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

Staff person #1 has current mandated reporter training dated 5/13/25, which is more than 60 months after the previous mandated reporter training that is dated 2/25/20. Staff person #2 has current mandated reporter training dated 6/18/25, which is more than 60 months after the previous mandated reporter training that is dated 2/24/20.

Corrected Corrected by Aug 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(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.

The file for child #3, a preschooler, does not include an updated health report. The most recent health report is dated 9/8/23.

Corrected Corrected by Feb 25, 2025

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

3270.27(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 and kept on file at the facility.

The file for staff person #4 did not include documentation of emergency plan training at time of employment or on an annual basis.

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The file for staff person #4 did not include documentation of fire safety training for 2024. The most recent fire safety training for staff person #4 was dated 10/24/23.

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10),) within 90 days of hire. Staff person #3 will have until March 8th to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 1-hour health and safety training update.

Corrected Corrected by Feb 25, 2025

Category: supervision. 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 current PA State Police, Child Abuse, and DHS FBI clearances for staff person #1 were obtained more than 60 months after the previous clearances expired. The previous PA State Police clearance is dated 7/25/19 and the current PA State Police Clearance is dated 7/30/24. The previous Child Abuse clearance is dated 8/19/19 and the current Child Abuse clearance is dated 8/21/24. The previous DHS FBI clearance is dated 5/22/19 and the current DHS FBI clearance is dated 5/23/24. The current Child Abuse and DHS FBI clearances for staff person #2 are dated more than 60 months after the previous Child Abuse and DHS FBI clearances expired. The date of the previous Child Abuse clearance is 7/31/19. The current Child Abuse clearance is dated 8/6/24. The date of the previous DHS FBI clearance is 5/22/19 and the current DHS FBI clearance is dated 5/23/24.

Corrected Corrected by Feb 25, 2025

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff person #4 did not include a staff evaluation. Staff person #4 has been employed for more than 12 months (see LIS code sheet)

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for child #2 does not include the amount of the fee to be charged.

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreement for child #4 does not include the date on which the fee is to be paid.

Corrected Corrected by Feb 25, 2025

Category: recordkeeping. 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 information for child #1 does not include the enrolling parent's work address or work phone number.

Corrected Corrected by Feb 25, 2025

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 emergency contact information for child #1 does not 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.

Corrected Corrected by Feb 25, 2025

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 information for child #1 does not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 25, 2025

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 #2, YT, lacked an updated health report; the most recent health report is dated 2/10/23 which is more than 6 months old.

Corrected Corrected by Feb 28, 2024

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

3270.123(a)(3) · 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 in § 3270.124(f) (relating to emergency contact information).

The child file for Child #2 contained two child service reports that were not dated therefore it cannot be determined if the child service reports were completed every 6 months.

Corrected Corrected by Feb 28, 2028

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 #1 was observed to lack a valid State Police clearance, due to the clearance being in "pending" status. At time of renewal, a valid State Police clearance dated 2/6/24 was obtained for Staff person #1.

Corrected Corrected by Feb 28, 2024

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

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The staff file for Staff person #2 and Staff person #3 were observed to lack an annual staff evaluation for 2023; an evaluation for 2024 is on file.

Corrected Corrected by Feb 28, 2024

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 Infant Room, Pack n Play Playards were observed to be labeled with numbers however there was no corresponding list to identify which specific child was assigned to use which numbered Pack n Play Playard.

Corrected Corrected by Feb 28, 2024

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The staff file for Staff person #2 was observed to lack a current health assessment on file; the last documented health assessment on file is dated 3/31/21 which is more than 24 months old.

Corrected Corrected by Feb 28, 2024

Category: ratio. Marked corrected in the state record.

3270.181(c)/3270.182(1) · 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. A child's record shall contain initial and subsequent health reports.

The child file for Child #1 and Child #3 contained an emergency contact form that were not reviewed and updated by the parent once every 6 months; The most recent review date on the emergency contact form for Child #1 & Child #3 was 2/21/23 with no written indication that the form was reviewed at any time after that date.

Corrected Corrected by Feb 28, 2024

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.

Within the established emergency evacuation plan, a written policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment was not included. Staff person #3 and Staff person #5 through Staff person #8 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06; all staff completed the one-hour training in January 2023. The files for Staff person #1, Staff person #4, Staff person #7, and Staff person #8 contained Pediatric First Aid/CPR training on 2/12/22 in a curriculum that is not approved per announcement C-22-01 and therefore do not have current approved pediatric first aid/CPR training. Staff obtained approved training on 2/16/23. Staff person #1, Staff person #4, Staff person #7, and Staff person #8-- were observed to be caring for children and those staff were not supervised by another staff person who completed the required training related to this citation.

Corrected Corrected by Mar 10, 2023

Category: supervision. Marked corrected in the state record.

3270.27(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 and kept on file at the facility.

The staff file for Staff person #1, Staff person #2, and Staff person #10 contained documentation of having participated in emergency plan training however the documentation was not dated thus unable to determine if the training was done annually.

Corrected Corrected by Feb 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The fire safety training certificate presented by the operator as verification of training listed 'kidsconnexion10.hotmail.com' as the participant and lacked names of participants on the printed certificate. Staff signatures were added to the document in handwriting. It was confirmed that this course is included in the PD Registry and listed as "online, self-paced" course that is registered for individually, and is delivered individually to participants who register for the course, and it is not delivered online in a group workshop setting or intended to be delivered to a group. Therefore, the verification of completion of fire safety training is deemed unacceptable.

Corrected Corrected by Feb 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10; Pediatric First Aid/CPR.

Staff person #1 through Staff person #10 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR; the documentation on file for the training taken by staff on 2/12/22 is not an approved curriculum based on announcement C-22-01. Staff obtained approved training on 2/16/23.

Corrected Corrected by Feb 16, 2023

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).

The staff file for Staff person #7 lacked valid mandated reporter training; the current mandated reporter training certificate on file was completed on 1/24/18 and is more than 60 months old.

Corrected Corrected by Feb 8, 2023

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. Staff Person #10--- may not work at the facility.

The staff file for Staff person #3 contained a current Child Abuse clearance dated 7/9/21, a current State Police clerance dated 8/29/21, and a current FBI clearance dated 1/16/23 all of which were not renewed within 60 months of the previously dated 7/8/16 Child Abuse clearance, 8/23/16 State Police clearance, and 1/30/17 FBI clearance expiring. The staff file for Staff person #10 lacked a valid Child Abuse clearance; the Child Abuse clearance on file is a volunteer clearance which is not an acceptable clearance for employment per the Child Protective Service Law (CPSL).

Corrected Corrected by Feb 20, 2023

Category: background checks. 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 child file for Child #3 contained an emergency contact form that lacked the names and phone numbers of who should be contacted in an emergency.

Corrected Corrected by Feb 8, 2023

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 child file for Child #1, Child #2, and Child #5, who are preschool age, lacked an updated health report.

Corrected Corrected by Feb 10, 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 #2, Child #3, and Child #5 must be dismissed from care by close of business 2/7/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #2, who is an older toddler, was observed to contain an immunization record that lacked the required 2-dose vaccine of Hep A in accordance with the schedule recommended by the ACIP. Child #2 also lacked a flu shot for 2022. The file for Child #3, and Child #5, who are preschool age, were observed to lack a flu shot for 2022.

Corrected Corrected by Feb 10, 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 #3, contained a current health assessment dated 1/16/23 which was conducted more than 24 months from the previously dated 1/14/21 health assessment on file.

Corrected Corrected by Jan 16, 2023

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.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 5/13/22 - 6/13/22 (31 days), 7/12/22 - 8/12/22 (31 days), 8/12/22 - 9/12/22 (31 days), 10/12/22 -11/21/22 (40 days).

Corrected Corrected by Feb 10, 2023

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 child file for Child #4 lacked an initial health report.

Corrected Corrected by Feb 10, 2023

Category: health medication. 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.

There was a lighter in the unlocked shed on the preschool play space.

Corrected Corrected by Feb 22, 2022

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

3270.72(c) · Screens shall be in good repair.

In the infant room the window screen frame was bended and not in good repair.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

The turf surfaces on the preschool play space was folding creating a tripping hazard.

Corrected Corrected by Feb 22, 2022

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 peeling paint on the yellow wall of the school age room downstairs. There was also peeling paint on the wall closed to the window by the shed outside on the preschool play space.

Corrected Corrected by Feb 22, 2022

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.

There was a chipped corner that creates a sharp edge on the yellows bottom on the toy cash register in the school age room that. There was a brown toy basket that has a chipped corner in the play kitchen the toddler room.

Corrected Corrected by Feb 22, 2022

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

3270.114 · Weather permitting, children shall be taken out doors daily.

The operator stated that the children were not taking out doors daily.

Corrected Corrected by Feb 22, 2022

Category: physical safety. 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 files for child #1,2,3 and 4 lacked the work address of the enrolling parent on the emergency contact form. The files for child# 1,2,,4 and 5 lacked work phone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Feb 22, 2022

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 files for child 3, 4 and 5 lacked information on the child's special needs.

Corrected Corrected by Feb 22, 2022

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

3270.131(e)/3270.131(e)(1) · 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.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child # 2 lacks documentation of a current influenza immunization as recommended by the ACIP.

Corrected Corrected by Mar 2, 2022

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There was a baby bottle filled with almond milk not refrigerated, the bottle was in a cooler bag in the infant room.

Corrected Corrected by Feb 22, 2022

Category: nutrition. 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 operator was not maintaining a written log for testing the fire detection system every 30 days.

Corrected Corrected by Feb 22, 2022

Category: recordkeeping. Marked corrected in the state record.