3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Staff person #3 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid and CPR (completed 11/26/25), Health and Safety Training Part1 (completed 3/3/25) and Part 2 (completed 1/7/26)

Corrected Corrected by Jan 7, 2026

Category: supervision. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At the time of inspection, the preschooler's emergency contact forms were not available in the classroom (toddler room) where they were receiving care. Corrected on site by moving the go bag into the toddler room.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. 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. Facility Person #--- may not work in a child care position at the facility.

Documentation showed that staff #1 had a PA state police clearance dated 6/24/20, which is beyond the 60-month renewal requirement. Documentation showed that staff #1 had a child abuse clearance dated 7/16/20, which is beyond the 60-month renewal requirement. Documentation showed that staff #1 had an FBI clearance dated 7/27/20, which is beyond the 60-month renewal requirement. Documentation showed that staff #1 had an NSOR clearance dated 8/ 6/20, which is beyond the 60-month renewal requirement. Documentation that staff #2 had a signed disclosure statement on file was not available.

Corrected Corrected by Jan 9, 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.

Continued non-compliance: the facility is operating without a qualified director.

Corrected Corrected by Mar 31, 2026

Marked corrected in the state record.

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

The operator's signature was not available on the financial agreement for Child #4 and Child #5.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The name and address of the medical provider were not available on the emergency contact form for child #1 and child #2 The name of the medical provider was not available on the emergency contact form for child #5.

Corrected Corrected by Jan 19, 2026

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

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The parent's work address and phone number were not available on the emergency contact form for Child # 3.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Signed consent for emergency medical care was not available on the emergency contact form for child # 1 and child #2.

Corrected Corrected by Jan 19, 2026

Category: recordkeeping. 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.

The emergency transportation plan was not available in the preschool classroom.

Corrected Corrected by Jan 28, 2026

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Documentation of 6-month updates to the financial agreement and emergency contact form were not available for child #4.

Corrected Corrected by Jan 19, 2026

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.

Documentation showed that staff #2 had an initial health assessment dated 4/29/24, which is older that 12 months from the employee's start date. See LIS for start date.

Corrected Corrected by Mar 31, 2026

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff #3 was observed changing diapers without washing their hands after each diaper. Corrected on site - staff washed after CR prompt.

Corrected Corrected by Jan 16, 2026

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Signed consent for the administration of minor first aid was not available for child #1 and child #2.

Corrected Corrected by Jan 19, 2026

Category: ratio. 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.

The facility is operating without a person who is director-qualified on staff.

Corrected Corrected by Mar 1, 2026

Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · 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 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.

Continued Non-Compliance - Documentation of proof of education was not available for Staff #1.

Corrected Corrected by Dec 22, 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.

At the time of the inspection, documentation of education and experience was not available for Staff #1.

Corrected Corrected by Aug 31, 2025

Category: supervision. 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.

At the time of inspection, 2 written, non-family references were not available for staff #1.

Corrected Corrected by Jul 31, 2025

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.

Documentation of annual emergency plan training was not available for Staff #2 and Staff #3. Last documented emergency plan training was on 10/2/23. Emergency Plan did not contain a statement addressing the continuity of operations.

Corrected Corrected by Jan 31, 2025

Category: ratio. 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.

During the inspection, the emergency plan letter posted for parents did not contain procedures for lockdown emergencies or accommodations for infants, toddlers, children with special needs, and chronic medical conditions.

Corrected Corrected by Feb 7, 2025

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

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Documentation of annual fire safety training was not available for Staff #2.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #1 will have until 1/24/25 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Feb 14, 2025

Category: supervision. Marked corrected in the state record.

3270.124(f) · 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.

Documentation of updated emergency contact information not available for child #3. Emergency contact information form for child #4 missing the date of parent signature.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. 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). Facility person without valid or current documentation of Mandated Reporter training may not care for children unsupervised and must be in the immediate vicinity of a permanent employee who has all preservice training and qualifications to care for children unsupervised.

The Disclosure Statement for Staff #1 did not include the date of the signature. The Disclosure Statement for Staff #2 did not contain a witness signature. Documentation showed that Mandated Reporter Training for Staff #2 was 68 months old. Mandated reporter training must be completed within 60 months of last completing the course.

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

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

During the inspection, it was observed that outlet covers were not available for 2 sets of outlets in the infant room.

Corrected Corrected by Jan 31, 2025

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.

Documentation of the names of release persons not available on the agreement for child #1.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Documentation of physician's address and phone number was not available for Child #2.

Corrected Corrected by Feb 7, 2025

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

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Documentation of consent for emergency medical care signed by the parent was not available for child #2.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(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.

Documentation of health insurance coverage and policy number was not available for Child #4 and Child #5.

Corrected Corrected by Feb 7, 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.

Documentation of the address of a release person was not available on the emergency contact form for child #1.

Corrected Corrected by Feb 7, 2025

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.

Documentation of updated health assessments were not available for child #2 and child #3.

Corrected Corrected by Feb 7, 2025

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

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Documentation of immunization was not available for child #2.

Corrected Corrected by Feb 7, 2025

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

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the inspection, it was observed that the staff used hand sanitizer (in the preschool space) and hand wipes (in the toddler space) prior to children eating lunch, rather than handwashing.

Corrected Corrected by Jan 27, 2025

Category: health medication. 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.

Documentation of an updated health assessment for Staff #2 was not available.

Corrected Corrected by Feb 3, 2025

Category: ratio. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

During the inspection, a posted menu was not available.

Corrected Corrected by Feb 7, 2025

Marked corrected in the state record.

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Documentation of consent for the administration of minor first aid procedures signed by the parent was not available for Child #2.

Corrected Corrected by Feb 7, 2025

Category: ratio. 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.

Documentation of child care experience was not available for Staff #1 and Staff #2.

Corrected Corrected by Feb 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Documentation of fire drills conducted at least once every 60 days was not available. Documentation showed gaps of 61, 64, and 87 days between the last 4 fire drills.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). Child care facilities must manually test all fire detection devices or systems at least once every thirty (30) days and maintain a written record of testing with the facilities fire drill logs.

Documentation of manual testing of the fire detection equipment at least every 30 days was not available.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Documentation showing that the emergency plan had been sent to the county emergency management agency was not available.

Corrected Corrected by Feb 10, 2025

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

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Documentation of 12 hours of annual child care training was not available for Staff #2.

Corrected Corrected by Feb 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1 and #2 will have until 2/13/24 to complete the required training. Until such time as the required training has been completed, staff person #1 and #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1 and #2, staff person #1 and #2 may not work in a child-care position at the facility.

Staff Person #1 and #2 did not have pediatric CPR/First Aid on file. CPR/First Aide on file was not an approved pediatric curriculum.

Corrected Corrected by Feb 29, 2024

Category: supervision. 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.

Agreement form for child #2 did not list the fee amount

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. 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).

Agreement form for child #1 and #5 did not list the services to be provided.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Agreement form for child #3 and #4 did not list the child's arrival or departure times.

Corrected Corrected by Feb 29, 2024

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.

Agreement form for child #2, #3, and #5 did not list persons to whom the child can be released.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Emergency contact form for child #5 did not list the child's physician address or phone number.

Corrected Corrected by Feb 29, 2024

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

3270.182(4) · A child's record shall contain signed parental consent for administration of medications or special dietary needs.

Parental consent to administer medications or special dietary needs was missing for child #5

Corrected Corrected by Feb 29, 2024

Category: ratio. Marked corrected in the state record.

3270.124(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 the father's home address and parent work address. Emergency contact form for child #5 was missing a complete home and work address for the parent. Address provided listed the street but did not include the city.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Parental consent for emergency medical care was missing for child #1, #2, #3 and #5.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(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, #2, #3, and #5 was missing information on the child's disability.

Corrected Corrected by Feb 29, 2024

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.

Emergency contact form for child #1 was missing the address for the release persons. Emergency contact form for child #4 was missing a complete address for the release person. Address listed the street but did not include the city. Emergency contact form for child #5 was missing the address for release persons.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Agreement form and emergency contact form for child #1, #2, #3, #4, and #5 were not updated within the past 6 months.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Health report for child #1, #2, and #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Feb 29, 2024

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

3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

There was no parental consent for minor first aid for child #1, #2, #3, or #5

Corrected Corrected by Feb 29, 2024

Category: ratio. 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.

There was no documentation of emergency drills being completed annually at the facility.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.151(c)(2) · 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.

Staff number 1 did not have a TB screening on file.

Corrected Corrected by Feb 21, 2023

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

3270.27(a)(3) · 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.

Emergency Plan on file did not list a method to contact parents as soon as an emergency situation arises.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(4) · 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.

Emergency Plan on file did not list a method to inform parents that an emergency has ended.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. 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). Facility Person # 4 may not work in a child care position at the facility. 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 #4 may not work in a child care position at the facility.

Staff person #4 did not have an NSOR clearance or FBI clearance on file. Staff #4 may not work in a child care position at the facility.

Corrected Corrected by Feb 21, 2023

Category: background checks. 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.

Staff number 1 did not have a health assessment on file. Staff number 2 had a health assessment dated 8/15/19 and no updated health assessment was on file. Staff number 3 had a health assessment dated 12/9/20 and no update was on file.

Corrected Corrected by Feb 21, 2023

Category: ratio. Marked corrected in the state record.