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 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, Staff Person #7 may not work in a child-care position at the facility.

During allocated unannounced monitoring conducted on 5/29/2025, Staff Person #7 was observed to be caring for children unsupervised during naptime. Staff Person #7 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR in an acceptable curriculum.

Corrected Corrected by Jun 12, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(iv)/3270.115(b)(1) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. Staff persons shall supervise children in care using wading pools. Staff: child ratios in subsection (a) apply when children are wading.

During allocated unannounced inspection conducted on 7/18/2025, children were observed to be using a blow-up waterslide toy that had a small pool at the bottom that collected water. This is considered wading. None of the staff at the facility have water safety training certificates from a certified lifeguard on file.

Corrected Corrected by Jul 22, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until the required training has been completed, Staff Person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #2, Staff Person #2 may not work in a child-care position at the facility. TIERED LIS 1. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until the required training has been completed, Staff Person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #2, Staff Person #2 may not work in a child-care position at the facility. The correction date for this portion of the plan shall be the date in which acceptable training will be completed and on file. 2. For a period of three (3) months, the legal entity must submit all required pre-service training certificates completed by staff after 7/18/2025. The correction date for this portion of the plan shall be a minimum of 3 months from the date the Regional Office receives an acceptable plan.

As part of an allocated unannounced inspection beginning on 5/29/2025, Staff Person #5 provided the Cert Rep with a certificate for pediatric first-aid/CPR dated 2/29/2024 for Staff Person #2 . The appearance of the document was different from that of others. The pedatirc first-aid/CPR certificate was submitted to the training provider and was confirmed as fraudulent. Therefore, Staff Person #2 did not complete pediatric first-aid/CPR training within 90 days of their date of hire (see LIS code sheet). Additionally, Staff person #5 provided the Cert Rep with a certificate titled "Get Started with Center-Based Care: Building Blocks for Quality" dated 8/12/2019 and a certificate titled "Pennsylvania Health and Safety Update 2022" dated 12/19/2023 for Staff Person #2. The appearance of the documents was different from that of others. The certificates were both submitted to Better Kid Care and were both confirmed as fraudulent. Therefore, Staff Person #2 did not complete the CCDBG Health and Safety training within 90 days of their date of hire (see LIS code sheet). Staff Person #7 has not completed Pediatric first-aid/CPR in acceptable curriculum within 90 days of their hire date. Additionally, Staff Person #7 completed required pre-service training titled "A Required Health and Safety for Centers-Group Child Care Part 2" on 5/13/2025, which was more than 90 days after their hire date (see LIS code sheet).

Corrected Corrected by Nov 12, 2025

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 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. TIERED LIS 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #4 may not work in a child care position at the facility until a valid NSOR Certificate is on file. Staff Person #5 may not work in a child care position at the facility until valid PSP, Child Abuse, DHS VBI, and NSOR clearances are on file. This portion of the plan shall have an immediate correction date. 2. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office. Additionally, during this three-month period, certificates for mandated reporter training for any staff who completed the training after 7/18/2025 must be submitted to the Northeast Regional Office. The correction date for this portion of the plan shall be a minimum of 3 months from the date the Regional Office receives an acceptable plan. 3. The legal entity must arrange for the Legal Entity, Director, and anyone responsible for hiring new staff to register for and attend the Existing Provider Orientation conducted by the Central Regional Office on 10/9/2025 or the NE Regional Office on 11/12/2025. The correction date for this portion of the plan shall be the date of the orientation.

As part of an allocated unannounced inspection beginning on 5/29/2025, Staff Person #5 provided the Cert Rep with a mandated reporter training certificate dated 9/24/2024 for Staff Person #2. The appearance of the document was different from that of others. The mandated reporter certificate was submitted to the CPSL Help Desk and was confirmed as fraudulent. Therefore, Staff Person #2 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff Person #5 also provided the Cert Rep with an NSOR clearance dated 4/12/2024 for Staff Person #4. The appearance of some of the font on the document was different than the rest. The NSOR clearance was submitted to the Department of Human Services Clearance Verification Unit and was confirmed as fraudulent. When certification representative returned on 7/18/2025, an NSOR clearance dated 6/3/2025 was on file for Staff Person #4. NSOR clearance dated 6/3/2025 appears to be valid. Additionally, the following staff persons did not have clearances and/or mandated reporter training completed within 60 months: Staff person #3: FBI clearances on file dated 2/11/2020 and 2/18/2025. NSOR clearances on file dated 2/13/2020 and 2/25/2025. Mandated reporter training certificates on file are dated 2/10/2020 and 2/21/2025. These dates are past 60 months. Staff person #5: Most recent PSP clearance on file is dated 2/5/2020, which is past 60 months. Most recent child abuse clearance on file is dated 2/14/2020, which is past 60 months. Most recent FBI clearance on file is dated 2/8/2020, which is past 60 months. Most recent NSOR clearance on file is dated 1/23/2020, which is past 60 months. Most recent mandated reporter training certificate on file is dated 2/10/2020, which is past 60 months.

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. 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. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper ratio. This policy will ensure that proper staff:child ratio is maintained at all times. This policy must address how proper ratios will be maintained during morning drop-off and afternoon pick-up when a staff is required to answer the door for parents, how lunch/bathroom breaks will be handled, indoor and outdoor play time, and what staff should do if a parent is dropping off and they will have too many children. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the ratio policy. The operator shall provide a correction date for when the policy will be created and sent to the NE Regional Office.

When certification representative arrived at facility to conduct an allocated unannounced monitoring on 5/29/2025, there were two staff members outside with 23 preschool-aged children.

Corrected Corrected by Aug 29, 2025

Category: ratio. Marked corrected in the state record.

3270.62(b)/3270.63 · Outdoor or indoor play space shall be measured at 65 square feet per child. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

When certification representative arrived at the facility on 5/29/2025 to conduct an allocated unannounced monitoring, twenty three preschool-aged children were observed to be in the parking lot of the facility playing with sidewalk chalk and hula-hoops. Parking lot is not measured play space. Facility is located off of a busy road and there were no barriers preventing cars from entering the parking lot where children were playing. When certification representative returned on 7/18/2025, there were fresh sidewalk chalk drawings in the parking area.

Corrected Corrected by Jul 29, 2025

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

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

During allocated unannounced monitoring conducted on 5/29/2025, an uncovered outlet was observed to be accessible to preschool-aged children in the young preschool room.

Corrected Corrected by May 29, 2025

Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in their assigned group. The staff person shall be physically present with the children in their group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy and procedure in order to maintain proper supervision. This policy and procedure will ensure that all children are properly assigned to a staff person and supervised at all times and how the facility will do this. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. The operator shall provide a correction date for when the policy and procedure will be created and sent to the NE Regional Office.

When certification representative arrived at facility to conduct an allocated unannounced monitoring on 5/29/2025, there were two staff members outside with preschool aged children. Certification representative conducted a supervision/ratio check and was told that there were 22 preschool-aged children in the group. Staff Person #4 alerted another staff person to have Staff Person #3 come out as soon as possible. Staff Person #4 identified 10 children as being in their group, Staff Person #2 identified 10 children as being in their group, and Staff Person #3 identified 2 children as being in their group. Certification representative conducted a headcount and there were 23 total preschool-aged children in the group. At that time, staff realized that one of the children's cards was stuck to the back of others and reported that they had just come back from therapy. Additionally, certification representative conducted supervision/ratio check in the Preschool Room and was told that there were 13 preschool-aged children in the room. Staff Person #1 identified 6 children as being in their group and Staff Person #6 identified 4 children as being in their group. Certification representative advised that the two groups total 10, which was not the reported number of children in the room. Staff then made several attempts to identify their groups of children. Staff referenced the chart on the wall with the groups listed. Staff Person #1 then identified 7 children as being in their group and Staff Person #6 identified 5 children as being in their group. Certification representative conducted a headcount, and it was determined that there were 12 preschool-aged children in the room. Staff reported that there was a new child in the room and another child went home early today.

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.

As part of an allocated unannounced inspection beginning on 5/29/2025, Staff Person #5 provided the Cert Rep with a health assessment dated 4/21/2024 for Staff Person #2. The document appeared to be altered. The health assessment was submitted to the physicians office and was confirmed as fraudulent. Therefore, Staff Person #2 does not have a valid health assessment on file.

Corrected Corrected by Jul 30, 2025

Category: ratio. 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.

During renewal inspection conducted 5/29/2025, references on file for Staff Person #7 are dated 2/20/2025 and 3/11/2025, which were both submitted after Staff Person #7's start date (see LIS code sheet).

Corrected Corrected by May 29, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

During allocated unannounced monitoring conducted on 5/29/2025, facility's fire detection/drill log indicated that smoke alarms were tested on 12/20/2024 and again on 1/28/2025, which is past 30 days.

Corrected Corrected by Aug 6, 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. Until such time as the required pre-service trainings are completed, staff person #4 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 #4, staff person #4 may not work in a child-care position at the facility.

During renewal inspection conducted on 10/28/2024, staff person #4 was observed to be caring for children unsupervised. Staff person #4 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR, Mandated Reporter training, Health and Safety (CCDBG) training.

Corrected Corrected by Oct 28, 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 facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #4 may not be present in or work in a child care position at the facility while child care is occurring until all necessary clearances are on file.

During renewal inspection conducted on 10/28/2024, file for staff person #1 indicated that start date was 8/12/2024. Staff person #1 had child abuse clearance dated 8/14/2024. Per Act 12 of 2022, a facility must receive the results of the applicant's PA Child Abuse History Clearance prior to employment. Staff person #4 was observed to be unsupervised with a group of young toddlers during naptime and did not have child abuse, FBI, or NSOR clearances or requests on file (see LIS code sheet for start date).

Corrected Corrected by Oct 28, 2024

Category: supervision. Marked corrected in the state record.

3270.74/3270.124(e) · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During renewal inspection conducted 10/28/2024, emergency transportation plan was not posted in any of the childcare spaces throughout the facility. Emergency telephone numbers were not posted in the Preschool room.

Corrected Corrected by Oct 29, 2024

Category: transportation. 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.

During renewal inspection conducted on 10/28/2024, floor in the Preschool room was peeling and children were observed to be playing with the floor and ripping pieces of it off.

Corrected Corrected by Oct 29, 2024

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

3270.92(a) · Portable space heaters are not permitted.

During renewal inspection conducted on 10/28/2024, a portable space heater was observed to be on in the staff break room/kitchen area.

Corrected Corrected by Oct 29, 2024

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

3270.133(1) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received.

During renewal inspection conducted on 10/28/2024, medication for child #1 was not in the original container.

Corrected Corrected by Oct 29, 2024

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

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

During renewal inspection conducted on 10/28/2024, health assessment on file for staff person #3 is dated 1/19/2023 and TB test on file for staff person #3 is dated 1/23/2023. Both of these dates are more than 12 months prior to providing initial service at the child care facility (see LIS code sheet for start date).

Corrected Corrected by Oct 29, 2024

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(5) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. 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 conducted on 10/28/2024, file for staff person #4 did not include acceptable verification of experience, education, or training prior to service at the facility or two written, nonfamily references (see LIS code sheet for start date).

Corrected Corrected by Oct 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(1) · 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.

During renewal inspection conducted 10/28/2024, facility's fire detection log indicated that fire drills were conducted on 10/12/2023 and 12/15/2023, which is past 60 days.

Corrected Corrected by Nov 6, 2024

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.

During the renewal inspection on 10/12/23, there were holes in the wall coming up the stairs, and cobwebs in the PS room near the refrigerator in the back of the room.

Corrected Corrected by Nov 28, 2023

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.

On 10/12/23 during the renewal inspection, the door to the kitchen remained open. The kitchen, which contains a stove, is directly accessible from the PK room.

Corrected Corrected by Oct 20, 2023

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

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

On 10/12/23 during the renewal inspection, there was no letter provided to parents of each enrolled child explaining the emergency procedures.

Corrected Corrected by Oct 20, 2023

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

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

On 10/12/23 during the renewal inspection, the thermometer in the refrigerator in the PS room read 58 degrees.

Corrected Corrected by Oct 20, 2023

Category: nutrition. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

On 10/12/23 during the renewal inspection, the emergency contact forms for child #1 and #2 were not in the classroom where the children were receiving care.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

On 10/12/23 during the renewal inspection, the fee agreement and emergency contact information for child #1 were last updated on 8/17/22.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the renewal inspection on 10/12/23, the most recent health report on file for child #1 was dated 9/30/22

Corrected Corrected by Oct 20, 2023

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

3270.131(e) · 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.

On 10/12/23 during the renewal inspection, there was no documentation of influenza vaccine or an exemption letter on file for child #3. Child #3 must be removed from care until proper documentation is on file.

Corrected Corrected by Oct 20, 2023

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

3270.21/3270.27(a)(2) · Conditions at the facility may not pose a threat to the health or safety of the children. The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills).

On 12/16/22, an odor of propane was detected at the facility by several staff and parents. The facility did not follow their written emergency evacuation procedures, and instead moved the children to the bottom floor of the building. The facility also did not notify local authorities or contact 9-1-1. The local fire chief who responded to the call reported that evacuation would have been the appropriate response.

Corrected Corrected by Feb 10, 2023

Category: health medication. 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.

During the renewal inspection on 10/18/22, the older toddler and preschool rooms had large floor to ceiling windows that did not contain visual identification of the glass.

Corrected Corrected by Oct 24, 2022

Category: physical safety. 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.

As of the renewal inspection on 10/18/22, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by Oct 24, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 and #2 will have until 11/5/22 to complete the required training. Until such time as the required training has been completed, Staff person #1 and #2 must be supervised, when interacting with children, by an AGS or above who has completed the required training related to this citation. If there are no staff available to supervise Staff person #1 and #2, Staff person #1 and #2 may not work in a child-care position at the facility.

Staff person #1 and #2 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved Pediatric First Aid and Pediatric CPR.

Corrected Corrected by Nov 5, 2022

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 facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

During the renewal inspection on 10/18/22, staff #2 (see code sheet for hire date) had a Dept of Education FBI clearance and not the DHS FBI clearance. Staff #2 must be removed from care until appropriate FBI clearance is on file.

Corrected Corrected by Oct 24, 2022

Category: background checks. 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.

During the renewal inspection on 10/18/22, the ceiling tile in the infant room by the window was stained.

Corrected Corrected by Oct 24, 2022

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

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

During the renewal inspection on 10/18/22, there were no handwashing signs at the sink in the infant room, at the double sink behind the changing table in the OT room, and next to the potty in the YT room.

Corrected Corrected by Oct 24, 2022

Category: health medication. 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 10/18/22, the brown sofa in the OT room was worn in several places.

Corrected Corrected by Oct 25, 2022

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

During the renewal inspection on 10/18/22, Child #1 was sleeping in a crib and there was not 2 feet of space on three sides of the crib.

Corrected Corrected by Oct 24, 2022

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the renewal inspection on 10/18/22, the hands of child #2 were not washed after diapering.

Corrected Corrected by Oct 25, 2022

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

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.

As of the renewal inspection on 10/18/22, the emergency plan did not provide for accommodations for toddlers or children with chronic medical conditions, both of which are enrolled at the facility.

Corrected Corrected by Oct 24, 2022

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

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

As of the renewal inspection on 10/18/22, there had not been an emergency drill conducted in the previous year.

Corrected Corrected by Nov 4, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

At 8:05a.m. on 1/19/22 during a complaint investigation, one staff person was observed caring for a group of 7 young toddlers, a ratio that requires at least 2 staff.

Corrected Corrected by Feb 11, 2022

Category: ratio. Marked corrected in the state record.

3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

On 1/19/22 during the complaint investigation, Staff #1 declared that they had not contacted the Dept of Health regarding a positive COVID case on 1/12/22 at the center.

Corrected Corrected by Feb 11, 2022

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

3270.36(b)(3) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

On 10/13/21 during the renewal inspection, staff #3 had 15 college credits but did not have documentation of 1 year of experience to qualify for the stated assistant group supervisor position.

Corrected Corrected by Oct 22, 2021

Category: supervision. Marked corrected in the state record.

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.

On 10/13/21 during the renewal inspection, staff #4 and #5 did not have 2 years of experience documented to qualify them for the stated assistant group supervisor position.

Corrected Corrected by Oct 22, 2021

Category: supervision. 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.

On 10/13/21 during the renewal inspection, a ceiling tile in the young toddlers room was stained from a water leak.

Corrected Corrected by Oct 22, 2021

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

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

On 10/13/21 during the renewal inspection, the pad cover on the library bench in the young toddler room was stained and dirty.

Corrected Corrected by Oct 14, 2021

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

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

On 10/13/21 during the renewal inspection, there was not 2 feet of space on three sides of a crib that was being used in the infant room.

Corrected Corrected by Oct 14, 2021

Category: physical safety. 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.

On 10/13/21 during the renewal inspection, the health assessments for child #1 and #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 29, 2021

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

3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

On 10/13/21 during the renewal inspection, the required health and safety training for staff #1 was dated 9/10/16.

Corrected Corrected by Oct 22, 2021

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