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 gap was observed under the school age room door due to a missing door sweep. Three stained ceiling tiles were observed in the YT room. One stained ceiling tile was observed in the teacher's break room. The front door of the facility did not latch causing the door to remain open. Based on statements made by staff, on multiple occasions, the rear exit door in the infant room leaked causing the carpet to become wet. Children's clothing became wet after crawling or sitting on the wet carpet. Based on statements made by staff, drywall in the infant room near the exit door had visible water damage for a period of time before repairs were made.

Corrected Corrected by Sep 29, 2025

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.

Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed health and safety training, part 1, mandated reporter training or Pediatric CPR and First Aid.

Corrected Corrected by Sep 29, 2025

Category: supervision. 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.

Staff person #1 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): health and safety training part 2 and mandated reporter training.

Corrected Corrected by Sep 29, 2025

Category: health medication. 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.

Peeling paint and damaged plaster were observed at the base of the door frame of the exit door in the older toddler room.

Corrected Corrected by Jul 11, 2025

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.

An emergency drill has not been conducted in over 12 months. The last documented drill occurred 10/09/23.

Corrected Corrected by Jul 17, 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 annual tests of the facility's fire alarm system were not conducted within a 12-month time frame as required. The test reports were dated 6/05/24 and 7/11/25.

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

According to multiple staff statements the baby room is often out of ratio in the morning during drop off times; including times where one staff member is with 6 or 7 infants and also when two staff members are caring for 9 infants.

Corrected Corrected by Mar 13, 2025

Category: ratio. 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.

The wooden play structure in the Playroom was in disrepair and had nails sticking out of the wood creating a protrusion hazard to the children. The ride on track had a crack in the yellow section that posed a pinching hazard to the children in care.

Corrected Corrected by Apr 12, 2025

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

3270.113(b) · *The legal entity will develop a supervision policy, regarding staff persons not using any form of physical punishment on children, to be signed at hire.

Based on staff interviews, on 1/13/25 Staff Person #1 dragged Child #1 by the arm through the indoor playroom and the preschool room to get to the restroom.

Corrected Corrected by Apr 1, 2025

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on staff interviews, on 1/13/25 Staff Person #1 dragged Child #1 by the arm through the indoor playroom and the preschool room to get to the restroom.

Corrected Corrected by Jan 13, 2025

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.

The most recent fire drill documented on the facility's fire drill log was dated 10/4/24, more than 60 days prior.

Corrected Corrected by Mar 13, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The file for Staff Person #2 did not contain the 1-hour PA Health and Safety update 2022 which was required to be completed by 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Sep 26, 2024

Category: ratio. 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.

In the indoor gross motor room, a wrench was observed in an unlocked drawer and accessible to children.

Corrected Corrected by Sep 4, 2024

Category: health medication. 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.

In Room 1, Lysol wipes and a bottle of Aussie Kids Hair Detangler, labeled "Keep Out of the Reach of Children," were observed in an unlocked cabinet and accessible to children. In Room 6, hand sanitizer, labeled "Keep Out of the Reach of Children," was observed on a shelf near the door and accessible to children.

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

In Room 4, the first-aid kit lacked scissors.

Corrected Corrected by Sep 4, 2024

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 #2 contained Child Service Reports dated 7/31/23 and 6/10/24, more than 6 months apart. The file for Child #3 contained Child Service Reports dated 12/8/23 and 6/6/24, more than 6 months apart. The file for Child #7 contained Child Service Reports dated 9/1/23 and 6/20/24, more than 6 months apart. The most recent Child Service Report on file for Child #4 was dated 12/8/23, more than 6 months prior.

Corrected Corrected by Sep 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #2, Child #6, and Child #8 lacked the enrolling parent's work address. The emergency contact form for Child #6 lacked a complete home address for the enrolling parent. The emergency contact form for Child #8 lacked the enrolling parent's work phone number.

Corrected Corrected by Sep 29, 2024

Category: recordkeeping. 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 #4 and Child #5 lacked the address for the release persons.

Corrected Corrected by Sep 29, 2024

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.

The file for Child #2, Child #3, Child #5, Child #7, and Child #8 contained an emergency contact form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #2 (young toddler) are dated 4/24/23 and 8/6/24, more than 6 months apart.

Corrected Corrected by Sep 4, 2024

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

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #7 (preschool-aged) is dated 8/24/23, exceeding the 12-month update.

Corrected Corrected by Sep 4, 2024

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

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for Child #1 contained immunization records which lacked current Rotavirus, DTAP, HIB, Pneumococcal, and Polio vaccinations recommended by the ACIP. Child #1 must be dismissed from care and may only return when the immunization record is updated or when the parent provides a written, signed exemption letter.

Corrected Corrected by Sep 29, 2024

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 two most recent health assessments for Staff Person #1 were dated 7/19/21 and 8/18/23, more than 24 months apart. The file for Staff Person #3 contained a health assessment that was not dated, making it invalid. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 29, 2024

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

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

The file for Child #2, Child #3, Child #5, Child #7, and Child #8 contained a financial agreement form that was not updated within 6 months of the previous update.

Corrected Corrected by Sep 29, 2024

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's documentation for annual fire alarm testing was dated 5/4/23 and 6/5/24, exceeding the 12-month update.

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on staff statements and video recording, staff #1, who is no longer employed at the facility, was witnessed grabbing a child by the arm and dragging them across the floor and then the staff picked the child up by their wrist and ankle, flipped them over and dropped them on their nap mat.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Based on staff statements and video recording, staff #1, who is no longer employed at the facility, was witnessed telling infants that they were "ugly" and to "stay away from her."

Corrected Corrected by Oct 20, 2023

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.

A loose sink was detaching from the wall was observed in the bathroom used by children.

Corrected Corrected by Sep 18, 2023

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.

The files for Staff #7 did not contain the PA Health and Safety Update 2022, which was required to be completed by 12.30.22, as per Announcement C-22-06.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 #10 lacks documentation of Emergency Plan training on an annual basis.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. 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.

Staff #6 completed Get Started with Center-Based Care; Building Blocks for Quality Revised 2022, a required pre-service training, on 6/26/23 beyond 90 days from date of hire. Staff #9 completed PA Health and Safety Update 2022, a required pre-service training, on 9/11/23 beyond 90 days from date of hire. (SEE LIS CODE SHEET)

Corrected Corrected by Sep 18, 2023

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

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

The most recent NSOR clearance on file for Staff #2 is 4/27/2018 and documentation of an NSOR request was submitted on 9/10/23, more than 60 months apart. The file for Staff #5 lacked documentation of application of an FBI clearance prior to date of hire (SEE IS CODE SHEET) required for provisional hiring under the CPSL. A valid FBI clearance dated 7/17/23 is on file for Staff #5.The file for Staff #3 includes FBI clearances dated 2/15/18 and 5/17/23, more than 60 months apart.

Corrected Corrected by Sep 25, 2203

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #4 includes Mandated Reporter training dated 5/24/18 and 8/17/23, more than 60 months apart.

Corrected Corrected by Aug 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.35(b)(4)/3270.192(2)(iii) · A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #8, classified as an group supervisor, does not meet the minimum qualifications with having a CDA on file that is only counted as 9 credits.

Corrected Corrected by Oct 20, 2023

Category: supervision. Marked corrected in the state record.

3270.36(b)(3)/3270.192(2)(iv) · 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. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The file for Staff #1 contained documentation of a high school diploma that requires translation to verify the education requirements. The file for Staff #4 contained documentation of a bachelor's degree that requires translation to verify the education requirements.

Corrected Corrected by Nov 6, 2023

Category: supervision. 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.

In the fenced outdoor area, a cracked window ledge was observed on a plastic play house, a crack on the base of a play climber was observed with pinch points, a cracked wood plank on a ramp used by children, and multiple wood posts on exterior of the wood ramp in the interior of the play space were observed to contain splinters surrounding newly installed screws. In the School Age room, a cracked bin containing foam blocks was observed. In PreSchool 4, foam blocks were observed with teeth marks and not in good repair.

Corrected Corrected by Sep 18, 2023

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

3270.102(a)/3270.103 · 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. 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.

Foam blocks with teeth marks and missing pieces that were not in good repair were observed in the Two's Room with toddlers, that were less than 1 inch in diameter.

Corrected Corrected by Sep 18, 2023

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for Child #6 lacked documentation of a financial agreement between the operator and the parent.

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. 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 most recent child service report on file for Child #3 was dated 12/21/22, which is more than 6 months prior.

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The financial agreement form for Child #2 does not include the arrival and departure time.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The financial agreement form for Child #3 does not include persons whom the child may be released to.

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. 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 #3 was observed to contain the original copy of the financial agreement.

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form for Child #2 and Child #5 does not include a work phone number for the enrolling parent.

Corrected Corrected by Sep 19, 2023

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 emergency contact form for Child #1 does not include information on the child's disability.

Corrected Corrected by Sep 19, 2023

Category: health medication. 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 #6 does not include the child's health insurance coverage name and policy number.

Corrected Corrected by Sep 22, 2023

Category: health medication. 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 two most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #1 are dated 7/12/22 and 6/22/23, which are more than 6 months apart. The most recent 6 month review signature for the emergency contact form and financial agreement on file for Child #3 is dated 7/9/22, which is more than 6 months prior.

Corrected Corrected by Sep 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #3, who is a preschool age child, is dated 3/31/22, more than 1 year prior.

Corrected Corrected by Sep 18, 2023

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

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The most recent influenza vaccination on file for Child #3, who is 5 years old, was 10/19/21, more than a year ago, and is recommended annually by the ACIP. Child #3 must be dismissed from care by close of business on 9/18/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Sep 18, 2023

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

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The most recent health assessment on file for Child #3 does not indicate if the child is free from contagious disease and may participate in child care.

Corrected Corrected by Oct 30, 2023

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

3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The most recent health assessment for Child #3 does not indicate if age-appropriate screenings were conducted since the time of the previous health report.

Corrected Corrected by Oct 30, 2023

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

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. 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 two most recent health assessments on file for Staff #4 are 4/18/21 and 6/19/23, which are more than 24 months apart.

Corrected Corrected by Sep 18, 2023

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

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

There were multiple lunch boxes observed in the hallway and lunch room cubbies that contained potentially hazardous food that were not refrigerated.

Corrected Corrected by Sep 18, 2023

Category: nutrition. 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 #10 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. 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.

The facility was unable to provide a copy of the certificate of occupancy for the childcare facility.

Corrected Corrected by Oct 20, 2023

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.

The fire drill log lacked documentation of required fire drills after 7/3/2023.

Corrected Corrected by Sep 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

An embedded play climber in the Outdoor Preschool area was observed to contain less than 9 inches of loose-fill mulch.

Corrected Corrected by Dec 27, 2023

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.

SECOND VIOLATION. The cribs in the Infant Room were observed to be labeled with numbers. Names of children were on the walls above the cribs; however, the names and numbers were not coordinated to determine which numbered crib was intended for which child. Previously cited on SIN-00212459 on 9/26/22.

Corrected Corrected by Dec 9, 2022

Category: physical safety. 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.

SECOND VIOLATION. Upon assessment of supervision and ratio in the Infant Room at 12 45 PM on 12/9/22, Staff #1 named 3 children (2 YT and 1 INF) and Staff #2 named 4 INF. There were 8 children in the room at this time. When asked to again name her group, Staff #1 named the same 3 children. Previously cited on SIN-00212459 on 9/26/22.

Corrected Corrected by Dec 9, 2022

Category: supervision. 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.

Peeling paint was observed on the back wall by the climber in the Indoor Gym.

Corrected Corrected by Sep 26, 2022

Category: physical safety. 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.

Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training. Staff person #6 had 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 Nov 15, 2022

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.

The toilets in both bathrooms were observed to lack handwashing signs.

Corrected Corrected by Sep 26, 2022

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

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

The file for Staff #4 contained an FBI clearance, FBI receipt and NSOR clearance dated after the date of hire. The file for Staff #5 contained an NSOR clearance dated after the date of hire and contained a receipt for NSOR clearance dated 3/23/22. Staff #5 worked in a child care position between the provisional period ending and the NSOR being submitted. The file for Staff #6 contained an NSOR clearance dated after the date of hire and lacked a receipt for NSOR clearance.

Corrected Corrected by Nov 15, 2022

Category: background checks. 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.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

Corrected Corrected by Oct 1, 2022

Category: supervision. 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 toxic cleaner was accessible to children in a cabinet in the bathroom area in which the lock was not working properly.

Corrected Corrected by Sep 26, 2022

Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

An unlabeled spray bottle, reported to contain a toxic sanitizer, was observed in the Infant Room. An unlabeled spray bottle, reported to contain a toxic cleaner, was observed in a cabinet in the bathroom area.

Corrected Corrected by Sep 26, 2022

Category: ratio. Marked corrected in the state record.

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

The water from the sink in the Indoor Gym, accessible to children, was measured at 130 degrees F.

Corrected Corrected by Sep 27, 2022

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

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit in the eating room was accessible to children in an unlocked cabinet.

Corrected Corrected by Sep 26, 2022

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.

The sink faucet on the toy kitchen set in the PS Room was observed to be loose, causing a pinch point. A drawer on the cabinet in the Indoor Gym was observed to be broken, causing a pinch point.

Corrected Corrected by Oct 3, 2022

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.

The cribs in the Infant room were observed to lack labels for the children using them as rest equipment.

Corrected Corrected by Sep 26, 2022

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

3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in the PS Room.

Corrected Corrected by Sep 26, 2022

Category: physical safety. 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.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

Corrected Corrected by Oct 1, 2022

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.

Upon assessment of supervision and ratio in the Gym at 11:45 AM on 9/26/22, 1 OT was observed unsupervised by staff, present with a therapist who was not listed as a release person for the child.

Corrected Corrected by Oct 1, 2022

Category: supervision. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file for Child #7 contained an emergency contact form which lacked the telephone number of the child's medical provider.

Corrected Corrected by Nov 29, 2022

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The files for Child #3 and #4 contained emergency contact forms which lacked the work addresses and telephone numbers of the enrolling parents.

Corrected Corrected by Nov 29, 2022

Category: recordkeeping. 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 files for Child #1, #2 and #5 contained emergency contact forms which lacked the full addresses for release persons.

Corrected Corrected by Nov 29, 2022

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 contained consecutive health reports dated more than 6 months apart.

Corrected Corrected by Nov 15, 2022

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 #6 contained consecutive health reports dated more than 12 months apart.

Corrected Corrected by Nov 15, 2022

Category: health medication. 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.

The file for Child #4 contained record of immunization history which lacked a current influenza vaccination. The file for Child #7 contained record of immunization history which contained 1 of 2 required Hepatitis A vaccinations.

Corrected Corrected by Dec 2, 2022

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

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Medication was observed to be accessible to children in a cabinet in the bathroom area. The lock on the cabinet was not functioning properly.

Corrected Corrected by Sep 26, 2022

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

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

A Tylenol in the Infant Room was observed to be expired.

Corrected Corrected by Sep 26, 2022

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

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

A Cough medicine labeled for Child #4 lacked written parental consent for administration.

Corrected Corrected by Sep 26, 2022

Category: ratio. 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 file for Staff #3 contained consecutive health assessments which were dated more than 24 months apart.

Corrected Corrected by Sep 26, 2022

Category: ratio. Marked corrected in the state record.

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

The file for Child #5 contained consecutive updates to the emergency contact and agreement forms dated more than six months apart.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

The file for Staff #1 contained current clearances yet lacked the previous clearances. Previous clearance dates were obtained from a previous inspection.

Corrected Corrected by Nov 15, 2022

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

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #2 contained 6 of 12 required annual training hours between 12/19/20 and 12/19/21. The file for Staff #3 contained 9 of the 12 required annual training hours between 12/19/20 and 12/19/21.

Corrected Corrected by Nov 15, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The record for staff #5 included verification of health and safety training completed on 4/14/2021, which was more than 90 days following their first day working in child care on 1/25/2021. The record for staff #12 included verification of health and safety training completed on 9/28/2021, which was more than 90 days following their first day working in child care on 4/26/2021.

Corrected Corrected by Sep 30, 2021

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

3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

An infant was observed sleeping in a crib with a pacifier that had a stuffed toy attached to it.

Corrected Corrected by Sep 30, 2021

Category: physical safety. 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.

Staff #10 did not receive training regarding the emergency plan on an annual basis during the period of time between 8/10/2020 to 8/31/2021. Staff #11 who began working in child care on 8/30/2021 did not receive the training regarding the emergency plan.

Corrected Corrected by Sep 30, 2021

Category: recordkeeping. 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.

Staff persons #1, #2, #3, #6, #7, #8, #9, and #10, did not participate, at least annually, in fire safety training during the period of time between 8/20/2020 to 8/25/2021.

Corrected Corrected by Aug 23, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Staff #4 completed pediatric first aid and pediatric cardiopulmonary resuscitation on 6/2/2021, more than 90 days following their first day working in child care on 2/24/2021. Staff #5 completed pediatric first aid and pediatric cardiopulmonary resuscitation on 6/2/2021, more than 90 days following their first day working in child care on 1/25/2021.

Corrected Corrected by Sep 30, 2021

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A 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 #6, #10 and #11 may not be present on the premises at child care facility.

The record for staff #4 who began working in child care on 2/24/2021 and did not meet the conditions of a provisional hire included a NSOR verification certificate dated 2/25/2021. The record for staff #6 included an FBI clearance with a criminal history that did not have a rap sheet attached, which is considered an incomplete clearance; a state police clearance dated 6/17/2021, more than 60 months following their previous clearance dated 4/8/2015; and a child abuse clearance dated 6/22/2020, more than 60 months following their previous clearance dated 6/10/2021. The record for staff #9 who began working in child care on 9/8/2020 and did not meet the conditions of a provisional hire included a state police clearance date 9/29/2020. The record for staff #10 included an FBI clearance dated 8/28/2015, which is no longer a valid clearance. The record for staff #11 who began working in child care on 8/30/2021and did not meet the conditions of a provisional hire included a CJIS FBI check which is not the FBI clearance required by DHS and unacceptable.

Corrected Corrected by Oct 18, 2021

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

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The record for staff #5 included verification of mandated reporter training completed on 4/30/2021, more than 90 days following their first day working in child care on 1/25/2021.

Corrected Corrected by Sep 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child

An outdoor play space that was being used by children in care was not measured by the Department.

Corrected Corrected by Sep 30, 2021

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

3270.63 · 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.

The wire fencing around the outdoor play space for preschoolers and school-age children was missing a panel and there was no other barrier to restrict the children from the facility's nearby parking area.

Corrected Corrected by Oct 15, 2021

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.

Damaged paint/plaster was observed on the following surfaces in the child care facility: on the bottom of the wall by the closet in the gross motor room and behind a toilet in the bathroom.

Corrected Corrected by Sep 30, 2021

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

3270.102(a)/3270.103 · 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. 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.

Nap mats that were not being used because they were in disrepair, pulling apart at the seams with the foam contents exposed, were stacked on a shelf in the bathroom where they were accessible and posing a potential choking hazard to children in care.

Corrected Corrected by Sep 30, 2021

Category: physical safety. 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 record for staff #10 included a current health assessment dated more than 24 months following previous health assessment. The record for #12 included results of initial tuberculin skin test read more than 12 months prior to first day working in child care.

Corrected Corrected by Nov 24, 2021

Category: ratio. 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.

The facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 4, 2021

Category: physical safety. 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 operator did not have the proof of purchase for the fire detection system. The fire detection system was not tested at least once every 30 days during the period between 12/19/2020 to 1/22/2021 and 6/8/2021 to 7/9/2021.

Corrected Corrected by Sep 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The facility's emergency did not provide for accommodations for shelter of children during a lock-down.

Corrected Corrected by Oct 12, 2021

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