3270.32(a)/3270.192(4) · 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 # 3 may not work in a childcare position at the facility.

The file for Staff person #1 includes NSOR clearances dated 2.18.20-8.21.25, more than 60 months apart. The file for Staff person #2 includes criminal history clearances dated3.18.20-3.27.25; child abuse clearances dated 3.26.20-5.6.25; and NSOR clearances dated 3.17.20-8.21.25, all more than 60 months apart. The file for Staff person #3 includes NSOR clearances dated 2.8.20-8.21.25, more than 60 months apart. The current Criminal History clearance on file for Staff person #3 does not include a dissemination date making it invalid, and the previous clearance is dated 8.28.18, more than 60 months ago. The file for Staff person #3 who was rehired (See LIS Code Sheet) does not include a new signed disclosure statement at the time of rehire. The file for Staff person #4 includes NSOR clearances dated 5.22.20-8.21.25, more than 60 months apart.

Corrected Corrected by Sep 3, 2025

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

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

There was an open window in the young toddler room that did not have a screen.

Corrected Corrected by Sep 2, 2025

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.

There was an exposed fence bolt on the fence near the gate in the outside play space.

Corrected Corrected by Sep 2, 2025

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.

There was a wood post on the side of the building inside the outdoor play space that had peeling paint.

Corrected Corrected by Sep 3, 2025

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

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

There was no handwashing sign at the toilets in the bathrooms.

Corrected Corrected by Sep 2, 2025

Category: health medication. 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.

There was no thermometer in the refrigerator in the School age/Preschool room where children's milk is stored.

Corrected Corrected by Sep 2, 2025

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for Child #5 does not include the persons to whom the child can be released.

Corrected Corrected by Sep 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The agreement on file for Child #1, #2, #3, #4, and #5 are the original agreements, which are to be given to the parent, and a copy maintained by the facility.

Corrected Corrected by Sep 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #1 does not include the address for the child's pediatrician/source for medical care.

Corrected Corrected by Sep 3, 2025

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for Child #1 does not include written parental permission for the facility to obtain emergency medical care.

Corrected Corrected by Sep 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

A child was observed receiving care in the Toddler room without their emergency contact forms being in the classroom.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. 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.

The file for Child #1 does not include written parental permission for the facility to administer minor first aid procedures.

Corrected Corrected by Sep 3, 2025

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · 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.

The fire alarm 30-day test log includes test dates 3.7.25-4.11.25 more than 30 days apart.

Corrected Corrected by Sep 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2, included 8 of 12 hours of annual training from 12.2023-12.2024; an additional 2 hours of training from 8.13.25 and 2 hours from 8.21.25 are borrowed to meet the requirement.

Corrected Corrected by Sep 9, 2025

Category: recordkeeping. 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.

There was chipped and peeling paint observed in the school-age room by the window.

Corrected Corrected by Sep 5, 2024

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

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Adult scissors were observed on the teacher's desk in the preschool room, not locked and accessible to children.

Corrected Corrected by Sep 5, 2024

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

3270.27(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 letter to the parents of enrolled children regarding the facility emergency plan does not include information regarding accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 6, 2024

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). 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 childcare position at the facility.

The file for Staff person #2 contains an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid.

Corrected Corrected by Sep 6, 2024

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

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

During the inspection, a window was observed open in the school-age room and there was no screen on the window.

Corrected Corrected by Sep 7, 2024

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.

During a naptime supervision and ratio check, at 1:50 PM, Staff person #1 did not know the name of four of the children who she was to be supervising.

Corrected Corrected by Sep 9, 2024

Category: supervision. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact form on file for Child #1 included a listed emergency contact person with no telephone number listed.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #1, #5 does not include the address and/or telephone number for the child's pediatrician/source for medical care.

Corrected Corrected by Sep 13, 2024

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #2 and #3 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · 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.

The current emergency contact form on file for Child #4 and #5 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Sep 13, 2024

Category: health medication. 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.

The emergency contact form on file for Child #1 and #2 does not include a complete address for all listed release persons.

Corrected Corrected by Sep 13, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.

The initial health assessment on file for Child #5, with an enrollment date of 1.2.24, is dated 12.12.24, in future, more than 60 days after enrollment.

Corrected Corrected by Sep 5, 2024

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

3270.124(f)/3270.181(c) · 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.

The 6-month review signature for the emergency contact form and financial agreement on file for Child #1, dated 12.28.23, is dated more than 6 months after the previous 6-month review signature, 5.26.23. The emergency contact form on file for Child #5, who has been enrolled more than 6 months, does not include a 6-month review signature.

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · 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.

The most recent health assessment on file for Child #1, who is a preschool age child, is dated 8.15.23, more than 12 months ago.

Corrected Corrected by Sep 26, 2024

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

3270.151(c)(2)/3270.192(3) · 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. 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.

The file for Staff person #2 does not include the results of a tuberculosis screening, required prior to hire (See LIS CODE SHEET).

Corrected Corrected by Sep 6, 2024

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

3270.95(a)/3270.95(b) · 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.

The fire alarm 30-day test log includes test dates 7/12/24-8/12/24, more than 30 days apart

Corrected Corrected by Sep 6, 2024

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.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Sep 5, 2024

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #1 includes 11.5 of 12 required annual training hours completed between 12/19/22-12/19/23.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The child file for Child #1 contained a financial agreement form that lacked their admission date.

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. 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.

Staff person #1 through Staff person #8, have not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06.

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The staff file for Staff person #8 contained current mandated reporter training dated 8/24/23 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 6/6/18.

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The child file for Child #4 who was a young toddler at the time, was observed to lack an updated health report every 6 months. The two most recent health reports on file were dated 8/28/23 and 7/22/22.

Corrected Corrected by Sep 13, 2023

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

3270.131(d)(5)/3270.131(e)(3) · 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). Child #3 must be dismissed from care by close of business 9/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #3 contained an immunization record that lacked the following immunizations: 2nd, 3rd and/or 4th dose of DTaP, 2nd dose of Hep A, 2nd and 3rd dose of HiB, 2nd, 3rd, and 4th dose of PCV, and 2nd and 3rd dose of Polio.

Corrected Corrected by Sep 14, 2023

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

3270.151(a) · 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.

The staff file for Staff person #1, contained a current health assessment dated 8/24/22 which was conducted more than 24 months from the previously dated 6/9/20 health assessment on file.

Corrected Corrected by Sep 15, 2022

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.

The facility has not conducted an annual emergency drill between 12/19/20 - 12/19/21.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · 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.

Upon review of the facility's 30 day fire alarm testing log the following test dates were observed to be conducted more than 30 days apart: 1/5/22, 2/16/22, 3/18/22, 4/21/22, and 6/17/22, 7/19/22, and 8/29/22.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The staff file for Staff person #4 only contained 6 out of the 12 clock hours of child care training for their anniversary date of 12/19/20 - 12/29/21 [See IS Code Sheet].

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. 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.

The facility emergency plan lacked information regarding volunteer emergency preparedness, and continuity of operations included in their emergency plan. The facility lacked a written policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The staff file for Staff person #4 contained current mandated reporter training dated 9/24/20 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 6/25/15.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. 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). 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.

The staff file for Staff person #2 lacked a valid disclosure statement; the disclosure on file was not dated thus making it difficult to determine if it was signed prior to hire. The staff file for Staff person #4 contained a current State Police clearance dated 9/21/20, a current Chid Abuse clearance dated 10/21/20, and a current DHS FBI clearance dated 8/24/21 all of which were not renewed within 60 months of the previously dated 9/14/15 State Police clearance, 9/21/15 Child Abuse clearance and 5/3/16 DHS FBI clearance expiring.

Corrected Corrected by Sep 15, 2022

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

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years 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.

The staff file for Staff person #3, who is functioning as an aide, lacked proof of education.

Corrected Corrected by Sep 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.106(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.

In the Toddler Room one Pack 'n Play was observed to not be labeled for the use of a specific child.

Corrected Corrected by Sep 15, 2022

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

3270.131(e)(1)/3270.182(1) · 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.A child's record shall contain initial and subsequent health reports.

The child file for Child #1, who is a preschool age child [See IS CODE SHEET], lacked a flu shot for 2021.

Corrected Corrected by Oct 14, 2022

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

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for Child #1 did not contain the address of the physician.

Corrected Corrected by Oct 5, 2021

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for Child #4 did not contain the enrolling parent's work address.

Corrected Corrected by Oct 8, 2021

Category: recordkeeping. 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). 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.

The file for Staff #1 had State Police Clearances dated 1.21.13 & 3.12.18, and Child Abuse Clearances dated 2.13.13 & 3.19.18, which were beyond the required 60 months. The file for Staff #2 had State Police Clearances dated 10.12.12 & 8.28.18, which were beyond the required 60 months.

Corrected Corrected by Oct 20, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #1 had Mandated Reporter Training dated 9.1.15 & 9.4.20, which were beyond the required 60 months.

Corrected Corrected by Sep 4, 2020

Category: recordkeeping. 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.

Peeling white paint and wood particles were observed on the wall of stall #1 in the male restroom, which was accessible to children.

Corrected Corrected by Sep 24, 2021

Category: physical safety. 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.

One bolt, on the leg of the wooden picnic table in the outdoor space, was exposed, creating a scraping/cutting hazard for children in care.

Corrected Corrected by Sep 24, 2021

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

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreements, which had not been provided to the parent.

Corrected Corrected by Oct 8, 2021

Category: recordkeeping. 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.

The file for Child #2 did not contain the health insurance policy number.

Corrected Corrected by Sep 24, 2021

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

3270.25(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.

A link was not present to inform the parents about how to access the regulations electronically.

Corrected Corrected by Sep 24, 2021

Marked corrected in the state record.