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.

Plan for continuity of operations was not available in the emergency plan.

Corrected Corrected by Nov 11, 2025

Category: ratio. Marked corrected in the state record.

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

The primary caregiver for an infant was observed to carry the infant into the kitchen to check on the food that was being prepared for lunch was cooking. Food was served for lunch was observed to be extremely hot, as evidenced by an excessive amount of steam coming off the food and verbal prompts from staff to children when served.

Corrected Corrected by Nov 30, 2025

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

3280.26(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.

Information about accommodations for infants, toddlers, and children with special needs and chronic medical conditions was not available in the emergency plan letter to families.

Corrected Corrected by Nov 11, 2025

Category: physical safety. 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.

A protective outlet cover was observed to be missing in the basement classroom. Corrected on site.

Corrected Corrected by Oct 29, 2025

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.

A plastic toy, approximately 3" in diameter, was observed to be on the stairs to the basement. Corrected on site.

Corrected Corrected by Oct 29, 2025

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

3280.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

A majority of the toys and materials in the main room were observed to be stored in bins inaccessible to children. Learning centers were not available for children to explore and exercise choice in the activities in which they can engage. Children were observed to be reprimanded for speaking during lunch.

Corrected Corrected by Nov 10, 2025

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

3280.131(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.

Documentation that the child is free of communicable diseases and able to participate in child care was not available for child #1 and child #2.

Corrected Corrected by Nov 29, 2025

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

3280.131(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.

Documentation showed immunization records dated 5/21/25 for child #1 and child# 2. Both children were enrolled in October 2024. This exceeds the requirement that immunization records be obtained within 60 days of enrollment.

Corrected Corrected by Nov 11, 2025

Category: health medication. 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.

Documentation of an emergency drill conducted within the last12 months was not available.

Corrected Corrected by Nov 3, 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.

On the day of the visit (7/16/25), documentation showed that the last test of the fire detection system occurred on 6/2/25, exceeding the 30-day requirement for fire system testing.

Corrected Corrected by Jul 17, 2025

Category: recordkeeping. 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.

Names of people to whom the child may be released were not available on the agreement for child #4

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(6) · An agreement shall specify the date of the child's admission.

The date of initial enrollment was not available on the financial agreement for child #4.

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

At the time of inspection, documentation of 12 hours of annual training for staff #3 and staff #4 was not available.

Corrected Corrected by May 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

At the time of inspection, documentation showed an NSOR dated 2/24/20 for staff #3, exceeding the 60-month requirement for renewing.

Corrected Corrected by Apr 17, 2025

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

3280.51 · No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. Provider agrees to periodic unannounced visits by DHS representative in order to monitor supervision and regulatory compliance for a period of 3 months from the date of approval of this plan.

Upon arrival at the facility, the CR observed 11 children in care the ranging from older toddler to preschool in age. Within 5 minutes of entering the facility, the Certification Supervisor (CS) entered the facility from the back door with 2 adults and 6 children. It was explained that one of the adults was an unlicensed provider who sometimes visits the program with her children. When it was explained that the facility was only licensed for 12 children the "Unlicensed provider" left with 4 children, one biological child, and 3 preschoolers, leaving 13 children in care.

Corrected Corrected by Sep 10, 2025

Category: supervision. Marked corrected in the state record.

3280.123(a)(3) · An agreement shall specify 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 at § 3280.124(f).

Documentation of child service reports being completed every 6 months was not available for children # 1,2,3,4,5.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. 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.

During the inspection, hand sanitizer was observed to be stored on the diaper changing table within reach of children. CORRECTED ON SITE. Hand sanitizer was also observed to be accessible to children in the stairwell leading to the basement child care space. CORRECTED ON SITE. A drawer in the changing table was observed to be unlocked. A prescription bottle of medication was observed to be inside the drawer, accessible to children. COS

Corrected Corrected by Mar 7, 2025

Category: ratio. Marked corrected in the state record.

3280.75(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.

At the time of inspection, soap was not available in the facility vehicle first aid kit.

Corrected Corrected by Apr 16, 2025

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

3280.111(c)/3280.113(e) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

During the inspection, two children were observed to be restrained in pack and plays from approximately 9:15-9:45. The children were then moved to highchairs until 10:05, when CR encouraged staff to allow the children to play at the tables with the other children.

Corrected Corrected by Mar 7, 2025

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

3280.117(a) · A child shall be released only to the child's parent or to an individual designated in writing by the enrolling parent. A child shall be released to either parent unless a court order on file at the facility states otherwise.

During the inspection, child # 5 and child #6 were observed to be released to an individual who was not designated in writing as an authorized release person.

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.118(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

At the time of the inspection, documentation of current rabies immunization was not available for 1 cat and 2 dogs that were on site.

Corrected Corrected by Apr 29, 2025

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

3280.123(a) · An agreement shall be signed by the operator and the parent.

Financial agreements for children # 1,2,3,4 were not signed by the operator.

Corrected Corrected by Mar 8, 2025

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.

Health insurance information, including the policy number, was not available for child #4.

Corrected Corrected by May 30, 2025

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.

The address for release person was not available for child #4.

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

At the time of the inspection, emergency contact forms for all currently enrolled children were not available in the three child care spaces or the van. The operator reported that they do not use a backpack when going outside, meaning that emergency contact forms were not available in the outdoor play space.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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.

Documentation that emergency forms and financial agreements were updated every 6 months was not available for children # 1,2,3,4,5.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(2)/3280.182(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 must contain initial and subsequent health reports.

An updated health assessment for child #4 was observed to be late as evidenced by the most recent health assessment dated 12/20/24 and the previous health assessment being dated 10/26/23.

Corrected Corrected by Dec 20, 2024

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

3280.151(a)/3280.192(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.

At the time of inspection, documentation of a completed health assessment and TB test was not available for staff #1. The health assessment on file for staff #2 was dated 3/4/25, which was after the staff persons start date (see LIS for DOH).

Corrected Corrected by Apr 18, 2025

Category: ratio. Marked corrected in the state record.

3280.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

At the time of inspection, verification of experience was not available for staff # 1 or staff #2. Both staff #1 and staff #2 had foreign diplomas on file - documentation of evaluation of those degrees was not available.

Corrected Corrected by May 31, 2025

Category: recordkeeping. 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.

At the time of inspection, documentation of 2 written references was not available for staff #1 and staff #2.

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.61(h) · The capacity established for an indoor space may not be exceeded.

During the inspection, 13 children were observed to be occupying a child care space (front living room) that is licensed for 7 children.

Corrected Corrected by Mar 10, 2025

Category: ratio. Marked corrected in the state record.

3280.131(a)/3280.182(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 must contain initial and subsequent health reports.

Documentation that an initial health assessment was obtained within 60 days of enrollment was not available for child #3 as evidenced by the earliest health assessment on file dated 8/17/22 (see LIS for date of enrollment).

Corrected Corrected by Aug 17, 2022

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

3280.75(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 main living room (TV Room/Infant space) was observed to be missing tape and scissors

Corrected Corrected by Apr 26, 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.

Emergency contact form for child #1 was missing a complete address for release persons.

Corrected Corrected by Apr 12, 2024

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.

Emergency telephone numbers posted did not include the number for the nearest hospital.

Corrected Corrected by Apr 26, 2024

Category: physical safety. 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.

In the basement, a large board with shelving was observed resting on the floor which contained large screws sticking out that posed a safety hazard to children.

Corrected Corrected by Apr 26, 2024

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the main living room (TV Room/Infant space) a windowsill was observed to have peeling paint. The area of peeling paint was accessible to infants.

Corrected Corrected by Mar 27, 2024

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

3280.108(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the basement a child's folding chair with Paw Patrol pictures was observed to be in disrepair with exposed foam padding.

Corrected Corrected by Mar 26, 2024

Marked corrected in the state record.

3280.123(a)(6)/3280.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child #2 and #3 were missing the date of admission on file.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact form for child #1 was missing a complete address for the physician and a phone number for the child's physician

Corrected Corrected by Apr 12, 2024

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact form for child #1 was missing a complete address for the parents home and work address. Emergency contact form for child #1 was missing a parent home and work phone number.

Corrected Corrected by Apr 12, 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.

Emergency contact form for child #1 and 2 was missing the insurance policy number

Corrected Corrected by Apr 12, 2024

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

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written transportation plan was observed to be missing in the main living room (TV Room/Infant space), the Middle child care space, and in the basement child care space.

Corrected Corrected by Apr 26, 2024

Category: transportation. 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.

Fire detection testing was not completed within 30 days on the following occasions: 1/8/24 to 2/8/24, 5/12/23 to 6/12/23, 7/12/23 to 8/14/23, 9/11/23 to 10/12/23, and 10/12/23 to 11/13/23.

Corrected Corrected by Apr 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

On the outdoor play space, a raised play space covered in turf was observed with a fall height of approximately 2.5 feet. There was no fencing or barricade observed to protect children from falling.

Corrected Corrected by May 12, 2023

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

3280.75(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 basement was observed to be missing soap. Fir Aid Kit in the main childcare space was observed to be missing soap.

Corrected Corrected by May 10, 2023

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

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The napping cots provided were numbered for child use. However, there was no chart or list indicating which cot belonged to each child according to number.

Corrected Corrected by May 10, 2023

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

3280.105(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

A stuffed animal was observed in a crib while an infant was sleeping. Corrected on site by removing the toy.

Corrected Corrected by May 10, 2023

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

3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Agreement form for child #3 did not include arrive and departure times.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact from for child #3 and #4 was missing a complete address for the child's physician. Address for the physician was missing the city.

Corrected Corrected by May 10, 2023

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Emergency contact form for child #2 was missing the name and address of work for both parents. Emergency contact form for child #3 and 4 was missing work address for the mother.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact form for child #1 was missing information on the child's disability. Emergency contact form for child #3 and #4 was missing information on the child's disability.

Corrected Corrected by May 10, 2023

Category: health medication. 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.

Emergency contact form for child #1 did not include the health insurance coverage or policy number.

Corrected Corrected by May 10, 2023

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.

Emergency contact form for child #3 and #4 was missing the address for persons to whom the child may be released.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.176(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).

The minivan used for transporting children did not have a current insurance card present at the time of inspection.

Corrected Corrected by May 10, 2023

Category: transportation. Marked corrected in the state record.

3280.178 · A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

First Aid Kit located in the minivan used for transportation was observed to be missing water and soap.

Corrected Corrected by May 10, 2023

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

3280.182(5) · 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.

Emergency contact form for child #1 did not have signed parental consent for the facility to administer minor first-aid.

Corrected Corrected by May 10, 2023

Category: ratio. Marked corrected in the state record.