Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › PA › Brookville › Ymca Of Brookville
125 Main St, Brookville PA 15825 · License #CER-00249194 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
2ND CITATION: The parent letter lacked information regarding accommodations for infants, and toddlers. PREVIOUSLY CITED ON 9/16/25
Corrected Corrected by Dec 19, 2025
Category: physical safety. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
2ND CITATION: The file for Staff #2, identified as an Assistant Group Supervisor (AGS) lacked verification of their staff qualifications. PREVIOUSLY CITED ON 9/16/25
Corrected Corrected by Nov 14, 2025
Category: supervision. Marked corrected in the state record.
3270.27(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.
The facility's emergency plan submitted on 11/7/25 lacked information regarding the evacuation of children from the facility building and evacuation of children to a location away from the facility premises.
Corrected Corrected by Dec 19, 2025
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Category: physical safety. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
In the PAL 2 room, an outlet accessible to children 5 years of age or younger, lacked a receptacle cover.
Corrected Corrected by Sep 16, 2025
Marked corrected in the state record.
3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.
The liability insurance policy on file for the facility expired 5/22/25.
Corrected Corrected by Sep 18, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The most recent emergency plan training on file for Staff #1 was dated 2/16/24 over a year ago. The files for Staff #2 and Staff #4 lacked documentation of initial emergency plan training.
Corrected Corrected by Oct 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The parent letter lacked information explaining the emergency procedures for lockdown situation, a method to contact parents when an emergency arises and for facility persons to inform parents that the emergency has ended and instructions as to how parents can safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Oct 17, 2025
Category: physical safety. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The fire safety training documentation on file for Staff #1 was dated 2/21/24, more than 12 months ago. The fire safety training documentation on file for Staff #9 was dated 3/19/25, which was obtained more than 12 months from the previous training dated 2/27/24.
Corrected Corrected by Oct 24, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. 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 #9 contained documentation of Pediatric FA/CPR training dated 10/30/24 which was obtained after the previous Pediatric FA/CPR training dated 4/12/22 expired.
Corrected Corrected by Oct 16, 2025
Category: health medication. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required training has been completed, staff person #7 & #11 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 #7 & 11, staff person #7 & 11 may not work in a child-care position at the facility.
Staff person #7 & #11 have not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training 3270.31(f)(1-9).
Corrected Corrected by Oct 24, 2025
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #7 may not work in a child care position at the facility.
The file for Staff #6 contained an FBI clearance dated 3/18/24 which was obtained more than 60 months after the previous clearance dated 1/10/19. The file for Staff #6 contained an NSOR certificate dated 3/19/24 which was obtained more than 60 months after the previous certificate dated 1/15/20. The file for Staff #7 lacked a current PA State Criminal Clearance; the one on file dated 8/21/20 was obtained more than 60 months ago.
Corrected Corrected by Sep 29, 2025
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff #2, identified as an Assistant Group Supervisor (AGS); Staff #8, identified as a Group Supervisor (GS); and Staff #12, identified as a GS, lacked verification of their staff qualifications.
Corrected Corrected by Oct 16, 2025
Category: supervision. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The most recent staff evaluation on file for Staff #1, #3, and #9 were completed more than 12months from the previous staff evaluation. The most recent staff evaluation on file for Staff #1 was dated 10/3/23. The most recent staff evaluation on file for Staff #3 was dated 8/9/24. The most recent staff evaluation on file for Staff #9 was dated 9/15/23. The most recent staff evaluation on file for Staff #12 was dated 9/2/25, which is more than 12 months from initial hire date. The file for Staff #4, employed more than 12 months, lacked an annual staff evaluation.
Corrected Corrected by Oct 30, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have attained one of the following qualification levels: A high school diploma or a general educational development certificate and 2 years experience with children. A record shall include a copy of the Verification of child care experience, education and training prior to service at the facility.
The file for Staff #1 and #10, identified as an Assistant Group Supervisors (AGS), lacked verification of the staff's experience with children.
Corrected Corrected by Oct 16, 2025
Category: supervision. 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.
A plastic bag containing food for a child was observed next to Clorox disinfectant spray and Restroom disinfectant cleaner in the white storage cabinet located in the preschool area of the Main Child Care Room.
Corrected Corrected by Sep 16, 2025
Category: ratio. 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 in the PAL 2 room on the window ledges and door frames, in the main room on the window ledges, and on the handrails in the stairwells.
Corrected Corrected by Oct 11, 2025
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
At 11:55 am in the toddler room, a child was in a port-a-crib that lacked at least 2 feet of space on three sides.
Corrected Corrected by Sep 16, 2025
Category: physical safety. Marked corrected in the state record.
3270.115(a)(8) · A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.
The water safety training on file for Staff #1 was dated 9/11/25 which is more than 12 months from the previous training dated 2/16/24.
Corrected Corrected by Oct 16, 2025
Category: ratio. Marked corrected in the state record.
3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.
The agreement form for Child #2 lacked the date on which the fee is to be paid.
Corrected Corrected by Sep 19, 2025
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 files for Child #2, #5 and #8 lacked current Child Service Reports, the Department's approved form to provide information to the family about the child's growth and development.
Corrected Corrected by Oct 30, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement form for Child #5 lacked the child's departure time. The agreement forms for Child #6 and Child #7 lacked the child's arrival and departure times.
Corrected Corrected by Oct 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.
The file for Child #1 lacked the date of admission.
Corrected Corrected by Sep 19, 2025
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 files for Child #3 and #5 contained the original fee agreement forms signed by the parent.
Corrected Corrected by Sep 19, 2025
Category: recordkeeping. 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 emergency contact form for Child #1 lacked the address of the child's physician or source of medical care. The emergency contact form for Child #8 lacked the telephone number of the child's physician or source of medical care.
Corrected Corrected by Sep 22, 2025
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 emergency contact form for Child # 8 lacked the enrolling parent's home telephone number and work address.
Corrected Corrected by Sep 23, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The emergency contact form for Child #2 lacked the policy number of the child's health insurance coverage. The emergency contact form for Child #5 lacked the health insurance coverage and policy number for the child.
Corrected Corrected by Oct 16, 2025
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact forms for Child #2, #7, and #9 lacked the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by Oct 16, 2025
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 lacked a current emergency contact form and fee agreement. The previous update documented is 1/7/25. The files for Child #5, #6, #8 & #9 contained current emergency contact forms and fee agreements that were not obtained within 6 months of the previous updates.
Corrected Corrected by Sep 23, 2025
Category: recordkeeping. 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.
In the main room along the far wall the cabinet that contained children's medicine was unlocked making the medicine accessible to children
Corrected Corrected by Sep 16, 2025
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #3 lacked a health assessment.
Corrected Corrected by Oct 24, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(1) · An adult health assessment must include a physical examination.
The health assessments on file for Staff #8 and #12 lacked documentation of a physical examination.
Corrected Corrected by Oct 24, 2025
Category: health medication. Marked corrected in the state record.
3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The health assessment on file for Staff #8 lacked documentation of examination for communicable diseases and the physician's assessment of the person's suitability to provide child care.
Corrected Corrected by Oct 22, 2025
Category: health medication. Marked corrected in the state record.
3270.25(a)/3270.25(b) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.
The certificate of compliance that was posted was not the current certificate.
Corrected Corrected by Oct 7, 2025
Marked corrected in the state record.
3270.27(a)(1)/3270.27(a)(4) · 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 shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
The facility's emergency plan lacked lockdown information and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
Corrected Corrected by Oct 17, 2025
Category: physical safety. Marked corrected in the state record.
3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.
The file for Staff #5 lacked 9 hours of the 12 annual child care training hours required for the most recent review window December 2023-December 2024. The file for Staff #6 lacked 9 hours of the 12 annual child care training hours required for the most recent review window December 2023-December 2024.
Corrected Corrected by Oct 24, 2025
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 or (g)1-10. Until such time as the required training has been completed, staff person #1, #3 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 #1, #3, staff person #1, #3 may not work in a child-care position at the facility
Staff person #1, #3 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. Based on staff statements, the document in the file of Staff person #3, Get Started with Center-Based Care: Building Blocks for Quality, dated 11.20.24, was not obtained through the staff person completing the training.
Corrected Corrected by Jun 23, 2025
Category: supervision. 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.
In the main room along the far wall the cabinet that contained children's medicine was unlocked making the medicine accessible to children.
Corrected Corrected by Jul 16, 2025
Category: health medication. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person#1 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/facility person/volunteer #1, staff person/facility person/volunteer #1 may not work in a child-care position at the facility.
Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3/19/20.
Corrected Corrected by Jun 16, 2025
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.
In the main room on the table near the teacher's desk was a staff book bag that was unzipped and contained sunscreen which stated keep out of reach of children accessible to children.
Corrected Corrected by Jun 16, 2025
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
In the main room there was ceiling tiles that were stained with a brow substance. In the main room near the portable wall was a large piece of the wood floor worn away causing a tripping hazard.
Corrected Corrected by Jun 19, 2025
Category: physical safety. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
In the Upstairs Gym (Dance Studio) there was an electrical outlet to the left of the mirrored wall that lacked a protective receptacle cover. The outlet was accessible to children 5 years of age and younger.
Corrected Corrected by May 8, 2025
Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
There was a bottle labeled "disinfectant" on a low shelf in the Upstairs Gym (Dance Studio) that was accessible to the children in care.
Corrected Corrected by May 8, 2025
Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
Observed three windows in the Upstairs Gym (Dance Studio) on the third floor that were open and accessible to children and were not modified to limit the opening to 6 inches or fewer.
Corrected Corrected by May 8, 2025
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 #1 does not have a completed health and safety training on file within 90 days of hire (SEE LIS CODE SHEET) Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality and must not complete Health and Safety Training Part 1 and Part 2 per the Announcement C-24-03 Updates to Health and Safety Pre-Service Training and professional Development Requirements.
Corrected Corrected by Apr 10, 2025
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 bathroom in the pre-k room on the top floor did not have a handwashing sign above the sink.
Corrected Corrected by Apr 9, 2025
Category: health medication. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for staff person #1 was missing a second letter of reference.
Corrected Corrected by Apr 10, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.
Observed the facility had the first page of the negative sanction letter posted but the inspection summary attachments were not posted with the letter.
Corrected Corrected by Mar 12, 2025
Marked corrected in the state record.
3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.
Observed staff file #1 did not contain documentation of 2 years experience with children.
Corrected Corrected by Apr 1, 2025
Category: supervision. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
Observed an electrical outlet by the cots in the preschool room did not have a protective receptacle cover.
Corrected Corrected by Mar 12, 2025
Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
Observed a window in the bathroom attached to the second floor preschool/school age room was not adapted to limit the opening to 6 or fewer inches. Observed a window on the third floor in the PAL 1 room which was not restricted to prevent the window from opening to 6 or fewer inches.
Corrected Corrected by Mar 13, 2025
Category: physical safety. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Observed a chair in the second floor preschool room had a damaged seat cover and exposed foam.
Corrected Corrected by Mar 12, 2025
Category: physical safety. 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.
Observed in the second-floor preschool room, Tylenol accessible to children in an unlocked filing cabinet and liquid prescription medication accessible to children in the refrigerator.
Corrected Corrected by Mar 13, 2025
Category: health medication. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
Observed the facility did not have an established medication log for a bottle of Tylenol which had been opened and stored at the facility.
Corrected Corrected by Mar 14, 2025
Category: health medication. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
Observed the documented annual emergency drills revealed that the facility has conducted the same emergency drill for the previous three years.
Corrected Corrected by Mar 14, 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.
Observed 2 times (7/24/24-9/11/24 and 10/1/24-11/4/24) in the previous 12 months the documented fire alarm testing was conducted more than 30 days apart.
Corrected Corrected by Mar 13, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The most recent Pediatric First Aid/CPR training on file for Staff #6 is dated 1/31/23, exceeding the expiration date.
Corrected Corrected by Mar 1, 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) LACKING REQUIRED HIRING DOCUMENTS: Staff #4 and Staff #5 -- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file for Staff #1 contained a disclosure statement that was not dated, making it invalid. The file for Staff #3 contained an NSOR clearance dated 9/24/24, after the 45-day provisional hire period. The most recent NSOR clearance on file for Staff #4 is dated 1/16/20, more than 60 months prior. The most recent NSOR clearance on file for Staff #5 is dated 1/14/20, more than 60 months prior. The two most recent PA State Police clearances on file for Staff #6 are dated 8/20/19 and 8/29/24, more than 60 months apart. (SEE LIS CODE SHEET)
Corrected Corrected by Feb 26, 2025
Category: background checks. 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.
In the second floor Child Care Room, a spray bottle containing sanitizer was not labeled to specify the contents.
Corrected Corrected by Feb 19, 2025
Category: ratio. 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.
An Epi-Pen for Child #1 was observed to be expired, with an expiration date of 8/2024.
Corrected Corrected by Mar 1, 2025
Category: ratio. 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 file for Staff #3 contained a health assessment dated 4/23/24, after the date of hire. (SEE LIS CODE SHEET)
Corrected Corrected by Feb 19, 2025
Category: ratio. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
The file for Staff #2 lacked two written, nonfamily references.
Corrected Corrected by Feb 20, 2025
Category: recordkeeping. 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 contain a plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Feb 19, 2025
Category: physical safety. Marked corrected in the state record.
3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
Per observation and staff statements, the rest equipment provided for the preschool, toddler and infant children are not labeled for the use of a specific child and are used by multiple children.
Corrected Corrected by Dec 20, 2024
Category: physical safety. 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.
Based on staff statements, reports of accidents, injuries and illnesses involving children in care at the facility are not consistently documented. When a report is documented copies are not placed in the child's file and the facility's accident file.
Corrected Corrected by Dec 20, 2024
Category: health medication. Marked corrected in the state record.
3270.31(f)(10) · * Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
* The Pediatric CPR/First aid card on file for staff person #1 and dated 9/14/24 is fraudulent and therefore, is not an acceptable training. Staff person #1 reported that they never took the Pediatric CPR/first aid training on 9/14/24. Staff person #2, the Pediatric CPR/First aid trainer, admitted to putting Staff person #1's name to the training roster knowing that Staff person #1 was not present for the training on 9/14/24.
Corrected Corrected by Dec 1, 2024
Category: health medication. Marked corrected in the state record.
3270.31(f)(10) · ** The legal entity will not accept Pediatric CPR/FA trainings from PQAS approved trainer, staff #2, for a period of 5 months.
** The Pediatric CPR/First aid card on file for staff person #1 and dated 9/14/24 is fraudulent and therefore, is not an acceptable training. Staff person #1 reported that they never took the Pediatric CPR/first aid training on 9/14/24. Staff person #2, the Pediatric CPR/First aid trainer, admitted to putting Staff person #1's name to the training roster knowing that Staff person #1 was not present for the training on 9/14/24.
Corrected Corrected by Jul 31, 2025
Category: health medication. Marked corrected in the state record.
3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Staff person #3's Pediatric CPR/First aid expired 7/2024. The Pediatric CPR/FIRST AID card on file for staff person #3 and dated 9/14/24 is fraudulent and therefore, is not an acceptable training. On 11/27/24, Staff person #3 reported that they had not taken Pediatric CPR/First aid within the past 6 months. Staff person #2 was the trainer documented on the Pediatric CPS/First Aid card dated 9/14/24.
Corrected Corrected by Dec 31, 2024
Category: ratio. 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.
On 10/25/24, in the upstairs toddler room, observed a book rack which was blocking the exit to the hallway which leads to the bathroom.
Corrected Corrected by Oct 26, 2024
Marked corrected in the state record.
20.71(a)(7) · The Department may deny, refuse to renew or revoke a certificate of compliance for fraud or deceit in obtaining or attempting to obtain a certificate of compliance.
It was determined that the Pediatric CPR/FIRST AID cards for staff person #1 and staff person #3 dated 9-14-24 were fraudulent because staff person #1 and staff person #3 were not present for the trainings. Staff person #2, the Pediatric CPR/First aid trainer, admitted to putting staff person #1's name on the training roster knowing that staff person #1 was not present for the training on 9/14/24. On 11/27/24, Staff person #3 reported that they had not taken Pediatric CPR/First aid within the past 6 months.
Corrected Corrected by Dec 31, 2024
Category: health medication. 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.
Facility person #5, who was acting in the capacity of a staff person, was caring for children unsupervised. Facility person #5, has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety and Pediatric CPR/FA.
Corrected Corrected by Sep 5, 2024
Category: supervision. Marked corrected in the state record.
3270.31(b) · A staff person shall be 18 years of age or older.
Facility person #5, who was acting in the capacity of a staff person, was 17 years of age.
Corrected Corrected by Sep 5, 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). Facility Person # -- 5 and 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The director reported that facility person #5, who was acting in the capacity of a staff person, had a file which lacked an NSOR and DHS FBI clearance. The file for staff #1 lacks a disclosure statement on or before initial start date in a child care position. The file for staff #2 lacks a disclosure statement on or before initial start date in a child care position and lacked an NSOR on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an NSOR on file and dated 6/10/24. The file for staff #3 lacked an FBI clearance on or before initial start date in a child care position. There is now an FBI clearance on file and dated 9/23/24. The disclosure statement on file for staff 4 lacks a date. The file for staff #6 lacks a current FBI clearance. This is evidenced by the FBI clearance on file with date of 9/27/2019.
Corrected Corrected by Oct 1, 2024
Category: ratio. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
On 8/27/24, facility person #5, was alone with two infants in the Baby Room from 5:15 - 5:30 PM. Facility person #5 is 17 years of age and is not qualified as a staff person. Ratio 0:2.
Corrected Corrected by Oct 1, 2024
Category: ratio. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
On 8/27/24, facility person #5, was alone with two infants in the Baby Room from 5:15 - 5:30 PM. Facility person #5 is 17 years of age and is not qualified as a staff person.
Corrected Corrected by Oct 1, 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 #2 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #, staff person # 2 may not work in a child-care position at the facility.
Staff person # 2 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.
Corrected Corrected by Nov 1, 2024
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 did not complete Health and Safety training within 90 days of their date of hire. There is now health and safety training on file and dated 7/8/24. SEE IS CODE SHEET.
Corrected Corrected by Oct 1, 2024
Category: health medication. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility's fire detections system panel is indicating a Trouble Zone 2. The director reported that there is an issue with the system regarding communication and the alarms randomly go off without smoke or fire in the building. On 10/1/24, the fire system was let off and was heard throughout the child care areas of the building.
Corrected Corrected by Dec 31, 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.
There was no record of 30 day manual checks of the fire detection system on file at the facility.
Corrected Corrected by Nov 27, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.
In the Downstairs PS Room, observed an accessible stove top without protective guards on the handles. The kitchen, which can be entered directly from the PS Room, had two garbage cans in front of the door, but the PS children could move them. Therefore, the stove top, capable of exceeding 110 degrees F was accessible to the children in care.
Corrected Corrected by Apr 1, 2024
Category: physical safety. 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), Staff person #15 will have 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #15 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 #15, staff person #15 may not work in a child-care position at the facility.
Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric CPR/FA.
Corrected Corrected by Apr 1, 2024
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.
The file for staff #8, lacked health and safety training within 90 days of hire. SEE IS CODE SHEET. There is now health and safety training on file and dated 3/15/24.
Corrected Corrected by Apr 1, 2024
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). Facility Person # 5, 12 and 16 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file for staff #2, lacked a DHS FBI clearance on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 8/7/23. The file for staff #3, lacked a DHS FBI clearance on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 11/9/23. The file for staff #4, lacked a DHS FBI clearance on or before initial start date in a child care position. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 2/26/24. The file for staff #5, lacks a DHS FBI clearance on or before initial start date in a child care position. The file for staff #7, lacks a DHS FBI clearance on or before initial start date in a child care position and the disclosure statement on file was dated after start date. SEE IS CODE SHEET. There is now an FBI clearance on file and dated 8/7/23 and a disclosure statement dated 8/7/23. The file for staff #11 lacks the most current disclosure statement on or before initial start date in a child care position. The file for staff #12, lacks a DHS FBI clearance which was completed within the past 60 months and lacks the most current disclosure statement on or before initial start date in a child care position. This is evidenced by the current FBI clearance on file which is dated 7/24/18. The file for staff #14 lacks the most current disclosure statement on or before initial start date in a child care position. The file for staff #16, lacks a DHS FBI clearance within the past 60 months. This is evidenced by the current FBI clearance on file which is dated 1/19/19.
Corrected Corrected by Apr 1, 2024
Category: background checks. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · 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. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for staff #2, who holds the title of aide, lacks 2500 hours of child care experience. The file for staff #3, who holds the title of aide, lacks verification of an 8th grade education and 2500 hours of child care experience. The file for staff #4, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience. The file for staff #5, who holds the title of aide, lacks verification of an 8th grade education and 2500 hours of child care experience. The file for staff # 6, who holds the title of aide, lacks verification of an 8th grade education and 2500 hours of child care experience. The file for staff #7, who holds the title of assistant group supervisor, lacks verification of 2500 hours of child care experience. The file for staff #8, who holds the title of assistant group supervisor, lacks verification of 2500 hours of child care experience. The file for staff #11, who holds the title of assistant group supervisor, lacks 1250 hours of child care experience . The file for staff #12, who holds the title of assistant group supervisor, lacks verification of 2500 hours of child care experience. The file for staff #13, who holds the title of assistant group supervisor, lacks verification of a high school diploma and 2500 hours of child care experience. The file for staff #17, who holds the title of assistant group supervisor, lacks 2500 hours of child care experience.
Corrected Corrected by Apr 5, 2024
Category: supervision. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for staff #1, lacked a staff evaluation within 12 months of start date in a child care position. SEE IS CODE SHEET. There is now a staff evaluation on file and dated 9/15/23.
Corrected Corrected by Apr 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
In the Downstairs PS Room, observed toxic glass cleaner, brillo pads and various cleaning products underneath the kitchen sink in an unlocked cabinet. The kitchen, which can be entered directly from the PS Room, had two garbage cans in front of the door, but the PS children could move them. Therefore, the toxics were accessible to the children in care.
Corrected Corrected by Apr 1, 2024
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. .
On the main entrance floor of the facility, observed that the first stair, which leads to areas where the children are in care, had part of the plastic back which was coming loose and creating a tripping hazard to the children in care. In the preschool bathroom, observed a vent which had partially fallen off and was accessible to the children in care.
Corrected Corrected by Apr 1, 2024
Category: physical safety. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
In the infant room, observed a bouncy seat with images of foxes and used for the infants in care, which was soiled. In the PAL 2 room, observed a white cracked toy bin.
Corrected Corrected by Apr 1, 2024
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.
On 3/15/24, observed two infants, both who were present at the facility, use the same pack -n- play for their separate naps.
Corrected Corrected by Apr 1, 2024
Category: physical safety. Marked corrected in the state record.
3270.123(a)(2)/3270.123(a)(5) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.
The fee agreements on file for children #1 and 2 lack a date on which the fee is to be paid. The fee agreement on file for child #2 lacks the release persons to whom the child may be released.
Corrected Corrected by Apr 1, 2024
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 file for child #2, lacks a child service report within the past six months.
Corrected Corrected by Apr 1, 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 emergency contact and fee agreements on file for child #2, lack a review/update within the past six months.
Corrected Corrected by Apr 1, 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 file for child #1, who is a young toddler, lacks a health assessment which has been completed within the past six months. There was more than six months between the previous and most current and updated health assessments on file for child #2.
Corrected Corrected by Apr 1, 2024
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
In the Downstairs PS room First Aid kit, observed burn cream, eye wash solutions, aspirin and antacid which lacked a label with a child's name.
Corrected Corrected by Apr 1, 2024
Category: health medication. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · 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. 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 file for staff #10, lacks a TB screening within 12 months of providing initial service in a child care position.
Corrected Corrected by Apr 5, 2024
Category: health medication. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
There was an emergency drill which was conducted on 2/8/24. However, only one class participated in the drill and not all children who were present at the time of the drill.
Corrected Corrected by Apr 1, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
Fire drills conducted on 5/19 23 and 8/1/23, did not contain the number of children who participated in the fire drills.
Corrected Corrected by Apr 1, 2024
Category: recordkeeping. 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 #8, lacks two of the required twelve hours of annual child care training. The file for staff #9, lacks three of the required 12 hours of annual child care training.
Corrected Corrected by Apr 5, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.
During an interview with Staff person #1, Staff person #1 reported that on 6/1/23, Child #1 stepped out of the open doors of the facility while the child was under the care of Staff person #1.
Corrected Corrected by Oct 13, 2023
Category: ratio. 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.
During an interview with Staff person #1, Staff person #1 reported that on 6/1/23, Child #1 stepped out of the open doors of the facility while the child was under the care of Staff person #1.
Corrected Corrected by Oct 13, 2023
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.
During an interview with Staff person #1, Staff person #1 reported that on 6/1/23, Child #1 stepped out of the open doors of the facility while the child was under the care of Staff person #1.
Corrected Corrected by Oct 13, 2023
Category: supervision. Marked corrected in the state record.
3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.
On 3/20/23 observed the file for child #1, 2, 3, 4, 5, 6, and 7 contained original agreements.
Corrected Corrected by May 5, 2023
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.
On 4/6/23 observed staff file #13 contained 12 clock hours of childcare training which were completed after the annual training year of 12/19/21-12/19/22.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.
On 3/20/23 observed above ground windows which were not restricted to 6 or fewer inches, in the preschool bathrooms and one in the large childcare room.
Corrected Corrected by May 5, 2023
Category: physical safety. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -4, 6, 9, 11- may not work in a childcare position at the facility until the required clearances are obtained.
On 4/6/23 observed staff file #4 contained a volunteer criminal background clearance which is not acceptable for employment. Observed staff file #11 contained a volunteer child abuse clearance which is not acceptable for employment. Observed staff file #6 contained an updated Department of Education FBI clearance which is not acceptable for childcare employment. Observed staff file #9 contained a criminal background clearance which was submitted but did not show the outcome of the requested clearance. Observed staff file #12 contained the CPSL mandated reporter training which was dated more than 90 days after the first day in a child care position.
Corrected Corrected by May 5, 2023
Category: background checks. Marked corrected in the state record.
3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.
On 4/6/23 observed staff file #1, 2, 3, 8, 11, and 12 did not contain completed documentation of a high school diploma or a general educational development certificate and 2 years experience with children.
Corrected Corrected by May 5, 2023
Category: supervision. Marked corrected in the state record.
3270.37(b)(3) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children.
On 4/6/23 observed staff file #9 and #10 did not contain documentation of 8th grade education and 2 years of experience with children.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.
On 3/20/23 observed the electrical outlets near the bathroom used by children did not have protective receptacle covers.
Corrected Corrected by May 5, 2023
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.
On 3/20/23 observed disinfecting wipes and lysol spray, accessible to children in an unlocked room next to the preschool room.
Corrected Corrected by May 5, 2023
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
On 3/20/23 observed a hole in the drywall in the infant/toddler room. Observed a damaged wall in the boy's bathroom by the door near the urinal.
Corrected Corrected by May 5, 2023
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.
On 3/20/23 observed peeling paint in the stall in the girl's bathroom.
Corrected Corrected by May 5, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
On 3/20/23 observed the preschool sink did not have a posted handwashing sign.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
On 3/20/23 observed the older toddler diapering area did not have a source of running water.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
On 3/20/23 observed the changing table in the older toddler room which was not securely anchored to the wall. Observed a white shelf in the preschool room which needed to be anchored. Observed in the main childcare room, a small white shelf and a shelf by the windows needed to be anchored, exposed foam on several chairs, and a microwave that was not stable on its stand.
Corrected Corrected by May 5, 2023
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
On 3/20/23 observed plastic bags accessible to crawling infants and toddlers in the infant/toddler room.
Corrected Corrected by May 5, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
On 3/20/23 observed the agreement for child #6 was not signed by the operator.
Corrected Corrected by May 5, 2023
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.
On 3/20/23 observed the emergency contact information for child file #3, did not contain the address of the individual designated by the parent to whom the child may be released.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
On 3/20/23 observed the preschool 1 and preschool 2 room did not have an emergency transportation plan conspicuously displayed in the childcare space.
Corrected Corrected by May 5, 2023
Category: transportation. 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.
On 3/20/23 observed child file #1contained a most recent health assessment which was dated more than 6 months ago.
Corrected Corrected by May 5, 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).
Observed child file #1, 3, 4, 5, and 7 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.
On 3/20/23 observed in the infant/toddler room, motrin which was not labeled with the name for whom it was intended.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.
On 3/20/23 observed the facility did not have an established medication log for albuterol, epi-pen, and zyrtec which were stored in the facility classrooms.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.
On 4/6/23 observed staff file #13 contained an updated health assessment which dated more than 24 months after the previous valid health assessment.
Corrected Corrected by May 5, 2023
Category: ratio. 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.
On 3/20/23 observed pizza pockets and lunch meat in the infant toddler room cubby which was not refrigerated. Observed chicken in a lunch box which was not refrigerated in the older toddler room.
Corrected Corrected by May 5, 2023
Category: nutrition. 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.
On 4/6/23 observed staff file #3 and #5 contained an FBI clearance which was dated after starting in a childcare position but the record did not contain an FBI fingerprint receipt.
Corrected Corrected by May 5, 2023
Category: background checks. 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.
On 4/6/23 observed staff file #1, 2, 4, 11, and 12 did not contain the required two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Corrected Corrected by May 5, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.
On 4/6/23 observed staff file #7 contained documentation of the completed health and safety professional development training update which was completed after the due date of 12/30/22. Observed staff file #1 contained documentation of the completed health and safety professional development training update which was completed after the 90 day date based on the staffs start date in a childcare position.
Corrected Corrected by May 5, 2023
Category: health medication. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
On 3/20/23 observed the facility had an expired certificate of compliance posted on the parent board.
Corrected Corrected by May 5, 2023
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 approximately 8:10am, staff #1 identified his/her supervisory group as 23 younger and older school aged children. There were no other staff present to assist in supervising this group of 23 school aged children.
Corrected Corrected by Jun 23, 2022
Category: supervision. 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.
Child #4 who is enrolled in the daycare walks around the building, including the childcare spaces unsupervised .Child #4 walks into and out of the childcare spaces at will and unsupervised.
Corrected Corrected by Jun 23, 2022
Category: supervision. 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.
Child #1 was hit in the stomach by child #2 while staff were unaware of this occurrence and therefore staff were not supervising either child. Child #1 was hit in the head with a ball by child #3 and the staff were unaware of this occurrence and therefore staff were not supervising either child.
Corrected Corrected by Aug 23, 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.
Child #4 who is enrolled in the daycare walks around the building including the childcare spaces unsupervised. Child #4 walks into and out of the childcare spaces at will and unsupervised.
Corrected Corrected by Jun 23, 2022
Category: supervision. 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 #3 (See IS Code Sheet) who was hired as an AGS was still within the allowable 90 days from the date of hire to receive the Health and Safety training and the Pediatric First Aid/CPR Training, but was observed working in the preschool room unsupervised. Staff #3 had not completed the the Health and Safety training or the Pediatric First Aid/CPR trainings.
Corrected Corrected by Jul 1, 2022
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.
The file for staff #1 (See IS Code Sheet) did not contain a Health and Safety Training which was due by the mandatory date of 5-15-22. The file for staff #2 contained a six hour Health and Safety training which was completed on 9-25-2016 and preceded the allowable date of 9-30-2016 to receive the six hour training and therefore the training is not acceptable.
Corrected Corrected by Jun 30, 2022
Category: health medication. 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.
There was more than 12 months between the previous and most current staff evaluations on file for staff #8. There is now a current staff evaluation on file.
Corrected Corrected by Apr 12, 2022
Category: recordkeeping. 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.
The first aid kit in the PAL 1 room lacked disposable gloves.
Corrected Corrected by Apr 4, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #6 -- may not work in a child care at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file for staff person #2 was observed not to contain documentation of application of an NSOR prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. There is now an NSOR on file and dated 3/3/22. Additionally, the file for staff #2 lacked the correct disclosure statement required under CPSL. The file for staff person #3 was observed not to contain documentation of a State Police, FBI and NSOR clearance prior to date of hire (See LIS CODE SHEET). There are now current clearances on file and dated State Police - 3/1/22, FBI - 3/7/22 and NSOR - 3/2/22. Additionally, the file for staff #3 lacked the correct disclosure statement required under the CPSL. The file for staff #6 was observed not to contain documentation of the correct State Police and Child Abuse clearance prior to date of hire (See LIS CODE SHEET). State Police and Child Abuse clearances on file are for volunteer purposes. Additionally, the file for staff #6 lacks the correct disclosure statement required under the CPSL. The file for staff #7 lacks the correct disclosure statement required under the CPSL.
Corrected Corrected by Apr 8, 2022
Category: background checks. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
There was more than one year between emergency plan trainings on file for staff #8. There is now current emergency plan trainings on file.
Corrected Corrected by Apr 12, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
There was more than one year between the previous and most current fire safety trainings on file for staff #8. There is now current fire safety training on file.
Corrected Corrected by Apr 12, 2022
Category: recordkeeping. 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.
Four of the toilets located outside of the toddler room, lacked hand washing signs. The upstairs sink, located in the PAL 1 room lacked a hand washing sign.
Corrected Corrected by Apr 4, 2022
Category: health medication. Marked corrected in the state record.
3270.123(a)(4)/3270.123(a)(5) · An agreement shall specify the child's arrival and departure times.An agreement shall specify the persons designated by a parent to whom the child may be released.
The fee agreements on file for children #1, 2, 3, and 6 lack the child's arrival, departure times and the names of the persons designated by the parent to whom the child may be released. The fee agreements on file for children #5, 7, 9 and 10 lack the names of the persons designated by the parent to whom the child may be released.
Corrected Corrected by Apr 4, 2022
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 information on file for child #1 lacks the enrolling parents work address and work phone. The emergency contact information on file for children #2 and 9 lack the enrolling parents work address.
Corrected Corrected by Apr 7, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.
The PAL 1 and 2 Rooms both lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.
Corrected Corrected by Apr 7, 2022
Category: transportation. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The fee agreement and emergency contact information for children #5, 7, 8 and 9 lack a review/update in writing within the past six months.
Corrected Corrected by Apr 7, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The toddler room lacked a hands free can for disposable diapers.
Corrected Corrected by Apr 6, 2022
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The files for staff persons #2, 3, and 4 were observed not to contain documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). There are now current health assessments on file. There was more than 24 months between the previous and most current and updated health assessments on file for staff #8.
Corrected Corrected by Apr 4, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · 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.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 files for staff persons #2 and 3 were observed not to contain documentation of a TB test being completed within 12 months prior to date of hire (See LIS CODE SHEET). There are now current TB tests on file.
Corrected Corrected by Apr 4, 2022
Category: health medication. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
The facility file lacked documentation that an emergency plan drill has been conducted within the past year.
Corrected Corrected by Mar 31, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.
The hypothetical location of fire drills were the same for consecutive drills conducted on 1/26/22 and 2/18/22.
Corrected Corrected by Apr 12, 2022
Category: recordkeeping. 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 #1 lacks 6 of the 12 required annual hours of child care training. The file for staff #5 lacks 2 of the 12 required annual hours of child care training. The file for staff #8 lacks 8 of the required annual hours of child care training.
Corrected Corrected by Mar 25, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The files for children #4 and 7, both who have been enrolled for longer than 90 days, lack an initial health assessment within 90 days following the first day of attendance at the facility (suspended regulations allowing 90 days.) There is no health assessment on file for child #4. There is now a current health assessment on file for child #7.
Corrected Corrected by Apr 7, 2022
Category: health medication. Marked corrected in the state record.