Ivelisse Children Learning And Daycare

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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR prior to their current certification expiring. The following staff did not participate in pediatric first aid/CPR prior to their current certification expiring: Staff #1 and #2. The current certification for these staff expired February 2026 and these staff did not take training again until 3/10/26.

Corrected by Jun 10, 2026

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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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The CPSL requires staff to have a completed NSOR on file prior to working in a child care role at the facility. Staff # 3 did not receive an NSOR until 5/20/26 which was after the staff's date of hire. Regulation requires staff to have on file prior to working in child care a fully completed signed and dated disclosure statement. Staff #3 and #4 did not complete a disclosure statement until 5/12/26 which was after both staff's date of hire.

Corrected by Jun 10, 2026

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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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to on file prior to working in a child care role at the facility a health assessment and tuberculosis screening results. The following staff were observed in a child care role at the facility. Staff #3 did not have on file a health assessment. Staff #4 did not have on file the results of a tuberculosis screening.

Corrected by Jun 10, 2026

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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 training has been completed, staff persons #1, #5 and #7 must be supervised, when interacting with children, by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff available to supervise staff persons #1, #5 and #7, staff persons #1, #5 and #7 may not work in a child-care position at the facility.

CONTINUED NONCOMPLIANCE An unannounced inspection occurred at the facility on 6/9/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #5 has not completed the following required pre-service training, is within 90 days of their date of hire date but was observed working unsupervised: pediatric first aid/CPR and health and safety training. An acceptable plan of correction was received 7/16/25. A renewal inspection occurred at the facility on 8/14/25. Staff #1 and #7 were working together at the time of this inspection. See the code sheet for the date of hire. Staff person #7 has not completed the following required pre-service training, is within 90 days of their date of hire date but was observed working unsupervised: pediatric first aid/CPR. Staff #1 had pediatric first aid training that expired on 5/3/25. Per regulation, these staff were not supervised by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised.

Corrected by Aug 14, 2025

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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. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

CONTINUED NONCOMPLIANCE. An unannounced inspection occurred at the facility on 6/9/25. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR prior to their current certification expiring. This training for Staff #1 expired 5/3/25 and Staff #1 did not have documentation of current pediatric first aid/CPR training at the time of the inspection. An acceptable plan of correction was received 7/16/25. A renewal inspection occurred at the facility on 8/14/25. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR prior to their current certification expiring. This training for Staff #1 expired 5/3/25 and Staff #1 still did not have documentation of current pediatric first aid/CPR training at the time of the inspection.

Corrected by Sep 5, 2025

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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. TIERED LIS: 1. Facility Person #5 may not work in a child care position with direct contact with children at the facility. This portion of the plan requires an immediate correction. 2. The Legal Entity/Director will call the Northeast Regional Office (800-222-2108) to schedule the legal entity, director and any one responsible for maintaining staff files to participate in the next Existing Provider Training on November 12, 2025. This portion of the plan requires a date of correction in conjunction with the attendance of the training.

CONTINUED NONCOMPLIANCE An unannounced inspection occurred at the facility on 6/9/25. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was not hired correctly as a provisional hire per the CPSL. Staff #5 was observed working unsupervised with children and the file did not contain the NSOR clearance or documentation of applying for the state police clearance as required by the CPSL to be hired as a provisional hire. As a provisional hire, Staff #5 was also required to be supervised, but Staff #5 was working unsupervised with children at the time of this inspection. An acceptable plan of correction was received 7/16/25. A renewal inspection occurred on 8/14/25. A directed plan was given to the facility, and an acceptable plan of correction was given that the facility would arrange for the legal entity, director and anyone responsible for maintaining staff files did not participate in Existing Provider Training. As of the inspection on 8/14/25, this training has not been taken.

Corrected by Nov 12, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

CONTINUED NONCOMPLIANCE An unannounced inspection occurred at the facility on 6/9/25. A review of staff files was conducted. The file of Staff #2 contained education from Brazil. Staff #2 was unable to be appropriately qualified to work in a child care position as the education from Brazil was not sent for equivalency. An acceptable plan of correction was received 7/16/25. A renewal inspection occurred at the facility on 8/14/25. A review of staff files was conducted. The file of Staff #2 contained education from Brazil. Staff #2 was unable to be appropriately qualified to work in a child care position as the education from Brazil was still not sent for equivalency.

Corrected by Nov 5, 2025

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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.

CONTINUED NONCOMPLIANCE An unannounced inspection occurred at the facility on 6/9/25. A physical site review was conducted. In the large main space, a bottle of A&D ointment was found in a child's cubby that was accessible to children, but the bottle indicated the need to be inaccessible to children. Children were observed receiving care in this area at the time of the inspection. In both rear bathrooms of the building, the cabinets were unlocked and contained Lysol and soaps. These bathrooms were observed being used by children at the time of the inspection. These items indicated the need to be inaccessible to children. The gate to the kitchen was left open and accessible to children were several disinfectants, paint, and cleaners. These items indicated the need to be inaccessible to children. Children were observed receiving are in the room directly attached to the kitchen's open gate. A door labeled 'Employees Only' was left unlocked. In this room the following toxic items were found: cleaner, bleach, floor stripper, laundry detergent and a mop bucket with dirty water and cleaner (water was gray and smelled of cleaner). Children were observed passing by this unlocked door that contained toxic item that the labels read to keep out of reach of children. An acceptable plan of correction was received 7/16/25. A renewal inspection occurred at the facility on 8/14/25. A physical site review was conducted. In the large main space, numerous bottles/containers of diaper rash creams were accessible in the diaper changing drawer and in the children's cubbies. In the small left room, diaper creams were also accessible in the diaper changing drawers. Children were observed receiving care in these rooms and the items found indicated the need to be kept out of the reach of children. These items were discussed with the director at the time of the inspection.

Corrected by Aug 22, 2025

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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 renewal inspection occurred at the facility on 8/14/25. A physical site review was conducted. A hand washing sign was missing at the sink in the large main room.

Corrected by Aug 14, 2025

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3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection occurred at the facility on 8/14/25. A physical site review was conducted. In the large main room, in the diaper changing table drawers, plastic bags and wipes in plastic bags were found. Also in the children's cubbies, wipes in plastic bags were observed along with diapers in plastic bags. Toddlers were observed receiving care during this inspection. The wipes indicated the need to be kept out of reach of children due to plastic container.

Corrected by Aug 22, 2025

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3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

A renewal inspection occurred at the facility on 8/14/25. A physical site review was conducted. In the left side room, a changing table was observed with a lower broken drawer.

Corrected by Aug 15, 2025

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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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of three hours of in-person, PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training. The operator shall provide a date for when this training will be completed.

CONTINUED NONCOMPLIANCE An unannounced inspection occurred at the facility 6/9/25. A physical site review was conducted. In the 3rd large room from the entrance, a preschool age girl was observed unsupervised. It is unknown how long this girl had been in this room. At this same time, Staff #6 appeared to be looking for a missing child. Certification Representative asked Staff #6 if they were missing a child and Staff #6 admitted they were. This child was reunited with their group in the 3rd large room from the entrance with Staff #5. On a second occasion, Certification Representative was walking through the facility with the director and at that time, another preschool age child was found alone and unsupervised in the same section of the building. It is also unknown how long this child had been gone from Staff #5, as Staff #5 did not appear to be looking for the missing child. The director reunited this child with Staff #5, who appeared unaware that the child was missing. An acceptable plan of correction was received on 7/16/25. A renewal inspection occurred on 8/14/25. A directed plan was given to the facility, and an acceptable plan of correction was given that the facility would arrange for all facility staff hired as of the date of the training to take PQAS-approved training for supervision. As of the inspection on 8/14/25, this training has not been taken.

Corrected by Sep 27, 2025

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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.

A renewal inspection occurred at the facility on 8/14/25. A review of children's files was conducted. The file of Child #3 was missing consent for emergency medical care as required by regulation prior to admission.

Corrected by Aug 15, 2025

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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 renewal inspection occurred at the facility on 8/14/25. A physical site review was conducted. In the large main room, a plastic bag was observed hanging from the diaper changing table. Inside the plastic bag was a used diaper and wipes. This bag with dirty diaper and wipes as not immediately discarded and was accessible to children.

Corrected by Aug 22, 2025

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3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection occurred at the facility on 8/14/25. A review of children's files was conducted. Staff were asked to provide for review the written statement giving the formula and feeding schedule for infants. Staff indicated the facility does not have written documentation that give the infant's formula and feeding schedules.

Corrected by Aug 29, 2025

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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.

A renewal inspection occurred at the facility on 8/14/25. A review of children's files was conducted. The file of Child #3 did not contain parental consent for administration of minor first-aid procedures by facility staff as required by regulation prior to admission.

Corrected by Aug 15, 2025

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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.

A renewal inspection occurred at the facility on 8/14/25. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested at least every 30 days. The following tests lapsed occurring at least every 30 days: 4/4/25, 5/5/25, 6/5/25, 7/3/25 and 8/9/25.

Corrected by Sep 3, 2025

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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 training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #5 has not completed the following required pre-service training, is within 90 days of their date of hire date, but was observed working unsupervised: pediatric first aid/CPR and health and safety training.

Corrected by Jun 9, 2025

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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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. Regulation requires staff to participate in pediatric first aid/CPR prior to their current certification expiring. This training for Staff #1 expired 5/3/25 and Staff #1 did not have documentation of current pediatric first aid/CPR training at the time of the inspection.

Corrected by Aug 9, 2025

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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. Tiered LIS: 1. Facility Person #5 may not work in a child care position with direct contact with children at the facility. This portion of the plan requires an immediate correction. 2. The Legal Entity/Director will call the Northeast Regional Office (800-222-2108) to schedule the legal entity, director and any one responsible for maintaining staff files to participate in the next Existing Provider Training on August 6, 2025. This portion of the plan requires a date of correction in conjunction with the attendance of the training.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was not hired correctly as a provisional hire per the CPSL. Staff #5 was observed working unsupervised with children and the file did not contain the NSOR clearance or documentation of applying for the state police clearance as required by the CPSL to be hired as a provisional hire. As a provisional hire, Staff #5 was also required to be supervised, but Staff #5 was working unsupervised with children at the time of this inspection.

Corrected by Aug 6, 2025

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #5 must be supervised, when interacting with children, by all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #5, staff person #5 may not work in a child-care position at the facility.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 was working unsupervised and has not completed the mandated reporter training, but is within 90 days of their date of hire date. Regulation requires staff to be supervised by a staff who has completed all preservice trainings and has all qualifications to care for children unsupervised until the training is completed.

Corrected by Jun 9, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

An unannounced inspection occurred at the facility. A review of staff files was conducted. The file of Staff #2 contained education from Brazil. Staff #2 was unable to be appropriately qualified to work in a child care position as the education from Brazil was not sent for equivalency. The file of Staff #5 did not contain any proof of education. Staff #5 was working unsupervised with children the time of this inspection. Staff #5 was not able to be appropriately qualified to work in a child care position at the facility due to the lack of missing education documentation in the staff's file.

Corrected by Jun 30, 2025

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3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Tiered LIS: 1. The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The Legal Entity/Director will establish a supervision and mixed-age ratio policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children while always maintaining appropriate ratio during times when mixed-aged children are grouped together. The policy must address the process of determining proper staff:child ratio when mixed-aged children are grouped together. The policy must be submitted to the Northeast Regional office for approval. Once approved, the policy must be reviewed by all staff. Staff will sign off as an understanding of the policy and mixed-aged ratios. The operator shall provide a date for when this review with all staff will be completed.

An unannounced inspection occurred at the facility. A physical site review was conducted. Staff #3 and Staff #6 were observed working in the large main area with 3 older toddlers, 8 preschoolers and 1 school age child. Staff #3 was observed leaving the room on two occasions with 1 child leaving Staff #6 with 2 older toddlers, 8 preschoolers and 1 school age child. This number of children would have required at least 2 staff to be present to meet staff:child ratio when Staff #3 left the room on both occasions. This number of children would require at least 2 staff to be present to meet staff:child ratios at all times.

Corrected by Aug 22, 2025

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

An unannounced inspection occurred at the facility. A physical site review was conducted. In the small left room in the large main space (the infant/toddler room), two outlet covers were missing. The outlets needing covers were addressed with staff at the time of the inspection. Infants and toddlers were observed receiving care in this room during the inspection.

Corrected by Jul 14, 2025

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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.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the large main space, a bottle of A&D ointment was found in a child's cubby that was accessible to children, but the bottle indicated the need to be inaccessible to children. Children were observed receiving care in this area at the time of the inspection. In both rear bathrooms of the building, the cabinets were unlocked and contained Lysol and soaps. These bathrooms were observed being used by children at the time of the inspection. These items indicated the need to be inaccessible to children. The gate to the kitchen was left open and accessible to children were several disinfectants, paint, and cleaners. These items indicated the need to be inaccessible to children. Children were observed receiving are in the room directly attached to the kitchen's open gate. A door labeled 'Employees Only' was left unlocked. In this room the following toxic items were found: cleaner, bleach, floor stripper, laundry detergent and a mop bucket with dirty water and cleaner (water was gray and smelled of cleaner). Children were observed passing by this unlocked door that contained toxic item that the labels read to keep out of reach of children.

Corrected by Jul 14, 2025

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3270.67(a) · Trash shall be removed from the facility at least once per day.

An unannounced inspection occurred at the facility. A physical site review was conducted. The facility had a strong unpleasant smell. Found in the second large room from the entrance there were 2 bags of garbage that staff indicated was found at the exit door at the opening of the facility on the date of this inspection. The kitchen is directly attached to this room and the kitchen too had a strong unpleasant smell. Another garbage can was found with the lid open and filled with garbage. Staff could not say when this garbage was last taken out. Staff and children in care on the date of this inspection all commented on the strong unpleasant smell.

Corrected by Jul 11, 2025

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3270.67(c) · Evidence of infestation of insects or rodents in the facility is not permitted.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the kitchen, flies were observed around the garbage can with the open lid. In the third large room from the entrance near the exit door, dead insects were observed on the floor and mouse feces were also observed.

Corrected by Jul 18, 2025

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3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

An unannounced inspection occurred at the facility. A physical site review was conducted. During the inspection, the gate to the kitchen was unlocked. The kitchen contained an unprotected stove. Two children were observed on two separate occasions unsupervised in this area (3rd large room from entrance) and the gate was left open and the stove was accessible to children.

Corrected by Jul 14, 2025

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3270.76/3270.77(a) · 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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the 2nd large room from the entrance, a spilled colorless liquid from a bottle was observed on the floor near the windows. This area was addressed with the director at the time of this inspection. In the 3rd large room from the entrance to the right side near the exit door, in several areas, the flooring was observed peeling up. These areas were identified and addressed with the director. Peeling paint was also observed in this room. The peeling paint was identified and addressed with the director at the time of this inspection. In the last room in the rear of the building, peeling paint and a hole in the wall was found. These areas were also identified and addressed with the director at the time of this inspection. The second to last bathroom to the rear exit of the building was observed to have water leaking but the origin of the leak was unknown. The leak was causing the flooring of the bathroom to peel up and water could be heard under the flooring when walked on. Areas of water also began pooling.

Corrected by Aug 8, 2025

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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.

An unannounced inspection occurred at the facility. A physical site review was conducted. A diaper changing area and diaper change was observed in the first large room of the facility. This area did not contain a source of running water for handwashing near the diaper changing area. The staff observed changing diapers had to leave this room with the child to enter another room of the building to wash hands on two separate occasions.

Corrected by Jul 25, 2025

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3270.106(a)/3270.119 · 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. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the small left room of the large main space (infant/toddler room), an infant was observed sleeping in an infant seat and with a pacifier attachment. This infant was not sleeping in appropriate rest equipment or on their back as required per the American Academy of Pediatrics.

Corrected by Jul 14, 2025

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3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the small left room of the large main space (infant/toddler room), an infant was observed sleeping in a pack and play with a pacifier attachment. Per regulation, toys are not to be in the crib of a sleeping infant.

Corrected by Jul 14, 2025

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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. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of three hours of in-person, PQAS-approved training, regarding supervision and appropriate ratios of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. To show proof of the training, the legal entity will submit the staff attendance/sign-in sheet to the Regional Office after completion of the training. The operator shall provide a date for when this training will be completed.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the 3rd large room from the entrance, a preschool age girl was observed unsupervised. It is unknown how long this girl had been in this room. At this same time, Staff #6 appeared to be looking for a missing child. Certification Representative asked Staff #6 if they were missing a child and Staff #6 admitted they were. This child was reunited with their group in the 3rd large room from the entrance with Staff #5. On a second occasion, Certification Representative was walking through the facility with the director and at that time, another preschool age child was found alone and unsupervised in the same section of the building. It is also unknown how long this child had been gone from Staff #5, as Staff #5 did not appear to be looking for the missing child. The director reunited this child with Staff #5, who appeared unaware that the child was missing.

Corrected by Aug 20, 2025

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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. TIERED LIS: 1. A source of running water shall be located at all diaper changing areas and staff/children shall wash hands after diaper changes. This portion of the plan shall have an immediate correction date. 2. The legal entity/director shall develop a diaper changing policy to include hand washing, cleaning of the diaper changing area, and proper disposal of the diapers. The policy shall be sent to the Northeast Regional Office for review and approval. Once approved, the policy will be reviewed with all staff. Staff will sign off on the policy indicating their understanding of the diaper changing policy and procedures. The operator shall provide a date for when this process will be completed with all staff.

An unannounced inspection occurred at the facility. A physical site review was conducted. Two diaper changes were observed by Staff #3 and after these changes the hands of Staff #3 and the children were not washed. A diaper change was also observed in the left small room in the 1st large area (infant and toddler room), and the hands of staff and child were not washed after the change.

Corrected by Aug 22, 2025

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3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

An unannounced inspection occurred at the facility. A physical site review was conducted. In the 1st large room from the entrance, two diaper changes were observed. After each diaper change, Staff #3 did not clean the diaper changing surface after each change as required by regulation.

Corrected by Jul 18, 2025

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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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a health assessment and tuberculosis screening prior to working in a child care role. Staff #3 was working at the time of this inspection, and the file did not contain a health assessment or tuberculosis screening results.

Corrected by Jul 11, 2025

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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.

An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have on file two letters of written reference at the time of hire. Staff #5 was working at the time of this inspection, and the file did not contain two letters of written reference.

Corrected by Jun 23, 2025

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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.

At the time of initial inspection on 3/3/25, the facility did not have on file proof of purchase paperwork for the fire detection system.

Corrected by Mar 3, 2025

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