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 most recent emergency plan review on file at the facility was dated 9/1/24, more than 12 months prior to the date of inspection.

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's emergency plan parent letter lacked the method to contact parents when an emergency arises, the method to contact parents when the emergency has ended and how to safely reunite with their children, and information regarding accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 10, 2026

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

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

Staff #1 --- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic. Staff #6-- did not complete the mandated reporter training within 90 days of their date of hire. Staff #6 completed the mandated reporter training on 2/9/26. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 17, 2026

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

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

The Mandated Reporter training on file for Staff #5 lacked a date that the training was completed.

Corrected Corrected by Mar 20, 2026

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection, the file for Staff #1, Staff #2, Staff #3, and Staff #4 contained an unacceptable format of the disclosure statement after 2/1/25, per Announcement C-25-01.

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #4--- may not work in a childcare position at the facility.

The file for Staff #2 contained a PA State Police clearance dated 3/6/26, after the start date with children. The file for Staff #4 lacked an NSOR clearance. The most recent PA State Police clearance on file for Staff #5 is dated 8/20/20, more than 60 months prior to the date of inspection. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 19, 2026

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

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for Staff #2 contained documentation of a high school diploma but lacked 2 years' experience with children. The file for Staff #4 lacked 2 years' experience with children. The record of the required education on file for Staff #4 to be classified as an assistant group supervisor was an international diploma-not evaluated by an approved evaluator with no equivalency on file.

Corrected Corrected by Apr 12, 2026

Category: supervision. Marked corrected in the state record.

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

In the toddler area, a Babyganics Sunscreen stick was observed in a bookbag hanging on the wall, and accessible to children.

Corrected Corrected by Mar 10, 2026

Marked corrected in the state record.

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

In the toddler area, peeling orange paint was observed under the window. In the preschool area, peeling green paint was observed in the corner near the rocking chair.

Corrected Corrected by Mar 11, 2026

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

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A plastic bag containing screws and bolts was observed in an unlocked drawer in the entrance walkway of the facility and accessible to children.

Corrected Corrected by Mar 17, 2026

Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement form for Child #1 did not contain a fee amount.

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form for Child #3 lacked the child's arrival and departure times.

Corrected Corrected by Mar 31, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The agreement form on file for Child #3 and Child #5 was the original, and not a copy.

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

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 most recent health report form on file for Child #5, an older toddler, is dated 2/21/25, more than 12 months prior to the date of inspection.

Corrected Corrected by Mar 31, 2026

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

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. Child #2 must be dismissed from care by close of business on 3/10/26 and may only return when the immunization record is updated, or when the parent provides a written, signed exemption letter.

The immunization record on file for Child #2, who is 8 months old, includes 2 out of 3 DTAP immunizations and 2 out of 3 Pneumococcal immunizations recommended for a child this age by the ACIP.

Corrected Corrected by Mar 20, 2026

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

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #2 contained a staff health assessment dated 10/20/25, after the start date with children. The file for Staff #4 lacked a staff health assessment form.

Corrected Corrected by Mar 17, 2026

Category: ratio. Marked corrected in the state record.

3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff #5 did not contain a copy of the PA FBI Fingerprint clearance dated 10/19/22.

Corrected Corrected by Mar 20, 2026

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

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

The facility files lacked an emergency drill. Through conversation with Staff #5, it was determined that an emergency drill had not yet been completed for the facility.

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for Child #4 lacked an initial health report form.

Corrected Corrected by Mar 31, 2026

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

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The most recent annual traffic letter on file at the facility is dated 10/1/24, more than 12 months prior to the date of inspection.

Corrected Corrected by Mar 31, 2026

Category: recordkeeping. Marked corrected in the state record.

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

The most recent state police clearance on file for Staff #1 was dated 8/20/20, more than 60 months prior to the date of inspection.

Corrected Corrected by Feb 4, 2026

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

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

A qualified director is not employed and present at the facility for a minimum of 30 hours per week.

Corrected Corrected by Feb 25, 2026

Marked corrected in the state record.

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

On 2/4/26 at approximately 7:15am, Staff #2 was observed caring for a mixture of 6 children, including 1 infant, 1 young toddler, 2 older toddlers, and 2 preschoolers. The ratio is 1 staff to 4 infants.

Corrected Corrected by Feb 4, 2026

Category: ratio. Marked corrected in the state record.

3270.54(a) · At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

On 2/4/26 at approximately 7:15am, Staff #2 was observed caring for 6 children alone in the facility.

Corrected Corrected by Feb 4, 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.

Staff #2 was observed to be caring for children unsupervised. Staff #2 has not updated the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR.

Corrected Corrected by Mar 16, 2026

Category: supervision. Marked corrected in the state record.

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 most recent Pediatric First Aid/CPR on file for Staff #2 is dated 10/24/23, exceeding the expiration date of 10/2025. (SEE LIS CODE SHEET)

Corrected Corrected by Mar 16, 2026

Category: ratio. Marked corrected in the state record.

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

Staff #3 did not complete the following required pre-service training within 90 days of their hire date: Pediatric First Aid/CPR (SEE LIS CODE SHEET).

Corrected Corrected by Mar 16, 2026

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

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

The most recent fire drill documented on the facility's fire drill log is dated 11/21/25, more than 60 days prior to the date of inspection.

Corrected Corrected by Mar 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The most recent fire detection test documented on the facility's fire detection log is dated 11/21/25, more than 30 days prior to the date of inspection.

Corrected Corrected by Mar 4, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement form for Child #1 lacked the fee amount.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form for Child #2 lacked the date on which the fee is to be paid.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form for Child #1 lacked the designated release persons.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In the toddler area, peeling paint was observed under the window near the bookshelf.

Corrected Corrected by Jun 3, 2025

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

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement form for Child #2 was not signed by the operator.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

The file for Staff #1 lacked a high school diploma or general education development certificate and 2 years of experience with children. The file for Staff #3 lacked verification of 2 years of experience with children.

Corrected Corrected by Jun 9, 2025

Category: supervision. Marked corrected in the state record.

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

The first aid kit in the infant area lacked tweezers.

Corrected Corrected by Jun 3, 2025

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

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

The emergency contact form for Child #2 lacked an address for the release persons.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The initial health assessment on file for Staff #2 is dated 1/23/24, more than 12 months prior to first day caring for children. The initial TB test on file for Staff #2 is dated 10/1/23, more than 12 months prior to first day caring for children.

Corrected Corrected by Jun 12, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #1 lacked a tuberculosis screening.

Corrected Corrected by Jun 27, 2025

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

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The facility lacked infant feeding schedules written by the parent.

Corrected Corrected by Jun 9, 2025

Category: nutrition. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The facility lacked safe pick-up/drop-off procedures posted in a conspicuous location in the facility.

Corrected Corrected by Jun 9, 2025

Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff #1 and Staff #4 lacked two written, nonfamily references.

Corrected Corrected by Jun 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility lacked a fire detection log. The operator confirmed that they have not tested the fire alarms at the facility.

Corrected Corrected by Jun 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14 · 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.

The provider failed to submit acceptable Civil Rights compliance documentation.

Corrected Corrected by Jan 16, 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.

The facility's emergency plan did not include information on accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Corrected Corrected by Nov 14, 2024

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.

The facility's emergency plan lacked a method for staff to contact parents when an emergency occurs, ends, and how to be reunited with children.

Corrected Corrected by Nov 14, 2024

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

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff Person #1 contained a disclosure statement that was not dated, making it invalid.

Corrected Corrected by Nov 13, 2024

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

3270.36(b)(2)/3270.192(2)(iv) · An assistant group supervisor shall have a high school diploma or a general educational development certificate, including 600 or more hours of secondary training described in §3270.31(c) (relating to age and training). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The record of the required education on file for Staff Person #1 to be classified as an assistant group supervisor was an international diploma-not translated by an approved evaluator with no equivalency on file.

Corrected Corrected by Nov 18, 2024

Category: supervision. Marked corrected in the state record.