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.

During the inspection on 9/17/25 seven cots in the Front classroom and one crib in the Infant/Toddler classroom did not have at least 2 feet of space on three sides while in use.

Corrected Corrected by Sep 17, 2025

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

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days.

During the inspection on 9/17/25 the last fire drill observed on file was 2/25.

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Staff person #1 employed as the facility director--- has not completed the following required pre-service training (Directors require minimally PA Required Health and Safety for Centers-Group Child Care Part 1 (or a previously acceptable version of health and safety training), pediatric first aid and CPR, as well as mandated reporter training must be completed prior to caring for children unsupervised).: (Pediatric First Aid & CPR training).

Corrected Corrected by Jul 1, 2025

Category: supervision. 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.

During the electronic inspection on 6/16/25 the file record for staff person #3 did not include emergency plan training.

Corrected Corrected by Jun 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- 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. Facility Person #1--- may not work in a child care position at the facility.

During the electronic inspection on 6/16/25 the file record for staff person #3 did not include a complete state police clearance and did not include a complete DHS FBI clearance (rap sheet was missing).

Corrected Corrected by Jun 18, 2025

Category: supervision. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

During the electronic inspection on 6/16/2025 the file records for staff person #3 did not include verification of child care experience training prior to service at the facility.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Ongoing non-compliance- During the inspection on 5/12/25 staff person #1 admitted that the facility does not have a director that is present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Jun 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). IF USING TIERED LIS: 1.The required staff:child ratios must be maintained at all times. Due by 5/12/25 2.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. Due by 8/12/25 3.Provider will obtain referred training for all staff regarding Supervision: Staff:Child Ratios due by 8/12/25

Ongoing non-compliance- During the inspection on 5/12/25 staff persons #1 and 2 were observed with 9 children, the youngest child was an infant.

Corrected Corrected by Aug 12, 2025

Category: supervision. Marked corrected in the state record.

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

During the inspection on 5/12/2025 child #1(infant) was observed sleeping in an apparatus (bouncer/rocker type chair).

Corrected Corrected by May 12, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Ongoing non-compliance- During the inspection on 4/23/25 staff person #1 admitted that the facility does not have a director that is present at the facility site a minimum of 30 hours per week.

Corrected Corrected by May 23, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 4/23/25 staff persons #1 and 2 was observed with 14 children the youngest child was an infant in the front classroom. Staff person was in the side room with 5 children the youngest child was an infant.

Corrected Corrected by Apr 23, 2025

Category: ratio. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the inspection on 4/23/25 staff person #1 was observed conducting a diaper series and did not clean the surfaces after each child.

Corrected Corrected by Apr 23, 2025

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

3270.166(5) · An infant 6 months of age or younger shall be held while being bottle fed.

During the inspection on 4/23/25 child #1 was observed being fed a bottle while sitting in a bouncy apparatus/bouncy chair.

Corrected Corrected by May 13, 2025

Marked corrected in the state record.

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

During the inspection 4/23/25 front classroom was over capacity. The capacity for the front classroom is 10 and the classroom was observed having 14 children. The side room was over capacity. The capacity for side room is 3, the classroom was observed having 5 children.

Corrected Corrected by Apr 23, 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: Facility Person #3 -- 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. Facility Person #e--- may not work in a child care position at the facility.

During the inspection on 3/13/25 the file record for staff person #3 did not include a state police clearance and included a child abuse clearance for volunteer purposes.

Corrected Corrected by Mar 13, 2025

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

During the inspection on 3/13/25 staff person #4 admitted that the facility does not have a director that is present at the facility site a minimum of 30 hours per week.

Corrected Corrected by Apr 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.62(c) · Outdoor or indoor play space shall be safe for large muscle activity.

During the inspection on 3/13/25 the outdoor play space was observed having trash and debris in the area.

Corrected Corrected by Mar 13, 2025

Category: physical safety. 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.

During the inspection on 3/13/2025 toxics (air freshener, diaper creams, air scents and other cleaning products that state "keep out of reach of children") were observed accessible to children in the bathroom and in the Infant/Toddler classroom.

Corrected Corrected by Mar 13, 2025

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

3270.107 · 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 inspection on 3/13/25 the refrigerator in the Infant/Toddler classroom did not have a thermometer.

Corrected Corrected by Mar 13, 2025

Category: nutrition. 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).

During the inspection on 3/13/25 the file records for child #1,2 and 3 did not include the Department's approved form to provide information to the family about the child's growth and development (observation) in the context of the services being provided.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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.

During the inspection on 3/13/25 the file for staff person #1 did not include a current health assessment.

Corrected Corrected by Apr 13, 2025

Category: ratio. Marked corrected in the state record.

3270.31(h) · All staff persons shall complete the professional development under subsection (f).

During the inspection on 3/13/2025 the file record for staff person #1 did not include the required updated health and safety training.

Corrected Corrected by Mar 27, 2025

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.

During the inspection on 3/13/2025 the facility did not have the facility's current certificate of compliance posted and the operator did not 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.

Corrected Corrected by Mar 13, 2025

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.

During the inspection 3/13/25 the file record for staff persons # 1 and 2 did not include annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During the inspection on 4/4/24 the hot water temperature measured 124° F.

Corrected Corrected by Apr 5, 2024

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

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

Staff person #4-- was observed to be caring for children unsupervised. Staff person #4-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (3/10/2024).

Corrected Corrected by Apr 19, 2024

Category: supervision. 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.

During the inspection on 4/4/2024 the file records for staff person #4,5, and 6 did not include emergency plan training.

Corrected Corrected by Apr 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 -- 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. Facility Person #2 and 5--- may not work in a child care position at the facility.

During the inspection on 4/4/2024 the files record for staff person #2 included an expired FBI clearance that expired (dated: 3/29/2019). The file record for staff person #5 did not include a NSOR clearance. Facility Person #2 and 5--- may not work in a child care position at the facility.

Corrected Corrected by May 4, 2024

Category: background checks. 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.

During the inspection on 4/4/2024 the file record for staff #2 did not include a written evaluation.

Corrected Corrected by Apr 18, 2024

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.

During the inspection on 4/4/2024 electrical outlets were observed not having protective receptacle covers inside of them.

Corrected Corrected by Apr 4, 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.

During the inspection on 4/4/2024 the entry areas of the Two's classroom was observed having cracked tiles. This poses a threat to the safety of the children.

Corrected Corrected by Apr 14, 2024

Category: physical safety. 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.

During the inspection on 4/4/2024 the file records for child #2 and 3 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Apr 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

During the inspection on 4/4/2024 the facility did not have emergency contact information present in a child care space for all of the children receiving care in the space.

Corrected Corrected by Apr 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

During the inspection on 4/4/2024 the file record for child #1 included an initial health assessment that was not dated.

Corrected Corrected by May 4, 2024

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

3270.131(b)(1)/3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During the inspection on 4/4/2024 the file records for child #2 and 3 did not include an updated health assessment.

Corrected Corrected by May 4, 2024

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the inspection on 4/4/2024 staff person#2 was observed giving 6 children in the preschool classroom snack and did not have children wash their hands before eating.

Corrected Corrected by Apr 4, 2024

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.

During the inspection on 4/4/2024 the file record for staff person #3 included a health assessment that was not dated. The file record for staff person #5 included a health assessment that was not acceptable (the health assessments did not include suitability of working in a child care facility and if the staff person had any communicable diseases). The file record for staff person #6 did not include an updated health assessment (the health assessment observed was dated :11/13/2015).

Corrected Corrected by May 4, 2024

Category: ratio. 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.

During the inspection 4/4/2024 the file record for staff person # 1, and 2 did not include annual minimum of 12 clock hours of child care training.

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During Renewal Inspection on April 20, 2023, the facility did not have a written policy on Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment, and did not have a Continuity of Operations plan included with their emergency plan.

Corrected Corrected by Jun 9, 2023

Category: ratio. 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.

During Renewal Inspection on April 20, 2023, the liability insurance policy on file at the facility was expired as of 12-6-22.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

During Renewal Inspection on April 20, 2023, the facility emergency plan did not include documentation that the emergency plan has been reviewed and updated at least annually.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. 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.

During Renewal Inspection on April 20, 2023, Certification Representative observed chipped paint on the yellow wall of the toddler room and on the window sill of the Pre-k 2 room.

Corrected Corrected by Jun 9, 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.

During Renewal Inspection on April 20, 2023, Certification Representative observed rubber mulch in the outdoor play space with toddlers present.

Corrected Corrected by Jun 9, 2023

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

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During Renewal Inspection on April 20, 2023, the record of child #4 did not contain a health assessment completed within 12 months of previous health assessment (dated 3-24-22).

Corrected Corrected by Jun 9, 2023

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

3270.192(2)(iv) · 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.

During Renewal Inspection on April 20, 2023, the record of staff #1 did not contain documentation of education.

Corrected Corrected by Jun 9, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · 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 accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

During Renewal Inspection on April 20, 2023, the emergency plan parent letter did not include lockdown provisions, and the facility emergency plan did not specify accommodations for children with chronic medical conditions.

Corrected Corrected by Jun 9, 2023

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

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During Renewal Inspection on April 20, 2023, the facility emergency plan was not submitted to the correct local municipality and the county emergency management agency.

Corrected Corrected by Jun 9, 2023

Category: physical safety. 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.

During Renewal Inspection on April 20, 2023, the records of children #1, #2 and #3 did not contain a health assessment (records of children #1 and #2 contained immunization records only).

Corrected Corrected by Jun 9, 2023

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

3270.31(e)(1)(ii) · Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, THE RECORDS OF STAFF #1 AND #2 DID NOT CONTAIN 12 CLOCK HOURS OF CHILDCARE TRAINING.

Corrected Corrected by Jul 1, 2022

Category: recordkeeping. 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.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPED PAINT IN THE YOUNG TODDLER, OLDER TODDLER, YOUNG PRESCHOOL AND OLDER PRESCHOOL ROOMS.

Corrected Corrected by Jul 5, 2022

Category: physical safety. 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).

DURING RENEWAL INSPECTION ON JUNE 16, 2022, THE RECORDS OF CHILDREN #1-5 DID NOT CONTAIN CHILD SERVICE REPORT FORMS.

Corrected Corrected by Jul 5, 2022

Category: recordkeeping. 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.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, THE AGREEMENTS ON FILE FOR CHILDREN #1-5 WERE ORIGINAL AGREEMENTS.

Corrected Corrected by Jun 20, 2022

Category: recordkeeping. 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.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, PROVIDER DID NOT HAVE AN ANNUAL EMERGENCY DRILL DOCUMENTED AND ON FILE AT THE FACILITY.

Corrected Corrected by Jun 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(5) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, THE EVACUATION ROUTES WERE NOT POSTED IN A CONSPICUOUS LOCATION AT THE FACILITY.

Corrected Corrected by Jun 20, 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.

DURING RENEWAL INSPECTION ON JUNE 16, 2022, THE RECORD OF CHILD #2 DID NOT INCLUDE AN INITIAL HEALTH REPORT (IMMUNIZATION RECORD ONLY).

Corrected Corrected by Jul 21, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, THE RECORD OF STAFF #1 (REHIRED FEB 2022) CONTAINED AN INCOMPLETE DHS FBI CLEARANCE (COVER PAGE AND SOME RAP SHEET PAGES MISSING).

Corrected Corrected by Mar 25, 2022

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

3270.52/3270.113(a) · 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). Children must be supervised at all times.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, CERTIFICATION REPRESENTATIVE OBSERED STAFF #2 ALONE IN THE INFANT ROOM WITH 5 TOTAL CHILDREN (1 INFANT AND 4 YOUNG TODDLERS) AT APPROXIMATELY 11:50 AM. CERTIFICATION REPRESENTATIVE OBSERVED STAFF COME IN AND OUT OF CHILDCARE SPACES ON NUMEROUS OCCASIONS, LEAVING ONE STAFF WITH UP TO 17 TOTAL CHILDREN AT TIMES - OBSERVED STAFF #3 ALONE WITH 16 CHILDREN (YOUNG TODDLERS THROUGH PS) AT 1:10 PM. CERTIFICATION REPRESENTATIVE OBSERVED AN OLDER TODDLER MALE CHILD WALK FROM THE MAIN SPACE INTO THE FRONT ROOM UNATTENDED AND UNSUPERVISED FROM 1:11 PM UNTIL 1:13 PM. CONTINUED NON-COMPLIANCE.

Corrected Corrected by Mar 7, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The 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. 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. Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, CERTIFICATION REPRESENTATIVE OBSERED STAFF #2 ALONE IN THE INFANT ROOM WITH 5 TOTAL CHILDREN (1 INFANT AND 4 YOUNG TODDLERS) AT APPROXIMATELY 11:50 AM. CERTIFICATION REPRESENTATIVE OBSERVED STAFF COME IN AND OUT OF CHILDCARE SPACES ON NUMEROUS OCCASIONS, LEAVING ONE STAFF WITH UP TO 17 TOTAL CHILDREN AT TIMES - OBSERVED STAFF #3 ALONE WITH 16 CHILDREN (YOUNG TODDLERS THROUGH PS) AT 1:10 PM. CERTIFICATION REPRESENTATIVE OBSERVED AN OLDER TODDLER MALE CHILD WALK FROM THE MAIN SPACE INTO THE FRONT ROOM UNATTENDED AND UNSUPERVISED FROM 1:11 PM UNTIL 1:13 PM. CONTINUED NON-COMPLIANCE.

Corrected Corrected by Jun 3, 2022

Category: supervision. Marked corrected in the state record.

3270.52/3270.113(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. 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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, CERTIFICATION REPRESENTATIVE OBSERED STAFF #2 ALONE IN THE INFANT ROOM WITH 5 TOTAL CHILDREN (1 INFANT AND 4 YOUNG TODDLERS) AT APPROXIMATELY 11:50 AM. CERTIFICATION REPRESENTATIVE OBSERVED STAFF COME IN AND OUT OF CHILDCARE SPACES ON NUMEROUS OCCASIONS, LEAVING ONE STAFF WITH UP TO 17 TOTAL CHILDREN AT TIMES - OBSERVED STAFF #3 ALONE WITH 16 CHILDREN (YOUNG TODDLERS THROUGH PS) AT 1:10 PM. CERTIFICATION REPRESENTATIVE OBSERVED AN OLDER TODDLER MALE CHILD WALK FROM THE MAIN SPACE INTO THE FRONT ROOM UNATTENDED AND UNSUPERVISED FROM 1:11 PM UNTIL 1:13 PM. CONTINUED NON-COMPLIANCE.

Corrected Corrected by May 3, 2022

Category: supervision. Marked corrected in the state record.

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

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, THE WATER TEMPERATURE MEASURED AT 136.8° F. CONTINUED NON-COMPLIANCE.

Corrected Corrected by Mar 4, 2022

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, THE RECORD OF STAFF #1 DID NOT CONTAIN A HEALTH ASSESSMENT CONDUCTED WITHIN 24 MONTHS OF PREVIOUS HEALTH ASSESSMENT (DATED 10-3-19).

Corrected Corrected by Mar 25, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

DURING UNANNOUNCED INSPECTION ON MARCH 3, 2022, PROVIDER DID NOT PRODUCE DOCUMENTATION THAT STAFF #4 AND #5 OBTAINED THE REQUIRED HEALTH ASSESSMENT INFORMATION AS REQUIRED AFTER THE RENEWAL INSPECTION ON 1-12-22. CONTINUED NON-COMPLIANCE.

Corrected Corrected by Mar 31, 2022

Category: health medication. 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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE CRIBS IN THE INFANT ROOM AND THE COTS FOR THE TODDLERS AND PRESCHOOLERS WERE NOT LABELED FOR THE USE OF A SPECIFIC CHILD.

Corrected Corrected by Jan 13, 2022

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE RECORD OF STAFF #3 (HIRED 9-2021) DID NOT CONTAIN A PA STATE POLICE CLEARANCE AS REQUIRED UNDER THE CPSL. STAFF #3 WAS OBSERVED WORKING ALONE WITH 9 CHILDREN.

Corrected Corrected by Jan 17, 2022

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

3270.36(b)(5)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE RECORD OF STAFF #3 (AGS PER STAFF WORKSHEETS) DID NOT CONTAIN DOCUMENTATION OF AT LEAST 2 YEARS EXPERIENCE TO QUALIFY THEM FOR THE POSITION IN WHICH THEY WERE PERFORMING.

Corrected Corrected by Jan 17, 2022

Category: supervision. Marked corrected in the state record.

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

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 WITH 6 CHILDREN (2 YOUNG TODDLERS, 3 OLDER TODDLERS AND 1 PRESCHOOL CHILD). CERT REP OBSERVED STAFF #1 LEAVE STAFF #3 ALONE WITH 12 CHILDREN (YOUNG TODDLER THROUGH PRESCHOOL AGED) FROM 12:17 UNTIL 12:23).

Corrected Corrected by Jan 17, 2022

Category: ratio. Marked corrected in the state record.

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

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE WATER TEMPERATURE MEASURED AT 123° F.

Corrected Corrected by Jan 15, 2022

Category: physical safety. 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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED 9 OUT 12 LIGHTBULBS IN NEED OF REPAIR/REPLACEMENT IN THE LUNCH ROOM NEAR BATHROOM, AND 13 OUT OF 16 LIGHTS OUT IN THE MIDDLE ROOM, AND AIR VENTS IN THE FRONT ROOM IN NEED OF CLEANING.

Corrected Corrected by Jan 15, 2022

Category: physical safety. 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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED A DIAPER CHANGE ON A CHANGING TABLE IN THE INFANT ROOM THAT DOES NOT HAVE A SOURCE OF RUNNING WATER FOR HANDWASHING PRESENT.

Corrected Corrected by Jan 29, 2022

Category: health medication. 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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REP OBSERVED CRIBS IN USE IN THE INFANT ROOM THAT DID NOT HAVE 2 FEET OF SPACE ON 3 SIDES.

Corrected Corrected by Jan 12, 2022

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

3270.112/3270.113(e) · Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED 2 YOUNG TODDLERS WITH LITTLE STIMULATION - ONE YOUNG TODDLER WAS PLACED IN THE HIGHCHAIR FROM 12:11 UNTIL 12:30 PM, AND ANOTHER YOUNG TODDLER PLACED IN THE HIGHCHAIR FROM 12:41 UNTIL 1:02.

Corrected Corrected by Jan 13, 2022

Category: recordkeeping. 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 RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED 2 CHILDREN IN THE OFFICE SPACE UNSUPERVISED AT 10:52 AM.

Corrected Corrected by Jan 19, 2022

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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE AGREEMENTS ON FILE FOR CHILDREN 1-5 WERE THE ORIGINAL AGREEMENTS.

Corrected Corrected by Jan 12, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.135(b)/3270.135(d) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Cloth and paper materials used as diapering aids shall be stored in a manner that prevents cross-contamination from a soiled diaper, contaminated hands or other changing materials.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 CHANGE A CHILD'S DIAPER ON A CLOTH SURFACE IN THE BATHROOM, WITHOUT WIPING OR SANITIZING IN BETWEEN.

Corrected Corrected by Jan 13, 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.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE RECORD OF STAFF #1 DID NOT CONTAIN A CURRENT HEALTH ASSESSMENT.

Corrected Corrected by Jan 17, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(4)/3270.151(c)(5) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE HEALTH ASSESSMENTS OF STAFF #2 AND #4 DID NOT INCLUDE INFORMATION ON MEDICAL PROBLEMS THAT MIGHT THREATEN THE HEALTH OF CHILDREN OR THE PHYSICIAN'S ASSESSMENT OF THE PERSON'S SUITABILITY TO PROVIDE CHILDCARE.

Corrected Corrected by Feb 28, 2022

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

DURING RENEWAL INSPECTION ON JANUARY 12, 2022, THE RECORD OF STAFF #1 DID NOT INCLUDE TWO WRITTEN, NONFAMILY REFERENCES FROM INDIVIDUALS ATTESTING TO THE PERSON'S SUITABILITY TO SERVE AS A FACILITY PERSON.

Corrected Corrected by Jan 17, 2022

Category: recordkeeping. Marked corrected in the state record.