3270.31(e)(4)(i)/3270.31(f)(10) · 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. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Documentation for facility person #2 pediatric first aid/CPR training was not on file at the time of inspection.

Corrected Corrected by Nov 25, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

More information is needed from a health care professional regarding facility person #1 suitability to provide child care.

Corrected Corrected by Nov 25, 2025

Category: health medication. 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.

Facility person #1 and facility person #4 did not receive emergency plan training within 90 days of hire.

Corrected Corrected by May 27, 2025

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.

Facility person #3 had a state police clearance dated 9.12.23 that stated "Still Pending" on file at the facility.

Corrected Corrected by May 27, 2025

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Documentation of mandated reporter training on file for facility person #3 showed that they renewed their mandated reporter training after the expiration of the most current certification. Pervious training was 8.15.19 and the updated training was completed on 9.11.24. Documentation on file for facility person #4, did not include mandated reporter training.

Corrected Corrected by May 27, 2025

Category: ratio. 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.

During the time of inspection, handwashing signs were not posted in the bathrooms.

Corrected Corrected by May 27, 2025

Category: health medication. 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.

Child #1, #2, #3, and #4 had "See Emergency Contact" on the fee agreement under persons designated by a parent to whom the child may be released.

Corrected Corrected by May 27, 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.

Child #3 emergency contact did not include the release person's address.

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Facility person #1 did not receive an initial health assessment. Facility person #4 did not receive an initial health assessment. Facility person #5 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 9.15.16.

Corrected Corrected by Jun 15, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(2)/3270.192(3) · 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. 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.

Facility person #1 did not receive an initial tuberculosis screening by the Mantoux method at initial employment. Facility person #4 did not receive an initial tuberculosis screening by the Mantoux method at initial employment.

Corrected Corrected by May 27, 2025

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

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

During the time of inspection, pick up and drop off procedures were not posted in a conspicuous location in the child care facility.

Corrected Corrected by May 27, 2025

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.

Facility person #1 and #4 did not have documentation of two written, nonfamily references from an individual attesting to the person's suitability to serve as a facility person.

Corrected Corrected by May 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Facility person #2 did not complete pediatric first aid and pediatric cardiopulmonary resuscitation by a PQAS certified instructor within 90 days of hire.

Corrected Corrected by May 27, 2025

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

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

Documentation shows that fire drills were not completed every 60 days. 1.9.25-3.17.25 - 67 days

Corrected Corrected by May 27, 2025

Category: recordkeeping. 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.

Staff person #2 did not have documentation of emergency plan training on file.

Corrected Corrected by May 6, 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(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #1 will have until May 15, 2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a GS or AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person 1- may not work in a child-care position at the facility.

Staff person #1 did not have documentation of the 10 hour health and safety training on file.

Corrected Corrected by May 8, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Documentation of the FBI clearance on file for staff member #1 was obtained by the Department of Education and not the Department of Human Services.

Corrected Corrected by May 1, 2024

Category: background checks. 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 overgrown grass and weeds were in the outdoor play space.

Corrected Corrected by May 1, 2024

Category: physical safety. 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 a hole in the plaster in the boy's bathroom.

Corrected Corrected by May 11, 2024

Category: physical safety. 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.

Documentation on file shows that fire drill testing was not completed every 30 days. 9/18/23-10/19/23

Corrected Corrected by May 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.21/3270.61(b) · Conditions at the facility may not pose a threat to the health or safety of the children. All staff/administration must complete the Better Kid Care 911: Responding to Medical Emergencies training. The training hours may not count towards the required 12 hours of annual training. Indoor child care space may not be used simultaneously as play space.

Child #1 sustained an injury (requiring stitches) due to an accident which occurred during an organized gross motor activity in the All Purpose room. Staff failed to recognize the gravity of the situation in which child #1 ran into a pole causing a head injury. Staff did not make any calls for emergency care/services to examine the general health of the child. This room is licensed for child care, not gross motor activities.

Corrected Corrected by Jan 3, 2024

Category: ratio. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

The parents of child #1 were not given the incident report about the 12/14/23 incident which occurred at this facility. The original incident report was in the child's file. There was no master file for incident reports.

Corrected Corrected by Jan 5, 2024

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.

Documentation of the emergency contact information on file for child 2 didn't include the enrolling parent's work address and the enrolling parent's work phone number. This information was added during the inspection at pick up by the enrolling parent.

Corrected Corrected by Sep 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Documentation of the emergency contact information on file for child 1 didn't include the health insurance information and the health insurance policy number.

Corrected Corrected by Sep 26, 2023

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

3270.151(c)(3)/3270.151(c)(4) · An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 1 indicated that they had a communicable disease but did not include the conditions and the risk it might post to others exposed.

Corrected Corrected by Sep 26, 2023

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.

Documentation of an annual emergency drill was not on file.

Corrected Corrected by Sep 26, 2023

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 fire detection testing showed that testing was not being completed every 30 days. Testing was completed on 1/3/23; 2/10/23 and on 12/2/22; 1/3/23.

Corrected Corrected by Sep 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(3)/3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and when it has ended to provide instruction as to how parents can safely be reunited with their children (corrected during inspection).

Corrected Corrected by Aug 16, 2022

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

3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

At the time of enrollment, the parents did not receive in writing the facility's health and supervision policies.

Corrected Corrected by Aug 22, 2022

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

Child #3's agreement did not specify the date of the child's admission (corrected during inspection).

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(1) · A health report shall include a review of the child's health history.

Child #1's current health report does not include a review of the child's health history.

Corrected Corrected by Sep 7, 2022

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

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

Child #1's current health report does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Sep 7, 2022

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

3270.131(d)(8) · 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.

Child #1's current health report does not 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.

Corrected Corrected by Sep 6, 2022

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.

Facility person #1's health assessments exceeded the every 24 months permitted timeframe: 11/15/19, 4/5/22.

Corrected Corrected by Apr 5, 2022

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Sep 15, 2022

Marked corrected in the state record.

3270.181(c)/3270.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Child #1's emergency contact information was not signed when it was updated once in a 6 month period (dated only).

Corrected Corrected by Aug 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.182(1) · A child's record shall contain initial and subsequent health reports.

Child #2's record does not contain an initial health assessment.

Corrected Corrected by Sep 14, 2022

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

Facility person #1's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 7, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Fire drills were not consistently conducted at least once every 60 days; (9/16/21, 11/19/21).

Corrected Corrected by Sep 14, 2022

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.

Testing of the smoke detectors exceeded the every 30 days permitted timeframe; (9/16/21, 10/19/21), (3/18/22, 4/20/22).

Corrected Corrected by Sep 6, 2022

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.

The operator did not 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.

Corrected Corrected by Sep 6, 2022

Marked corrected in the state record.

3270.27(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

The emergency plan that was posted was not the current, updated one. (This was corrected during inspection).

Corrected Corrected by Sep 21, 2021

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

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #3's previous FBI clearance was dated 8/27/15 and current FBI clearance is dated 7/6/21. Staff person #4's previous FBI clearance was dated 8/25/15 and current FBI clearance is dated 7/19/21. Clearances for staff persons #3 & #4 had a timeframe between clearances obtained that is greater than the 60 months permitted.

Corrected Corrected by Aug 18, 2021

Category: background checks. 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.

It was observed that the refrigerator did not contain an operating thermometer (corrected during inspection).

Corrected Corrected by Sep 21, 2021

Category: nutrition. Marked corrected in the state record.

3270.111(b) · The written plan of daily activities shall be posted in the group space.

It was observed that there was no plan of daily activities posted in Room 10 and Room 18.

Corrected Corrected by Sep 24, 2021

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

3270.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreements for Child #1, #2, #3, #4, and #5 did not specify the services which are to be considered as extra.

Corrected Corrected by Sep 17, 2021

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.

It was observed that there were no emergency contact forms present in the child care space in Room 10 and Room 18.

Corrected Corrected by Sep 30, 2021

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.

It was observed that there was no transportation plan posted in Room 10 and Room 18.

Corrected Corrected by Sep 30, 2021

Category: transportation. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter provided to the parents explaining the emergency procedures did not include reference to annual emergency drills and accommodations made for children during a lock-down.

Corrected Corrected by Aug 10, 2021

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.

The outdoor play space has a cyclone fence with 2 openings at the bottom which contain sharp, exposed wires (side of fence parallel to parking lot, near gate)

Corrected Corrected by Aug 21, 2021

Category: physical safety. 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 emergency plan did not contain reference to emergency drills being conducted annually.

Corrected Corrected by Aug 12, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not send a copy of the emergency plan to the county emergency management agency.

Corrected Corrected by Aug 19, 2021

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