Caterpillar Corner Daycare LLC

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The facility was observed to have wicker baskets filled with toys and accessories in the front room with unwoven pieces that were protruding and poking from the baskets.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: The facility was observed to have a disposable plastic bag full of disposable plastic bags stored in a folded stroller that was accessible to children still placing objects in their mouths in the infant room.

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: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #1 was observed to lack an emergency contact form that included the telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for Child #1 was observed to contain an emergency contact form that lacked to provide information on the child's special needs if any that would be needed in an emergency situation.

Correction Required: Emergency contact information must 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 was observed to lack an emergency contact form that included the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(f)

Description: Updated every 6 months

Noncompliance Area: The file for child #3 was observed to lack emergency contact and financial agreement forms that lacked updates in writing once in a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files for children #3 and #4 were observed to lack a review of the child's immunized status according to recommendations of the ACIP. Specifically, the immunization record for Child #3 illustrated only 1 Hepatitis A had been administered. The file for child #4 lacked an immunization record all together.

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).

Regulation: 3270.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for child #4 was observed to lack written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: Room #3 at the facility was observed to have a set of wooden cubbies next to the black board that was not fastened to the wall or other surface and was unsteady and easily tipped over.

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

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: Room #3 at the facility was observed to lack a written plan of daily activities and routines, including a time for free play posted in the group space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Regulation: 3270.123(a)

Description: Signed

Noncompliance Area: The file for child #1 was observed to contain an agreement form that lacked the operator's signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3270.123(a)(1)

Description: Amount of fee

Noncompliance Area: The files for children #1 and #5 were observed to contain financial agreement forms that did not specify the amount of the fee to be charged per day or per week

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The file for child #1 was observed to contain a financial agreement that did not specify the services being provided.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files for Children #2 and #5 were observed to contain financial agreement forms that did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3270.123(a)(7)

Description: Services considered extra

Noncompliance Area: The files for children #1, #5 and #6 were observed to contain agreement forms that did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #5 was observed to contain and emergency contact form that lacked the address and telephone number of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children #2 and #5 were observed to contain an emergency contact form that lacked the work address of the enrolling parent(s). The emergency contacts forms for children #2, #5 and #7 were observed to lack the work telephone number of the enrolling parent(s).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for children #2, #4, #5 and #7 were observed to contain emergency contact forms that 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 Required: Emergency contact information must 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for children #3, #4 and #6 were observed to contain Emergency contact forms and financial agreements that had not been updated in writing once in a 6-month period. This was evidenced by emergency contact forms dated 08/17/2024 present in the files.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #2 was observed to lack a health report that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The file for staff person #1 was observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.75(b)

Description: Inaccessible to children

Noncompliance Area: Room #3 at the facility was observed to have a first-aid kit that was accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 11:15 AM Staff #1 was caring for a group of mixed age children which included 3 young school-age children and 2 older school-age children. When asked to name the children, Staff #1 named one of the five children.

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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: 2nd citation. Previously cited on 5/21/24. Observed a bottle labeled "bleach water" hanging on the shelf by the changing table in the Young Toddler Room which was accessible to 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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: Observed approximately a 3-inch tear on a gym mat in the Indoor Play Space. Observed a cracked bin containing LEGOS in the Older Toddler Room. Observed 5 cracked Magna Tiles in the Preschool Room. Observed a cracked bin containing puzzle pieces in the Preschool Room.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled for the use of a specific child in the Toddler Room.

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

Regulation: 3270.118(c)

Description: Vet's certificate required

Noncompliance Area: A veterinarian's certificate of current rabies immunization was not on file when a dog was present at the facility.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: Children #3, #4, and #5 lacked child service reports completed at least every 6 months. Child #3 had child service reports completed on 3/13/23, in November of 2023, and in May of 2024. Child #4, with an admission date of 5/4/23, had a child service report completed on 4/24/24. Child #5, with an admission date of 9/26/23, had a child service report completed on 5/3/24.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact information for Child #2 did not include the complete address of the child's physician or source of medical care.

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

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #2 did not include the work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Emergency contact information for Child #2 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 Required: Emergency contact information must 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: 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 Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(d)

Description: Excursions

Noncompliance Area: When Child #6 left the facility on a walking excursion, emergency contact information for Child #6 did not accompany staff on the excursion.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file of Child #5 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The file of Child #5, with an admission date of 9/26/23, contained a health report dated 12/5/23.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #4 contained health reports dated 5/9/23, 6/21/23, and 1/3/24.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of Child #1, a 3-month-old, lacked Hepatitis B immunizations according to the recommendations of the ACIP. Child #1 had documentation of one Hepatitis B immunization.

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).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #4's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: Observed bottles not labeled with the child's name in the Infant Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement for Child #2, with an admission date of 7/12/21, was not reviewed and updated at least once in a 6-month period. Child #2's agreement was reviewed on 8/21/23 and 2/20/24. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's emergency contact was reviewed and updated on 8/15/22, 8/24/23, and 2/14/24.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Observed 3 pair of adult scissors in a bin on the shelf at the bottom of the steps in the Preschool Room which were accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The operator provided documentation of an emergency drill being conducted on 12/8/22 but no documentation for 2023.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures including accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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)

Description: Age and Training

Noncompliance Area: The file of Staff #3 lacked documentation of obtaining an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #2 lacked a valid FBI Clearance. Staff #2 had an FBI Clearance from the Department of Education.

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

Regulation: 3270.37(b)(3)

Description: 8th grade + 2 yrs

Noncompliance Area: The file of Staff #1, who was designated as an aide, lacked documentation of a minimum of an 8th grade education.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:30 AM Certification Staff observed Staff #4 leave the Preschool Room to take a child to the bathroom while Staff #5 remained in the room with 12 preschoolers.

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).

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Observed a bottle labeled "bleach water" hanging on the shelf by the changing table in the Young Toddler Room which was accessible to 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: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: 2nd citation. Previously cited on 5/8/23. The emergency contact for Child #1 was not reviewed and updated at least once in a 6-month period. The emergency contact for Child #1 was reviewed on 2/10/22 and 8/15/22.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 5/8/23 observed cracked Magna Tiles in the Preschool Classroom. On 5/8/23 observed a cracked bin containing musical instruments in the Young Toddler Classroom. On 5/8/23 observed rest mats with exposed foam in the Preschool and Young Toddler Classrooms. On 5/8/23 observed broken LEGOS in the indoor play space.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 5/8/23 observed 3 foam peg boards with bite marks in the Preschool Classroom.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 5/8/23 observed rest equipment not labeled for the use of a specific child in the Toddler Classroom.

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

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: The refrigerator temperature in the Infant Classroom was 48 degrees.

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

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 12:30 PM on 5/8/23 Certification Staff observed 1 child lying on rest equipment behind a bookcase in the Toddler Classroom which did not allow for critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 2:55 PM on 5/8/23 Certification Staff observed 2 preschool children alone in the bathroom which is not in the classroom.

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: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files of Children #1, #2, #3, #4, #5, and #6 lacked child service reports with the reinstating of this regulation on 10/31/22. The file of Child #1 contained child service reports dated 8/24/22 and 3/25/23. The file of Child #2 contained child service reports dated 3/3/22 and 3/13/23. The file of Child #3, with an admission date of 6/10/22, contained a child service report dated 3/13/23. The file of Child #4, with an admission date of 8/22/22, contained a child service report dated 3/13/23. The file of Child #5, with an admission date of 8/20/21, contained no child service report. The file of Child #6, with an admission date of 8/23/21, contained a child service report dated 4/17/23.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact information was not present for Child #7 in the Preschool Classroom when receiving care in that room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file of Child #1 lacked an initial health report no more than 60 days following the first date of attendance at the facility. Child #1, with an admission date of 1/3/22, contained an initial health report dated 10/31/22.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 2/8/22, 4/27/22, and 2/16/23.

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 file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a current health report dated 3/30/23 with a previous one dated 2/11/22.

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(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The file of Child #2 contained a health report which was not written and signed by a physician, physician's assistant or CRNP.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files of Children #1, #2, and #5 lacked a current influenza immunization in accordance with the recommendations of the ACIP. The file of Child #4, a 35 month old, lacked an influenza immunization and Hepatitis A immunizations in accordance with the recommendations of the ACIP. The file of Child #4 contained documentation of 1 Hepatitis A immunization.

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).

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file of Child #2 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The file of Child #2 contained a health report which did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 prior to returning from a leave of absence. The file of Staff #1 contained documentation of leave from 9/23/22 through 4/6/23. The file of Staff #1 contained documentation of completing the health and safety update on 4/20/23.

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

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file of Staff #3 lacked an initial health assessment which included tuberculosis screening by Mantoux method at initial employment (SEE LIS Code Sheet). Staff #3 had a Mantoux read date of 8/31/22.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Children #1 and #2 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was signed on 1/3/22 and reviewed on 2/10/22 and 8/16/22. Child #1's agreement was signed on 1/3/22 and reviewed on 8/16/22 and 2/10/23. Child #2's emergency contact was signed on 8/17/21 and reviewed on 8/15/22 and 2/8/23. Child #2's agreement was signed on 8/20/21 and reviewed on 8/17/22 and 2/8/23. The emergency contact for Child #4 was not reviewed and updated at least once in a 6-month period. The emergency contact for Child #4 was reviewed on 2/10/22 and 8/15/22.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.27(a)(6)/3270.27(f)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility created an emergency drill log, but it did not address the names of the facility persons and any other adults that participated in the drill, special accommodations the facility used for any category of children, total number of children participating in the drill, total number of adults and children participating in the drill, and problems encountered or observations during the drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #1 lacked documentation of receiving training regarding the emergency plan on an annual basis. The file of Staff #1 contained documentation of receiving emergency plan training on 11/30/21. The file of Staff #5 lacked documentation of receiving training regarding the emergency plan at the time of initial employment (SEE LIS Code Sheet). The file of Staff #5 contained documentation of receiving training regarding the emergency plan on 10/10/22.

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

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

Description: Fire safety - 1 yr.

Noncompliance Area: The file of Staff #1 lacked documentation of participating, at least annually, in fire safety training conducted by a fire protection professional. The file of Staff #1 contained no documentation of fire safety training.

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: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #4 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020 (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 3/24/21.

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: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The files of Staff #1 and #5 lacked documentation of a written evaluation on a regular basis, a minimum of one evaluation every 12 months (SEE LIS Code Sheet). The files of Staff #1 and #5 contained no written evaluations.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Regulation: 3270.35(b)(3)

Description: Associate's + 2 yrs

Noncompliance Area: The file of Staff #2, who was designated as a group supervisor, lacked documentation of an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Regulation: 3270.82(i)

Description: Lidded waste receptacles

Noncompliance Area: On 5/8/23 the sink located in the Toddler Classroom lacked a clean, lidded waste receptacle.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Regulation: 3270.82(j)

Description: Running water - diapering

Noncompliance Area: On 5/8/23 observed the diapering area in the Toddler Classroom lacked a source of running water for handwashing. The diapering areas was located in the middle of the classroom, and the sinks were located on each side of the classroom.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Regulation: 3270.95(a)/3270.95(b)

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

Noncompliance Area: The facility was unable to provide written documentation that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 6/1/22, 7/1/22, 7/29/22, 8/26/22, 9/23/22, 10/21/22, 11/18/22, 12/16/22, 1/15/23, 2/12/23, 3/14/23, 4/13/23.

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: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: 2nd citation. Previously cited on 5/11/22. The files of Children #1 and #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: 2nd citation. Previously cited on 5/11/22. The file of Child #3, a 23 month old, lacked DTAP/DTP/TD, HIB, and Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #3 contained documentation of 3 DTAP/DTP/TD immunizations, 2 HIB immunizations, and 3 Pneumococcal immunizations.

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: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: On 5/11/22 observed approximately 1/2 inch hole in the bin containing connector beads in the Young Toddler/Older Toddler Room. On 5/11/22 observed rest mats with exposed foam in the Toddler Room. On 5/11/22 observed rest mats with exposed foam in the Young Toddler Room. On 5/11/22 observed a torn changing mat with exposed foam in the Young Toddler Room. On 5/11/22 observed a green step with exposed foam in the Indoor Play Space. On 5/11/22 observed a turtle mat with exposed foam in the Indoor Play Space. On 5/11/22 observed a red, blue, and purple mat with exposed foam in the Indoor Play Space.

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: 3270.103

Description: Small Toys and Objects

Noncompliance Area: On 5/11/22 observed foam peg boards with bite marks in the Preschool Room. On 5/11/22 observed foam road map pieces with bite marks in the Toddler Room. On 5/11/22 observed foam blocks with bite marks in the Young Toddler/Older Toddler Room and in the Young Toddler Room.

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: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: On 5/11/22 the rest equipment was not labeled for the use of a specific child in the following rooms: Preschool and Young Toddler/Older Toddler.

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

Regulation: 3270.106(b)

Description: No bed linens alone

Noncompliance Area: On 5/11/22 observed 3 children in the Toddler Room using only blankets as rest equipment.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3270.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 11:45 AM on 5/11/22 Certification Staff observed 2 children lying on rest equipment behind bookcases in the Preschool Room which did not allow critical oversight in which the supervisor could see, hear, direct, and assess the activity of the supervisee.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of Child #4 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home and work address of the enrolling parent on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file of Child #8 lacked 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, on the emergency contact form.

Correction Required: Emergency contact information must 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #6 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: On 5/11/22 emergency contact information was not present for Child #9 while receiving care in the Toddler Room. Emergency contact information was not present for Child #10 while receiving care in the Infant Room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of Child #6 lacked an updated health report at least every 6 months for an infant or young toddler with the reinstating of this regulation on 1/6/22. The file of Child #6 contained a current health report dated 2/922 with a previous one dated 4/26/21.

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(d)(5)

Description: Immunization record

Noncompliance Area: The file of Child #1 contained a health report which did not include a review of the child's immunized status according to recommendations of the ACIP. The file of Child #1 did not contain documentation of immunizations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The files of Children #1 and #2 contained a health report which lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file of Child #6, a 23 month old, lacked DTAP/DTP/TD, HIB, and Pneumococcal immunizations in accordance with the schedule recommended by the ACIP. The file of Child #6 contained documentation of 3 DTAP/DTP/TD immunizations, 2 HIB immunizations, and 3 Pneumococcal immunizations. The file of Child #7, an 8 month old, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations in accordance with the schedule recommended by the ACIP. The file of Child #7 contained documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. The file of Child #8, a 3 year old, lacked a current influenza immunization in accordance with the schedule recommended by the ACIP.

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: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files of Staff #4, #7, #8, and #9 lacked an adult health assessment which includes tuberculosis screening by the Mantoux method at initial employment. (SEE LIS CODE SHEET) Staff #4 had a Mantoux test read date of 9/8/17. Staff #7 had a Mantoux test read date of 11/20/19. Staff #8 had a Mantoux test read date of 5/3/19. Staff #9 had a Mantoux test read date of 8/19/20 which was conducted more than 12 months prior to providing initial service in a child care setting.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: On 5/11/22 the Infant Room lacked a written statement giving the formula and feeding schedule for each infant obtained from the parents

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3270.166(4)

Description: Bottles labeled

Noncompliance Area: On 5/11/22 observed bottles which were not labeled with the child's name in the Infant Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact and agreement for Children #1, #2, #3, #6, and #8 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. The emergency contact for Child #4 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. The agreement for Child #7 was 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 was reviewed on 7/22/21 and then again on 3/4/22. Child #1's agreement was reviewed on 8/20/21 and then again on 3/4/22. Child #2's emergency contact form was reviewed on 7/14/21 and then again on 2/28/22. Child #2's agreement was reviewed on 7/21/21 and then again on 2/28/22. Child #3's emergency contact and agreement were reviewed on 7/20/21 and then again on 2/18/22. Child #4's emergency contact was reviewed on 7/21/21 and then again on 2/10/22. Child #6's emergency contact was reviewed on 8/13/21 and then again on 3/14/22. Child #6's agreement was reviewed on 8/20/21 and then again on 3/14/22. Child #7's agreement was reviewed on 7/25/21 and then again on 2/10/22. Child #8's emergency contact was signed on 7/11/21 with a review on 2/28/22. Child #8's agreement was signed on 7/12/21 with a review on 2/28/22.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3270.31(e)

Description: Age and Training

Noncompliance Area: The files of Staff #7 and #8 lacked documentation of completing an annual minimum of 12 clock hours of child care training.

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

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The files of Staff #1, #2, #3, #6 lacked valid health and safety training due to the fact that the training was completed prior to 9/30/16.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-9). Staff persons #1, #2, #3, and #6 will have until July 13, 2022 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, #3, and #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, #3, and #6, staff person #1, #2, #3 and #6 may not work in a child-care position at the facility.