3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

At the time of the Renewal Inspection conducted on 03/27/2025, prescribed medication for Child #3 was located in an unlocked bag in the cubby of the Preschool Classroom in an area accessible to children.

Corrected Corrected by Apr 1, 2025

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · 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.

At the time of the Renewal Inspection conducted on 03/27/2025, the facility's Emergency Plan did not address the facility's plan for Continuity of Operations.

Corrected Corrected by Apr 11, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of the Renewal Inspection conducted on 03/27/2025, the facility's Emergency Plan did not contain a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method to contact parents when an emergency has ended with reunification instructions.

Corrected Corrected by Apr 11, 2025

Category: physical safety. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At the time of the Renewal Inspection conducted on 03/27/2025, the file for Staff Person #4 did not contain verification of the completion of an approved Pediatric First Aid and Cardiopulmonary Resuscitation training from an approved PQAS instructor.

Corrected Corrected by Apr 7, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 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 #3 may not work in a child care position at the facility.

At the time of the Renewal Inspection conducted on 03/27/2025, the file for the provisional hire, Staff Person #3, hired 03/10/2025, did not contain the completed clearance request for the DHS FBI clearance.

Corrected Corrected by Mar 31, 2025

Category: background checks. Marked corrected in the state record.

3270.34(b)/3270.192(2)(ii) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of the Renewal Inspection conducted on 03/27/2025, the file for Staff Person #1 did not contain the education verification required to qualify Staff Person #1 as a director.

Corrected Corrected by Apr 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.35(c) · In a facility in which 45 or fewer children are enrolled, a group supervisor or a director/group supervisor shall be employed by and be present at the facility site for a minimum of 30 hours per week.

At the time of the Renewal Inspection conducted on 03/27/2025, there were 34 children currently enrolled at the facility, and there was no staff that met the education requirements to qualify as a group supervisor employed and present at the facility site for a minimum of 30 hours per week.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

At the time of the Renewal Inspection conducted on 03/27/2025, the First Aid Kits in the Butterfly Classroom, Toddler Classroom, and Preschool Classroom were located in the cubbies in an area accessible to children.

Corrected Corrected by Apr 1, 2025

Category: health medication. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the Renewal Inspection conducted on 03/27/2025, there was peeling plaster and a hole located on the right side of the wall towards the rear of the indoor PlaySpace by the radiator.

Corrected Corrected by Apr 30, 2025

Category: physical safety. Marked corrected in the state record.

3270.113(a)(1) · 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.

At the time of the Renewal Inspection conducted on 03/27/2025, there were 7 children in the Preschool Classroom. Staff Person #2 identified 3 children in their supervisory group, Staff Person #3 identified 3 children in their supervisory group, leaving child #4 unaccounted for.

Corrected Corrected by Apr 1, 2025

Category: supervision. Marked corrected in the state record.

3270.124(b)(7) · 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.

At the time of the Renewal Inspection conducted on 03/27/2025, the Emergency Contact form on file for Child #2 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of the Renewal Inspection conducted on 03/27/2025, the file for Child #1 did not contain signed parental consent for emergency medical care and consent for minor first aid from a facility person.

Corrected Corrected by Apr 1, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of the Renewal Inspection conducted on 03/27/2025, the facility could not provide written verification that the Annual Emergency Drill had been conducted.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · 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.

At the time of the Renewal Inspection conducted on 03/27/2025, the facility could not provide verification that the Emergency Plan and subsequent plan updates have been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 1, 2025

Category: physical safety. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of the Renewal Inspection conducted on 03/27/2025, the provider could not verify that the written annual notification letter of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility was sent to the local traffic authority. The most recent notification letter of verification on file was dated 01/2022

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

At the time of the Unannounced Monitoring visit on 09/18/2024, the facility had stained ceiling tiles, in the entry way above the door and in the Toddler Classroom.

Corrected Corrected by Oct 2, 2024

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of the Unannounced Monitoring visit on 09/18/2024, the paint on the mural wall in the hallway was peeling.

Corrected Corrected by Oct 18, 2024

Category: physical safety. Marked corrected in the state record.

3270.113(a)(1) · 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.

At the time of the Unannounced Monitoring visit on 09/18/2024, There were 7 children in the Older Toddler classroom. once Staff Person identified three children in their supervisory group. Staff Person #1 was unable to name the children in their supervisory group, leaving 4 children unaccounted for.

Corrected Corrected by Oct 1, 2024

Category: supervision. Marked corrected in the state record.

3270.76/3270.103 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. 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.

During unannounced inspections on 10/4/23 and 10/11/23, staff person #1 verified that a child in their classroom was found chewing on a press on nail small enough to fit into the child's classroom.

Corrected Corrected by Oct 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 1,2, and 3- may not work in a childcare position at the facility.

On 8/15/23 at unannounced inspection certification representative observed that the files of staff persons # 1, # 2, and # 3 did not contain NSORs. The file of staff person # 2 contained an FBI clearance from the PA dept. of Education.

Corrected Corrected by Sep 15, 2023

Category: background checks. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · 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. 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.

On 8/15/23 at unannounced visit certification representative observed that staff person # 1's file did not contain a health assessment or TB test results.

Corrected Corrected by Sep 15, 2023

Category: ratio. Marked corrected in the state record.

3270.192(5) · 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.

On 8/15 at unannounced visit certification representative observed that the files of staff persons # 1 and 2 did not contain 2 written references.

Corrected Corrected by Sep 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. TIERED LIS: Children must be supervised at all times. 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.

On 6/16/23 at complaint investigation certification representative went into the infant room and observed 3 infants and a school age child alone in the room for over one minute. Staff person # 1 entered the room and stated that she had gone to get a banana. Cert rep went to the preschool room and staff person # 2 named 10 children in her group while there were 12 children in the classroom. A second staff person was in the room and was not responsible for any children.

Corrected Corrected by Jun 16, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. TIERED LIS: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

On 6/16/23 at complaint investigation certification representative went into the infant room and observed 3 infants and a school age child alone in the room for over one minute. Staff person # 1 entered the room and stated that she had gone to get a banana. Cert rep went to the preschool room and staff person # 2 named 10 children in her group while there were 12 children in the classroom. A second staff person was in the room and was not responsible for any children.

Corrected Corrected by Jul 13, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · 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. TIERED LIS: The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

On 6/16/23 at complaint investigation certification representative went into the infant room and observed 3 infants and a school age child alone in the room for over one minute. Staff person # 1 entered the room and stated that she had gone to get a banana. Cert rep went to the preschool room and staff person # 2 named 10 children in her group while there were 12 children in the classroom. A second staff person was in the room and was not responsible for any children.

Corrected Corrected by Sep 15, 2023

Category: supervision. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

On 3-21-23 during renewal inspection Certification Representative noticed that the older toddler classroom did not have a daily activity schedule posted.

Corrected Corrected by Apr 4, 2023

Marked corrected in the state record.

3270.113(a)(1) · 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.

On 3/21/23 during renewal inspection Certification Representative noticed that staff 1 was unable to identify the children in her assigned supervision group.

Corrected Corrected by Apr 5, 2023

Category: supervision. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On 3-21-23 during renewal inspection Certification Representative noticed that children # 1, #2 and # 3 file was missing medical insurance name and policy number.

Corrected Corrected by Apr 4, 2023

Category: health medication. Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

On 3-21-23 during renewal inspection Certification Representative noticed that child records #1 and # 3 records were missing signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Corrected Corrected by Mar 21, 2023

Category: ratio. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

On 3-21-23 during renewal inspection Certification Representative noticed that the monthly fire detection system log was not completed, as well as the once pulled for testing the fire alarm system did not engage.

Corrected Corrected by Mar 21, 2023

Category: physical safety. Marked corrected in the state record.

3270.51 · 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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

On May 4, 2022 during an unannounced visit, due to a complaint received at Southeast OCDEL office Certification Representative noticed that 1 staff person was in a room alone with 12 preschool children.

Corrected Corrected by May 18, 2022

Category: ratio. Marked corrected in the state record.

3270.113(a) · 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.

On May 4, 2022 during an unannounced visit, due to a complaint received at Southeast OCDEL office Certification Representative noticed that 1 staff person left the classroom to answer the front door leaving children unsupervised for a period of about 3 minutes.

Corrected Corrected by May 4, 2022

Category: supervision. Marked corrected in the state record.

3270.102(a) · 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.

During unannounced inspection on 08/20/21, two broken chairs were observed in the Three Year Old Preschool Room.

Corrected Corrected by Aug 20, 2021

Category: physical safety. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: STAFF 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. STAFF PERSON #2 MAY NOT WORK IN A CHILD CARE POSITION AT THE FACILITY.

During unannounced inspection on 08/20/21, file of staff person #2, hire date 12/10/19, did not contain completed NSOR clearance. Staff person #2 was observed working alone in the toddler room. THIS IS CONTINUED NON COMPLIANCE FROM SIN-00186714.

Corrected Corrected by Sep 3, 2021

Category: background checks. Marked corrected in the state record.

3270.34(b)/3270.192(2)(iv) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

During unannounced inspection on 08/20/21, file of staff person #1 did not contain copy of transcripts to qualify staff person for position performing (DIRECTOR). THIS IS CONTINUED NON COMPLIANCE FROM SIN-00186714

Corrected Corrected by Sep 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During unannounced visit on 08/20/21, peeling paint was observed in the following areas: Toddler Room on the right side wall upon entering the room; in Three Year Old Room on he right side wall next to the sink

Corrected Corrected by Aug 27, 2021

Category: physical safety. Marked corrected in the state record.

3270.107 · 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.

During unannounced inspection on 08/20/21, refrigerator in Infant Room did not contain a thermometer.

Corrected Corrected by Aug 27, 2021

Category: nutrition. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During unannounced inspection on 08/20/21, diaper changing table surface underneath changing mat had visible areas of dirt and debris and needed to be cleaned.

Corrected Corrected by Aug 20, 2021

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(b) · 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 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.

During unannounced inspection on 08/20/21, file of staff person #1 did not contain verification of health assessment conducted within 12 months of initial service at the facility. THIS IS CONTINUED NON COMPLIANCE FROM SIN-00186714

Corrected Corrected by Sep 1, 2021

Category: ratio. Marked corrected in the state record.