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

During a complaint investigation visit on 7/31/25 certification rep observed a total of 20 children in the dragon fly classroom unclothed, Staff #1 and #2 did not provide a private system for changing the children's clothes that is appropriate and allows for privacy.

3270.21 · Corrected Aug 4, 2025

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.

During the renewal inspection certification rep observed chip paint on the right and left side of the preschool room walls; holes on the wall were observed in the right side of the room. Chip paint was observed in left wall of the older toddler A classroom. Chip paint was observed in the left wall of the infant classroom.

3270.76 · Corrected Dec 2, 2024

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.

Certification rep reviewed staff #1 record and observed health assessment did not include tuberculosis screening by the Mantoux method at initial employment.

3270.151(c)(2) · Corrected Dec 10, 2024

A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection certification rep read thermometer in the infant room at 60 F at the time of inspection.

3270.107 · Corrected Dec 2, 2024

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).

Certification rep observed Staff #2 was not in the classroom with her group of children leaving staff #1 out of ratio working alone with a total of 12 children exceeding the maximum group size for young toddlers in a mixed age group, the youngest child in age was 1 years old. Certification rep observed staff #3 working alone with a total of 9 children the youngest child was 2.5 years of age.

3270.52 · Corrected Oct 30, 2024

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

During the renewal inspection certification rep did not observe the telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

3270.74 · Corrected Nov 16, 2023

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.

During the renewal inspection certification rep observed chip paint in the older toddler classroom left side of the wall.

3270.76 · Corrected Nov 20, 2023

A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Certification rep reviewed Staff #1 record and observed High School Diploma was not in record.

3270.192(2)(iv) · Corrected Nov 17, 2023

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

Certification rep reviewed child #1 record and observed date of last Influenza vaccine on record was 10/24/2020.

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). Two staff has to be present with the group of 5 ranging in age from infants to young toddlers.

At the time of the complaint investigation observed 3 young toddlers and 2 infants with staff #1 in Infant room.

3270.52 · Corrected Aug 4, 2023

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.

At the time of unannounced monitoring inspection on 8/4/23 observed two children in Preschool room playing with blocks on the top of 19 stackable cots while staff person #1 was behind a divider with her back to children and was not able to see, direct, and assess children, who climbed the cots.

3270.113(a) · Corrected Aug 4, 2023

The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment. The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

At the time of the complaint investigation, provider did not notify Southeast Regional Bureau of Certification within 24 hours about child #1, who was in care at the facility and received emergency room treatment. Written report was not sent to Southeast Regional Bureau of Certification within 72 hours after emergency room treatment.

3270.20(a)(1)/3270.20(b) · Corrected Jun 30, 2023

A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records. An individual record is required for each facility person.

At the time of unannounced monitoring inspection, there were no designated person to provide immediate access to children and staff files. Upon request, files of staff person #1, #2, and #3 were not provided.

3270.24(a)/3270.191 · Corrected Jun 30, 2023

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.

At the time of unannounced monitoring inspection, file of staff person #4 did not include verification that staff person #4 received emergency plan training.

3270.27(c) · Corrected Jun 30, 2023

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #4 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #4 and #5 must be removed from child care position by close of business. PA child abuse clearance must be obtained before staff person #4 may resume a child care position. Complete PA State police clearance must be obtained before staff person #5 may resume a child care position.