Kindercare Learning Center 301327

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 time of unannounced inspection on 6/9/26, the wall vent by the changing table in the infant room was visibly dirty and in need of being cleaned.

Corrected by Jun 9, 2026

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3270.104(a) · Furniture must be durable, in good repair, safe, easily cleaned and appropriate for the child's size, age and special needs.

At time of unannounced inspection on 6/9/26, the blue child sized sofa in the pre-K room was observed to have ripped fabric on the seat.

Corrected by Jun 9, 2026

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3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

At time of unannounced inspection on 4/23/26, the certification dated 1/3/26 for Pediatric First Aid and Pediatric CPR for staff person #3 was only for basic life support and did not include wording of Pediatric First aid and CPR.

Corrected by May 29, 2026

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #3, and #4 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

At time of unannounced inspection on 4/23/26, several staff files did not include the required clearances and receipts under the CPSL. The file for staff person #1 who is past the provisional hire date, had an out of state ID card on file that was issued 3/28/24, but out of state clearances, or applications for out of state clearances were not on file. The file for staff person #2, who is past the provisional hire date, had an out of state identification card that was issued 5/4/23, but out of state clearances, or applications for out of state clearances were not on file. The file for staff person #3 did not have a complete PA criminal clearance on file due to copy on file dated 3/11/26 not having a disseminated date and being under review. The file for staff person #4 (a provisional hire) did not have a receipt for DHS FBI fingerprints or a complete FBI clearance. Staff person #1, #2, #3, and #4 were observed working at the facility on 4/23/26. This is continued non-compliance.

Corrected by Apr 24, 2026

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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.

At time of unannounced inspection on 4/23/26 a spray bottle with cleaning product in it was observed on the floor in the Older toddler/ DPS bathroom. Diaper cream was observed under the changing table in the older toddler classroom and the cabinet was not locked. Both items were accessible to children.

Corrected by Apr 23, 2026

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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 time of unannounced inspection on 4/23/26, there were holes observed on the walls in the Toddler and DPS rooms that had sharp metal protruding from the holes due to furniture being unbolted and moved to different areas of the room. This is continued non-compliance.

Corrected by May 25, 2026

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

At time of unannounced inspection on 4/23/26, chipped/peeling paint was observed on the windowsills on both sides of the emergency exits in the pre-school room, and on the wall in the DPS room.

Corrected by May 25, 2026

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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.

At time of unannounced inspection on 4/23/26, the file for staff Person #4 did not include an initial health assessment or results from TB testing.

Corrected by Apr 24, 2026

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

At time of unannounced inspection on 4/23/26, one of the infants in the infant room did not have a formula and feeding schedule obtained from the parents on file at the facility.

Corrected by Apr 24, 2026

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

At time of renewal inspection on 3/4/26, the files given to cert rep for review for staff persons #1, #4, and #5 did not include documentation that the required pre-service health and safety training (part 1 and part 2, or a previously accepted version of the trainings) were completed within 90 days of hire. The file for staff person #3 (hired less than 90 days ago) did not include documentation of completing the required pre-service health and safety training. Staff persons #1 and #3 were observed working together and were not being supervised by a permanent staff person, and staff person #4 was observed working alone.

Corrected by Mar 23, 2026

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3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

At time of renewal inspection on 3/4/26, the emergency plan binder given to cert rep for review had an annual review date of 2/20/25, and it had been more than one year since the plan was reviewed/updated.

Corrected by Mar 4, 2026

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #3, #4, and #5 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

At time of renewal inspection on 3/4/26, several staff files did not include the required clearances and paperwork under the CPSL. The file for staff person #1 who is past the provisional hire date, did not include a complete NSOR verification certification, only an application dated 11/24/26., and did not include mandated reporter training. The file for staff person #3, who is past the provisional hire date, did not include an NSOR verification certificate, only an application dated 10/26/25, and it did not include a complete PA criminal clearance due to clearance on file (dated 8/28/25) being under review and not including a disseminated date, additionally staff person #3 had an out of state ID card on file that was issued 3/28/24, but out of state clearances were not yet obtained. The file for staff person #4, who is past the provisional hire date, did not include an NSOR verification certificate, only an application dated 11/4/25, and did not include an FBI clearance, only a receipt with an appointment date of 3/3/26, additionally staff person #4 had an out of state identification card that was issued 5/4/23, but out of state clearances were not yet obtained. The file for staff person #5 did not include an NSOR verification certificate, only an application dated 5/19/25, and it did not include a complete PA criminal clearance due to the clearance on file (dated 5/19/25) being under review and not containing a disseminated date. Staff person #1 and #3 were observed working in a classroom together and were not supervised by a permanent staff person. Staff person #4 was observed working alone and was not supervised by a permanent staff person.

Corrected by Mar 23, 2026

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3270.33(a)/3270.192(2)(iv) · 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 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.

At time of renewal inspection on 3/4/26, the file for staff person #1(labeled as an AGS), staff person #3(labeled as an AGS), and staff person #5 (labeled as an AGS), did not include any documentation of education or experience in order to determine if the individuals are qualified for the positions being performed.

Corrected by Mar 23, 2026

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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.

At time of renewal inspection on 3/4/26, the file for staff person #2 did not include a written staff evaluation that was completed within the past year. Last evaluation on file was dated 11/1/24.

Corrected by Mar 18, 2026

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3270.34(b)/3270.34(b)(2) · A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A director shall have attained a bachelor's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

At time of renewal inspection on 3/4/26, the file given to cert rep for review for staff person #7, who is serving as the interim director during the director's leave of absence, did not have the education required to serve in this position, due to not having at least 30 credit hours in the human service field.

Corrected by Mar 23, 2026

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At time of renewal inspection on 3/4/26, documentation (such as a schedule) verifying staff person #7 is present at the facility a minimum of 30 hours a week was not available to be shown to cert rep.

Corrected by Mar 23, 2026

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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.

At time of renewal inspection on 3/4/26, the file for staff person #4 (labeled as an AGS with an A.S. in an unrelated field), did not include a transcript for review to see if there are any human service credits, and did not include 2500 hours of experience with children to qualify for the AGS position.

Corrected by Mar 23, 2026

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1. The required staff: child ratios must be maintained at all times. 2. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the certification representative on a weekly basis for a period of three months after DHS approves the documentation format. 3. The Legal Entity must arrange for all facility staff to receive a minimum of two hours of training regarding maintaining staff: child ratios. The certification representative will make the training referral to the appropriate ELRC and approve the content of the training. Documentation showing all staff completed the required training will be sent to certification rep by the trainer.

At time of renewal inspection on 3/4/26, two classrooms were observed to be out of ratio during the facility walkthrough. The Pre-K classroom was observed to have 12 pre-school aged children with staff person #6, prior to the assistant director going in the classroom. The Infant B classroom was observed to have 6 young toddlers with staff person #5.

Corrected by Jun 12, 2026

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3270.75(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.

At time of renewal inspection on 3/4/26, the first aid kit in the DPS room did not include tweezers.

Corrected by Mar 5, 2026

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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 time of renewal inspection on 3/4/26, the cabinet under the sink in the Infant B room was observed to have a broken door, there were holes observed on the wall in the Pre-school room by the emergency exit door that had sharp metal protruding from the holes, a stained ceiling tile was observed above the sink in the DPS room, and peeling orange contact paper was observed on surfaces in the toddler room that were accessible to children.

Corrected by Mar 20, 2026

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

At time of renewal inspection on 3/4/26, a lop-sided broken table was observed in the school age classroom and was accessible to children.

Corrected by Mar 18, 2026

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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.

At time of renewal inspection on 3/4/26, one of the refrigerators in the infant B room did not have a thermometer to ensure the temperature of the refrigerator remains at 45 degrees Fahrenheit or below.

Corrected by Mar 20, 2026

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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.

At time of renewal inspection on 3/4/26, the emergency contact form observed in the DPS classroom for child #5 did not include the health insurance or the policy number under which the child is insured.

Corrected by Mar 20, 2026

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3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At time of renewal inspection on 3/4/26, the emergency information observed in the DPS classroom for child #5 did not include the addresses of the persons to whom the child may be released.

Corrected by Mar 20, 2026

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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.

At time of renewal inspection on 3/4/26, the health report on file for child #2 was dated 3/2/25 and was more than 6 months old. The health report on file for child #3 was dated 9/15/26 which is a date that has not occurred yet, so it could not be determined if the health report is current or not.

Corrected by Mar 23, 2026

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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 time of renewal inspection on 3/4/26, the file given to cert rep for review for staff persons #1 and #4 did not include a health assessment or TB test results.

Corrected by Mar 20, 2026

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3270.181(c) · 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.

At time of renewal inspection on 3/4/26, the emergency contact observed in the DPS room for child #6 had a date of 5/30/25.

Corrected by Mar 20, 2026

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3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

At time of renewal inspection on 3/4/26, the emergency information for child #1 and child #4 was not signed or dated by the parent

Corrected by Mar 20, 2026

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

At time of renewal inspection on 3/4/26, the emergency information observed in the Infant B classroom for child #4 did not include signed parental consent for emergency medical care for the child or for the administration of minor first aid procedure by facility staff.

Corrected by Mar 20, 2026

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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.

At time of renewal inspection on 3/4/26, the file given to cert rep for review for staff person #5 did not include 2 written references.

Corrected by Mar 20, 2026

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

At time of renewal inspection on 3/4/26, the emergency drill documentation given to cert rep for review had a date of 1/23/25 and was more than one year old.

Corrected by Mar 4, 2026

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3270.151(c)/3270.151(c)(5) · The health assessment must include the following specified in §3270.151(c)(1-5) An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

At time of renewal inspection on 3/4/26, the health assessment for staff person #5 did not include a statement answered by the physician regarding the individual's suitability to provide child care.

Corrected by Mar 20, 2026

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3270.21/3270.112 · Conditions at the facility may not pose a threat to the health or safety of the children. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

At time of complaint investigation on 11/12/25, staff person #1 acknowledged, and staff persons #2, #3, #4, #5, #6, #7, and #8 acknowledged observing staff person #1 pick children up off the floor by lifting them by the arm or the back of the shirt/onesie and carrying them from one part of the room to another, compromising the safety of the children by not carrying and supporting them in a safe manner.

Corrected by Nov 5, 2025

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3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

At time of complaint investigation on 11/12/25, staff person #1 acknowledged, and staff persons #2, #3, #4, #5, #6, #7, and #8 acknowledged observing staff person #1 use harsh, demeaning language towards the infants in the room on multiple occasions.

Corrected by Nov 5, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

At time of unannounced inspection on 9/8/25, an unused outlet without an outlet cover was observed in the outdoor play space and was accessible to children under 5 years of age.

Corrected by Sep 8, 2025

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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.

At time of unannounced inspection on 9/8/25, handwashing signs with the required phrasing of "before eating and after toileting", were not posted by several classroom/bathroom sinks throughout the facility.

Corrected by Sep 16, 2025

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3270.103/3270.108(c) · 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. Styrofoam cups and plates may not be used.

At time of renewal inspection on 3/25/25, during facility walkthrough, Styrofoam bowls used for meals, were observed in the young toddler room and in the Pre-K room.

Corrected by Mar 25, 2025

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

At time of unannounced inspection on 1/15/25, the facility's emergency plan with the required updates under Federal requirement 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations, assigned staff roles, and training requirements for facility persons and volunteers, could not be located at the facility.

Corrected by Jan 30, 2025

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

At time of unannounced inspection on 1/15/25, the facility's previous inspection summary from 12/3/24 was not posted in a conspicuous location at the facility.

Corrected by Jan 30, 2025

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At time of unannounced inspection on 1/15/25, staff person #1 and #2 acknowledged that a director is no longer employed at the facility.

Corrected by Jan 27, 2025

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3270.52 · 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 in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times.

At time of unannounced inspection on 1/15/25, cert rep observed a total of 11 children (5 young toddlers, and 6 older toddlers) combined in the Discovery Pre-School room with staff persons #3 and #4.

Corrected by Jan 16, 2025

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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.

At time of unannounced inspection on 1/15/25, hand sanitizer was observed on the desk in the Pre-School room, and a spray bottle of cleaner was observed on a desk in the Pre-K room. This is continued non-compliance.

Corrected by Jan 22, 2025

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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 time of unannounced inspection on 1/15/25, cert rep observed loose laminate molding on the sink in infant B, the cabinet doors under the sink were visibly dirty with dried food, the wall behind the sink was also dirty. The half wall separating the Pre- K room and the School aged room was visibly dirty with dried paint and tape marks, and the one wall by the cribs in Infant B was sticky and dirty with tape marks.

Corrected by Jan 30, 2025

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

At time of unannounced inspection on 1/15/25, chipped white paint and rust were observed on the door frame in-between the infant B and school age room, on the door frame going into the infant B room, on the inside of the door frame in the Pre-K bathroom, on the wall between the Infant A and Infant B room on the corner by the half door, and on the windowsill in the toddler room. This is continued non-compliance.

Corrected by Feb 3, 2025

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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.

At time of unannounced inspection on 1/15/25, the emergency contact information for child #1 did not include the name and phone number for the child's doctor or source of medical care.

Corrected by Jan 29, 2025

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3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

At time of unannounced inspection on 1/15/25, the emergency contact form for child #1 did not include the addresses of the persons to whom the child may be released.

Corrected by Jan 29, 2025

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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.

At time of unannounced inspection on 1/15/25, the Toddler and Discovery Pre-School children were combined in the Discovery Pre-school room and the emergency contact forms for all five young toddlers were not present in the room where they were receiving care. This is continued non-compliance.

Corrected by Jan 29, 2025

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

At time of unannounced inspection on 1/15/25, the emergency contact form for child #1 did not include signed parental consent for emergency medical care, or for the administration of minor first aid procedures by facility staff.

Corrected by Jan 29, 2025

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

At time of unannounced inspection on 1/15/25, the facility's emergency plan shown to cert rep did not include the procedures that will be followed for accommodating children with disabilities, chronic medical conditions, or those who are non-walkers

Corrected by Jan 30, 2025

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

At time of unannounced inspection on 1/15/25, the written fire drill log could not be located to show to certification rep.

Corrected by Jan 23, 2025

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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 time of unannounced inspection on 1/15/25, the facility's current provisional certificate of compliance was not posted at a conspicuous location at the facility.

Corrected by Jan 30, 2025

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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.

At time of unannounced inspection on 12/3/24, cert rep observed cleaner/sanitizer on the back of the toilet in the young toddler/Discovery Pre-School bathroom and was accessible to children. This is continued non-compliance

Corrected by Dec 6, 2024

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

At time of unannounced inspection on 12/3/24, chipped paint was observed on the wall by the parent information center outside of the assistant director's office. Chipped paint, exposing some rust, was observed around the door frames in the infant A/B rooms.

Corrected by Dec 6, 2024

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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.

At time of unannounced inspection on 12/3/24, 9 children were observed receiving care in the Pre-K classroom, and emergency contact information was only present for 7 of those children. This is continued non-compliance.

Corrected by Dec 6, 2024

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During unannounced inspection on 12/3/24, the immunization exemption on file for child #1 was a form letter which is not acceptable documentation. A written, signed, and dated letter must be on file from the parent or guardian. This is continued non-compliance.

Corrected by Dec 6, 2024

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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.

During unannounced inspection on 10/23/24, there was no documentation on file that staff persons #1has had a written staff evaluation within the past 12 months. This is continued non-compliance.

Corrected by Nov 25, 2024

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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.

During unannounced inspection on 10/23/24, the following physical site items were observed by cert rep: The wall vent in the Discovery Pre-school room, the ceiling vent in the PK bathroom, the wall vent in the school age room, and the wall vent in the infant B room were observed to be visibly dusty and dirty. Dirty walls by trash cans and sinks, tape-stained tables and walls were observed in each room throughout the facility. Peeling green contact paper and peeling blue contact paper were observed on the back of doors and dividers in the Toddler room and the Older Toddler room. The elephant rug in the older toddler room was also observed to be visibly dirty. This is continued non-compliance.

Corrected by Nov 1, 2024

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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.

During unannounced inspection on 10/23/24, the facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations. The facility's emergency plan did not include assigned roles for staff in an emergency situation and did not state the training requirements for staff and volunteers at the time of hire and annually thereafter. Staff person #2 did not have documentation of completing the PA 1-hour Health and Safety update. This is continued non-compliance.

Corrected by Nov 5, 2024

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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.

During unannounced inspection on 10/23/24, the facility's emergency plan did not specify the method that will be used to contact parents during an emergency situation. It also did not specify that parents will be contacted at the onset of any emergency and that parents will again be contacted at the conclusion of the emergency and instructions will be given on where and when they can be reunited with their child(ren). This is continued non-compliance.

Corrected by Nov 5, 2024

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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.

During unannounced inspection on 10/23/24, the letter given to parents regarding the facility's emergency plan did not include lockdown procedures, did not include the method that will be used to contact parents, did not include that parents will be notified at the onset and again at the conclusion of the emergency, and did not include the accommodations for infants/toddlers/non-walkers, children with disabilities or chronic medical conditions. This is continued non-compliance.

Corrected by Nov 5, 2024

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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.

During unannounced inspection on 10/23/24, staff person #1, did not have documentation of completing annual fire safety training within the past year. This is continued non-compliance.

Corrected by Oct 23, 2024

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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.

During renewal inspection on 8/6/24, the file for staff person #2 did not contain any education or experience in order to determine which position the individual is qualified to perform. This is continued non-compliance.

Corrected by Nov 1, 2024

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During unannounced inspection on 10/23/24, staff person #1 acknowledged that the director is no longer employed at the facility as of 10/18/24, and a new director has not yet been hired.

Corrected by Nov 11, 2024

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

During unannounced inspection on 10/23/24, cert rep observed staff person #3 working alone with a total of 11 pre-school aged children in the pre-school room

Corrected by Oct 24, 2024

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training through the regional key, regarding maintaining staff: child ratios. The Southeast Regional Office will make the training referral to the appropriate ELRC. Training content will be approved by the Southeast Regional Office. Documentation will be submitted to the Southeast Regional Office by the trainer and will show all staff participated in the required training

During unannounced inspection on 10/23/24, cert rep observed staff person #3 working alone with a total of 11 pre-school aged children in the pre-school room

Corrected by Dec 20, 2024

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3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff: child ratios at all times. The Regional Office will provide ratio checklists for the facility to document ratios for a period of three months. Documentation will remain at the facility and will be checked by a Regional Office Representative during monthly unannounced visits.

During unannounced inspection on 10/23/24, cert rep observed staff person #3 working alone with a total of 11 pre-school aged children in the pre-school room

Corrected by Jan 30, 2025

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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.

During unannounced inspection on 10/23/24, the following toxics were observed: hand sanitizer was observed in the pre-school room and was accessible to children, a bottle of disinfectant/sanitizer was observed sitting on the back of the toilet and was accessible to children. Plastic bags and sunscreen were observed under the changing table in the toddler room and these items were accessible to children since the door to the changing table was not locked. This is continued non-compliance.

Corrected by Oct 23, 2024

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

During unannounced inspection on 10/23/24, the following areas of chipped paint were observed: chipped white paint was observed on the windowsill in the Discovery Pre-School room and chipped blue and white paint was observed in the school age room. The inside of the door frame in the PK room has chipping paint and was rusty. In Infant B chipped paint was observed around the door frame, on the wall above the cubbies, and there was chipped paint/rust on the door leading outside. This is continued non-compliance.

Corrected by Nov 1, 2024

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During unannounced inspection on 10/23/24, the bathroom in the Toddlers classroom and the bathroom in the Pre-K room was observed to have rusty bolts around the toilets and the caulking around the toilets was observed to have rust stains and be dirty. This is continued non-compliance.

Corrected by Nov 1, 2024

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

During unannounced inspection on 10/23/24, the agreement for child #4 did not include the fee amount to be paid to the facility. This is continued non-compliance.

Corrected by Oct 30, 2024

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3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

During unannounced inspection on 10/23/24, the agreement form on file for child #4 has an admission date of 2/27/23, which is prior to the child's birthday.

Corrected by Oct 30, 2024

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During unannounced inspection on 10/23/24, the agreements observed in the child files were the original agreements (indicated by blue ink and/or yellow highlighter), not copies of the agreements. This is continued non-compliance.

Corrected by Nov 29, 2024

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

During unannounced inspection on 10/23/24, the file for child #3 and #4 and #5 did not include an emergency contact form or information. This is continued non-compliance.

Corrected by Oct 30, 2024

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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.

During unannounced inspection on 10/23/24, the emergency information observed in the Pre-K room for child #6 did not include the health insurance coverage or policy number for the child.

Corrected by Oct 29, 2024

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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.

During unannounced inspection on 10/23/24, the emergency contact information for child #2, dated 10/4/24, did not include the address and phone number for the person to whom the child may be released.

Corrected by Oct 24, 2024

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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.

During unannounced inspection on 10/23/24, the emergency information for each child was not present in the space where the child was receiving care. Of the 9 pre-school aged children present and receiving care in the Pre-K classroom, only 5 emergency contact forms were present for the children in the room.

Corrected by Nov 29, 2024

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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.

During unannounced inspection on 10/23/24, the health report on file for child #4 was signed on 11/24/23, and indicated that the physical exam was performed on 10/26/23, and was more than 6 months old.

Corrected by Oct 25, 2024

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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.

During unannounced inspection on 10/23/24, the file for child #1 and #3 included health reports that were more than 12 months old. The last health report for child #1 was dated 7/28/22, and the last health report for child #3 was dated 9/23/22. This is continued non-compliance.

Corrected by Nov 25, 2024

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

During unannounced inspection on 10/23/34, staff person #1 did not have documentation on file of completing 12 hours of annual child care training. This is continued non-compliance.

Corrected by Nov 8, 2024

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During unannounced inspection on 10/23/24, the immunization exemption on file for child #3 was a form letter which is not acceptable documentation. A written, signed, and dated letter must be on file from the parent or guardian. This is continued non-compliance.

Corrected by Oct 29, 2024

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3270.181(d) · Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

During unannounced inspection on 10/23/24, the agreement form for child #2 had not been reviewed since 2/28/23. The agreement forms for child #1 and #3 were not dated by the parent.

Corrected by Nov 1, 2024

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3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

During unannounced inspection on 10/23/24, emergency information in each of the classrooms was not the most recent information, as observed by the signatures and dates on the forms. Review dates from 2022 and 2023 were observed on several forms in each classroom. This is continued non-compliance.

Corrected by Nov 29, 2024

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

During unannounced inspection on 10/23/24, the emergency contact form for child #2 did not include signed parental permission for first aid procedures by facility staff or for emergency medical care.

Corrected by Dec 30, 2024

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3270.182(8) · 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.

During unannounced inspection on 10/23/24, the file for child #5 did not contain an agreement.

Corrected by Nov 1, 2024

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3270.61/3270.61(f) · Measurement and use of inodoor child care space. Indoor space in which children are receiving care may not be used simultaneously for other business, commercial, social or another purpose unrelated to the child care being offered.

During unannounced inspection on 10/23/24, the Infant A and Infant B rooms were both being used as storage and were not suitable to be used due to the many items being stored and stacked in the rooms.

Corrected by Nov 7, 2024

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3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

During unannounced inspection on 101/23/24, the facility's certificate of occupancy was not available/on file at the facility. This is continued non-compliance

Corrected by Nov 5, 2024

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During unannounced inspection on 10/23/24, the facility's emergency plan did not specify how infants/toddlers/non-walkers, children with disabilities or chronic medical conditions will be accommodated during an emergency situation or evacuation at the facility. This is continued non-compliance.

Corrected by Nov 5, 2024

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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.

During unannounced inspection on 10/23/24, there was no documentation on file at the facility that the fire system is being tested every 30 days. Additionally, the fire system could not be tested for cert rep due to no one was present who knew how to test the system. This is continued non-compliance.

Corrected by Nov 7, 2024

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3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

During unannounced inspection on 10/23/24, the facility's emergency plan did not have lockdown procedures listed in the plan. This is continued non-compliance.

Corrected by Nov 5, 2024

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3270.131(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.

During unannounced inspection on 10/23/24, the file for child #5 did not include an initial health assessment. A date of admission was not available in child file, however the file of child #5 was selected for review during renewal inspection on 8/6/24, showing child #5 has been enrolled at the facility since 8/6/24, which is more than 60 days. This is continued non-compliance.

Corrected by Oct 25, 2024

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

During unannounced inspection on 10/23/24, the facility did not have documentation to show that the local police department/township was notified annually in writing of the location of the facility and the program's use of car routes around the facility. This is continued non-compliance.

Corrected by Nov 8, 2024

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3270.24(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

At time of unannounced inspection on 10/3/24, staff person #1, who is the person designated to be responsible for compliance in the director's absence, was not able to provide cert rep with staff or child files due to not having access to the director's office where the files are housed.

Corrected by Nov 15, 2024

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3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

At time of unannounced inspection on 10/3/24, the previous inspection summary from 8/6/24 was not posted in a conspicuous location at the facility and corrections had not yet been verified from that inspection.

Corrected by Nov 15, 2024

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3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At time of unannounced inspection on 10/3/24, staff person #2, listed as the director of the facility, was not present, and was also not present during renewal inspection on 8/6/24. Documentation (written or verbal) was not available to cert rep in order to verify staff person #2 is present at the facility for a minimum of 30 hours a week.

Corrected by Nov 15, 2024

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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.

During renewal inspection on 8/6/24, (1) the policy for shaken recognizing and responding to shaken baby syndrome/abusive head trauma/ child maltreatment, and strategies for coping with a crying, fussing, distraught child was not on file and available to be shown to cert rep. (2) The facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations. (3) The facility's emergency plan did not include assigned roles for staff in an emergency situation and did not state the training requirements for staff and volunteers at the time of hire and annually thereafter. (4) Staff person #1 and #3 did not have documentation of completing the PA 1-hour Health and Safety update

Corrected by Sep 6, 2024

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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.

During renewal inspection, the facility's emergency plan did not specify the method that will be used to contact parents during an emergency situation. It also did not specify that parents will be contacted at the onset of any emergency and that parents will again be contacted at the conclusion of the emergency and instructions will be given on where and when they can be reunited with their child(ren).

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, there was no documentation on file that staff persons #1, #2, and #6 have had a written staff evaluation within the past 12 months.

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, staff persons #1, #2, #4 did not have current emergency plan training either at the time of hire or within the past year.

Corrected by Aug 23, 2024

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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.

During renewal inspection on 8/6/24, the letter given to parents regarding the facility's emergency plan did not include lockdown procedures, did not include the method that will be used to contact parents, did not include that parents will be notified at the onset and again at the conclusion of the emergency, and did not include the accommodations for infants/toddlers/non-walkers, children with disabilities or chronic medical conditions.

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, staff persons #1, #2, and #6 did not have documentation of completing annual fire safety training within the past year.

Corrected by Aug 23, 2024

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

During renewal inspection on 8/6/24, not all staff files were in compliance with the CPSL requirements. The file for staff person #1 did not contain out of state clearances and staff person #1 has lived outside of PA within the past 5 years, and there was also no signed and dated disclosure form for staff person #1. The file for staff person #2 contained an expired mandated reporter training dated 4/6/2018, and an expired FBI clearance dated 6/5/2019.

Corrected by Aug 7, 2024

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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.

During renewal inspection on 8/6/24, the file for staff person #3 and #5 did not contain any education or experience in order to determine which position the individuals are qualified to perform. Staff person #4 did not have any experience on file, only high school diploma, and the position in which staff person #4 was performing was not listed on the staff data worksheet.

Corrected by Aug 23, 2024

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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.

During renewal inspection on 8/6/24, the following toxics were observed: hand sanitizer was observed in the pre-school room and was accessible to children, and diaper cream labeled "keep out of reach of children" was observed under the changing table in the toddlers' room and was accessible to children.

Corrected by Aug 7, 2024

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3270.70(b) · If the indoor temperature exceeds 82° F in a child care space, a means of mechanical air circulation must be operating.

During renewal inspection on 8/6/24, the indoor temperature in the school age room, as read on the facility's thermostat, was 88 degrees Fahrenheit, and the Discovery pre-school room, as read on the facility's thermometer was 85 degrees Fahrenheit and there was no means of mechanical air circulating in either room.

Corrected by Aug 7, 2024

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3270.75(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.

During renewal inspection on 8/6/24, the first aid kit in the Pre-School room was observed to be missing soap.

Corrected by Aug 9, 2024

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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.

During renewal inspection on 8/6/24, the following physical site items were observed by cert rep: the wooden molding between the floor and wall in the Pre-K room, the toddler room, the discovery Pre-school room, and the School age room was observed to be splintery, dirty, and chipping. The floor in the school age room was observed to be stained and dirty. The wall vent in the Discovery Pre-school room was observed to be visibly dusty and dirty.

Corrected by Sep 6, 2024

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

During renewal inspection on 8/6/24, the following areas of chipped paint were observed: chipped white paint was observed on the windowsill in the Discovery Pre-School room and chipped blue and white paint was observed in the school age room.

Corrected by Sep 6, 2024

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3270.82(g) · Toilet areas and fixtures shall be cleaned daily and be in good repair.

During the renewal inspection, the bathroom in the Toddlers classroom was observed to have rusty bolts around the toilets and the caulking around the toilets was observed to have rust stains and be dirty.

Corrected by Sep 6, 2024

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3270.103 · 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.

During renewal inspection on 8/6/24, plastic bags were observed under the changing table in the Toddlers room and Discovery pre-school room and were accessible to children since the cabinet door was not locked, plastic bags were observed hanging on the cubbies in the Discovery pre-school room and were accessible to children.

Corrected by Aug 7, 2024

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

During renewal inspection on 8/6/24, the agreement for child #6 did not include the fee amount to be paid to the facility.

Corrected by Aug 23, 2024

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During renewal inspection, the agreement for child #2 did not include the departure time for the child

Corrected by Aug 23, 2024

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

During renewal inspection on 8/6/24, the agreement for child #2 did not specify the child's date of admission to the facility.

Corrected by Aug 23, 2024

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

During renewal inspection on 8/6/24, the agreements observed in the child files were the original agreements (indicated by blue ink and/or yellow highlighter), not copies of the agreements.

Corrected by Sep 6, 2024

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

During renewal inspection on 8/6/24, staff persons #1, #2, and #6 did not have documentation on file of completing 12 hours of annual child care training.

Corrected by Sep 6, 2024

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

During renewal inspection on 8/6/24, the file for child #2, #4, and #6 did not include an emergency contact form or information.

Corrected by Aug 7, 2024

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3270.131(b)(2)/3270.131(c) · 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 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.

During renewal inspection on 8/6/24, the health report on file for child #5 did not include a date or a signature from the physician or physician assistant, and the form did not have questions #1, #2, #3 and #4 answered by the physician.

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, the file for child #1, #3, and #4 included a health assessment that was more than 12 months old.

Corrected by Sep 6, 2024

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

During renewal inspection on 8/6/24, the immunization exemption on file for child #4 was a form letter which is not accepted. A written, signed, and dated letter must be on file from the parent.

Corrected by Aug 7, 2024

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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.

During renewal inspection on 8/6/24, staff person #1 did not have TB test results on file at the facility. Staff person #4 and #5 did not have a health assessment or TB test results on file.

Corrected by Sep 6, 2024

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3270.151(c)(1) · An adult health assessment must include a physical examination.

During renewal inspection on 8/6/24, the health assessment on file for staff person #3 indicated that a physical was not conducted by the physician and only a TB test was performed.

Corrected by Sep 6, 2024

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3270.181(c) · 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.

During renewal inspection on 8/6/24, the emergency contact information and agreement form for child #1, #2, #3, #4 and #6 had not been reviewed/updated, if necessary, with a signature and date within the past 6 months.

Corrected by Aug 12, 2024

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3270.181(e) · If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

During renewal inspection on 8/6/24, the emergency contact information located in the classrooms had not been updated within the past 6 months. Forms with dates of 2022 and 2023 were observed in classrooms.

Corrected by Sep 6, 2024

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

During renewal inspection on 8/6/24, the emergency contact form for child #1 did not include signed parental permission for first aid procedures by facility staff.

Corrected by Aug 12, 2024

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3270.182(8) · 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.

During renewal inspection on 8/6/24, the file for child #5 did not contain an agreement

Corrected by Aug 7, 2024

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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.

During renewal inspection on 8/6/24, the file for staff person #1, #3, #4, and #5 did not include two written, non-family references.

Corrected by Aug 26, 2024

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3270.15(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance issued by the Department under this chapter.

During renewal inspection on 8/6/24, the facility's certificate of occupancy was not available/on file at the facility.

Corrected by Sep 6, 2024

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During renewal inspection on 8/6/24, the facility's emergency plan did not specify how children with disabilities, chronic medical conditions, infants/toddlers/non-walkers will be accommodated during an emergency situation or evacuation at the facility.

Corrected by Sep 6, 2024

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3270.94(a)(1)/3270.95(b) · The Director 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During renewal inspection on 8/6/24, documentation in the fire drill log showed that fire drills were not being conducted at least once every 60 days. Last fire drill recorded was dated 5/10/24.

Corrected by Aug 16, 2024

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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.

During renewal inspection on 8/6/24, there was no documentation on file at the facility that the fire system is being tested every 30 days.

Corrected by Aug 16, 2024

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3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

During renewal inspection on 8/6/24, the facility's emergency plan did not have lockdown procedures listed in the plan

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, the facility could not provide documentation that the emergency plan was sent to Bensalem Township, and to the Bucks County Office of Emergency Management.

Corrected by Sep 6, 2024

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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.

During renewal inspection on 8/6/24, the file for child #2, who has been enrolled more than 60 days based on the last date on the child's agreement form, did not include an initial health assessment or immunization record.

Corrected by Aug 7, 2024

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

During renewal inspection on 8/6/24, the facility did not have documentation to show that the local police department was notified annually in writing of the location of the facility and the program's use of car routes around the facility.

Corrected by Aug 26, 2024

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3270.66(d) · Toxic plants are not permitted in a child care space.

During renewal inspection, Pothos plants were observed in the PS/PK classroom and the Toddler classroom.

Corrected by Aug 18, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

During renewal inspection, the file for staff person #1 did not include all information as required by the CPSL. The file for staff person #1 contained a child abuse clearance that was more than 60 months old and dated 6/29/18.

Corrected by Aug 18, 2023

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3270.75(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.

During renewal inspection, the first aid kit in the Toddler A classroom was missing soap.

Corrected by Aug 24, 2023

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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, chipped paint was observed around the windowsill and door frame in the Toddler A room, around the windowsills in the PS/PK room, on the bathroom door in the Toddler room. In the Two's room there was a chipped and splintery wooden piece of wall molding in the back of the classroom and a dirty wall vent that was in need of being cleaned.

Corrected by Sep 15, 2023

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3270.124(b)(2)/3270.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During renewal inspection, the emergency information for child #1 did not include the phone number of the child's physician, and the emergency information for child #3 did not include the policy number for the insurance coverage.

Corrected by Aug 28, 2023

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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.

During renewal inspection, the emergency information for child #2, #3, #4, and #6 did not include the address of the persons to whom the child may be released.

Corrected by Aug 28, 2023

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3270.131(d)(5)/3270.131(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.

During renewal inspection, the immunization record for child #1, #2, and #4 did not include up to date influenza vaccinations as recommended by the ACIP.

Corrected by Aug 18, 2023

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

During renewal inspection, the emergency information for child #5 did not include signed parental permission for emergency medical care or for the administration of minor first aid procedures.

Corrected by Aug 22, 2023

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During renewal inspection, the fire drill log used to record drill information did not include the hypothetical location of the fire, and it did not include the number of children or the names of the staff participating in the drill.

Corrected by Sep 15, 2023

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3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for facility staff #1 did not contain verification of a high school diploma or GED.

Corrected by Sep 19, 2022

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3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Facility staff #2 did not have a health assessment completed by a physician, physician's assistant or CRNP on file.

Corrected by Aug 15, 2022

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

Facility staff #1 did not have the approved pediatric first aid and CPR training within 90 days of hire.

Corrected by Sep 19, 2022

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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.

There was not documentation in Facility staff #1 and #2's file that they received emergency plan training at the time of hire. Facility staff #1 had a hire date of 12/27/2021 and facility staff #2 had a hire date of 11/22/2021. The documentation showed that facility staff #1 and #2 had emergency plan training on 1/13/2022, after already working at the facility.

Corrected by Feb 1, 2022

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

The agreements for facility child #1 and #2 did not specify the date of the child's admission to the program.

Corrected by Feb 8, 2022

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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.

Facility staff #3 did not have the required health assessment every 24 months. The last health assessment in the file was dated 12/16/2019.

Corrected by Feb 8, 2022

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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 for facility staff #4 did not specify that an examination for communicable diseases was conducted with the results of that exam or that the staff was suitable to provide child care as required by regulation.

Corrected by Feb 8, 2022

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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 emergency contact information for facility child #2 did not include signed consent for the administration of first-aid by staff.

Corrected by Feb 8, 2022

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