACIP. Child #5 had documentation of one DTAP/DTP/TD immunization. The file of Child #10, an 11-month-old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #10 had documentation of one Rotavirus immunization, one DTAP/DTP/TD immunization, one HIB immunization, one Pneumococcal immunization, and one Polio immunization.”

Correction date in the state record: Dec 31, 2023

3270.131(b)(1) Infant: updated health report every 6 months

“The files of Children #6, #7, and #10 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #6 contained health reports dated 3/4/22, 12/12/22, and 11/20/23. The file of Child #7 contained health reports dated 4/25/22, 12/1/22, and 3/22/23. The file of Child #10 contained a health report dated 4/4/23.”

3270.124(e) Written emergency plan posted

“A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the chapel.”

Correction date in the state record: Dec 31, 2023

3270.124(c) Each child care space

“Emergency contact information for Children #11, #12, #13, #14, and #15 were not present when the children were receiving care in the Social Hall.”

Correction date in the state record: Dec 31, 2023

3270.124(b)(7) Name/address/phone release person

“Emergency contact information for Child #4 did not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for Child #5 did not include the complete address of the individual designated by the parent to whom the child may be released.”

3270.124(b)(6) Insurance coverage information

“Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.”

3270.124(b)(5) Information re: special needs

“Emergency contact information for Child #4 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation,”

Correction date in the state record: Dec 31, 2023

3270.124(b)(4)/3270.182(3) Written consent/Consent for emergency medical care required prior to admission

“The files of Children #1 and #4 lacked written consent signed by a parent for emergency medical care prior to admission.”

3270.124(b)(3) Parent home/work address, phone

“Emergency contact information for Child #3 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #4 did not include the work address and work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address of the enrolling parent.”

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The files of Children #2, #3, #4, #8, #9, and #10 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.”

3270.123(a)(3) Services proceeded

“Children #2, #3, #4, #5, #6, #7, #8, and #9 lacked child service reports completed at least every 6 months. Child #2 had child service reports completed on 9/29/22 and 10/23/23. Child #3, with an admission date of 9/6/22, had a child service report completed on 10/25/23. Child #4, with an admission date of 11/12/22, had a child service report completed on 10/29/23. Child #5, with an admission date of 12/5/22, had a child service report completed on 11/3/23. Child #6, with an admission date of 3/14/22, had a child service report completed on 11/1/23. Child #7, had child service reports completed on 10/28/22 and 10/18/23. Child #8 had child service reports completed on 10/12/22 and 10/26/23. Child #9 had child service reports completed on 11/4/22 and 11/2/23.”

Correction date in the state record: Dec 31, 2023

3270.113(a)(1) Staff assigned to specific children

“On 11/29/23 Certification Staff observed Staff #17 take children to the bathroom located at the opposite end of the hall from Room 4. At approximately 1:00 PM Certification Staff observed a child at the entrance to Room 4. Staff #17 had sent the child to the room to get paper towels while she stood in the threshold of the bathroom with the other children.”

Correction date in the state record: Dec 31, 2023

3270.113(a) Supervised at all times

“At approximately 1:15 PM Certification Staff observed a child lying on rest equipment behind the kitchen set in Room 4 which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.”

Correction date in the state record: Dec 31, 2023

3270.111(b) Posted in group space

“On 11/29/23 the written plan of daily activities was not posted in the chapel.”

Correction date in the state record: Dec 31, 2023

3270.105 High Chairs

“On 11/29/23 observed high chairs which lacked T-shaped straps in Room 1.”

Correction date in the state record: Dec 31, 2023

3270.102(a) Clean and good repair

“On 11/29/23 observed a broken gear in the Social Hall. On 11/29/23 observed a blue connector with rough edges in the Social Hall. On 11/29/23 observed two alien figurines with rough edges in the Social Hall. On 11/29/23 observed a bin containing rubber ducks with a missing corner creating rough edges in Room 4. On 11/29/23 observed torn crib mattresses with exposed foam in Room 1. On 11/29/23 observed a torn mat with exposed foam in Room 1.”

3270.77(a) No peeling paint or plaster

“On 11/29/23 observed peeling paint in the middle of the wall to the right of the entrance of the Overflow Room.”

Correction date in the state record: Jan 31, 2024

3270.76 Building Surfaces

“On 11/30/23 observed a piece of concrete missing on the steps in the Outdoor Play Space.”

Correction date in the state record: Dec 31, 2023

3270.75(c) Has all items

“The first-aid kit in the chapel lacked nonporous gloves.”

Correction date in the state record: Dec 31, 2023

3270.66(a) Locked or inaccessible

“On 11/29/23 observed Members Mark Disinfecting Wipes which indicated "keep out of the reach of children" in a green bin on the bottom shelf of the bookcase to the left of the computer which were accessible to children in the Multipurpose Room. On 11/29/23 observed Lyson Disinfectant Spray which indicated "keep out of the reach of children" on top of the toilet paper holder in the bathroom which was accessible to children in Room 1. On 11/29/23 observed a bottle labeled "bleach water" above the changing table which was accessible to children in Room 1.”

3270.52 Mixed Age Level

“On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 4, Staff #17, #24, and #25 indicated they were sharing responsibility for 5 older toddlers and 10 preschools exceeding maximum group size. On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 2, Staff #18, #19, and #26 indicated they were sharing responsibility for 5 young toddlers and 10 older toddlers exceeding maximum group size. On 11/29/23 at approximately 12:00 PM Certification Representative observed Staff #19 in the hallway preparing rest equipment while Staff #18 and #26 were in Room 2 with 5 young toddlers and 10 older toddlers and then Certification Staff observed Staff #26 in the hallway preparing rest equipment while Staff #18 and #19 were in Room 2 with 5 young toddlers and 10 older toddlers.”

3270.51 Similar Age Level

“On 11/29/23 when Certification Representative was assessing ratio and supervision in Room 3, Staff #27, #28, and #29 indicated they were sharing responsibility for 17 older toddlers exceeding maximum group size.”

Correction date in the state record: Dec 31, 2023

3270.36(b)(5) HS/GED + 2 yrs

“The files of Staff #21 and #22, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.”

3270.34(a)(6) Staff evaluations

“The files of Staff #17 and #20 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE Lis Code Sheet). The file of Staff #17 contained a written evaluation dated 10/3/23 but did not contain one for 2022. The file of Staff #20 contained a written evaluation dated 11/1/22 but did not contain one for 2023.”

3270.32(a) Comply with CPSL

“Volunteers #10 and #11 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).”

Correction date in the state record: Jan 12, 2024

3270.32(a) Comply with CPSL

“Facility person #9 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 7/19/18. Staff person #23 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 10/1/18.”

Correction date in the state record: Dec 31, 2023

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Staff #14 lacked documentation of completing mandated reporter training within 90 days of hire (SEE LIS Code Sheet). Staff #14 had documentation of mandated reporter training completed on 10/31/23. Staff #18 lacked documentation of completing mandated reporter training every 60 months. Staff #18 had documentation of completing mandated reporter training on 8/6/23 with previous training completed on 7/23/18.”

Correction date in the state record: Dec 31, 2023

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The files of Volunteers #1, #2, #3, #4, #5, #6, #7, and #8 lacked a disclosure statement signed at the time of initial service in a child care setting (SEE LIS Code Sheet). The files of Volunteers #1, #2, #3, #4, #5, #7, and #8 did not contain disclosure statements. The file of Volunteer #6 contained a disclosure statement dated 10/23/23. The files of Volunteers #7, #8, #10, and #11 lacked a State Police Clearance, Child Abuse Clearance, FBI Clearance, and National Sex Offender Registry Certificate. The file of Facility Person #9 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Facility Person #9 contained a State Police Clearance dated 7/18/18, a Child Abuse Clearance dated 3/26/15, and a DHS FBI Clearance dated 7/19/18. The file of Staff #12, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry from the State(s) in which Staff #12 resided in the last 5 years prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #12 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #12 resided. The file of Staff #13 lacked a valid State Police Clearance and a valid FBI Clearance. Staff #13 had a volunteer State Police Clearance and an FBI Clearance from the Department of Education. The file of Staff #14 lacked a DHS FBI Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #14 contained an FBI Clearance dated 11/2/23. The file of Staff #15 lacked a State Police Clearance and Child Abuse Clearance prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #15 also lacked a valid State Police Clearance because it did not have a "disseminated by" date. The file of Staff #15 contained a volunteer State Police Clearance dated 5/24/23. The file of Staff #15 contained a volunteer Child Abuse Clearance dated 5/24/23, and a Child Abuse for employment dated 11/3/23. The file of Staff #15 lacked documentation of application for the State Child Abuse and Neglect Registry from the State(s) in which Staff #15 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #15 contained a Child Abuse and Registry Check dated 10/16/23 with a request date of 9/20/23. The file of Staff #16 lacked a dated disclosure statement. The file of Staff #18 lacked a valid FBI Clearance. Staff #18 had an FBI Clearance dated 6/14/21 from the Department of Education. The file of Staff #20 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #20 contained a NSOR dated 10/13/21. The file of Staff #21 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #21 contained a State Police Clearance dated 10/30/20 with a previous one dated 3/11/15. The file of Staff #21 contained a Child Abuse Clearance dated 10/30/20 with a previous one dated 3/26/15.”

3270.31(f) Health and Safety Training

“The file of Staff #14 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #14 contained documentation of completing health and safety training on 9/4/23.”

Correction date in the state record: Dec 31, 2023

3270.31(f) Health and Safety Training

“Staff persons #14 and #15 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.”

Correction date in the state record: Dec 31, 2023

3270.27(c) Training regarding plan

“The files of Volunteers #4, #10, and #11 and Facility Person #9 lacked documentation of emergency plan training on an annual basis. (SEE LIS Code Sheet). The file of Volunteer #4 contained no documentation of emergency plan training. The files of Volunteers #10 and #11 and Facility Person #9 contained no documentation of emergency plan training in 2022 or 2023.”

3270.21 General Health and Safety

“On 11/29/23 observed 4 pair of adult scissors in the 2nd closet on the 3rd shelf which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the purple bin to the left of the door labeled "clips, index cards, and post-its" which were accessible to children in the Multipurpose Room. On 11/29/23 observed a pair of adult scissors in the bin on the stage stairs which were accessible to children in the Social Hall. On 11/29/23 observed an electrical cord to the refrigerator which was not secured creating a potential strangulation hazard in Room 2.”

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The files of Staff #19 and #20 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). The files of Staff #19 and #20 contained documentation of completing the health and safety update on 1/5/23.”

Correction date in the state record: Dec 31, 2023

3270.131(b)(2) Toddler/preschool: updated health report every 12 months

“The file of Child #2 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #2 contained a health report dated 11/7/23 with a previous one dated 7/16/21.”

Correction date in the state record: Dec 31, 2023

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“2nd citation. Previously cited on 12/12/22. The facility had a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and strategies for coping with a crying, fussing, and distraught child but not the prevention and identification of child maltreatment.”

Correction date in the state record: Feb 21, 2023

3270.21 General Health and Safety

“2nd citation. Previously cited on 11/9/22. Observed 1 crib with a loose sheet in the Overflow Classroom creating a potential suffocation hazard. 2nd citation. Previously cited on 11/29/22. Observed 4 pair of adult scissors in the bin labeled "scissors" in the art area of the Multipurpose Room which were accessible to children.”

Correction date in the state record: Feb 20, 2023

3270.27(c) Training regarding plan

“2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 lacked documentation of emergency plan training at the time of initial service in a child care setting (SEE LIS Code Sheet).”

Correction date in the state record: Feb 17, 2023

3270.52 Mixed Age Level

“2nd citation. Previously cited on 11/29/22. On 2/15/23 at approximately 9:45 AM Staff #5 and #6 were caring for a group of mixed-aged children including 8 preschoolers and 4 older toddlers. Staff #5 indicated she was caring for 5 preschoolers while Staff #6 indicated she was caring for 3 preschoolers and 4 older toddlers.”

Correction date in the state record: Feb 21, 2023

3270.66(a) Locked or inaccessible

“2nd citation. Previously cited on 11/29/22. Observed Lysol Disinfecting Wipes, Great Value Disinfecting Wipes, 6 bottles of Derma Gel Hand Sanitizer, and Lysol All Purpose Cleaner which indicated "keep out of reach of children" in a pink basket on the 3rd shelf in the 8th closet in the Multipurpose Room which were accessible to children in care. Observed 2 Bath and Body Works antibacterial hand sprays, Germ X Hand Sanitizer, Vanilla Bean Noal Anti-bacterial hand gel, and Sweet and Shimmer Whipped Vanilla Hand Cream which indicated "keep out of the reach of children" in a red bin on a table located on the opposite wall from the entrance which were accessible to children.”

Correction date in the state record: Feb 15, 2023

3270.75(a) In child care spaces

“2nd citation. Previously cited on 11/29/22. A first-aid kit was not in the Chapel.”

Correction date in the state record: Feb 17, 2023

3270.76 Building Surfaces

“2nd citation. Previously cited on 11/9/22. Observed rust on the fences in the Outdoor Classroom, Young Toddler/Young Preschool Outdoor Play Space, and Older Preschool Outdoor Play Space.”

Correction date in the state record: Feb 22, 2023

3270.77(a) No peeling paint or plaster

“2nd citation. Previously cited on 11/9/22. Observed peeling paint on the fences in the Outdoor Classroom, in the Young Toddler/Young Preschool Outdoor Play Space, and the Older Preschool Outdoor Play Space. Observed peeling paint on the benches in the Older Preschool Outdoor Play Space and Outdoor Classroom.”

Correction date in the state record: Feb 22, 2023

3270.103 Small Toys and Objects

“2nd citation. Previously cited on 11/9/22. Observed foam blocks with bite marks in Room 4. Observed foam fish with bite marks in the Social Hall.”

Correction date in the state record: Feb 15, 2023

3270.111(b) Posted in group space

“2nd citation. Previously cited on 11/29/22. The written plan of daily activities was not posted in the Chapel.”

Correction date in the state record: Feb 21, 2023

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“2nd citation. Previously cited on 12/12/22. The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.”

Correction date in the state record: Feb 22, 2023

3270.124(e) Written emergency plan posted

“2nd citation. Previously cited on 11/29/22. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Chapel.”

Correction date in the state record: Feb 22, 2023

3270.133(7) Medication log

“2nd citation. Previously cited on 11/9/22. The operator did not establish a medication log for prescription medication for Child #11.”

Correction date in the state record: Feb 16, 2023

3270.151(c)(2) Mantoux TB

“2nd citation. Previously cited on 11/29/22. The files of Volunteers #1 and #4 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment. Volunteer #1 had a Mantoux test read date of 10/20/21. Volunteer #4 had a Mantoux test read date of 12/7/17.”

Correction date in the state record: Feb 17, 2023

3270.151(c)(3) Exam communicable disease

“2nd citation. Previously cited on 11/29/22. The files of Volunteers #1, #2, #3, and #4 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.”

Correction date in the state record: Feb 17, 2023

3270.181(c) Emergency info/agreement updated 6 mos

“2nd citation. Previously cited on 12/12/22. The emergency contact and agreement for Child #10 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #10's emergency contact and agreement were signed on 10/19/20 with no documentation of reviews and updates.”

Correction date in the state record: Feb 17, 2023

3270.27(f) Emergency plan

“2nd citation. Previously cited on 12/12/22. The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality.”

Correction date in the state record: Feb 17, 2023

3270.131(e)(1) Exemption documentation from parent/guardian

“2nd citation. Previously cited on 12/12/22. Child #1, a 13-month-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child #2, a 17-month-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP. Child 7, a 3-year-old lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.”

Correction date in the state record: Feb 17, 2023

3270.52 Mixed Age Level

“On 11/29/22 at approximately 9:00 AM Staff #12 was caring for a group of 9 mixed-aged children including 2 older toddlers and 7 preschoolers.”

3270.37(c) Aides supervised all times

“On 11/9/22 Certification Staff observed Staff #1, #2, #4, and #27, who were designated as aides, working alone with children in Room 1. On 11/29/22 Certification Staff observed Staff #1, #2, and #4, who were designated as aides, working alone with children in Room 1.”

Correction date in the state record: Dec 1, 2022

3270.36(b)(5) HS/GED + 2 yrs

“The files of Staff #6 and #15, who were designated as assistant group supervisors, lacked documentation of 2 years' experience with children.”

Correction date in the state record: Jan 31, 2023

3270.66(a) Locked or inaccessible

“On 11/29/22 observed Purell Advanced Soothing Gel on the table and Great Value Disinfecting Spray, CRL Plastic Cleaner, Clorox Disinfecting Wipes, and Members Mark Disinfecting Wipes under the table which indicated "keep out of the reach of children" which were accessible to children in the Chapel. On 11/29/22 observed Lysol Disinfectant Spray and Hom Multi-surface cleaner which indicated "keep out of the reach of children" on the shelf to the left of the entrance in the Multipurpose Room which were accessible to children. On 11/29/22 observed Derma Gel Hand Sanitizer which indicated "keep out of reach of children" on the bottom shelf of the 2nd closet in the Multipurpose Room which was accessible to children. On 11/29/22 observed Purell Hand Sanitizer which indicated "keep out of the reach of children" on the u-shaped table at the entrance to the Multipurpose Room which was accessible to children. On 11/29/22 observed Derma Gel Hand Sanitizer Gel and 2 Lysol Disinfecting Sprays, and G & Y Antibacterial Hand Wipes which indicated "keep out of the reach of children" in the top bin in the cabinet at the entrance to the Multipurpose Room which were accessible to children. On 11/29/22 observed CRL Plastic Cleaner, Rubbing Alcohol 91% Isopropyl, and Lysol All Purpose Cleaner which indicated "keep out of the reach of children" on the 3rd shelf in the 8th closet in the Multipurpose Room which were accessible to children in care. On 11/9/22 observed Great Value Disinfecting Wipes and bleach water which indicated "keep out of the reach of children" on the sink in Room 4 which were accessible to children.”

3270.34(a)(6) Staff evaluations

“The files of Staff #10 and #12 lacked a written evaluation on a regular basis, a minimum of one evaluation every 12 months. The file of Staff #10 contained a written evaluation dated 7/2/21. The file of Staff #12 contained a written evaluation dated 11/7/22 with a previous one dated 10/4/21.”

Correction date in the state record: Dec 23, 2022

3270.74 Emergency Numbers Posted

“The telephone number of the nearest hospital was not posted by the telephone in the Overflow Classroom.”

Correction date in the state record: Nov 30, 2022

3270.75(a) In child care spaces

“A first aid kit was not in the Chapel.”

3270.75(c) Has all items

“The first aid kit in Room 4 lacked tweezers and disposable, nonporous gloves.”

Correction date in the state record: Jan 3, 2023

3270.76 Building Surfaces

“On 11/9/22 observed rust on the fences in the Outdoor Classroom, Young Toddler/Young Preschool Outdoor Play Space, and Older Preschool Outdoor Place Space.”

3270.77(a) No peeling paint or plaster

“On 11/9/22 observed peeling paint on the fences in the Outdoor Classroom, in the Young Toddler/Young Preschool Outdoor Play space, and the Older Preschool Outdoor Play space. On 11/9/22 observed peeling paint on the benches in the Older Preschool Outdoor Play space.”

3270.82(h) Handwashing signs

“On 11/9/22 observed the urinal and the sink in the Boys' Bathroom by Room 2 lacked handwashing signs. On 11/9/22 observed the toilet in Room 1 lacked a handwashing sign. On 11/29/22 observed the urinals in the Boys' Bathroom located by the ABC Classroom lacked handwashing signs.”

Correction date in the state record: Nov 10, 2022

3270.82(i) Lidded waste receptacles

“The Boys' and Girls' Bathrooms by the ABC Classroom lacked a clean, lidded waste receptacle.”

Correction date in the state record: Nov 29, 2022

3270.82(j) Running water - diapering

“On 11/9/22 observed the diapering area in the Overflow Classroom lacked a source of running water for handwashing. The diapering area was located on one side of the classroom, and the sink was located on the other side of the classroom.”

Correction date in the state record: Nov 9, 2022

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“The files of Staff #1, #4, and #16 lacked a valid disclosure statement (SEE LIS Code Sheet). The disclosure statement on file for Staff #1, #4, and #16 was not the one updated in 2020. The file of Staff #1, a provisional hire, lacked documentation of application for the State Police Clearance, Child Abuse Clearance, and FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #1 contained a State Police and Child Abuse request date of 1/14/22 and a fingerprint receipt dated 1/18/22. The file of Staff #2, a provisional hire, lacked documentation of an FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #2 contained an FBI fingerprint receipt dated 9/29/22. The file of Staff #2, a provisional hire, lacked a National Sex Offender Registry Certificate within 45 days of start (SEE LIS Code Sheet). The file of Staff #2 contained no NSOR, and Staff #2 was not suspended after 45 days. The file of Staff #3 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 contained a NSOR dated 10/19/22. The file of Staff #4, a provisional hire, lacked documentation of application for the State Police Clearance, Child Abuse Clearance, and FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 contained a State Police request date of 8/15/22, a Child Abuse request date of 8/19/22 and a fingerprint receipt dated 8/22/22. The file of Staff #4, a provisional hire, lacked documentation of application for the State Child Abuse and Neglect Registry and Sex Offender Registry Check from the State(s) in which Staff #4 resided in the last 5 years prior to providing initial service in child care (SEE LIS Code Sheet). The file of Staff #4 did not contain a Child Abuse and Registry Check and Sex Offender Registry Check from the State(s) in which Staff #4 resided. The file of Staff #5 lacked a dated disclosure statement. The file of Staff #7 lacked an FBI Clearance updated every 60 months. The file of Staff #7 contained an FBI Clearance dated 8/25/20 with a previous one dated 3/27/15. The file of Staff #13 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #3 contained a NSOR dated 11/19/21. The file of Staff #15 lacked a valid State Police Clearance. Staff #15 had a State Police Clearance dated 3/2/20 which indicated "request under review". The file of Staff #16 lacked documentation of application for the National Sex Offender Registry Certificate and FBI fingerprint receipt dated prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #16 contained an FBI fingerprint receipt dated 8/24/21 and a NSOR request date of 8/13/21. The files of Volunteer #23, #24, #25, and #26 lacked a National Sex Offender Registry Certificate. The file of Volunteer #24 lacked a State Police Clearance, Child Abuse Clearance, FBI Clearance, and National Sex Offender Registry Certificate. The file of Volunteer #26 lacked a Child Abuse Clearance and FBI Clearance prior to providing initial service in child care (SEE LIS Code Sheet). The file of Volunteer #26 contained a Child Abuse Clearance dated 9/1/21 and an FBI Clearance dated 8/31/21.”

Correction date in the state record: Jan 31, 2023

3270.102(a) Clean and good repair

“On 11/9/22 observed foam blocks with torn corners in Room 2. On 11/29/22 observed a cracked bin containing connectors in the Multipurpose Classroom. On 11/9/22 observed a broken gear with rough edges in the Social Hall.”

Correction date in the state record: Nov 9, 2022

3270.103 Small Toys and Objects

“On 11/9/22 observed foam peg boards and foam blocks with bite marks in Room 4. On 11/9/22 observed foam puzzle pieces and foam fish with bite marks in the Social Hall. On 11/29/22 observed foam shapes, foam blocks, and foam peg boards with bite marks in the ABC Classroom.”

3270.106(a) Clean, age appropriate

“On 11/9/22 at approximately 12:00 PM observed 2 young toddlers sleeping in bouncer seats.”

Correction date in the state record: Nov 10, 2022

3270.106(a) Clean, age appropriate

“On 11/9/22 and 11/29/22 observed rest equipment not labeled for the use of a specific child in the following classrooms: Room 2, Room 3, Room 4, and the Social Hall.”

Correction date in the state record: Jan 6, 2023

3270.106(f) 2 feet apart

“On 11/9/22 observed cribs in the Overflow Classroom with less than 2 feet of space on three sides. The cribs were side by side in a L-shape.”

Correction date in the state record: Nov 9, 2022

3270.32(a) Comply with CPSL

“Staff person #10 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 10/3/16.”

Correction date in the state record: Jan 6, 2023

3270.32(a)/3270.192(2)(ii) Comply with CPSL/Exp, educ., training prior to facility

“Volunteers #24 and #26 lacked documentation of mandated reporter training.”

Correction date in the state record: Dec 23, 2022

3270.32(a)/3270.192(2)(iii) Comply with CPSL/Exp, educ., training at facility

“Staff #6, #7, and #15 lacked documentation of completing mandated reporter training every 60 months. Staff #6 had documentation of mandated reporter training completed on 10/30/20 with previous training completed on 3/9/15. Staff #7 had documentation of mandated reporter training completed on 3/20/20 with previous training completed on 3/10/15. Staff #15 had documentation of mandated reporter training completed on 3/10/20 with previous training completed on 3/9/15.”

Correction date in the state record: Jan 31, 2023

3270.31(f) Health and Safety Training

“Staff #6 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 3/18/21 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #7 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #9 and #10 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/8/22. Staff #12 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 12/7/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #13 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/23/21 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/8/22. Staff #15 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 12/7/20 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22. Staff #16 did not have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/23/21 but did have pediatric first aid and pediatric cardiopulmonary resuscitation in an approved curriculum by a PQAS certified trainer on 11/10/22.”

Correction date in the state record: Dec 23, 2022

3270.31(f) Health and Safety Training

“Staff persons #7, #8, #11, #14, #15, #17, #18, #19, #20, #21, and #22 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.”

Correction date in the state record: Dec 23, 2022

3270.31(f) Health and Safety Training

“The file of Staff #3 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of Staff #3 contained documentation of completing health and safety training on 9/18/22.”

Correction date in the state record: Jan 6, 2023

3270.151(c)(3) Exam communicable disease

“The file of Volunteer #26 contained an adult health assessment which did not include an examination for communicable diseases and the results of that examination.”

3270.151(c)(5) Physician/CRNP assessment

“The file of Staff #1 contained an adult health assessment which lacked the physician's or CRNP's assessment of the person's suitability to provide child care.”

Correction date in the state record: Dec 23, 2022

3270.31(e)(4)(ii) Fire safety - 1 yr.

“The files of Staff #6, #7, #9, #10, #12, and #15 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The files of Staff #6, #7, #9, #10, #12, and #15 contained documentation of fire safety training completed on 10/4/22 with a previous one completed on 8/30/21. The file of Staff #16 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional (SEE LIS Code Sheet). The file of Staff #16 contained documentation of fire safety training completed on 10/4/22.”

Correction date in the state record: Jan 31, 2023

3270.27(d) Plan posted

“The operator did not post the emergency plan in the facility at a conspicuous location.”

Correction date in the state record: Jan 31, 2023

3270.27(c) Training regarding plan

“The files of Staff #6, #7, #9, #10, #12, #13, #15, and #16 lacked documentation of training regarding the emergency plan on an annual basis. The files of Staff #6, #7 #9, #10, #12, and #15 contained no documentation for emergency plan training in 2021 or 2022. The file of Staff #13 contained documentation of emergency plan training on 10/4/21. The file of Staff #16 contained documentation of emergency plan training on 8/25/21. The files of Volunteers #23, #24, #25, and #26 lacked documentation of emergency plan training at the time of initial service in a child care setting (SEE LIS Code Sheet).”

3270.21 General Health and Safety

“On 11/9/22 observed 2 cribs with loose sheets in the Overflow Classroom creating a potential suffocation hazard. On 11/29/22 observed a pair of adult scissors and a Phillips screwdriver on the table in the Chapel which were accessible to children. On 11/29/22 observed 4 pair of adult scissors in the bin labeled "scissors" in the art area of the Multipurpose Room which were accessible to children. On 11/29/22 observed adult scissors in a black pencil holder on the counter in the ABC Classroom which were accessible to children.”

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address volunteer emergency preparedness training, volunteers' roles in the event of an emergency, and continuity of operations.”

3270.14/3270.21 Pertinent Laws & Regulations/General Health and Safety

“Staff persons #5, #11, #18, #19, #20, and #21 were observed to be caring for children unsupervised. Staff persons #5, #11, #18, #19, #20, and #21 have not completed the following pre-service training required prior to caring for children unsupervised: health and safety.”

Correction date in the state record: Nov 30, 2022

3270.111(b) Posted in group space

“The written plan of daily activities was not posted in the Overflow Classroom, Room 1, Multipurpose Room, and Chapel.”

3270.123(a)(3) Services proceeded

“The files of Children #1, #2, #3, #5, and #6 lacked child service reports with the reinstating of this regulation on 10/31/22.”

Correction date in the state record: Jan 31, 2023

3270.123(a)(5) Designated release persons

“The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 lacked the persons designated by a parent to whom the child may be released on the agreement.”

Correction date in the state record: Jan 31, 2023

3270.123(b)/3270.182(8) Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

“The files of Children #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.”

3270.151(c)(2) Mantoux TB

“The files of Staff #3 and Volunteers #23, #24, and #26 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux test read date of 3/3/22. Volunteers #23 and #24 lacked documentation of a tuberculosis screening by Mantoux method being completed. Volunteer #26 had a Mantoux test read date of 12/7/17.”

3270.181(c) Emergency info/agreement updated 6 mos

“The emergency contact and agreement for Children #1, #2, #3, #5, #6, #8, and #10 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact and agreement were reviewed on 12/5/21 and then again on 11/7/22. Child #2's emergency contact and agreement were signed on 8/30/21 and reviewed in March of 2022 and then again on 10/25/22. Child #3's emergency contact and agreement were reviewed in March of 2022 and then again on 10/25/22. Child #5's emergency contact and agreement were signed on 4/7/21 with no documentation of reviews and updates. Child #6's emergency contact and agreement were reviewed in March of 2022 and again on 10/24/22. Child #8's emergency contact and agreement were reviewed in March of 2022 and then again on 10/25/22. Child #10's emergency contact and agreement were signed on 10/19/20 with no documentation of reviews and updates.”

3270.124(b)(3) Parent home/work address, phone

“The file of Child #9 lacked work address and work telephone number of the enrolling parent on the emergency contact form.”

Correction date in the state record: Dec 23, 2022

3270.124(b)(7) Name/address/phone release person

“The file of Child #5 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.”

Correction date in the state record: Dec 23, 2022

3270.124(c) Each child care space

“Emergency contact information for Children #11 and #12 were not present when they were receiving care in Room 2. Emergency contact information for Children #14, #15, #16, #17, #18, #19, #20, #21, #22, and #23 were not present when they were receiving care in the Social Hall.”

Correction date in the state record: Jan 31, 2023

3270.131(b)(1) Infant: updated health report every 6 months

“The files of Children #1, #2, and #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained a health report dated 12/21/21. The file of Child #2 contained a health report dated 12/17/21. The file of Child #3 contained a health report dated 7/14/22 with a previous one dated 3/12/21.”

Correction date in the state record: Jan 31, 2023

3270.131(e)(1) Exemption documentation from parent/guardian

“Child #1, a 13-month-old, lacked Hepatitis B, Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, influenza, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #1 had documentation of 1 Hepatitis B, 1 Rotavirus, 1 DTAP/DTP/TD, 1 HIB, 1 Pneumococcal, 1 Polio, no influenza, and no Hepatitis A immunizations. Child #2, a 17-month-old, lacked DTAP/DTP/TD, HIB, Pneumococcal, influenza, MMR, Varicella, and Hepatitis A immunizations in accordance with the schedule recommended by the ACIP. Child #2 had documentation of 2 DTAP/DTP/TD, 2 HIB, 2 Pneumococcal, no influenza, no MMR, no Varicella, and no Hepatitis A immunizations. Child #7, a 3-year-old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.”

3270.133(1) Original container

“On 11/29/22 observed a prescription medication for Child #24 was not in the original container in the ABC Classroom”

Correction date in the state record: Nov 30, 2022

3270.133(4) Locked

“On 11/9/22 observed medication on a hook by the door in Room 3 which was accessible to children.”

Correction date in the state record: Nov 10, 2022

3270.133(7) Medication log

“The operator did not establish a medication log for prescription medication for Child #13.”

3270.134(a) Child's hands washed

“On 12/12/22 Staff in Room 4 did not ensure that a child's hands were washed before snack. Staff in Room 4 allowed the children to use hand sanitizer.”

Correction date in the state record: Jan 31, 2023

3270.151(a) 12 months prior to service and every 24 months thereafter

“The file of Staff #3 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Staff #3 contained a health assessment dated 3/3/22. The files of Staff #6, #9, #12, and #15 lacked a health assessment conducted every 24 months. The file of Staff #6 contained a current health assessment dated 8/17/21 with a previous one dated 8/2/19. The file of Staff #9 contained a current health assessment dated 9/29/21 with a previous one dated 8/2/18. The file of Staff #12 contained a current health assessment dated 10/12/22 with a previous one dated 10/4/20. The file of Staff #15 contained a current health assessment dated 10/5/21 with a previous one dated 9/18/19. The files of Volunteers #23, #24, and #25 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting (SEE LIS Code Sheet). The file of Volunteer #23 contained a health assessment dated 10/20/21. The files of Volunteers #24 and #25 did not contain any health assessments.”

Correction date in the state record: Jan 31, 2023

3270.171(a) Pick-up and drop-off points

“The operator did not notify local traffic authorities annually in writing of the location of the facility and the programs use of pedestrian and vehicular routes around the child care facility. The operator provided documentation that local traffic authorities were notified on 9/1/22.”

Correction date in the state record: Nov 10, 2022

3270.131(a) Health information

“The files of Children #2 and #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 had an admission date of 8/30/21 with a health report dated 12/17/21. Child #5 had an admission date of 6/7/21 with a health report dated 11/10/22. Child #5 also had another health report in the file, but it was not dated.”

Correction date in the state record: Jan 31, 2023

3270.31(e) Age and Training

“The file of Staff #13 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Dec 23, 2022

3270.27(f) Emergency plan

“The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality.”

3270.27(a)(1) Emergency plan

“The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter at locations away from the facility premises.”

Correction date in the state record: Jan 30, 2023

3270.95(a)/3270.95(b) Devices must be compliant/Director or designated staff person ensure compliance

“The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility did not have a written record that the fire detection system was tested manually. The facility provided documentation the fire detection system was inspected by a fire protectional professional on 6/7/21 and 7/8/22. The facility also had documentation the fire detection system was inspected and issued a certificate that was effective from 7/6/21 through 6/30/22.”

Correction date in the state record: Jan 31, 2023

3270.94(a)(1) Every 60 days

“The Director or designated staff person did not ensure that fire drills were conducted at least once every 60 days. Each classroom conducted their own fire drills. Staff in Room 3 provided documentation of fire drills being conducted on 12/7/21, 1/24/22, 2/24/22, 9/20/22, and 10/19/22. Staff in Room 4 provided documentation of fire drills being conducted on 12/2/21, 1/12/22, 2/16/22, 3/3/22, 3/15/22, 4/7/22, 5/12/22, 6/24/22, 7/18/22, 8/18/22, 9/10/22, 9/28/22, 10/6/22, and 11/14/22. Staff in the ABC Classroom provided documentation of fire drills being conducted on 12/13/21, 2/8/22, 3/3/22, 9/6/22, 11/1/22, and 12/5/22. Staff in the Overflow Classroom provided documentation of fire drills being conducted on 3/11/22, 5/13/22, 7/23/22, 9/14/22, and 10/25/22. Staff in Room 1 provided documentation of fire drills being conducted on 1/14/22, 2/24/22/ 3/7/22, 4/11/22, 5/2/22, 6/3/22, 7/13/22, and 8/1/22. Staff in the Social Hall provided documentation of fire drills being conducted on 12/1/21, 1/21/22, 2/8/22, 3/16/22, 6/7/22, 9/14/22, 10/5/22, and 12/8/22. Staff in Room 2 provided documentation of fire drills being conducted on 11/1/21, 12/1/21, 1/3/22, 3/16/22, 6/15/22, and 9/27/22.”

Correction date in the state record: Jan 31, 2023

3270.31(h) Health and Safety Training

“Staff #9, who was hired prior to the implementation of the new regulations, did not complete health and safety training within 180 days of the new regulations being implemented.”

Correction date in the state record: Dec 23, 2022

3270.31(f)(10) Health and Safety Training - Pediatric First Aid and CPR

“The files of Staff #1 and #3 lacked documentation of completing professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire (SEE LIS Code Sheet). The file of Staff #1 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/10/22. The file of Staff #3 contained documentation of completing pediatric first aid and pediatric cardiopulmonary resuscitation on 11/8/22.”

Correction date in the state record: Dec 23, 2022

3270.27(a)(6) Emergency plan

“An emergency drill was not conducted annually. The facility had no documentation of any emergency drill being conducted.”

Correction date in the state record: Jan 11, 2023

3270.192(5) Two written references

“The files of Volunteers #23, #24, #25, and #26 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.”

Correction date in the state record: Dec 23, 2022

3270.65 Protective Outlet Covers 5 yrs. or less

“On 11/29/22 observed an electrical outlet located by the piano and chairs which lacked a protective receptacle cover in the Chapel.”

Correction date in the state record: Nov 24, 2022

3270.124(e) Written emergency plan posted

“A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the Chapel.”

3270.31(f)/3270.31(h) Health and Safety Training/Health and Safety Training

“Staff #10 and #11 lacked professional development in all health and safety topics within 180 days after new regulations were implemented beginning on 12/19/20. No current training was observed on file.”

Correction date in the state record: Nov 24, 2021

3270.32(a)/3270.192(4) Comply with CPSL/CPSL information

“Staff #4 was observed having Pennsylvania State police clearances dates 3/18/15 and 11/9/20, Pennsylvania Child Abuse clearances dated 3/2/15 and 11/5/20, and FBI clearances dated 3/21/15 and 11/5/20. All clearances exceeding 60 months between renewals. Staff #5 was observed having FBI clearances dated 3/19/15 and 3/5/20, exceeding 60 months between renewals. Staff #6 was observed having Pennsylvania Child Abuse clearances dated 4/6/15 and 9/2/20, exceeding 60 months between renewals. Staff #7 was observed having Pennsylvania State police clearances dates 3/6/15 and 7/3/20, Pennsylvania Child Abuse clearances dated 3/26/15 and 8/4/20, and FBI clearances dated 6/5/15 and 8/4/20. All clearances exceeding 60 months between renewals. Staff #8 was observed having Pennsylvania State police clearances dates 3/6/15 and 3/13/20 and FBI clearances dated 3/6/15 and 3/16/20, both clearances exceeding 60 months between renewals. Staff #9 was observed having Pennsylvania State police clearances dates 3/31/15 and 10/30/20, Pennsylvania Child Abuse clearances dated 3/26/15 and 11/2/20, and FBI clearances dated 4/2/15 and 10/30/20. All clearances exceeding 60 months between renewals.”

Correction date in the state record: Nov 24, 2021

3270.75(c) Has all items

“The young infant child care space lacked tape, scissors, and tweezers in the first-aid kit.”

Correction date in the state record: Nov 24, 2021

3270.107 Refrigerator

“The young infant child care space lacked a thermometer in the refrigerator.”

Correction date in the state record: Nov 24, 2021

3270.192(2)(iii) Exp, educ., training at facility

“The file for staff #11 lacked an educational record.”

Correction date in the state record: Nov 24, 2021

3270.151(a) 12 months prior to service and every 24 months thereafter

“Staff #1 was observed having health assessments dated 12/15/18 and 6/16/21, exceeding 24 months between health assessments. Staff #2 was observed having health assessments dated 8/8/18 and 11/20/20, exceeding 24 months between health assessments. Staff #3 was observed having health assessments dated 9/18/19 and 10/5/21, exceeding 24 months between health assessments. Staff #5 was observed having health assessments dated 12/5/18 and 2/9/21, exceeding 24 months between health assessments. Staff #6 was observed having health assessments dated 9/19/18 and 11/11/20, exceeding 24 months between health assessments. Staff #9 was observed having health assessments dated 11/1/18 and 11/2/20, exceeding 24 months between health assessments. Staff #10 was observed having health assessments dated 1/11/18 and 10/27/21, exceeding 24 months between health assessments. Staff #11 was observed having health assessments dated 8/2/18 and 9/29/21, exceeding 24 months between health assessments.”

Correction date in the state record: Nov 24, 2021