Heart Prints Center for Early Education

There were an uncovered outlets on a power strip on the floor in the Art Studio, behind a trash can, and in the restroom in the Willow room, on the wall above the paper towel dispenser, both in reach of children.

Facility Person #2 has been serving, since 2006, as a volunteer at the facility (in a role where they have had with contact with children, but not counted in the staff:child ratio). The only health assessment and TB test on file for Facility Person #2 were dated 8/14/25 & 8/3/25, respectively.

The fire drill log indicates that fire drills were conducted on 1/8/2025 and then again on 3/13/2025.

The agreements on file for children #1-#5 do not specify the children's date of admission to the child care program.

There were no emergency contact form present in the Maple and Juniper rooms for one of children in care in each of those rooms.

**SECOND CITATION; PREVIOUSLY CITED ON 2/3/25: Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

***SECOND CITATION; PREVIOUSLY CITED ON 2/3/25: Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

There was no NSOR clearance or application for an NSOR clearance on file for Facility Person #1 The child abuse clearance on file for Facility Person #3, a staff person, was the volunteer version of the clearance and therefore unacceptable for Facility Person #3. The NSOR clearance on file for Facility Person #3 was completed after their start date. There was no application for an NSOR clearance on file for Facility Person #3. The criminal history, child abuse, and FBI clearances on file for Facility Person #4 were completed after their start date. There was no proof of application for any clearances on file for Facility Person #4.

***Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

*Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

**Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the training "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated the certificate on file was provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificate on file.

The letter to the families explaining the emergency plan did not include information on the accommodations to be made in the event of an emergency.

There was an accessible power strip on the floor in the Art Room with three uncovered outlets.

There was a bottle of whiteboard cleaner labeled "keep out of reach of children" in an unlocked drawer accessible to children in the Juniper room.

There was no first aid kit in the art room.

There was an allergy medication (in the locked medication storage) in the Maple room not labeled with the name of the child for whom it was intended.

According to the fire drill log and the operator's statement, the fire drills conducted at the facility consisted of the evacuation of individual classrooms/groups of children and did not provide for the removal of all persons from the facility, but rather the select classroom(s)/groups participating in that particular fire drill.:

There was no proof of purchase of the fire alarm system on file as required by Act 62. There was no previously submitted and approved attestation statement as to the purchase date of the fire alarm system on file.

Facility Person #5 has completed the health and safety course titled "Get Started with Center-Based Care: Building Blocks for Quality" but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. There was a certificate on file for Facility Person #5 showing a completion date of 1/25/22 for the ""Get Started with Center-Based Care: Building Blocks for Quality" and a second certificate also dated 1/25/22 showing completion of the "Pennsylvania Health & Safety Update 2022" training. The 2022 update training did not become available until 10/4/22. It was confirmed by the training entity that the certificate for the Health & Safety update training is invalid, and Facility Person #5 completed "Get Started with Center-Based Care: Building Blocks for Quality" on 1/25/22, but did not complete the "Pennsylvania Health & Safety Update 2022" training at any time. The operator indicated both certificates on file were provided by Facility Person #5. Facility Person #5 declined to provide any information regarding the completion of these trainings or the certificates on file.

The current pediatric first aid/ CPR trainings on file for Facility Persons #2 and #5 were completed after the expiration dates of the previous respective first aid/CPR trainings on file.

Original agreements were on file for children #1 and #2.

The medical emergency transportation plan was not posted in the Maple and Art rooms.

The file for Staff person #3 includes criminal history clearances dated 3/23/18 and 7/15/23; child abuse clearances dated 3/30/18 and 7/20/23; and FBI clearances dated 3/26/18 and 7/28/23, all more than 60 months apart.

The first aid kit in the Willow room did not include scissors. The first aid kit in the Juniper room did not include tweezers

There were pegs for a pegboard smaller than 1 inch in size in the Maple room at the time when the older toddlers, children who may still be placing things in their mouths, were in the classroom.

The immunization record on file for Child #2, who is 4 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 3 years old, includes 0 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age.

The 2 most recent health assessments on file for Staff person #1 are dated 7/13/21 and 8/7/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 are dated 4/13/21 and 5/21/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 are dated 2/17/21 and 8/29/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 are dated 9/19/21 and 2/2/24, more than 24 months apart.

The most recent Pediatric First Aid/Pediatric CPR on file for Staff person #4 is dated 9/16/23, after the previous certificate expired on 5/31/23.

The emergency contact form on file for Child #3 does not include the telephone number for the child's pediatrician or source of medical care.

The emergency contact form on file for Child #1 and #3 does not include a complete address for all listed release persons.

Staff person #3 completed 9 of 12 hours of annual training between 4/2022-4/2023, as per Announcement C-21-09.

The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

The most recent emergency plan training on file for Staff person #1, #2, #3 dated 9/1/22, is dated more than 1 year after the previous training, dated 8/31/21.

There was a basket of tin cans in the Willow Room and 3 tin cans in the Birch Room, all of which had a sharp edge on the inside, where the lid had been removed, which could cut a child.

There was mulch and pea gravel in flower-bed sections of the grassy playground, which were accessible to children who are still placing things in their mouths.

There was a table holding a microwave, in the Art Room, where children complete art projects, that was wobbly, creating a hazard if it were to fall.

The most recent influenza vaccination on file for Child #1, who is 3 years old, is dated 11/11/19, which is dated more than 1 year ago, as recommended annually for a child this age. The most recent influenza vaccination on file for Child #4, who is 4 years old, dated 9/20/21, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5, who is 4 years old, included 0 of 3 Hepatitis B vaccines recommended for a child this age; 3 of 4 DTAP vaccines recommended for a child this age; 2 of 4 HIB vaccines recommended for a child this age; 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age; 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; 0 of 5 Polio vaccines recommended for a child this age; 0 of 1 MMR vaccines recommended by the ACIP for a child this age; 0 of 1 Varicella vaccines recommended by the ACIP for a child this age; and 0 annual influenza vaccines recommended for a child this age.

The health assessment on file for Child #3 and #4 does not indicate if the child is free from contagious disease and may participate in child care.

There was an Auvi Q pen in the Discovery classroom labeled for use by a specific child which did not have written parental permission to administer.

The file for Staff person #4, who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience.

There was no written daily activity schedule in the Birch Room and the Art Room.

The emergency contact form on file for Child #2 does not include the policy number for the child's health care benefits.

The emergency contact form on file for Child #2 does not include a complete address for all listed release persons.

The emergency transportation plan was not posted in the Willow Room, Maple Room, and the Art Room.

The Birch room, which in intended for use as a child care space, contains an operable stove and therefore can not be used as child care space.

The file for Staff person #3 does not include a signed disclosure statement

The file for staff person #4 was observed not to contain documentation of application of a PA Criminal History clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL.

There was prescription medication for a child in the Willow room which does not include written parental permission to administer.

The file for staff person #2 was observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The health assessment on file for staff person #2 was dated 11/11/21.

The file for staff person #2 was observed not to contain documentation of a Tuberculosis test result being completed within 12 months prior to date of hire (See LIS CODE SHEET). The Tuberculosis test result on file for staff person #2was dated 11/11/21.

The file for staff person #2, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person # 2 was dated 1/25/22. The file for staff person #3, was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for staff person #2 was dated 1/25/22; and for Staff person #3 was dated 4/27/22.

The agreement on file for Child #2 does not include the child's date of admission.

The emergency contact form on file for Child #3 does not include the complete home address for the enrolling parent.

The most recent 6 month review signature for the emergency contact form on file for Child #1, #2, #4, #5, #6, #7, #8, #9, and #10 is dated more than 6 months after the previous 6 month review signature. The file for Child #1, #2, #4, #5, #6, #7, #8, #9, and #10, does not include a 6 month parental review signature for the agreement.

The file for Child #4 does not include written parental permission to administer minor first aid procedures.

The file for Staff person #5, was observed not to have completed 12 hours of annual training within 12 months from date of hire (See LIS CODE SHEET).