Bubbles Bears To Books

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's fire alarm testing log included the following tests which were completed more than 30 days apart: 12/5/2025 - 1/28/2026.

Corrected by Mar 10, 2026

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff Person #1 contained an incomplete State Police Clearance. The clearance was requested on 6/3/2025, but the printed copy lacked the dissemination date. (SEE LIS CODE SHEET)

Corrected by Mar 9, 2026

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3270.66(e) · Arts and crafts materials shall be nontoxic.

In the Pre-K room in a gray cabinet near the emergency exit, a basket of art supplies was found to contain four ink daubers (1 Dab-o-ink, 1 Dabbin Fever and 2 Primo brand), which were marked "keep out of reach of children."

Corrected by Mar 9, 2026

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the Toddler 2 room along with light purple wall, the trim was observed to be separating from the wall behind the circle time area.

Corrected by Mar 10, 2026

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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 Toddler Outdoor Playspace, two pieces of outdoor equipment were found to be in poor repair: 1) a multicolored ride-on toy was observed to have a broken steering wheel. The broken portion created a sharp edge, which is a potential hazard to children. 2) the cube-shaped climbing equipment with the pink slide was observed to have a crack measuring approximately 8 inches at the top of the slide. The crack created both a sharp edge and a pinch point.

Corrected by Mar 9, 2026

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

In the Toddler 2 room, an Epinephrine auto-injection pen for Child #1 was observed to be expired as of 12/31/2025. (SEE LIS CODE SHEET)

Corrected by Mar 9, 2026

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3270.113(c)/3270.113(d) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

During the course of a complaint investigation, Staff Person #1 admitted to taking Child #1 into a facility bathroom while the child was having behavioral issues. While in the bathroom, Staff Person #1 admitted to yelling loudly at the child, threatening them with physical harm. Two other enrolled children were present in the classroom area when this occurred.

Corrected by Jan 9, 2026

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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 State Police clearance on file for staff person #3 was missing a dissemination date.

Corrected by Mar 6, 2025

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3270.66(e) · Arts and crafts materials shall be nontoxic.

Bingo dabbers labeled "Keep out of reach of children" were found in the craft cabinet in the pre-school room.

Corrected by Mar 5, 2025

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3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person #1 is missing a check in the box stating that they are suitable to provide childcare.

Corrected by Mar 10, 2025

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff #1 has a pediatric first aid/CPR training on file that is not an approved curriculum within 90 days of hire.

Corrected by Mar 10, 2025

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3270.31(g) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility person's file or maintained in an electronic system as designated by the Department. Documentation of the completion of the professional development under subsection (f) taken from September 30, 2016, forward satisfies this requirement.

Staff person #1 and Staff person #2 had CPR/First Aid on file that was not a PQAS approved Pediatric First Aid/CPR course taught by a PQAS approved instructor within 90 days of their hire date.

Corrected by Mar 10, 2025

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3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was an uncovered electrical outlet accessible to children 5 years of age or younger in the YT room.

Corrected by Mar 25, 2024

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There was a bottle of hand sanitizer labeled " keep out of reach of children". accessible to children in the preschool room and in the pre-k room. There was a bag pack that contained Ofloxacin Otic Solution labeled " keep out of reach of children" accessible to children in the preschool room cubbies.

Corrected by Mar 25, 2024

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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.

There was a Lysol and Neutral disinfection bottle on the top foot shelf in the kitchen.

Corrected by Mar 25, 2024

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3270.67(a) · Trash shall be removed from the facility at least once per day.

Base on inspection observation there was a garbage can that contained garbage that was not removed the day before.

Corrected by Mar 25, 2024

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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.

The fence in the toddler's playground contained sharp wire. There was a damaged sink cabinet in the infant room . There was a damaged sink cabinet in the pre-k room.

Corrected by Apr 12, 2024

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There were chipped paint spots on the dry wall in the OT room bathroom.

Corrected by Mar 25, 2024

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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.

There was a cracked toolbox toy in the pre-k room. There was a green cracked basket in the OT room. There was a broken plastic drawer by the refrigerator in the OT room. There was a ridding car toy with and exposed bolt in the preschool playground. There was a ridding car toy with a broken piece creating a sharp edge in the preschool playground.

Corrected by Mar 25, 2024

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The OT room contained a thermometer that was not operable. The clear holder on the refrigerator door in the pre-k room was cracked.

Corrected by Mar 25, 2024

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child # 1 lacked the work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child # 2 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Mar 25, 2024

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3270.176(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Vehicle # 1 contained a registration form with an expiration date of 12/31/23.

Corrected by Mar 25, 2024

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for Staff #1 contained Pediatric First-Aid/CPR trainings dated 9.26.19 and 9.28.21, which exceeded the expiration date of the previous training.

Corrected by Apr 7, 2023

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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.

A gallon container, of Sunproof Stain, which stated, "Keep out of reach of children," was located on the closet floor in the Toddler 2 Room, and was accessible to children in care.

Corrected by Mar 30, 2023

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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.

The restroom, located in the Toddler 2 Room, had ceramic, floor tile, approximately 1/2" above the cut-in, floor drain, which created a tripping hazard for children in care.

Corrected by May 31, 2023

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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.

The green and white play stove/oven, in the Toddler Room, had a broken oven door, which created a scraping/cutting hazard for children in care.

Corrected by Mar 30, 2023

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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.

An incident report was not written involving Child #1 nor provided to the parent, in which the child became ill with a fever at the facility.

Corrected by Apr 12, 2022

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3270.20(a)(1) · The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

The regional office was not notified via telephone by the operator when Child #1 received emergency room treatment on 3/4/22 due to an illness identified while in care at the facility.

Corrected by Mar 25, 2022

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3270.20(b) · The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department

A written report was not submitted to the regional office after Child #1 received emergency room treatment on 3/4/22 due to an illness identified while in care at the facility.

Corrected by Apr 18, 2022

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3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The observed emergency plan lacked a method for facility persons to contact parents in an emergency.

Corrected by Apr 13, 2022

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3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The observed emergency plan lacked a method for facility person to inform parents that the emergency has ended and how to be reunited with their children.

Corrected by Apr 12, 2022

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3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #2 and #4 contained consecutive emergency plan trainings dated more than a year apart.

Corrected by Apr 5, 2022

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3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #2 and #4 contained consecutive fire safety trainings dated more than a year apart.

Corrected by Apr 5, 2022

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3270.31(f)/3270.192(2)(iii) · Staff persons shall complete professional development in the following topics within 90 days of hire: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 #3 was observed not to have completed pre-service training within 90 days of hire (See LIS CODE SHEET). The pre-service training on file for Staff # 3 was dated 1/27/22.

Corrected by Apr 5, 2022

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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 #--- may not work in a child care position at the facility.

The file for Staff #1 contained consecutive state police, child abuse and FBI clearances dated more than 60 months apart.

Corrected by Apr 5, 2022

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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.

The file for Staff #1 contained documentation of consecutive child abuse mandated reporter trainings dated more than 60 months apart.

Corrected by Apr 5, 2022

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3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit in the Pre-K Room was observed to be accessible to children.

Corrected by Mar 3, 2022

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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.

Damaged and torn foam blocks were observed in the Gross Motor Room.

Corrected by Apr 13, 2022

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3270.102(e) · 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.

Small rocks with a diameter of less than 1 inch were observed on the ground of the playground around the spin equipment and along a small path, where infants and toddlers receive care.

Corrected by May 31, 2022

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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 files for Child #1 and #2 contained emergency contact forms which lacked complete addresses for release persons.

Corrected by Apr 22, 2022

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

The file for Child #1 contained consecutive health reports dated more than 6 months apart.

Corrected by Apr 5, 2022

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An Infant Motrin in the OT Room was observed to be expired.

Corrected by Mar 4, 2022

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3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

The written parental consent for administration of medication for an Infant Motrin labeled for Child #3 in the OT Room was observed to be expired.

Corrected by Mar 4, 2022

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3270.134(f) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

A toothbrush labeled and intended for a child's use was observed in a closed, zippered bag.

Corrected by Mar 3, 2022

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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.

During an observed diaper change in the YT Room, a staff member placed a soiled diaper on the changing table until the change was complete and the child's hands were washed, before placing the diaper in a hands-free can.

Corrected by Apr 25, 2022

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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.

The files for Staff #2 and #4 contained consecutive health assessments dated more than 24 months apart.

Corrected by Apr 5, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of an emergency drill was not available at the time of inspection.

Corrected by Mar 31, 2022

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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 observed smoke detector tests were documented as more than 30 days apart at different times during the inspection year.

Corrected by Apr 12, 2022

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3270.27(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

The observed emergency plan lacked accommodations for shelter of children during a lock-down.

Corrected by Apr 12, 2022

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3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

During the assessment of supervision and ratio at 9:30 AM on 1/5/22 in the Infant Room, Staff #1 named 1 Infant and Staff #2 named 2 Infants and 2 YT. There were 6 children in the room at that time. Cert rep asked again and Staff #1 again stated she was responsible for 1 child. Staff #2 then said Staff #1 should have responsibility of the unnamed child.

Corrected by Jan 14, 2022

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3270.62(b) · Outdoor or indoor play space shall be measured at 65 square feet per child

The SA room, measured as child care space, was observed being used as gross motor space for the toddlers.

Corrected by Nov 6, 2021

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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.

Styrofoam boards were observed by the front door of the SA room, currently used by toddlers, accessible to children who are still placing objects in their mouths.

Corrected by Nov 5, 2021

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