Doodle Bugs Childrens Learning Academy

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.

On 2/3/26 approximately at 9:00 am staff #1 was alone caring for 11 preschoolers in room 9.

Corrected by Mar 12, 2026

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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.

Based on staff statements, 3 staff were caring for children unsupervised, for up to an hour. The staff had not completed the pre-service training required prior to caring for children unsupervised.

Corrected by Mar 12, 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 file for Staff #3 contained an NSOR clearance dated after the date of hire.

Corrected by Oct 2, 2025

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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 observed emergency plan, dated 6/15/24, had not been reviewed in the past 12 months.

Corrected by Oct 2, 2025

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety 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.

The two most recent fire safety trainings on file for Staff #2 are dated 7/18/24 and 8/19/25, more than 12 months apart.

Corrected by Oct 2, 2025

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

The two most recent State Police clearances on file for Staff #1 are dated 5/19/20 and 5/23/25, more than 60 months apart. The two most recent Child Abuse clearances on file for Staff #1 are dated 5/17/20 and 5/30/25, more than 60 months apart. The two most recent Mandated Reporter trainings on file for Staff #1 are dated 2/5/20 and 3/25/25, more than 60 months apart. The file for Staff #5 and Staff #6 was missing a dissemination date for the Pennsylvania State Police Clearance.

Corrected by Oct 2, 2025

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3270.37(b)(1)/3270.192(2)(ii) · An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The record of the required education on file for Staff #4 and Staff #7 to be classified as an aide is an international diploma, not evaluated by an approved evaluator with no equivalency on file.

Corrected by Nov 24, 2025

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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.

In Classroom 11, peeling paint was observed on the wall behind the children's sink.

Corrected by Oct 2, 2025

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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.

The two most recent emergency drills on file at the facility were dated 4/17/24 and 6/18/25, more than 12 months apart.

Corrected by Oct 2, 2025

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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 facility's fire detection log included dates 11/26/24-12/31/24, 12/31/24-1/31/25, 2/28/25-3/31/25, 5/1/25-6/30/25, and 7/21/25-8/26/25, all more than 30 days apart.

Corrected by Oct 2, 2025

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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.

Cracked magnet tiles were observed in classroom 8 which can cause sharp edges and pinch points.

Corrected by Oct 3, 2024

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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 Health and Safety professional development training on file for Staff person #5 is dated 5/18/23, more than 90 days from their start date (SEE LIS CODE SHEET).

Corrected by Oct 3, 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 person #7 includes verification of First Aid/CPR training dated 12/5/23, after the expiration date of 10/27/23.

Corrected by Oct 3, 2024

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

The file for Staff person #1 contained a state police clearance for a volunteer. Staff person #5 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 6/19/23. Staff person #6 did not complete the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 7/3/23.

Corrected by Oct 3, 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.

Classroom 8 was observed to have an unlabeled spray bottle containing a red liquid.

Corrected by Oct 3, 2024

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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 classroom #7 appeared to be missing tweezers.

Corrected by Oct 3, 2024

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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 left toilet and changing table in classroom 8 was missing a hand washing sign, the left toilet in classroom 9 was missing a hand washing sign, the right toilet in classroom 11 was missing a hand washing sign.

Corrected by Oct 3, 2024

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3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact form for child #1 was missing the emergency contact phone number.

Corrected by Oct 3, 2024

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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 emergency contact form for child #1 was missing release persons address and release persons phone number. The emergency contact form for child #5 was missing release person's address.

Corrected by Oct 3, 2024

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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 health assessments on file for Child #2 dated 1/28/23 and 2/2/24, were more than six months apart for a child under the age of 2. The health assessments on file for Child #4 dated 10/3/23 and 6/7/24, were more than six months apart for a child under the age of 2.

Corrected by Oct 3, 2024

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for Child #3 was missing a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.

Corrected by Oct 3, 2024

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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 Health assessment on file for staff person #2 is dated 11/2/21 and the most recent health assessment does not include a date.

Corrected by Oct 3, 2024

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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 #3 and Staff person #4 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Corrected by Oct 3, 2024

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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 financial agreement on file for child #5 was last reviewed on 2/13/24, which is over 6 months ago.

Corrected by Oct 3, 2024

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The parent letter portion of the emergency plan was missing accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Oct 3, 2024

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The facility Liability Insurance report lacked the name and address of the facility.

Corrected by Oct 23, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The files for staff # 5 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 5 is date 5/18/23. The files for staff # 7 contained a current Pediatric First Aid and Pediatric CPR certificate that was taken after 90 day of initial employment. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. The certificates for staff # 7 is date 12/21/23.

Corrected by Oct 23, 2023

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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). Facility Person # 6 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 6 may not work in a child care position at the facility.

The file for staff # 6 lacked the FBI clearance.

Corrected by Oct 23, 2023

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3270.51/3270.113(a)(1) · 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. 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.

Around 9:00 am staff # 8 was caring for 11 preschooler children in room 12. About a minute later staff # 9 enter the classroom with 3 additional children and two parent drop- off two more children. CR gave few minutes to the staff to gather their assigned children. CR ask each staff to pointed and named each child in their group. Staff # 8 claimed 8 children and staff # 9 clamed 7 children. There was one child that was not claimed. The staff counted 15 children, however there were 16 in total.

Corrected by Oct 23, 2023

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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 room 9 lacked gauze pads.

Corrected by Oct 23, 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.

There were 3 clear cracked lids in room #10. There was a cracked clear bin in room # 9.

Corrected by Oct 23, 2023

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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 refrigerator temperature was 50 degrees in room # 1.

Corrected by Oct 23, 2023

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Room # 10 lacked a written plan of daily activities and routines, including a time for free play.

Corrected by Oct 23, 2023

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

The file for child # 3 a preschooler lacked an updated Health Report. The previous report is dated. 7/13/22.

Corrected by Oct 23, 2023

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3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to 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). Child # 1 and 2 must be dismissed from care by close of business 9/12/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter

The files for child # 1 is missing a dose of the influenza vaccine. The files for child #2 is missing a dose of the DTAP vaccine.

Corrected by Oct 23, 2023

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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 file for staff # 1 contained a current health assessment dated 8/15/22. The Initial health assessment was obtained more than 12 months prior to providing service in a childcare setting. The file for staff # 2 contained a current health assessment dated 5/11/23. The Initial health assessment was obtained more than 12 months prior to providing service in a childcare setting. The file for staff # 4 contained a current health assessment dated 1/23/23. The Initial health assessment was obtained more than 12 months prior to providing service in a childcare setting.

Corrected by Oct 23, 2023

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3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

There was a bottle with milk on top of the counter. The milk was not discarded.

Corrected by Oct 26, 2023

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3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There were 4 unlabeled sippy cups in room # 9.

Corrected by Oct 26, 2023

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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.

According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 7/27/23 to 8/31/23.

Corrected by Oct 26, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff # 3 lacked 7 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

Corrected by Oct 26, 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.

There was a cracked clear bin holding magnet cars and trucks toys in the playroom.

Corrected by Mar 2, 2023

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3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The playroom was missing a written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Corrected by Mar 2, 2023

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3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for staff # 2, lacked 8 out of 12 required hours of annual child care training, from 12/19/20 to 12/19/21.

Corrected by Oct 7, 2022

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3270.31(e)(4)(ii) · 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.

The file for staff # 3 lacked fire safety training. The staff start date was 8/30/21.

Corrected by Oct 6, 2022

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 & 2 will have until 10/18/22 to complete the required training. Until such time as the required training has been completed, staff person #1 & 2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 & 2, staff person #1 & 2 may not work in a child-care position at the facility.

Staff persons # 1 and 2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3270.31(f)(1)-(9).

Corrected by Oct 6, 2022

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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 babyganics sunscreen expired on 12/2021, label" keep out of reach of children" in a Childs back pack in room # 10 . There was a Gold Bond hand cream label " keep out of reach of children" on top of the sink counter in room # 10.

Corrected by Oct 6, 2022

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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 room # 6 lacked soap. The first - aid kit in room # 7 lacked tape. The first - aid kit in room #8 lacked gloves. The first - aid kit in room # 11 lacked gloves.

Corrected by Oct 6, 2022

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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.

There was a light panel hanging off above the housekeeping play area in room # 10. There was a shed in the preschool playground that was damage, the bottom right side corner is split and bend creating sharp edges. On back of the shed, on the right corner the wall is pulling off. There was a hole on the poured in place rubber ground surface by the red slide.

Corrected by Oct 11, 2022

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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 was peeling paint on the wing coding wall and on the back door in room # 4. Paint will be touched up by 10/14

Corrected by Oct 11, 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.

There was a clear cracked bin in room # 10. There was a clear cracked bin and broken instrument exposing splinters in room # 11.

Corrected by Oct 6, 2022

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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 # 2 there were 3 infants sleeping in cribs that did not have at least 2 feet of space as required on three sides while the equipment is in use . In room # 1 there was a n infant sleeping in a crib that did not have at least 2 feet of space as required on three sides while the equipment is in use .

Corrected by Oct 6, 2022

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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 thermometer in the refrigerator in room # 1 was showing 48° F.

Corrected by Oct 6, 2022

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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 files for child # 4,,6 and 7 lacked the home addresses and work telephone numbers of the enrolling parent on the emergency contact form.

Corrected by Oct 11, 2022

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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 files for child # 1,2,3,4,5,6 and 7 have an emergency contact and agreement form that were not updated in a 6 months period.

Corrected by Oct 11, 2022

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

The file for child # 6 a preschooler lacked an updated health report . The previous report was dated 8/16/21.

Corrected by Oct 11, 2022

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3270.131(e)(1) · 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 files for Child # 8 lacks documentation of a current influenza immunization as recommended by the ACIP

Corrected by Oct 11, 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.

Staff persons # 3,4,5 and 6 kept a soiled diaper on the changing table until they were done with the diaper change, instead of discarding it immediately into a plastic-lined, hands-free covered can.

Corrected by Oct 12, 2022

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3270.135(c) · The diapering area may not be used for food preparation or food service.

Staff #4 was observed washing her hands after diapering a child, in a sink that contained a sippy cup and bibs.

Corrected by Oct 7, 2022

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3270.161(c) · Food that has been previously served to a person or returned from a table shall be discarded.

There was milk, pears and french toast from breakfast that was not discarded, on the sink counter in room # 9. According to staff, breakfast is served at 8:30 am and the food was still in the room at 9:45 am.

Corrected by Oct 6, 2022

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3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

In room # 11 was a lunch box with a pesto and cheese sandwich that was not refrigerated. In room # 9 was a lunch box with a mayo sandwich that was not refrigerated.

Corrected by Oct 6, 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 operator was not maintaining a written log for testing the fire detection system every 30 days.

Corrected by Oct 12, 2022

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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 the letters 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.

Corrected by Oct 12, 2022

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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.

Upon assessment of supervision and ratio in the playroom on 12/15/21 at 10:20 AM, one YT child was observed with an individual reported to be a therapist for that child. No staff were present in the room with the child and therapist. The therapist was not listed as a release person on the emergency contact form and a parent had not signed a release form for the child to be released to the therapist from the facility.

Corrected by Dec 15, 2021

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

SECOND VIOLATION. The first-aid kit in Room 12 was accessible to children in a low unlocked cubby. Previously cited on SIN-00195091 on 10/25/21.

Corrected by Dec 15, 2021

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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.

SECOND VIOLATION. The first-aid kit in Room 12 was observed to lack gloves. Previously cited on SIN-00195091 on 10/25/21.

Corrected by Dec 15, 2021

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

SECOND VIOLATION. The toilet area of Room 5 lacked a lidded waste receptacle. Previously cited on SIN-00195091 on 10/25/21.

Corrected by Dec 15, 2021

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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.

Less than 2 feet were observed on 3 sides of a crib with a sleeping infant in Room 1.

Corrected by Dec 15, 2021

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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.

Upon assessment of supervision and ratio in the playroom on 12/15/21 at 10:20 AM, one child was observed with an individual reported to be a therapist for the child. No staff were present in the room with the child and therapist. The therapist was not listed as a release person on the emergency contact form and a parent had not signed a release form for the child to be released to the therapist from the facility.

Corrected by Dec 15, 2021

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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.

Upon assessment of supervision and ratio in the playroom on 12/15/21 at 10:20 AM, one child was observed with an individual reported to be a therapist for the child. No staff were present in the room with the child and therapist. The therapist was not listed as a release person on the emergency contact form and a parent had not signed a release form for the child to be released to the therapist from the facility.

Corrected by Dec 15, 2021

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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 right side bath in Room 12 was observed to lack a handwashing sign.

Corrected by Dec 7, 2021

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3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The toilet areas of Rooms 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 and 13 lacked a lidded waste receptacle.

Corrected by Dec 3, 2021

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3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for Child #1 contained an agreement which lacked the child's release persons.

Corrected by Dec 7, 2021

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3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for Child #1,#2, #3, #4 and #5 contained original agreements.

Corrected by Dec 3, 2021

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3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The emergency plan was not posted in a conspicuous location in the facility.

Corrected by Dec 3, 2021

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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 #3, #5 #8, #10--- may not work in a child care position at the facility.

The file for Staff #2 contained an NSOR clearance dated after the first day of employment in a child care position, and lacked an application for NSOR. The file for Staff #3 contained documentation of residence outside of PA in the last 5 years yet lacked applications for, nor complete clearances, for the state of residence. The file for Staff #4 contained a child abuse clearance and application for child abuse clearance dated after the first day of employment in a child care position. The file for Staff #5 lacked an FBI clearance and contained a receipt for fingerprint. The employee's provisional hire period ended without the FBI clearance being obtained, and without the employee being removed from care. The file for Staff #7 contained an NSOR clearance and application for NSOR dated after the first day of employment in a child care position. The file for Staff #8 lacked an NSOR clearance and contained an application for NSOR. The employee's provisional hire period ended without the NSOR clearance being obtained and without the employee being removed from care. The file for Staff #10 lacked an FBI clearance nor receipt of fingerprint for FBI clearance.

Corrected by Dec 7, 2021

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff #1, designated as an AGS, contained documentation of a high school diploma, one year of prior experience and 9 credit hours in a related field, qualifying the employee as an Aide. The file for Staff #6, designated as an AGS, contained an unrelated bachelors degree and 21 credits in a related field, qualifying the employee as an Aide. The file for Staff #11, designated as an AGS, contained an unrelated bachelor's degree and 12 related credits, qualifying the employee as an Aide. The file for Staff #12, designated as an AGS, contained an unrelated associate's degree and 26 related credits, qualifying the employee as an Aide.

Corrected by Dec 7, 2021

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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.

Two toxic Catchmaster Mouse and Insect Glue Boards labeled Keep Out of Reach of Children was observed on the floor by the back door of Room 5.

Corrected by Dec 7, 2021

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3270.75(a) · A first-aid kit shall be in a child care space.

Room 5 was observed to lack a first-aid kit.

Corrected by Dec 7, 2021

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

The first-aid kits in Room 2, 6 , !0 and 12 were accessible to children in low unlocked cubbies.

Corrected by Dec 7, 2021

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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 kits in Room 6 and 12 were observed to lack gloves.

Corrected by Dec 7, 2021

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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.

A crib with a sleeping infant was observed to be unlabeled in Room 2. The cots in Room 7 were observed to be labeled with numbers which did not correspond to names of napping children on the cot number/name list. The cots in Room #10 were observed to be labeled with numbers, yet there lacked a list of corresponding children names for those cots.

Corrected by Dec 3, 2021

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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 thermometers in the refrigerators of Room 1, 2 and 3 measured 48 degrees. The refrigerator in Room 5 lacked a thermometer.

Corrected by Dec 7, 2021

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3270.111(b) · The written plan of daily activities shall be posted in the group space.

A written plan of daily activities was not posted in Room 6.

Corrected by Dec 3, 2021

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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 assessment of supervision and ratio in Room 2 on 10/25/21 at 10:30 AM, Staff #12 and Staff #11 both reported they did not have groups assigned. There were 7 infants in the room at this time. When asked to name their supervisory groups, again both staff stated they did not have a group. The Director then entered and trained the staff on supervisory groups, assigned groups, and the staff named them.

Corrected by Dec 7, 2021

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

An infant was observed sleeping on a boppy pillow on the floor of Room 2, with no attempt to move the sleeping infant during the inspection of the room.

Corrected by Dec 7, 2021

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3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #1 contained an agreement which lacked the child's times of care.

Corrected by Dec 7, 2021

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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 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.

Corrected by Dec 7, 2021

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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 file for Child #2 contained an emergency contact form which lacked the child's health insurance policy number.

Corrected by Dec 7, 2021

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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 were not present on the large PG for the 18 PS children whom were being cared for in that child care space.

Corrected by Dec 7, 2021

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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 plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not present with the children in care on the large PG.

Corrected by Dec 7, 2021

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3270.131(e)(1) · 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 file for Child #3 contained a record of immunization history which lacked a current influenza vaccination.

Corrected by Dec 7, 2021

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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.

An observed Benadryl in the office area was labeled "Extra" and reported to not be intended for a specific child.

Corrected by Dec 7, 2021

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

After an observed diaper change in Room 7, the staff did not wash the child's hands.

Corrected by Dec 8, 2021

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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 two observed diaper changes in Room 4, staff did not use the hands-free mechanism of the diaper can to discard of the soiled diapers, but used their hand to open the lid of the can.

Corrected by Dec 8, 2021

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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 file for Staff #9 contained a health assessment dated more than 12 months prior to initial employment in a child care position at the facility.

Corrected by Dec 9, 2021

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3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

After an observed diaper change in Room 7, the staff did not wash their hands before moving on the next task of entering the time of change into the iPad.

Corrected by Dec 9, 2021

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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 were not posted at a conspicuous location in the facility.

Corrected by Dec 3, 2021

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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.

Instructions for contacting the western region child care office were not provided to the parents.

Corrected by Dec 3, 2021

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

According to operator report, the observed emergency plan was not sent to the county emergency management agency.

Corrected by Dec 3, 2021

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3270.32(a)/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 #1, lacks an FBI clearance and a date on the staff's signed disclosure statement.

Corrected by Jun 1, 2021

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

The water in the sinks of the classrooms on the second floor exceed 110° F.

Corrected by Jun 1, 2021

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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.

There was a hole in the grass by the sprinkler, next to the sidewalk, in the big playground and a metal drain in the little playground, that were tripping hazards. The window trim of one window in the little playground was damaged and had exposed fibers.

Corrected by Jun 2, 2021

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3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The glass was lacking visual identification in traffic areas.

Corrected by Jun 2, 2021

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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.

All toilet areas in the facility, lacked a handwashing sign posted at each toilet.

Corrected by Jun 2, 2021

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3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan lacked accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Jun 2, 2021

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