3280.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Observed the back exit from the facility was obstructed with construction materials and trash.

Corrected Corrected by Jun 30, 2025

Marked corrected in the state record.

3280.26(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.

Observed staff files #1 and #2 did not contain documentation of training in the emergency plan at the time of initial hire.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1- may not work in a childcare position at the facility until a valid DHS FBI fingerprint clearance is obtained.

Observed staff file #1 contained a Department of Education FBI fingerprint clearance which is not acceptable for childcare. Observed staff file #1, who has been in a childcare position for more than 90 days, did not contain documentation of the CPSL required approved mandated reporter training.

Corrected Corrected by Jun 30, 2025

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

3280.66(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed cleaning materials accessible to children due to an unlocked door and an unlocked wall cabinet.

Corrected Corrected by Jun 30, 2025

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

Observed a peeling white coating on the door leading to the playground.

Corrected Corrected by Jun 30, 2025

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

3280.102(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.

Observed standing water in the sand table in the outdoor play area.

Corrected Corrected by Jun 30, 2025

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

3280.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Observed by the medication storage area, a bottle of oral Ibuprofen which was expired.

Corrected Corrected by Jun 30, 2025

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

3280.151(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.

Observed staff file #2 did not contain an initial health assessment which was conducted within 12 months prior to providing initial service in the child care setting.

Corrected Corrected by Jun 30, 2025

Category: ratio. Marked corrected in the state record.

3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Observed bottles at the facility, for an infant in care, were not labeled with the child's name.

Corrected Corrected by Jun 30, 2025

Marked corrected in the state record.

3280.192(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.

Observed staff file #1 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

Observed the most recent fire drill was conducted and documented on 10/3/24 which is more than 6 months ago.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Observed the last documented fire alarm test was conducted on 10/3/24 which is more than the required testing time frames of every thirty days.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.24(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.

Observed the facility did not have the current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Jun 30, 2025

Marked corrected in the state record.

3280.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Observed staff file #1 who has been in a childcare position for more than 90 days (See LIS code sheet) did not contain documentation of completion of the CCDGB health and safety professional development training.

Corrected Corrected by Jun 30, 2025

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

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Observed child file #4, a young toddler, contained a most recent health assessment which was dated more than 8 months ago.

Corrected Corrected by Oct 31, 2024

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

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1- may not work in a childcare position at the facility until a disclosure statement is signed and a valid NSOR verification letter is obtained.

Observed staff file #1 did not contain a signed disclosure statement at the time she was rehired to work at the facility. Observed staff file #1contained a most recent NSOR verification letter which was dated more than 64 months ago.

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed an electrical outlet, in the front childcare room next to the fan, did not have a protective receptacle cover.

Corrected Corrected by Sep 11, 2024

Marked corrected in the state record.

3280.76 · 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.

Observed a broken ceiling tile in the front childcare room.

Corrected Corrected by Sep 19, 2024

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed the refrigerator, used to store potentially hazardous foods, did not contain an operable thermometer.

Corrected Corrected by Sep 20, 2024

Category: nutrition. Marked corrected in the state record.

3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Observed the agreement for child files #1, #2, #3, and #4 did not contain the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Observed the emergency contact information for child file #2 did not contain the health insurance policy number.

Corrected Corrected by Oct 25, 2024

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

3280.124(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.

Observed the emergency contact information for child file #2 did not contain the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

Observed child file #3, an older toddler, contained a most recent health assessment which was dated more than 18 months ago.

Corrected Corrected by Oct 31, 2024

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

3280.192(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.

Observed staff file #1 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Observed the most recent emergency drill was completed more than 21 months ago (12/7/22).

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Observed the fire alarm testing log revealed that 3 times in the previous 12 months, the fire alarm testing was conducted more than 30 days apart (11/3/23-12/5/23, 1/4/24-2/5/24, 5/3/24-6/6/24).

Corrected Corrected by Sep 20, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

Observed the emergency plan for the facility did not include a plan for the continuity of operations after a potential emergency.

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1 and 2- may not work in a childcare position at the facility until a valid signed disclosure statement is obtained.

Observed staff file #1, a provisional hire, did not contain a disclosure statement. Staff file #1 contained a child abuse clearance which was dated after the first day working in a childcare position. Observed staff file #2, a provisional hire, did not contain a signed disclosure statement. Staff file #1 and #2 contained NSOR verification letters which were dated more than 45 days after the first day working in a childcare position as a provisional hire.

Corrected Corrected by Oct 27, 2023

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

3280.34(b)(5) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

Observed staff file #1 and #2 did not contain documentation of 2 years of experience with children.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Observed the emergency telephone numbers were not posted by the telephone in the front preschool nap room.

Corrected Corrected by Oct 27, 2023

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

3280.102(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.

Observed in the outdoor play area, two cuddy cruisers (one red and one purple) which were damaged and had rough plastic edges.

Corrected Corrected by Oct 27, 2023

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

3280.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Observed the facility did not have a written plan of daily activities and routines.

Corrected Corrected by Oct 27, 2023

Marked corrected in the state record.

3280.124(b)(4)/3280.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Observed the emergency contact information for child file #2 and #3 did not contain written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 27, 2023

Category: ratio. Marked corrected in the state record.

3280.124(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.

Observed the emergency contact information for child file #1, 2, and 3 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(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 childcare group settings). Documentation of ongoing vaccinations in accordance with the schedule recommended by the ACIP for child file #1 and #3 will be obtained unless the parent has written an exemption from the vaccine prior to the child returning to care.

Observed child file #1 and #3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 27, 2023

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

3280.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed the facility did not have an established medication log for a bottle of children's ibuprofen stored at the facility.

Corrected Corrected by Oct 27, 2023

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

3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Observed the emergency contact information for child #3 did not include parental consent for walking excursions.

Corrected Corrected by Oct 27, 2023

Category: transportation. Marked corrected in the state record.

3280.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-1 and 2-- may not work in a childcare position at the facility until a valid disclosure statement is obtained.

Observed staff file #1 and #2, both provisional hires, did not contain disclosure statements. Observed staff file #1 did not contain copies of the applications for the child abuse clearance or FBI fingerprinting. Observed staff file #2 did not contain a copy of the application for the NSOR verification letter.

Corrected Corrected by Oct 27, 2023

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

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Observed the facility did not have documentation of notifying the local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Corrected Corrected by Oct 27, 2023

Marked corrected in the state record.

3280.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Based on statements obtained during the course of the investigation, it was determined that a child's diaper had not been checked and changed after the child woke up from nap, and the child's previous diaper change had been completed more than 2 hours prior to waking up.

Corrected Corrected by Mar 3, 2023

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

3280.52(c) · 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 at §3280.52(b).

Observed at the time of the inspection, staff #1 was caring for a mixed age group of children which consisted of 2 young toddlers, 3 older toddlers, and 2 preschool children.

Corrected Corrected by Mar 3, 2023

Category: ratio. Marked corrected in the state record.

3280.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Observed at the time of the inspection, staff #1 caring for 7 children in the infant/toddler room, which has a measured capacity for 6 children.

Corrected Corrected by Mar 13, 2023

Category: ratio. Marked corrected in the state record.

3280.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Observed child file #1, a young toddler, contained a most recent health assessment which was dated more than 8 months ago.

Corrected Corrected by Oct 28, 2022

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

3280.26(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Observed the facility did not have documentation of the review of the emergency plan within the previous 12 months. The emergency plan was last reviewed when updated in January 2021.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.76 · 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.

Observed a damaged ceiling tile in the preschool play room. Observed a missing ceiling tile in the bathroom used by children.

Corrected Corrected by Oct 28, 2022

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

3280.102(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.

Observed a wooden shelf in the eating room and in the preschool play room which were not securely anchored to the wall. Observed in the outdoor play area, a little tykes play house which had detached and unstable sides. Observed in the entrance room a low shelf with a splintering back.

Corrected Corrected by Oct 28, 2022

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Observed the refrigerator used to store potentially hazardous food did not have a thermometer.

Corrected Corrected by Oct 28, 2022

Category: nutrition. Marked corrected in the state record.

3280.124(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.

Observed the emergency contact information for child file #1 and #3 did not contain the complete address for the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

Observed child file #2, a preschool age child, contained an updated health assessment which was obtained more than 16 months after the previous valid health assessment.

Corrected Corrected by Oct 28, 2022

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

3280.131(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.

Observed child file #3 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 28, 2022

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

3280.151(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.

Observed staff file #1, who has started providing initial service in a child care setting, did not contain a valid health assessment.

Corrected Corrected by Oct 28, 2022

Category: ratio. Marked corrected in the state record.

3280.192(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

Observed staff file #1 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Observed the fire alarm testing log revealed that 2 times in the previous 12 months that the fire alarms were tested more than 30 days apart. Observed the facility did not have the receipts for the installation of the interconnected fire alarm system.

Corrected Corrected by Oct 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(5) · Evacuation routes are posted in a conspicuous location on each floor of the facility.

Observed the facility did not have the evacuation routes posted on the second floor of the building.

Corrected Corrected by Oct 29, 2021

Marked corrected in the state record.

3280.26(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.

Observed the facilities updated emergency plan did not contain a means to provide accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 29, 2021

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

3280.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and 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.

Observed staff file #1 and #2 contained documentation of first aid training which was expired on 2/5/20.

Corrected Corrected by Oct 29, 2021

Category: ratio. Marked corrected in the state record.

3280.76 · 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.

Observed a tension bar on the outdoor play area fence which was detached at the bottom. Observed a loose hanging air conditioning cord accessible to young children and a visible hazard.

Corrected Corrected by Oct 29, 2021

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

3280.102(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.

Observed in the outdoor play area, two motorcycle riding toys which had detached handlebars and rough edges on the damaged door edge of the play house.

Corrected Corrected by Oct 29, 2021

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

3280.124(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.

Observed the emergency contact information for child #2 did not contain the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.131(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.

Observed child file #1, who has been in attendance for more than 6 months did not contain written verification of ongoing vaccines administered in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Oct 29, 2021

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

3280.24(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.

Observed the facility did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Oct 29, 2021

Marked corrected in the state record.