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Home › PA › Cambridge Springs › Apples Of Gold Child Care
634 Venango Ave, Cambridge Springs PA 16403 · License #CER-00247621 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.72(c) · Screens shall be in good repair.
In Room 1, a window used for ventilation was observed with a hole in the screen and was not in good repair.
Corrected Corrected by Mar 27, 2026
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. Until such time as the required trainings are completed, Staff #1 and Staff #2 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1 and Staff #2, Staff #1 and Staff #2 may not work in a child-care position at the facility.
Staff #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 9/28/20. Staff #2 was observed to be caring for children unsupervised. Staff #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter Training. Staff #1 was observed to be caring for children unsupervised.
Corrected Corrected by Mar 27, 2026
Category: supervision. Marked corrected in the state record.
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
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, Staff #1 must be supervised, when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #1, Staff #1 may not work in a child-care position at the facility.
Staff #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 9/28/20.
Corrected Corrected by Mar 9, 2026
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). Staff #2 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. Staff #2 may not work in a child care position at the facility.
The file for Staff #2 lacked a Child Abuse clearance.
Corrected Corrected by Mar 24, 2026
Category: background checks. 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 Room 2, outlet covers were missing in the outlet near the computer.
Corrected Corrected by Mar 27, 2026
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 Room 1, an unlocked cabinet contained cleaning products labeled "Keep out of reach of children" were observed in the bathroom and were accessible to children.
Corrected Corrected by Mar 9, 2026
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 on the wall to the right of the diaper changing area gate in Room 1 and under the air conditioner and television in Room 2.
Corrected Corrected by Mar 27, 2026
Category: health medication. Marked corrected in the state record.
3270.102(a)/3270.103 · 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. 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.
Broken magnatiles were observed in Room 2 and were accessible to children who are still placing objects in their mouths.
Corrected Corrected by Mar 17, 2026
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.
Loose plastic garbage bags were observed in an unlocked cabinet under the sink in Room 2 and were accessible to children who are still placing objects in their mouths.
Corrected Corrected by Mar 17, 2026
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 initial health assessment on file for Staff #2 was dated 8/12/24, more than 1 year prior to Staff #2's date of hire (SEE IS CODE SHEET).
Corrected Corrected by Mar 27, 2026
Category: ratio. 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.
The most recent documented fire drill on the facility's fire drill log was dated 10/14/25, more than 60 days prior.
Corrected Corrected by Mar 27, 2026
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.
The most recent documented fire alarm testing was dated 10/14/25, more than 30 days prior.
Corrected Corrected by Mar 27, 2026
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.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.
Corrected Corrected by Nov 6, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the emergency plan required to verify correction. Previously cited on 8/19/25: The facility's emergency plan was not posted in a conspicuous location in the facility.
Corrected Corrected by Nov 6, 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.
SECOND CITATION Staff #2 did not complete the required health and safety training (PA Required Health and Safety for Centers-Group Child Care Part 1 & Part 2) and the correction date listed was 9/15/25. Previously cited on 8/19/25: Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.
Corrected Corrected by Nov 6, 2025
Category: health medication. 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.
Toilet cleaning products labeled 'Keep out of reach of children' were observed in an unlocked cabinet in the bathroom and were accessible to children. Two bottles of Clorox Cleaner + Bleach and Lysol Disinfectant Spray both labeled 'Keep out of reach of children' were observed in an unlocked cabinet under the sink in the Preschool Room and were accessible to children. Clorox Disinfectant Wipes, Lysol Disinfectant Spray, and a bucket of Plaster of Paris all labeled "Keep out of reach of children" were observed in an unlocked office, which was accessible to children.
Corrected Corrected by Nov 6, 2025
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement on file for Child #4 lacked the operator's signature
Corrected Corrected by Nov 6, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The financial agreement form on file for Child #4 lacked a fee amount.
Corrected Corrected by Nov 6, 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).
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The files for Child #2 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.
Corrected Corrected by Nov 6, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3)/3270.182(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.
Corrected Corrected by Nov 6, 2025
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.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact forms on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.
Corrected Corrected by Nov 6, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer minor first aid.
Corrected Corrected by Nov 6, 2025
Category: ratio. 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.
SECOND CITATION During the unannounced correction inspection, Staff #1 stated that they did not complete an emergency drill. Previously cited on 8/19/25: The facility's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.
Corrected Corrected by Nov 6, 2025
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.
SECOND CITATION During the unannounced correction inspection, Staff #1 was unable to locate the child files required to verify correction. Previously cited on 8/19/25: The file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.
Corrected Corrected by Nov 6, 2025
Category: health medication. Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The financial agreement on file for Child #4 lacked the operator's signature.
Corrected Corrected by Sep 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The financial agreement form on file for Child #4 lacked a fee amount.
Corrected Corrected by Sep 15, 2025
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.
The facility's most recent annual review of the emergency plan is dated 7/24/24, more than 12 months prior.
Corrected Corrected by Sep 9, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.
The facility's emergency plan was not posted in a conspicuous location in the facility.
Corrected Corrected by Sep 10, 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. Until such time as the required training has been completed, Staff #2 must be supervised, when interacting with children at a minimum by an Assistant Group Supervisor who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff #2, Staff #2 may not work in a child care position at the facility.
Staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Get Started with Center Based Care or Get Started with Center Based Care -- Revised 2022.
Corrected Corrected by Sep 15, 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). Staff #2 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. Staff #2 may not work in a child care position at the facility.
The two most recent Nation Sex Offender Registry certificates on file for Staff #1 (4/9/20 & 7/29/25) and Staff #3 (11/8/19 & 8/13/25) are dated more than 60 months apart. The most recent National Sex Offender Registry certificate on file for Staff #2 is dated 4/9/20, more than 60 months prior.
Corrected Corrected by Sep 19, 2025
Category: background checks. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(iii) · 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 verification of child care experience, education and training following the outset of service at the facility.
The file for Staff #4, classified as an assistant group supervisor, lacked documentation of a high school diploma or general education development certificate and 2 years of experience with children.
Corrected Corrected by Aug 20, 2025
Category: supervision. 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.
At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.
Corrected Corrected by Aug 19, 2025
Category: ratio. 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 10:00 AM on 8/19/25, Staff #1, responsible for 6 children (2 preschoolers, 3 young school-age, and 1 older school-age), was observed in the hallway, leaving Staff #4 to care for 14 total children between the ages of 3-15 in Room #2. The staff:child ratio for a group of mixed-age children is determined by the youngest child in the group, which would be 1:10.
Corrected Corrected by Aug 19, 2025
Category: ratio. 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 bathroom of Room 1 (Left), a Clorox ToiletWand was observed on the floor to the left of the toilet and was accessible to children. Clorox Disinfectant Wipes, Clorox Disinfectant Spay, Sprayway Glass Cleaner, and a container of Destin Maximum Strength Diaper Cream all labeled "Keep out of reach of children" and were observed accessible to children in the unlocked cabinet in the bathroom near the office. Hand sanitizer was observed in an unlocked cabinet in the hallway and was accessible to children. A closet at the facility's entry area containing various paint cans and cleaning products was observed to be unlocked and accessible to children.
Corrected Corrected by Sep 15, 2025
Category: health medication. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
Unlidded trash cans containing used paper towels were observed in the Men's and Women's restrooms in the Gym.
Corrected Corrected by Aug 19, 2025
Category: physical safety. 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.
The window in the bathroom of Room 1 (Left), used by children and located on the second floor of the building, lacked any form of window restrictions limiting the window opening to six inches or less.
Corrected Corrected by Sep 15, 2025
Category: physical safety. 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 two most recent health assessments on file for Child #3 (Young Toddler) are dated 3/22/24 & 7/30/25, more than 6 months apart.
Corrected Corrected by Sep 15, 2025
Category: health medication. 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.
An exposed bolt was observed at the base of the toilet in Room 1 (Left) and was accessible to children. The fence in the toddler area of the outdoor play space was observed to be detached in the front and back of the space and could cause injury to children.
Corrected Corrected by Sep 15, 2025
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.
A hole with damaged drywall was observed under the windows near the pack and plays in Room 1 (Left). Peeling paint and plaster were observed under the windows and to the right of the television in Room 2 (Right).
Corrected Corrected by Sep 15, 2025
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.
The women's bathroom in the Gym lacked handwashing signs at every toilet and sink.
Corrected Corrected by Sep 15, 2025
Category: health medication. 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.
At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.
Corrected Corrected by Aug 19, 2025
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.
At approximately 10:06 AM, a preschool child was observed exiting Room 2 (Right) and walked down the hallway to the bathroom, without a staff member present. Neither Staff #1 nor Staff #4, who were both in the room at the time, were aware that the child left the room until 10:07 AM.
Corrected Corrected by Aug 19, 2025
Category: supervision. 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 and Child #3 did not contain any child service reports and the child has been enrolled for more than 6 months (SEE IS CODE SHEET). The file for Child #5, who has been enrolled for more than 6 months (SEE IS CODE SHEET), contained a child service report dated 7/25/25 and none prior.
Corrected Corrected by Sep 15, 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 file for Child #2, Child #3, and Child #5 contained the original financial agreement when the parent is to receive the original agreement.
Corrected Corrected by Sep 15, 2025
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 form on file for Child #5 lacked the enrolling parent's work address.
Corrected Corrected by Sep 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3)/3270.182(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to obtain emergency medical care.
Corrected Corrected by Sep 15, 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 on file for Child #5 lacked the child's health insurance or MA policy number.
Corrected Corrected by Sep 15, 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 on file for Child #1, Child #3, and Child #5 lacked complete addresses and phone numbers for all listed release persons.
Corrected Corrected by Sep 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.
The immunization record on file for Child #4 is dated 8/4/25, more than 60 days after Child #4's date of enrollment (SEE IS CODE SHEET).
Corrected Corrected by Sep 15, 2025
Category: health medication. Marked corrected in the state record.
3270.131(e)/3270.131(e)(3) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the 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).
The file for Child #2, enrolled more than 60 days, lacked an immunization record. Child #2 must be dismissed from care by close of business on 8/19/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed exemption letter.
Corrected Corrected by Sep 15, 2025
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.
A box of Equate Children's Cetirizine Hydrochloride Allergy Relief Oral Solution and Parent's Choice Gas Relief Drops were observed in the locked medication bin in Room 1 (Left) lacking the name of the child(ren) whom the medication is intended for.
Corrected Corrected by Sep 15, 2025
Category: health medication. 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.
In Room 1 (Left), the diaper changing area contained a trash can that was not hands-free.
Corrected Corrected by Sep 15, 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 two most recent health assessments on file for Staff #3 are dated 1/25/23 and 6/13/25, more than 24 months apart.
Corrected Corrected by Aug 20, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 current health assessment on file for Staff #4 indicates that the staff person has a communicable/contagious disease, with no additional information given.
Corrected Corrected by Aug 20, 2025
Category: health medication. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The emergency contact form on file for Child #1 and Child #4 lacked the enrolling parent's signature giving the facility written consent to administer minor first aid.
Corrected Corrected by Sep 15, 2025
Category: ratio. 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's most recent annual emergency drill is dated 6/26/24, more than 12 months prior.
Corrected Corrected by Aug 29, 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.
The fire alarm 30-day test log includes test dates 1/3/2025-2/3/2025 and 5/16/25-6/16/25, more than 30 days apart. The most recent fire alarm test date on the facility's test log is dated 7/14/25, more than 30 days prior.
Corrected Corrected by Sep 15, 2025
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 file for Child #2 and Child #4, enrolled more than 60 days, lacked an initial health report (SEE IS CODE SHEET). The file for Child #5 contained an initial health assessment lacking a date, making it invalid.
Corrected Corrected by Sep 15, 2025
Category: health medication. 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.
The outlets in the Gym were missing receptacle covers.
Corrected Corrected by Sep 19, 2024
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 facility lacked Shaken Baby, Child Maltreatment, and Abusive Head Trauma policies.
Corrected Corrected by Sep 19, 2024
Category: ratio. 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 two most recent Emergency Plan trainings for Staff #1 are dated 7/20/23 and 8/2/24, more than 12 months apart. The file for Staff #4 lacked Emergency Plan training within 90 days of hire (SEE IS CODE SHEET).
Corrected Corrected by Sep 19, 2024
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 facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.
Corrected Corrected by Sep 19, 2024
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.
The files for Staff #1 and Staff #4 lacked disclosure statements. The file for Staff #3 lacked a disclosure statement at time of hire (SEE LIS CODE SHEET). The two most recent Mandated Reporter trainings for Staff #2 are dated 5/15/18 and 7/31/23, more than 60 months apart.
Corrected Corrected by Sep 19, 2024
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.
An accessible container of Clorox wipes was observed on the bottom shelf of an unlocked cabinet located in the Toddler bathroom.
Corrected Corrected by Sep 19, 2024
Category: ratio. Marked corrected in the state record.
3270.74 · 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.
The telephone number of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted in the Gym.
Corrected Corrected by Oct 15, 2024
Category: physical safety. 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 Preschool room lacked tweezers.
Corrected Corrected by Sep 19, 2024
Category: health medication. 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 Room 2, a white board on the floor with an exposed screw was observed to be accessible and could be harmful to children.
Corrected Corrected by Sep 19, 2024
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.
The bathrooms in the Gym lacked handwashing signs at every toilet and sink.
Corrected Corrected by Sep 19, 2024
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.
In the cozy corner in Room 2, an unstable and wobbly decorative wood frame was observed and could be hazardous to children.
Corrected Corrected by Sep 19, 2024
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.
In the Room 1 infant space, AA batteries were observed in an unlocked drawer and was accessible to children.
Corrected Corrected by Sep 19, 2024
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.
In Room 1, a crib and a pack and play were observed with less than 2 feet of space on three sides while in use.
Corrected Corrected by Sep 19, 2024
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).
The two most child service reports on file for Child #1 are dated 5/26/23 and 2/26/24, more than 6 months apart. The file for Child #2 lacked a child report and is beyond 6 months from date of enrollment (SEE IS CODE SHEET). The most recent child service report on file for Child #4 is dated 9/12/23, more than 6 months prior.
Corrected Corrected by Sep 19, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The financial agreement forms on file for Child #2 and Child #4 lacked arrival and departure times.
Corrected Corrected by Sep 19, 2024
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 file for Child #2 contained the original financial agreement when the parent is to receive the original agreement.
Corrected Corrected by Sep 19, 2024
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 forms for Child #1 and Child #5 lacked the child's health insurance/MA policy number for the child's health care benefits.
Corrected Corrected by Oct 15, 2024
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 form for Child #1 and Child #2 lacked complete addresses and telephone numbers for all listed release persons.
Corrected Corrected by Oct 15, 2024
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 Gym lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.
Corrected Corrected by Oct 15, 2024
Category: transportation. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.
The most recent health assessment on file for Child #1 (PSA, dated 2/2/23), Child #3 (PSA, dated 7/25/23), and Child #4 (PSA, dated 7/31/23) are more than 12 months prior.
Corrected Corrected by Oct 15, 2024
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(1) · 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.
The immunization record for Child #1 (PSA) lacked the following immunizations: 1 doses of Hepatitis B, 1 dose of Rotavirus, 2 doses of DTAP, 2 doses of Hib, 2 doses of Pneumococcal, 2 doses of Polio, 1 dose of MMR, 1 dose of Varicella, and 2 doses of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #2 (PSA) lacked the following immunizations: 2 doses of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. The immunization record for Child #5 (OT) lacked the following immunizations: 1 dose of Rotavirus and 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1, Child #2, and Child #5 must be dismissed from care by close of business on 8/6/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
Corrected Corrected by Oct 15, 2024
Category: health medication. 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.
In Room 1, the diaper changing area contained a diaper genie that was not hand-free.
Corrected Corrected by Sep 19, 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.
The file for Staff #4 lacked a health assessment at the time of hire (SEE IS CODE SHEET).
Corrected Corrected by Sep 19, 2024
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 file for Staff #4 lacked a tuberculosis test at the time of hire (SEE IS CODE SHEET).
Corrected Corrected by Sep 19, 2024
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
The facility lacked written notification of safe routes posted in a conspicuous location in the child care facility.
Corrected Corrected by Sep 19, 2024
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.
An evacuation route was not posted in the Gym.
Corrected Corrected by Oct 15, 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.
The fire alarm 30-day test log includes test dates 8/9/23-9/20/23, 9/20/23-10/21/23, 5/3/24-6/3/24, and 6/3/24-7/3/24, more than 30 days apart. The most recent documented fire alarm testing was dated 7/3/24, more than 30 days prior.
Corrected Corrected by Oct 15, 2024
Category: recordkeeping. 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.
The provider did not have their current certificate of compliance posted in a conspicuous location used by parents.
Corrected Corrected by Sep 19, 2024
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 Child #2 and Child #5 contained health assessments lacking a date, making them invalid. The file for Child #4 contained an initial health assessment dated 7/31/23, more than 60 days beyond enrollment (SEE IS CODE SHEET).
Corrected Corrected by Oct 15, 2024
Category: health medication. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The facility lacked written notification to local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
Corrected Corrected by Sep 19, 2024
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 interviews with staff, child #1 tripped and fell and hit their mouth in late November or early December of 2023. The child's file and the accident file lack an incident report for all of November and December 2023 for child #1.
Corrected Corrected by Mar 12, 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.
The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii)
Corrected Corrected by Sep 9, 2023
Category: ratio. 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 one-hour health and safety update in the file for Staff Person #4 was dated 8/3/23. This is after the prescribed timeframe of 12/30/22.
Corrected Corrected by Aug 8, 2023
Category: ratio. 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 pediatric First Aid/CPR training in the file for Staff Person #2 was conducted more than 90 days after the staff person's first day working in child care (SEE LIS Code Sheet).
Corrected Corrected by Aug 9, 2023
Category: health medication. 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 #1 will have until 8/25/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS or higher who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10 Hour Health and Safety Training.
Corrected Corrected by Aug 25, 2023
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. Facility Person #5 may not work at the facility.
THE NSOR Certificates in the files for Staff Person #1 and #3 were acquired more than 45 days after the staff persons' first day working in child care (SEE LIS Code Sheet). The file for Staff Person #5, who has been working at the facility for more than 45 days (See LIS Code Sheet) did not include an NSOR Certificate.
Corrected Corrected by Sep 8, 2023
Category: background checks. 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.
Observed cleaning products, which were accessible to children, in an unlocked cabinet under the sink in the Infant/Toddler Room. The childproof lock was not working on the door of the cabinet, which contained cleaning products, in the hallway bathroom.
Corrected Corrected by Aug 8, 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.
Observed peeling drywall in the Infant Room where the baseboard had been removed.
Corrected Corrected by Sep 9, 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.
The sinks and toilets in the gym, the toilet in the Infant/Toddler Room, and one toilet stall in the hallway bathroom lacked handwashing signs.
Corrected Corrected by Sep 9, 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.
Observed in the outdoor play areas: Basketball set was not secured, which creates a potential toppling hazard. Splintering wood on a sliding board, a torn, frayed tire and rust on the metal parts of a tricycle on the Preschool/SA side. A broken wand on the Infant/Toddler side.
Corrected Corrected by Aug 8, 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.
Observed teeth marks in the foam blocks and small math cubes less than one inch in diameter in the Preschool Room, where Older Toddlers also receive care. This presents a potential choking hazard for children who may still be placing objects in their mouths.
Corrected Corrected by Aug 8, 2023
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The daily activity schedule was not posted in the Preschool Room.
Corrected Corrected by Aug 8, 2023
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).
The file for Child #1, who has been enrolled for more than 6 months, did not include a child service report.
Corrected Corrected by Sep 9, 2023
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 forms in the files for Child #3 and #4 did not include the insurance policy number.
Corrected Corrected by Sep 9, 2023
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 form in the file for Child #4 did not include the address for the release persons.
Corrected Corrected by Sep 9, 2023
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.
Emergency contact forms for Child #1, 2, 3 and 4 were not present in the rooms where the children were receiving care.
Corrected Corrected by Sep 9, 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.
Emergency Transportation Plans were not posted in the child care spaces.
Corrected Corrected by Sep 9, 2023
Category: transportation. 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, a Young Toddler, did not contain an updated health report conducted within the past 6 months.
Corrected Corrected by Sep 9, 2023
Category: health medication. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · 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 child's record shall contain initial and subsequent health reports.
The file for Child #2, an Older Toddler, did not contain an updated health report conducted within the past 12 months.
Corrected Corrected by Sep 9, 2023
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 initial health assessment in the file for Staff Person #5 was conducted after the staff person's first day working in child care. The initial health assessment in the file for Staff Person #2 was conducted more than one year prior to the staff person's first day working in child care and is not valid (See LIS Code Sheet).
Corrected Corrected by Sep 9, 2023
Category: ratio. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Pick up and drop off procedures were not posted at the facility.
Corrected Corrected by Sep 9, 2023
Marked corrected in the state record.
3270.181(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.
The emergency contact form and fee agreement in the file for Child #1 have not been updated by the parents in the past 6 months.
Corrected Corrected by Sep 9, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The emergency contact form in the file for Child #4 did not include signed parental consent for emergency medical care for the child and administration of minor first-aid procedures by facility staff
Corrected Corrected by Sep 9, 2023
Category: ratio. Marked corrected in the state record.
3270.182(8) · 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 file for Child #4 did not include a fee agreement.
Corrected Corrected by Sep 9, 2023
Category: recordkeeping. 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 #5 lacked two written reference letters.
Corrected Corrected by Sep 9, 2023
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.
30 day fire system checks were not documented on the Fire Drill/Fire System Check Log.
Corrected Corrected by Sep 9, 2023
Category: recordkeeping. 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.
Information on how to access the regulations electronically for PA Chapter 3270 were not posted at the facility.
Corrected Corrected by Sep 9, 2023
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 file for Child #4, who has been enrolled for more than 60 days, did not include an initial health report.
Corrected Corrected by Sep 9, 2023
Category: health medication. 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.
During the unannounced visit conducted on 04/21/2023 the facility's main hallway was partially obstructed, particularly by a full-size arcade game that was observed to be obstructing hallway traffic, as well an egress to a childcare space.
Corrected Corrected by Jun 16, 2023
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.
Two plastic containers located in areas accessible to children in care in the outside play space were observed to have cracked edges that could cause laceration injuries.
Corrected Corrected by Jun 16, 2023
Category: ratio. 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.
Several marbles were observed in an unsecured cupboard drawer in an area accessible to children who are still placing things in their mouths in the School Age room. Though the room is referred to as the School Age room at the facility, a young toddler was observed receiving care in said room during the inspection.
Corrected Corrected by Oct 14, 2022
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 file for Child #3 contained an emergency contact form that did not include the telephone number of the child's physician.
Corrected Corrected by Oct 14, 2022
Category: health medication. 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 files for Child #1 and #3 contained emergency contact forms that did not include each child's health isnurance policy number.
Corrected Corrected by Oct 14, 2022
Category: health medication. 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.
Several containers of chemicals used to treat aquarium water, each labeled keep out of reach of children, were observed in the cabinet supporting a 4'x12" aquarium located in the facility hallway in an area accessible to children in care.
Corrected Corrected by Oct 14, 2022
Category: physical safety. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
An approximately 5'x18" wooden shelving unit was observed in the facility hallway. Said shelving unit presented a tipping hazard, which could result in blunt force trauma injury. An ethernet cable was observed hanging from the ceiling to the floor in an accessible area in the School age Room. Though said cable appeared to be exiting from the ceiling and entering into the floor, there was enough slack in the cable to present as a strangulation hazard. In both the Toddler and School Age rooms unsecured cupboard drawers in areas accessible to children in care were observed to contain sharply pointed screws.
Corrected Corrected by Oct 5, 2022
Category: health medication. 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 #2, who has been employed in a child care position for more than 90 days, did not contain documentation of the completion of Health and Safety Basics training.
Corrected Corrected by Oct 10, 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 #2 may not work in a child care position at the facility.
The file for Staff #2 contained documentation of a PA State Police Clearance; however, said documentation is not accepted by our department. Although the file for Staff #3 contained documentation of completed PA State Police, DHS Child Abuse and FBI Clearances, as well as a completed National Sex Offender Registry Verification, each of the clearances were processed after Staff #3's first date in a child care position at the facility. The files for Staff #3 and #4 contained disclosure statements that were dated as signed following each staff person's first date in a child care position. The file for Staff #1 did not contain a disclosure statement.
Corrected Corrected by Oct 17, 2022
Category: background checks. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
Although the file for Staff #2 contained documentation of the completion of mandated reporter training that was completed within the past 60 months, the previously documented mandated training was completed more than 60 months prior.
Corrected Corrected by Sep 16, 2022
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.
An unused, unprotected electrical outlet was observed in the facility hallway in an area accessible to children under the age of six.
Corrected Corrected by Oct 14, 2022
Marked corrected in the state record.
3270.76/3270.82(g) · 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.Toilet areas and fixtures shall be cleaned daily and be in good repair.
A toilet in the hallway restroom, which is used by children in care, was observed to have an exposed, upwardly facing bolt at the base where it connects to the floor. Contact with said bolt could cause laceration and/or puncture injuries.
Corrected Corrected by Oct 14, 2022
Category: ratio. 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 file for Child #2 contained an emergency contact form that did not include the addresses of two persons listed as persons to whom the child can be released.
Corrected Corrected by Sep 21, 2022
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.
The emergency contact form was not available in the child care space while Child #2 was present.
Corrected Corrected by Sep 21, 2022
Category: recordkeeping. 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.
Although the file for Staff #1 contained a current health assessment, the previously administered health assessment was completed more than 24 months prior. The file for Staff #3 contained a current health assessment; however, Staff #1's initial health assessment was completed following his first date in a child care position.
Corrected Corrected by Sep 16, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file for Staff #5 contained the results of a tuberculosis screening that were completed after Staff #5's first date in a child care position at the facility.
Corrected Corrected by Sep 14, 2022
Category: health medication. Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Written notification of safe routes was not posted in a conspicuous location at the facility.
Corrected Corrected by Oct 14, 2022
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.
Information regarding the process to access PA 3270 regulations was not available at the facility.
Corrected Corrected by Oct 14, 2022
Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
Written notification of local traffic authorities of the location of the facility and use of pedestrian and vehicular routes was not documented to have been completed in the past 12 months.
Corrected Corrected by Oct 14, 2022
Marked corrected in the state record.
3270.32(a) · **The operator must send clearances to the OCDEL certification representative for review for any new staff hired prior to their first day working in the child care facility for the next 3 months.
**The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.
Corrected Corrected by Jun 30, 2022
Category: supervision. 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 # 1 may not work in a child care position at the facility. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.
*The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.
Corrected Corrected by Mar 18, 2022
Category: supervision. Marked corrected in the state record.
3270.52 · ** The provider will post on each classroom door the required ratios for each age group and the definition of supervision.
**On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.
Corrected Corrected by Jun 18, 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).
*On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.
Corrected Corrected by Jun 18, 2022
Category: ratio. Marked corrected in the state record.
3270.52 · ****The legal entity will require all child care staff to complete professional development on the topic of supervision and ratio. The training or trainings must be a minimum of 3 hours and must be approved by OCDEL certification staff prior to completion. On-line or in person training will be accepted. The training certificates must be submitted to certification staff for verification.
****On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.
Corrected Corrected by Jun 18, 2022
Category: supervision. Marked corrected in the state record.
3270.52 · *** For the next 3 months each facility staff person will sign-off weekly that they have read the ratio requirements and supervision definition. The attestations will be submitted to OCDEL certification staff monthly.
***On 2/18/2022 at approximately 1:00pm, staff person #2 left staff person #3 out of ratio in the infant room with 1 infant, 2, young toddlers, 2 older toddlers and 2 preschoolers while staff #2 opened the door for certification staff.
Corrected Corrected by Jun 18, 2022
Category: supervision. Marked corrected in the state record.
3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.
The operator self-disclosed that staff person #2 tested positive for a reportable communicable disease and the operator did not report to the department of health and to OCDEL.
Corrected Corrected by Feb 18, 2022
Category: health medication. 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. Facility Person #1 may not work in a child care position at the facility.
The file for staff person #1, hire date (see IS facility person list), is lacking a signed disclosure statement, a request for NSOR verification or completed NSOR verification, and contains a child abuse clearance for the purpose of volunteer which is not permitted by CPSL for employment in a child care facility. Staff person #1 was observed working unsupervised and caring for school aged children.
Corrected Corrected by Mar 18, 2022
Category: supervision. 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.
The files for staff persons #1 and #2 contain pediatric first aid and CPR that expired 7/19/2021 and do not contain verification of renewed certification.
Corrected Corrected by Sep 14, 2021
Category: ratio. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4 may not work in a child care position at the facility.
The files for staff persons #1 and #2 contain current FBI fingerprint clearances that were completed greater than 60 months following the previous fingerprint clearance. The files are now current. The file for staff person #4, provisionally hired 6/26/2021, is lacking verification of requests for child abuse clearance, criminal history clearance, FBI fingerprinting and NSOR prior to working in a child care position. The file contains completed state police and FBI clearances and NSOR verification but is still lacking a valid child abuse clearance and has exceeded the 45 day provisional hire period.
Corrected Corrected by Aug 24, 2021
Category: background checks. 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.
Observed splintering wood at the base of the gate to the bathroom in the toddler room. Observed damaged wallboard at the bottom of the wall in the bathroom in the toddler room.
Corrected Corrected by Sep 14, 2021
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.
Observed in the infant toddler room 3 pack n plays and 2 cots that were not labeled for individual use by the children who were observed sleeping in them.
Corrected Corrected by Sep 15, 2021
Category: physical safety. 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.
Observed in the infant toddler room 1 infant, 1 young toddler, 3 older toddlers and 5 preschoolers receiving care. Staff person #3 identified 1 inf, 1 YT and 2 OT in her supervision group and staff person #4 identified 5 preschoolers in her supervision group leaving 1 OT not in a supervision group.
Corrected Corrected by Aug 24, 2021
Category: supervision. 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.
A written emergency transportation plan was not posted in the two child care classrooms.
Corrected Corrected by Sep 15, 2021
Category: transportation. 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 person #2 is lacking a health assessment completed during the previous 24 month period. The files for staff persons #3 and #4 are lacking initial health assessments completed within 12 months prior to service in the child care facility. Staff #3 and #4 do contain current health assessments.
Corrected Corrected by Sep 15, 2021
Category: ratio. 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 provider demonstrated operational smoke alarms in the child care space but did not provide a log documenting that the alarms had been tested every 30 days and did not provide an annual inspection by a fire safety professional. The provider did not provide proof of purchase of the fire detection system.
Corrected Corrected by Oct 15, 2021
Category: ratio. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on video observation staff person #1 used physical discipline with child #1 when staff #1 picked up child #1 by the wrists and swung child #1 around and dropped child #1 to the floor.
Corrected Corrected by Aug 24, 2021
Category: recordkeeping. Marked corrected in the state record.