3280.52(c) · 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 at §3280.52(b).

Cert Rep observed only one staff person for 12 children in care (youngest 3 years) upon arrival at the facility. (corrected during inspection). They were not following staff to child ratio requirements. (corrected during inspection)

Corrected Corrected by Jul 28, 2025

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

The outside gate, which prevents children from accessing small rocks, was broken, and not in place. No children under 3 years of age were in care today.

Corrected Corrected by Aug 10, 2025

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

3280.115(a)(8) · A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Staff persons #1 and #2 have been supervising children while wading, yet have not completed water safety instruction. (pool was emptied out during inspection)

Corrected Corrected by Aug 10, 2025

Category: supervision. Marked corrected in the state record.

3280.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

There is no individual record/file at the facility for Child #1 who was in care today.

Corrected Corrected by Aug 15, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1)/3280.95(b) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The provider could not locate documentation of testing the fire/smoke alarms and the fire drill log. (testing of the alarms was conducted during the inspection).

Corrected Corrected by Aug 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

The operator does not have a written policy on record which addresses the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma.

Corrected Corrected by Mar 4, 2025

Category: ratio. Marked corrected in the state record.

3280.102(e) · 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.

The children have access to small rocks (less than one inch diameter) in the backyard play area.

Corrected Corrected by Mar 4, 2025

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

3280.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The operator did not have on record at the facility, a parent handbook including the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Corrected Corrected by Mar 4, 2025

Category: supervision. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files of children #1 through #5 did not contain a child service report from within the last 6 months providing information to the family about the child's growth and development in the context of the services being provided. See Code Sheet

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements of child #1 and #5 did not specify the services which are to be considered as extra.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The parents of children #1 through #5 did not receive the original agreement. The originals were in the children's files.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information of child #1 and #3 did not include the enrolling parent's work telephone number.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

Child #4's emergency contact information does not include the written consent signed by a parent for emergency medical care.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact information for the children was not present in the smaller room/child care space.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was no written statement, by the parent, giving the formula and feeding schedule for an infant in care.

Corrected Corrected by Jan 30, 2025

Category: nutrition. Marked corrected in the state record.

3280.95(b) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

There was no record of testing the fire detection system since the last renewal inspection in January of 2025. Was tested during the renewal inspection.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

The operator did not notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Corrected Corrected by Mar 4, 2025

Marked corrected in the state record.

3280.26(c) · 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.

Staff person #1 and #2 have not received emergency plan training on an annual basis: last dated 3/12/22.

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.92(a)/3280.92(b) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions. Fixed and portable space heaters shall be insulated or equipped with protective guards.

It was observed that two portable space heaters were in use while children were in care without documentation of permission by the local ordinance. These space heaters were not insulated or equipped with protective guards and were very hot when touched.

Corrected Corrected by Feb 29, 2024

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

3280.92(c) · The manufacturer's instructions for use shall be kept in an accessible area in the facility.

The manufacturer's instructions for the two portable space heaters are not kept in the facility.

Corrected Corrected by Feb 29, 2024

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

3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements of child #1, #2, #4, and #5 do not specify the services which are to be considered as extra.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3)/3280.124(b)(5) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

Child #1 and #4's emergency contact information do not include the enrolling parent's work address and work telephone numbers. Child #3's emergency contact information does not include the enrolling parent's work telephone number. Child #1's emergency contact information does not include information about whether or not the child has special needs.

Corrected Corrected by Feb 29, 2024

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

3280.124(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.

Child #1's emergency contact information does not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Child #3's most current health assessment is dated 10/20/21, which exceeds the permitted annual timeframe between health assessments for a child of this age. SEE CODE SHEET.

Corrected Corrected by Feb 29, 2024

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

3280.131(c) · 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.

Child #2's most current health assessment is not signed by a physician, physician's assistant or a CRNP.

Corrected Corrected by Feb 29, 2024

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

3280.131(d)(7) · 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.

Child #2'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.

Corrected Corrected by Feb 29, 2024

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

3280.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

child #2's record does not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(a) · 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.

Child #4's initial health report was dated 4/27/23, which was more than 60 days following the first day of attendance at the facility, SEE CODE SHEET

Corrected Corrected by Jan 26, 2024

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

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

Child #1 and #5's agreements did not specify the date of the child's admission (corrected during inspection).

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.92(a)/3280.92(b) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions. Fixed and portable space heaters shall be insulated or equipped with protective guards.

It was observed that a portable space heater was in use without the permission of the local ordinance on record. The portable space heater was not equipped with protective guards, was accessible to children, and had the potential to cause burns if touched.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(3) · 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 does not 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.

Corrected Corrected by Mar 13, 2023

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

3280.26(a)(4) · 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.

The facility does not 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.

Corrected Corrected by Mar 13, 2023

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

3280.26(e) · 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.

The parent letter explaining the emergency procedures did not contain accommodations for toddlers and plans for evacuation on the premises.

Corrected Corrected by Mar 13, 2023

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

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Staff person #1 did not obtain 12 clock hours of child care training in 2022.

Corrected Corrected by Feb 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

It was observed in the bathroom which the children use, that toxins were accessible to the children on the shelf: Lysol, Scrubbing Bubbles, and Air Freshener spray can (corrected during inspection).

Corrected Corrected by Jan 12, 2023

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

It was observed that children have access to the washing machine and dryer in the bathroom which the children use.

Corrected Corrected by Feb 14, 2023

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

3280.103 · 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.

It was observed, on the outside play space for toddlers, that the protective surface was made up of wooden mulch pieces with a diameter of less than 1 inch. The walking path to the left of this toddler playground was accessible to children who are placing objects in their mouths, and was made up of small rocks with a diameter of less than 1 inch.

Corrected Corrected by Mar 24, 2023

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

3280.105(a) · 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.

It was observed that rest equipment was not labeled for the use of a specific child.

Corrected Corrected by Jan 13, 2023

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

3280.105(b) · Bed linens may not be used alone as age-appropriate rest equipment.

It was observed that bed linens alone were being used as rest equipment.

Corrected Corrected by Feb 14, 2023

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

3280.123(a) · An agreement shall be signed by the operator and the parent.

Child #1's agreement was not signed by the operator (corrected during inspection).

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Child #5's agreement did not specify the date on which the fee is to be paid (corrected during inspection).

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

The files of child #2 and #5 did not contain a current child service report, including information to the family about the child's growth and development in the context of the services being provided.

Corrected Corrected by Mar 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements of children #2 through #5 did not specify the services which are to be considered as extra (corrected during inspection).

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The parents of children #1 through #5 did not receive the original agreements. Originals were in the children's files.

Corrected Corrected by Jan 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #4's emergency contact information did not include the work telephone number of the enrolling parent.

Corrected Corrected by Mar 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Child #4's emergency contact information did not include the policy number of the health insurance.

Corrected Corrected by Feb 13, 2023

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

3280.124(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.

Child #4's emergency contact information did not include the name of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.135(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.

It was observed that the diaper changing pad had a cloth cover over it which was not being changed after each child's diaper was changed (corrected during inspection).

Corrected Corrected by Jan 12, 2023

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

3280.94(a)(5) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

It was observed that there was no posting of evacuation routes in a conspicuous location on the first floor of the facility (floor above the child care room).

Corrected Corrected by Mar 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office (all corrected during inspection).

Corrected Corrected by Jan 12, 2023

Marked corrected in the state record.

3280.26(a)(1) · The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility does not have an emergency plan that provides for shelter or children during an emergency lock-down situation.

Corrected Corrected by Mar 13, 2023

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

3280.26(a)(2) · The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

The facility does not have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected Corrected by Mar 13, 2023

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

3280.131(a)/3280.131(d)(5) · 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. A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Child #3 and #4's records do not contain an initial health report and a review of the child's immunized status according to the recommendations of the ACIP.

Corrected Corrected by Jan 13, 2023

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

3280.14/3280.20 · 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.

Upon inspection of the employee files, it was found that staff person #2 had no record of completing the required health and safety training topics before beginning care for children unsupervised and within 90 days of hire.

Corrected Corrected by Apr 1, 2022

Category: supervision. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility person #1 must be removed from a child care position by the close of business on 3.17.22.

The file of facility person #1 does not contain a valid child abuse [volunteer type dated 7.15.21], a DHS required FBI clearance, a valid PA criminal clearance [volunteer type dated 6.21.21].

Corrected Corrected by Mar 18, 2022

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Upon inspection of the physical site childcare area, it was found that cleaning chemicals were accessible in the bathroom area and a bottle of over the counter medication was accessible on the desk area.

Corrected Corrected by Mar 17, 2022

Category: ratio. Marked corrected in the state record.

3280.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Upon inspection of the first aid kit, it was found to be missing nonporous gloves and soap.

Corrected Corrected by Mar 17, 2022

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

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Upon inspection of the children's files, it was found that an original copy of the agreement was on file for child #1 - #4.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Upon inspection of the children's files, it was found that the emergency contact information for child #1 did not contain the physicians address or contact phone number AND for child #4 did not contain the physician address.

Corrected Corrected by Apr 1, 2022

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

3280.124(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.

Upon inspection of the children's files, it was found that the emergency contact information for child #1 and #4 did not contain the address for the individual designated by the parent to whom the child may be released.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Upon inspection of the children's files, it was found that the health report of file for child #2 was dated 8.11.20 AND the health report for child #3 was dated 11.12.20, exceeding the required update at least every 12 months.

Corrected Corrected by Apr 1, 2022

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

3280.131(d)(5)/3280.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Upon inspection of the children's files, it was found that: child #2 had no immunization record for influenza, MMR, Varicella, or Hepatitis A; child #3 and #4 had no immunization record for influenza and Rotavirus.

Corrected Corrected by Apr 1, 2022

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

3280.95(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)).

Upon completion of the fire safety inspection, it was found that a receipt of purchase was not available. Further, it was found that testing of the system was conducted on the following dates: 1.8, 2.21, 3.25, 4.10, 5.29, 6.14,7.9, 8.20, 9.16, 10.29, 11.3, 12.16, which exceeds the required test every 30 days or less.

Corrected Corrected by Mar 30, 2022

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