Love Too Learn

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The seat on a plastic toy bus (climbing equipment) in the outdoor play space was cracked, which posed a potential pinch point for children in care.

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)/3270.113(a)(1)

Description: Supervised at all times /Staff assigned to specific children

Noncompliance Area: At approximately 10 a.m. staff #1 left their assigned supervision group of 7 preschool children alone and unsupervised in the PS 3 room with no other staff present in the space for approximately 2 minutes while staff #1 answered the door.

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. 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: 3270.51

Description: Similar Age Level

Noncompliance Area: At approximately 10 a.m. staff #1 left their assigned supervision group of 7 preschool children alone and unsupervised in the PS 3 room with no other staff present in the space for approximately 2 minutes while staff #1 answered the door.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: There was a cube shelving unit with sharp corners in the infant room, accessible and posing a potential hazard for children in care.

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)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment for staff #3 did not include an examination for communicable diseases 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)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The record for staff #2 included a CJIS FBI check which is unacceptable because it does not meet the requirement for a facility person to have a current and valid DHS FBI Clearance to work in child care.

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: 3270.52

Description: Mixed Age Level

Noncompliance Area: Upon arrival to the facility at approximately 10:30 AM, staff #1 answered the door and left staff #2 alone with no other staff present to supervise a group of 9 children of mixed age levels, including 8 preschool children and 1 older toddler, in the social hall.

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: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: A set of double doors equipped with panic bars, identified by signage hung above the doors as an exit and used to access the outdoor play space, were unable to be opened without using excessive force.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: An operating thermometer was not placed in the refrigerator in the hallway.

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: 3270.131(e)(1)/3270.131(e)(3)

Description: Exemption documentation from parent/guardian/Dismissal policy

Noncompliance Area: The facility did not obtain updated written verification from the parent that the influenza vaccine was administered to child #1, a preschool child, 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. 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(ren) #1 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #2 completed the Pennsylvania Health and Safety Update 2022 on 7/17/2023, which was following the prescribed timeframe of December 30, 2022 required by OCDEL to complete the training, as per Announcement C-22-06. The provider had a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment that did not address the prevention and identification of child maltreatment required to maintain compliance with 45 CFR 98.41(a)(1)(vi), as per Announcement C-22-03.

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(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The record for staff #3 lacked a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Copies of accident reports were not retained in the children's files.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff #3 complete CCDBG health and safety professional development training on 8/16/2016, which prior to 9/30/2016 was not an acceptable training.

Correction Required: Staff persons will 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 record for staff #1 included a PDE FBI clearance, which is not an acceptable clearance for working in child care.

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 may not work at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children: a set of acrylic markers were stored in an unlocked drawer in the PS4 room and (3) whiteboard markers were stored in an unlocked desk drawer in the hallway.

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: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was observed on an outside door located by the walkway that leads to the entrance to the facility.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.102(e)

Description: Infant/toddler - no material less than 1 inch

Noncompliance Area: There was a container of rocks that were a diameter of less than 1 inch being used for sensory development in the outdoor play space, where infants and toddlers receive care.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: A parent of child #1 did not review their emergency contact information at least once in a 6-month period from 8/30/2021 to 3/11/2022.

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(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: The record for child #2, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

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.A child's record shall contain initial and subsequent health reports.

Regulation: 3270.133(4)

Description: Locked

Noncompliance Area: A bottle of Equate pain reliever labeled for staff use only was observed in an unlocked drawer in the PS 3 room accessible to children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The record for staff #2 lacked a current health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A parent of child #1 did not review their financial agreement at least once in a 6-month period from 8/30/2021 to 3/11/2022.

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: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: Child records were not stored in a locked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.193(a)

Description: Confidential; stored in locked cabinet

Noncompliance Area: Facility persons' records were not stored in a locked cabinet.

Correction Required: Facility persons' records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: Sharp adult scissors were observed on the counter in the PS 4 room and in an unlocked drawer in the PS 3 room, accessible to children in care.

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

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The record for staff #1 included a current certificate for mandated reporter training completed on 8/27/2020, more than 60 months following the date of the previous training on 3/21/2015.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The director did not complete a minimum of one written evaluation every 12 months for staff #1.

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: 3270.36(b)(3)/3270.192(2)(ii)

Description: HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility

Noncompliance Area: The record for staff #1 did not include verification of education and experience with children prior to service at the facility as an AGS.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of 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: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The following toxic materials labeled keep out of the reach of children were observed in areas accessible to children in care: there was air freshener and hand lotion on a shelf in the unlocked staff bathroom; and in the PS 3 room, there was hand sanitizer, super glue, and dry erase cleaner in an unlocked drawer and there was (2) bottles of rubbing alcohol and a can of shaving cream in an unlocked cabinet.

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