World Of Wonders Day Care Center

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

The most recent mandated reporter training on file for Staff #2 was dated 2/17/21, more than 60 months prior to the date of inspection.

Corrected by Apr 16, 2026

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3270.113(c) · 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.

Based on staff interviews, Staff #1 used language in the presence of children that singled out a family and specifically aimed to degrade a family.

Corrected by Apr 15, 2026

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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 two most recent Pediatric First Aid/CPR trainings for Staff Person #1 were dated more than 24-months apart (11/15/2023 - 11/19/2025).

Corrected by Dec 12, 2025

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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 had NSOR Certificates dated more than 60 months apart (specifically: 2/13/2020 - 2/19/2025). The file for Facility Person #2, a volunteer, contained PA State Police Clearances (6/11/2020 - 11/13/2025) and PA Child Abuse Clearances (6/12/2020 - 11/19/2025) dated more than 60 months apart.

Corrected by Dec 12, 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.

In the upstairs Pre-School room near the sleep supplies, an outlet was observed to be missing one of its protective covers. In the Gym along the striped wall on the left, an outlet was observed to be missing one of its protective covers.

Corrected by Nov 25, 2025

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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.

In the back area of the Young Toddlers room, the cabinet beneath the changing table was left unlocked. The cabinet contained ointments and creams marked "keep out of reach of children." In the School Age room, a bag of sidewalk salt/ice melt labeled "keep out of reach of children" was being stored near the exit. The bag was left open and in reach of children. In the School Age room, a stick of deodorant, which is considered toxic, was stored in an unlocked drawer near the indoor play space. In the walkway/entry area between the downstairs Preschool and School Age rooms, an open jug of pressure washing solution (marked keep out of reach of children) was being stored in the open, near the entry door.

Corrected by Nov 27, 2025

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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 Young Toddlers room (front), there was splintering wood observed on the bottom of the entry door (surface facing the inside of the classroom). In the same room, significant dirt buildup was observed in the corners of the floor near the kitchen area. In the downstairs Preschool Room, rust was observed in the threshold of the doorway leading to the outdoor area. In the same room, a water stain was observed on one of the ceiling tiles above the door to the maintenance room. The countertop area by the handwashing sink in the downstairs Preschool room had a sharp edge to it that poses a hazard to children. In the kitchen area of the downstairs Preschool room, significant dirt buildup was observed on the floor next to the refrigerator. In the School Age room, significant dirt and grime buildup was observed on the faucets in both the boys' and girls' restrooms. In the School Age boys' restroom, to the right of the cabinet near the sink, significant dirt buildup was observed on the floor. The Outdoor Play Space includes a rubber walkway in the upper play area. One area of that walkway was missing a portion of rubber approximately 3 inches in diameter, leaving the surface in poor repair.

Corrected by Dec 19, 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 the Young Toddler room (back), damaged/flaking plaster was observed on the back wall to the left of the last window on the right. Additional flaking plaster was observed near the floor to the right of the children's cubbies. In the upstairs Preschool room, multiple areas of damaged plaster and peeling paint were observed on the green wall to the right of the kitchen area, below the windows. In the downstairs Preschool room, damaged plaster was observed on the rear wall beneath the "preschool class" sign. An additional area of damaged plaster was observed to the right of the height chart at the back of the room (near the floor). In the Gym, on the wall to the left by the pads, an area was observed to have cracked and peeling plaster near the trim. On the same side of the room, multiple areas of peeling paint were observed on the striped section of wall. In the Outdoor Play Space, the following items were observed to have areas of peeling paint: the green picnic bench, the red table and the small green bench.

Corrected by Dec 22, 2025

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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.

There was no handwashing sign at the sink in the boys' bathroom area of the School Age room.

Corrected by Dec 22, 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.

In the Young Toddler room (front), a gray bin and a green bin were both observed to contain wooden blocks that showed evidence of being chewed. These blocks were splintering, and the paint was peeling, creating a hazard to children. In the Young Toddler room (back), a clear bin was observed to contain wooden blocks which were splintering in places. The splintered blocks pose a hazard to children. In the upstairs Preschool room, a shelf in the play space contained a crate with foam blocks. The foam blocks had teeth marks on them and were missing foam in places. In the same area, a bin of wooden number blocks (marked Lakeshore) contained several which were in poor repair. Specifically, the backs were separating from several of the blocks which contained small beads. These pose a hazard to children. Also in the upstairs Preschool room, a Home Depot play workbench in the rear play area was observed to be in poor repair. The play item was wobbly and unstable, creating a hazard to children. Also in the same area, a pink toy changing table was observed to have a hole in the top that measured approximately two inches. The hole created sharp edges, which could injure children. In the downstairs Preschool room, a bin of foam puzzle pieces was observed on one of the shelves in the back of the room near the yellow table. The puzzle pieces contained teeth marks and had areas of missing foam. In the School Age room, a bin of wooden blocks was observed on a shelf near the stage. The blocks were observed to be splintering, creating sharp edges. In the Gym, the ball pit was observed to contain several balls which were damaged. The observed damage included bite marks, and some of the damaged balls were folded in on themselves, creating sharp edges.

Corrected by Nov 24, 2025

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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.

In the Young Toddler room (front), a gray bin and a green bin were both observed to contain wooden blocks that were splintering, creating a choking hazard to children still placing objects in their mouths. In the Young Toddler room (back), a clear bin was observed to contain wooden blocks which were splintering in places. The splintered areas create a choking hazard to children still placing objects in their mouths.

Corrected by Nov 24, 2025

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the infant room, a black desk chair was observed to have areas of flaking leather/vinyl. In the Young Toddler room (back), a wooden shelf was observed on the back wall (under the window nearest the kitchen). The shelf was splintering on the top surface, creating a sharp edge. In the upstairs Preschool room, a child-sized red and blue vinyl chair was observed in the rear play area. The chair was in disrepair, with blue vinyl flaking from the bottom panel. In the same room, a set of white plastic drawers was observed to the left of the children's cubbies. The drawers were broken and as a result were leaning/wobbling to the left. In the downstairs Preschool room, flaking rust was observed on a metal cabinet near the rear entrance. In the School Age room near the exit to the outdoor play area, a wooden bookshelf was observed to have a long splintered section on the bottom shelf. In the Outdoor Play Space, the following items were observed to be in poor repair: the green picnic bench, the red table and the small green bench. All three items were observed to have areas of peeling paint which had flaking rust underneath.

Corrected by Dec 17, 2025

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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 (SEE LIS CODE SHEET) was lacking a Child Service Report.

Corrected by Dec 18, 2025

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3270.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for Child #2 included a Health Assessment; however, the health assessment did not include a review of the child's immunization records. (SEE LIS CODE SHEET)

Corrected by Dec 12, 2025

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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 records for Child #3 and Child #4 both included health assessments with written verification of immunizations; however, those documents were dated more than 60 days after the admission of the children. The record for Child #2 included a health assessment that did not have written verification of their immunizations, and the child has been attending the facility for more than 60 days. (SEE LIS CODE SHEET)

Corrected by Dec 22, 2025

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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 #2 did not contain a valid insurance card. During inspection, the operator could not locate documentation of insurance for Vehicle #2.

Corrected by Dec 29, 2025

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3270.113(c) · 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.

During the complaint investigation, Staff Person #1 admitted to having placed the child's name on a dry erase board in the classroom, along with a number, due to behavioral issues. Staff Person #1 reported that it was a reminder to speak with the parent about the child's behavior at pickup. The dry erase board was in view of anyone who would enter the classroom.

Corrected by Dec 26, 2025

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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.

Based on staff statements, the facility is occasionally out of ratio in the morning between 7:00 am and 7:30 am when children and staff are arriving.

Corrected by Oct 17, 2025

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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).

Based on staff statements, the facility is occasionally out of ratio in the morning between 7:00 am and 7:30 am when children and staff are arriving. On 9/2/25 at 7:30 am in the younger toddler room, Staff # 2 and #3 were observed caring for 15 children, 3 Infants, 3 Young Toddlers, 6 Older Toddlers and 3 Preschool aged. Staff #1 had been in the younger toddler room with the other two staff, prior to leaving the room to answer the door.

Corrected by Oct 17, 2025

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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.

On 9/2/25 at 7:30 am in the Infant room, Staff # 2 and #3 were observed caring for 15 children, 3 Infants, 3 Young Toddlers, 6 Older Toddlers and 3 Preschool aged. Staff #1 had been in the Infant room with the other two staff, prior to leaving the room to answer the door. When staff #1 returned to the room, all three staff were asked to identify the children they were responsible for supervising. Staff #1 identified 3 Infants and 1 Young Toddler, Staff #2 identified 3 Preschoolers, Staff #3 identified 2 Young Toddlers and 2 Older Toddlers. 4 Older Toddlers were not identified. When asked which staff was responsible for the remaining 4 Older Toddlers, staff stated that Staff #6, who was in ratio in another classroom. CR explained that all of the children present needed to be assigned to a staff in the same child care space. Staff #2 added the 4 children to their group. On 9/2/25 at 7:40 am, in the Downstairs Room #1, School Age, Saff #4 and Staff #5 were observed caring for 13 children, 2 Preschoolers, 6 Young School Age and 5 Older School Age. When asked to identify the children each staff was responsible for supervising, Staff #4 identified 1 Preschooler and Staff #5 identified 5 Young School Age and 5 Older School Age. 1 Preschooler and 1 Young School Age child were not included in either staff's group.

Corrected by Oct 17, 2025

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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.

Facility persons #1 and #4 did not complete mandated reporter training within 90 days of hire. Both volunteers completed the training in 10/2024. (SEE LIS CODE SHEET) Staff #2 and #3 did not update the mandated reporter training within 60 months. This is evidenced by the documented mandated reporter trainings on file for staff #2 being dated 9/04/19 and 9/25/24, and the trainings for staff #3 being dated 5/07/19 and 9/26/24.

Corrected by Dec 3, 2024

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

The file for facility person #1 did not include the results or an application for a DHS FBI clearance. A Dept. of Education FBI clearance dated 7/14/20 was on file. (SEE LIS CODE SHEET). The file for staff #2 contained clearances which were not renewed within 60 months; the documents were dated as follows; SP 8/27/19 renewed on 9/12/24, CA 9/10/19 renewed on 9/30/24, FBI 8/30/19 renewed on 9/13/24. The file for staff #3 contained clearances which were not renewed within 60 months; the documents were dated as follows; SP 5/28/19 renewed on 9/26/24, CA 5/24/19 renewed on 10/12/24, FBI 5/28/19 renewed on 10/18/24.

Corrected by Dec 3, 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.

Hand sanitizer, labeled keep out of reach of children, was accessible to children in the rear older toddler care space. The hand sanitizer was observed in a side pocket of an adult's personal bag which was sitting on a low shelf. Mutiple containers of cleaning materials were accessible to children in the school age room. The toxics were observed on the lowest shelf of an unlocked storage cabinet.

Corrected by Dec 3, 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.

One stained ceiling tile was observed in the infant room.

Corrected by Dec 3, 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.

The upper portion of a child size art paper dispenser, observed in the main floor PS room, was not secured to the base creating pinch points. A broken yogurt container was observed in the sand table in the school age room.

Corrected by Dec 3, 2024

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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.

In the main floor PS room, staff did not ensure a child's hands were washed after toileting prior to returning to a play at an activity center.

Corrected by Dec 3, 2024

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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 #2 contained consecutive heath assessments dated more than 24 months apart; 8/29/21 and 9/07/23. A current health assessment is now on file.

Corrected by Dec 3, 2024

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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 children #1 and #2 contained initial health reports dated more than 60 days following their first day of attendance at the facility. Current health reports for both children are now on file.

Corrected by Dec 3, 2024

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3270.72(c) · Screens shall be in good repair.

Window screens which would not stay securely in place were observed in the older toddler and first floor preschool rooms. A hole was observed in a window screen in the school age room.

Corrected by Nov 30, 2023

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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 sink area in the lower PS room lacked a lidded waste receptacle.

Corrected by Nov 21, 2023

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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 parent letter explaining the emergency procedures did not include details regarding accommodation for infants, toddlers, children with disabilities or children with chronic medical conditions.

Corrected by Dec 20, 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). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff #1 may not work at the facility.

The file for staff #1 did not contain a completed state police clearance. The clearance on file lacked a dissemination date. (SEE LIS CODE SHEET).

Corrected by Nov 21, 2023

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3270.61(e) · Measured indoor space excludes space occupied by halls, bathrooms, offices, kitchens and locker rooms.

A functioning stove was observed in the kitchen area of the school age room. The space lacks a permanent wall separating the kitchen area from the child care space.

Corrected by Dec 30, 2023

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

One outlet in the gym by the door lacked a protective cover. The outlet is accessible to children 5 years of age or younger

Corrected by Nov 21, 2023

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

Two cans of shave foam, labeled keep out of reach of children, were observed in the art storage cabinet in the school age room.

Corrected by Nov 21, 2023

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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 #3 did not contain service reports completed at least every 6 months. The reports on file were dated 10/25/22 and 10/13/23. The file now contains a current service report.

Corrected by Dec 21, 2023

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

The agreement for child #4 did not specify the child's arrival and departure times.

Corrected by Nov 21, 2023

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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 agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Nov 21, 2023

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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 #5 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected by Dec 21, 2023

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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 file for child #4 lacked an agreement reviewed and signed by the parent in the last 6 months. The most recent signed agreement on file was dated 4/17/23. The file for child #6 contained agreements which were not reviewed and signed at least every 6 months. The signed agreements on file were dated 10/28/22 and 6/10/23. A current agreement is now on file.

Corrected by Nov 21, 2023

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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 facility lacked documentation of conducting annual emergency drills. Based on statements made by staff, the emergency drills were being documented on the fire drill log, but were not designated as emergency drills.

Corrected by Dec 20, 2023

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3270.52 · * The legal entity will conduct mandatory staff meetings at least once per month for a period of 3 months following the approval of this plan of correction. At each staff meeting, time will be set aside to review and discuss the facility's previous regulatory non-compliance items documented on inspection summaries issued in the last year, as well as, the Department of Human Services' regulations related to staff:child ratios and supervision of children. An agenda will be prepared for each staff meeting and a log identifying the date, time and persons attending each meeting will be maintained. The staff meeting agendas and logs will be made available to OCDEL-DHS representatives upon request.

*At approximately 9:15 am, two staff were observed in the toddler room with 13 children; 7 young toddlers and 6 older toddlers. When asked to identify the children they were assigned to supervise, staff #1 named 3 OTs and 2 YTs. Staff #2 named 5 YTs and 3 OTs.

Corrected by Oct 23, 2023

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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 9:15 am, two staff were observed in the toddler room with 13 children; 7 young toddlers and 6 older toddlers. When asked to identify the children they were assigned to supervise, staff #1 named 3 OTs and 2 YTs. Staff #2 named 5 YTs and 3 OTs.

Corrected by Aug 10, 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.

Staff person #3 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Health and safety topics 1-9 and Pediatric CPR/FA. Current training is now on file.

Corrected by Dec 6, 2022

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3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), within 90 days of hire. Staff persons #1 through #8 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff persons #1 though #8 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 persons #1 through #8, then staff persons #1 through #8 may not work in a child-care position at the facility.

Staff persons #1 through #8 have acceptable pediatric first aid/CPR training in an approved curriculum completed after 4/29/22; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected by Dec 20, 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. Staff #1 and #2 may not work in a child care position at the facility.

The file for staff #1, provisionally hired, contained a state police clearance which lacked the dissemination date. The file was reviewed more than 45 days after the date of hire and was therefore invalid (SEE LIS CODE SHEET). The file for staff #2 did not contain all required out of state clearances. The file lacked a WV Protective Services clearance. The file did not contain proof of applying for this clearance at hire (SEE LIS CODE SHEET).

Corrected by Dec 30, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #3 will have until 12/30/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #3 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 person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed an approved mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Dec 2, 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.

Electrical outlet wall plates which were not fully secured to the wall were observed in the older toddler room and the rear upstairs PS room. A light switch wall plate which was not fully secured to the wall was observed in the restroom of the upstairs preschool room. A loop of loose carpeting material, which created a tripping hazard, was observed on the stage in the school age room.

Corrected by Dec 6, 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.

Loose arms which created pinch points were observed on a wooden child size rocking chair in the rear upstairs preschool room.

Corrected by Dec 6, 2022

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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.

A split seam, exposing the inner foam filling, was observed on a changing pad in the young toddler room. A tear, exposing the inner foam filling, was observed on an alphabet puppet, letter R, in the older toddler room.

Corrected by Dec 6, 2022

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3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The files for children #1 and #6 contained agreements which did not specify the date on which the fee is to be paid.

Corrected by Dec 21, 2022

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

The files for children #4 and #8 contained agreements which did not specify the child's arrival and departure times.

Corrected by Dec 21, 2022

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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 files for children #1, #4, and #8 contained agreements which did not specify the persons designated by a parent to whom the child may be released.

Corrected by Dec 21, 2022

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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 #1 contained emergency contact information which did not include the address of the child's physician or source of medical care.

Corrected by Dec 21, 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 file for child #1 contained emergency contact information which did not include the address of one of the individuals designated by the parent to whom the child may be released

Corrected by Dec 21, 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 information. 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 file for child #3 contained an agreement last reviewed by the parent on 9/3/21 and emergency contact information last reviewed by the parent on 12/21/21. The file for child #6 contained emergency contact information which was not updated the parent at least once in a 6 month period. The documented reviews were dated 11/18/21 and 10/21/22.

Corrected by Dec 21, 2022

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3270.131(a)(4)/3270.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record shall contain initial and subsequent health reports.

The file for child #2 lacked a health report dated in accordance with the requirements for medical examinations for school attendance. The last health report on file was dated 11/19/18, conducted when the child was 3 years old.

Corrected by Jan 20, 2023

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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 #3 did not contain a health report conducted in the last 12 months. The files for children #5 and #7 contained health reports conducted more than 12 months apart. The most recent health reports for child #5 and child #7 are now current.

Corrected by Dec 31, 2022

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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 file for child #6 contained a health report which did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Dec 21, 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 file for child #8 contained an immunization record which did not include documentation of receiving the influenza vaccine at any time. A written exemption was not on file.

Corrected by Dec 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.

Inspections of the fire alarm system were not conducted annually. Consecutive reports dated 2/24/21 and 10/28/22 were observed.

Corrected by Dec 13, 2022

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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.

SECOND VIOLATION. During an implementation visit on 2/2/22, an emergency contact form was not present in the downstairs PS Room for a child receiving care in that space. Previously cited on 1/12/22 SIN-00199006.

Corrected by Feb 2, 2022

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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.

During a complaint investigation on 1/12/22,emergency contact forms were not present in the older infant/young toddler room, Toddler Room and PS Room for children receiving care in those spaces.

Corrected by Feb 1, 2022

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

During a complaint investigation on 1/12/22, Staff #1 was observed entering the older infant/young toddler room with an infant in a car seat, reported to be her own child at approximately 9:35 AM. Staff #1 was observed leaving that room without the infant at 9:50 AM. In the older infant/young toddler room at this time, Staff #2 and #3 were observed to be present with 6 OT, 2 OT and 2 YT and the infant while Staff #1 was out of the room for approximately two minutes.

Corrected by Jan 27, 2022

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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.

Small rocks with a diameter of less than 1" were observed around the shed in the outdoor PG, accessible to children who may still be placing objects in their mouths.

Corrected by Jan 25, 2022

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A sharp kitchen knife was observed to be accessible to children in an unlocked drawer by the sink in the kitchen area of the downstairs PS room. Loose crib sheets were observed on the cribs of two of the infants in the Newborn Room, causing a suffocation hazard.

Corrected by Nov 17, 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.

A pressure washer was observed in the outdoor PG which contained a liquid basin and a tag describing the contents, including poisonous gas, and warning for eye and bodily injury and burn hazard.

Corrected by Nov 17, 2021

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3270.72(c) · Screens shall be in good repair.

Two holes in the window screen in the back downstairs PS were observed.

Corrected by Nov 17, 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.

A mirror on the wall of the SA girls bathroom was osberved to be loose and in danger of falling from the wall.

Corrected by Nov 17, 2021

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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 plastic railing structure to the slides on the outdoor PG were observed to be cracked, causing a sharp edge. The art board on the outdoor PG was observed to contain a cracked plastic screen, causing a sharp edge. The handle of the sit and spin on the Toddler PG was observed to be broken, causing a sharp edge.

Corrected by Jan 25, 2022

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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 in the crib in the Newborn Room.

Corrected by Nov 17, 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 files for Child #2 and #6 contained agreements which lacked the release persons for the children.

Corrected by Jan 20, 2022

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3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The files for Child #3 and #4 contained agreements which lacked the children's dates of enrollment.

Corrected by Jan 24, 2022

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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 file for Child #8 contained an emergency contact form which lacked a telephone number for the emergency contact person.

Corrected by Dec 10, 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 file for Child #3 contained an emergency contact form which did not include complete addresses for the release persons.

Corrected by Jan 25, 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 #1 and #2 contained records of immunization history which lacked current influenza vaccinations. The file for Child #5 contained record of immunization history which lacked the second dose of DTAP, Rotavirus, HIB, Pneumococcal and Polio.

Corrected by Jan 26, 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 expired Epi-Pen was observed in the SA Room. An expired Infant Tylenol was observed in the medicine box in the office.

Corrected by Nov 17, 2021

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

The observed written parental consent for an Epi-Pen for Child #9 in the SA Room was not current. An Albuterol for Child #10 in the SA Room was observed to lack written parental consent for administration. An Infant Tylenol for Child #4 and Child #11, siblings, was observed to lack written parental consent for administration.

Corrected by Nov 17, 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 files for Staff #1, #2 and #3 contained consecutive health assessments dated more than 60 months apart.

Corrected by Jan 5, 2022

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

The observed fire drill contained consecutive drills conducted more than 60 days apart.

Corrected by Nov 17, 2021

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The observed fire drill contained consecutive drills in which the hypothetical location of the fire did not change.

Corrected by Nov 17, 2021

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The files for Child #7 and #8 contained initial health reports dated more than 90 days after the first day of care. Due to the COVID-19 pandemic the regulation was suspended to allow 90 days after enrollment.

Corrected by Jan 5, 2022

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

SECOND VIOLATION. During two observed diaper changes in the YT Room, the staff member was observed to clean the changing surface with a solution of soap and water between the changes. Staff member reported she uses the soap and water solution between multiple children, then disinfects the changing surface after all children have been changed for that timeframe. Previously cited on SIN-00184821 on 3/22/21.

Corrected by Aug 12, 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.

During assessment of supervision and ratio in the Newborn room on 7/21/21 at 2:55 PM, an infant was observed sleeping on her belly on top of a boppy pillow, which was placed on the floor.

Corrected by Aug 12, 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 the YT Room, staff was observed placing the soiled diapers into the hands-free covered can by using her hand to lift the lid and then placing the diapers inside.

Corrected by Aug 19, 2021

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