A Place To Grow Learning Center

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One large clear tote was observed to have a large crack across the bottom, causing a potential pinch point, in Classroom 114.

Correction Required: 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.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:57am Staff Person's #3, #4 and #5 were observed to be caring for 12 young toddlers. Staff Person #3 reported being assigned responsibility for 3 young toddlers. Staff Person #4 reported being assigned responsibility for 4 young toddlers. Staff Person #5 reported being assigned responsibility for 4 young toddlers. This left 1 young toddler not being assigned to a specific Staff Person.

Correction Required: 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #1, an older toddler, lacked a current health report that had been completed within the last 12 months. The most recent health report was dated 8.26.24. The updates to the health reports on file for Child #2, a preschooler, exceeded 12 months between examinations on 7.25.23 and 3.13.25.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most recent health assessment on file for Staff Person #1 lacked information confirming that an examination for communicable diseases had occurred and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #2 lacked an approved out of state Child Abuse Clearance for a state they have resided in within the last 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: One cracked bin with a potential pinch point was observed in Classroom 123.

Correction Required: 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.

Regulation: 3270.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment on file for Staff Person #1 lacked information related to the physician's assessment of their suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 lacked an out of state Child Abuse Clearance for a state they have resided in within the last 60 months. The file for Staff Person #2 lacked an out of state Child Abuse Clearance and Sex Offender Registry completed through the approved agencies for a state they have resided in within the last 60 months.

Correction Required: 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 #1 and #2 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In Classroom 123, the cabinet under the sink was observed to be unlocked and contained disinfecting wipes, glass cleaner and stainless steel cleaner. The items were all labeled Keep Out of Reach of Children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The file for Child #1, a preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health report on file was dated 7.20.23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The most recent health assessment on file for Staff Person #6 lacked information related to an examination for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #2 lacked one written, nonfamily references attesting to their suitability to serve as a facility person. One of the two references on file was written by a relative.

Correction Required: 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.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file for Staff Person #1 lacked completion of their Pediatric First Aid and CPR training within 90 days of starting at the facility. The Pediatric First Aid and CPR training was completed 106 days after starting at the facility.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #3 lacked verification that they had requested their required out of state Child Abuse Clearance prior to starting at the facility. The completed out of state Child Abuse clearance was dated 39 days after starting at the facility. The PA State Police, PA Child Abuse and FBI Clearances on file for Staff Person #4 exceeded 60 months between updates. This was evidenced by the State Police Clearances being dated 8.8.19 and 8.28.24, the Child Abuse Clearances being dated 8.16.24 and 9.9.24 and the FBI Clearances being dated 8.10.19 and 8.29.24. The update to the mandated reporter trainings on file for Staff Person #5 exceeded 60 months between updates. This was evidenced by trainings completed on 3.25.19 and 5.14.24.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #3, who was identified as an assistant group supervisor, lacked verification that they had graduated from high school.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: The bottom level preschool classrooms (currently labeled as Music, Art and Library classrooms) each contained one black metal cabinet approximately 6 feet tall which was not anchored to the wall. The cabinets were not stabilized and could tip over.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Documentation of the testing of the fire detection system was dated 10/23/2023 and the next on 12/21/2023 which exceeded 30 days.

Correction Required: 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.

Regulation: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On a low shelf in room 113, the following objects were accessible to the two year-old children in care at the time and are less than 1 inch in diameter or have removable parts: a container of rubber dinosaurs, a few small plastic dinosaurs, tanagrams and foam paint rollers.

Correction Required: 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.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Two of the three last health reports in the file for child #2, a 19 month old, were dated 8/25/22 and 5/18/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The last two health reports in the file for child #1, a 4 year old, were dated 10/6/21 and 7/14/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: There was no evidence of a flu shot in the file for child #3, a young toddler, and the file did not contain a writtent statement of exemption from a parent.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). "Child #3 must be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter."

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The health assessment in the file for staff person #10, who was from a substitute child care agency, was signed by an individual whose title was listed as "NP."

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: On the health assessment in the file for staff person #8 , the question regarding communicable disease was marked "yes."

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The last two fire safety trainings in the file for staff person #1 were dated 2/24/22 and 6/2/23.

Correction Required: 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.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #2, #4, #5 and #9 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #4, #5 and #9 will have until 11/11/23 to complete the required training. Until such time as the required training has been completed, staff person #4, #5 and #9 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, #5 and #9, staff person #4, #5 and #9 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The first-aid/CPR training in the file for staff person #2, #3, #4 #6 and #7, hired on (SEE LIS CODE SHEET), was dated more than 90 days after the individual began working with children. The revised health and safety training in the file for staff person #2, hired on (SEE LIS CODE SHEET), was dated 8/18/23.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The only disclosure statement in the file for staff person #10 was from the substitute child care agency.

Correction Required: 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 #10 may not work in a child care position at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: On the facility's testing log, there were two times where the fire detection system was tested more than 30 days apart: 4/6/23 and 5/26/23 and 6/22/23 and 7/25/23.

Correction Required: 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.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The most recent emergency contact information in the file for child #1 did not include a street name or number for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: There was no evidence of a flu shot in the file for child #2, an 8 month-old.

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

Regulation: 3270.133(5)

Description: Original label

Noncompliance Area: There was an expired bottle of Benadryl in the PreK room for child #1.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Regulation: 3270.151(b)

Description: Conducted by physician, PA or CRNP

Noncompliance Area: The most recent health assessment in the file for staff person #9 was signed by an individual who listed "NP" as their title.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: One of the reference letters in the file for staff person #4 was written by a family member.

Correction Required: 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

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #6, hired (see LIS code sheet), did not include 12 hours of child care training between 12/19/20 and 12/19/21.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The previous FA/CPR training in the file for staff person #9, hired (see LIS code sheet), expired on 2/28/22 and was not updated until 7/19/22. The previous FA/CPR training in the file for staff person #11, hired (see LIS code sheet), expired on 8/31/20 and was not updated until 10/26/21. The updated training should have been completed by 6/17/21.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The only FA/CPR training in the file for staff person #1, hired (see LIS code sheet), was dated 1/11/22. The only FA/CPR training in the file for staff person #2, hired (see LIS code sheet), was dated 7/19/22. The only health and safety training in the file for staff person #3, hired (see LIS code sheet), was dated 2/6/22. The only acceptable FA/CPR training by a PQAS instuctor in the file for staff person #5, hired (See LIS code sheet), was dated 7/19/22. The training should have been completed by 4/29/22. The health and safety training in the file for staff person #5 was dated 1/20/22. The only FA/CPR training in the file for staff person #6, hired (see LIS code sheet), was dated 10/13/21. The training should have been completed by 6/17/21. The only acceptable FA/CPR training by a PQAS instuctor in the file for staff person #8, hired (see LIS code sheet), was dated 7/19/22. The training should have been completed by 4/29/22. The following staff files included the 6 hour training "Health and Safety Basics: Requirements for Certification" dated before 9/30/2016, making it unacceptable, and a 10-hour training dated after 4/29/22: #1, #7 and #12 through #19.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The last two mandated reporter training in the file for staff person #1 were dated 5/22/17 and 8/8/22. The last two mandated reporter training in the file for staff person #6 were dated 1/12/17 and 7/21/22. The last two mandated reporter training in the file for staff person #8 were dated 4/13/16 and 8/30/21.The last two mandated reporter training in the file for staff person #11 were dated 6/13/17 and 9/28/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The child abuse clearance in the file for staff person #5, hired provisionally on (see LIS code sheet), was for volunteer purposes, and the individual was observed alone in a classroom with children on 9/29/22. The FBI clearance and proof of request of the clearance in the file for staff person #5 were both dated 10/11/21. The last two state police, child abuse and FBI clearances in the file for staff person #7 and #8 were dated more than 60 months apart. The last two FBI clearances in the file for staff person #11 were dated more than 60 months apart.

Correction Required: 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: In room Preschool A, there was a bag of Vigoro all-purpose potting soil mix inside the sensory table, making it accessible to children in care at the time. The directions included instructions to keep out of the reach of children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The facility did not have proof of purchase of their fire detection system.

Correction Required: 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.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter the facility provides to the parents of each enrolled child explaining the emergency plan does not include the program's plan for a lock-down situation.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The most recent pediatric first aid/CPR training on file for Facility Persons #3 and #4 was expired.

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

Regulation: 3270.31(f)/3270.31(f)(10)

Description: Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: There was no documentation of completion of pediatric first aid/CPR on file for Facility Persons #2, #8, #9, #10, and #11, all employed at the facility for more than 90 days.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire:Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3270.32(a)/3270.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: Current mandated reporter training completed by and documented on file for Facility Persons #5 and #7 were each completed more than 60 months after the respective prior mandated reporter training. The mandated reporter training completed and documented on file for Facility Persons #1 and #11 were completed more than 90 days after their start date.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). . A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The FBI clearance on file at hire for Facility Person #1 was not acceptable for a child care position, as it was processed through the Department of Education. An acceptable clearance, processed through the Department of Human Services, was also on file for Facility Person #1, dated after her start date. The clearance was dated more than 45 days after her start, and there was no proof of application for an FBI clearance on file at hire for Facility Person #1. The current child abuse clearance on file for Facility Person #4 was completed more than 60 months after the prior child abuse clearance on file. The current criminal history and child abuse clearances on file for Facility Person #6 were each completed more than 60 months after the prior respective clearance on file.

Correction Required: 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.

Regulation: 3270.35(b)(1)

Description: Bachelor's

Noncompliance Area: Facility Person #13 was classified as a group supervisor. Documentation of education on file for Facility Person #13 did not indicate they had completed their degree.

Correction Required: A group supervisor shall have a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: On 9/14/21 at approximately 11:45 AM, Facility Persons #1 and #2 were supervising a total of 12 older toddlers in the Preschool C room. When asked to identify which children they were each supervising, Facility Person #1 claimed responsibility for the supervision of 7 of the older toddlers. Then Facility Person #2 claimed responsibility for the supervision of 5 of the older toddlers.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).