3270.31(e)(4)(ii)/3270.192(2)(iv) · Staff persons shall participate, at least annually, in fire safety 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 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. Tiered LIS: 1.) A facility person's record shall include acceptable verification of experience, education or training, which is a transcript, a diploma or a letter signed by a representative of the experiential, educational or training entity. Effective immediately and going forward, the operator shall maintain appropriate documentation of all training taken by staff at the facility. This portion of the plan must have an immediate correction date. 2.) Since there was no appropriate documentation of the firesafety training conducted on 10/2/25, the legal entity will arrange for all staff who were listed on the training list for the 10/2/25 fire safety training to retake the training. The legal entity shall arrange for a live fire safety training conducted by a fire safety professional who will provide their own sign-in sheet to verify the staff who are taking the training. The legal entity may alternatively choose to have the staff who are listed on the 10/2/25 firesafety training take the DHS Fire Safety 2025 training available on the PA PD Registry. This portion of the plan shall have a correction date when all staff have completed acceptable and verifiable fire safety training.

Through interviews with facility staff and the training institute, it was determined that the trainer did not have the facility complete a sign-in sheet for proper identification and verification purposes at the time of the firesafety training conducted on 10/2/25. The trainer relied on the facility to provide them with a list of attendees. The list provided by the facility to the certification representative also did not contain a signature from the trainer verifying the attendance, and as such, is not accepted, as it does not verify the staff who were present during the training.

Corrected Corrected by Oct 23, 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 inspection on 9/2/25, in the play space's poured-in-place surfacing, the surfacing had large divots which posed a tripping hazard to both staff and children.

Corrected Corrected by Nov 30, 2025

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.

At the time of the inspection, the small brown sofa in the toddler room was in poor repair as the vinyl material was flaking away exposing the inside foam.

Corrected Corrected by Sep 2, 2025

Category: physical safety. 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.

At the time of the inspection, staff person #1 did not updated the health assessment every 24 months, as required. This is evidenced by the health assessment on file dated 7/3/23.

Corrected Corrected by Sep 8, 2025

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Staff person #1 self-reported that on 2/17/25, child #1 was observed by his bag which contained his rest items. The staff observed Child #1 pull a bright yellow nicotine vape out of the bag and proceeded to put it in his mouth. Staff person #1 then took the vape out of the child's possession.

Corrected Corrected by Feb 17, 2025

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 emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Jan 23, 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 inspection, the emergency plan did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and 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 Jan 23, 2025

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

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

At the time of the inspection, the water in the preschool room measured 113° F.

Corrected Corrected by Jan 31, 2025

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

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

At the time of the inspection, the baseboard in the infant room measured 154° F and was accessible to children in the room.

Corrected Corrected by Jan 22, 2025

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

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

At the time of the inspection, the screen in window in the preschool room was torn.

Corrected Corrected by Jan 27, 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.

At the time of the inspection, the ceiling tiles in the infant, school age and young toddler rooms had water damage. The vents in the pre-k bathroom, preschool, school age and young toddler rooms were dusty.

Corrected Corrected by Feb 28, 2025

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

3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

At the time of the inspection, there was no visual identification on the glass windows in the infant room or on the glass door of the main entrance.

Corrected Corrected by Jan 22, 2025

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.

At the time of the inspection, in the young toddler room, a red plastic chair was cracked on the seat exposing the metal bar legs. This poses a hazard due to the rough edges and pinch points.

Corrected Corrected by Jan 22, 2025

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.

At the time of the inspection, the emergency contact form for child #10 did not include the work address of the enrolling parent.

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. 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 #5 must be dismissed from care by close of business 1/22/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

At the time of the inspection, the immunization record for child #5 did not include the following vaccination: HEP A#2.

Corrected Corrected by Jan 22, 2025

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

3270.131(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.

At the time of the inspection, the health assessment on file for child #3 and child #4 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Jan 27, 2025

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.

At the time of the inspection, the operator acknowledged that the parents are not provided Chapter 3270 regulations electronically at enrollment.

Corrected Corrected by Feb 3, 2025

Marked corrected in the state record.

3270.131(a)/3270.131(e) · 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. 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.

At the time of the inspection, child #3's initial health assessment on file was dated 11/29/24, which was after 60 days following the first day of attendance at the facility (see LIS code sheet for date of admission).

Corrected Corrected by Feb 28, 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. Until such time as the required pre-service trainings are completed, staff person #7, staff person #8 and staff person #13 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 person(s) available to supervise staff person #7 and staff person #8 and staff person #13, staff person #7, staff person #8 and staff person #13 may not work in a child-care position at the facility.

Staff person #7, staff person #8 and staff person #13 were observed to be caring for children unsupervised. Staff person #7, staff person #8 and staff person #13 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR and health and safety training. Staff person #13 also does not have mandated reporter training.

Corrected Corrected by Jun 11, 2024

Category: supervision. 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 CPSL was revised to include a 45-day provisional hiring period. Facility Person #5, staff person #8, staff person #10, staff person #13 may not work in a child care position at the facility until all clearances are obtained.

Staff person #5 did not have a Child Abuse clearance on file at time of hire and was not in compliance with CPSL hiring requirements (see LIS code sheet for date of hire). Staff person #7, a provisional hire, was observed working alone unsupervised in the middle school age room. Staff person #7 does not have a completed NSOR certificate on file. Staff person #8 does not have a completed NSOR certificate and is past the 45 day provisional hiring period (see LIS code sheet for date of hire). Staff person #10 does not have a completed PA State Police clearance or FBI clearance on file. There is no submission receipt for either of these clearances. There is no Child Abuse clearance on file or signed disclosure statement on file for staff person #10. Staff person #13 does not have a completed Child Abuse clearance on file. This staff person has also resided in the state of Virginia in the previous 5 years and there were no requests for or completed clearances on file for the state of Virginia. Staff person #14 does not have a date of signature on the disclosure statement.

Corrected Corrected by Jun 11, 2024

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff person #10 and staff person #13 do not have any education in their file. Staff person #14 does not have a high school diploma to accompany the 21 college credits on file. These staff do not qualify for the position they are performing.

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff person #7, an aide, was observed working alone unsupervised in the middle school age room with ten young school aged children.

Corrected Corrected by Jun 11, 2024

Category: supervision. 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.

Staff person #10 does not have a health assessment or tuberculosis screening at initial employment (see LIS code sheet for date of hire).

Corrected Corrected by Jun 21, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person #8 and staff person #13 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Jun 21, 2024

Category: health medication. 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.

Staff person #5, staff person #7, staff person #8, staff person #10, staff person #11, staff person #12 and staff person #13 do not have two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 5, 2024

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). All staff must complete mandated reporter training at least once every 60 months.

Staff #3 did not complete mandated reporter training within the required timeframe of 60 months. This is evidenced by the previously documented mandated reporter training on file being completed on 7/29/2018 and the updated mandated reporter training being completed on 9/26/2023.

Corrected Corrected by Sep 26, 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). Each of the required staff clearances and requests for staff clearances must be on file prior to staff working in a childcare position as a provisional hire. All required staff clearances must be renewed at least every 60 months.

On 1/24/2024, all staff had each of the required clearances on file, but the out of state child abuse clearance (CARI) that was required for both Staff #1 and Staff #2 due to residing in New Jersey within the previous 5 years was not requested until 1/5/2024. See LIS code sheet. The updated child abuse clearance for Staff #3 was dated 9/27/2023. The previous child abuse clearance was dated 8/9/2018. The updated FBI clearance for Staff #3 was dated 12/16/2023. The previous FBI clearance was dated 9/29/2018. The National Sex Offender Registry (NSOR) clearance for Staff #6 was not requested until 6/2/2023. See LIS code sheet.

Corrected Corrected by Jan 23, 2024

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

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

During the Renewal Inspection on 1/24/2024, one of the window screens in the preschool classroom had holes in the screen.

Corrected Corrected by Jan 24, 2024

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 the Renewal Inspection on 1/24/2024, the following was observed on the outdoor playground: Cracked plastic with sharp edges exposed on the side of the steps going up to the slide and cracked wood with sharp edges and splinters exposed on the perimeter of the sandbox.

Corrected Corrected by Feb 2, 2024

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

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

Staff #4. #5, #6 and #7 did not complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) within 90 days of hire. They each completed pediatric first aid and pediatric cardiopulmonary resuscitation on 11/27/2023. See LIS code sheet.

Corrected Corrected by Nov 27, 2023

Category: health medication. 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 of STAFF #1, a provisional hire (see code sheet for start date), does not contain completed out-of-state clearance information required under the CPSL and does not contain requests for the required out-of-state clearances.

Corrected Corrected by Feb 10, 2023

Category: background checks. 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 renewal inspection on 1/23/23 cert rep observed several chipped paint spots in the art area in the school age room and a hole from a screw.

Corrected Corrected by Jan 23, 2023

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to 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.

During renewal inspection on 1/23/23 cert rep reviewed several children's files. CHILD # 1 (see code sheet for DOB) is more than 6 months old and does not have the influenza immunization. CHILD #2 (see code sheet for DOB) is more than 6 months old and does not have the influenza immunization. CHILD #3 (see code sheet for DOB) does not have the Hep B immunizations and the Rotavirus immunizations. CHILD #4 (see code sheet for DOB) has one of the 3 Rotavirus immunizations. There are no exemption letters for CHILD 1, 2, 3, 4.

Corrected Corrected by Feb 10, 2023

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

3270.35(b)(3)/3270.192(2)(ii) · A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field 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.

During review of several staff files on 1/11/22 STAFF # 1, a group supervisor possessing an AA degree in Psychology, did not have verification of 2 years/2500 hours of prior experience working with children.

Corrected Corrected by Jan 18, 2022

Category: supervision. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During review of several staff files on 1/11/22 STAFF # 2, an assistant group supervisor possessing a high school diploma, did not have verification of 2 years/2500 hours of prior experience working with children.

Corrected Corrected by Jan 18, 2022

Category: supervision. Marked corrected in the state record.