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Home › PA › Delmont › Salem Crossroads Day Care Inc
77 Greensburg St, Delmont PA 15626 · License #CER-00255536 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.113(a) · TIER 1: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. This portion of the plan will have an immediate correction date. TIER 2: The Legal Entity will develop a policy to ensure proper supervision of children who receive care or services from a third-party entity. Once the policy has been created, it will be submitted to the regional office for review. Once reviewed by the regional office, current staff will read and sign off on receiving the policy. The policy will be added to the staff handbook. The Legal Entity will submit the handbook and staff acknowledgement forms to the department within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 3: The month following the completion of Tier 2, the Legal Entity will convene a staff meeting and require all staff to be in attendance to discuss the policy in Tier 2. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 4: After the completion of Tier 3, all staff will attend an in person "active supervision" training. The training must be approved by the regional office prior to participation. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 5: The month following the completion of Tier 4, all staff will participate in a follow-up staff meeting to review the contents of the training from Tier 4 and discuss active supervision strategies. Attendance sign-in sheets will be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion.
At approximately 10:40am, 18 children were observed in the preschool classroom. When asked to identify their primary supervision groups, staff #1 identified 10 preschool age children and staff #2 identified 9 preschool age children, which included a child outside the classroom in the hallway area with 2 non-facility persons. Staff #2 is unable to effectively supervise a child that is not in the same child care space as the staff person.
Disposition: Compliant - Finalized
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
Corrected Corrected by May 31, 2026
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
At approximately 10:40am, 18 children were observed in the preschool classroom. When asked to identify their primary supervision groups, staff #1 identified 10 preschool age children and staff #2 identified 9 preschool age children, which included a child outside the classroom in the hallway area with 2 non-facility persons. Staff #2 was not physically present with the child in the hall. There was not a Transfer of Care plan for the child in the hall on file.
Corrected Corrected by Feb 3, 2026
Category: supervision. Marked corrected in the state record.
3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.
Based on interviews with staff, Staff #3 has been handsy with children including picking a child up and pushing them into a chair by their arms as they were being disciplined.
Corrected Corrected by Mar 31, 2026
Marked corrected in the state record.
3270.113(c) · A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.
Based on interviews with staff, Staff #1 put a 2-year-old child in a restroom stall then closed the door telling the child they need to use the bathroom. The child is not currently potty training at home or at the facility. Children have asked Staff #1 to use the restroom and were told they needed to wait. While waiting 2 children relieved themselves in their clothes.
Corrected Corrected by Apr 30, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Based on interviews with staff, Staff #1 has been heard inappropriately yelling and screaming at children in the classroom and while in the restroom which would scare the children and make some staff uncomfortable. The tone of Staff #2 had been described as harsh, angry, demeaning and nasty.
Corrected Corrected by Apr 30, 2026
Category: physical safety. Marked corrected in the state record.
3270.113(e) · TIER 1: 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. This portion of the plan will have an immediate correction date. TIER 2: After staff have completed the staff meeting regarding supervision, all staff will participate in a training focused on managing staff emotions. This training requires prior approval from the regional office. Once approved and conducted, the sign-in sheet must be submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion. TIER 3: The following month after Tier 2 is completed, all staff are required to attend a staff meeting to review and discuss the training on managing staff emotions. Attendance will be documented and submitted to the regional office within 5 business days of completion. This portion of the plan will have a date within 5 business days of completion.
Based on staff interviews, Staff #1 placed a 2-year-old child in a restroom stall and closed the door telling the child they need to use the bathroom. The child is not currently potty training at home or at the facility. Based on staff interviews, when children have been on their mats for rest time, staff have placed their legs over children to prevent them from moving.
Corrected Corrected by Apr 30, 2026
Category: supervision. Marked corrected in the state record.
3270.162(c) · Food may not be withheld from a child for purposes of discipline.
Based on interviews with staff, Staff #1 utilizes a timer for lunch. If a child has not finished eating when the timer expires, their food is either packed up and put away or thrown in the trash, regardless of whether the child is still hungry or eating. Based on interviews, the practice for putting away or throwing away uneaten food was viewed as punishment for not finishing with eating by the time the timer went off.
Corrected Corrected by Mar 31, 2026
Category: nutrition. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
A packing tape dispenser was observed on a desk accessible to children receiving care in Classroom 6. The dispenser was observed to have a sharp edge for cutting the tape and created a risk to children. A pair of adult scissors were observed in an unlocked desk drawer accessible to children receiving care in Classroom 3.
Corrected Corrected by Feb 6, 2026
Category: health medication. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The file for Staff Person #11 lacked verification that they had completed emergency plan training within the last 12 months. The most recent emergency plan training was dated 5.21.24.
Corrected Corrected by Mar 6, 2026
Category: recordkeeping. 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 file for Staff Person #11 lacked current Pediatric First Aid and CPR training. The most recent Pediatric First Aid and CPR training expired in October 2025.
Corrected Corrected by Mar 6, 2026
Category: ratio. 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.
The file for Staff Person #11 lacked verification that they had completed annual fire safety training within the last 12 months. The most recent fire safety training on file was dated 5.25.24.
Corrected Corrected by Mar 6, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.32(a) · 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #3 and #6 may not work in a child care position at the facility. This part of the plan will have an immediate correction date. 2. Operator will develop a physical tracking form that will be posted in the office to track all required CPSL requirements for all Facility Persons. The form will be submitted to Certification for approval prior to implementation. Operator will provide a correction date for this part of the plan. 3. Operator will designate one person in management to ensure the chart is reviewed at a minimum of once per month. Operator will provide a correction date for this part of the plan.
The updates to the PA State Police and FBI Clearances, and NSOR Certificates on file for Staff Person #1 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 10.30.20 and 1.8.26, FBI Clearances being dated 11.12.20 and 1.8.26 and NSOR Certificates being dated 1.8.21 and 1.12.26. The updates to the mandated reporter training for Staff Person #1 exceeded 60 months between trainings dated 11.2.20 and 1.9.26. The file for Staff Person #3 lacked a PA Child Abuse Clearance for employment purposes. The PA Child Abuse Clearance on file for Staff Person #3 was completed for volunteer purposes and not acceptable for employment in a child care position. The updates to the PA State Police and PA Child Abuse Clearances on file for Staff Person #4 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 12.29.20 and 1.6.26 and PA Child Abuse Clearances being dated 12.30.20 and 1.6.26. The file for Staff Person #6 lacked a complete updated PA State Police Clearance and a current FBI Clearances. A complete PA State Police Clearance was not on file until 1.23.26. The prior PA State Police Clearance was dated 1.14.21. The most recent FBI Clearance on file was dated 1.18.21. The updates to the PA State Police, PA Child Abuse and FBI Clearances and the NSOR Certificate for Staff Person #8 exceeded 60 months between updates. This is evidenced by PA State Police Clearances being dated 8.5.20 and 9.17.25, PA Child Abuse Clearances being dated 8.7.20 and 9.25.25, FBI Clearances being dated 8.13.20 and 1.7.26 and NSOR Certificates being dated 11.6.19 and 1.22.25. The updates to the mandated reporter trainings on file for Staff Person #8 exceeded 60 months between trainings dated 2.1.20 and 2.8.25. The file for Staff Person #9 lacked a completed NSOR Certificate prior to starting in a child care taking position. A completed NSOR Certificate was not on file until 4 days after starting in a child care taking position. Verification that they had requested their FBI Clearance prior to starting and a completed FBI Clearance was not on file until 221 days after starting. The updates to the PA Child Abuse and FBI Clearances and NSOR Certificate for Staff Person #10 exceeded 60 months between updates. This is evidenced by PA Child Abuse Clearances dated 10.1.20 and 10.9.25, FBI Clearances dated 9.28.20 and 1.8.26, and NSOR Certificates dated 1.8.21 and 1.12.26. The updates to the mandated reporter trainings on file for Staff Person #10 exceeded 60 months between trainings dated 10.4.20 and 1.8.26. The disclosure statements on file for Staff Persons #2, #3 lacked a witness signature. The disclosure statement on file for Staff Person #9 lacked a date.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for Staff Person #11 lacked a written evaluation within 12 months of their hire date. A written staff evaluation was not on file until 503 days after their hire date.
Corrected Corrected by Mar 6, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in their classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located through the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not meet the staff:child ratio requirement as a staff person would not be with the child in the vicinity of the restroom.
Corrected Corrected by Feb 6, 2026
Category: ratio. Marked corrected in the state record.
3270.76 · 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 piece of splintering wood and two exposed nails were observed on a climbing structure in the open outdoor play space. Three exposed bolts were observed on the fence near the gate to enter the fenced in outdoor play space.
Corrected Corrected by Apr 1, 2026
Category: physical safety. Marked corrected in the state record.
3270.107 · 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.
The refrigerator in Classroom 6 lacked an operable thermometer.
Corrected Corrected by Jan 22, 2026
Category: nutrition. Marked corrected in the state record.
3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.
At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in the classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located across the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not allow for a staff person to be able to see, hear, direct and assess the child for appropriate supervision as they are not in the vicinity of the restroom.
Corrected Corrected by Jan 22, 2026
Category: supervision. Marked corrected in the state record.
3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.
At approximately 9:10am in Classroom 3, Staff Person #12 reported that they, and Staff Person #6, had 21 children in the classroom. It was reported 20 were present in the classroom and 1 was in the restroom. The restroom is located across the entrance area and is not a part of the classroom. Staff Person #6 reported that the child in the restroom had returned to the classroom already. Cert Rep asked Staff Person #12 if the child had been with another staff person in the restroom or if they were alone. Staff Person #12 reported that the facility has allowed school age children to use the restroom in the hallway without a staff person being present. This practice does not allow for a staff person to be physically present with the child as they are not in the vicinity of the restroom and providing care to other children in a separate classroom.
Corrected Corrected by Jan 22, 2026
Category: supervision. Marked corrected in the state record.
3270.113(e) · 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.
Certification Representative entered Classroom 2 at approximately 9:33am. A young toddler was observed to be seated in a bucket table seat while the other 9 children in the group were in the play area. Staff Person #13 was observed to ask the child if they were ready to play nicely with their friends. Certification Rep confirmed that the child has been placed in the bucket table seat for time out purposes. Certification Rep addressed with Staff in the classroom that this is considered restraint and not permitted.
Corrected Corrected by Feb 6, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreement form for Child #2 lacked the date of admission.
Corrected Corrected by Jan 26, 2026
Category: recordkeeping. 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 emergency contact form for Child #1 lacked the work address and telephone number of the enrolling parent.
Corrected Corrected by Mar 1, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed at the close of business on 1.23.26.
The most recent immunization record on file for Child #3 lacked verification that the child had received the ACIP recommended Polio, Varicella and MMR vaccinations. A written exemption was not on file at the time of the inspection.
Corrected Corrected by Jan 23, 2026
Category: health medication. Marked corrected in the state record.
3270.131(d)(7)/3270.131(d)(8) · 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. A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.
The most recent health report on file for Child #1 lacked information that the child is able to participate in child care, free from contagious illnesses, and that they have received all age-appropriate screenings recommended by the AAP.
Corrected Corrected by Apr 1, 2026
Category: health medication. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
A hands-free garbage can was missing from the changing table in Classroom 1. The garbage can in place was not hands-free and did not allow for appropriate disposal of soiled diapers.
Corrected Corrected by Feb 13, 2026
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.
The updates to the health examinations on file for Staff Person #5 exceeded 24 months between assessments dated 4.18.23 and 6.16.25. The updates to the health examinations on file for Staff Person #7 exceeded 24 months between assessments dated 6.1.23 and 1.8.26. The updates to the health examinations on file for Staff Person #8 exceeded 24 months between assessments dated 4.12.23 and 9.10.25.
Corrected Corrected by Jan 23, 2026
Category: ratio. 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.
The tuberculosis screening on file for Staff Person #3 was completed in excess of 12 months prior to starting in a child care taking position. The tuberculosis screening on file was completed 484 days prior to starting in a child care taking position.
Corrected Corrected by Apr 1, 2026
Category: health medication. 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 Person #10 lacked one of their two written, nonfamily references from individuals attesting to their suitability to serve as a facility person.
Corrected Corrected by Mar 1, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.61(h) · 1. The capacity established for an indoor space may not be exceeded except in situations described in § 3270.61(h)(1-3) This part of the plan will have an immediate correction date. 2. Operator will post the capacity of each classroom in a conspicuous location visible to all staff. Operator will provide a correction date for this part of the plan. 3. Operator will post a chart conspicuously in each classroom that includes permanent lines/spaces equal to the measured maximum capacity of the classroom. As children enter the classroom, Staff will write the child's name on a line. This will serve as a visible reminder that they cannot accept children once the maximum capacity has been reached. Operator will provide a correction date for this part of the plan.
At approximately 9:10am, Staff Persons #6 and #12 reported and were observed by Cert Rep to be caring for 21 school age children in Classroom 3. The classroom has a measured capacity of 19 children. An exception was not posted at the time.
Corrected Corrected by Jan 22, 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.
The files for Staff Person #3 and #9 lacked verification that they had completed the required Pediatric First Aid and CPR training within 90 days of their hire date. The Pediatric First Aid and CPR training on file for Staff Person #3 was completed 211 days after their hire date. The Pediatric First Aid and CPR training on file for Staff Person #9 was dated 194 days after their hire date.
Corrected Corrected by Jan 23, 2026
Category: health medication. 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.
The file for Staff Person's #4 and #6 lacked 7.5 hours of annual child care training in their respective training year of 12.2024 to 12.2025. The file for Staff Person #11 lacked 12 hours of annual child care training in their respective training year of 6.2024 to 6.2025.
Corrected Corrected by Mar 2, 2026
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreements on file for Children #1 and #5 lacked a date of admission.
Corrected Corrected by Jan 28, 2025
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 on file for Child #7 lacked the arrival and departure times.
Corrected Corrected by Jan 28, 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 current agreement on file for Child #6 lacked the designated release persons.
Corrected Corrected by Jan 28, 2025
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 updates to the State Police, Child Abuse and FBI clearances on file for Staff Person #2 exceeded 60 months between update. This was evidenced by State Police clearances dated 11.27.18 and 1.8.24, Child Abuse clearances dated 11.28.18 and 1.9.24, and FBI clearances dated 11.29.18 and 1.5.24. The updates to the Mandated Reporter training for Staff Person #2 also exceeded 60 months between 4.23.19 and 12.16.24. The updates to the Child Abuse clearances on file for Staff Person #4 exceeded 60 months between clearances dated 10.8.18 and 1.4.24. The updates to the NSOR Certificates on file for Staff Person #6 exceeded 60 months between NSOR certificates dated 11.6.19 and 1.22.25. The updates to the FBI clearances on file for Staff Person #7 exceeded 60 months between clearances dated 8.1.19 and 1.2.25.
Corrected Corrected by Jan 27, 2025
Category: background checks. Marked corrected in the state record.
3270.92(a) · Portable space heaters are not permitted.
A portable space heater was observed in the staff office at the facility.
Corrected Corrected by Feb 21, 2025
Category: physical safety. Marked corrected in the state record.
3270.102(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.
In Classroom 5, four mats were observed to be in disrepair causing the inside foam to be exposed. In Classroom 6, two mats were observed to be in disrepair causing the inside foam to be exposed.
Corrected Corrected by Feb 21, 2025
Category: physical safety. Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
The written plan of daily activities was not posted in Classroom 3 (School Age).
Corrected Corrected by Feb 21, 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 agreements on file for Children #1 and #2 lacked an Operator signature.
Corrected Corrected by Jan 28, 2025
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 for Child #1 lacked a fee amount.
Corrected Corrected by Feb 21, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form on file for Child #2 lacked the addresses and telephone numbers for two of the release persons listed.
Corrected Corrected by Feb 21, 2025
Category: recordkeeping. 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.
An emergency contact form was missing for one child receiving care in Classroom #2 and one child receiving care in Classroom #4.
Corrected Corrected by Jan 28, 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.
The file for Child #3, an older toddler, lacked a current health report. The most recent health report was dated 10.9.23. The file for Child #4, a preschooler, exceeded 12 months between health reports completed on 1.11.22 and 7.31.24.
Corrected Corrected by Feb 28, 2025
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 will be dismissed from care at close of business on 1.28.25.
The file for Child #5 lacked an immunization record for the child and they have exceeded 60 days since their first day of attendance at the facility (refer to LIS code sheet). A completed immunization record was not on file until 146 days in care. The file for Child #3 lacked verification that the child had received their 15--18-month DTAP vaccination. A written exemption was not on file at the time of the inspection.
Corrected Corrected by Feb 28, 2025
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
One expired Ibuprofen was observed in the medication box in Classroom 5. One expired Motrin and one expired Ibuprofen were observed in the medication box in Classroom 6.
Corrected Corrected by Feb 28, 2025
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
In Classroom 3, written consent from the parent was missing for a prescription Nayzilam intended for a child in care in the event of an emergency medical situation. In Classroom #5, written consent from the parent was missing for an opened Ibuprofen intended for a child in care.
Corrected Corrected by Feb 28, 2025
Category: ratio. 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.
The files for Staff Person's #1 and #5 lacked a current health assessment. The most recent health assessment on file for Staff Person #1 was dated 3.17.22 and the most recent health assessment on file for Staff Person #5 was dated 2.4.22.
Corrected Corrected by Feb 28, 2025
Category: ratio. Marked corrected in the state record.
3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.
The current health assessment on file for Staff Person #3 lacked information that an examination for communicable diseases had been completed and the results of that examination.
Corrected Corrected by Feb 28, 2025
Category: health medication. Marked corrected in the state record.
3270.182(3)/3270.182(5) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.
The emergency contact form for Child #5 lacked signed parental consent for obtaining emergency medical care and administration of minor first aid by facility staff.
Corrected Corrected by Feb 28, 2025
Category: ratio. 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.
The facility has exceeded 60 days since their most recent fire drill was completed on 11.6.24.
Corrected Corrected by Feb 28, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.131(a) · 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.
The file for Child #8, a school-ager, lacked an initial health report and the child has exceeded 60 days since their first day of attendance on 8.10.20.
Corrected Corrected by Feb 28, 2025
Category: health medication. Marked corrected in the state record.
3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.
Based on consistent interviews with staff, it has been determined that Staff Person #1 has used harsh language towards children receiving care at the facility. This included behaviors described as "yelling" and "screaming" at the children.
Corrected Corrected by Jan 15, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.61(h) · The capacity established for an indoor space may not be exceeded.
At approximately 10:05am, 19 preschool age children were observed to be receiving care in Classroom #4. The classroom has a measured capacity of 17 children.
Corrected Corrected by Dec 19, 2024
Category: ratio. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Adult scissors were observed on desks accessible to the children receiving care in Classrooms #3 and #4.
Corrected Corrected by Jul 29, 2024
Category: health medication. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The file for Staff Person #1 lacked verification that they have received updated emergency plan training within the last 12 months. The last documented emergency plan training was on 6.12.23.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. 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 person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 10-hour health and safety training. The 10-hour health and safety training was completed 211 days after starting at the facility.
Corrected Corrected by Jul 29, 2024
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 file for Staff Person #1 lacked a completed PA State Police Clearance and they have exceeded 45 days in a child care taking position. A completed PA State Police Clearance was not on file until 408 days after starting.
Corrected Corrected by Jul 29, 2024
Category: background checks. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The file for Staff Person #1 lacked a written staff evaluation. Staff Person #1 has exceeded 12 months as a staff person at the facility.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. 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 Classroom #3, a bottle of hand sanitizer was observed on the desk in the classroom. The desk was accessible to school age children receiving care in the space. In Classroom #6, diapering ointments were observed in the open cubes at the changing table. The cubes would be accessible to toddler children being diapered in the space. Diapering ointments were observed in an unlocked cabinet in the restroom. The diapering ointments would be accessible to children using the restroom. All items were labeled Keep Out of Reach of Children.
Corrected Corrected by Jul 29, 2024
Category: health medication. Marked corrected in the state record.
3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.
In Classrooms #3 and #5 unlidded trash cans containing used plates, utensils and food that had been served to children were observed.
Corrected Corrected by Jul 29, 2024
Category: nutrition. Marked corrected in the state record.
3270.76 · 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.
Exposed bolts were observed on the fencing in the outdoor toddler play space. The exposed bolts posted a visible hazard to children.
Corrected Corrected by Aug 2, 2024
Category: physical safety. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
In Classroom #2, one expired acetaminophen was observed in the medication bin.
Corrected Corrected by Jul 29, 2024
Category: health medication. 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 lacked verification that they had participated in an annual emergency drill within the last 12 months. The last documented emergency drill was completed on 4.12.23.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
The facility was unable to locate the fire drill log at the time of the unannounced inspection. This did not allow for assessment that fire drills are being completed as required.
Corrected Corrected by Aug 2, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
A copy of the facility's current Certificate of Compliance was not posted in a conspicuous location.
Corrected Corrected by Jul 29, 2024
Marked corrected in the state record.
3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.
At approximately 10:00am, Staff Person #2 was observed in the doorway of Classroom #6 talking with Operator. Upon entering Classroom #4 Staff Person #1 was observed with 13 preschool age children. Staff Person #2 entered the classroom behind Cert Rep and reported they had just stepped out to inform Operator of something. Staff Person #2 leaving had placed Staff Person #1 out of required staff:child ratio of 1:10 for preschool age children.
Corrected Corrected by Feb 28, 2024
Category: ratio. Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
SECOND CITATION Young Toddlers receiving care in Classroom #2 were observed to be seated in the feeding table without the safety straps being engaged. FACILITY PREVIOUSLY CITED ON 1.18.2024.
Corrected Corrected by Feb 28, 2024
Marked corrected in the state record.
3270.111(b) · The written plan of daily activities shall be posted in the group space.
A daily plan of activities was not posted in Classroom #3 (School Age Classroom).
Corrected Corrected by Feb 29, 2024
Category: physical safety. Marked corrected in the state record.
3270.106(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 rest mats in Classroom #2 were not labeled to identify which mat belonged to which child.
Corrected Corrected by Feb 1, 2024
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.
The file for Staff Person #1 lacked completion of their Pediatric First Aid and CPR training and the required Health and Safety training within 90 days of starting at the facility. The Pediatric First Aid and CPR training was completed 94 days after starting and the Health and Safety training was completed 197 days after starting.
Corrected Corrected by Feb 29, 2024
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 file for Staff Person #1 lacked a completed State Police Clearance within 45 days of starting at the facility. The State Police Clearance on file at the time of the inspection was under review. The disclosure statement on file for Staff Person #1 also lacked a date of signature. A completed state police clearance and dated disclosure statement were not on file until 233 days after starting at the facility. The mandated reporter training on file for Staff Person #1 was not completed within 90 days of starting at the facility. The mandated reporter training was completed 211 days after starting at the facility. The mandated reporter trainings on file for Staff Person #10 exceeded 60 months between trainings completed on 10.9.17 and 1.22.23. The mandated reporter trainings on file for Staff Person #11 exceeded 60 months between trainings completed on 10.10.18 and 10.19.23.
Corrected Corrected by Feb 29, 2024
Category: background checks. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
A Staff Person in Classroom #6 was observed to change a child's diaper and did not ensure that the child's hands were washed following the change. The child was observed to return to play with other children in the classroom. A hand washing sign was missing from one of the toilets and the changing table in the 2nd floor restroom.
Corrected Corrected by Feb 29, 2024
Category: health medication. Marked corrected in the state record.
3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.
An exit leading from Classroom #2 was observed to be blocked with a pack and play.
Corrected Corrected by Feb 29, 2024
Marked corrected in the state record.
3270.102(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.
Torn rest mats, causing foam to be exposed, were observed in Classroom #6.
Corrected Corrected by Feb 29, 2024
Category: physical safety. Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
The high chair seats in Classroom #2 were observed to be missing safety straps from 5 of the seats.
Corrected Corrected by Feb 1, 2024
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 on file for Child #2 lacked the fee amount to be paid.
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.
The agreement form for Children #7 and #10 lacked the arrival and departure times.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreement form for Child #8 lacked the admission date.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.
The files for Children #1, #2, #3, #4, #6, #7, #8, #9 and #10 were observed to contain the original agreements.
Corrected Corrected by Feb 1, 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.
The emergency contact form for Child #2 lacked the telephone number of the child's physician.
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.
The emergency contact form for Children #4, #5 and #6 lacked the addresses for the release persons listed. The emergency contact form for Child #5 also lacked the telephone number for one of the release persons listed.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. 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.
Emergency contact forms were missing for two children receiving care in Classroom #4.
Corrected Corrected by Feb 1, 2024
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 written emergency transportation plan was not posted in Classroom #4.
Corrected Corrected by Jan 18, 2024
Category: transportation. 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 updates to the health assessments for Child #5, an older toddler, exceeded 12 months between examinations on 3.17.22 and 9.28.23.
Corrected Corrected by Feb 29, 2024
Category: health medication. Marked corrected in the state record.
3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.
The Physician instructions were missing for a Diazepam medication intended for a child receiving care in Classroom #5.
Corrected Corrected by Feb 29, 2024
Category: ratio. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The garbage can in place at the changing table in Classroom #2 and in the restroom on the 2nd floor was not hands free. This did not allow for appropriate disposal of soiled diapers.
Corrected Corrected by Feb 29, 2024
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.
The health assessments on file for Staff Person #3 exceeded 24 months between examinations on 6.10.21 and 1.2.24. The health assessments on file for Staff Person #4 exceeded 24 months between examinations on 7.7.21 and 12.6.23.The health assessments on file for Staff Person #5 exceeded 24 months between examinations on 12.30.20 and 1.5.23. The health assessments on file for Staff Person #7 exceeded 24 months between examinations on 8.24.21 and 1.18.24. The health assessments on file for Staff Person #8 exceeded 24 months between examinations on 6.9.21 and 1.9.24. The health assessments on file for Staff Person #9 exceeded 24 months between examinations on 12.29.21 and 1.18.23.
Corrected Corrected by Feb 29, 2024
Category: ratio. Marked corrected in the state record.
3270.181(c) · 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.
The updates to the emergency contact form and financial agreement for Child #5 exceeded 6 months between updates on 12.28.22 and 10.4.23.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. 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.
The file for Staff Person #6 lacked verification of education. The file for Staff Person #7 lacked verification of experience.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. 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 Person #5 lacked one of their two written, nonfamily references.
Corrected Corrected by Feb 29, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.61(h) · The capacity established for an indoor space may not be exceeded.
At approximately 9:10am 18 preschool children were observed to be receiving care in Classroom #4. The classroom has a measured capacity of 17 children.
Corrected Corrected by Feb 10, 2024
Category: ratio. 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.
The file for Staff Person #2 lacked 11 of their 12 hours of child care training during their respective training year. The file for Staff Person #8 lacked 1 of their 12 hours of child care training during their respective training year.
Corrected Corrected by Feb 29, 2024
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.
The files for Staff Person's #8 and #9 lacked completion of the required health and safety update by 12.30.22. The updated health and safety training was completed on 1.2.23 for both Staff.
Corrected Corrected by Jan 2, 2023
Category: ratio. Marked corrected in the state record.
3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
The updates to the emergency plan training exceeded 12 months between 6.9.21 and 1.5.23 for Staff Person's #1, #3, #8, #9, #11, #12, #14, #15, #16, #17, #18 The updates to the emergency plan exceeded 12 months between 10.18.21 and 1.5.23 for Staff Person #21 and 10.19.21 and 1.5.23 for Staff Person's #7, 10 and #22. The file for Staff Person #13 lacked current emergency plan training. The last training was dated 10.19.21. The file for Staff Person #6 lacked initial emergency plan training within 90 days of starting at the facility. The training on file was dated 218 days after starting at the facility.
Corrected Corrected by Feb 10, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(c)(4)/3270.31(c)(5) · An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person if a representative of the training institution certifies in writing that the individual has completed the required classroom training and is currently enrolled in the curriculum. Written certification that an individual enrolled in an approved training curriculum has completed the required classroom training and is currently enrolled in the curriculum shall be retained in the staff file at the facility.
The file for Facility Person #5 lacked written verification from a representative of the training institution that they are currently enrolled in an approved training curriculum and that they had completed the required classroom training.
Corrected Corrected by Apr 14, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety 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.
The file for Facility Person #3 lacked verification that they had completed annual fire safety training.
Corrected Corrected by Mar 13, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #15 will have until 2.7.23 to complete the required training. Until such time as the required training has been completed, staff person #15 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff available to supervise staff person #15, staff person #15 may not work in a child-care position at the facility.
Staff person #15 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 31(f)(1-9). The training on file was the 6-hour health and safety training and it was not completed in the approved time frame. Staff Person #15 needed to complete the 10-hour health and safety training at the time they completed the 6-hour training.
Corrected Corrected by Feb 10, 2023
Category: supervision. 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.
Pediatric First Aid and CPR trainings were not on file for Staff Person's #1, #3, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, and #19 with a PQAS approved instructor in an approved curriculum by 4.29.22. The prior trainings on file were completed through an online service provider, which was not acceptable. Staff have all completed Pediatric First Aid and CPR with a PQAS instructor at this time. The files for Staff Person #4, #20 and #21 lacked completion of their Pediatric First Aid and CPR within 90 days of starting at the facility. The training for Staff Person #4 was completed 215 days after starting at the facility. The training on file for Staff Person #20 was completed 422 days after starting at the facility. The training on file for Staff Person #21 was completed 369 days after starting at the facility. The file for Staff Person #6 lacked completion of their required health and safety training within 90 days of starting at the facility. The training was completed 229 days after starting at the facility. The files for Staff Person's #8 and #9 lacked completion of the required health and safety training update by 12.30.22. The updated health and safety training was completed on 1.2.23 for both Staff.
Corrected Corrected by Jan 31, 2023
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). Facility Person's #1 and #5 may not work at the facility. Staff person's #1 and #7 will have until 2.7.23 to complete the mandated reporter training. Until such time as the required training has been completed, Staff person's #1 and #7 must be supervised, when interacting with children, by an AGS, who has completed the required training related to this citation. If there are no staff persons available to supervise Staff person #1 and #7, Staff persons #1 and #7 may not work in a child-care position at the facility.
The updates to the State Police, Child Abuse and FBI clearances on file for Staff Person #1 exceeded 60 months. The State Police Clearances on file were dated 7.27.17 and 12.30.22. The FBI clearances were dated 7.27.17 and 1.3.23. The file lacked a current Child Abuse Clearance. The Child Abuse Clearance on file was dated 7.31.17. The files for Staff Person #4 and #6 lacked completion of mandated reporter training within 90 days of starting at the facility. The mandated reporter training on file for Staff Person #4 was completed 285 days after starting at the facility. The mandated reporter training on file for Staff Person #6 was completed 223 days after starting at the facility. The file for Staff Person #11 exceeded 60 months between update to their mandated reporter trainings occurring on 11.2.16 and 1.23.22. The file lacked verification that Staff person #7 has completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The file for Staff Person #5 lacked an FBI clearance that had been completed for DHS purposes. The FBI clearance on file was completed through the Department of Education and is not acceptable for employment in a child care facility. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10.9.17.
Corrected Corrected by Mar 3, 2023
Category: supervision. Marked corrected in the state record.
3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.
The staff evaluations on file for Facility Person's #3, #7, #14, #16, #17 and #21 exceeded 12 months between evaluations. This was evidenced from the information provided by the Operator on the Staff Worksheet.
Corrected Corrected by Mar 13, 2023
Category: recordkeeping. 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.
The lock under the sink in Classroom #6 was in disrepair allowing the cabinet to open without restriction. Bottles of Bissell Floor Cleaner, labeled Keep out of Children, were observed under the sink. A bottle of hand sanitizer was observed in an unlocked desk drawer accessible to the children receiving care in Classroom #3. The hand sanitizer was labeled Keep out of Children.
Corrected Corrected by Jan 20, 2023
Category: physical safety. Marked corrected in the state record.
3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.
The hot water in Classroom #5 was observed to measure at 115.9° F. The hot water in Classroom #6 was measured at 117.2° F.
Corrected Corrected by Jan 20, 2023
Category: physical safety. Marked corrected in the state record.
3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.
The portable electric sink in the changing area in Classroom #5 was observed to be unplugged which did not allow for a source of running water to be present in the diapering area.
Corrected Corrected by Feb 10, 2023
Category: health medication. Marked corrected in the state record.
3270.106(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 rest equipment in Classrooms #2, #3 and #5 were not all labeled for use of a specific child.
Corrected Corrected by Feb 6, 2023
Category: physical safety. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The agreement form for Child #5 lacked the admission date.
Corrected Corrected by Jan 20, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form for Children #5 and #9 lacked the complete address information for the release persons listed.
Corrected Corrected by Mar 30, 2023
Category: recordkeeping. 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.
Emergency contact forms were missing for children receiving care in Classrooms #4 and #6
Corrected Corrected by Jan 20, 2023
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 written emergency transportation plan was not posted in Classroom #1, #2, #3, #4, #5, #6 and #7.
Corrected Corrected by Mar 3, 2023
Category: transportation. Marked corrected in the state record.
3270.131(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.
The health assessments on file for Child #2, a young toddler, exceeded 6 months between examinations occurring on 11.24.21 and 8.8.22.
Corrected Corrected by Jan 31, 2023
Category: health medication. 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 updates to the health assessments on file for Child #4, an older toddler, exceeded 12 months between examinations on 8.2.21 and 11.1.22. The updates to the health assessments on file for Child #7, an older toddler, exceeded 12 months between examinations on 5.5.21 and 2.9.21. The file for Child #8, an older toddler, lacked a current health assessment. The last health assessment was dated 6.19.21.
Corrected Corrected by Mar 30, 2023
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.
The files for Children #1, #2, #3, #6, #7, #8 and #9 lacked verification that the children had received an annual influenza vaccination in 2022 as recommended by the ACIP. The file for Child #2 also lacked verification that the child had received their 15-18 month DTAP vaccination. Written exemptions for the missing immunizations were not on file for the children at the time of the inspection.
Corrected Corrected by Apr 14, 2023
Category: health medication. Marked corrected in the state record.
3270.133(2) · A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.
Written physician instructions were missing for an Auvi Q medication in classroom #7. Written physician instructions were missing for an Epipen in classroom #6
Corrected Corrected by Mar 30, 2023
Category: ratio. Marked corrected in the state record.
3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.
A container of Healing Ointment was observed in on the bottom area of a cubby in Classroom #6.
Corrected Corrected by Jan 20, 2023
Category: health medication. Marked corrected in the state record.
3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.
An expired Epipen was observed in the medication box in Classroom #4.
Corrected Corrected by Mar 3, 2023
Category: health medication. Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
Written parental consent was missing for an Epipen observed in the medication box in Classroom #6.
Corrected Corrected by Mar 13, 2023
Category: ratio. 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.
The file for Facility Person #1, #3, #7 and #13 lacked a current health assessment that had been completed within the last 24 months. The health assessment on file for Facility Person #1 was dated 1.6.20. The health assessment on file for Facility Person #3 was dated 6.19.19. The health assessment on file for Facility Person #7 was dated 2.13.20. The health assessment on file for Facility Person #13 was dated 3.12.20. The health assessments on file for Facility Person's #10 and #12 exceeded 24 months between examination. The health assessments on file for Facility Person # 10 were dated 8.5.20 and 1.4.23. The health assessments on file for Facility Person #12 were dated 10.31.20 and 12.15.22. The file for Facility Person #2 and #6 lacked an initial health assessment that had been completed within 12 months prior to starting at the facility. The health assessment on file for Facility Person #2 was completed 13 days after starting at the facility. The health assessment on file for Facility Person #6 was completed 1 day after starting at the facility.
Corrected Corrected by Mar 30, 2023
Category: ratio. Marked corrected in the state record.
3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The health assessment on file for Facility Person #5 lacked information related to an examination for communicable diseases and the physician's assessment of their suitability to provide child care.
Corrected Corrected by Mar 13, 2023
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.
A written statement from the parent giving the formula and feeding schedule for an Infant in care was missing at the time of the inspection.
Corrected Corrected by Mar 13, 2023
Category: nutrition. Marked corrected in the state record.
3270.181(c) · 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.
The updates to the emergency contact form and financial agreement for Child #4 exceeded 6 months between updates occurring on 3.8.22 and 11.1.22.
Corrected Corrected by Nov 1, 2022
Category: recordkeeping. 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.
The files for Facility Person's #4 and #10, who were identified as Assistant Group Supervisors, lacked verification of 2500 hours to qualify them for the position. The file for Facility Person #4 did not have any hours verified and the file for Facility Person #10 had 1550.4 hours verified.
Corrected Corrected by Apr 14, 2023
Category: supervision. 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 Facility Person #3 lacked their prior State Police and Child Abuse clearances. Facility Person #3 does have current clearances on file at this time.
Corrected Corrected by Mar 3, 2023
Category: background checks. 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 Facility Person's #3, #4 and #5 lacked two written, nonfamily references.
Corrected Corrected by Apr 14, 2023
Category: recordkeeping. 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.
Documentation that the facility had participated in an annual emergency drill was not available at the time of the inspection.
Corrected Corrected by Apr 14, 2023
Category: recordkeeping. 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.
The file for Staff Person #1 lacked 9 hours of childcare training in their respective training year (12.19.21-12.18.22). The file for Staff Person #7 lacked 3 hours of childcare training in their respective training year (12.19.21-12.18.22). The file for Staff Person #10 lacked 1 hour of childcare training in their respective training year (12.19.21-12.18.22).
Corrected Corrected by Jan 31, 2023
Category: recordkeeping. 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.
Documentation that the facility has submitted their annual notification to the local traffic authority was not on file at the time of the inspection.
Corrected Corrected by Mar 30, 2023
Category: recordkeeping. 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.
The outlets behind the portable sink in the school-age room were observed to be missing protective receptacle covers accessible to children 5 years of age or younger.
Corrected Corrected by Mar 10, 2022
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 school-age room was observed to be missing scissors and tweezers.
Corrected Corrected by Mar 10, 2022
Marked corrected in the state record.
3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.
Two bottles of Tylenol each labeled for a specific child lacked written parent consent for administration of the medication.
Corrected Corrected by Mar 10, 2022
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for staff persons #1, #2, #3, #4, #5, #6, #8, #9, #10, #11, #13, #14, #16, #17, and #18 lacked firesafety training that was completed 12 months from the previous training. The training in the files was dated 11/10/20 and 1/11/22.
Corrected Corrected by Mar 10, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff person #1, whom was hired on 12/27/19, lacked mandated reporter training that was completed within 90 days from the hire date. The mandated reporter training in the file is dated 1/11/22. The file for staff person #2, whom was hired on 2/24/20, lacked mandated reporter training that was completed within 90 days from the hire date. The file for staff person #6 lacked mandated reporter training that was completed 60 months from the previous training. The mandated reporter trainings in the file are dated 11/28/16 and 1/23/22. The file for staff person #9 lacked mandated reporter training that was completed 60 months from the previous training. The mandated reporter trainings in the file are dated 1/6/17 and 1/19/22. The file for staff person #19, whom was hired on 10/18/21 lacked mandated reporter training that was completed within 90 days from the hire date.
Corrected Corrected by Mar 18, 2022
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.
The file for staff person #6, whom was hired as an assistant group supervisor on 9/30/16, lacked state police, child abuse, and FBI clearances that were competed 60 months from the previous clearances. The state police clearances in the file are dated 9/16/16 and 10/27/21. The child abuse clearances in the file are dated 9/16/16 and 10/28/21. The FBI clearances in the file are dated 9/25/16 and 10/28/21. The file for staff person #12, whom was hired as an assistant group supervisor on 11/1/21, lacked a state police clearance and NSOR verification certificate within 45 days from the hire date. The state police clearance in the file is dated 1/18/22. The NSOR verification certificate in the file is dated 1/11/22. The file for staff person #15, whom was hired as an aide on 8/26/21, lacked a disclosure statement that was signed and dated prior to start date. The disclosure statement in the file is dated 10/15/21. The file for staff person #19, whom was hired as an assistant group supervisor on 10/18/21, lacked an NSOR verification certificate within 45 days from the hire date. The NSOR verification certificate in the file is dated 2/8/22. The file for staff person #20, whom was hired as an assistant group supervisor on 11/22/10, lacked an NSOR verification certificate that was received 45 days from hire date. The NSOR verification certificate in the file is dated 1/14/22.
Corrected Corrected by Mar 10, 2022
Category: supervision. Marked corrected in the state record.
3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for staff person #1 lacked 2 years experience with children. The file for staff person #12 lacked a high school diploma and 2 years experience with children.
Corrected Corrected by Apr 8, 2022
Category: supervision. Marked corrected in the state record.
3270.76 · 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.
Two nails were observed protruding out of wooden playground equipment in the outdoor playspace causing a visible hazard. The heater furthest from the door on the floor in Preschool #1 was observed to have an opening with sharp edges causing a visible hazard.
Corrected Corrected by Apr 8, 2022
Category: physical safety. 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 file for child #2 lacked emergency contact information that included the address of the child's physician.
Corrected Corrected by Mar 10, 2022
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 file for child #2 lacked emergency contact information that included the work addresses and work telephone numbers of the enrolling parent. The file for child #3 lacked emergency contact information that included the work telephone number of the enrolling parent.
Corrected Corrected by Apr 1, 2022
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.
The file for child #3 lacked emergency contact information that included 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.
Corrected Corrected by Apr 1, 2022
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 files for children #2 and #3 lacked emergency contact information that included the addresses of the individuals designated by the parent to whom the child may be released.
Corrected Corrected by Apr 1, 2022
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.
In the young toddler room upstairs it was observed that the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency to not be displayed conspicuously.
Corrected Corrected by Mar 10, 2022
Category: transportation. 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 person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessment in the file is dated 12/19/19. The file for staff person #6 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 2/27/19 and 6/10/21. The file for staff person #14 lacked a health assessment that was completed in the last 24 months. The health assessment in the file is dated 9/18/19. The file for staff person #17 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file are dated 2/26/19 and 12/20/21.
Corrected Corrected by Mar 18, 2022
Category: ratio. 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.
The file for child #1 lacked emergency contact information that contained signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.
Corrected Corrected by Mar 10, 2022
Category: ratio. 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 files for staff persons #12, #15, and #17 lacked 1 written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person
Corrected Corrected by Apr 8, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.31(h) · All staff persons shall complete the professional development under subsection (f).
The files for staff persons #12 and #15 lacked health and safety training.
Corrected Corrected by Mar 10, 2022
Category: health medication. Marked corrected in the state record.
3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff person #1 lacked 12 clock hours of child care training.
Corrected Corrected by Mar 10, 2022
Category: recordkeeping. Marked corrected in the state record.
Corrected Corrected by Jan 23, 2026
Category: background checks. Marked corrected in the state record.