3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

While completing a complaint investigation, multiple staff members stated that staff member 1 screams at children often throughout the day in a very aggressive tone.

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

3270.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. DIRECTED PLAN OF CORRECTION: Staff member 1 will complete the Better Kid Care Training "Preschool Foundations: Nurture Interactions and Guide Behavior"

During a complaint investigation, multiple staff members stated that staff member 1 has children face the wall, lay on their stomachs and put their heads down when they aren't following directions.

Corrected Corrected by May 19, 2025

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

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Documentation of alarm testing on file showed that the fire alarm was not being tested every 30 days. The fire alarm was tested on 3/21/25 and again on 4/22/25; which is 33 days.

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

During the time of inspection, it was observed that there was a unlabeled spray bottle in the Llamas classroom. The bottle was removed during the inspection.

Corrected Corrected by Jan 9, 2025

Category: ratio. Marked corrected in the state record.

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

During the time of inspection, it was observed that there was paint peeling on the orange wall and in the quiet corner in the Owls classroom. Both were corrected during the inspection.

Corrected Corrected by Jan 9, 2025

Category: physical safety. 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.

During the time of inspection, it was observed that the teachers in the Llamas classroom were not assigned specific children in their care when certification representative asked them to name their primary care groups.

Corrected Corrected by Jan 9, 2025

Category: supervision. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation of testing the fire alarm showed that the fire alarm was not being tested every 30 days. The alarm was tested on 10/08/24 and again on 12/03/24; which is 56 days and the alarm wasn't tested in January as of the time of inspection.

Corrected Corrected by Jan 9, 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.

Documentation of the FBI clearance on file for staff member 1 was updated more than 60 months of the original clearance date. The original FBI clearance was obtained on 5/8/19 and updated on 5/20/24. Documentation of a disclosure statement was not on file for staff member 3.

Corrected Corrected by Jul 23, 2024

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

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

Documentation on file for staff member 3 did not include 2 years' experience working with children or proof of education.

Corrected Corrected by Jun 24, 2024

Category: supervision. Marked corrected in the state record.

3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.

During the time of inspection, it was observed that spray bottles were not labeled in classroom 4 and classroom 6. Both spray bottles were labeled during the inspection.

Corrected Corrected by Jul 23, 2024

Category: ratio. 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.

During the time of inspection, it was observed that the first aid kit in classroom number 8 was missing tweezers and scissors. Scissors were added to the first aid kit during the inspection.

Corrected Corrected by Jul 23, 2024

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

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

During the time of inspection, it was observed that paint was peeling on the heater in classroom 2. This was corrected during the inspection.

Corrected Corrected by Jul 23, 2024

Category: physical safety. 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.

Documentation of the emergency contact form on file for child 1 did not include the enrolling parents work address.

Corrected Corrected by Jul 23, 2024

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.

Documentation of the emergency contact form on file for child 1 and child 2 did not include complete addresses for the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.134(a)/3270.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During the time of inspection, it was observed that the teacher in the infant classroom did not wash their hands or the child's hands prior to serving and eating lunch.

Corrected Corrected by Jul 23, 2024

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

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

Documentation of the health assessment on file for staff member 2 was updated more than 24 months of the original health assessment date.

Corrected Corrected by Jul 23, 2024

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.

Documentation on file for staff member 3 did not include 2 written, nonfamily reference from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Jul 24, 2024

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 of an emergency drill was not on file.

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Documentation of the alarm testing showed that the alarms were tested more than 30 days of the previous test date. The alarm was tested on 12/1/23 and again on 1/2/24 which is 32 days; 5/3/24 and again on 6/3/24 which is 31 days.

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.133(7)(viii) · A medication log shall include special notes related to problems of administration.

Documentation of the medication logs on file for child 6, child 7, child 8, and child 9 did not include special notes related to problems of administration.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Documentation of the emergency plan on file didn't include the continuity of operations plan.

Corrected Corrected by Jul 26, 2023

Category: ratio. 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 criminal record clearance on file for staff member 1 was updated after the 60-month timeframe. The criminal record clearance for staff member 1 expired on 6/7/23 and was updated on 6/20/23. The criminal record clearance for staff member 2 was a volunteer clearance. The mandated reporter training for staff member 1expired on 6/6/23 and was updated on 6/21/23. The mandated reporter training on file for staff member 3 was completed after the 90 day probationary period. Criminal record clearance for employment purpose was obtained during the inspection for staff member two.

Corrected Corrected by Jul 26, 2023

Category: background checks. 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.

During the time of inspection, it was observed that there was a bottle of hand sanitizer within reach of children in the Pre K classroom. The hand sanitizer was placed out of reach of children during the inspection.

Corrected Corrected by Jul 26, 2023

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

During the time of inspection, it was observed that the water temperature in the infant room was 122.5 degrees Fahrenheit.

Corrected Corrected by Sep 1, 2023

Category: physical safety. 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.

During the time of inspection, it was observed that there were two ceiling tiles in the hallway, two ceiling tiles in the second infant room and two ceiling tiles in the young toddler room that all had significant water marks on them indicating a leak.

Corrected Corrected by Sep 1, 2023

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

3270.102(a)/3270.102(e) · 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. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

During the time of inspection, it was observed that a rubber mat located in the young toddler classroom was peeling which could cause a choking hazard for the children. The rubber mat was removed during the time of inspection.

Corrected Corrected by Jul 26, 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.

Documentation of the agreement on file for child 1, child 3, child 4 and child 5 did not include the child's admission date.

Corrected Corrected by Jul 28, 2023

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 information on file for child 2 did not include the enrolling parent's work phone number.

Corrected Corrected by Jul 28, 2023

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.

Documentation on file for child 5 did not include written consent signed by the parent for emergency medical care.

Corrected Corrected by Jul 28, 2023

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).

Documentation of the influenza vaccine was not on file for child 1, child 2, child 3, and child 4.

Corrected Corrected by Sep 15, 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.

The medication for child 8 expired on 9/2022 and the medication log for the child showed that the medication was given to the child on 6/7/23.

Corrected Corrected by Jul 26, 2023

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

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

Documentation of the health assessment on file for staff member 4 was completed after the first day caring for children.

Corrected Corrected by Jul 26, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(1) · An adult health assessment must include a physical examination.

Documentation of the health assessment on file for staff member 1 did not include a physical examination.

Corrected Corrected by Jul 26, 2023

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

3270.151(c)(4) · An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Documentation of the health assessment on file for staff member 3 didn't include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Corrected Corrected by Aug 26, 2023

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

3270.182(4)/3270.182(5) · A child's record shall contain signed parental consent for administration of medications or special dietary needs. 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 the record on file for child 5 did not include signed parental consent for administration of medications or special dietary needs or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 28, 2023

Category: ratio. Marked corrected in the state record.

3270.182(6) · A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Documentation of the record on file for child 5 did not include signed parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Jul 28, 2023

Category: transportation. Marked corrected in the state record.

3270.113(a)/3270.113(a)(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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 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.

Child 1 was unsupervised for an estimated time of seven minutes. The child was found by staff member 1 while passing by in the hallway. The child's primary care giver did not know his where abouts and was not physically present.

Corrected Corrected by Jan 17, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(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. Children must be supervised at all times. 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.

Child 1 was unsupervised for an estimated time of seven minutes. The child was found by staff member 1 while passing by in the hallway. The child's primary care giver did not know his where abouts and was not physically present.

Corrected Corrected by Nov 22, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(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. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for transitioning children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. 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.

Child 1 was unsupervised for an estimated time of seven minutes. The child was found by staff member 1 while passing by in the hallway. The child's primary care giver did not know his where abouts and was not physically present.

Corrected Corrected by Mar 19, 2023

Category: supervision. Marked corrected in the state record.

3270.14/3270.69(a) · 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.A facility shall provide running water and a safe and adequate supply of drinking water that complies with the standards established under the Pennsylvania Safe Drinking Water Act (35 P.S. §§721.1-721.17).

Facility did not have a DEP approval letter on file to conform with the requirements of the Safe Water Drinking Act

Corrected Corrected by Oct 23, 2022

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #13 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 person(s) available to supervise staff person #13, staff person #13 may not work in a child-care position at the facility.

Staff person #13 was observed to be caring for children unsupervised. Staff person #13 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric CPR/First Aide

Corrected Corrected by Aug 11, 2022

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of hire:Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g)(10) within 90 days of hire. Staff person #1,2,3,4,5,6,7,8,9,10,11, and 12 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person number 1,2,3,4,5,6,7,8,9,10,11, and 12 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Jul 8, 2022

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

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire:

Staff person number 8 did not complete health and safety training within 90 days of hire. Health and safety training is on file and dated 3/3/22, which is greater than 90 days from hire. Staff person number 4 had health and safety training dated 10/25/18, which is not accepted. Staff person number 6 had health and safety training dated 9/18/16, which is not accepted.

Corrected Corrected by Jul 18, 2022

Category: health medication. 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.

Staff person number 8 had an NSOR clearance dated 7/1/22, which was outside of the provisional hire period.

Corrected Corrected by Jul 1, 2022

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 person number 5 had a previous health assessment dated 10/9/19 and an updated health assessment dated 12/8/21, which is greater than 24 months.

Corrected Corrected by Dec 8, 2021

Category: ratio. Marked corrected in the state record.

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

Fire detection testing was not completed within 30 days on several occasions. Tested on 8/11/21 and again 9/20/21. Tested 9/20/21 and again on 10/22/21. Tested 12/3/21 and again on 1/24/22.

Corrected Corrected by Jul 13, 2022

Category: recordkeeping. Marked corrected in the state record.