3270.51 · 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 will have an immediate correction date. . 2. The Director and/ or operator will develop a tool with which to complete daily ratio checks of all classrooms throughout the day. The tool will include the classroom name, date and time of observation, staff person(s) present, and the number of children and their age levels (Infant, YT, OT, PS, YSA, OSA) present. The director/ operator may consult with the ELRC Quality Coaches to develop this tool for submission to the Western Region office prior to first use. The correction date for this portion of the plan will be the day the assessment tool is submitted to Certification, prior to use. 3. Random checks will occur at least 3 times per week for the 4 months after submission of the tool. Documentation of the checks will be made available to Certification upon request by email or onsite monitoring visits. The correction date for this portion of the plan will be at minimum 4 months from the date the regional office reviews the tool.

At approximately 10:40am, Staff Person #1 was observed to be caring for 5 infants alone in Classroom 1. The staff:child ratio for infants is 1:4. Staff Person #2 was observed to exit the door leading from Classroom 3, an infant resting room, with 1 infant. It was reported that this infant had just awakened. Certification Rep reviewed video surveillance from Classroom 1 and observed both Staff Person's #1 and #2 to be present in Classroom 1 at 10:30am. Certification Rep spoke with Staff Person #2 who confirmed that two infants had been sleeping in Classroom 3 at approximately 9am, with one infant waking at 10am and the second waking at approximately 10:40am. Staff Person #2 reported that they "had been going back and forth [between Classroom 1 and Classroom 3] during the time the children were napping." Based on staff reports and video observation, a staff person would not have been present in Classroom 3 during the duration an infant was napping to meet the required staff:child ratio requirements.

Corrected Corrected by Jun 24, 2026

Category: ratio. Marked corrected in the state record.

3270.113(a) · 1. Children on the facility premises and on facility excursions off the premises will be supervised by a staff person at all times. This portion of the plan will have an immediate correction date. 2. All staff, including the director, will participate in an onsite/ in-person training called, "Creating a Safe Environment with Active Supervision" conducted by the ELRC. These hours are permitted to be counted as part of each staff's required 12 annual training hours. The operator will provide an anticipated date for completion of training. 3. Subsequent to the training, all staff, including the director, will participate in technical assistance sessions with the ELRC Quality Coach. Technical assistance will include a minimum of 2 sessions at the facility. These sessions will address classroom set up to ensure barriers are not in place to impact appropriate supervision and appropriate lighting is in place in all classrooms to ensure staff can see all children present in the child care space. The operator will provide an anticipated date of completion of technical assistance. 4. The Director and/ or operator will develop a tool with which to complete daily supervision checks of all classrooms throughout the day to assess sightlines and staff positioning in the room. The tool will include the classroom name, date and time of observation, staff person(s) present, the number of children and their age levels (Infant, YT, OT, PS, YSA, OSA) present. The tool will assess that a staff person is physically present with their group of children under their supervision. The tool will assess that the staff person can see, hear, direct and assess the activity of the children under their supervision. The director/ operator may consult with the ELRC Quality Coaches to develop this tool for submission to the Western Region office prior to first use. The correction date for this portion of the plan will be the day the assessment tool is submitted to Certification, prior to use. 5. Random checks will occur at least 3 times per week for the 4 months subsequent to training and after submission of the tool. Documentation of the checks will be made available to Certification upon request. The correction date for this portion of the plan will be at minimum 4 months from the date the regional office reviews the tool.

At approximately 10:40am, Staff Person #2 was observed to exit the door leading from Classroom 3, an infant rest room, with 1 infant. It was reported that this infant had just awakened from a nap. Certification Rep reviewed video surveillance from Classroom 1and observed both Staff Person's #1 and #2 to be present in Classroom 1 at 10:30am. Certification Rep spoke with Staff Person #2 who confirmed that two infants had been sleeping in Classroom 3 at approximately 9am, with one infant waking at 10am and the second waking at approximately 10:40am. Staff Person #2 reported that they "had been going back and forth [between Classroom 1 and Classroom 3] during the time the children were napping." Based on Staff reports and video observation, a Staff Person would not have been present in Classroom 3 during the duration an infant was napping to allow for appropriate supervision of the child. At approximately 1:20pm four infants were observed in cribs in Classroom 3. The Classroom lacked appropriate artificial or natural lighting to allow for Staff to properly see the children for appropriate supervision.

3270.78 · Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

At approximately 1:20pm Staff Person #3 was observed to be caring for 4 infants in Classroom 3. An adequate source of artificial or natural light was not present in the classroom. This lack of lightening did not allow for appropriate supervision of children. Certification Rep confirmed with Staff Person #3 that they could not see the children well due to the lack of lighting.

Corrected Corrected by Feb 20, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · 1. Each staff person will be assigned the responsibility for supervision of specific children. The staff person will know the names and whereabouts of the children in their assigned group. The staff person will 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 will have an immediate correction date. 2. The Director and/ or operator will develop a tool with which to assess that all children have been assigned to a designated staff person and that staff can correctly identify the children for whom they are responsible. The director/ operator may consult with the ELRC Quality Coaches to develop this tool. The tool will include the classroom name, date and time of observation, staff person(s) present, the number of children and their age levels (Infant, YT, OT, PS, YSA, OSA) present. The tool will assess that each staff person has been assigned responsibility for supervision of specific children, that they know the whereabouts of the children in their assigned group and that they are physically present with these assigned children. The tool shall be submitted to the Western Region office prior to use. The correction date for this portion of the plan will be the day the assessment tool is submitted to Certification, prior to use. 3. Random checks will occur at least 3 times per week for the 4 months after submission of the tool. Documentation of the checks will be made available to Certification upon request by email or onsite monitoring visits. The correction date for this portion of the plan will be at minimum 4 months from the date the regional office reviews the tool.

At approximately 10:40am, Staff Person #2 was observed to exit the door leading from Classroom 3, an infant rest room, with 1 infant. It was reported that this infant had just awakened from a nap. Certification Rep reviewed video surveillance from Classroom 1 and observed both Staff Person's #1 and #2 to be present in Classroom 1 at 10:30am. Certification Rep spoke with Staff Person #2 who confirmed that two infants had been sleeping in Classroom 3 at approximately 9am, with one infant waking at 10am and the second waking at approximately 10:40am. Staff Person #2 reported that they "had been going back and forth [between Classroom 1 and Classroom 3] during the time the children were napping." Based on Staff reports and video observation, a Staff Person would not have been physically present in Classroom 3 during the duration an infant was napping to allow for appropriate supervision.

Corrected Corrected by Jun 24, 2026

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(i) · 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.

The file for Staff Person #1 lacked verification that they had updated their Pediatric First Aid and CPR training on or before the expiration of the prior certification. This is evidenced by a training certification having expired in 12.2022 and an updated training certification being completed on 7.15.25. The information for Staff Person #1 has not been included on Staff Worksheets since their 2022 Renewal Inspection despite continued employment at the facility resulting in their file not being properly assessed at the last 3 renewal inspections.

Corrected Corrected by Jul 15, 2025

Category: ratio. Marked corrected in the state record.

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

The file for Staff Person #1 lacked prior fire safety training that had been completed within the 12 months prior to the current training dated 7.15.25.

Corrected Corrected by Jul 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The updates to the FBI clearances on file for Staff Person #1 exceeded 60 months between clearances dated 2.20.20 and 5.30.25.

Corrected Corrected by May 30, 2025

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

3270.51 · 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 part of the plan will have an immediate correction date. 2. All Staff will complete the following training: Supervision: Staff:Child Ratios. This training may be counted towards their annual 12 hours of child care training.

Based on interviews with Staff at the time of an unannounced visit, it was reported that there are times that the facility is noncompliant with the staff:child ratio requirements with similar age children.

Corrected Corrected by Aug 12, 2025

Category: supervision. Marked corrected in the state record.

3270.52 · 1. 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). This part of the plan will have an immediate correction date. 2. All Staff will complete the following training: Supervision: Staff:Child Ratios. This training may be counted towards their annual 12 hours of child care training.

At approximately 9:46am, Staff Person's #1 and #2 were observed to caring for a mixed age group that included 4 young school age and 17 preschool aged children. The mixed age ratio for a group that includes preschool children is 1:10.

Corrected Corrected by Aug 12, 2025

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.

A soiled ceiling tile, that appeared to have mold around a vent, was observed in Classroom #4.

Corrected Corrected by Aug 12, 2025

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A used pull up was observed in an unlidded garbage can at the changing table, reported to not be use, on the right side of Classroom #4.

Corrected Corrected by Aug 12, 2025

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

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

A pair of adult scissors were observed in an unlocked drawer in Classroom #5. The scissors were accessible to Preschool age children receiving care in the space. A loose crib sheet was observed on one of the cribs in Classroom #2.

Corrected Corrected by Jul 31, 2025

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

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for Staff Person #5 lacked verification that they had received annual emergency plan training within the last 12 months. The most recent fire safety training on file was completed on 1.24.24.

Corrected Corrected by Aug 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #5 lacked verification that they had completed annual fire safety training within the last 12 months. The most recent fire safety training on file was completed on 1.30.24.

Corrected Corrected by Aug 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1, #2, #3 and #4 may not work in a child care position at the facility. This portion of the plan will have an immediate correction date. 2. The Operator will develop a tracking system for updating clearances for all Staff at the facility. The system will include an explanation as to how the tracking system will work and who will be responsible for maintaining the tracking system.

The file for Staff Person #1 lacked a current PA Child Abuse Clearance and and NSOR Certificate. The most recent PA Child Abuse Clearance was dated 5.11.20 and the most recent NSOR was dated 6.4.20 for Staff Person #1. The files for Staff Person #2 and #3 lacked a current NSOR Certificate. The most recent NSOR certificates on file for Staff Person #1 and #2 were both dated 5.22.20. The file for Staff Person #4 lacked a disclosure statement that had been completed within 90 days of starting at the facility.

Corrected Corrected by Aug 14, 2025

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

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

The file for Staff Person #5 lacked a written evaluation that had been completed within the last 12 months. The most recent written evaluation was dated 1.30.24.

Corrected Corrected by Aug 13, 2025

Category: recordkeeping. 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.

Three electrical outlets were observed to be missing protective receptacle covers in Classroom #7.

Corrected Corrected by Jul 31, 2025

Marked corrected in the state record.

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

Four bottles of sunscreen and a Lysol Spray was observed on a low cart in Classroom #7. An unlocked closet was also observed to contain a large box with spray paints. The items would be accessible to Preschool and School Children who pass through the space to go to the outdoor play space and the classroom is reported to be used for overflow at times. All items were labeled Keep Out of Reach of Children. Bingo daubers, labeled Keep Out of Reach of Children, were observed in a bin with the children's toys in Classroom #6. The bingo daubers were accessible to Preschool and School Age children receiving care in the space. In Classroom #5, one bottle of hand sanitizer was observed on a teacher desk on the left side of the classroom, another bottle of hand sanitizer and disinfecting wipes were observed on a drawer unit next to the changing table on the left side. A bottle of hand sanitizer was observed on the drawer unit on the right side of the classroom. A bottle of hand sanitizer and air freshener spray was observed in the unlocked staff restroom located off of the eating area used by children in the facility. The items were labeled Keep Out of Reach of Children.

Corrected Corrected by Aug 11, 2025

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

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

The door from Classroom #7, leading to the outdoor play space, was observed to be open. A screen was not in place.

Corrected Corrected by Jul 31, 2025

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

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A source of running water was not present at the changing area in Classroom #4. The portable sink at the changing table on the left side of Classroom #5 was reported to not be used as the sink was clogged.

Corrected Corrected by Aug 9, 2025

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.

One cracked lid with a potential pinch point was observed on a bin in Classroom #6.

Corrected Corrected by Jul 31, 2025

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

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.

Small pom poms, with a diameter of less than 1 inch, were observed in the bottom drawer of a drawer unit in the art area in Classroom #5. Older Toddlers were observed to be receiving care in the space.

Corrected Corrected by Jul 31, 2025

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

3270.113(a)(1) · 1. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan will have an immediate correction date. 2. All Staff will complete the following trainings: Supervision: Counting Children and Supervision: Team Work. These trainings may be counted towards the annual 12 hours of child care training. 3. The facility will work with the ELRC on the appropriate use of the face to name tags already in place at the facility. This will include a method for the tags to be given to staff upon the time of the child's arrival, how groupings will be maintained throughout the day and during transitions, and maintenance of tags after the child exits the program for the day.

At approximately 9:46 Staff Person's #2 and #8 were observed to be caring for a mixed age group that was determined to include 4 young school age children and 17 preschool age children in Classroom #6. Both Staff initially reported there being 20 children present. 21 children were observed in the space. Staff Person #2 identified being responsible for 10 preschool age children but then named 8 children using the face to name tags in place. Staff Person #7 reported Staff Person #2 had given them two of their face to name tags and gave two tags to Staff Person #2 who then identified two additional children. Staff Person #7 then identified being responsible for 4 young school age and 5 preschool children. This left 2 preschool children not identified by either staff person.

Corrected Corrected by Aug 12, 2025

Category: supervision. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

An unlabeled Zarbee's Cough Syrup was observed in a bin with Sunscreens in Classroom #4.

Corrected Corrected by Jul 31, 2025

Category: health medication. 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.

The portable sink next to the changing table on the left side of Classroom #5 was in disrepair. Staff reported using hand sanitizer following diapering of Preschool Children. An operable portable sink was in place on the right side however another Staff Person reported using hand sanitizer following the diapering of Older Toddler and Preschool Children. Staff in Classroom #4 reported using hand sanitizer following the diapering of Toddler age Children in the classroom. Certification Rep observed Older Toddler and Preschool Children transitioning from Classroom #5 to the classroom for meals only. The children were seated without first washing their hands. It was confirmed that they had not washed their hands prior to entering the classroom for meals. Classroom #4 was observed to have already been present in the meal classroom eating their lunch. Staff confirmed that these children also had not washed their hands prior to eating lunch.

Corrected Corrected by Aug 12, 2025

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

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

The most recent health report on file for Staff Person #5 lacked a date to verify that it had been completed within the last 24 months.

Corrected Corrected by Jul 31, 2025

Category: ratio. Marked corrected in the state record.

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

An infant, reported by Staff to be 5-6 months old, was observed to be propped on a boppy pillow on the floor with a neck pillow in front of their neck propping the bottle. The infant was not being held while being bottle fed.

Corrected Corrected by Jul 31, 2025

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.

The file for Staff Person #6 lacked two written, nonfamily references attesting to their suitability to serve as a facility person.

Corrected Corrected by Jul 31, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #5 lacked 4.5 of their 12 hours of annual child care training.

Corrected Corrected by Aug 14, 2025

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.

On 4/22/25 at approximately 11:05 while assessing supervision and ratio, Staff #2 was observed plating food in the front eating area and did not have a supervision group. An infant was observed in a high chair in the eating area. The infant was in Staff #1's supervision group and Staff #1 was not in the room at the time. Staff #1 was observed leaving the Infant room and walking into the eating area while carrying a second infant and putting them in a high chair. When Staff #1 left the Infant Room, Staff #1 left five infants alone with no other staff members in the room. When Staff #1 was asked to name their supervision group, Staff #1 named the two infants in the high chair and began mentioning the children in the Infant Room. While discussing supervision groups with Staff #1, Staff #3 walked into the Infant Room. Staff #3 was the only staff member in the Infant Room and named five infants in their supervision group. At that time, Staff #2 walked into the Infant Room, putting the room back in ratio.

Corrected Corrected by Apr 22, 2025

Category: supervision. Marked corrected in the state record.

3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

At approximately 11:10 AM, a mixed age group of 30 children ranging from young toddler to preschoolers, were observed in Classroom 5 (Older Toddlers and Preschool 1) which has a designated maximum capacity of 28.

Corrected Corrected by Apr 22, 2025

Category: ratio. 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.

Based on interviews, rest equipment lacks two feet on three sides of a bed, cot, crib, or other rest equipment while the equipment is in use.

Corrected Corrected by Apr 22, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1 may not work in a child care position at the facility.

The file for Staff #1 lacked requests or completed clearances for an out of state Child Abuse Clearance and a Sex Offender Clearance for states they have resided in within the last 60 months.

Corrected Corrected by Apr 23, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 may not work in a child care position at the facility.

Staff #2, previously removed from a child care position on 2/24/25 due to lack of required out of state Child Abuse clearance, was observed to be interacting with and serving lunch to a mixed group of young toddler and preschoolers in the eating area of the facility.

Corrected Corrected by Apr 22, 2025

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

3270.113(a) · 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.

On 4/22/25 at approximately 11:05 while assessing supervision and ratio, Staff #4 was observed plating food in the front eating area and did not have a supervision group. An infant was observed in a high chair in the eating area. The infant was in Staff #3's supervision group and Staff #3 was not in the room at the time. Staff #3 was observed leaving the Infant room and walking into the eating area while carrying a second infant and putting them in a high chair. When Staff #3 left the Infant Room, Staff #3 left five infants alone with no other staff members in the room. When Staff #3 was asked to name their supervision group, Staff #3 named the two infants in the high chair and began mentioning the children in the Infant Room. While discussing supervision groups with Staff #3, Staff #5 walked into the Infant Room. Staff #5 was the only staff member in the Infant Room and named five infants in their supervision group. At that time, Staff #4 walked into the Infant Room, putting the room back in ratio.

Corrected Corrected by Apr 22, 2025

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

On 4/22/25 at approximately 11:05 while assessing supervision and ratio, Staff #4 was observed plating food in the front eating area and did not have a supervision group. An infant was observed in a high chair in the eating area. The infant was in Staff #3's supervision group and Staff #3 was not in the room at the time. Staff #3 was observed leaving the Infant room and walking into the eating area while carrying a second infant and putting them in a high chair. When Staff #3 left the Infant Room, Staff #3 left five infants alone with no other staff members in the room. When Staff #3 was asked to name their supervision group, Staff #3 named the two infants in the high chair and began mentioning the children in the Infant Room. While discussing supervision groups with Staff #3, Staff #5 walked into the Infant Room. Staff #5 was the only staff member in the Infant Room and named five infants in their supervision group. At that time, Staff #4 walked into the Infant Room, putting the room back in ratio.

Corrected Corrected by Apr 22, 2024

Category: supervision. Marked corrected in the state record.

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

The most recent 30-day fire alarm testing on the fire alarm testing log is dated 3/21/25, more than 30 days prior.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A pair of adult scissors were observed on the desk in the Preschool area of Classroom #5. The scissors were accessible to preschool age children receiving care in the space.

Corrected Corrected by Feb 24, 2025

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

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

The file for Staff Person #1 lacked completion of Pediatric First Aid and CPR training within 90 days of starting at the facility. The completed Pediatric First Aid and CPR training was completed 285 days after starting at the facility. The file for Staff Person #2 lacked completion of the required Health and Safety training within 90 days of starting at the facility. The Health and Safety trainings were not completed until 160 days after starting at the facility. The file for Staff Person #3 lacked completion of the required Health and Safety training within 90 days of starting at the facility. The Health and Safety trainings were not completed until 111 days after starting at the facility. The file for Staff Person #4 lacked completion of their Pediatric First Aid and CPR training and their Health and Safety training within 90 days of starting at the facility. The Pediatric First Aid and CPR training was completed 627 days after starting and the health and safety training was completed 160 days after starting.

Corrected Corrected by Feb 24, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and #4 may not work in a child care position at the facility.

The file for Staff Person #1 lacked a current FBI Clearance that had been completed within the last 60 months. The most recent FBI Clearance was dated 8.24.19. The file for Staff Person #2 lacked a current request for a PA State Police Clearance prior to starting at the facility. The request on file was dated 2 years prior to starting. The file for Staff Person #2 lacked a completed PA State Police Clearance as the one on file was listed as "Under Review". Staff Person #2 has exceeded 45 days in a child care taking position. (Refer to LIS Code Sheet). A completed PA State Police Clearance was not on file until 189 days after starting in a child care taking position. The file for Staff Person #4 lacked a completed out of state Child Abuse Clearance for a state they have resided in within the last 60 months.

Corrected Corrected by Feb 26, 2025

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

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

A bottle of hand sanitizer was observed on the desk in Classroom #7 (the school age classroom). The room is not currently in use, but children do pass through the classroom to enter the outdoor play space.

Corrected Corrected by Feb 24, 2025

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

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

In the Preschool area of Classroom #5 an open front garbage can was observed to contain used tissues and disposable cups used by the children. The open front of the garbage can did not allow containment of the trash contaminated by human secretions.

Corrected Corrected by Feb 26, 2025

Marked corrected in the state record.

3270.75(a) · A first-aid kit shall be in a child care space.

A first aid kit was missing from Classroom #2 (the back infant nap room).

Corrected Corrected by Feb 24, 2025

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

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

The facility lacked documentation that they had completed an annual emergency drill in the last 12 months. The most recent emergency drill on file was dated 4.6.23.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In Classroom #7 (the school age classroom) two damaged ceiling tiles were observed in the loft area. One of the damaged tiles allowed a large area of insulation to be visible. In the outdoor play space one of the railroad ties on the retaining wall was observed to be damaged causing splintering wood. Also in the outdoor play space, a yellow door to the left upon entrance to the play space was observed to be disrepair with splintering wood along the bottom.

Corrected Corrected by Mar 4, 2025

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

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the cubby areas of Classroom 5 (used by Toddler and Preschool age children) 5 unlabeled mats were observed.

Corrected Corrected by Feb 24, 2025

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

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

The file for Child #2 was observed to contain an original agreement.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form for Child #2 lacked the health insurance coverage and policy number for the child.

Corrected Corrected by Mar 5, 2025

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

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

The emergency contact form for Child #2 lacked the address for one of the release persons listed. The emergency contact form for Child #5 lacked the addresses for all of the release persons listed.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · 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.

The written emergency transportation plan was not posted in Classroom #2 (the back infant nap room).

Corrected Corrected by Feb 24, 2025

Category: transportation. Marked corrected in the state record.

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

The updates to the emergency contact form and financial agreements for Children #1, #2, and #3 have exceeded 6 months since last review in July 2024. The update to the financial agreement for Child #4 has exceeded 6 months since last review in July 2024.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Child #4, a young toddler, lacked updated health reports every 6 months. The health reports on file were dated 1.26.24 and 1.28.25.

Corrected Corrected by Feb 24, 2025

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

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

The file for Child #1, a preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent report on file for Child #1 was dated 1.22.24.

Corrected Corrected by Mar 31, 2025

Category: health medication. 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.

Staff Person #2 was observed to change a child's diaper in Classroom #5 and place the child down without ensuring the child washed their hands prior to returning to playing with toys in the classroom.

Corrected Corrected by Feb 25, 2025

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

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The current health assessment on file for Staff Person #2 lacked a statement from the physician regarding their suitability to provide child care.

Corrected Corrected by Mar 24, 2025

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

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff Person #3 lacked one written, nonfamily reference. One of the two references on file was a relative.

Corrected Corrected by Feb 24, 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.

The facility exceeded 30 days between documented smoke alarm testing on 11.1.24 and 12.3.24 and 12.3.24 and 1.8.25. There was no documentation of alarm testing in the last 30 days.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

The file for Child #3 lacked an initial health assessment within 60 days of starting at the facility. An initial assessment was not on file until 1079 days after starting at the facility.

Corrected Corrected by Mar 24, 2025

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

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

The file for staff # 1 contained a current fire safety training certificate dated 1/5/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 2 contained a current fire safety training certificate dated 1/5/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 3 contained a current fire safety training certificate dated 1/5/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 4 contained a current fire safety training certificate dated 1/30/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 5 contained a current fire safety training certificate dated 1/16/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 6 contained a current fire safety training certificate dated 1//24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 7 contained a current fire safety training certificate dated 1/5/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 8 contained a current fire safety training certificate dated 1/9/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 9 contained a current fire safety training certificate dated 1/30/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 10 contained a current fire safety training certificate dated 1/30/24. The training was obtained greater than one year past the prior training, obtained 12/14/22. The file for staff # 11 contained a current fire safety training certificate dated 1/9/24. The training was obtained greater than one year past the prior training, obtained 12/14/22.

Corrected Corrected by Feb 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for staff # 4 contained a current State Police clearance dated 1/4/24, that was not renewed within 60 months of the prior State Police clearance dated 1/3/19.

Corrected Corrected by Feb 2, 2024

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

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

The files for staff # 5 and 6 lacked written evaluation every 12 months. The last evaluation on file is dated 1/24/23.

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There was a backpack in the YT room that contained fever and pain medication label " keep out of reach of children." Accessible to children.

Corrected Corrected by Feb 2, 2024

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

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There were 2 damaged ceiling tiles in the infant room. There was a damaged ceiling grid in the bathroom. There was a damaged ceiling tile grid in the eating area room. There were two broken floor boards that created a tripping hazard in the OT room.

Corrected Corrected by Apr 15, 2024

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

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

There was peeling paint on the right-side wall in the YT room. There was peeling paint on the back wall in the OT room.

Corrected Corrected by Mar 29, 2024

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

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

There was a cracked clear bin and cracked lid in the eating area room. There was a yellow school bus and a green connector bunny toy broken in the young older room. There was a broken fire truck toy in the Preschool room. There was a broken orange hanging toy on the toy house in the pre-k room. There was a damaged spot exposing splinters on top of the cubbies in the eating area room .

Corrected Corrected by Feb 2, 2024

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.

The young toddler room refrigerator temperature was 50 degrees.

Corrected Corrected by Feb 2, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child # 1 lacked a child service report. The file for child # 2 contained a current child service report dated 1/31/24 that was conducted more than 6 months from the prior report dated 1/27/23.

Corrected Corrected by Feb 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The files for child # 1 and 2 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form.

Corrected Corrected by Feb 16, 2024

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

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

The file for child # 3 a preschooler contained an updated health report dated 8/3/23. The previous report was dated 8/1/22.

Corrected Corrected by Feb 2, 2024

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

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator was not maintaining a medication log for a prescription medication, Auvi Q 0.15 mg Epinephrine injection for child # 4.

Corrected Corrected by Feb 16, 2024

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

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Staff # 8 kept a soiled diaper on the changing table until she was done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected Corrected by Feb 2, 2024

Category: health medication. 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 will have until 8/29/23 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): First-aid/CPR and Health and safety training.

Corrected Corrected by Aug 29, 2023

Category: supervision. Marked corrected in the state record.

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

The large screen television in the older toddler/preschool 1 room was not anchored, creating a possible tipping hazard. The facility's shaken baby policy did not include information regarding the identification and prevention of child maltreatment/abuse.

Corrected Corrected by Apr 10, 2023

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

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

The 1 hour health and safety in the file for staff person #4 was dated 12/31/22.

Corrected Corrected by Feb 22, 2023

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

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

The last two mandated reporter trainings in the file for staff person #4 were dated 11/27/17 and 12/30/22. The last two mandated reporter training in the file fir staff person #9 were dated 10/10/17 and 11/23/22.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The last two evaluations in the files for staff person #1 through #9 were dated 1/14/22 and 1/24/23.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

There was a can of Lysol Disinfectant spray on the diaper table in the Preschool 2 room.

Corrected Corrected by Feb 22, 2023

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

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

There was one handwashing sign for both sinks in the children's bathroom off the lunch room. There was one handwashing sign for both the diaper table and the camping sink in the front of the Toddler/Preschool room.

Corrected Corrected by Feb 22, 2023

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The last two child assessments in the file for child #1 were dated 12/29/21 and 1/19/23. The last two child assessments in the file for child #2 were dated 1/28/21 and 1/17/23. The last two child assessments in the file for child #3 were dated 12/29/21 and 1/27/23. The last two child assessments in the file for child #4 were dated 12/29/21 and 1/17/23.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The last two health reports in the file for child #1, a young toddler, were dated 10/5/21 and 5/2/22 and the last health report is dated more than 6 months ago.

Corrected Corrected by Mar 15, 2023

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

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

The last two health reports in the file for child #4, a preschooler, were dated 6/25/21 and 8/1/22. The last two health reports in the file for child #5, a preschooler, were dated 9/10/21 and 1/16/23.

Corrected Corrected by Feb 22, 2023

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

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

The last two health assessments in the file for staff person #3 were dated 11/27/20 and 1/18/23. The last two health assessments in the file for staff person #4 were dated 12/7/20 and 1/26/23.

Corrected Corrected by Feb 22, 2023

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.

The file for staff person #10 did not include two letters of reference.

Corrected Corrected by Apr 10, 2023

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.

There was one time in the previous 12 months that the fire detection system was tested 31 days apart: 10/7/22 and 11/7/22.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The written safe routes for pick-up and drop-off was not posted at the facility.

Corrected Corrected by Apr 8, 2022

Marked corrected in the state record.

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

The facility's plan for a lockdown was not included in the letter to the parents explaining the emergency plan.

Corrected Corrected by Apr 15, 2022

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

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

Current firesafety training was completed by Facility Persons #1 and #2 more than 12 months after the prior firesafety training, according to documentation on file.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Facility Person #4 began employment in a child care position on 6/23/21 with a signed disclosure statement and proof of application for an NSOR clearance both dated 6/21/21. The NSOR clearance on file for Facility Person #4 was dated 12/21/21.

Corrected Corrected by Feb 25, 2022

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

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

There were areas of of peeling paint/damaged plaster in the infant room on the wall behind a chair and where the gate attaches at the doorway to the kitchen area. There was an area of peeling paint on the wall in the 3's room next to the door to the 4's room, behind a trash can and near the block area.

Corrected Corrected by Apr 22, 2022

Category: physical safety. 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.

There were no emergency contact forms in the front lunch room for the children having lunch in that space.

Corrected Corrected by Feb 25, 2022

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 informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The current emergency contact forms and agreements on file for children #1, #3 and #4 were reviewed and updated by a parent in writing more than 6 months after the previous review. The most recent emergency contact and agreement form on file for child #2 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected Corrected by Apr 8, 2022

Category: recordkeeping. Marked corrected in the state record.

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

There was no documentation of a current flu vaccine on file (recommended annually by the ACIP) on file for child #1.

Corrected Corrected by Feb 25, 2022

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

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.

It was observed that the operator had added interior walls to the facility, which, according to the municipality's building inspector, would require an inspection and updated occupancy permit. The operator had failed to apply for and obtain a revised occupancy permit as required.

Corrected Corrected by Apr 8, 2022

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.

There was no documentation of an emergency drill.

Corrected Corrected by Apr 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Facility Persons #3 and #4 each completed pediatric first aid and CPR more than 90 days after their hire dates.

Corrected Corrected by Feb 25, 2022

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

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

Documentation of testing of the facility's smoke detectors indicates that more than 30 days passed between testing on the following dates: 7/16/21-8/16/21; 12/10/21-1/10/22.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.