3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On 4/24/26, it was reported that a 1-year-old child eloped from the playground and was in the road. On 4/29/26, Cert Rep arrived at the facility. Through staff interviews it was found that staff #1-3 admitted that they were on all the playground and were unaware the child had eloped. Staff #1-3 stated that heard cars honking and looked over the fencing and saw the child in the middle of the road and the child was almost to the other side of the street. Staff reported that they were unable to get out of the playground gates due to them being both being locked. One was locked with a combination lock that staff could not open and the other was locked by a key. The director reported that the key to that lock was missing. Staff #1 ran inside the facility and out of the front doors and got the child from a person that had stopped their car and grabbed the child out of the road.

Corrected Corrected by Apr 28, 2026

Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

On 4/29/26, an unannounced visit was conducted. Staff #2 & #3 were observed providing childcare. Staff #2's file did not contain verification of childcare experience. Staff 3's file did not contain proof of education.

Corrected Corrected by Apr 30, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection was conducted 1/7/26-1/12/26. The following staff did not receive emergency plan training within 90 days of initial hire: Staff #4, 5, 6, 9, 10, 11, 14 & 15.

Corrected Corrected by Feb 5, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f) · 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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. (PQAS) Pediatric first aid and CPR training.

A renewal inspection was conducted 1/7/26-1/12/26. Staff person #4 has completed Pediatric first aid and CPR training within 90 days of hire, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum. This is evidenced by the CPR on file, National CPR Foundation, dated 5/27/25. Staff #4 currently has an approved Pediatric first aid and CPR training on file dated 12/9/25. Staff person #2 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 9/5/23 and the current is dated 10/14/25.

Corrected Corrected by Jan 15, 2026

Category: ratio. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

A renewal inspection was conducted on 1/7/26. In the infant, ocean and train classrooms, Cert Rep observed during naptime that several children's cots, mats and cribs did not have 2 feet space on three sides.

Corrected Corrected by Jan 8, 2026

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

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A renewal inspection was conducted 1/7/26-1/12/26. Child #1 did not have a child service report completed every 6 months. This is evidenced by the child service report on file dated 10/22/24.

Corrected Corrected by Jan 15, 2026

Category: recordkeeping. Marked corrected in the state record.

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 will be removed from care by close of business on 1/7/26 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

A renewal inspection was conducted 1/7/26-1/12/26. Child #1's immunization record indicates the child has only three doses of DTAP vaccine and one dose of Hepatitis A vaccine and no exemption letter is in the child's file. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by Jan 7, 2026

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

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection was conducted 1/7/26-1/12/26. Staff person #10 does not have an initial health assessment on file and they did not receive their TB screening at initial hire. The TB screening on file is dated 11/24/25. The following staff did not update their health assessment every 24 months as required by regulation: Staff #8's current health assessment is dated 1/4/26 and previous is dated 3/27/23; Staff #12's current health assessment is dated 1/8/24 and previous is dated 6/2/19; & Staff #13's current health assessment is dated 1/3/25 and previous is dated 2/5/18. (See code sheet for DOH).

Corrected Corrected by Jan 15, 2026

Category: ratio. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

A renewal inspection was conducted 1/7/26. The director acknowledged that a copy of accidents, injuries and illnesses reports are not kept in a facility file.

Corrected Corrected by Jan 15, 2026

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

3270.192(2)(ii)/3270.192(5) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A renewal inspection was conducted 1/7/26-1/12/26. Staff #1 has one nonfamily reference on file. Staff #3, #7, #10, & #11, who are all listed as AGS's, staff files does not contain childcare experience.

Corrected Corrected by Jan 15, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not address continuity of operations.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10): center-based health and safety 1 hour update training by 12/30/22.

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person(s) #1-8 has completed the health and safety Getting Started with Center Based Care: Building Blocks for Quality but did not complete the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training by 12/30/22. Staff #1 completed the health & safety 1 hour update on 10/01/23, staff #2: 9/25/23, staff #3: 10/10/23, staff #4: 10/09/23, staff #5: 10/04/23, staff #6: 8/03/23, staff #7: 9/25/23, and staff #8: 8/04/23.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not provide a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility's emergency plan does not provide a method for facility persons to inform parents that the emergency has ended and did not provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Feb 3, 2025

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

3270.32(a) · 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 CPSL requires all clearances and mandated reporter training to be updated every 60 months.

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person #8 did not complete mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter trainings on file dated 05/19/19 and 11/21/24. This training was not updated every 60 months as required by the CPSL.

Corrected Corrected by Jan 21, 2025

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff 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 Person #9 may not be present in a childcare position at the facility.

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person #9 did not have a valid PSP clearance on file. The PSP clearance on file indicated that the request is still pending and did not include a dissemination date. All other clearances are on file. Cert rep observed staff person #9 providing childcare at the facility.

Corrected Corrected by Jan 13, 2025

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

3270.66(d) · Toxic plants are not permitted in a child care space.

A renewal inspection was conducted on 1/8/25-1/13/25. Cert rep observed pothos plants, that are toxic to children, in the Early Head Start and Ocean classrooms.

Corrected Corrected by Jan 8, 2025

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

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

A renewal inspection was conducted on 1/8/25-1/13/25. Child #1's fee agreement did specify the arrival and departure times.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

A renewal inspection was conducted on 1/8/25-1/13/25. Staff person #3 did not update their health assessment every 24 months as required by regulation: Staff #3's current health assessment is dated 01/21/23; previous is dated 05/29/19.

Corrected Corrected by Jan 21, 2025

Category: ratio. Marked corrected in the state record.

3270.166(3)/3270.166(4) · Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Disposable nursers and bottles shall be labeled with the child's name.

A renewal inspection was conducted on 1/8/25-1/13/25. In the infant classroom, staff reported that the infant bottles are washed and reused each day for infant feedings. The facility does have a commercial dishwasher, however staff indicated they are not using the commercial dishwasher. Cert rep observed several infant baby bottles that were not labeled with the children's names.

Corrected Corrected by Jan 21, 2025

Marked corrected in the state record.

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.

A renewal inspection was conducted on 1/8/25-1/13/25. The facility's emergency plan does not provide information for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 3, 2025

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

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

A renewal inspection was conducted on 1/8/25-1/13/25 .The facility did not provide the parent of each child enrolled with instructions for contacting the Northeast Regional Child Care Office

Corrected Corrected by Jan 21, 2025

Marked corrected in the state record.

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

Blue couch in the Preschool room was observed to have a rip in the fabric, rendering it unable to be cleaned properly.

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

First aid kit in the older toddler room was missing tweezers and soap.

Corrected Corrected by Jan 31, 2023

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

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

Fee Agreement for Child # 1 was missing child's date of admission.

Corrected Corrected by Feb 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Emergency Contact Form for Child # 2 did not contain address of release persons.

Corrected Corrected by Feb 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

File for Staff # 1 did not contain health assessments every 24 months. Health assessments in file were dated 9/14/20 and 1/16/23.

Corrected Corrected by Jan 31, 2023

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in child care. Current staff must have the NSOR clearance no later 7/1/20.

Files for Staff # 1 and # 2 were not in compliance with CPSL regulations. Staff # 1 began child care on 12/27/21 and did not apply for the NSOR clearance until 2/15/22. Staff # 1 does not have the NSOR clearance. File for Staff # 1 did not contain the Mandated Reporter Training. Staff # 2 began child care on 5/20/15. File for Staff # 2 contains a Department Of Education FBI clearance, dated 2/20/18. DHS does not accept the Dept. of Ed clearance.

Corrected Corrected by Feb 16, 2022

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

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Facility did not have a posted written plan identifying the means of transporting a child to emergency care and staffing provisions in case of an emergency.

Corrected Corrected by Feb 17, 2022

Category: transportation. Marked corrected in the state record.