3270.51/3270.52 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. TIERED LIS: 1.The required staff: child ratios must be maintained at all times. The correction date for this portion of the plan must be immediate. 2.The facility director will develop and implement a ratio policy that will ensure staff fully understand their responsibility regarding the adherence to staff/child ratio of children at all times. This policy should include provisions for staff call offs and other such instances where ratio may be affected and ways ensure ratios are maintained at all times. This policy must be submitted to the DHS Northeast Regional Office prior to implementation for approval. Once this policy is accepted by the DHS Northeast Regional Office the director will ensure all staff and facility persons sign off on this policy as well as all new hires moving forward. The correction for this portion of the plan shall reflect a date that is at least one month from the acceptance of this policy by the DHS Northeast Regional Office in order to ensure staff sign offs. 3. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Ratios. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive approval from the DHS Northeast Regional Office regarding the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed.

The inspector arrived unannounced on 5/21/25 and observed a group of ten children with one staff present in the infant room. Children #1 and # 2 were both infant age (See LIS Code Sheet for DOB). The remaining eight children were young toddlers. The inspector also observed one staff present with 15 mixed aged children in the young toddler room. There were five young school aged children, four older toddlers, six young toddlers with child #3 being the youngest in this room (See LIS Code sheet for DOB). The inspector also observed one staff with 20 preschool aged children present in the Preschool aged room.

Corrected Corrected by Jul 16, 2025

Category: ratio. 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.

During the renewal inspection on 1/16/25 the inspector observed the file for staff #1and found that this staff did not update their clearances every 60 months as evidenced by a previous FBI clearance dated 12/12/18 and did not update this until 12/26/23.

Corrected Corrected by Feb 20, 2025

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

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

During the renewal inspection on 1/16/25 the inspector observed that both the basement emergency egress door and main floor emergency egress door were locked.

Corrected Corrected by Jan 16, 2025

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

3270.23 · A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility's program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Durning the course of the complaint investigation the inspector learned that staff #1 and #2 did not allow a caseworker, who presented a custody order for a child in care, access to the center while child was in care.

Corrected Corrected by Jun 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person # 1will have until 1/17/24 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.

An inspection occurred at the facility. A review of staff files was conducted. Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by Jan 28, 2024

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. Staff person # 1, # 3, # 4, and # 5 will have until 12/29/22 to complete the required training. Until such time as the required training has been completed, staff person # 1, # 3, # 4 and # 5 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, # 3, # 4, and # 5, staff person # 1, # 3, # 4, and # 5 may not work in a child-care position at the facility.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 1, # 3, # 4, and # 5 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR.

Corrected Corrected by Dec 22, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person # 2 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff person # 2 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Dec 22, 2022

Category: health medication. 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.

A renewal inspection occurred at the facility. A physical site inspection was conducted. A garbage can without a lid was found in the infant/young toddler yellow room. The garbage can contained discarded items such as napkins, tissues, and plates. These items are required to be contained in a closed, plastic-lined receptacle.

Corrected Corrected by Dec 22, 2022

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.

A renewal inspection occurred at the facility. A physical site review was conducted. The young toddler/older toddler tan room contained a sink. This sink did not contain a hand washing sign.

Corrected Corrected by Dec 22, 2022

Category: health medication. 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.

A renewal inspection occurred at the facility. A physical site review was conducted. The written emergency medical plan for the facility was not posted in a conspicuous location in every childcare space during the physical site inspection.

Corrected Corrected by Dec 22, 2022

Category: transportation. Marked corrected in the state record.

3270.61(h) · The capacity established for an indoor space may not be exceeded.

A renewal inspection occurred at the facility. A physical site review was conducted. The infant/young toddler yellow room has a capacity of 9 children. On the day of this inspection, 10 children were viewed being cared for in this classroom.

Corrected Corrected by Dec 22, 2022

Category: ratio. Marked corrected in the state record.

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

A renewal inspection occurred at the facility. A review of the facility's log documenting when the fire safety system was testing was conducted. The facility did not test the fire safety system at least every 30 days as directed by regulation. Testing of the fire safety system was documented as occurring on the following dates: 1/5/22, 2/9/22, 3/16/22, 4/21/22, 5/12/22, 6/21/22, 7/14/22, 8/18/22, 9/7/22, 10/20/22, and 11/4/22.

Corrected Corrected by Dec 22, 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. Amendments to the CPSL eliminated the ability to hire staff on a provisional hire basis beginning 12/31/19. In order to continue hiring staff provisionally the legal entity was required to apply to the Department for a waiver. The legal entity does not have provisional hire waiver approval. The CPSL also requires all clearances and mandated reporter training to be updated every 60 months.

A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a state police clearance dated for 6/9/16 and it was not updated until 8/1/21; a child abuse clearance dated for 6/13/16 and it was not updated until 8/2/21; and mandated reporter training dated for 6/14/16 and it was not updated until 10/22/21. Staff # 2 had a child abuse clearance dated for 3/5/15 and it was not updated until 5/21/20; and mandated reporter training dated for 12/15/15 and it was no updated until 11/22/21. Staff # 3 had mandated reporter training dated for 12/11/15 and it was not updated until 2/26/21. Staff # 5 had a state police clearance dated for 10/18/16 and it was not updated until 11/3/21; a child abuse clearance dated for 10/24/16 and it was not updated until 11/3/21; an FBI clearance dated for 10/20/12 and it was not updated until 12/10/21; and mandated reporter training dated for 3/27/15 and it was not updated until 8/3/20. Staff # 7 had a state police clearance dated for 1/8/15 and it was not updated until 8/5/20; a child abuse clearance dated for 2/6/15 and it was not updated until 8/10/20; and an FBI clearance dated for 1/12/15 and it was not updated until 2/26/20. These clearances and mandated reporter training were not updated every 60 months as required by the CPSL. The Legal Entity does not have an approved provisional hire waiver as required by the CPSL to hire staff on a provisional basis. The following staff were hired as provisional hires Staff # 4 (date of hire 10/25/21) and Staff # 6 (date of hire 9/28/21). Staff # 4 did not receive their NSOR clearance until 11/15/21 and Staff # 6 did not receive their NSOR clearance until 12/3/21.

Corrected Corrected by Dec 15, 2021

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