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.

At the time of the inspection, in the infant 1 classroom, a plastic grocery bag was observed hanging from a child's cubby. A child in a walker rolled to the cubby and proceeded to put the plastic bag in her mouth.

Corrected Corrected by Jun 9, 2025

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.

At the time of the inspection, in the infant 1 classroom, children were observed sleeping in cribs. The cribs were not positioned at least 2 feet of space on three sides apart from another crib.

Corrected Corrected by Jun 9, 2025

Category: physical safety. 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.

At the time of the inspection, the emergency contact form for child #6 did not include the name of the child's physician or source of medical care.

Corrected Corrected by Jun 9, 2025

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.

At the time of the inspection, the health assessment on file dated 2/21/25 for child #6 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected Corrected by Jun 9, 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.

At the time of the inspection, in the infant 1 classroom, staff person #1 was changing the diaper of child #11. The hands of child #11 were not washed after the child was diapered.

Corrected Corrected by Jun 9, 2025

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

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

At the time of the inspection, incident reports for child injuries that occurred at the facility were not retained at the facility in an accident file.

Corrected Corrected by Jun 9, 2025

Category: health medication. 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. Tiered LIS: 1.) The required staff:child ratios must be maintained at all times. This portion of the plan requires an immediate correction date. 2.The Legal Entity / Director will establish a supervision and ratio policy. The policy must address how the facility will maintain appropriate supervision and proper staff:child ratios at all times. The policy must also address situations that might affect staff:child ratios, such as staff late or calling off and children being dropped off outside of their agreed upon care hours or days. The policy must address a plan to either turn children away or keep parents at the facility until extra staff arrive. This policy must be sent to the Northeast Regional Office for review and approval. Once approved, all existing staff and new hires must be trained on the approved procedures, and their signatures will indicate their understanding and ability to implement the policy. This documentation must be maintained at the facility. This operator shall provide a date for when the updated policies will be submitted for review.

During the inspection on 5/12/25 at 9:06am, staff person #6 was the only staff person present in the Pre-K room with 16 preschool-aged children. This number and age of children requires there to be two staff present at all times.

Corrected Corrected by Jun 6, 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.

Through interviews and a site visit, it was determined that at the beginning of naptime on 3/13/25, Staff #1 grabbed the arm of child #1, which left scratch marks on the child. Staff #1 is no longer employed at the facility.

Corrected Corrected by Mar 14, 2025

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 OCDEL Announcement C-25-01, effective 2/1/25, states all required clearances need to be renewed prior to expiration of each certificate, every 60 months. It also states that an individual may be employed on a provisional basis in a certified child care facility when the following conditions are met, and documentation is maintained on file: Have results of the following, no older than 60 months: 1. PA Child Abuse History Clearance; 2. NSOR verification; 3. Out-of-state clearances (if applicable); 4. Signed Disclosure Statement for Child Care Employment; and 5. Either FBI Criminal History Clearance; or PSP Criminal History Clearance In addition to those obtained, the following clearances must be applied for prior to starting provisional employment: 1. FBI Criminal History Clearance; or 2. PSP Criminal History Clearance Facility Person #8 may not work in a child care position at the facility until all completes clearances are on file at the facility.

At the time of the inspection on 2/28/25, staff persons #1, #4, #5, #6 and #7 did not update the NSOR certificate every 60 months prior to the expiration of the certificate on file. This is evidenced by the current NSOR certificate dates of 1/21/25, 1/21/25, 1/21/25, 1/21/25 and 1/21/25, respectively. The previous dates of the NSOR certificates on file are 11/6/19, 1/16/20, 1/15/20, 1/16/20, and 11/6/19, respectively. Staff person #8, a new hire, did not have a current NSOR certificate on file, was observed in the Toddler 2 classroom and had direct contact with children (see LIS code sheet for date of hire).

Corrected Corrected by Mar 16, 2025

Category: ratio. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person#2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person#2, staff person #2 may not work in a child-care position at the facility.

At the time of the inspection on 2/28/25, staff person #2 has completed mandated reporter training within 90 days of their date of hire (see LIS code sheet), however the mandated reporter training does not meet the minimum of three hours.

Corrected Corrected by Feb 28, 2025

Category: supervision. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

At the time of the inspection on 2/28/25 at 9:57am, child #3, an infant, was observed sleeping in a swing and not in the sleeping position recommended by the American Academy of Pediatrics. Staff person #5 reported the child fell asleep at 9:45am. There was no medical documentation signed by a physician, physician's assistant or CRNP in the child's record at the facility for the child to be sleeping in this position.

Corrected Corrected by Feb 28, 2025

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

3270.133(5)/3270.133(6) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.

At the time of the inspection on 2/28/25, the EPI -Pen present for child #2 in the Toddler 2 room had a manufacturer discard by date of 11/2024 and there was no written consent by the parent for the EPI-pen.

Corrected Corrected by Mar 16, 2025

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

At the time of the inspection on 2/28/25, staff person #3 did not receive a health assessment and TB screening within 12 months of hire. This is evidenced by the date of the health assessment and TB screening of 11/12/24 (see LIS code sheet for date of hire).

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

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

Staff person #6, who's file does not yet contain all completed clearances, was observed working with children unsupervised in the school age classroom.

Corrected Corrected by Jul 30, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #5, facility person #6, facility person #8 may not work in a childcare position at the facility until all clearances are on file.

During an inspection on 6/10/24, staff person #3's PA State Police clearance read "Request Under Review" and did not contain a dissemination date making this an incomplete clearance. The FBI clearance on file for staff person #4 was a Dept. of Education clearance, which is not acceptable for use for working in childcare. Staff person #5, staff person #6 and staff person #8 did not have clearances on file from the state of New York and have also resided there in the past 5 years. (see LIS code sheet for date of hire). Staff person #15 did not have a current child abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 2/15/19. An acceptable plan of correction was received indicating that the staff would not be working in childcare until all clearances were on file as of 6/10/24. A follow up inspection occurred on 7/29/24. Staff persons #5, #6, #8 still did not have the Child Abuse clearances from the state of New York. Staff person #5 was observed working in the T1 classroom. Staff person #6 was observed working alone in the school age classroom. Staff person #8 was observed working in the Preschool classroom.

Corrected Corrected by Jul 30, 2024

Category: background checks. 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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

At the time of the inspection, the emergency plan on file did not contain continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Jun 16, 2024

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. The CPSL was revised to include a 45-day provisional hiring period. Facility Person #3, facility person #4, facility person #5, facility person #6, facility person #8 and facility person #15 may not work in a child care position at the facility until all clearances are obtained.

At the time of the inspection, staff person #3's PA State Police clearance read "Request Under Review" and did not contain a dissemination date making this an incomplete clearance. The FBI clearance on file for staff person #4 was a Dept. of Education clearance, which is not acceptable for use for working in childcare. Staff person #5, staff person #6 and staff person #8 did not have clearances on file from the state of New York and have also resided there in the past 5 years. (see LIS code sheet for date of hire). Staff person #15 did not have a current child abuse clearance on file. This is evidenced by the Child Abuse clearance on file dated 2/15/19.

Corrected Corrected by Jun 10, 2024

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

3270.33(a) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.

At the time of the inspection, staff person #5, staff person #12 and staff person #16 did not have 2 years (2,500 hours) of documented childcare experience to accompany the high school diploma on file and therefore, could not qualify for the position they were performing.

Corrected Corrected by Jun 23, 2024

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.

At the time of the inspection, the Director did not have written evaluations within the past 12 months for staff person #5, staff person #7, staff person #10, staff person #11, staff person #12, staff person #13, staff person #14 and staff person #16.

Corrected Corrected by Jun 24, 2024

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). The Legal Entity / Director must establish a supervision and ratio policy. The policy must address how the facility will maintain appropriate supervision and proper staff:child ratios at all times. The policy must also address situations that might affect staff:child ratios, such as staff call-offs, lunch breaks and restroom breaks. As part of the policy, the legal entity must print and post the required ratios in each measured child care space. This policy must be sent to the Northeast Regional Office for review and approval. Once approved, all existing staff and new hires must be trained on the approved procedures, and their signatures will indicate their understanding and ability to implement the policy. This documentation must be maintained at the facility.

At the time of the inspection, in the Preschool room, staff person #8 was alone with 11 children (3 older toddlers and 8 preschool aged children). Staff person #8 admitted that staff person #2 left the room and did not have any other staff person covering her. This number of children requires there to be two staff present in the classroom at all times.

Corrected Corrected by Jun 21, 2024

Category: supervision. 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).

At the time of the inspection, in the Preschool room, staff person #8 was alone with 11 children (3 older toddlers and 8 preschool aged children). Staff person #8 admitted that staff person #2 left the room and did not have any other staff person covering her. This number of children requires there to be two staff present in the classroom at all times.

Corrected Corrected by Jun 10, 2024

Category: ratio. 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).

At the time of the inspection, child #6 did not have child service reports completed every 6 months from the date of admission. This is evidenced by the only child service report on file dated 6/10/24 (see LIS code sheet for date of admission).

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of the inspection, the emergency contact form for child #1, child #2 and child #4 did not include the enrolling parent's work address and/or work phone number. The emergency contact form for child #4 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Jun 24, 2024

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.

At the time of the inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in every childcare space.

Corrected Corrected by Jun 25, 2024

Category: transportation. Marked corrected in the state record.

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

At the time off the inspection, the local traffic authorities were not notified annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility. This is evidenced by the letter to the local traffic authorities dated 4/25/22.

Corrected Corrected by Jun 25, 2024

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.

At the time of the inspection, staff person #1 had a health assessment on file dated 4/28/24. The date on the health assessment appeared to have been altered by changing the original date of 10/28/22 to the new date of 4/28/24. The physician's office confirmed that a physical and TB test was not conducted for this staff person on 4/28/24. The last confirmed physical from the office was 12/27/23. The health assessment and TB test on file for Staff #13, dated 8/13/22, appeared to have been photocopied after the date was altered on the original copy. The original copy of the document was observed in the file and contained a date of 8/11/20 which was altered by white out, and a date of 8/13/22 was written on top of the white out.

Corrected Corrected by Jun 24, 2024

Category: ratio. Marked corrected in the state record.

3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

At the time of the inspection, staff person #2 did not have tuberculosis screening at initial employment. This is evidenced by the tuberculosis screening on file dated 10/22/21 (see LIS code sheet for date of hire).

Corrected Corrected by Jun 24, 2024

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

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

At the time of the inspection, in the Infant room 1, there were no written statements from the parents for the formula and feeding schedules for the infants present in the room.

Corrected Corrected by Jun 28, 2024

Category: nutrition. 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.

At the time of the inspection, an emergency drill was not conducted annually. This is evidenced by the emergency drill on file dated 2/13/23.

Corrected Corrected by Jun 17, 2024

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.

At the time of the inspection, staff person # 9 had 1 clock hour of childcare training during the 12/22-12/23 training period.

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During renewal inspection on 6/13/23 cert rep observed a gouge in the wall near the easel in the Pre-K/SA room and in the bathroom in the PS room between the sink and trash can.

Corrected Corrected by Jun 20, 2023

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment.

STAFF #1 (see code sheet for hire date) health assessment was dated 1/10/22 and TB result was dated 1/13/22. Both are more than 12 months prior to STAFF #1 start date.

Corrected Corrected by Jun 27, 2023

Category: ratio. Marked corrected in the state record.

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

During renewal inspection on 9/12/22 cert rep reviewed several children's files. CHILD # 1 emergency contact form did not include signed parental consent for administration of minor first-aid procedures by facility staff which is required prior to admission.

Corrected Corrected by Sep 12, 2022

Category: ratio. Marked corrected in the state record.