3280.14 · 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.

Facility Emergency Plan on file did not contain a plan for continuity of operations in the event an emergency has occurred.

Corrected Corrected by Jul 4, 2025

Category: ratio. Marked corrected in the state record.

3280.31(e)(4)(i)/3280.31(f) · Competence is the completion of training by a professional in the field of first-aid and 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff #4 has until 7/16/25 to complete Pediatric CPR/First Aide. Until the training is completed, staff #4 must be supervised by a qualified staff when around children.

Staff #4 did not have Pediatric CPR/First Aide on file. Staff #4 must be supervised by a qualified staff around children until Pediatric CPR/First Aide/CPR is completed.

Corrected Corrected by Jun 23, 2025

Category: supervision. Marked corrected in the state record.

3280.32(a)/3280.192(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 #1 had mandated reporter training completed on 5/17/20 and updated 6/26/25, which is greater than 60 months. Staff #2 had a state police clearance dated 6/9/25, which was not completed within 45 days of hire. In addition, staff #2 did not have a complete disclosure statement on file at the time of inspection. Disclosure statement has been completed. Staff #3 did not have a complete disclosure statement on file at the time of inspection. Disclosure statement for staff #3 is now completed and on file.

Corrected Corrected by Jul 3, 2025

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

In the back room, 3 bottles of Isopropyl Alcohol were observed within reach of school age children in care in the same room. Corrected on site by moving the bottles. In the women's bathroom used by children, an unsecure cabinet under the sink was observed to contain Febreeze, Scrubbing Bubbles, Clorox Bleach, and glass cleaner, all of which contained a label that read "keep out of reach of children". During a follow up visit on 8/20/25, toxics listed above were observed to be inaccessible, however, a pack of Pathos II Sanitation Wipes were observed to be located in the childcare space accessible to children.

Corrected Corrected by Sep 22, 2025

Category: ratio. Marked corrected in the state record.

3280.75(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.

Soap was observed to be missing from the First Aide Kit.

Corrected Corrected by Sep 23, 2025

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

3280.76 · 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 women's bathroom, floor molding was observed to be peeling off of the wall and laying on the ground.

Corrected Corrected by Jul 3, 2025

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the women's bathroom, paint was observed to be peeling around the floor trim that had peeled off.

Corrected Corrected by Sep 23, 2025

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

3280.124(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.

Children were observed to be in care in the backroom, however, there were no Emergency contact forms present in the room with children in care.

Corrected Corrected by Jul 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

In the backroom, a transportation plan was observed to be missing in the child care space.

Corrected Corrected by Jul 3, 2025

Category: transportation. Marked corrected in the state record.

3280.151(a)/3280.192(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.

Staff #4 did not have a health assessment on file.

Corrected Corrected by Jun 23, 2025

Category: ratio. Marked corrected in the state record.

3280.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff #4 did not have a TB screening on file.

Corrected Corrected by Jun 23, 2025

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

3280.26(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.

Facility Emergency Plan on file did not contain accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jul 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of inspection, there was no record of an emergency drill completed within the past 12 months. Emergency drill was completed on 6/25/25.

Corrected Corrected by Jul 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Fire detection testing was documented as completed on 1/3/25 and again on 2/3/25, 4/1/25 and again on 5/6/25, and did not contain a testing date for June. All dates listed above were not completed within 30 days. During a follow up visit on 8/20/25, fire detection testing had not been documented as completed since 5/6/25

Corrected Corrected by Sep 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #2 did not have health and safety training on file at the time of inspection. Health and safety training was completed on 6/24/25, which was not done within 90 days of hire. Staff #4 did not have completed health and safety training on file. The 1 hour update was on file but the additional training was not on file.

Corrected Corrected by Jul 3, 2025

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

3280.113(a)/3280.113(a)(1) · 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 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.

A child eloped from the facility and was unsupervised for approximately 10 minutes.

Corrected Corrected by Oct 27, 2025

Category: supervision. Marked corrected in the state record.

3280.182(1) · A child's record must contain initial and subsequent health reports.

Child #4 did not have a completed health assessment on file.

Corrected Corrected by Jun 5, 2024

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

3280.32(a)/3280.192(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 be on facility premises 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 be on the facility premises until clearance is obtained and on file.

Staff #1 did not have a completed NSOR on file. Staff #1 may not be on facility premises until clearance is obtained and on file. .

Corrected Corrected by Jun 1, 2024

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

3280.102(e)/3280.103 · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

In a mixed age group of Older Toddlers and Preschool aged children, children were observed playing with water beads. A young Toddler was observed to grab a handful of water beads.

Corrected Corrected by Jun 5, 2024

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

3280.103/3280.108(a) · 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. Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Two small blue couches were observed to be ripped and in disrepair with exposed foam accessible to children in care.

Corrected Corrected by Jun 5, 2024

Marked corrected in the state record.

3280.113(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.

4 staff and 13 children were observed in care. Staff did not have children assigned to them in a specific group when asked to identify their group.

Corrected Corrected by Jun 5, 2024

Category: supervision. Marked corrected in the state record.

3280.124(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.

Emergency contact form for child #1, #2, #3, #4 and #5 was missing a complete address for the persons to whom the child can be released.

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Fire detection testing was observed to be completed greater than 30 days on the following occasion: 4/17/24-5/22/24

Corrected Corrected by Jun 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Record for Child #1 did not contain the address of the child's primary source of medical care.

Corrected Corrected by Jul 31, 2023

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

3280.14 · 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.

Record for Staff #4 was observed to not contain documentation of completion of the 1 hour health and safety training update required by federal law.

Corrected Corrected by Jul 31, 2023

Category: ratio. Marked corrected in the state record.

3280.26(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.

Record for Staff #2 did not contain evidence of emergency plan training at time of hire (03/13/2023) but instead 05/19/2023, corrected by time of inspection.

Corrected Corrected by Jul 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

Record for staff #1 was observed to not contain documentation of 12 hours of annual training (8.5)

Corrected Corrected by Aug 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3 and #5 may not work in a child care position at the facility.

Staff #3 was hired 02/27/2023, but did not send for the NSOR until 05/24/2023, and did not have the result on file at time of inspection on 06/26/2023. Staff #5 record did not contain documentation of NSOR being requested at time of hire. Staff #5 had a signed disclosure statement, but it was undated.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Fee agreement for Child #1 did not specify release persons as required.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Record (fee agreement) of Child #1 did not contain the date of admission.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Records for Children #1 and #3 did not contain the enrolling parent's work address. Records for Children #1 and #2 did not contain the enrolling parent's work phone number.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Record for Child #1 did not contain documentation of the health insurance policy number.

Corrected Corrected by Jul 31, 2023

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

3280.124(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.

Record for Child #1 did not contain documentation of the authorized release person's address.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Records for Children #1, #2 and #3 were observed to lack documentation of current influenza vaccinations or written parental exemption. Child #3 shot record was observed to be behind schedule according the ACIP schedule.

Corrected Corrected by Jul 31, 2023

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

3280.151(a)/3280.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff #3 was hired on 02/27/2023 but did not have a health assessment on file until 05/04/2023, and the TB test was read 05/04/2023. This is corrected, but in violation at time of inspection. Staff #4 health assessment was observed to be expired at time of inspection on 06/26/2023 with a health assessment scheduled for 07/27/2023.

Corrected Corrected by Jul 27, 2023

Category: ratio. Marked corrected in the state record.

3280.192(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.

Record for Staff #5 contained only one reference of the two required.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(a) · 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.

Record for Child #3 was observed to contain a vaccination record but no initial health assessment, with an enrollment date of 03/01/2023.

Corrected Corrected by Jul 31, 2023

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

3280.66(a) · 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 kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

A tube of diaper cream (desitin) was located in plain view on the floor in a bag accessible to children.

Corrected Corrected by Jul 21, 2022

Category: ratio. Marked corrected in the state record.

3280.115(b)(1) · Staff persons shall supervise children in care using wading pools. Staff: child ratios in subsection (a) apply when children are wading.

At time of inspection, facility children were observed outside wading with the ratio of 4:16 with a young toddler, older toddlers and multiple preschoolers present. No arrangement of primary care groups allowed that count to meet swimming ratios. Children were well supervised.

Corrected Corrected by Jul 20, 2022

Category: supervision. Marked corrected in the state record.

3280.95(a) · 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 operator did not maintain the receipt for the fire alarm system

Corrected Corrected by Jun 16, 2022

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

3280.14 · 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.

The facility did not have a shaken baby/abusive head trauma policy posted.

Corrected Corrected by Jun 8, 2022

Category: ratio. Marked corrected in the state record.

3280.17 · The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The operator did not have a copy of the current general liability insurance policy on file.

Corrected Corrected by Jun 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.106 · 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.

The facility did not have operable thermometers in the refrigerators.

Corrected Corrected by Jun 27, 2022

Category: nutrition. Marked corrected in the state record.

3280.131(b)(1)/3280.131(d)(5) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Children's files were reviewed, child #3 did not have a current health assessment including immunizations on file.

Corrected Corrected by Jun 16, 2022

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

3280.131(b)(2)/3280.131(d)(5) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Children's files were reviewed, children #1 and #2 did not have have updated health assessment including immunizations on file.

Corrected Corrected by Jun 16, 2022

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

3280.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff files were reviewed, staff person #did not complete the mandated pre-service training within the mandated 90 days.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Staff files were reviewed, staff person #2 does not have an initial health assessment including a TB test by the Mantoux method and the results on file.

Corrected Corrected by Aug 10, 2022

Category: ratio. Marked corrected in the state record.

3280.151(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.

Staff files were reviewed, staff person #2 did not have an updated health assessment on file.

Corrected Corrected by Aug 10, 2022

Category: ratio. Marked corrected in the state record.

3280.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Children's files were reviewed, child #1 did not have an updated emergency contact/parental consent or an updated financial agreement on file.

Corrected Corrected by Jun 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.192(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

Staff files were reviewed, staff person #1 did not have 2 non-family written references on file.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.26(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 emergency plan for the facility did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jun 22, 2022

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

3280.95(a) · 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 operator did not test the fire system every 30 days.

Corrected Corrected by Jun 21, 2022

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

3280.131(a) · 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.

Children's files were reviewed, child #4 did not have an initial health assessment on file.

Corrected Corrected by Jun 9, 2022

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